Public Improvement Contracts with Performance, Payment and Maintenance BondsCity of Dubuque
City Council
ITEM TITLE:
SUMMARY:
SUGGUESTED
DISPOSITION:
ATTACHMENTS:
Copyrighted
September 8, 2026
CONSENT ITEMS # 19.
Public Improvement Contracts with Performance, Payment
and Maintenance Bonds
Portzen Construction for the Fire Headquarters Bunkroom
Remodel Project.
Receive and File; Approve
1. 26_08_20 Contract_Portzen Signed
THE COF
DtUB E
Masterpiece on the Mississippi
NOTICE TO PROCEED
TO: Portzen Construction, Inc.
205 Stone Valley Drive
Dubuque, IA 52003
City of Dubuque
Engineering Department
50. W. 13th Street
Dubuque, IA 52001
(563) 589-4270
ISSUE DATE:
COMMENCEMENT DATE:
(INSERT DATE = 10 DAYS FROM ISSUING NOTICE TO PROCEED)
PROJECT: Dubuque Fire Headquarters Bunkroom Remodel Project
Dear Portzen Construction, Inc.:
You are hereby notified to commence the work on the Project, on or before the commencement
date, in accordance with the Contract Documents. The Contract Time shall begin to run on the
commencement date -OR- Working days will be charged beginning with the commencement
date or on the day work begins, whichever is earlier.
You are required to return an acknowledged copy of this Notice to Proceed to the City.
THE CITY HAS RECEIVED A COPY
OF THE CONTRACTOR'S WRITTEN
SAFETY PROGRAM
YES
CITY OF DUBUQUE, IOWA
(Signature)
Jim Bousley
(Name)
Project Manager
(Title)
ACCEPTANCE OF NOTICE
Receipt of the above Notice to Proceed is hereby acknowledged this day of , 2026.
PRINCIPAL:
Portzen Construction, Inc.
(Contractor)
By:
(Signature)
Michael J. Portzen
(Name)
President
(Title)
PUBLIC IMPROVEMENT CONTRACT
THIS IMPROVEMENT CONTRACT (the Contract), dated for references purposes the 17'h day of
August 2026 between the City of Dubuque, Iowa, by its City Manager, through authority conferred
upon the City Manager by its City Council (City), and Portzen Construction. (Contractor).
For and in consideration of the mutual covenants herein contained, the parties hereto agree
as follows:
CONTRACTOR AGREES:
1. To furnish all material and equipment and to perform all labor necessary for the DUBUQUE
FIRE HEADQUARTERS BUNKROOM REMODEL PROJECT (Project).
2. CONTRACT DOCUMENTS
A. The Contract Documents consist of the following:
1. Project Title Page (Section 00100).
2. Project Directory Page (Section 00101).
3. This Public Improvement Contract (Section 00500).
4. Performance, Payment, and Maintenance Bond (Section 00600).
5. Out -of -State Contractor Bond (Section 00610).
6. Other Bonds:
a. _(Bond Name)_ (pages _ to _ , inclusive).
b. _(Bond Name)_ (pages _ to _ , inclusive).
C. _(Bond Name)_ (pages_ to _ , inclusive).
7. The Iowa Statewide Urban Design And Specifications (SUDAS) 2023 Edition.
8. CITY OF DUBUQUE Supplemental Specifications 2023 Edition.
9. Other Standard and Supplementary Specifications as listed on the Title Page of the
Contract Document Manual.
10. Special Provisions included in the project Contract Document Manual.
11. Drawings - Sheet No. AG1.1 through No. E5.10 (23 pages) or drawings consisting of
sheets bearing the following general title:
12.Addenda (numbers 1, 2, and 3 inclusive).
13.Insurance Provisions and Requirements (Section 00700).
14.Sales Tax Exemption Certificate (Section 00750).
15. Site Condition Information (Section 00775).
16. Construction Schedule and Agreed Cost of Delay (Section 00800).
17. Erosion Control Certificate (Section 00900).
18.Consent Decree (Section 01000).
19.Other Project Information and Permits (Sections 00000 - 00000).
20. Exhibits to this Contract (enumerated as follows):
a. Contractor's Bid (pages 1 to 8 inclusive).
b. Bidder Status Form (Section 00460).
c. The following documentation that must be submitted by Contractor prior to Notice
of Award.
i. Contractor Background Information Form (Section 8047A/00471)
iii.
21.The following which may be delivered or issued on or after the Effective Date of the
Agreement:
a. Notice to Proceed (Section 00850).
b. Project Certification Page (Section 00102).
c. Change Orders (Not attached to this agreement).
22.Authorization Resolution:
a. Resolution No. 286-17 Authorizing City Manager to Execute Contracts and
Leases (Exhibit C), or
b. Project Specific Resolution (Resolution No. 299-26).
There are no other Contract Documents. The Contract Documents may only be amended,
modified, or supplemented as provided in this Contract.
3. All materials used by the Contractor in the Project must be of the quality required by the
Contract Documents and must be installed in accordance with the Contract Documents.
4. The Contractor must remove any materials rejected by the City as defective or improper, or
any of said work condemned as unsuitable or defective, and the same must be replaced or
redone to the satisfaction of the City at the sole cost and expense of the Contractor.
5. Three percent (3%) of the Contract price will be retained by the City for a period of thirty (30)
days after final completion and acceptance of the Project by the City Council to pay any claim
by any party that may be filed for labor and materials done and furnished in connection with
the performance of this Contract and for a longer period if such claims are not adjusted within
that thirty (30) day period, as provided in Iowa Code Chapter 573 or Iowa Code Chapter 26.
The City will also retain additional sums to protect itself against any claim that has been filed
against it for damages to persons or property arising through the prosecution of the work and
such sums will be held by the City until such claims have been settled, adjudicated or
otherwise disposed of.
6. The Contractor has read and understands the Contract Documents herein referred to and
agrees not to plead misunderstanding or deception related to estimates of quantity,
character, location or other conditions for the Project.
7. In addition to any warranty provided for in the specifications, the Contractor must also fix any
other defect in any part of the Project, even if the Project has been accepted and fully paid
for by the City. The Contractor's maintenance bond will be security for a period of two years
after the issuance of the Certificate of Substantial Completion.
8. The Contractor must fully complete the Project under this Contract on or before the date
indicated in the Construction Schedule and Agreed Cost of Delay Section of the Contract
Documents.
9. Indemnification; Liability for City Damage
a. To the fullest extent permitted by law, the Contractor shall indemnify and hold harmless
the City from and against all claims, damages, losses and expenses, including but not
limited to attorneys' fees, arising out of or resulting from performance of the Contract,
provided that such claim, damages, loss or expense is attributable to bodily injury,
sickness, disease or death, or injury to or destruction of property (other than the Project
itself) including loss of use resulting therefrom, but only to the extent caused in whole or
in part by negligent acts or omissions of the Contractor, the Contractor's subcontractor,
or anyone directly or indirectly employed by the Contractor or the Contractor's
subcontractor or anyone for whose acts the Contractor or the Contractor's subcontractor
may be liable, regardless of whether or not such claim, damage, loss or expense is
caused in part by a party indemnified hereunder.
b. The Contractor shall also be liable to the City for any damage to City property arising out
of or related to the Contractor's negligent performance of the Contract.
10. The Contractor hereby represents and guarantees that it has not, nor has any other person
for or in its behalf, directly or indirectly, entered into any arrangement or Contract with any
other Bidder, or with any public officer, whereby it has paid or is to pay any other Bidder or
public officer any sum of money or anything of value whatever in order to obtain this Contract;
and it has not, nor has another person for or in its behalf directly or indirectly, entered into
any Contractor arrangement with any other person, firm, corporation or association which
tends to or does lessen or destroy free competition in the award of this Contract and agrees
that in case it hereafter be established that such representations or guarantees, or any of
them are false, it will forfeit and pay not less than ten percent (10%) of the Contract price but
in no event less than $2,000.00 (Two Thousand Dollars) to the City as agreed upon
damages.
11. The surety on the Bond furnished for this Contract must, in addition to all other provisions,
be obligated to the extent provided for by Iowa Code 573.6 relating to this Contract.
12. The Contractor agrees, and its Bond is surety therefore, that after the Certificate of
Substantial Completion has been issued by the City, it will keep and maintain the Project in
good repair for a period of one (1) year.
13. The City may terminate this Contract with orwithout cause upon sixty (60) days' written notice
delivered to the Contractor.
14. This Contract shall be governed by the laws of the State of Iowa and exclusive jurisdiction
and venue for any action arising out of or related to this Contract shall be in the Iowa District
Court for Dubuque County.
15. Counterparts and Electronic Signatures. This Contract may be executed in counterparts,
each of which shall constitute an original, and all of which together shall constitute one and
the same document. This Contract may be executed by the parties and transmitted by
SECTION 00500 electronic transmission, and if so executed and transmitted, shall be
effective as if the parties had delivered an executed original of this Contract.
16. Currency. All prices and financial terms referenced herein are intended to be in U.S. dollar
and shall remain in U.S. dollars despite any exchange rate.
17. Conflict in Terms. In the event of a conflict between the terms of this Contract and the terms
of any of the Contract Documents, the terms of this Contract shall prevail.
18. Legal Compliance.
The Contractor is responsible for compliance with all applicable laws, statutes, rules,
regulations, and ordinances which may apply to the performance of Contractor's
obligations under this Contract, including but not limited to the laws outlined in Exhibit D,
and hereby represents and warrants that Contractor is in compliance with the same as of
the Effective date and further represents that during the Term Contractor will remain in
compliance. Contractor shall require all contractors and subcontractors providing
services under this Contract shall also certify compliance with this Section.
b. When Applicable:
Contractor further represents and warrants that Contractor has obtained all necessary
business permits and licenses that may be required to carry out the obligations pursuant
to this Contract, including any permits and licenses that might be required b the state or
locality in which Contractor performs the Services, and Contractor agrees to maintain, at
Contractor's sole expense, such required permits and licenses for the duration of the
term(s) of this Contract.
19. Federally Assisted Project.
Is this project funded fully or in part with federal funds?
❑ Yes (if yes, provision a. and b. below apply)
No
a. The City and the Contractor agree to comply with all provisions of the Davis -Bacon
Federal Prevailing Wage Act, related labor requirements and regulations and the
Federal Wage Determination for this Project.
b. Equipment or products authorized to be purchased with federal funding awarded for this
Contract must be American made to the maximum extent feasible, in accordance with
Public Law 103-121, Sections 606(a) and (b).
THE CITY AGREES:
The City agrees to pay the Contractor for the work actually performed under this Contract, up to
the amount stated below, less any damages provided for in the Contract Documents.
CONTRACT AMOUNT $426,000.00
CITY OF DUBUQUE, IOWA:
City Manager's Office
Department
By.
Sig ature
Michael C. Van Milligen
Printed Name
City Manager
Title
Date
CONTRACTOR:
Portzen Construction
Contractor
By: A�� �q�
Signature
Michael J. Portzen
Printed Name
President
Title
Date
PERFORMANCE PAYMENT AND MAINTENANCE BOND
KNOW ALL BY THESE PRESENTS:
That we, Portzen Construction, Inc., as Principal (hereinafter the "Contractor" or "Principal") and
as
Surety are held and firmly bound unto the City of Dubuque, Iowa, as Obligee (hereinafter referred
to as "Owner'), and to all persons who may be injured by any breach of any of the conditions of this
Bond in the penal sum of Four Hundred Twenty Six Thousand Dollars and zero cents ($426,000.00),
lawful money of the United States, for the payment of which sum, well and truly to be made, we bind
ourselves, our heirs, legal representatives and assigns, jointly or severally, firmly by these presents.
The conditions of the above obligations are such that whereas said Contractor entered into a contract
with the Owner, bearing date the 17th day of August 2026, (hereinafter the "Contract") wherein said
Contractor undertakes and agrees to construct the following project in accordance with the Contract
Documents, and to faithfully perform all the terms and requirements of said Contract within the time
therein specified, in a good and workmanlike manner, and in accordance with the Contract
Documents. The Contract Documents for Dubuque Fire Headquarters Bunkroom Remodel Project
detail the following described improvements:
The scope of the project is as follows: Remodel of existing second floor including
removal of plumbing fixtures, walls, doors, ceilings and tile flooring in existing
group shower/restrooms; removal of existing lock(
of one fire pole and enclosing of associated floo
individual shower/restrooms in location of forr
sleeping rooms in locations of former bunkrooms
existing hot water system; installation of electrical,
associated with aforementioned new construction.
rs and integral bases; removal
opening; construction of new
ier restrooms and individual
and locker room; upgrades to
lighting, and fire alarm devices
It is expressly understood and agreed by the Contractor and Surety in this Bond that the following
provisions are a part of this Bond and are binding upon said Contractor and Surety, to -wit:
PERFORMANCE: The Contractor shall well and faithfully observe, perform, fulfill, and abide
by each and every covenant, condition, and part of said Contract and Contract Documents,
by reference made a part hereof, for the project, and shall indemnify and save harmless the
Owner from all outlay and expense incurred by the Owner by reason of the Contractor's
default of failure to perform as required. The Contractor shall also be responsible for the
default or failure to perform as required under the Contract and Contract Documents by all
its subcontractors, suppliers, agents, or employees furnishing materials or providing labor in
the performance of the Contract.
2, PAYMENT: The Contractor and the Surety on this Bond hereby agreed to pay all just claims
submitted by persons, firms, subcontractors, and corporations furnishing materials for or
performing labor in the performance of the Contract on account of which this Bond is given,
including but not limited to claims for all amounts due for labor, materials, lubricants, oil,
gasoline, repairs on machinery, equipment, and tools, consumed or used by the Contractor
or any subcontractor, wherein the same are not satisfied out of the portion of the contract
price the Owner is required to retain until completion of the improvement, but the Contractor
and Surety shall not be liable to said persons, firms, or corporations unless the claims of said
claimants against said portion of the contract price shall have been established as provided
by law. The Contractor and Surety hereby bind themselves to the obligations and conditions
set forth in Chapter 573 of the Iowa Code, which by this reference is made a part hereof as
though fully set out herein.
3. MAINTENANCE: The Contractor and the Surety on this Bond hereby agree, at their own
expense:
A. To remedy any and all defects that may develop in or result from work to be performed
under the Contract Documents within the period of two (2) year from the date of
acceptance of the work under the Contract, by reason of defects in workmanship,
equipment installed, or materials used in construction of said work;
B. To keep all work in continuous good repair; and
C. To pay the Owner's reasonable costs of monitoring and inspection to assure that any
defects are remedied, and to repay the Owner all outlay and expense incurred as a
result of Contractor's and Surety's failure to remedy any defect as required by this
section.
Contractor's and Surety's Contract herein made extends to defects in workmanship or
materials not discovered or known to the Owner at the time such work was accepted.
4. GENERAL: Every Surety on this Bond shall be deemed and held bound, any contract to the
contrary notwithstanding, to the following provisions:
A. To consent without notice to any extension of time authorized in approved change
orders to the Contractor in which to perform the Contract.
B. To consent without notice to any change in the Contract or Contract Documents,
authorized in approved change orders which thereby increases the total contract price
and the penal sum of this Bond, provided that all such changes do not, in the aggregate,
involve an increase of more than twenty percent (20%) of the total contract price, and
that this Bond shall then be released as to such excess increase.
C. To consent without notice that this Bond shall remain in full force and effect until the
Contract is completed, whether completed within the specified contract period, within
an extension thereof, or within a period of time after the contract period has elapsed
and the liquidated damage penalty is being charged against the Contractor.
The Contractor and every Surety on the Bond shall be deemed and held bound, any contract to the
contrary notwithstanding, to the following provisions:
D. That no provision of this Bond or of any other contract shall be valid that limits to less
than five (5) years after the acceptance of the work under the Contract the right to sue
on this Bond.
E. That as used herein, the phrase "all outlay and expense" is not to be limited in any way
but shall include the actual and reasonable costs and expenses incurred by the Owner
including interest, benefits, and overhead where applicable. Accordingly, "all outlay and
expense" would include but not be limited to all contract or employee expense, all
equipment usage or rental, materials, testing, outside experts, attorney's fees (including
overhead expenses of the Owner's staff attorneys), and all costs and expenses of
litigation as they are incurred by the Owner. It is intended the Contractor and Surety
will defend and indemnify the Owner on all claims made against the Owner on account
of Contractor's failure to perform as required in the Contract and Contract Documents,
that all agreements and promises set forth in the Contract and Contract Documents, in
approved change orders, and in this Bond will be fulfilled, and that the Owner will be
fully indemnified so that it will be put into the position it would have been in had the
Contract been performed in the first instance as required.
In the event the Owner incurs any "outlay and expense" in defending itself against any claim as to
which the Contractor or Surety should have provided the defense, or in the enforcement of the
promises given by the Contractor in the Contract, Contract Documents, or approved change orders,
or in the enforcement of the promises given by the Contractor and Surety in this Bond, the
Contractor and Surety agree that they will make the Owner whole for all such outlay and expense,
provided that the Surety's obligation under this Bond shall not exceed one hundred twenty-five
percent (125%) of the penal sum of this Bond.
In the event that any actions or proceedings are initiated regarding this Bond, the parties agree that
the venue thereof shall be Dubuque County, State of Iowa. If legal action is required by the Owner
to enforce the provisions of this Bond or to collect the monetary obligation incurring to the benefit of
the Owner, the Contractor and the Surety agree, jointly, and severally, to pay the Owner all outlay
and expense incurred therefor by the Owner. All rights, powers, and remedies of the Owner
hereunder shall be cumulative and not alternative and shall be in addition to all rights, powers, and
remedies given to the Owner, by law. The Owner may proceed against surety for any amount
guaranteed hereunder whether action is brought against the Contractor or whether Contractor is
joined in any such action(s) or not.
NOW THEREFORE, the condition of this obligation is such that if said Principal shall faithfully perform
all the promises of the Principal, as set forth and provided in the Contract, in the Contract Documents,
and in this Bond, then this obligation shall be null and void, otherwise it shall remain in full force and
effect.
When a work, term, or phrase is used in this Bond, it shall be interpreted or construed first as defined
in this Bond, the Contract, or the Contract Documents; second, if not defined in the Bond, Contract,
or Contract Documents, it shall be interpreted or construed as defined in applicable provisions of the
Iowa Code; third, if not defined in the Iowa Code, it shall be interpreted or construed according to its
generally accepted meaning in the construction industry; and fourth, if it has no generally accepted
meaning in the construction industry, it shall be interpreted or construed according to its common or
customary usage.
Failure to specify or particularize shall not exclude terms or provisions not mentioned and shall not
limit liability hereunder. The Contract and Contract Documents are hereby made a part of this Bond.
Project: Dubuque Fire Headquarters
Location: 11 West gth Street, Dubuque,
Project Number: 1315000025
Witness our hands, in triplicate, this
SURETY COUNTERSIGNED BY:
Signature of Agent
Printed Name of Agent
Company Address
State, Zip
Company Telephone Number
PRINCIPAL:
Contractor
By:
Signature
Printed Name
NOTE:
Bunkroom Remodel Project
IA
day of
2026.
Title
FORM APPROVED BY:
Representative for Owner
SURETY:
Surety Company
By:
Signature Attorney -in -Fact Officer
Name of Attorney -in -Fact Officer
Company Name
Address
City, State, Zip Code
Company Telephone Number
All signatures on this performance, payment, and maintenance Bond must be
original signatures in ink; copies, facsimile, or electronic signatures will not be
accepted.
This Bond must be sealed with the Surety's raised, embossing seal.
3. The name and signature of the Surety's Attorney-in-Fact/Officer entered on this
Bond must be exactly as listed on the Certificate or Power of Attorney
accompanying this Bond.
OUT-OF-STATE CONTRACTOR BOND
An out-of-state Contractor must either file a surety Bond, as provided in Iowa Code section
91C.7, with the Iowa Division of Labor Services in the amount of twenty-five thousand
dollars ($25,000) for a one (1) year period or must provide a statement to the Iowa Division
of Labor Services that the contractor is prequalified to Bid on projects for the Iowa
Department of Transportation pursuant to Iowa Code Section 314.1
An out-of-state Contractor, before commencing a contract in excess of five thousand dollars
($5,000) in value of Iowa, must file a Bond with the Iowa Division of Labor Services of the
Iowa Department of Workforce Development. A Surety Bond filed pursuant to Iowa Code
section 91C.2 must be executed by a surety company authorized to do business in this
state, and the Bond must be continuous in nature until canceled by the Surety with not less
than thirty (30) days; written notice to the contractor and to the Division of Labor Services
of the Iowa Department of Workforce Development in dictating the surety's desire to cancel
the Bond. The Surety company is liable under the Bond for any contract commenced after
the cancellation of the Bond. The Bond must be in the sum of the greater of the following:
(1) One thousand dollars ($1,000.00); or
(2) Five percent (5%) of the contract price
An out-of-state Contractor may file a blanket Bond in an amount at least equal to fifty
thousand dollars ($50,000) for a two (2) year period in lieu of filing an individual Bond for
each Contract. The Division of Labor Services of the Iowa Department of Workforce
Development may increase the Bond amount after a hearing.
More information about how to file an out-of-state contractor bond can be found at the Iowa
Workforce Development website at https://www.iowacontractor.ciov/contractor-registration
Schedule F, General, Artisan or Trade Contractors, Subcontractors or Sub Subcontractors December 2024
Bond #54268938
PERFORMANCE, PAYMENT AND MAINTENANCE BOND
KNOW ALL BY THESE PRESENTS:
That we, Portzen Construction. Inc., as Principal (hereinafter the "Contractor' or "Principal") and
United Fire & Casualty Company as
Surety are held and firmly bound unto the City of Dubuque, Iowa, as Obligee (hereinafter referred
to as "Owner"), and to all persons who may be injured by any breach of any of the conditions of this
Bond in the penal sum of Four Hundred Twenty Six Thousand Dollars and zero cents ($426,000.00),
lawful money of the United States, for the payment of which sum, well and truly to be made, we bind
ourselves, our heirs, legal representatives and assigns, jointly or severally, firmly by these presents.
The conditions of the above obligations are such that whereas said Contractor entered into a contract
with the Owner, bearing date the 17th day of August 2026, (hereinafter the "Contract") wherein said
Contractor undertakes and agrees to construct the following project in accordance with the Contract
Documents, and to faithfully perform all the terms and requirements of said Contract within the time
therein specified, in a good and workmanlike manner, and in accordance with the Contract
Documents. The Contract Documents for DubMugue Fire Headouarters Bunkroom Remodel Project
detail the following described improvements:
The scope of the project is as follows: Remodel of existing second floor including
removal of plumbing fixtures, walls, doors, ceilings, and the flooring in existing
group shower/restrooms; removal of existing lockers and integral bases; removal
of one fire pole and enclosing of associated floor opening; construction of new
individual shower/restrooms in location of former restrooms and individual
sleeping rooms in locations of former bunkrooms and locker room; upgrades to
existing hot water system; installation of electrical, lighting, and fire alarm devices
associated with aforementioned new construction.
It is expressly understood and agreed by the Contractor and Surety in this Bond that the following
provisions are a part of this Bond and are binding upon said Contractor and Surety, to -wit:
PERFORMANCE: The Contractor shall well and faithfully observe, perform, fulfill, and abide
by each and every covenant, condition, and part of said Contract and Contract Documents,
by reference made a part hereof, for the project, and shall indemnify and save harmless the
Owner from all outlay and expense incurred by the Owner by reason of the Contractor's
default of failure to perform as required. The Contractor shall also be responsible for the
default or failure to perform as required under the Contract and Contract Documents by all
its subcontractors, suppliers, agents, or employees furnishing materials or providing labor in
the performance of the Contract.
PAYMENT: The Contractor and the Surety on this Bond hereby agreed to pay all just claims
submitted by persons, firms, subcontractors, and corporations furnishing materials for or
performing labor in the performance of the Contract on account of which this Bond is given,
including but not limited to claims for all amounts due for labor, materials, lubricants, oil,
gasoline, repairs on machinery, equipment, and tools, consumed or used by the Contractor
or any subcontractor, wherein the same are not satisfied out of the portion of the contract
price the Owner is required to retain until completion of the improvement, but the Contractor
and Surety shall not be liable to said persons, firms, or corporations unless the claims of said
claimants against said portion of the contract price shall have been established as provided
by law. The Contractor and Surety hereby bind themselves to the obligations and conditions
set forth in Chapter 573 of the Iowa Code, which by this reference is made a part hereof as
though fully set out herein.
3. MAINTENANCE: The Contractor and the Surety on this Bond hereby agree, at their own
expense:
A. To remedy any and all defects that may develop in or result from work to be performed
under the Contract Documents within the period of two (2) year from the date of
acceptance of the work under the Contract, by reason of defects in workmanship,
equipment installed, or materials used in construction of said work;
B. To keep all work in continuous good repair; and
C. To pay the Owner's reasonable costs of monitoring and inspection to assure that any
defects are remedied, and to repay the Owner all outlay and expense incurred as a
result of Contractor's and Surety's failure to remedy any defect as required by this
section.
Contractor's and Surety's Contract herein made extends to defects in workmanship or
materials not discovered or known to the Owner at the time such work was accepted.
4. GENERAL: Every Surety on this Bond shall be deemed and held bound, any contract to the
contrary notwithstanding, to the following provisions:
A. To consent without notice to any extension of time authorized in approved change
orders to the Contractor in which to perform the Contract.
B. To consent without notice to any change in the Contract or Contract Documents,
authorized in approved change orders which thereby increases the total contract price
and the penal sum of this Bond, provided that all such changes do not, in the aggregate,
involve an increase of more than twenty percent (20%) of the total contract price, and
that this Bond shall then be released as to such excess increase.
C. To consent without notice that this Bond shall remain in full force and effect until the
Contract is completed, whether completed within the specified contract period, within
an extension thereof, or within a period of time after the contract period has elapsed
and the liquidated damage penalty is being charged against the Contractor.
The Contractor and every Surety on the Bond shall be deemed and held bound, any contract to the
contrary notwithstanding, to the following provisions:
D. That no provision of this Bond or of any other contract shall be valid that limits to less
than five (5) years after the acceptance of the work under the Contract the right to sue
on this Bond.
E. That as used herein, the phrase "all outlay and expense" is not to be limited in any way
but shall include the actual and reasonable costs and expenses incurred by the Owner
including interest, benefits, and overhead where applicable. Accordingly, "all outlay and
expense" would include but not be limited to all contract or employee expense, all
equipment usage or rental, materials, testing, outside experts, attorney's fees (including
overhead expenses of the Owner's staff attorneys), and all costs and expenses of
litigation as they are incurred by the Owner. It is intended the Contractor and Surety
will defend and indemnify the Owner on all claims made against the Owner on account
of Contractor's failure to perform as required in the Contract and Contract Documents,
that all agreements and promises set forth in the Contract and Contract Documents, in
approved change orders, and in this Bond will be fulfilled, and that the Owner will be
fully indemnified so that it will be put into the position it would have been in had the
Contract been performed in the first instance as required.
In the event the Owner incurs any 'outlay and expense" in defending itself against any claim as to
which the Contractor or Surety should have provided the defense, or in the enforcement of the
promises given by the Contractor in the Contract, Contract Documents, or approved change orders,
or in the enforcement of the promises given by the Contractor and Surety in this Bond, the
Contractor and Surety agree that they will make the Owner whole for all such outlay and expense,
provided that the Surety's obligation under this Bond shall not exceed one hundred twenty-five
percent (125%) of the penal sum of this Bond.
In the event that any actions or proceedings are initiated regarding this Bond, the parties agree that
the venue thereof shall be Dubuque County, State of Iowa. If legal action is required by the Owner
to enforce the provisions of this Bond or to collect the monetary obligation incurring to the benefit of
the Owner, the Contractor and the Surety agree, jointly, and severally, to pay the Owner all outlay
and expense incurred therefor by the Owner. All rights, powers, and remedies of the Owner
hereunder shall be cumulative and not alternative and shall be in addition to all rights, powers, and
remedies given to the Owner, by law. The Owner may proceed against surety for any amount
guaranteed hereunder whether action is brought against the Contractor or whether Contractor is
joined in any such action(s) or not.
NOW THEREFORE, the condition of this obligation is such that if said Principal shall faithfully perform
all the promises of the Principal, as set forth and provided in the Contract, in the Contract Documents,
and in this Bond, then this obligation shall be null and void, otherwise it shall remain in full force and
effect.
When a work, term, or phrase is used in this Bond, it shall be interpreted or construed first as defined
in this Bond, the Contract, or the Contract Documents; second, if not defined in the Bond, Contract,
or Contract Documents, it shall be interpreted or construed as defined in applicable provisions of the
Iowa Code; third, if not defined in the Iowa Code, it shall be interpreted or construed according to its
generally accepted meaning in the construction industry; and fourth, if it has no generally accepted
meaning in the construction industry, it shall be interpreted or construed according to its common or
customary usage.
Failure to specify or particularize shall not exclude terms or provisions not mentioned and shall not
limit liability hereunder. The Contract and Contract Documents are hereby made a part of this Bond.
Project: Dubuque Fire Headquarters Bunkroom Remodel Project
Location: 11 West 9th Street, Dubuque, IA
Project Number: 1315000025
Witness our hands, in triplicate, this 18 th
SURETY COUNTERSIGNED BY:
Si ature of Agent
Jena Wilwert
Printed Name of Agent
501 Bell Street
Company Address
Dubuque, Iowa 52001
City, State, Zip Code
563-556-0272
Company Telephone Number
PRINCIPAL:
Portzen Construction Inc
Contract
By:
Signa r
Jaym luesner
Printed Na
Treasurer
NOTE:
day of August , 2026.
Title
FORM APPROVED BY:
Representative for Owner
SURETY:
United Fire & Casualty Company
Surety Company
By:
Signature Attorney -in -Fact Officer
Eric DeSousa
Printed Name of Attorney -in -Fact Officer
AssuredPartners Great Plains
Company Name
501 Bell Street
Company Address
Dubuque, Iowa 52001
City, State, Zip Code
563-556-0272
Company Telephone Number
1. All signatures on this performance, payment, and maintenance Bond must be
original signatures in ink; copies, facsimile, or electronic signatures will not be
accepted.
2. This Bond must be sealed with the Surety's raised, embossing seal.
3. The name and signature of the Surety's Attorney-in-Fact/Officer entered on this
Bond must be exactly as listed on the Certificate or Power of Attorney
accompanying this Bond.
UNITED FIRE & CASUALTY COMPANY, CEDAR RAPIDS, IA
UNITED FIRE & INDEMINITY COMPANY, WEBSTER, TX
FINANCIAL, PACIFIC INSURANCE COMPANY, ROSEVILLE, CA
POWER OF ATTORNEY
To verify the authenticity of this Power of Attorney, please contact us at
EFG Insurance, 118 Second Ave SE, Cedar Rapids, IA .52401
telephone (800) 343-9130 or email surety0aa,,unitedfiregroup.com
THIS POWER OFATTORNEY IS VOID IF ALTERED
To notify us of a claim, please contact us at suretyCaa,,unitedliregroup.com
KNOW ALL PERSONS BY THESE PRESENTS, That United Fire & Casualty Company, a corporation duly organized and existing under the laws
of the State of Iowa; United Fire & Indemnity Company, a corporation duly organized and existing under the laws of the State of Texas; and Financial
Pacific Insurance Company, a corporation duly organized and existing under the laws of the State of California (herein collectively called the
Companies), and having their corporate headquarters in Cedar Rapids, State of Iowa, does make, constitute and appoint
MARK J. PHALEN, ERIC DESOUSA, LAUREN MOSER, JENA WILWERT, ZACH KEMP, PAULA FITZGERALD, EACH
INDIVIDUALLY
their true and lawful Attomey(s)-in-Fact with power and authority hereby conferred to sign, seal and execute in its behalf all lawful bonds, undertakings
and other obligatory instruments of similar nature provided that no single obligation shall exceed $6o, 000 000.00 and to bind the Companies
rize
thereby as fully and to the same extent as if such instruments were signed by the duly authod officers of the Companies and all of the acts of said
Attorney, pursuant to the authority hereby given and hereby ratified and confirmed.
The Authority hereby granted is continuous and shall remain in full force and effective until revoked by United Fire & Casualty Company, United Fire
& Indemnity Company, and Financial Pacific Insurance Company.
This Power of Attorney has been duly made, executed and delivered pursuant to, and in accordance with, the articles of incorporation, bylaws, and
other governing documents of each of the respective Companies, and by authority therein granted and under applicable corporate law.
IN WITNESS WFIEREOF, the COMPANIES have each caused these presents to be signed by its officer and its corporate seal to be hereto affixed this
30th day of March, 2026.
.y1U1,1°Y
Jr fYf4._ �Y by.Y,,
�8N
rt �n mawurt � e—ll
euw 9 rn i �r trAt!A'
me
By.
Kyavna M, r, Vice Pr ident of
United Fire & Casualty Company
United Fire & Indemnity Company
Financial Pacific Insurance Company
State of Iowa, County of Linn, ss:
On this 30t h day of March, 2026, before me personally came Kyanna M. Saylor to me known, who being by me duly sworn, did depose
and say; that she is a Vice President of UNITED FIRE & CASUALTY COMPANY, a Vice President of UNITED FIRE & INDEMNITY COMPANY,
and a Vice President of FINANCIAL PACIFIC INSURANCE COMPANY, the corporations described in and which executed the above instrument;
that she knows the seal of said corporations; that the seals affixed to the said instrument are such corporate seals; that these seals were so affixed
pursuant to authority given by the Boards of Directors of said corporations and that she signed her name thereto pursuant to like authority, and
acknowledges same to be the act and deed of said corporations.
WOO
Judith A. Jones
O Iowa Notarial Seal
`� Commission number 173041
pwx My Commission Expires 04/23/2027
fi
Notary Public:
My commission ex 'es: 04/23/2027
I, Mary A. Bertsch, do hereby certify that I have compared the foregoing copy of tile Power of Attorney and affidavit, and that the said Power of
Attorney has not been revoked and is now in full force and effect.
Iu testimony whereof I have hereunto subscribed my name and affixed the corporate seal
yo�/f�each
��
s�aid Company this18 August 2026
_ day of ,
�NWn4� e1NDl4Y„ �"�(.'IMSe ¢N
e f U Mary A. Bertsch, sistant Secretary of
rUnited Fire & Casualty Company
e b,,ne we,N United Fire & Indemnity Company
"^1n . Financial Pacific Insurance Company
BPOA0049 012026
br CERTIFICATE OF LIABILITY INSURANCE
DDNYT
MM
DAT8/18/2026 Y)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
AssuredPartners Great Plains, LLC
PO Box 759
Dubuque IA 52004-0759
CONTACT
NAME: Jena Wilwe t
PHONE Mo. Ell, S63-556-0272 FAAic No):S63-556-4425
nooBESS: lena.wilwert@assuredpartners.com
INSURERS AFFORDING COVERAGE
NAIC#
INSURERA: Wa point Mutual fka Midwest Builders
13126
INSURED PORTCON-02
Portzen Construction Inc.
INSURER B: United Fire & Casualty
13021
205 Stone Valley Dr.
INSURERC:
INSURER D:
Dubuque IA 52003
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:215822653 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSIR
LTR
7ypE OFINSURANCE
ADDLSUBR
D
MD
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MM/DDN"Y
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
V
V
10003269523
12/31/2025
12/31/2026
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE � OCCUR
DAMAGE TORENTED
PREMISES RENT rrence
$100,000
MED EXP(Any one person)
$5,000
PERSONAL &ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$3,000,000
POLICY [KJE(T F]LOC
PRODUCTS - COMP/OP AGG
$3,000,000
$
OTHER:
B
AUTOMOBILE
LIABILITY
V
Y
10053856858
12/31/2025
12/31/2026
COMBINED SINGLE LIMIT
Ea accldent
$1,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
Per accident
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
B
X
UMBRELLA LIAB
X
OCCUR
Y
y
10082895869
12/31/2025
12/31/2026
EACH OCCURRENCE
$10,000,000
AGGREGATE
$10,000,000
EXCESS LIAR
CLAIMSWADE
DEO RETENTION$
$
A
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY Y/N
ANVPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
N/A
Y
WC100-0001565-2024A
12/31/2025
12/31/2026
X 11 STATUTE OTH
ER
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
$500,000
(Mandatory in NH)
If yes, describe under
DESCRIPTIONOFOPERATIONS below
-
E.L. DISEASE -POLICY LIMIT
$500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
Project #1315000025 - Dubuque Fire Headquarters Bunkroom Remodel at 11 West 9th St, Dubuque, IA. Policy includes CG0001. 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 are listed as an additional insured on the general liability, Governmental Immunities on a primary and non-contributory basis including ongoing &
completed operations, as provided by CG7340, I1-7105, CG7286 and CG7163. Waiver of Subrogation is included on the general liability, auto liability and
workers compensation as provided by CG7340, CA7109 and WC000313. Umbrella is following form with Primary & Noncontributory per endorsement IL7105.
30-Day Notice of Cancellation is included in favor of the additional insured on all policies.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Dubuque
50 W 13th Street
Dubuque IA 52001
All rinhf. rasanuad_
ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD
CG 73 40 04 25
CONTRACTOR ULTRA LIABILITY PLUS ENDORSEMENT
COMMERCIAL GENERAL LIABILITY EXTENSION ENDORSEMENT SUMMARY OF COVERAGES
This Is a summary of the various additional coverages and coverage modifications provided by this
endorsement. No coverage is provided by this summary.
• Expected or Intended Liability — Exception for Reasonable Force
• Expanded Damage To Premises Rented By You to include Explosion, Lightning and Sprinkler Leakage
• Coverage for non -owned watercraft is extended to 51 feet in length
• Property Damage - Borrowed Equipment
• Property Damage Liability - Elevators
• Coverage F - Electronic Data Liability Coverage - $50,000
• Coverage G - Product Recall Expense
$25,000 Each Recall Limit with a $50,000 Aggregate - $1,000 Deductible
• Coverage H - Water Damage Legal Liability - $25,000
• Coverage I - Designated Operations Covered by a Consolidated (Wrap -Up) Insurance Program - Limited
Coverage
• Increase in Supplementary Payments: Bail Bonds to $1,000
• Increase in Supplementary Payments: Loss of Earnings to $500
• For newly formed or acquired organizations - extend the reporting requirement to 180 days
• Broadened Named Insured
• Automatic Additional Insured - Owners, Lessees or Contractors - Automatic Status When Required in Construction
Agreement With You — Including Upstream Parties
• Contractors Blanket Additional Insured - Products - Completed Operations Coverage — Including Upstream Parties
• Automatic Additional Insured — Vendors
• Automatic Additional Insured- Lessor of Leased Equipment Automatic Status When Required in Lease
Agreement With You
• Automatic Additional Insured - Managers or Lessor of Premises
• Additional Insured - Engineers, Architects or Surveyors Not Engaged by the Named Insured
• Additional Insured - State or Governmental Agency or Subdivision or Political Subdivision - Permits or
Authorizations
• Additional Insured - Consolidated Insurance Program (Wrap -Up) Off -Premises Operations Only - Owners, Lessees or
Contractors Automatic Status When Required in Construction Agreement With You
• Additional Insured - Employee Injury to Another Employee
" Automatically included - Aggregate Limits of Insurance (per location)
• Automatically included -Aggregate Limits of Insurance (per project)
• Knowledge of occurrence - Knowledge of an "occurrence", 'claim or suit' by your agent, servant or employee
shall not in itself constitute knowledge of the named insured unless an officer of the named insured has
received such notice from the agent, servant or employee
• Blanket Waiver of Subrogation
• Liberalization Condition
• Unintentional failure to disclose all hazards. If you unintentionally fail to disclose any hazards existing at the
Inception date of your policy, we will not deny coverage under this Coverage Form because of such failure.
However, this provision does not affect our right to collect additional premium or exercise our right of
cancellation or non -renewal.
•'Insured Contract' redefined for Limited Railroad Contractual Liability
• Bodily Injury Redefined
REFER TO THE ACTUAL ENDORSEMENT, FOLLOWING ON PAGES 2THROUGH 9, FOR CHANGES AFFECTING
YOUR INSURANCE PROTECTION v
CG 73 40 04 25 Includes copyrighted material of Insurance Services Office, Inc. with Page 1 of 11
POLICY NUMBER: 10003269523
CG 73 40 04 25
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
CONTRACTOR ULTRA LIABILITY PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SECTION 1 -COVERAGES
A. The following changes are made at COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE
LIABILITY
1. Expected or Intended Liability — Exception for Reasonable Force
At 2. Exclusions exclusion a. Expected or Intended Injury is deleted and replaced by the following:
"Bodily Injury' or "property damage" expected or intended from the standpoint of the insured. This
exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force
to protect persons or property.
2. Expanded Damage To Premises Rented By You
At 2. Exclusions the last paragraph is deleted and replaced by the following:
Exclusions c. through n, do not apply to damage by fire, explosion, lightning, smoke resulting from such
fire, explosion, or lightning, or sprinkler leakage to premises while rented to you or temporarily occupied by
you permission of the owner. A separate limit of insurance applies to this coverage as described in
SECTION III - LIMITS OF INSURANCE,
3. Non -Owned Watercraft
At 2. Exclusions exclusion g. Aircraft, Auto Or Watercraft (2)(a) is deleted and replaced by the
following:
(a) Less than 51 feet long; and
4. Property Damage — Borrowed Equipment
At 2. Exclusions the following is added to paragraph (4) of Exclusion j. Damage To Property:
This exclusion does not apply to "property damage" to borrowed equipment while at a jobsite and while
not being used to perform operations. The most we will pay for "property damage" to any one piece of
borrowed equipment under this coverage is $25,000 per occurrence. The insurance afforded under this
provision is excess over any valid and collectible property insurance (including deductible) available to
the insured, whether primary, excess, contingent or on any other basis.
5. Property Damage Liability — Elevators
At 2. Exclusions the following is added to exclusion J. Damage To Property:
Paragraphs (3), (4), and (6) of this exclusion do not apply to "property damage" resulting from the use of
elevators. However, any insurance provided for such "property damage" is excess over any valid and
collectible property insurance (including deductible) available to the insured, whether primary, excess,
contingent or on any other basis.
B. The following coverages are added:
1. COVERAGE F — ELECTRONIC DATA LIABILITY COVERAGE
For the purposes of this Electronic Data Liability Coverage only:
a. Exclusion p. of Coverage A — Bodily Injury And Property Damage Liability in Section I —
Coverages is deleted and replaced by the following:
p. Electronic Data
Damages arising out of the loss of, loss of use of, damage to, corruption of, inability to access, or
CG 73 40 04 25 Includes copyrighted material of Insurance Services Office, Inc. with Page 2 of 11
CG 73 40 04 25
inability to manipulate "electronic data" that does not result from physical injury to tangible property.
However, this exclusion does not apply to liability for damages because of "bodily injury".
b. "Property damage" means:
(1) Physical injury to tangible property, including all resulting loss of use of that property. All such
loss of use shall be deemed to occur at the time of the physical injury that caused it; or
(2) Loss of use of tangible property that is not physically injured. All such loss of use shall be
deemed to occur at the time of the "occurrence" that caused it; or
(3) Loss of, loss of use of, damage to, corruption of, inability to access or inability to properly
manipulate "electronic data", resulting from physical injury to tangible property. All such loss of
"electronic data" shall be deemed to occur at the time of the "occurrence" that caused it.
For the purposes of this Electronic Data Liability Coverage, "electronic data" is not tangible property.
The amount we will pay is limited as described below in SECTION III - LIMITS OF INSURANCE
2. COVERAGE G —WATER DAMAGE LEGAL LIABILITY
The Insurance provided under Coverage H (Section 1) applies to "property damage" arising out of
water damage to premises that are both rented to and occupied by you.
The Limit under this coverage shall not be in addition to the Damage To Premises Rented To You
Limit. The amount we will pay is limited as described below in SECTION III — LIMITS OF INSURANCE.
C. SUPPLEMENTARY PAYMENTS - COVERAGES A AND B is amended:
1. The title of this section is deleted and replaced by SUPPLEMENTARY PAYMENTS
2. Bail Bonds
Paragraph 1.b. is deleted and replaced by the following:
b. Up to $1,000 for cost of bail bonds required because of accidents or traffic law violations arising out of
the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish
these bonds.
3. Loss of Earnings
Paragraph 1.d. is deleted and replaced by the following:
d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or
defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off
from work.
SECTION II — EXCLUSIONS
A. The following exclusion is added:
1. DESIGNATED OPERATIONS COVERED BY A CONSOLIDATED (WRAP-UP) INSURANCE
PROGRAM
The following exclusion is added to Paragraph 2. Exclusions of SECTION I — COVERAGES COVERAGE
A— BODILY INJURY AND PROPERTY DAMAGE LIABILITY:
r. This insurance does not apply to "bodily injury" or "property damage" arising out of either your ongoing
operations or operations included within the "products -completed operations hazard" for any
"consolidated (Wrap- up) insurance program" which has been provided by the prime contractor/project
manager or owner of the construction project in which you are involved.
This exclusion applies whether or not a "consolidated (Wrap-up) insurance program":
(1) Provides coverage identical to that provided by this Coverage Part; or
(2) Has limits adequate to cover all claims.
This exclusion does not apply if a "consolidated (Wrap-up) insurance program" covering your
operations has been cancelled, non -renewed or otherwise no longer applies for reasons other
than exhaustion of all available limits, whether such limits are available on a primary, excess or
on any other basis. You must advise us of such cancellation, nonrenewal or termination as soon as
CG 73 40 04 25 Includes copyrighted material of Insurance Services Office, Inc. with Page 3 of 11
practicable. CG 73 40 04 25
For purposes of this exclusion a 'consolidated (wrap-up) insurance program" is a program
providing insurance coverage to all parties for exposures involved with a particular (typically
major) construction project.
SECTION III — WHO IS AN INSURED
A. The following change is made:
Extended Reporting Requirements
Item 3.a. is deleted and replaced by the following:
a. Coverage under this provision is afforded only until the 1801h day after you acquire or form the
organization or the end of the policy period, whichever is earlier.
B. The following provisions are added:
4. BROAD FORM NAMED INSURED
Item 2.e. is added as follows:
e. Any legally incorporated entity of which you own more than 50 percent of the voting stock during the
policy period only if there is no other similar Insurance available to that entity. However:
(1) Coverage A does not apply to "bodily injury" or "property damage" that occurred before you
acquired more than 50 percent of the voting stock; and
(2) Coverage B does not apply to "personal and advertising Injury" arising before you acquired more
than 50 percent of the voting stock.
5. Additional Insured — Owners, Lessees or Contractors -Automatic Status When Required in
Construction or Service Agreement With You — Including Upstream Parties
a. Any person or organization for who you are performing operations when you and such person or
organization have agreed in writing In a contract or agreement that such person or organization be
added as additional insured on your policy;
b. Any other person or organization you are required to add as an additional insured under the contract
agreement described in Paragraph a. above.
Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury",
"property damage" or "personal and advertising injury" caused, in whole or in part by:
(1) Your acts or omissions; or
(2) The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured.
Such person(s) or organization(s) is an additional insured only if the written contract is currently in
effect or becoming effective during the term of this policy; and
Was executed prior to:
(a) The "bodily injury" or "property damage"; or
(b) The offense that caused the 'personal and advertising injury", for which the additional insured
seeks coverage under this coverage part.
However, the insurance afforded to such additional insured:
1. Only applies to the extent permitted by law•, and
2. Will not be broader than that which you are required by the contract or agreement to provide for
such additional insured.
c. With respect to the insurance afforded to these additional insureds, the following additional exclusions
apply:
(1) 'Bodily Injury", 'property damage" or "personal and advertising injury" arising out of the rendering
of, or the failure to render, any professional architectural, engineering or surveying services,
CG 73 40 04 25 Includes copyrighted material of Insurance Services Office, Inc. with Page 4 of 11
including:
CG 73 40 04 25
(a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; or
(b) Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in
the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence"
which caused the "bodily injury" or "property damage", or the offense which caused the "personal and
advertising injury", involved the rendering of or the failure to render any professional architectural,
engineering or surveying services.
(2) 'Bodily injury" or "property damage" occurring after:
(a) All work, including materials, parts or equipment furnished in connection with such work, on the
project (other than service, maintenance or repairs) to be performed by or on behalf of the
additional insured(s) at the location of the covered operations has been completed; or
(b) That portion of "your work' out of which the injury or damage arises has been put to its intended
use by any person or organization other than another contractor or subcontractor engaged in
performing operations for a principal as a part of the same project.
6. Additional Insured — Products -Completed Operations Coverage — Including Upstream Parties
a. Any person or organization for whom you are performing operations when you and such person or
organization have agreed in writing in a contract or agreement that such person or organization be
added as an additional insured on your policy; and
b. Any other person or organization you are required to add as an additional insured under the contract
or agreement described in Paragraph a. above.
Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury",
"property damage or "personal and advertising injury" caused, in whole or in part by "your work' specified
in the "written contract' and included in the "products -completed operations hazard".
Such person(s) or organization(s) is an additional insured only If the written contract is currently in effect
or becoming effective during the term of this policy; and
I. Was executed prior to:
a. The "bodily injury" or "property damage"; or
b. The offense that caused the "personal and advertising injury", for which the additional insured seeks
coverage under this coverage part.
However:
(1) The insurance afforded to such additional insureds only applies to the extent permitted by
law;
(2) If coverage provided to the additional insured is required by a contract or agreement, the
insurance afforded to such additional insured will not be broader than that which you are
required by the contract or agreement to provide for such additional insured.
(3) Such coverage will not apply subsequent to the first to occur of the following:
I. The expiration of the period of time required by the "written contract' or
il. The expiration of any applicable statute of limitations or statue of repose with respect to
claims arising out of "your work'
c. With respect to the insurance afforded to any additional insured under this endorsement, the
following additional exclusionary language shall apply:
This insurance does not apply to "bodily injury" or 'property damage" arising out of the
rendering of, or the failure to render, any professional architecture, engineering or surveying
services, including:
(1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
CG 73 40 04 25 Includes copyrighted material of Insurance Services Office, Inc. with Page 5 of 11
CG 73 40 04 25
reports, surveys, field orders, change orders or drawings and specifications; or
(2) Supervisory, inspection, architectural or engineering activities.
Additional Insured — Vendors
a. Any person(s) or organization(s) (referred to throughout this additional coverage as vendor), but
only with respect to liability for "bodily injury" or "property damage" arising out of "your products"
which are distributed or sold in the regular course of the vendor's business is an insured.
However:
(1) The insurance afforded to such vendor only applies to the extent permitted by law; and
(2) If coverage provided to the vendor is required by a contract or agreement, the insurance
afforded to such vendor will not be broader than that which you are required by the contract
or agreement to provide for such vendor.
b. With respect to the insurance afforded to these vendors, the following additional exclusions apply:
(1) This insurance afforded the vendor does not apply to:
(a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages
by reason of the assumption of liability in a contract or agreement. This exclusion does
not apply to liability for damages that the vendor would have in the absence of the
contract or agreement;
(b) Any express warranty unauthorized by you;
(c) Any physical or chemical change in the product made intentionally by the vendor;
(d) Repackaging, except when unpacked solely for the purpose of inspection, demonstration,
testing, or the substitution of parts under instructions from the manufacturer, and then
repackaged in the original container.
(a) Any failure to make such inspections, adjustments, tests or servicing as the vendor
has agreed to make or normally undertakes to make in the usual course of business,
in connection with the distribution or sale of products.
(f) Demonstration, installation, servicing or repair operations, except such operations
performed at the vendor's premises in connection with the sale of the product.
(g) Products which, after distribution or sale by you, have been labeled or relabeled or
used as a container, part or ingredient of any other thing or substance by or for the
vendor.
(h) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor
for its own acts or omissions or those of its employees or anyone else acting on its
behalf. However, this exclusion does not apply to:
(1) The exceptions contained in Sub -paragraphs d. orf.; or
(2) Such Inspections, adjustments, tests or servicing as the vendor has agreed to make or
normally undertakes to make in the usual course of business, in connection with the
distribution or sale of the products.
(2) This insurance does not apply to any insured person or organization, from whom you have
acquired such products, or any Ingredient, part or container, entering into, accompanying or
containing such products.
8. Additional Insured —Lessor of Leased Equipment —Automatic Status When Required in Lease
Agreement With You
a. Any person(s) or organization(s) from whom you lease equipment when you and such
person(s) or organization(s) have agreed in writing in a contract or agreement that such person(s)
or organization(s) be added as an additional insured on your policy. Such person(s) or
organization(s) is an insured only with respect to your liability for "bodily injury", "property
damage" or "personal and advertising injury" caused, In whole or in part, by your maintenance,
CG 73 40 04 25 Includes copyrighted material of Insurance Services Office, Inc. with Page 6 of 11
CG 73 40 04 25
operation or use of equipment leased to you by such person(s) or organization(s).
However, the insurance afforded to such additional insured:
(1) Only applies to the extent permitted by law; and
(2) Will not be broader than that which you are required by the contract or agreement to provide
for such additional insured.
A person's or organization's status as an additional insured under this endorsement ends when
their contract or agreement with you for such leased equipment ends.
b. With respect to the insurance afforded to these additional insureds, this insurance does not apply
to any "occurrence" which takes place after the equipment lease expires.
Additional Insured — Managers or Lessors of Premises
a. Any person(s) or organization(s) that is a manager or lessor of premises leased to you is an
additional insured, but only with respect to liability caused, in whole or in part, by the ownership,
maintenance or use of that part of the premises leased to you and subject to the following
additional exclusions:
This insurance does not apply to:
(1) Any "occurrence" which takes place after you cease to be a tenant in that premises.
(2) Structural alterations, new construction or demolition operations performed by or on behalf
of the person(s) or organization(s) shown in the Schedule.
However:
(a) The insurance afforded to such additional insured only applies to the extent permitted
by law; and
(b) If coverage provided to the additional insured is required by a contract or agreement,
the insurance afforded to such additional insured will not be broader than that which
you are required by the contract or agreement to provide for such additional insured.
10. Additional Insured — Engineers, Architects or Surveyors Not Engaged by the Named Insured
a. Any architects, engineers or surveyors who are not engaged by you are additional insureds, but
only with respect to liability for "bodily injury" or "property damage" or "personal and advertising
injury" caused, in whole or in part, by:
(1) Your acts or omissions; or
(2) Your acts or omissions of those acting on your behalf;
in the performance of your ongoing operations performed by you or on your behalf.
But only if such architects, engineers or surveyors, while not engaged by you, are contractually
required to be added as an additional insured to your policy.
However, the insurance afforded to such additional insured:
(a) Only applies to the extent permitted by law; and
(b) Will not be broader than that which you are required by the contract or agreement to provide
for such additional insured.
b. With respect to the insurance afforded to these additional insureds, the following additional
exclusion applies:
This insurance does not apply to "bodily injury", "property damage" or "personal and advertising
injury" arising out of the rendering of or failure to render any professional services, including:
(1) The preparing, approving, or failing to prepare or approve, maps, drawings, opinions, reports,
surveys, change orders, designs or specifications; or
(2) Supervisory, inspection or engineering services.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing
CG 73 40 04 25 Includes copyrighted material of Insurance Services Office, Inc. with Page 7 of 11
CG 73 40 04 25
in the supervision, hiring, employment, training or monitoring of others by that insured, if the
"occurrence" which caused the "bodily injury" or "property damage", or the offense which caused
the "personal and advertising Injury", involved the rendering of or the failure to render any
professional services.
11. Additional Insured — State or Governmental Agency or Subdivision or Political Subdivision —
Permits or Authorizations
Anystate orgovernmental agency orsubdivision or political subdivision is an Additional Insured, subject
to the following provisions:
a. This insurance applies only with respect to operations performed by you or on your behalf for which
the state or governmental agency or subdivision or political subdivision has issued a permit or
authorization.
However:
(1) The insurance afforded to such additional insured only applies to the extent permitted by
law; and
(2) If coverage provided to the additional insured is required by a contract or agreement, the
insurance afforded to such additional insured will not be broader than that which you are
required by the contract or agreement to provide for such additional insured.
b. This insurance does not apply to:
(1) "Bodily injury", "property damage" or "personal and advertising injury" arising out of
operations performed for the federal government, state or municipality; or
(2) "Bodily injury" or "property damage" included within the "products -completed operations
hazard".
12. Additional Insured Consolidated Insurance Program (Wrap -Up) Off -Premises Operations
Only — Owners, Lessees or Contractors
a. Any persons or organizations for whom you are performing operations, for which you have elected
to seek coverage under a Consolidated Insurance Program, when you and such person or
organization have agreed in writing in a contract or agreement that such person or organization be
added as an additional insured on your policy is an additional Insured. Such person or organization
is an additional insured only with respect to your liability caused, in whole or in part, by your ongoing
operations performed for that person or organization at a premises other than any project or
location that is designated as covered under a Consolidated Insurance Program. A person's or
organization's status as an additional insured under this endorsement ends when your operations
for that additional insured are completed.
b. With respect to the insurance afforded to these additional insureds, the following additional
exclusion applies. This insurance does not apply to:
"Bodily injury", "property damage", or "personal and advertising injury" arising out of the rendering of,
or failure to render, any professional architectural, engineering or surveying services, including:
(1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; and
(2) Supervisory, inspection
13. Additional Insured — Employee Injury to Another Employee
With respect to your "employees" who occupy positions which are supervisory in nature:
Paragraph 2.a.(1) of SECTION If — WHO IS AN INSURED is deleted and replaced by the following:
a. "Bodily injury" or "personal and advertising injury"
(1) To you, to your partners or members (if you are a partnership or joint venture), or to your
members (if you are a limited liability company);
(2) For which there is any obligation to share damages with or repay someone else who must
CG 73 40 04 25 Includes copyrighted material of Insurance Services Office, Inc. with Page 8 of 11
pay damages because of the injury described in paragraph (1)(a) above; o CG 73 40 04 25
(3) Arising out of his or her providing or failing to provide professional healthcare services.
For the purpose of this clause only, a position is deemed to be supervisory in nature if that person
performs principle work which is substantially different from that of his or her subordinates and
has authority to hire, direct, discipline or discharge.
SECTION IV — LIMITS OF INSURANCE
Paragraph 2 is deleted and replaced by the following:
2. The General Aggregate Limit is the most we will pay for the sum of:
a. Medical expenses under Coverage C;
b. Damages under Coverage A, except damages because of "bodily injury" or "property damage"
included in the "products -completed operations hazard"; and
c. Damages under Coverage B; and
d. Damages under Coverage H.
Paragraph 6 is deleted and replaced by the following:
6_Subject to 5. above, the Damage to Premises Rented to You Limit is the most we will pay under
Coverage A for damages because of 'property damage" to any one premises, while rented
to you, or in the case of damage by fire, explosion, lightning, smoke resulting from such fire,
explosion, or lightning, or sprinkler leakage while rented to you or temporarily occupied by you
with permission of the owner.
C. The following are added:
14. Subject to Paragraph S. of SECTION III — LIMITS OF INSURANCE $25,000 is the most we will
pay under Coverage H for Water Damage Legal Liability.
15. Aggregate Limits of Insurance (Per Location)
a. The General Aggregate Limit applies separately to each of your 'locations" owned by or rented
to you or temporarily occupied by you with the permission of the owner.
b. "Location" means premises involving the same or connecting lots, or premises whose connection
is interrupted only by a street, roadway, waterway or right-of-way of a railroad.
16. Aggregate Limits of Insurance (Per Project)
a. The General Aggregate Limit applies separately to each of your projects away from premises owned
by or rented to you.
17. With respect to the insurance afforded to additional insureds afforded coverage by items 4. through 13.
of SECTION 11— WHO IS AN INSURED above, the following is added:
The most we will pay on behalf of the additional insured is the amount of insurance:
a. Required by the contract or agreement;
b. Available under the applicable Limits of Insurance shown in the Declarations
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
18. Subject to 5. of SECTION III —LIMITS OF INSURANCE, the most we will pay for 'property damage"
under Coverage F — Electronic Data Liability Coverage for loss of "electronic data" is $50,000 without
regard to the number of "Occurrences".
SECTION V—COMMERCIAL GENERAL LIABILITY CONDITIONS
A. The following conditions are amended:
1. Knowledge of Occurrence
a. Condition 2., Items a. and b. are deleted and replaced by the following:
CG 73 40 04 25 Includes copyrighted material of Insurance Services Office, Inc. with Page 9 of 11
---- ...----------- ..-------------- .-.-......__.. if.
(1) Duties In The Event Of Occurrence, Offense, Claim Or Suit CO 73 40 04 25
(a) You must see to it that we are notified as soon as practicable of an 'Occurrence" or an offense
which may result in a claim. Knowledge of an 'Occurrence" by your agent, servant or employee
shall not in itself constitute knowledge of the named insured unless an officer of the named
insured has received such notice from the agent, servant or employee. To the extent possible,
notice should include:
(I) How, when and where the "Occurrence" took place;
(ii) The names and addresses of any injured persons and witnesses, and
(Ili) The nature and location of any injury or damage arising out of the "occurrence" or offense.
(b) If a claim is made or "suit" is brought against any insured, you must:
(I) Immediately record the specifics of the claim or "suit" and the date received; and
(fi) Notify us as soon as practicable.
You must see to it that we receive written notice of the claim or "suit' as soon as practicable.
Knowledge of a claim or "suit' by your agent, servant or employee shall not in itself
constitute knowledge of the named insured unless an officer of the named insured has
received such notice from the agent, servant or employee.
2. Where Broad Form Named Insured is added in SECTION II — WHO IS AN INSURED of this endorsement,
Condition 4. Other Insurance b. Excess Insurance (1)(a) is deleted and replaced by the following:
a. This insurance is excess over any other insurance, whether primary, excess, contingent or on any other
basis, that is available to an insured solely by reason of ownership by you of more than 50 percent of
the voting stock, and not withstanding any other language in any other policy. This provision does not
apply to a policy written to apply specifically in excess of this policy.
The following is added to Condition 4. Other Insurance
Primary And Noncontributory Insurance - Additional Insured
This insurance is primary to and will not seek contribution from any other insurance available to an
additional insured under your policy provided that:
(1) The additional Insured is a Named Insured under such other insurance;
(2) You have agreed in writing in a contract or agreement that this insurance would be primary and
would not seek contribution from any other insurance available to the additional insured;
(3) The additional insured gives us prompt written notice of any "Occurrence" which may result in
a claim and prompt written notice of "suit;
(4) The additional insured immediately forwards all legal papers to us, cooperates in the
investigation or settlement of the claim or defense against the "suit', and otherwise complies
with policy conditions;
(5) The additional insured must tender the defense and indemnity of any claim or "suit" to any other
insurer which also insures against a loss we cover under this policy. This includes, but is not
limited to, any insurer which has issued a policy of insurance in which the additional insured
qualifies as an insured. For the purpose of this requirement, the term "insures against' refers
to any self-insurance and to any insurer which issued a policy of insurance that may provide
coverage for the loss, regardless of whether the additional insured has actually requested that
the Insurer provide the additional insured with a defense and/or indemnity under that policy of
insurance;
(6) The additional insured agrees to make available any other insurance that the additional insured
has for a loss we cover under this policy.
This condition supersedes any provision to the contrary.
3. The following Conditions are added:
10. Blanket Waiver Of Subrogation
CG 73 40 04 25 Includes copyrighted material of Insurance Services Office, Inc. with Page 10 of 11
_._------- if. no"micci....
We waive any right of recovery we may have against an CG 73 40 04 25
r
payments we make for injury or damage arising out of: premises owned orgoccup occupied by oar renteof
d
or loaned to you, ongoing operations performed by you or on your behalf. We waive this right
where you have agreed to do so as part of a written contract, executed by you before the "bodily
injury" or "property damage" occurs or the "personal and advertising injury" offense is committed.
11. Liberalization
If a revision to this Coverage Part, which would provide more coverage with no additional premium
becomes effective during the policy period in the state designated for the first Named Insured shown in
the Declarations, your policy will automatically provide this additional coverage on the effective date of
the revision.
12. Unintentional Failure to Disclose All Hazards
Based on our reliance on your representations as to existing hazards, if you unintentionally should fail
to disclose all such hazards at the Inception date of your policy, we will not deny coverage under this
Coverage Part because of such failure. However, this provision does not affect our right to collect
additional premium or exercise our right of cancellation or non -renewal.
13. Limited Railroad Contractual Liability
The following conditions are applicable only to coverage afforded by reason of the redefining of an
"insured contract" in the DEFINITIONS section of this endorsement:
b. Railroad Protective Liability coverage provided by Railroad Protective Liability Coverage
Form (CG 00 35) with minimum limits of $2,000,000 per occurrence and a $6,000,000 general
aggregate limit must be in place for the entire duration of any project.
c. Any amendment to the Other Insurance condition of Railroad Protective Liability Coverage
Form (CG 00 35) alters the primacy of the coverage or which impairs our right to contribution
will rescind any coverage afforded by the redefined "insured contract' language.
d. For the purposes of the Other Insurance condition of Railroad Protective Liability Coverage
Form (CG 00 35) you, the named Insured, will be deemed to be the designated contractor.
SECTION VI —DEFINITIONS
A. Paragraph 3. 'Bodily injury" is deleted and replaced with the following:
3. 'Bodily injury" means physical injury, sickness or disease sustained by a person. This includes mental
anguish, mental injury, shock, fright or death that results from such physical injury, sickness or disease.
B. Paragraph 9.c., 'Insured contract', is deleted and replaced with the following:
c. Any easement or license agreement;
C. Paragraph 9.f.(1), "Insured Contract', is deleted
D. The following definitions are added for this endorsement only:
23. "Electronic data" means information, facts or programs stored as or on, created or used on, or transmitted
to or from computer software, including systems and applications software, hard or floppy disks, CD-
ROMS, tape drives, cells, data processing devices or any other media which are used with
electronically controlled equipment.
CG 73 40 04 25 Includes copyrighted material of Insurance Services Office, Inc. with Page 11 of 11
_ its nermissinn
IL 71 05 10 14
IRSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
COMMERCIAL UMBRELLA COVERAGE PART
The following is added to the Other Insurance Condition and supersedes any provision to the contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek contribution from any other insurance available to an additional insured
under your policy provided that:
(1) The additional insured is a Named Insured under such other insurance;
(2) You have agreed in writing In a contract or agreement that this Insurance would be primary and would not seek
contribution from any other insurance available to the additional insured;
(3) The additional insured gives us prompt written notice of any 'occurrence" which may result in a claim and prompt
written notice of "suit';
(4) The additional insured immediately forwards all legal papers to us, cooperates In the investigation or settlement of
the claim or defense against the "suit', and otherwise complies with policy conditions.
(5) The additional insured must tender the defense and indemnity of any claim or "suit' to any other insurer which also
insures against a loss we cover under this policy. This includes, but is not limited to, any insurer which has issued a
Policy of insurance in which the additional insured qualifies as an insured. For the purpose of this requirement, the
term "insures against' refers to any self-insurance and to any insurer which issued a policy of Insurance that may
provide coverage for the loss, regardless of whether the additional insured has actually requested that the insurer
provide the additional Insured with a defense and/or Indemnity under that policy of insurance.
(6) The additional insured agrees to make available any other Insurance that the additional insured has for a loss we
cover under this policy.
IL 71 05 10 14 Includes copyrighted material of Insurance Services Office, Inc., with Its permisslon. Page 1 of 1
CG 72 86 07 17
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - WITH
PRODUCTS - COMPLETED OPERATIONS COVERAGE - AUTOMATIC STATUS FOR OTHER
PARTIES AND COMPLIANCE WITH WRITTEN CONTRACTUAL REQUIREMENTS
(THROUGH ISO 10/01 COVERAGE OPTIONS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II — Who Is An Insured is amended to include as an additional insured:
1. Any person or organization for whom you are performing operations when you and such person or organization
have agreed in writing in a contract or agreement that such person or organization be added as an additional
insured on your policy; and
2. Any other person or organization you are required to add as an additional insured under the contract of
agreement described In Paragraph 1. above.
B. The Insurance provided to the additional insured is limited as follows:
1. The person or organization is an additional insured only with respect to liability for "bodily Injury", "property
damage" or "personal and advertising injury" which may be Imputed to that person or organization directly arising
out of:
a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your
ongoing operations specified in the "written contract" or
b. "your work" that is specified in the "written contract" but only for "bodily injury" or "property damage" included
in the "products -completed operations hazard", and only if:
(1) The "written contract" requires you to provide the additional insured such coverage; and
(2) This coverage part provides such coverage; and
(3) Such coverage will not apply subsequent to the first to occur of the following:
1. The expiration of the period of time required by the "written contract"; or
H. The expiration of any applicable statute of limitations or statute of repose with respect to claims
arising out of "your work".
2. If the "written contract" specifically requires you to provide additional insurance coverage via the 04/13 edition of
CG2010 (aka CG 20 10 04 13), or via the 04/13 edition of CG2037 (aka CG 20 37 04 13), then in paragraph BA.
above, the words "which may be imputed to that person(s) or organization(s) directly arising out of are replaced
by the words "caused In whole or in part by".
3. If the "written contract" specifically requires you to provide additional insurance coverage via the 07/04 edition of
CG2010 (aka CG 20 10 07 04), or via the 07/04 edition of CG2037 (aka CG 20 37 07 04), then In paragraph B.I.
above, the words "which may be imputed to that person($) or organlzation(s) directly arising out of are replaced
by the words "caused in whole or in part by".
4. If the "written contract" specifically requires you to provide additional insurance coverage via the 10/01 edition of
CG2010 (aka CG 20 10 10 01), or via the 10/01 edition of CG2037 (aka CG 20 37 10 01) then in paragraph B.1.
above, the words "which may be imputed to that person(s) or organization(s) directly arising out of are replaced
by the words "arising out of'.
5. With regards to B.1. and B.2. above only, the following conditions are added;
a. The Insurance afforded to such additional Insured only applies to the extent permitted by law; and
b. If coverage provided to the additional Insured is required by a contract or agreement, the insurance afforded
to such additional insured will not be broader than that which you are required by the contract or agreement
to provide for such additional Insured.
CG 72 86 07 17 Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Page 1 of 2
CG 72 86 07 17
g. The insurance provided to the additional Insured does not apply to "bodily injury", "property damage" or "personal
and advertising injury" arising out of:
a. The rendering of, or failure to render, any professional architectural, engineering or surveying services,
Including:
(1) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports,
surveys, field orders, change orders or drawings and specifications; and
(2) Supervisory, inspection, architectural or engineering activities.
b. Any premises or work for which the additional insured is specifically listed as an additionalinsured on another
endorsement attached to thiscoverage part.
C. Only for the purpose of the insurance provided this endorsement, SECTION V— DEFINITIONS is amended to add
the following definition:
"Written Contract" means a written contract or written agreement that requires you to make aperson or organization
an additional insured on this Coverage Part, provided the contract or agreement:
1. Is currently in effect or becoming effective during the term of this policy; and
2. Was executed prior to:
a. The "bodily injury" or "property damage"; or
b. The offense that caused the "personal and advertising injury",
for which the additional Insured seeks coverage under this coverage part.
CG 72 86 07 17 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 2
60543978
CG 7163 04 09
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CITY OF DUBUQUE, IOWA
ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART PREMIUM 250
The City of Dubuque, Iowa, 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, are included as Additional Insureds with respect to liability arising out of the Insured's
work and/or services performed for the City of Dubuque, Iowa. This coverage shall be primary to the
Additional Insureds, and not contributing with any other insurance or similar protection available to
the Additional Insureds, whether other available coverage be primary, contributing or excess.
CITY OF DUBUQUE, IOWA
GOVERNMENTAL IMMUNITIES ENDORSEMENT
(For use when including the City as an Additional Insured)
Nonwalver of Government Immunity, The insurance carrier expressly agrees and states that the
purchase of this policy and the including of the City of Dubuque, Iowa as an Additional Insured
does not waive any of the defenses of governmental immunity available to the City of Dubuque,
Iowa under Code of Iowa Section 670.4 as it now exists and as it may be amended from time to
time.
2. Claims Coverage The insurance carrier further agrees that this policy of insurance shall cover
only those claims not subject to the defense of governmental immunity under the Code of Iowa
Section 670.4 as it now exists and as it may be amended from time to time.
3. Assertion of Government Immunity. The City of Dubuque, Iowa shall be responsible for asserting
any defense of governmental immunity, and may do so at any time and shall do so upon the
timely written request of the insurance carrier. Nothing contained in this endorsement shall
prevent the carrier from asserting the defense of governmental immunity on behalf of the City of
Dubuque, Iowa.
4.Non-Denial of Coverage. The insurance carrier shall not deny coverage under this policy and the
insurance carrier shall not deny any of the rights and benefits accruing to the City of Dubuque,
Iowa under this policy for reasons of governmental immunity unless and until a court of competent
jurisdiction has ruled in favor of the defense(s) of governmental immunity asserted by the City of
Dubuque, Iowa,
CG 71 63 04 09 Page 1 of 2
CG 7163 04 09
5. No = r Change in Polite. The insurance carrier and the City of Dubuque, Iowa agree that the
above preservation of governmental immunities shall not otherwise change or alter the coverage
available under the policy.
CITY OF DUBUQUE, IOWA
CANCELLATION AND MATERIAL CHANGES ENDORSEMENT
Thirty (30) days Advance Written Notice of Cancellation, Non -Renewal, Reduction in insurance
coverage and/or limits and ten (10) days written notice of non-payment of premium shall be sent to:
City of Dubuque, 50 W. 13th St., Dubuque, Iowa 52001. This endorsement supersedes the standard
Cancellation statement on the Certificate of Insurance to which this endorsement is attached,
Note: Endorsements above per 'Urban Standard Specifications For Public Improvements',
Addendum No. 2 effective July 24, 2001,
CG 71 63 04 09 Page 2 of 2
COMMERCIAL AUTO
CA 71 09 01 17
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO ULTRA ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
COMMON POLICY CONDITIONS
COVERAGE INDEX
DESCRIPTN
PAGE
Temporary SubIOstitute Auto Physical Damage
2
Broad Form Insured
2
Employee as Insureds
2
Additional Insured Status by Contract, Agreement or Permit
2
Bail Bond Coverage
3
Loss of Earnings Coverage
3
Amended Fellow Employee Coverage
3
Towing and Labor
3
Physical Damage Additional Transportation Expense Coverage
3
Extra Expense - Theft
3
Rental Reimbursement and Additional Transportation Expense
4
Personal Effects Coverage
4
Personal Property of Others
4
Locksmith Coverage
4
Airbag Accidental Discharge 5
Audio, Visual and Data Electronic Equipment Coverage 5
Auto Loan/Lease Total Loss Protection 5
Glass Repair — Deductible Amendment 5
Amended Duties in the Event of Accident, Claim Suit or Loss 6
Unintentional Failure to Disclose 6
Hired, Leased, Rented or Borrowed Auto Physical Damage 6
Mental Anguish 7
Extended Cancellation Condition 7
The COVERAGE INDEX set forth above is informational only and grants no coverage.
Terms set forth in (Bold Italics) are likewise for information only and by themselves shall be deemed to grant no
coverage.
CA 71 09 01 17 Includes copyrighted material of Insurance Services Office, Inc., with its permission, Page 1 of 7
F
oetry Substitute Auto Physsical Damage)
MPORARY SUBSTITUTE AUTO PHYSICAL DAMAGE
N I — COVERED AUTOS, paragraph C. Certain Trailers, Mobile Equipment and Temporary Substitute
s amended by adding the following at the end of the existing language:
If Physical Damage Coverage Is provided under this Coverage form for an "auto" you own, the Physical Damage
coverages provided for that owned "auto" are extended to any "auto" you do not own while used with the permission of its
owner as a temporary substitute for the covered "auto" you own that Is out of service because of Its breakdown, repair,
servicing, "loss", or destruction
R. BROADENED LIABILITY CovERAGES
SECTION II — LIABILITY COVERAGE In Paragraph A. Coverage at 1. Who is An Insured is amended to include the
following:
(Broad Form Insured)
d. Any legally incorporated subsidiary In which you own more than 50% of the voting stock on the effective date
of the Coverage Form. However, the Named Insured does not include any subsidiary that is an "insured"
under any other automobile policy or would be an "insured" under such a policy but for its termination or the
exhaustion of Its Limit of Insurance.
e. Any organization that is acquired or formed by you, during the term of this policy and over which you
maintain majority ownership. However, the Named Insured does not include any newly formed or acquired
organization:
(1) That is a joint venture or partnership,
(2) That is an "insured" under any other policy,
(3) That has exhausted its Limits of Insurance under any other policy, or
(4) 180 days or more after its acquisition or formation by you, unless you have given us notice of the
acquisition or formation
Coverage does not apply to "bodily injury" or "property damage" that results from an accident that occurred
before you formed or acquired the organization.
(Employee as Insureds)
f. Any employee of yours while acting in the course of your business or your personal affairs while using a
covered "auto" you do not own, hire or borrow.
(Additional Insured Status by Contract, Agreement or Permit)
g. Any person or organization whom you are required to add as an additional insured on this policy under a
written contract or agreement; but the written contract or agreement must be:
(1) Currently In effect or becoming effective during the term of this policy; and
(2) Executed prior to the "bodily injury" or "property damage."
The additional Insured status will apply only with respect to your liability for "bodily Injury" or "property
damage" which may be imputed to that person(s) or organizatlon(s) directly arising out of the ownership,
maintenance or use of the covered "autos" at the location(s) designated, if any.
Coverage provided by this endorsement will not exceed the limits of liability required by the written contract
or written agreement even If the limits of liability stated In the policy exceed those limits. This endorsement
shall not increase the limits stated In Section 11. C. Limits of Insurance.
For any covered "auto" you own this Coverage Form provides primary coverage.
Page 2 of 7 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CA 71 09 01 17
RpADENED SUPPLEMENTARY PAYMENTS
CTION II. LIABILITY A. Coverage 2. Coverage Extensions a. Supplementary Payments (2) and (4) are replaced
_yy the fallowing:
�aail aond Coverage)
(2) Up to $5,000 for cost of bail bonds (including bonds for related traffic violations) required because of an
"accident" we cover. We do not have to furnish these bonds.
(Loss of Earnings Coverage)
(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earning up to $500 a
day because of time off from work.
(Amended Fellow Employee Exclusion)
D. AMENDED FELLOW EMPLOYEE EXCLUSION
Only with respect to your "employees" who occupy positions which are supervisory in nature, SECTION II. LIABILITY B.
Exclusion 5. Fellow Employee Is replaced by:
5. Fellow Employee
"Bodily Injury":
a. To you, or your partners or members (if you are a partnership or joint venture), or to your members (if you
are a limited liability company);
b. To your "executive officers" and directors (if you are an organization other than a partnership, joint venture,
or limited liability company) but only with respect to performance of their duties as your officers or directors;
c. For which there Is an obligation to share damages with or repay someone else who must pay damages
because of the Injury described in paragraph a and b above; or
d. Arising out of his or her providing or failing to provide professional health care services.
For purposes of this endorsement, a position is deemed to be supervisory in nature If that person performs
principle work which is substantially different from that of his or her subordinates and has authority to hire,
transfer, direct, discipline or discharge.
E. BROADENED PHYSICAL DAMAGE COVERAGES
SECTION III — PHYSICAL DAMAGE COVERAGE A. Coverage is amended as follows:
(Towing and Labor)
2. Towing is deleted and replaced with the following:
2. Towing and Labor
We will pay towing and labor costs Incurred, up to the limits shown below, each time a covered "auto" Is disabled:
a. For private passenger type vehicles we will pay up to $100 per disablement.
b. For all other covered "auto's" we will pay up to $500 per disablement
However, the labor must be performed at the place of disablement.
(Physical Damage Additional Transportation Expense Coverage)
4. Coverage Extensions
a. Transportation Expenses is amended to provide the following limits:
We will pay up to $60 per day to a maximum of $1,800. All other terms and provisions of this section remain
applicable.
The following language is added to 4. Coverage Extensions:
(Extra Expense — Theft)
c. Theft Recovery Expense
If you have purchased Comprehensive Coverage on an "auto" that is stolen, we will pay the expense of
returning that stolen auto to you. The limit for this coverage extension is $5,000.
CA 71 09 01 17 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 7
;,4eimbur5ement and Additional Transportation Expense)
d. Rental Reimbursement
We will provide Rental Reimbursement and Additional Expense coverage only for those Physical Damage
coverages for which a premium is shown in the Declarations or schedule pages. Coverage applies only to a
covered "auto".
(1) We will pay for auto rental expense and the expense Incurred by you because of "loss" to remove and
transfer your materials and equipment from a covered "auto" to a covered "auto." Payment applies in
addition to the otherwise applicable coverage you have on a covered "auto." No deductible applies to this
coverage.
(2) We will pay only for expenses incurred during the policy period and beginning 24 hours after the "loss"
and ending, regardless of the policy's expiration, with the lesser of the following number of days:
(a) The number of days reasonably required to repair or replace the covered "auto." If "loss" is caused
by theft, this number of days is added to the number of days it takes to locate the covered "auto, and
return it to you, or
(b) 30 days.
(3) Our payment is limited to the lesser of the following amounts:
(a) Necessary and actual expenses incurred; or
(b) $75 per day.
(c) This coverage does not apply while there are spare or reserve "autos" available to you for your
operations.
(d) If "loss" results from the total theft of a covered "auto" of the private passenger or light truck type, we
will pay under this coverage only that amount of your rental reimbursement expense which is not
already provided for under the SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4.
Coverage Extensions, a. Transportation Expenses.
(Personal Effects Coverage)
e. Personal Effects
If you have purchased Comprehensive Coverage on this policy for an "auto" you own and that "auto" is
stolen, we will pay, without application of a deductible, up to $500 for Personal Effects stolen with the "auto".
The Insurance provided under this provision is excess over any other collectible Insurance. For this coverage
extension, Personal Effects means tangible property that is worn or carried by an 'Insured".
(Personal Property of Others)
f. Personal Property of Others
We will pay up to $500 for loss to personal property of others in or on your covered "auto." This coverage
applies only in the event of "loss" to your covered "auto" caused by fire, lightning, explosion, theft, mischief
or vandalism, the covered "auto's" collision with another object, or the covered "auto'$" overturn. No
deductibles apply to this coverage.
(Locksmith Coverage)
g. Locksmith Coverage
We will pay up to $260 per occurrence for necessary locksmith services for keys locked inside a covered
private passenger "auto". The deductible is waived for these services.
Page 4 of 7 Includes copyrighted material of Insurance Services Office, Inc., with Its permission. CA 71 09 01 17
a/e Wrap Coverage)
h. Vehicle Wrap Coverage
If you have Comprehensive or Collision coverage on an "auto" that is a total loss, in addition to the actual
cash value of the "auto", we will pay up to $1,000 for vinyl vehicle wraps which are displayed on the covered
"auto" at the time of total loss. Regardless of the number of autos deemed a total loss, the most we will pay
under this Vehicle Wrap Coverage for any one "loss" is $5,000. For purposes of this coverage provision,
signs or other graphics painted or magnetically affixed to the vehicle are not considered vehicle wraps.
(Airbag Accidental Discharge)
F. SECTION III — PHYSICAL DAMAGE COVERAGE, R. Exclusions is amended at 3. to include the following
language:
If you have purchased Comprehensive or Collision Coverage under this policy, this exclusion does not apply to
mechanical breakdown relating to the accidental discharge of an air bag. This coverage applies only to a covered
auto you own and is excess of any other collectible Insurance or warranty, No deductible applies to this coverage.
G. BROADENED LIMITS OF INSURANCE
(Audio, Visual and Data Electronic Equipment Coverage)
SECTION III — PHYSICAL DAMAGE COVERAGE — C. Limit of Insurance at 1.b, is amended to provide the following
limits:
b. Limits of $1,000 per "loss" is Increased to $5,000 per "loss". All other terms and provisions of this section
remain applicable.
(Auto Loan/Lease Total Loss protection)
SECTION III — PHYSICAL DAMAGE COVERAGE — C. Limit of Insurance is amended by adding the following
language:
4. In the event of a total "loss" to a covered "auto" shown in the Schedule pages, sub1ect at the time of the "loss" to
a loan or lease, we will pay any unpaid amount due including up to a maximum of $600 for early termination fees
or penalties on the lease or loan for a covered"auto" less:
a. The amount paid under the Physical Damage Coverage Section of the policy; and
b. Any:
(1) Overdue lease / loan payments at the time of the "loss";
(2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage;
(3) Security deposits not returned by the lessor;
(4) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased
with the loan or lease; and
(5) Carry-over balances from previous loans or leases.
(Glass Repair— Deductible Amendment)
H. GLASS REPAIR — DEDUCTIBLE
SECTION III — PHYSICAL DAMAGE COVERAGE — D. Deductible is amended by adding the following:
Any deductible shown in the Declarations as applicable to the covered "auto" will not apply to glass breakage if the
damaged glass is repaired, rather than replaced.
CA 71 09 01 17 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 7
V�rjtde
ded Duties in the Event of Accident, Claim, Suit or Loss)
ENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS
ECTION IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions, the following is added to paragraph 2.
n The Event of Accident, Suit or Loss:
d. Knowledge of any "accident", "claim", "suit" or "loss" will be deemed knowledge by you when notice of such
"accident", "claim", "suit" or "loss" has been received by:
(1) You, if you are an individual;
(2) Any partner or insurance manager if you are a partnership;
(3) An executive officer or insurance manager, if you are a corporation;
(4) Your members, managers or insurance manager, if you are a limited liability company; or
(5) Your officials, trustees, board members or Insurance manager, if you are a not -far -profit organization.
(Waiver of Subrogation by Contract)
J. WAIVER OF SUBROGATION REQUIRED BY CONTRACT
Under SECTION IV, BUSINESS AUTO CONDITIONS, A. Loss Conditions S. Transfer of Rights of Recove
Against Others to Us the following language Is added: ry
However, we waive any rights of recovery we may have against the person or organization with whom you have
agreed in writing in a contract, agreement or permit, to provide insurance such as is afforded under the policy to
which this endorsement is attached. This provision does not apply unless the written contract or written agreement
has been executed, or permit has been issued, prior to the "bodily Injury" or "property damage."
(Unintentional Failure to Disclose)
K. UNINTENTIONAL FAILURE TO DISCLOSE
Under SECTION IV — BUSINESS AUTO CONDITIONS, B. General Conditions, the following is added to 2.
Concealment, Misrepresentation Or Fraud:
Your unintentional error In disclosing, or falling to disclose, any material fact existing at the effective date of this
Coverage Form, or during the policy period in connection with any additional hazards, will not prejudice your rights
under this Coverage Form.
(Hired, Leased, Rented or Borrowed Auto Physical Damage)
L. HIRED, LEASED, RENTED OR BORROWED AUTO PHYSICAL DAMAGE
Under SECTION IV — BUSINESS AUTO CONDITIONS B. General Conditions S. Other Insurance Paragraph 5.15. is
replaced by the following:
b. (1) For "Comprehensive" and "Collision" Auto Physical Damage coverage provided by this endorsement, the
following are deemed to be covered "autos" you own:
(a) Any Covered "auto" you lease, hire, rent or borrow; and
(b) Any Covered "auto" hired or rented by your "employee" under a contract in that individual
"employee's" name, with your permission, while performing duties related to the conduct of your
business.
However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto"
(2) Limit of Insurance For This Section
The most we will pay for any one "loss" is the lesser of the following:
(a) $75,000 per accident, or
(b) actual cash value at the time of loss, or
(c) cost of repair.
Page 6 of 7 Includes copyrighted material of Insurance services Office, Inc., with Its permission. CA 71 09 01 17
Minus a $500 deductible. An adjustment for depreciation and physical condition will be made in
determining actual cash value in the event of a total loss. No deductible applies to "lose" caused by fire
or lightning.
(3) This Hired Auto Physical Damage coverage is excess over any other collectible insurance.
(4) Definitions For This Section
(a) Comprehensive Coverage: from any cause except the covered "auto's" collision with another object
or the covered "auto's" overturn. We will pay glass breakage, "loss" caused by hitting a bird or animal
and, "loss" caused by falling objects or missiles.
(b) Collision Coverage: caused by the covered "auto's" collision with another object or by the covered
.1auto'5" overturn.
(Mental Anguish)
M. MENTAL ANGUISH
Under SECTION V — DEFINITIONS, C. is replaced by the following:
C. "Bodily Injury" means bodily injury, sickness or disease sustained by a person including mental anguish or death
resulting from bodily injury, sickness, or disease.
(Extended Cancellation Condition)
N. EXTENDED CANCELLATION CONDITION
Under CANCELLATION, of the COMMON POLICY CONDITIONS form, item 2.b. is replaced by the following:
b. 60 days before the effective date of cancellation If we cancel for any other reason.
CA 71 09 01 17 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7
6 COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313
(Ed.04-84)
X BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our
right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform
work under a written contract that requires you to obtain this agreement from us.) This endorsement does not apply where
prohibited by law,
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Any person Or Organization that you perform work for that is liable for an injury, covered by this policy, that prior to the injury
has a written contract requiring a waiver of our right to recover from them.
Thls endorsement changes the policy to which It is attached and is effective on the date Issued unless otherwise stated.
(The Information below is required only when this endorsement Is Issued subsequent to preparation of the policy.
Endorsement Effective 12/3112025 Policy No. W0300-0001665-2025A Endorsement WC 00 0313
Insured Portzen Construction, Inc
DBA Dubuque Plumbing & Heating Premium $295,871
Insurance Company
Horizon Midwest Casualty Company
1100 Walnut Street Suite 3000
Kansas City, MO 64106
Carder Code 9 d
Carrier Cade 30593
Countersigned by
WC 00 0313
(Ed. 04-84)
NLiMSER:10003269523
U W 17 30 09 19
AGREEMENT TO PROVIDE NOTICE OF
CANCELLATION/NON-RENEWAL OR MATERIAL CHANGE
IN COVERAGE
THIS ENDORSEMENT SUPPLEMENTS THE TERMS OF THE POLICY. PLEASE READ IT CAREFULLY.
1, If the Schedule below indicates "Cancellation/Non-renewal", we agree to provide written notice to the person(s) or
organization(s) shown in the Schedule in the event of a cancellation or non -renewal of the policy to which this form is
endorsed. The number of days' notice we will provide is indicated in the Schedule.
2, If the Schedule below indicates "Material Change", we agree to provide written notice to the person(s) or organizations)
shown in the Schedule due to a material change in the policy to which this form is endorsed. For the purposes of this
endorsement a material change is defined as a change:
a. That is initiated by us; and
b. In which the First Named Insured is provided written notification by us.
The number of days' notice we will provide Is indicated in the Schedule.
SCHEDULE
Name of Person(s)
Mailing Address
Line(s) of Business
Cancellation/
Material
Number
or Organization(s)
Applicable
Non -renewal
Change
of Days'
Notice
Or DUSUQUE nv w IJ 1 rl 5 r General Liability X - 30
DUBUQUE, IA52001-4305
UW 17 30 0919 Page 1 of 1
SECTION 00471
Page 1 of 12
SECTION 00471
CONTRACTOR BACKGROUND INFORMATION
FOR SMALL CONTRACTS (Between $25,000 and $3,000,000)
If at the discretion and upon request of the City, the apparent low bidder must submit the Contractor
Background Information Form to the Jurisdiction/Government Entity Representative within 72 hours
after the bid opening. Failure to submit the Contractor Background Information Form by the required
deadline may be considered justification for the City to determine the Bidder as not responsible.
All questions must be answered clearly and comprehensively. If necessary, questions may be
answered on separate attached sheets. The Bidder may submit any additional information that it
deems necessary.
1. SUBMITTED BY:
Official Name of Firm: Portzen Construction, Inc.
Address: 205 Stone Valley Drive
Dubuque, IA 52003
2. CONTRACTOR'S CONTACT INFORMATION:
Contact Person
Title:
Phone:
Email:
3. TYPE OF ORGANIZATION:
Dylan Ambrose
Project Manager
563-557-7642
dambrosyp,pci-d bg. com
❑ SOLE PROPRIETORSHIP
Name of Owner:
Doing Business As:
Date of Organization:
❑ PARTNERSHIP
Date of Organization:
Type of Partnership:
Name of General Partner(s):
SECTION 00471
Page 2 of 12
CORPORATION
State of Organization:
Date of Organization:
Executive Officers:
President:
Iowa
05/18/89
Michael J. Portzen
Vice President(s): Adam Portzen
Treasurer: Jayme Kluesner
Secretary: Adam Portzen
❑ LIMITED LIABILITY COMPANY
State of Organization:
Date of Organization:
Members:
❑ JOINT VENTURE
State of Organization:
Date of Organization:
Form of Organization:
Joint Venture Managing Partner(s)
Name:
Address:
Name:
Address:
Name:
Address:
SECTION 00471
Page 3 of 12
❑ OTHER
State of Organization:
Name of Organization:
Form of Organization:
Date of Organization:
Principal
Name:
Title:
Address:
A. How many years has your organization been in business as a contractor?
37 years.
B. How many years have you been engaged in the contracting business under your
present firm or trade name?
37 years.
C. Under what other or former names does or has your organization operated?
4. CERTIFICATIONS:
Disadvantage Business Enterprise:
Minority Business Enterprise:
Woman Owned Enterprise:
Small Business Enterprise:
Other:
CERTIFIED BY:
SECTION 00471
Page 4 of 12
5. BONDING INFORMATION:
Bonding Company: United Fire and Casualty
Address: 118 2nd Avenue SE
Cedar Rapids, IA 52401
Bonding Agent: Jena Wilwert @ Assured Partners
Address: 501 Bell Street
Dubuque, IA 52003
Contact Name: Jena Wilwert
Phone: 877-580-7066
Aggregate Bonding Capacity.
Available Bonding Capacity as of date of this submittal
6. CONSTRUCTION EXPERIENCE:
A. Current Experience:
List on Schedule A all uncompleted projects currently under contract.
B. Previous Experience:
List on Schedule B at least three (3) projects completed within the last three (3)
years that had a similar scope of work.
Do you have direct related project experience? If no direct related project experience,
add an Attachment that explain how you intend to complete the contract.
❑ NO ®YES
In the past eight (8) years has the firm listed in Section 1 ever failed to complete a
construction contract awarded to it? If YES, add an Attachment that provides details of
the circumstances and include Project Owner's contact information.
® NO F]YES
Have you ever been found not to be a responsible Bidder under Iowa
Code Chapter 26? If YES, add an Attachment that provides details of the circumstances
and include Project Owner's contact information.
® NO FIYES
SECTION 00471
Page 5 of 12
In the past eight (8) years has any Corporate Officer, Partner, Joint Venture
participant or Proprietor ever failed to complete a construction contract awarded to
them in their name or when acting as a principal of another entity? If YES, add an
Attachment that provides details of the circumstances and include Project Owner's
contact information.
® NO ❑ YES
Are there any judgments, claims, disputes or litigation pending or outstanding with
an individual value greater than $200,000 involving the firm listed in Section 1 or
any of its officers (or any of its partners if a partnership or any of the individual
entities if a joint venture)? If YES, add an Attachment that provides details of the
circumstances and include Project Owner's contact information.
® NO nYES
Have you ever been declared in default under a performance Bond in the last five
(5) years? If YES, add an Attachment that provides details of the circumstances and
include the name and contact person of the owner(s) of the project and the contact
person at the surety/Bonding company.
® NO FlYES
Are you currently being investigated for or have previously violated in the last five
years any of the following state or federal laws: Iowa Minimum Wage Act, Iowa
Non -English Speaking Employees Act, Iowa Child Labor Act, Iowa Labor
Commissioner's Right to Inspect Premises, Iowa Compensation Insurance Act,
Employment Security Act, Iowa Competition Act, Iowa Income, Corporate and
Sales Tax Code, Iowa Employee Registration Requirements, Iowa Hazardous
Chemical Risks Act, Iowa Wage Payment Collection Act, Federal Income and
Corporate Tax Code, The National Labor Relations Act, The Drug -Free Workplace
Act, the Employee Retirement Insurance Security Act, Title VI of the Civil Rights
Act of 1964, The Fair Labor Standards Act: If YES, add an Attachment that provides
details of the circumstances and explain.
® NO FIYES
SECTION 00471
Page 6 of 12
7. SAFETY PROGRAM:
Name of Contractor's Lead Safety Officer: Alex Faust, Safety Director
Name of Contractor's Safety
Officer assigned to the project: Alex Faust, Safety Director
Include the following as attachments:
A. Provide as an Attachment Contractor's OSHA No. 300- Log & Summary of
Occupational Injuries & Illnesses for the past 2 years. Contractor must submit the
same information for all proposed Subcontractors performing Work having a value in
excess of 10 percent of the total bid amount.
B. Provide as an Attachment Contractor's list of all OSHA Citations & Notifications
of Penalty (monetary or other) received within the last 2 years (indicate disposition
as applicable) - IF NONE SO STATE. Contractor must submit the same information
for all proposed Subcontractors performing Work having a value in excess of 10
percent of the total bid amount.
C. Provide as an Attachment Contractor's list of all safety citations or violations
under any state all received within the last 2 years (indicate disposition as
applicable) - IF NONE SO STATE. Contractor must submit the same information for
all proposed Subcontractors performing Work having a value in excess of 10 percent
of the total bid amount.
D. Provide the following for the firm listed in Section 3 (attach additional sheets as
necessary) the following (Contractor must submit the same information for all
proposed Subcontractors performing Work having a value in excess of 10 percent of
the total bid amount:
Workers' compensation Experience Modification Rate (EMR) for the last 2 years:
YEAR 2025
YEAR 2024
EMIR 1.12
EMIR 0.84
Total Recordable Frequency Rate (TRFR) for the last 2 years:
YEAR 2025
YEAR 2024
TRFR 5.3
TRFR 7.2
Total number of man-hours worked for the last 2 Years:
YEAR 2025 TOTAL NUMBER OF MAN-HOURS 300,691
YEAR 2024 TOTAL NUMBER OF MAN-HOURS 332,993
SECTION 00471
Page 7 of 12
8. EQUIPMENT:
Provide a statement that explains the contractual relationship between the Company
listed in Section 3 and the owners of major pieces of equipment that will be utilized on
this project.
MAJOR EQUIPMENT:
List on Schedule C all pieces of major equipment available for use on this Project.
I HEREBY CERTIFY THAT THE INFORMATION SUBMITTED HEREWITH, INCLUDING ANY
ATTACHMENTS, IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND THAT THE
CITY OF DUBUQUE MAY RELY ON THE INFORMATION PROVIDED.
NAME OF ORGANIZATION
SIGNATURE
NAME
TITLE
DATED
NOTARY ATTEST:
S _�
SUBSCRIBED AND S TO BEFORE M
THIS 18th DAY OF August 2026
NOTARY PUBLIC - STATE OF Iowa
MY COMMISSION EXPIRES: 08-31-2029
REQUIRED ATTACHMENTS:
Portzen Co truction, Inc.
Michael J. Portzen
President
tiP41A[s KELLY S. MCAULIFFE
z° Commission Number 806131
MY Commission Expires
�OWF August 31, 20211
1. Schedule A (Current Experience).
2. Schedule B (Previous Experience).
3. Evidence of authority for individuals listed in Section 3 to bind organization to a Contract.
4. Resumes of officers and key individuals (including Safety Officer) of Company named in
Section 1.
5. Required safety program submittals listed in Section 7.
6. Schedule C (Major Equipment)
7. Additional items as needed to complete background information request.
VO
Z
O
O
O
O
O
O
O
D7
M
O
O
U')
I-
4Q
O
I--
CO
N
M
O
O
M
w
)O
ti
O
r
O
O
O
O
O
V
M
O
M
O
O
O
O
O
d1
r
L�
N
EA
O
O
M
O
—
r
U)
Ln
(O
Efi
O
O
O
O
O
N
M
r
ffl
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
N
60
O
O
O
O
O
O
O
N
M
O
O
V
O
(O
L�
M
W
O
O
O
O
Ln
M
L6
Efl
O
O
O
O
O
LO
l0
N
(f3
Q
m
F-
O
O
O
O
O
O
O
M
O
O
O
O
-
LO
O
O
O
(O
O
LO
(n
N
Q
m
i-
O
O
O
O
N
M
;:
V
M
O
V'
,
w
o)
Oct
fA
N
W
N
O
LO
W
I�
m
W
p)
r
W
N
M
V
M
M•
O
O
O
O
(p
O
O
O
N
ER
Q
m
O
O
M
W
a0
r
(O
(A
O
O
O
W
o
O
(O
N
Ul
U
U
C
U
C
�
@
�
U
2
U
Q
D
D
❑
N
(D
C
W
C
UC
ow(OM(n
—
E
'y-i
@
C
>
U
J
�-
CM
Q
Ln
c
—
Y
O
YC.NLLCLL@JCCNQCC
�
C
o
N
m
L
S
C
O
S❑
a)
C
-io
C
O
C
o
(n
o
C
U
'E
Z
O
C
En
O
C
cn
o
c
o-
E
U
PSp
c
a)
C_
C
@
❑
N
j
Q
odC
U
(n
m
'y3
In
-0QC.6
Q
pN
-
o❑❑
c
m
W
MC
@
Q)
c
a)
W
MC
@
N
U
C
N
O
N
❑
U
W
o
°
7
a@i
10
.N
-O
m
U
U
3
o
3
w
O
U
3
o
M
cr
❑
U
.N
_0
°
C
a
O
o
>
3
o
o
. 3
❑
U
@
o
L
LL
S
@
❑
m
LL
S
NC
E
U
C
p°
2`i
Q
m
d
O
U
3
o
❑
O
U
U
J
�
,n
-T
W
(n
o
O
,oj)
o
N
C
o
@
>
O
L
cn
�
7
F
a)
L
❑
m
S
C
U
w
C7
`
`o
o
@
>
O
U
7
E
o
O
E
>
3
o
—
Q
7
❑
p
U
3
w_
O
U
Y
°
a�
L
m
0
in
_
ai
=_
Y
o
@
>
N
c
0
@
>
Z
O¢
Uai
0
J
7
Cr
3
Q
7
❑
C:
N
m
LL
U
Q¢
ai
3
E
:0
O
a�
7
7
7
❑
C
°
O
Q
ai
7
7
L
7
❑
Q
_
U
@
3
Q
a
7
7
Q
7
❑
g¢
ai
7
Q
7�yl
7
❑
ai
7>
7
-0
7
❑
a)
Y
U
❑
a)
i
m
a
g
ai
7
7
-0
7
❑
g
a�
7
7
.n
7
❑
g
ai
7
7
L
7
❑
C
°
O
Q¢
ai
7
CTa
7
L
7
❑
ai
7
7
Q
7
❑
a
ai
7
L
7
❑
o
O
N
o
cn
a
O
C
j
a
ai
7
7
L
7
❑
Q
-
w
a
ai
7
7
.o
7
or
N
Y
U
❑
,n
U
oZS
a`)
U
W
C
C
Q
Z
U
W
O
LL
>—
o
n
N
N
❑
C
C
c
O
m
U)
-
C
U)
C
m
@
@
CO
N
m
CL
@
a)
U)
3
E
D
O
_
a)
"O
E
O
O
o
C
o
(n
�
O
�k
E
7
°U-
O
C_
N
m
C
O
m
❑
m
L
C°
c
o
m
N
"6
O
m
Q
,
>
p
_
L
—
@
0
O
LL
its
U
@
L
�
m
C
@
d
U
a)
E
E
O
U
@
S
EU
m
a)
N
U
O
U
a)
@
U
@
-
U)
@
O
LL
(0
p
C
—
a)
>
Y
❑
@
U
U
m
7
Q
a
N
a)
@
LZ
Y
m
d
Y
E
U
@
3
@
Z
C
@
O_
E
U
�
L
fn
7
NO
U
W
O
,
c
°
7
C
V)
❑
C
a)
U
o
C
(D
C
cn O
O
>@
7
E
C
'�
@
-O
Q)
N
❑
C
7
O
O
O
C
O
N
N
�
E
O
Y
m
C
@
O
U
=
�
LL
>
>>
7
>
O
(?
N
-O
U)
J
m
d
N
O
U
CO
i
>
7
n
N
Q
N
E
>
O
E
@
C
(n
F
fn
O
.0
>O
@
3
O
—
-
W
°
U
Y
O
@
.L..•
L
N
cn
a)
7
p
@
N
Y
❑
@
7
@
m
LL
N
@
U
-i
M
(D
-
O
LO
M
[I-
(`M
(O
1-
M
N
M
V
r
w
O
O
N
M
V'
(O
(D
m
N
C)
N
N
N
O
O
N
NC?
N
N
M
M
O
O
O
Q
,�
M
N
V
N
'V
N
d'
N
C
N
M
N
Lo
N
M
N
to
N
Ln
N
LO
N
0
N
0
N
Ln
N
(O
N
(O
N
(O
N
(D
N
(D
N
(O
N
(O
N
(D
N
(O
N
CO
N
(O
N
CO
N
Q
N
(')
CO
O
O
of
v
r
M
N
O
N
7
V
Lo
O
M
F-
z
n
to
't
O
N
M
O
Q
F-
LU
H
2
U
Q
U
U
C
C
J
J
N
C
N
+
�
N
=
c)
_
O
Ln
.>
U)
zZ z
O O
NU _°
LU
z
o
�a
m
z a
o
o
Qj
ii N U
a
=
o
Z O
Z WU
O
f6
o
0
0
0
2
U
<U
V O
a
F-
w
-,
N
o
�'
o
U
w
a
>
g
LL
Y
C
U
D
CO
u
M
d
o
>
L
O
N
a
=
U
a
m
o
N
(D
o
Ln
0
m
m
a
E
0
n
N
o
N
r
N
O
U
0
N
N
m
W
a
z
�
ti
�
m
w J
°
�
m N
z
o
b
O
E
C
6
�8
O
bo
C
N T yp
LL
c _ r
N
5
rzm
NE
Y
�
E
�
J
Z
m
w
�
F
c
�
I
O o
o
c
a
m
./'
O
E
w2
so
€
y
�E
E
C
w
U
W
b'•
5U
N
yN
Yi
4) 8
0 y
m
2E
3 p E
L
333 z �
M �q �� �25Z aF�Er IL 3m�
C
G
a'wa'Sp
tzen Construction
Major Equipment
DESCRIPTION
MAKE
PURCHASE
Ta co Brake Disposed 2023
$500.00
Rigid Threader
$1,500.00
Office Cubicle Furniture
$27,747.00
HP Laptop Zbook w/Dock Station
$1,632.00
HP Elite Book w/Dock stationk Display, office
$1,516.00
HO Desktop 400 G3 w/Monitor
$882.00
HO Desktop 400 G3 w/Monitor
$882.00
HP Proliant Server wIMemory & RDP Server
$12,728.00
GLO-BUG Light
GLO-BUG
$4,275.00
HP Elitebook 860 G11 W/Dock-Joe Klein
$ 1,800.09
Insulation Machine
$3,569.00
GLO-BUG Light
GLO-BUG
$4,275,00
GLO-BUG Light
GLO-BUG
$4,275.00
GLO-BUG Light
GLO-BUG
$4,275.00
GLO-BUG Light
GLO-BUG
$4,275.00
GLO-BUG Light
GLO-BUG
$4,275.00
Plasma Cutter
Powermax
$2,336.00
Gutter Machine
$5,850.00
rigid pipe threader
RI id
$2,675.00
Power Washer/ Wash Bay
$17,830.00
Roust -a -bout
Roust -A -Bout
$3,152.00
400,000 Btu Heaters
$640.00
Sewer Tap
$1,116.00
Scaffolding
$4,890.00
Maxistar Welder
$620.00
Power Trowel Disposed 2020
$1,590.00
Scaffolding
$1,229.00
Portzen Office Chairs (40)
$17,407.00
Conference Room Table- Downstairs
$12,829.00
Hole Ho
$4,134.00
Conference Room Table- Upstairs
$5,628.00
Dexk Mike's Office
$2,060.00
Software-MAS90-LetterPerfect
$4,562.86
Rigid Threader Disposed 2023
$1,020.00
Rigid Threader Disposed 2023
$1,633.00
Rigid Threader Disposed 2023
$820.00
Rigid Cutter Disposed 2023
$425.00
Office Cubicle Furniture -Downstairs
$15,871.00
Audio Visual Equipment- Gateway
$3,258.00
Audio Visual Equipment- Downstairs Conf.
$25,782.00
Audio Visual Equipment- Upstairs Conf.
$9,689.00
2018 Ford Transit T-150 #1805
$33,274.20
Grinder,en ine hoist,truck hoist
band saw
$3,500.00
Aluminun plank Disposed 2020
$435.00
Isiding brake
$927.00
Pipe Machine & Groover
$3,587.00
power BU
compact 150
$1,900.00
snow blower Disposed 2020
$898.00
roofin cart
$518.00
2018 Ford F-150 XLT4WD Su er Cab #1806
$37,555.20
Power Trowel s#1716845 Disposed 2023
$1,961.00
2018 Ford F-150 XLT4WD Super Cab #1807
$37 555.20
Software to allocate WC/UB/OH
$438.84
2018 Ford F-150 XLT4WD Super Cab #1808
$37,555.19
2019 Ford Super Duty F-350 #1811
$56,148.12
PC Anywhere
$153.16
Desks tables
$4,240.00
2019 Ford Super Duty F-460 #1809
$59,094.87
2019 Ford Super Duty F-450 #1810
$59,094.87
2019 Ford Super Duty F-350 #1812
$56,143.12
P300 Sand Blaster
$1,678.00
2019 Ford Super Duty F-250 #1814
$41,563.30
Metal Curb Forms
$3,360.00
Vent Blower
$722.00
Rock Drill
$979.00
2019 Ford Super Duty F-250 #1815
$41,563.30
2 400M BTU Heaters
$3,663.00
2019 Ford Super Duty F-350 #1813
$56,744A7
Hose Machine Press
$795.00
Saddler Machine
$1,733.00
Drywall Cart Disposed 2023
$364.00
Curb & Gutter Forms
$8,522.00
Tool Boxes Disposed 2020
$2,483.00
used Rigid pipe threader, cutter
$933.00
Airpower Cutter
$2,020.00
H dralic Pressure Tester
$853.00
Sumner Material Lift
$2,483.00
Bobcat Welder
$2,756.00
Miller Welder
$878.00
Tap Machine
$636.00
TK-99E Test Kit
$742.00
HP Desktop 400 G3 w/ Monitor
$903.00
18"Bucket A#03235
$1,208.00
80 Gal Vert- in ersol
shop compressor
$1,545.00
Ventilators 2
Eagle
$2,650.00
3" Trash Pump #4083550 Disposed 2020
$1,118.00
land pride brush hog
$1,200.00
Brillion Mulcher
$1,000.00
9 Foot Disk
$300.00
4" Trash Pump Junked 2020
$1,932.00
Wheel Dolly CIA2575
$484.00
15 " Planer
$1,157.00
Compressors
S&R
$6,354.00
Used Sokkia Total Station
$1,000.00
Cure Cart Disposed 2023
Logan
$1,961.00
Handimark labeler Disposed 12/2023
$815.00
8 Nail Guns Disposed 2023
S&R
$1,519.00
Power Screed Disposed 2020
Honda
$7,407.00
Curb & Gutter Forms
$3,083.00
Sher ad cylinder & maintenance
$3,345.00
Pi a Laser
Leica
$4,063.00
pi a Laser
Leica
$4,063.00
Rub 100
Leica
$1,219.00
Milw. Tru-Drill Disposed 2023
$873.00
Used temporary barrier
$1,627.00
curb & Gutter Forms 12x10
$2,697.00
Rugby Laser Disposed 2023
Leica
$1,386.00
Rugby Laser
Leica
$1,386.00
Rugby Laser
Leica
$1,386.00
Rugby Laser
Leica
$1,386.00
Rugby Laser
Leica
$1,386.00
Rugby Laser
Leica
$1,386.00
Wacker Roller
Wacker
$6,000.00
E-Z Roll Carrier
$2,015.00
Curb Forms 4X10
$5,394.00
Curb Forms 6X10
$6,457.00
Edge Trowel
$2,178.00
2 backhole buckets
$1,000.00
Walk Behind Scrubber Disposed 2020
Clarke
$7,147.00
Makisa Walk -behind Disposed 2020
Makisa
$7,490.00
Cure Cart
$1,873.00
Line Tracer
Metrotech
$3,702.00
Cure Cart
$1,850.00
400K heater ͋
Tradesman 400
$525.00
400K heater ͍
Tradesman 400
$525.00
400K heater
Tradesman 400
$562.00
400K heater
Tradesman 400
$562.00
Heat Wagon
$12,359.00
sales tax A#834
$73.00
sales tax A#836
$74.00
Tripod& Retreievel System
Miller
$2,771.00
Super Screed/
30' Morrison
$8,667.00
rebar cutter
$1,017.00
rigid pipe threader
Rigid
$2,229.00
5000w generator
Gierke
$1,876.00
backhole bucket
$919.00
hilte laser
$2,082.00
5000w generator Disposed 12/2023
Gierke
$1,876.00
5000w generator Junked 2020
Gierke
$1,876.00
Miller Welder
Trailblazer 302
$3,954.00
Super Screed/Accessories
30' Morrison
$1,438.00
Ventilator blower/duct
$800.00
Dehumidifiers 1
LGR2000
$2,378.00
Plate Compactor
MBW
$1,997.00
Plate Compactor
MBW
$1,728.00
Hus varna Ring Saw
Hus varna
$2,562.00
Makisa Walk -behind Disposed 2023
Makisa
$7,865.00
3/4" H dralic rebar cutter
$996.00
3/4" H dralic rebar cutter
$996.00
3/4" H dralic rebar cutter
$996.00
Line Tracer
Metrotech
$3,702.00
Pipe Laser
Leica
$4,167.00
curb & gutter forms
12"&8"&stakes
$6,983.00
30 ton machine skate
united rental
$1,364.00
Rugby 100 Laser 91803
$1,311.00
Rugby 100 Laser91648
$1,311.00
too Laser 91745
$1,311.00
Ru p
100 Laser 91578
$1,311.00
Rugby
Vented 400 MBH Horizontal
Modine
S&R
$1,674.00
$655.00
Dewalt 12" Mitre saw
Paint sprayer
Sherwin Williams
$1,418.00 0Iodine
Unit Heater
$1,675.00
Pro Press (copp. Tubingpress)
$2,675.00
Hus varna 14" saw 2 Disposed 2023
Hus varna
$2,850.00
2009 Log Splitter
S eeco 28Ton
$1,391.00
Miller Mig Welder
Miller
$2,193.00
Robotic Total Station
Trimble
$33,432.00
Texture Sprayer
$2,346.00
Generators 3
Honda
$7,088.00
Core Drill
Hilte
$3,102.00
Power Washer
$4,300.00
JD50 Compactor
NPK
$4,708.00
Curb Forms 8x10
Metal Forms
$3,903.00
Pipe Grover
Rigid
$3,173.00
20' Sea -container storage Pod
$2,000.00
Miller Maxstar Welder
Miller Maxstar
$2,056.00
corner beader
$2,000.00
Reber Tier
$2,514.00
Prowler Soft Cut
Soft Cut
$2,017.00
Sidewalk Screed
Honda
$1,839.00
FRX Reporting sofware
$1,605.00
HP roliant server
$7,669.00
HP pro desktop/dis la Disposed
$1,698.00
HP pro desktop/displaydesktop/display Disposed
$1,698.00
HP pro desktop/display Disposed
$1,698.00
HP pro desktop/display Disposed
$1,698.00
HP ro deskto /displa Disposed
$1,698.00
HP ro deskto Disposed
$1,499.00
HP ro deskto Disposed
$1,499.00
Enternal hard drive Dis osed
$1,548.00
Generators
Honda
$1,712.00
Generators
$1,712.00
Generator Disposed 12/2023
$1,712.00
Core Drill
Hilte
$4,110.00
Wire Stri per
Steel Dra on
$1,599.00
Reber Tier
$2,595.00
Ice Maker (Shop)
Manitowoc
$3,183.00
Siding Brake
Trimmaster
$3,160.00
Reber Tier
$2,670.00
MAS90 u rade
$5,176.00
HP computer/securit u rade
$3,135.00
additional server installation
$2,224.50
K cocdera copier
$1,493.00
HP 3300 desktop Disposed
$907.00
HP 6300 desktop Disposed
$907.00
HP 6300 desktop Disposed
$907.00
Ri id Pipe Cutter/Cart 2013
Rigid
$3,050.00
Hilte Elect Jack Hammer 2013
Hilte
$2,586.00
Makisa Jum in Jack 2013
Makisa
$2,995.00
Makisa Jum in Jack 2013
Makisa
2,370.00
Makisa Jumpin Jack 2013
Co ier
Makisa
$2,370.00
$7,115.00
HD Pr ar 600 Computer & Dis la
Mar
$1,367.00
Prodesk 600 Computer & Display
HD Prodesk 600 Computer & Display
$1,367.00
$1,367.00
HD Prodesk 600 Com uter & isplay
$1,188.00
HD Prodesk 600 Com uter & Display
$1,188.00
FLAGRO 400,000 Space Heater
400,00 BTU
$1,859.00
Hilte Hand Held Core Drill
Hilte
$3,535.00
Hilte Electric Jack Hammer
$2,650.00
Makasha Rammer
$2,338.00
Makasha Rammer
$2,338.00
Makasha Walk -Behind Plate Comp
$7,697.00
Cordless Reber Tier
Max
$1,815.00
Cordless Reber Tier
Max
$1,815.00
Cordless Reber Tier
Max
$1,815.00
Cordless Rebar Tier
Max
$1,815.00
Sewer Camera
$10,993.00
Makasha Walk -Behind Plate Comp
$7,715.00
Ring Saw
Husquavarna
$3,149.00
Robotic Total Station
Trimble
$39,411.00
Cordless Reber Tier
Max
$1,445.00
Cordless Rebar Tier
Max
$1,445.00
Cordless Reber Tier
Max
$1,445.00
Cordless Reber Tier
Max
$1,445.00
50 Ton Press
VSE
$2,969.00
Sewer Laser
Trimble
$2,638.00
Sewer Laser
Trimble
$2,638.00
Line Tracer
Schonstedt
$3,210.00
Soft Cut Saw
Hus varna
$2,215.00
Plate Compactor
MBW PLATE COMPACTOR
$2,000.00
Plate Compactor
MBW PLATE COMPACTOR
$2,000.00
Plate Compactor
MBW PLATE COMPACTOR
$2,717.00
Plate Compactor
MBW PLATE COMPACTOR
$2,717.00
Roller Screed VS15-401
Vibra Screed
$3,340.00
Dehumidifiers
Wacker
$2,393.00
Dehumidifiers
Wacker
$2,393.00
Dehumidifiers
Wacker
$2,393.00
Hilte Core Drill
Hilte
$1,504.00
Trimble Autobid Mechanical Software
$8,915.00
Security System Updates
$4,665.00
fire Machine
$2,140.00
MAS90 upgrade to v 5.20
$3,850.00
HP Elite Book w/Dock stationk Display, office
$1,682.00
HP Elite Book w/Dock stationk Display, office
$1,682.00
HP Prodesk W/Dis la , office
$1,107.00
HP Prodesk W/Dis la , office
$1,107.00
HP Prodesk W/Display
$838.00
HP Desktop 400 G3 w/ Monitor
$903.00
KIP 860 Wide Format Plotter- Color
$35,675.00
HP Elite Book Laptop w/Dock Station LKE
$1,322.95
Makisa Jum in Jack 2016
Makisa
$2,247.00
Makisa Jum in Jack 2016
Makisa
$2,247.00
Makasha Walk -Behind Plate Comp
Makisa
$7,062.00
Makasha Walk -Behind Plate Comp
Makisa
$7,062.00
Safety Roofing Cart
AES TriRex
$4,235.00
Pex Plumbing Expander
Milwaukee
$2,622.00
HP Desktop 400 G3 w/ Monitor
$903.00
I
400 G3 w/ Monitor
$903.00
p eskto
Hp Elite Book w/Dock Station & Monitor
$1,606.00
Hp Elite Book W/ Dock Station
$1,447.00
Office Ent way Furniture couch,chairs, tables
$8,874.00
Tablet for Total Station
Trimble
$5,564.00
1/2 rd Concrete Bucket
$3,320.00
Dust Collectiong for Al Drill Rig
$6,200.00
Reversible plate compactor
Mikasa
$8,078.00
Ring Saw
Hus uivarna
$3,631.00
Rigid 300 Power Drive
Rigid
$3,914.00
Rigid Groover for 300
Fi id
$3,748.00
18"-36" Manhole Tester
$3,745.00
AI-48 Dowel Drill Disposed of November 2022
Mimich
$8,366.00
HP Laptop/ Monitor and Dock (Dylan)
$1,495.71
HP Laptop/ Monitor and Dock (Cooper)
$1,485.02
HP Laptop/ Monitor and Dock (B Miles)
$1,141.64
HP Laptop/ Monitor and Dock (Lee)
$1,138.45
HP Laptop/ Monitor and Dock (Brenton)
$808.87
HP Laptop/ Monitor and Dock Kell
$813.15
Sharp MX4071 Color Printer/Copier
$6,300.00
Reversible plate compactor
Mikasa
$8,560.00
Pro Press Kit
$5,672.55
Core Drill
Hilte
$4,187.00
Sae 100 U grade-2017
$3,850
Trimble Autobid Mechanical Software
$14,965
A-3 Drill & Tap Machine
Rigid
$6,625.00
HP Laptop w/Dock(Ja me)
$899.86
HP Laptop w/Monitor and Dock Adam
$1,012.20
HP Laptop w/Monitor and Dock Herman
$1,012.20
HP Laptop w/Monitor(Luke)
$1,396.29
HP Laptop
w/Monitor Monica
$654.80
Rebar Tying
Gun
Max
$2,653.60
RebarTying Gun
Max
$2,653.60
Roller Screed
Honda
$3,443.26
Concrete Ring Saw
Husquvama
$3,745.00
Salt/Lime Spreader attach. For bobcat
Bobcat
$4,119.50
Office Cubical Furniture Plumbers office
$5,413.06
Elite Bookw/Dock Ben Mumm)
$1,571.57
Elite Bookw/Dock (Travis Kraus)
$1,574.78
Elite Book w/Dock Brandon 1)
$1,574.78
Elite Book w/Dock (Andrew)
$1,574.78
HP Pro Desk 400 Abbe
$776.69
Miller TIG Welder
Miller
$9,098.88
Miller Welder
Miller
$5,037.14
Mobile Roof Cart Fall Protection
$2,823.72
Mikasa Walk -Behind -Compactor
Mikasa
$8,078.50
Mikasa Walk -Behind -Compactor
Mikasa
$8,076.50
Gantry Crane with hoist, motor, and trolley)
Minifor
$12,127.72
Miller Maxistar Welder
Miller
$4,000.56
Hilte Core Drill/water/vac/auto feed
Hilte
$7,479.38
Trimble Autobid Mechanical Software
$6,975.00
Hp Server2022
$7,183.89
Hp Elite Book 850 (Brittany)
$1,738.88
Hp Elite Book 850 (Noah)
$1,557.41
gook 850(Junior)
$1,429.02
E„te
;d power Drive Co,E 300
Rigid
$
4,615.04
R
PA-18 Force Lo is Press tool Kit
Milwaukee
$
3,49T83
Rigid Compact 300 w/stand
Rigid
$
6,276.66
Honda 5000 Watt Generator
Honda
$
2,513.43
Honda 5000 Watt Generator
Honda
$
2,513.43
Honda 5000 Watt Generator
Honda
$
2,513.43
4"Trash Pump
Multi -Equip.
$
2,971.58
4"Trash Pump
Multi -Equip.
$
3,070.88
Minnick Al -48 Dowel Drill
Minnich
$
11,112.81
6" Soft Cut Prowler
Husquavarna
$
2,669.00
HP Elitebook (BJ)
$
1,246.79
HP Elitebookw/monitor RYAN
$
1,507.99
HP Elitebook (JOE)
$
1,512.20
HP Victus w/monitor (NOAH)
$
1,889.19
HP Envy Touchscreen Laptop ALEX)
$ 1,767.68
Self Rugged Laptop
$ 5,801.36
Concrete Sealer Cart 2
HEM
$ 9,156.53
Pro Press Tool
Milwaukee
$ 2,996.00
Pro Press Jaw Kit Accessory
Milwaukee
$ 2,996.00
Prowler Concrete Saw
Hus uavarna
$ 3,116.91
Concrete Breaker Jack Hammer
Hilte
$ 3,612.88
Electric Dewaterinpump 3"
FI ht
$ 6,164.55
Sharp BP-70C36 Color Printer/Copier
$ 8,502.22
HP Elitebook 860 G11 W/Dock-Joe Recker
$ 1,800.09
HP Elitebook 860 Gl1 W/Dock-James Hermsen
$ 1,800.09
HP Elitebook 860 G11 W/Dock-Judy Zweibohmer
$ 1,800.09
HP Elitebook 860 G11 W/Dock-D Ian Ambrosy
1
$ 1,800.09
HP Elitebook 860 G11 W/Dock-JennyBockenstead
$ 1,786.22
Max Rebar Twintier 24-201
Max
$ 2,439.60
Max Reber Twintier 24-203
Max
$ 2,439.60
Max Reber Twintier 24-202
Max
$ 2,439.60
Max Reber Twintier 24-204
Max
$ 2,439.60
Welding Positioner/Chuck and Foot Switch
Profax
$ 13,052.58
Honda 650OW Generator
Honda
$ 3,081.60
Honda 650OW Generator
Honda
$ 3,081.60
5/8" Chain for Crane
$ 3,187.93
Total Station Screen & Stand (Replacement)
$ 7,672.10
Hilte TE 2000-AVR Breaker
Hilte
$ 2,704.93
Air Compressor(Shop)
Gardner/Denver
$ 3,370.50
Walk -Behind Reversable Plate Compactor
Bomag
$ 9,095.00
3" Electric Flyght Pump
FI ht
$ 6,450,86
Dehumidifier
Drieaz
$1,498
Dehumidifier
Drieaz
$1,498
Dehumidifier
Drieaz
$1,498
Dehumidifier
Drieaz
$1,498
Dehumidifier
Drieaz
$1,498
Dehumidifier
Drieaz
$1,498
Dehumidifier
Drieaz
$1,498
Dehumidifier
Drieaz
$1,498
Tri Star Tool(Phasing Machine
Tri Star
$14,872.65
Telescopic Pivoting Fork Boom
Caldwell
$ 2,034.07
Flush Cart/1.5HP
$ 3,385.16
Confined Space Safety S stem(Tripod Setup)
Frontline
$ 3,587.48
Cylinder Gage
$ 3,427.64
er -----
$ 8,185.20
oorscra
P, a Laser
Leica
$ 5,737.00
Pipe Laser
Leica
$ 5,737.00
Hilte Core Drill/Stand
Hilte
$ 5,092.13
Locator
General
$ 3,975.05
Locator
General
$ 3,975.05
Landsca a Tiller
$ 4,740.00
Gentry Retrival S stem /Accessoriies
Gent
$ 12,115.44
HP OMEN LAPTOP W/Dock BEN C.
$ 1,544.00
HP ELITEBOOK 860 GI w/dock Ja me K)
$ 1,771.87
HP ELITEBOOK 860 G11 w/dock Herman
$ 1,771.87
HP ELITEBOOK 860 G11 w/dock Lee M
$ 1,771.87
HP ELITEBOOK 860 G11 w/dock Chris R
$ 1,771.87
HP ELITEBOOK 860 GI w/dock Kell M)
$ 881.62
HP ELITEBOOK 860 G11 w/dock (Monica)
$
881.62
Hus varna Ring Saw
Hus varna
$
4,611.75
Miller Maxistar 210 Welder
Miller Mazistar
$
6,322.80
Sheeps Foot
American
$5,287.00
310SE/Compactor
$5,225.00
310SE/Hammer
$12,350.00
Riding Power Trowel
Allen
$8,500.00
Bride
Gomaco
$3,607.00
Bobcat/Breaker
Melroe
$7,600.00
Bobcat/Pulverizer
Melroe
$2,120.00
Casap a Knife Pump
3637059
$5,000.00
1997 HMD (1TON) (FORM BC-06