Loading...
Signed Contract_Eastern Iowa Asphalt Resurfacing 6 Surface Lots Copyrighted August 19, 2019 City of Dubuque Consent Items # 25. ITEM TITLE: Signed Contracts SUMMARY: Blackstone Environmental (2)forenvironmental support services and Chromium VI Data Review at the Water Treatment Plant; Dubuque County Lease Agreement for Federal Building space; Eastern IowaAsphalt Maintenance, I nc. for resurfacing/restriping 6 surface lots; Kone Elevator Maintenance Renewal Agreement; 563Design Amendment No. 3 for Multicultural Family Center; IIW Professional Services Inspection Contractfor Roosevelt Street Water Tower Project; James Orr Coating I nspection, LLC for Roosevelt St. Water Tower Technical Coating Inspection Services; Racom 800Mhz Radio Agreement. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File ATTACHMENTS: Description Type Blackstone Environmental - Vapor Study Consulting Supporting Documentation Engineering Services Blackstone Environmental - Chromium 6 Data Review Supporting Documentation and Consulting Engineering Services Dubuque County LeaseAgreementfor Federal Supporting Documentation Building Space Eastern IowaAsphalt Maintenance, Inc. for Surface Supporting Documentation Lots. Kone Elevator Maintenance Renewal Agreement Supporting Documentation 563Design Amendment No. 3 for MFC Supporting Documentation I I W , P.0 Amendment No. 1 for Roosevelt Street Water Supporting Documentation Tower Project Engineering Services James Orr Coating I nspection, LLC for Roosevelt St. Supporting Documentation Water Tower Coating Inspection Services Racom 800Mhz Radio Agreement Supporting Documentation Dubuque �'i:� 7 H B C�Tv OF IIII�Rmerica Ciry DuB E � �,I I � ; ,'�9rr��ci,rrcc�°��ri fif�,tilr•,;��iF���i zoo�-zoiz-zois 2017*2019 TO: Michael Van Milligen, City Manager FROM: Renee Tyler, Director of Transportation Seroices �<� SUBJECT: Resurfacing and Restriping 6 Surface Lots DATE: July 19, 2019 PURPOSE The purpose of this memo is to forward a request to proceed with resurfacing the City's surface lots located at 9�h Street and Bluff, Bluff Street and 5�h, Bluff Street and 12�n 5�n and Main Street, 4�h and Central Avenue and West 3�d and Locust. BACKGROUND The surface lots have suffered much wear and tear especially over the course of this past winter. Maintenance is necessary to provide a place for residents and visitors to park their cars without fear of damaging their vehicles due to potholes or uneven pavement area. Work needed includes the asphalt maintenance of the parking areas and driveways, cleaning and sealing cracks with a rubberized sealant, power broom and cleaning of areas to be seal coated, and the application of asphalt emulsion sealer with a latex additive and silica sand for durability. Bids were solicited and three local companies submitted bids. Eastern lowa Asphalt Maintenance Inc. $27,488 Kluesner Construction Inc. $29,446.76 Fahrner Asphalt Sealers $30,071 .25 BUDGETIMPACT There remains $50,000 in the FY19 budget for maintenance for the municipal parking lots (7301380 73211). ACTION REQUESTED I recommend awarding the contract to Eastern lowa Asphalt Maintenance using funds allocated for the maintenance of the municipal parking lots. A copy of the contract and vendor's insurance documents are included with this memo. cc: Jenny Larson, Budget Director THE CITY OF Dubuque � D�L � AlhAreMC�61h 1 ' If �l► Masterpiece on the Mississippi Z°°'�2°lZ 2013•2017 CONTRACT DOCUMENTS NOTICE TO PROCEED TO: Steve Kiuesner ISSUE DATE: 7/15/2019 Eastern lowa Asphalt COMMENCEMENT DATE: Maintenance Inc. 105 Rose Court Farley, IA 52046 PROJECT: Dear Mr. Kluesner: You are hereby notified to commence with the work on the commencement date, in accordance with the accepted proposal for work. The contract time shall begin to run on the commencement date OR working days will be charged beginning with the commencement date or the day work begins, whichever is earlier. You are required to return an acknowledged copy of this Notice to Proceed to the City. CiTY OF D OWA By: � ('Si ature Renee Tyler (Name) Director of Transportation Services (Title) ACCEPTANCE OF NOTICE Receipt of the above notice to Proceed is hereby acknowledged this day of July, 2019 THIS SERVICE AGREEMENT (the Contract), made in triplicate, between the City of Dubuque, lowa (City), its City Manager, through authority conferred upon the City Manager by its City Council and Eastern lowa Asphalt (Contractor). Project Title: Clean, seal cracks and coat surface lots for the City g�n Street and Bluff 12�" Street and Bluff 5t" Street and Bluff 5th Street and Main 4th Street and Central W. 3�d Street and Locust Street For and in consideration of the mutual covenants herein contained, the parties hereto agree as follows: CONTRACTOR AGREES: To clean and fill cracks with rubberized crack filler. Crack sealing will impede the intrusion of water into the asphalt base. Remove loose debris and dirt from asphalt surface with brooms and power blowers. Apply 2 coats of Sealmaster asphalt based sealer. Silica sand and top tuff will be added for durability. � Lots will be restriped as currently exists with US DOT spec. paint. The work described above shall be completed at the following locations: grn Street and Bluff 12t" Street and Bluff 5t" Street and Bluff 5th Street and Main 4th Street and Central W. 3rd Street and Locust Street The project shall be completed in strict accordance with the terms as described in the accepted bid (attached) and in strict accordance with the requirements of the laws of the State of lowa and the ordinances of the City of Dubuque. THE CITY AGREES: Upon the submission of monthly invoices listing only the exact service performed specifying month, � start and completion date of the project as agreed upon through the acceptance of the contractor's bid. CITY OF DUBUQUE, IA CONTRACTOR By: Eastern lowa Asphalt Michael C. Van Milligen Company Name By: �'-�-�.� �'G���'.. Signature �'��v'� �1���.��k� �,����lc<.�f Printed Name & Title INSURANCE PROVISIONS AND REQUIREMENTS 1 . Contractor shall furnish a signed certificate of insurance to the City of Dubuque, lowa for the coverage require in Exhibit I prior to commencing work and at the end of the project if the term of work is longer than 60 days. Contractors presenting annual certificates shall present a certificate at the end of each project with the final billing. Each certificate shall be prepared on the most current ACORD form approved by the lowa Department of Insurance or an equivalent. Each certificate shall include a statement under Description of Operation as to why issued. 2. All polices of insurance required hereunder shall be with an insurer authorized to do business in lowa and all insurers shall have a rating of A or better in the current A.M Best's Rating Guide. 3. Each certificate shall be furnished to the Finance Department of the City of Dubuque. 4. Failure to provide minimum coverage shall not be deemed a waiver of these requirements by the City of Dubuque. Failure to obtain or maintain the required insurance shall be considered a material breach of this Agreement. 5. Contractor shall require all subcontractors and sub-subcontractors to obtain and maintain during the performance of work insurance for coverages described in this Insurance Schedule and shall obtain certificates of insurances from all such subcontractors and sub-subcontractor to obtain and maintain such coverages. The City may request a copy of such certificates from the Contractor. 6. All required endorsements to various policies shall be attached to Certificate of Insurance. 7. Contractor will be required to carry the minimum coverage/limits, or greater if required by law or other legal agreement, in Exhibit I. If Contractor's limits of liability are higher than required minimum limits, then the Contractor's limits shall be this Agreement's required limits. 8. Contractor shall be responsible for all deductibles or retention. iNSURANCE SCHEDULE (continued) Exhibit I A) GOMMERCiAL GENERAL LIABILITY General Aggregate Limit �2,000,000 Products-Gompleted Operations Aggregat2 Limit �2,000,000 Per;onal and Advertising Injury Limit �1,000,000 Each Occurrence �1;000,000 Fire Damage Limit (any one occurrerce) � 50,000 P�iedical Payments �5,000 1) Coverage shall be writter, on an occurrerce, not claims made, form. The general liaoility co�ierage shall be �rrritten in accord with ISO form CG0001 or business owners form BP0002. All deviations from the standard ISO commercial general liability form CG 0001 or business o��vners form BP 0002 shall be clearly identified. 2) Include ISO endorsement form CG 25 Q� `Designated Location(s) General Aggregate Limit" or CG 25 03 �`Designated Construction Project (s) General Aggregate Limit" as appropriate. 3) Inciude endorsement indicating that coverage is primar�and non-contributory. 4) Include Preservation of Governmental immunities Endorsement. (Sampie attached). 5) Include additional insured endorsement for: The City of Dubuque, including all its elected and appointed officials, all its empioyees and volunteers, all its boards, commissions and;or authorities and their board members; emplo fees and volunteers. Use ISO form CG 2026. Ongoing operations. 6) Policy shall irclude ��/ai��er of Right to Recover from Others endorsement. B) AUTOMOBlLE LIABILITY Combined Single Limit $1,000,000 G) WORKERS' CONiPENSATION & EMPLOYERS LlABILITY Statutory benefits covering ail employees injured on the job by accidert or uisease as prescribed by lo�rva Code Chapter 85 as amended. Coverage A Statutory—State of lo�,va Coverage B Employers Liability Each Accident $100,000 Each Employee-Disease �100,000 Policy Limit-Disease �500,000 Policy shall include V�/aiver of Right to Recover from Others endorsement. D) UMBRELLA/EXCESS LIABILITY �1,Q00,000 X yes _no Umbr211a/excess liability coverage must be at least follo�riing form with the underlying policies included her2in I PRESERVATION OF GOVERNMENTAL IMMUNITIES ENDORSEMENT 1 . Nonwaiver of Governmental Immunitv. The insurer expressly agrees and states that the purchase of this policy and the including of the City of Dubuque, lowa as an Additionai Insured does not waive any of the defenses of governmental immunity available to the City of Dubuque, lowa under Code of lowa Section 670.4 as it is now exists and as it may be amended from time to time. 2. Claims Coveraqe. The insurer further agrees tnat this policy of insurance shall cover only those claims not subject to the defense of governmental immunity under the Code of lowa Section 670.4 as it now exists and as it may be amended from time to time. Those claims not subject to Code of lowa Section 67Q.4 shall be covered by the terms and conditions of this insurance policy. 3. Assertion of Government Immunitv. The City of Dubuque, lowa 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 insurer. 4. Non-Denial of Coveraqe. The insurer shall not deny coverage under this policy and the insurer shall not deny any of the rights and benefits accruing to the City of Dubuque, lowa 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, lowa. 5. No Other Ghanqe in Policy. The above preservation of governmental immunities shall not other�vise change or alter the coverage available under the policy. i � Eastern lowa Asphalt ; , Maintenance Inc. �;��� i `����� 105 Rose Ct P.O. Box 181 (563) 744-3446 Name /Address Proposal City Of Dubuque Date Invoice# 830 Bluff Street Dubuque, IA 52001-4662 6/5/2019 1526 Work Description Total The work will be completed at 9th and Bluff. Clean and fill cracks with rubberized crack filler. Crack sealing will impede the intrusion of water into the 1,075.00 asphalt base, thus helping to prolong the life of the pavement. Remove loose debris and dirt from asphalt surface with brooms and power blowers. This will promote 2,025.00 proper adhesion and pavement sealer. Apply two coats of Sealmaster asphalt based sealer. Silica sand and top tuff will be added for durability. Restripe parking lot as currently exists with US DOT spec paint. 215.00 ��"*"5th Street and Bluff Street. Clean and fill cracks with rubberized crack filler. Crack sealing will impede the intrusion of water into the 1,840.00 asphalt base,thus helping to prolong the life of the pavement. Remove loose debris and dirt from asphalt surface with brooms and power blowers. This will promote 5,719.00 proper adhesion and pavement sealer. Apply two coats of Sealmaster asphalt based sealer. Silica sand and top tuff will be added for durability. Restripe parking lot as currently exists with US DOT spec paint. 365.00 ***"�*12th street and Bluff St. Note- Payment due upon completion of project. This proposal may be withdrawn by Eastern lowa Total Asphalt Maintenance if not accepted within 14 days. Respectfully Submitted, Steve Kluesner Acceptance of Proposa/ The above prices, specifications, and conditions are saisfactory and are hereby accepted. You are authorized to do the work as specified. � � Date �� � Signature _ � Page 1 i Eastern lowa Asphalt Maintenance Inc. 105 Rose Ct P.O. Box 181 (563) 744-3446 Name /Address Proposal City Of Dubuque Date Invoice# 830 Bluff Street Dubuque, IA 52001-4662 6/5/2019 1526 Work Description Total Clean and fill cracks with rubberized crack filler. Crack sealing will impede the intrusion of water into the 778.00 asphalt base, thus helping to prolong the life of the pavement. Remove loose debris and dirt from asphalt surface with brooms and power blowers. This will promote 714.00 proper adhesion and pavement sealer. Apply two coats of Sealmaster asphalt based sealer. Silica sand and top tuff will be added for durability. Restripe parking lot as currently exists with US DOT spec paint. 135.00 �""`"'`5th Street and Main Street. Clean and fill cracks with rubberized crack filler. Crack sealing will impede the intrusion of water into the 1,946.00 asphalt base, thus helping to prolong the life of the pavement. Remove loose debris and dirt from asphalt surface with brooms and power blowers. This will promote 4,404.00 proper adhesion and pavement sealer. Apply two coats of Sealmaster asphalt based sealer. Silica sand and top tuff will be added for durability. Restripe parking lot as currently exists with US DOT spec paint. 378.00 �**"**4th Street and Central Ave. Note- Payment due upon completion of project. This proposal may be withdrawn by Eastern lowa Total Asphalt Maintenance if not accepted within 14 days. Respectfully Submitted, Steve Kluesner Acceptance of Proposa/ The above prices, specifications, and conditions are saisfactory and are hereby accepted. You are authorized to do the work as specified. Date � � S � � Signature Page 2 i Eastern lowa Asphalt Maintenance lnc. 105 Rose Ct P.O. Box 181 (563) 744-3446 Name /Address Proposal City Of Dubuque Date Invoice# 830 Bluff Street Dubuque, IA 52001-4662 6/5/2019 1526 Work Description Total Clean and fill cracks with rubberized crack filler. Crack sealing will impede the intrusion of water into the 798.00 asphalt base, thus helping to prolong the life of the pavement. Remove loose debris and dirt from asphalt surface with brooms and power blowers. This will promote 2,646.00 proper adhesion and pavement sealer. Apply two coats of Sealmaster asphalt based sealer. Silica sand and top tuff will be added for durability. Restripe parking lot as currently exists with US DOT spec paint. 285.00 ���**W 3rd Street and Locust Street. Clean and fill cracks with rubberized crack filler. Crack sealing will impede the intrusion of water into the 1,265.00 asphalt base, thus helping to prolong the life of the pavement. Remove loose debris and dirt from asphalt surface with brooms and power blowers. This will promote 2,588.00 proper adhesion and pavement sealer. Apply two coats of Sealmaster asphalt based sealer. Silica sand and top tuff will be added for durability. Restripe parking lot as currently exists with US DOT spec paint. 312.00 Note- Payment due upon completion of project. This proposal may be withdrawn by Eastern lowa Total �27,�t88.00 Asphalt Maintenance if not accepted within 14 days. Respectfully Submitted, Steve Kluesner -� Acceptance of Proposal The above prices, specifications, and conditions are saisfactory and are hereby accepted. You are authorized �� to do the work as specified. Date C �S� �� � Signature "� Page 3 A�� CERTlFlCATE OF LIABIUTY INSURANCE �'�`��� osrz,ne,s THIS CERTIFICATE IS iSSUED AS A MATTER OF INFORMATIQ►1 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFItATE DOES NQT AFFIRMATIVEIY OR NEGA7#VELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORD� BY TF� POUCiES BELO'W.THIS CERTIFlCATE OF INSURANCE DQES NOT CONS7iTU7E A CONTRACT BETWEEN THE 1SSUING INSUItERfS), AUTHORI2� REPRESEHTATIVE OR PROWCfR AND TME CFR7IFlCATE HOLDEa iMPORTANT: H the certificate holder is an ADDITIOd�IAL INSUitFD, tlx pWicylies) � have ADDITIONAL INSURED provisiorts or be axforsed if SUBROCiAT10N IS WAIYED, s��ect to the tdms arn! conttltions of the poficy, certaln polcies mry requtre an endorsemeM A statert�erM on this certificate does twt con/er ri s to ttre cerdficatf twider in lieu ot such ertdorsement s. akO�i10EP. CONTACT F.DERATED MU7UAL INSU�CAN('�CpMFANY NnMe CUEnT CONTRCT CENT�R ____!___ � PHONE fAX MOAAE QFFICE:F(� B!�X 32E ;a�c,no Ex:�_$88333-4949 �qrc.xoi:SQ7-416-:F_•;u1 �1tiA70Nt1A,M�SSfloO ADDR�ss:CUE!dTLbNTACTCENTER��FEDINS.COM iNSURER{57 AfFORDiNG tAVERAGE � NAIC�` _- _._-__-__ . _._. .____ wwese n:FEDERATEO t,rtU71tHL INSURANCf COMPANY � 13935 I!lSURED �.25�,",�C.� tMSUREl18: EAS7ERN IdJJA ASPHALT MAINTENANCE,INC. lNStlNEN C 4d7 TTH AVE NE F,4RLEY.IR 52D4o-9712 lIt3URER D. iNSIlRER E: "'— '� —�^�—. tN5:1RER F: i . CQI�ERAOfS �Ri1F#CHTE kUMP.ER:Q REVISiOH NUMBER:1 THtS 15 TC CERTIFY THA? THE POLlCIES 6F fN�t1RAt:CE !_lSTED 6ELOW HAVE $EEN ISSUED TO THE INSURED NAI.d'cC tgCVE fpR THF PO-1CY ?ER�DD !k'JICATED. NOTYlITHSTANDING AftlY R£QU4RER-0EtiT. TERM 6k CONDITION QF ANY CONTRACT O(i OTHER DQCUt.�?cNT :V'.'H f.E"SPFCT TO WMICH TMIS CERTifICATE MAr BE ISSUED OR AIAY PERTAR� THf IN�URAN�E A�:FORDED SY TNF POlIC1ES DESCR�9ED HEREtN!S SUBJECT TG AL;.THE TEF2'IS.E?iCL'JSIONS AND CJNDlT�ONS OP SUCN POiJCiES.L!MlTS SHOMlN Ri4Y HAVE BEEN REUUC`eD 8Y oASC CtAi�dS. INSR {yFF O�lNSUFAHCf INSR w^J POJCV NUR�EER M}a/ZiA'Y�i µ�Y�'yyy': I lRA1T5 X coraraEacua a�nE�uaaw*r j ' I �EACN OCCURRENCF __' ' St,fJOD,QJO I ',CUJhfS�#tADE X I p�q�R i ` �D.MIAGE TO RFMTED —_'a��,� j i '`PREMISES IE.tC ; �u��cP ta+>a,c¢rrmN EXC�UDcL R � Y ( N � 60fs6161 03,28/'X��9 I CKaf28.:2Cy20 i PiRSONAL 8 ADV�NJUPY �4.pQry,pxj GEtt'l:.GGREGFTE LtMlt aPPUES PER- ' � � I1 'GENERAt fd'iGREGATE �.,QQ��(y(? I PRP ( � i �..^— X.POLtCY Ci JEM I �.l4 I � �., i . �:PRODU[75-CflMP/0P FGG SZ.OQQ.LYIC' oTHER j � AtlTOMOBILF LIABtLITY I ' v .!GOWBtGEO EIMG:E LIUR S��� X AFY:..tlt0 � I � Ee tac6c+t. '�.BOLNL''INJ'JR V lPz.�is�: OWTiFfl N!T�ONLr �SCt+EDUlE6 ° ; __-__ .. ..___-__ A „_ nutas I N � N ; 6086101 { 03128Y2D19 � 03r18t202U �ecc,�t +rt�,rFr IRe�awd�C - HMED:SfT0..ON!Y MON-0Wf:ED I 1 _ _�ALT4S ONCY � . i PeOPERTv{7 W hGE otG I j � X llNBRELIA URB X!Ol'GUR � � � j Etw^.H OCLUF.P.ENCE S2,O�,Cx 1 A ExcEss�we �r.aiNs•�nr.eF� N � N ', 6x3Ra� � 03.2812C?9 � 031'28:'2020 i�crtecc.rE t,2,tX�,QDi, Df0 FETEtiT16!�i � � � i � WORKERS C4kSPEH5AT10N _ i i '. X iPER STATUTEi �E�g AqD E1.iPLOYERS�LtABiUTY Y/N' i I j � !u'�Y PROPI{lETORtPAP,TNERSEXECUTiVE I � � E L EACH ACCI4EH' ��A(Kj A oc�ceRr+asMaeF exci:�oso- �t' j a ' ��d8� � 03,<d2C,£ �w+'181202G �-- _,_.....�. tRk+vJalary bi qX! j , I j E.l Ot5'.46E-EA Ek7FLOY'{E +,��;�Q,� tt yez,dccrtLz��n�� i j �, i E L DISEASf-FOLICY IIMR GESCRIF7IQN OF OPERF.TipNS btlew ��.� I � � I � i i i OESCRiPtiOk o�OPERR�roris 1 IOGAI'+CNS�VEHIG'_ES�ACORD 1Gi,FG6!Eo*+'Rti�iS Sctmle ma)�t x!IDC�^C�t more sparm��reqtttreE'; TNIS Ct3RY SS t�T TQ BE RE?RODUCED fQF. ISSU�F Gf CEkTIFICATES. CERTIFlG4TE HOtUER CAMCEILATiQN C5j �SHOUtD AMY OF�HE ASOVE`J�SLRiBHD POUqES�GANCFLiED BEFORE �THE EXPIi�7K?N DATE THEi2EOF, NOTICE WILI BE DEWERED tN A CER i IFlC0.TE HAS BEEN FI:ED WI`h EAC�Q�Y�'_iR CER'Ic,�;E ACCORJANCE WITH TF�DOUCY�ROVIS{ONS. �O�DERS. f�LTHO!?tZEC REP?ESEMT.4?i�� ��� � )�,,,_,� ^ 1988-2{115 ACOR�CORPORATI4N A(I rigfits reserved AC4RD�(2096(03) Ttle ACORD name and logo are rer,�stered marks of ACQRD i A�� CERTIFICATE OF LIABILtTY INSURANCE �'��� osrz,nr,s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS PIO R�GHTS UPON 7HE CERTIFICATE HOLDER. THIS CERTIFiCATE DOES►i0T Ai�IRMATIVELV OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY TFiE POUCIES BELOW.TMIS CERTIFlCATE OF tNSURANCE DOES NOT CONSTITU7E A CONTRACT BETM�EEN THE ISSUItiG INSURER(S). AUTHORI2ED REPRESEt1TATiVE OR PRODUCER.AND THE CERTIFlCATE HOIi�R. IMPORTANT: If the certifitate troMer is an ADDR10�1AL INSURED, tlie pWicy!ies} �� � qp�T10MAl INSURED prwisio�u or be �dorsed. 11 SUBROOATION tS WAtVED, s�jecf to tAe terrtu and concriUons o1 the paficy, certaln policles may requiro an endorsemeM. A sUtemeM on thSs eertiHcale does not confer ri s to ttie certificate holder in Ifeu ot such endorsrm�s. PROD'JC'cR 4�l17pCT FEDERATEG MUTUALINSURANCE COA�IPANY NaMe CUEkT CON7ACT CENT�R _ HOA�E OFFICF-F(; B;)X:i28 R![.'NNq Exti;aS$-�3-4�9 ___ —r�q/C.Hol:SO%-�{E-4$�{ C1WA7dPVNA,Mk 55fa60 aoo�ess:CLIENTCONTACTCEN'fER FEL�INS.COM INSURER�51 AFFORDING GOYERAGE I MAIL X _._._______...... ..._ ... t .. _. �esueER a FEQERATED RAUTUAL INSURANCE COMPANY 13Si5 IN6URfD 172s�y�c_� iWSURER B: . EASTERN IC7JVA ASPHALT MAI�TENAN:,E,iNC 4NSUNENC; W � 40T 7TH AVE i.E 1NgURER D FARLEY,IA 5204o-97'i INSUqER E: INSSIRER i: C05tERA0ES CERTIFtCA7E NUMBER:0 REVISION MUMBER:1 THiS i£ TO CER?IFY THAT THE POLICIES CYF it#SURAf:CE LISTED EE�OW HAVE 8£EN iSS:}ED TO TNf INSURE�^, NAI.eED tiBpVE FOR TNF ?OUCY PERipD INDIGATEQ. NOTVJITMSTANDItvG ANY REOUIP.E!44ENT. TERM Ok CONDITI6N OF ANY CONTAACT OR OTHER DOCUt.<.=NT ;Y'�,'H RESPECT TC WHICti THI& GERTiFICATE MAv g�ISSUED CA A1AY PERTAIN THE�NSURANCE a�WRDEC BY THE POLICIES DESCR�BED HEREiN !S SG9JECT 7�.p,�THE TERIAS.EXCL:xSi�NS ' AND CONDITIONS OF SUCH POLlCIES.UMITS SMOWN RiAY HA`JE BEEN REOUCED BY PAiD CLA�ldS. �5� TVPE OF 1NSURANCE S�Bq� P�ICI'NUM6ER �^�`Y EFF POIICY£7SP L�P. MSR YfL'D i MIA7001YVY`/1 MAUD�IYYYY G«TS X CDNMENClAL t}cf{ERAL LlAH1117Y j i �EFw^.H dL'CURRENCE S1,DOO,OOC� , . .ICLAIAtS-MfiOf C p��R , ��. :DAAI::GE 70 REN?£D � �5�,� . I i � i I PREAtI5E5 ffa o[alrrmcei__ _ �taEo[xP It.n>oRc ccrsw�) EXCLUD�- A ( Y � N I G066101 03r18/2Q13 I W�B,NL�cO I PERSONAl6 ADV IRJURY b1.epprpx GF�M'L AGGYIEGATE LFk11T aPPUEb PER- � � + �N£RAL A�GGREGATE 12,jj6��OD(` Pl:O� � X.��CY IJEGT � ���'�Ln"= I i 1 I , I P� RflDtiCTS-COMPtOP F,CA E2.OQQ,C'`JC OTHER. � � AtfSOMOBILF llAAIiITV I i � �GOA:O#t1ED SINGlE UI:i1T S�f���i — � s tltnt X Fd:Y:,n0 i I : � _ _ � i ' �ODDILY IPiJi/Rr IPe!perzm�; OWNED Pltt0.5 ONIr SCNEOUIFC ' I I----__...__- -- --__ �. _ nusos � N � N ; �8810'i 03t28P20t9 ' Q3I28J2020 'BaDatv snwar IPw aa��y - _ NtRE�At1T05 OXLY �Vn"OWNED � � I :PRODERTv OA/GAGE '�ALTQS OfttY � I : - .- i ' � F�.aCpEM". � � � I I X iltABRELtA UA6 X OCCUR ' {'I � ' I EACN OCCUP.RENCE L2,DOO,QilO A EXCESS UAO �G�d)MS-Mt'JE� N ! N I (�'(�$$j� I 03:2$/'LG�S i O3/�B/2�2G R.r^GREGATE SZ,OLtO,Qx OED : }RETENTION I � i � WORKERS WibPEN3AT10H I �' I � X PER:TATUTEI � ER AND ERf?LOYERS'LIABILITY y;N� � � � __ f.�YY PROPRIE70R!PM,TtiER1E%ECUTfvF � i ' E.L.ERCH ACCIDEtti ��� F� oY-s�cFwa+f!a�F cxcu��snz ;r.��; Pl ' E•�BAS� 03,"2fl+20^3 03"2812C�2Q ___._ _� IRtaMa!wY in NNl : � r 'E l.DM.,E0.Sf-Eh EMPLOYfE ' ,, , �=�,�� i�)ti,b_SG��e1@'r i ' �ESGRIPTtOM OF C?ERRTpN&pclpw i � �E L O7SEAuE•POLtCV LfM�T f�.��(�(� 1 � I � I � � I j � � i j j i DESCRMTION Cf OPERfi�vi5!LOGA7Ktfi5+KHICLES(ACOFD 1cf,fd0!8m�:aii RtmartE Sct�eL:�fe,msY cY�a13QMe ti more spatt is[eq�nrcej TNIS COPY SS MOt TQ BE REPRO�JCED FDR ISSttANCE OF CERTTFICAtES, CERTiFICATE HflIDER CAtdt�LiATlON Ot �&HOULD ANY OF 7HE A80VE 9c'SCRlBW POiJCtES BE GANCELIED BE�ORE THE EXPIRATiON DATE THERFOF, NOTICE WILI $�E UEilNERED IPl R CERTIF}CATE'r.AS BEEN FILED WITH EACH OF YOUR CEfl'lF:CATE ACCdRDANCE WITH ThiE�ULICY PROYIS{OP1S. HO�ERS. ,4LTH0t{tZEG REPPESENTATt:; . � �� Ccd 1�-2015 ACARD CORPORATION All rigtrts reserved ACORD 25(2016�D3� The ACORD name arM logo are registered marks o}ACORD