Proposed License Agreement between the City of Dubuque and ImOn Communications LLCCity of Dubuque
City Council Meeting
Consent Items # 021.
Copyrighted
September 6, 2022
ITEM TITLE: Proposed License Agreement between the City of Dubuque and ImOn
Communications LLC
SUMMARY: City Manager recommending City Council approval of a License
Agreement between the City of Dubuque and I mOn Communications
LLC.
SUGGESTED Suggested Disposition: Receive and File; Approve
DISPOSITION:
ATTACHMENTS:
Description
Type
Proposed License Agreement between the City of City Manager Memo
Dubuque and ImOn Communications LLC-MVM Memo
I mOn Hub at 3155 Central Memo to the City Manager Staff Memo
I mOn Hub License Agreement 3155 Central Ave Supporting Documentation
Dubuque
THE CITY OF
Dubuque
DUB TEE1.
All -America City
Masterpiece on the Mississippi
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TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Proposed License Agreement between the City of Dubuque and ImOn
Communications LLC
DATE: August 30, 2022
Civil Engineer II Dave Ness, Information Services Manager Chris Kohlmann, and
Sustainable Innovation Consultant David Lyons are recommending City Council
approval of a License Agreement between the City of Dubuque and ImOn
Communications LLC. The License would allow ImOn access to available property at a
City Fire Station to place a small communications hub to support FTTH (Fiber -To -The -
Home) development on the City's northside.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
Mic ael C. Van Milligen
IL[yTILiWIIIIIIIIIIIIIII IIIIIIIII
Attachment
cc: Crenna Brumwell City Attorney
Cori Burbach, Assistant City Manager
Dave Ness, Civil Engineer II
Chris Kohlmann, Information Services Manager
David Lyons, Sustainable Innovation Consultant
THE CITY OF
DUB TE
Masterpiece on the Mississippi
TO: Michael C. Van Milligen, City Manager
FROM: Dave Ness, Civil Engineer II
Chris Kohlmann, Information Services Manager
David Lyons, Sustainable Innovation Consultant
Dubuque
IIFlmeriw Cft
2007-2012.2013
2017*2019
SUBJECT: Proposed License Agreement between the City of Dubuque and ImOn
Communications LLC
DATE: August 30, 2022
INTRODUCTION.
The purpose of this memo is to request approval of a License Agreement between the
City of Dubuque and ImOn Communications LLC. The License would allow ImOn
access to available property at a City Fire Station to place a small communications hub
to support FTTH (Fiber -To -The -Home) development on the City's northside
T_T6]20]:19111z10
In 2016 the City of Dubuque undertook its Broadband Acceleration Initiative. The
Initiative focuses on public/private collaborations and includes a comprehensive
strategy to reduce the cost and time required for broadband expansions in Dubuque
In 2017 the City of Dubuque and ImOn entered into a Master Co -location and Shared
Services Agreement to accelerate the deployment of new broadband capacity in
Dubuque and there have been several subsequent amendments. The collaborations
have gone well and all anticipated value to the City is being received
ImOn now seeks to add additional broadband capacity and support equipment to
expand their services to the City's north -end neighborhoods.
DISCUSSION.
ImOn would like to undertake a project that would add significant capacity to their new
Dubuque fiber -to -the -home network. Part of that capacity would be a communications
"hub" where a set of equipment and network components, including wires, cables, racks
and associated facilities, are housed to support broadband services in that geographic
area. ImOn presently has an agreement for such a communications hub in collaboration
with the City at the 3rd Street Water Tower. This new installation would provide core
and redundancy support for broadband availability in the City's north -end
neighborhoods. The project would involve the installation of a small building on
presently open City property adjacent to Fire Station 3 at 3155 Central Avenue. The
City would provide ImOn with a license to place their hub at this location for a period of
ten years, which license is renewable. ImOn would make a monthly license payment of
eight hundred dollars ($800.00). ImOn is required to provide insurance coverage
approved by the City and to relocate the hub if and when required by the City.
BUDGETIMPACT
There is no negative budgetary impact to the approval of the proposed License. The
license would generate ninety-six thousand dollars ($96,000.00) in new City revenue
over its ten-year term.
RECOMMENDATION AND ACTION REQUESTED
This License supports Dubuque's Broadband Acceleration Initiative and under the
Connected Community goal of making broadband available to every business and
residence in the City of Dubuque. We would respectfully request your approval and
recommendation to City Council.
c.c. Crenna Brumwell, City Attorney
Barry Lindahl, Senior Counsel
Steve Brown, Project Engineer
Kerry Bradley, Engineering
Amy Schelling, Fire Chief
Wally Wernimont, Planning Services Manager
HUB LICENSE AGREEMENT
BY AND BETWEEN
THE CITY OF DUBUQUE, IOWA
AND
IMON COMMUNICATIONS, LLC
This Hub License Agreement ("Agreement") is made and entered into this 1 st day of July
2022, ("Effective Date"), by and between ImOn Communications, LLC, located at 101 3rd
Avenue, SW, Suite 400, Cedar Rapids, Iowa 52404 (ImOn) and City of Dubuque (Owner)
of property located at 3155 Central Avenue, Dubuque IA, 52001 (Property). ImOn and
Owner may be collectively referred to as the "Parties."
WHEREAS, ImOn owns and operates certain communications cable facilities in
and around various Iowa communities; and
WHEREAS, ImOn desires to place its communications hub ("Hub") on the Owner's
Property listed above to provide communications services to ImOn customers.
NOW, THEREFORE, in consideration of the mutual covenants contained in this
Agreement, the Parties agree as follows:
SECTION 1. GRANT OF LICENSE. The Owner hereby grants to ImOn a license to
survey, construct, install, operate, inspect, protect, repair, alter, replace or remove its
communications Hub consisting of various equipment, including without limitation,
associated underground conduits, fiber optic cable, splicing boxes, and other
transmission equipment (collectively the Equipment) on Owner's Property described in
Exhibit A that is incorporated by reference into this Agreement (the License). The Exhibit
may only be amended in writing and executed by the Owner and ImOn. Owner represents
and warrants that it is the legal titleholder of the Property at this site, has the authority to
enter into this Agreement, and that the Property is free and clear of encumbrances that
would interfere with ImOn's contemplated use of the Property.
SECTION 2. TERM OF AGREEMENT. This Agreement shall continue in force and
effect from the 1 st day of July 2022 through the 1 st day of July 2032("Initial Term").
SECTION 3. RENEWAL. ImOn shall have the sole discretion and option to renew this
Agreement for two (2) additional ten (10)-year renewal periods by giving notice to Owner
at least sixty (60) days prior to the expiration of the Initial Term or any renewal period.
The same terms and conditions shall apply during any renewal option period(s).
SECTION 4. PAYMENT. As compensation for this License to use the Owner's
Property, ImOn agrees to pay the Owner the sum of Eight Hundred Dollars ($800) while
this Agreement remains in effect (the "License Fee"). Such License Fee shall be due on
or before the first day of each month while this Agreement remains in effect. If the
Effective Date is not the first of a particular month, ImOn shall pay a pro-rata amount
during the first month.
SECTION 5. ACCESS EASEMENT. Owner shall provide ImOn with access to the
Property at all times (that is, on a 365 day per year, 24 hours per day basis). ImOn is
also granted the right of ingress and egress to and from said Property over and across
the adjacent properties of Owner as needed for the purposes of this Agreement, which
includes access to locate, survey and layout, or perform other preliminary and preparatory
operations before actual construction is commenced.
The Owner grants ImOn a License for the purpose of and including the right to construct,
maintain, operate, enlarge, repair, locate, and remove or replace wires, lines and/or
cables for communications purposes, (hereinafter collectively referred to as the "Line")
upon, over, along, and across certain real estate owned by the Owner, in order to access
the Property. This grant includes the right to enter upon said Property for the purpose of
construction, maintaining, operating, enlarging, repairing, locating and removing or
replacing the Line.
SECTION 6. USE OF PROPERTY BY OWNER. Owner shall not interfere with, impair
or knowingly allow others to interfere with or impair in any way the exercise of the rights
granted to ImOn under this Agreement. Owner shall endeavor to cooperate with ImOn's
requirements for location or relocation, if required, of the Hub, e.g., near parking facilities,
with the least potential for interference with underground utilities or other improvements
made or to be made by Owner. The Hub shall be secured, and the Owner shall not enter
the same without an ImOn escort. It is understood that the Property is unmanned and
alarmed. Any entry must be first cleared through and approved by an authorized ImOn
employee.
SECTION 7. USE OF PROPERTY BY IMON. All construction and/or installation shall
be done at ImOn's sole expense by ImOn or, if ImOn elects at its discretion, by its
approved contractor(s). All such construction and installation shall comply with all
applicable local, state and national requirements and all required licenses and permits
shall be secured at ImOn's sole expense. ImOn shall abide by all reasonable rules and
regulations adopted by the Owner pertaining to the operation and management of the
Property. If any rules and regulations are contrary to the terms of this Agreement, the
terms of this Agreement shall govern. ImOn shall keep the Property free of liens and
encumbrances for labor performed on behalf of ImOn or materials furnished to ImOn.
ImOn agrees not to use, or permit said Property to be used, for any unlawful purpose.
SECTION 8. ELECTRICAL REQUIREMENTS. While this Agreement remains in
effect, ImOn shall be responsible for obtaining electrical power and any other utilities
required for its purposes, with Owner's cooperation if required by the utility company.
SECTION 9. MAINTENANCE. During construction and upon completion of installation,
ImOn shall remove from the Property all debris and rubbish caused by such construction
to the reasonable satisfaction of the Owner. ImOn shall replace or pay replacement costs
of any property damaged by its entry, use, operations or occupancy of the Property. ImOn
shall restore the Property to substantially the same condition prior to the construction or
any damage at the sole expense of ImOn, e.g., grading/contouring and replacing ground
cover. The Owner is solely responsible at its costs to mow the grass, remove snow, trim
bushes and perform any other maintenance services around the exterior of the Hub.
SECTION 10. RELOCATION. If underground utilities, eminent domain or other public
regulations necessitate relocation of the Hub, such relocation shall be made by ImOn at
its own expense, including returning the Property and the new location to substantially
the same condition existing prior to relocation. If Owner voluntarily proposes relocation of
the Hub, Owner shall provide one -hundred eighty (180) days written notice to ImOn and
shall provide a mutually agreeable location for reinstallation of the Hub and Equipment
on the Owner's property. The Owner is liable for all relocation costs incurred by ImOn
when such relocation is at the Owner's request. The period for relocation will be extended
if ImOn experiences delays due to weather conditions or other events of Force Majeure
or issues beyond the control of ImOn.
SECTION11. EMINENT DOMAIN. In the event the Property, or any part, shall be
condemned or otherwise acquired for any public purpose, Owner shall have the right to
cancel and terminate this Agreement, and ImOn agrees to vacate and surrender
possession of said Property within one -hundred eighty (180) days after notice in writing
to vacate. ImOn shall not be required to assign to Owner any award made to ImOn for
the taking of personal property, fixtures, or improvements paid for by ImOn and moving
expenses of ImOn resulting from any condemnation. Owner shall advise ImOn
immediately upon Owner's receipt of any information indicating such condemnation is
being contemplated.
SECTION 12. FIXTURES. The Hub and Equipment shall remain the sole property of
ImOn. Upon termination or expiration of this Agreement or any renewal term, ImOn shall
remove the Hub and Equipment from the Property within one -hundred eighty (180) days
after the Effective Date of such termination notice and bring the Property reasonably back
to its original condition. ImOn shall be liable to Owner for any damages to the Property
caused by the removal or relocation of the Hub and/or Equipment. Should ImOn fail to
reasonably bring the Property to its original condition, the Owner may elect to do such
work and ImOn shall pay to Owner all commercially reasonable costs thereof.
SECTION 13. INDEMNIFICATION.
(a) To the fullest extent permitted by law, ImOn shall indemnify, hold harmless,
and insure Owner and its directors, officers, agents, employees, affiliates,
successors and assigns ("Owner") from and against any and all third party
claims, demands, actions, liability, suits and judgments for damages to
property, and for injury or death to persons, including payments made under
any workers compensation law or under any plan for employees, disability
and death benefits ("Claims"), and all expenses incurred in defending
against any such Claims (including reasonable attorney fees and
expenses), which may arise out of or be caused by the construction,
maintenance, presence, use, relocation or removal of the Hub or Equipment
on the Property or Owner's adjacent property, or by any negligent act or
willful misconduct of ImOn on the Property.
(b) To the fullest extent permitted by law, Owner shall indemnify, hold harmless,
and insure ImOn and its directors, officers, agents, employees, affiliates,
successors and assigns ("ImOn") from and against any and all third party
claims, demands, actions, liability, suits and judgments for damages to
property, and for injury or death to persons, including payments made
under any workers compensation law or under any plan for employees,
disability and death benefits ("Claims"), and all expenses incurred in
defending against any such Claims (including reasonable attorney fees and
expenses), which may arise out of or be caused by any negligent act or
willful misconduct of Owner on or in the Property or Owner's adjacent
property.
SECTION 14. LIMITATION OF LIABILITY. In no event shall either Party be liable to
the other for any indirect, special, incidental, or consequential damages for any reason
whatsoever
SECTION 15. PAYMENT OF ADDITIONAL TAXES OR CHARGES. ImOn agrees to
be responsible for the payment of any tax, charge, or penalty imposed or levied against
the Property growing out of the use of said Property by ImOn. While this Agreement
remains in effect, ImOn shall reimburse Owner an amount equal to one hundred percent
(100%) of the amount by which the annual real estate taxes or special assessments on
the Property increase because of the placement of the Hub and Equipment upon the
Property. ImOn shall reimburse Owner within thirty (30) days of ImOn's receipt of
evidence of such increase. Notwithstanding the foregoing, ImOn shall not be responsible
or liable for any increase in real estate taxes or special assessments not directly related
to the placement of the Hub and Equipment on the Property, income or other taxes of
Owner.
SECTION 16. SIGNS. No sign, notice, advertisement, or other inscription of any kind
shall be put on or attached to any part of the Hub or Property by ImOn unless approved
by the Owner, such consent not being unreasonably withheld.
SECTION 17. INSURANCE. ImOn shall maintain at all times during the term of this
Agreement insurance as described in the attached Insurance Schedule and as such
Insurance Schedule may from time to time be amended by Owner and upon notice to
ImOn.
SECTION 18. DEFAULT; TERMINATION. Failure of either party to cure a material
default under this Agreement as soon as reasonably practical but, not less than thirty (30)
days after receipt of written notice thereof, shall entitle the other party to terminate this
Agreement. A default that is not susceptible of cure within such thirty (30) days shall not
give rise to a right of termination, provided cure is commenced within thirty (30) days and
diligently pursued to completion. Upon delivery of written notice of intent to terminate
this Agreement by either party under this paragraph, ImOn shall be permitted to use the
Property for a period not to exceed one hundred eighty (180) days at the end of which
time ImOn shall remove the Hub and Equipment from the Property. If Owner fails to
timely cure any material breach, ImOn may terminate this Agreement for any reason upon
thirty (30) days prior written notice without any financial penalty owed to the Owner.
SECTION 19. FORCE MAJEURE. If either Party's performance of this Agreement or
any obligation under this Agreement is prevented, restricted or interfered with by causes
beyond its reasonable control including but not limited to acts of God, fire, tornado,
flood, derecho, explosion, vandalism (provided all reasonable precautions to protect
against such vandalism), or other similar occurrence, any Law, order, regulation,
direction, action or request of the United States government or state or local
governments, or of any department, agency, commission, court, bureau, corporation
or other instrumentality of any one or more of said governments, or of any civil or military
authority, or by nationally emergencies, insurrections, riots, wars, strikes, lock -outs
or work stoppages or other similar labor difficulties, supplier failures, shortages, breach
or delays, then such party shall be excused from such performance on a day-to-day basis.
The excused party shall use reasonable efforts under the circumstances to avoid or
remove such causes of non-performance and shall proceed to perform with reasonable
dispatch whenever such causes are removed or ceased.
SECTION 20. NOTICES. All notices provided to be given herein shall be in writing and
delivered personally (including a recognized overnight delivery service which provides a
receipt of delivery), registered mail or certified U.S. mail. The address of each party, until
further notification in writing is:
For ImOn:
ImOn Communications
Attention: Facilities Director
101 3rd Avenue, SW, Suite 400
Cedar Rapids, IA 52404
With a Copy to:
William H. Courter
Courter Law, PLLC
3100 Oakland Road, NE, Suite A
Cedar Rapids, IA 52402
For Owner:
City of Dubuque, Iowa
City Manager
City Hall
50 West 13th Street
Dubuque, IA 52001
With a Copy to:
City Attorney
City Hall
50 West 13th Street
Dubuque, IA 52001
If notice is given by registered or certified mail, then the notice shall be deemed to have
been given on the date that the envelope containing the notice, properly addressed, is
deposited in the U.S. Mail, postage prepaid. Notice delivered personally shall be deemed
given upon actual receipt by the notified party.
SECTION 21. PAYMENT OF TAXES. Each party shall pay all taxes and assessments
lawfully levied on its own property.
SECTION 22. ASSIGNMENT. Neither party shall assign or transfer its rights and
obligations under this Agreement without the prior written consent of the other, except
each party shall have the right to assign, convey or otherwise transfer its rights, title,
interest and obligations under this Agreement, in whole or in part, to any entity controlled
by, controlling or under common control of said party, or any entity into which said party
may be merged or consolidated or which purchases all or substantially all of the assets
of said party.
SECTION 23. DISPUTE RESOLUTION. In the event of any dispute or controversy
arising out of or relating to this Agreement, the Parties agree to exercise their best efforts
to resolve the dispute as soon as possible. The Parties shall without delay continue to
perform their respective obligations under this Agreement which are not affected by the
dispute. To invoke the dispute resolution process set forth in this paragraph, the invoking
party shall give to the other party written notice of its decision to do so, including a
description of the issues subject to the dispute and a proposed resolution thereof.
Designated representatives of both parties shall attempt to resolve the dispute within thirty
(30) days after such notice. If those designated representatives cannot resolve the
dispute, the dispute shall be submitted to binding arbitration in accordance with Section
23 below.
SECTION 24. ARBITRATION. Any controversies or disputes arising out of or relating
to this Agreement, which remain unresolved after the Parties have attempted a resolution
under Section 22 above, shall be exclusively resolved by binding arbitration in accordance
with the current commercial arbitration rules of the American Arbitration Association. The
arbitrator shall have the power to issue mandatory orders and restraining orders in
connection with the arbitration. The award rendered by the arbitrator shall be final and
binding on the Parties and judgment may be entered thereon in any court having
jurisdiction. During any arbitration proceeding, the Parties shall continue to perform their
respective obligations under this Agreement. Both Parties agree to equally share the
costs of the arbitrator, but be solely liable for their own costs. Any such arbitration shall
be conducted in Dubuque, Iowa.
SECTION 25. WAIVERS OF TERM OR CONDITIONS. The failure of either party to
enforce or insist upon compliance with any of the terms or conditions of this Agreement
shall not constitute a general waiver or relinquishment of any such terms or conditions,
but such conditions and terms shall be and remain at all times in full force and effect.
SECTION 26. RULES OF CONSTRUCTION. No rule of construction requiring
interpretation against the draftsman shall apply in the interpretation of this Agreement.
Both Parties acknowledge and agree that they have negotiated this Agreement and had
the opportunity to hire legal counsel at their cost to review.
SECTION 27. SEVERABILITY. If any provision of this Agreement is found by any
arbitrator or court of competent jurisdiction to be invalid or unenforceable, then the Parties
hereby waive such provision to the extent that it is found to be invalid or unenforceable
and to the extent that to do so would not deprive one of the Parties of the substantial
benefit of its bargain. Such provision, to the extent allowable by law and the preceding
sentence, shall not be voided or canceled, but instead will be modified by such arbitrator
or court so that it becomes enforceable with all of the other terms of this Agreement in full
force and effect.
SECTION 28. ENTIRE AGREEMENT. This Agreement, and any Exhibits, constitute the
entire and complete agreement between the Parties and supersedes all prior
correspondence, discussions, agreements, and understandings between the Parties,
unless mutually agreed to in writing by the Parties subsequent to the execution hereof.
SECTION 29. GOVERNING LAW; VENUE. This Agreement shall be construed in
accordance with and governed by the laws of the State of Iowa without giving effect to its
principles of conflict of laws. Venue for any action arising out of this Agreement shall be
exclusively in the Iowa District County for Dubuque County, Iowa and the parties consent
to the jurisdiction of that court.
SECTION 30. VOIDABLE. This Agreement shall be contingent upon any permit(s),
approval(s), or zoning determinations to allow ImOn to place and operate its Hub at the
Property. If ImOn is not allowed to place and operate its Hub at the Property, the
Agreement shall be immediately voidable and cancelled at the discretion of ImOn.
Authorized representatives of the Parties have executed this Agreement.
ImOn Communications, LLC
Bernard Dutchik, Vice President
City of Dubuque, Iowa
�/�
Date: �-�`-1 y Date: Sepfernber 7, 003a
Attest:
Adrienne N. Breitfelder, City Clerk
EXHIBIT A
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City of Dubuque Insurarice Requirements,for Lessees of City Property and Right Of Way
Licensees or Perin, iftees
INSURANCE SCHEDULE A
1. ImOn shall furnish a signed certificate of insurance to the City of Dubuque, Iowa for the coverage
required in Exhibit I prior to the lease, license, or permit commencement. All lessees of City
property and right of way licensees or permittees shall submit an updated certificate annually.
Each certificate shall be prepared on the most current ACORD farm approved by the Iowa
Insurance Division. or an equivalent. Each certificate shall include a. statement tinder Description
of Operations as to %Yhy the certificate was issued. License Agreement dated
2. Ali policies of insurance required hereunder shall be with an insurer authorized to do business in
Iowa and all insurers shall have a rating of A or better in the current A.M. Best's Rating Guide.
3. Each certificate shall be furnished to the Finance Department of the City of Dubuque.
4. The lessee, licensee, or permittee shafibe required to carry the minimum coverageffirnits, or
greater if required by law or other legal agreement, in Exhibit I. Failure to provide the required
minimum coverage shall not be deemed a waiver of such requirements by the City of Dubuque.
5. Failure to obtain or maintain the required insurance shall be considered a material breach of the
lease, license, or permIL
6. All required endorsements shall be attached to certificate.
7. Whenever a specific ISO form is referenced the current edition of the form Must be used unless
an equivalent form is approved by the Director of Finance and Budget. The lessee,. licensee, or
penufftee must identify and list in writing all deviations and exclusions from the ISO form.
S. If lessee's, licensee's, or permittee's limits of liability are higher than the required minimum limits
then the lesse:e's, licensee's, or pen-niffee's linfils shall be this agreement's required limits.
9. Lessee, licensee, or permilifee shall require. all subcontractors and sub -subcontractors to obtain,
and maintain during the performance of work insurance for the coverages described in this
Insurance Schedule and shall obtain certificates of insurance from all such subcontractors and
sub -subcontractors. Lessee, licensee, or permittee agrees that it shall be liable for the failure of a
subcontractor and sub -subcontractor to obtain and maintain such coverage. The City may
request a copy of such ceffificates from the lessee, licensee, or permittee.
10. Lessee, license & permittees shall be responsible for deductibles and self -insured retention and
for payment of all policy premiums and other costs associated with the insurance policies
required below.
11. All certificates of insurance must include agents name, phone number and email address.
12. The City of Dubuque reserves the right to require complete, certified copies of all required
insurancep0licies, includinci endorsements, required by this Schedule at any time.
13. The City of Dubuque reserves the right to modify these requirements, including limits, based on
changes in the risk or other special circumstances during the term of the, agreement, subject to,
mutual agreement of the parties.
Page 1 of 4 Sellmdute A Lemeas of City Flmpedy; Right of 'Play Lkmsees or Pennifteps Apil 2NI
City of Dubuque Insurance Requirements for Lessees of City Property and Wight of Way
;Licensees or Pertnittees
INSURANCE SCHEDULE A (Continued)
EXHIBIT I
A) COMMERCIAL GENERAL LIABILITY
,General Aggregate Limit $2,000,000
ProduGts-Completed operations Aggregate Limit s1po,00G
Personal and Advertising Injury Limit $1,000,000,
Each Occurrence $1,000,000
Fire Damage Linfil (any one occurrence) $50,000
Medical Payments $5,000
1 Coverage shall be wriften on an occurrence, not claims made, form. The general
liability coverage shall be written in accord With ISO form CG 0,0 01 or business
owners form BP 00 01 All deviations from the standard I So commercial general
liability form ECG o 001„ or Business owners form BP 00 02, shall be clearly
ldentified..
Include ISO endorsement form GG 25 04 "Designated Localion(s) General
Aggregate LiMil.'
3) Include endorsement inclicating that coverage is primary and non-contributory.
4 Include Preservation of Governmental Innnitinities Endorsement (Sample
attached).
5) Include additional insured endorsement for.,
The City of Dubuque, including all its elected and appointed offiClafS,r all its
employees and vo[.0 ntears, all its (boards, commissions andfor authorities and
their board members, employees and volunteers. Use I SO foram ECG 20 10
(Ongoing operations) or its equivalent,
6) Policy shall include Waiver of Rig fit to Recover from Others Endorsenieflit.
B) WORKERS'COMPENSATION 9t EMPLOYERS LIABILITY
Statutory Benefits covering all employees injured on the job by, accident or disease as
prescribed by lovia Code Chapter 35.
Coverage.A. Statutory —State of lovia
Coverage B Employers Liability
Each Accident $100,000
Each Employee -Disease $100,0001
Policy Limit -Disease $500,000,
Policy ell all include Walver of Right to Recover from Others endorsement.
Coverage B limits shall be greater if required by the uinbrelladexcess insurer.
X101
If, 'by limps Code Section 85.1A, the lessee, licensee, or perm[ttee is not required to
pumbasaWlorkers' Compensation Insurance, the lessee, licensee, or perriliffee shall'i
have a copy of the State's Nunelection of Workers' Compensation or Employers" Liability
Coverage form on file vAth the Icnva Workers' Compensation Insurance Commissioner, as
required by lows Cade Section 67.22. Completed form niust be attached.
Page 2 of 4. Seheddh A Lease-s of City Prc*m*; Rigbt of Way Ucenssnas nr Nrmilbees Apoil 2021
City of Dubuque Insurance Requirements *fDr Lessees oFC4 Property and Right of Way
Licensees or Per mittees
INSURANCE SCHEDULE A (Continued)
C) POLLUTION LIABILITY
Coverage required., —Yes —,—No
Pollution liability coverage shall be required if the lessee, contracting party, or permittee
has any pollution exposure for abatement of li"? rdous or contaminated maledals
including, but not limited to, petroleum products, the removal of lead, asbestos, or PCBs.
Pollution product and completed operations coverage sliall also be covered.
Each occurrence $2,000,000
Policy Aggregate $4,00%000
1 j Policy to include job site and Iransportalion coverage.
2) Include additional insured for:
The City of Dubuque, including all its elected and appointed officials, all its
employees and volunteers, all its boards, commissions and/or authorities and
their board members, employees and volunteers., Use ISO form CG 2010.
(Ongoing operations) or its equivalent and CG2037(completed operations) or
its equivalent.
3) Include Preservation of Governmental I mmunities Endorsement.
4) Provide evidence of coverage for 5 years after completion of project.
D) PROPERTY INSURANCE REQUIRED BY LEASE, LICENSE, OR PERMIT
* Yes No
Evidence of property coverage provided: _ Yes
Include the City of Dubuque as Lender Loss Payable,
E) RIGHT-OF-WAY WORK ONLY:
UMBRELLA/EXCESS $1,000,000
Yes No
The General Liability, Autoindbile Liability and Workers Compensation insurance
requirements may be satisfied %vith a combination of primary and Umbrella or Excess
Liability, Insurance. If the Umbrella or Excess Insurance policy does not follow the form of
the primary policies, it shall include the same endorsements as required of the primary
policies including Waiver of Subrogation AND Primary and Non-contributory in favor of
the City.
F) FLOO D INSURANCE
Yes 2— N o
If Required Coverage
Page 3 of 4 Satedmdp A Lesse-es of City Fropefty; Ri0it of 'Play Licensees or PeriniMea Apil 021
City, of Dubuque Insurance Requirennerits for Lessees ofy Property and Right of Way
Licensees or Pertraftees
Please be aware that naming the City, of Dubuque as an additional insured as is required boy this
Insurance Schedule may result in the waiver of the City's governmental immunities provided in lowa Code
sec. 670.4. If you viould like to preserve Musa immunities, please use this endorsement or an -equivalent
form.
PRESERVATION OF GOVERNMENTAL IMMUNITIES ENDORSEMENT
1. Nonwaiver of Governmental Immunity. The insurer expressly agrees and states that the purchase
of this policy and the including of the City of'Dubuque, IcAlra as an Additional Insured does not waive any
of the defenses of governmental immunity available to the City of Dubuque, I o%va under,Code of lowa
Section 670.4 as it I s now exists and as it atay be ainanded from time to time.
2. Clainis Coveracie. The insurer further agrees that this policy of insurance shall cover only those
claims not subject to the defense of governmental immunity under the Code of',lowa Section 670A as it
now exists and as if may be amended from time to time. Those claims not subject to Code of Iowa
Seclion 670.4 shall be covered by the terns and conditions of this insurance policy.
3. Assertion of Government Immunity. The City of Dubuque, IcAva shall be responsible for asserting
any defense of governmental Immunity, and may, do so at any time anti shall do so Lillon the tin iety written
request of the insurer.
4. Non -Denial of Coverage. The insurer shall not deny coverage under this policy and the insurer
shall not deny any of the rights and benefits accruing to The City of Dubuque, I cAva tinder this policy for
reasons of governmental inlinunity unless and until a court of competent jurisdiction has ruled in favor of
the defense(s) of governmental immunity asserted by the City of DUbliclue, Iowa.
No Other Change in Policy. The above preservation of governmental Immunities shall not otherwise
change or alter the coverage available under the policy.
(DEPARTMENT MANAGER: FILL IN ALL BLANKS AND CHECK BOXES)
Page 4 of 4 Wtedule A Lesseer. of C10y Property; Right of Way Uzenrnes or Permiltepa Apfli 2021