Acceptance of Sanitary Sewer Improvements across Part of Lot 64 in Timber-Hyrst Subdivision No. 5Copyrighted
March 2, 2020
City of Dubuque Consent Items # 13.
ITEM TITLE: Acceptance of Sanitary Sewer Improvements across Part
of Lot 64 in Timber-Hyrst #5 Subdivision
SUMMARY: City Manager recommending acceptance of the public
improvements that the developers, Lori E. Silvia and Brian
A. Silvia, have recently completed across Part of Lot 64 in
Timber-Hyrst Estates #5 Subdivision.
SUGGESTED DISPOSITION:
RESOLUTION Accepting Public Sanitary Sewer
Improvements across Lot 64 in Timber-Hyrst Estates #5, in
the City of Dubuque, Iowa
Suggested Disposition: Receive and File; Adopt
Resolution(s)
ATTACHMENTS:
Description
Acceptance of Sanitary Sewer Improvements Across
Part of Lot 64 in Timber-Hyrst Estates-MVM Memo
Staff Memo
Resolution
Construction Agreement
Type
City Manager Memo
Staff Memo
Resolutions
Supporting Documentation
Masterpiece on the Mississippi
Dubuque
bitil
All-A.aia City
111111
2007.2012.2013
2017*2019
TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Acceptance of Sanitary Sewer Improvements across Part of Lot 64 in
Timber-Hyrst Estates #5, in the City of Dubuque, Iowa
DATE: February 25, 2020
City Engineer Gus Psihoyos is recommending acceptance of the public improvements
that the developers, Lori E. Silvia and Brian A. Silvia, have recently completed across
Part of Lot 64 in Timber-Hyrst Estates #5, in the City of Dubuque, Iowa. Maintenance
guarantees for said public improvements shall be provided by the owners, Lori E. Silvia
and Brian A. Silvia, for a period of two years from the date of acceptance.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
/-.
Mic ael C. Van Milligen
MCVM:jh
Attachment
cc: Crenna Brumwell, City Attorney
Teri Goodmann, Assistant City Manager
Cori Burbach, Assistant City Manager
Gus Psihoyos, City Engineer
WIC
Masterpiece on the Mississippi
TO: Michael C. Van Milligen, City Manager,
FROM: Gus Psihoyos, City Engineer
SUBJECT: Acceptance of Sanitary Sewer Improvements across Part of Lot 64 in
Timber-Hyrst Estates # 5, in the City of Dubuque, Iowa
Dubuque
ktretri
AII•Amerin City
11 /I
2007.2012.2013
2017*2019
DATE: February 24, 2020
INTRODUCTION
The enclosed material provides for City Council acceptance of the public improvements
that the developer, Lori E. Silvia and Brian A. Silvia, have recently completed across
Part of Lot 64 in Timber-Hyrst Estates # 5, in the City of Dubuque, Iowa.
BACKGROUND
The property owners are planning to construct a single-family dwelling crossing the
property line between the two lots they own on South Bend Circle. A public sanitary
sewer was originally installed by the subdivision developer on the common lot line of the
two lots and was recently relocated by the owners in order to accommodate the
proposed home location. The new sanitary sewer construction has been inspected and
approved by Engineering Department staff. The City of Dubuque will own and maintain
the relocated public sanitary sewer utility. The property owners have granted a new
utility easement over the revised sanitary sewer alignment area.
DISCUSSION
The Subdivision Ordinance requires that upon completion of all the required public
improvements, the subdivider shall notify the City in writing of the completion of the
improvements, requesting that the City either approve or reject the acceptance of the
improvements, together with a statement of reasons for any rejection.
On February 19, 2020, the owners requested City's acceptance of the improvements
across Part of Lot 64 in Timber-Hyrst Estates # 5, in the City of Dubuque, Iowa. Upon
inspection by the City, it has been determined that the public improvements required by
said agreement have been completed in accordance with plans approved by the City
Staff and in conformance with City specifications.
RECOMMENDATION
I would, therefore, recommend that the City Council accept the public improvements as
described above. Maintenance guarantees for said public improvements shall be
provided by the owners, Lori E. Silvia and Brian A. Silvia, for a period of two (2) years
from the date of acceptance by City Council.
ACTION TO BE TAKEN
The City Council is requested to adopt the attached resolution accepting the public
sanitary sewer improvements across Part of Lot 64 in Timber-Hyrst Estates # 5, in the
City of Dubuque, Iowa.
Prepared by Nate Kieffer, PLS
RESOLUTION NO. 68-20
ACCEPTING PUBLIC SANITARY SEWER IMPROVEMENTS ACROSS LOT 64 IN
TIMBER-HYRST ESTATES # 5, IN THE CITY OF DUBUQUE, IOWA
Whereas, pursuant to Sanitary Sewer Construction Agreement dated May 23,
2019, a copy of which is attached hereto, certain public improvements including sanitary
sewer and appurtenances, were installed by Lori E. Silvia and Brian A. Silvia; and
Whereas, the improvements have been completed and the City Manager has
examined the work and has filed a certificate stating that the same has been completed
in accordance with the plans approved by the City Council and in conformance with City
specifications, and has recommended that the improvements be accepted by the City
Council.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF DUBUQUE, IOWA THAT:
Section 1. The recommendation of the City Manager be approved and that said
public improvements across Part of Lot 64 in Timber-Hyrst Estates # 5, in the City of
Dubuque, Iowa, be and the same is hereby accepted.
Section 2. That a maintenance guarantee covering said public improvements
shall be provided by the owners, Lori E. Silvia and Brian A. Silvia, for a period of two (2)
years from the date of this resolution.
Passed, approved and adopted this 2nd day of March 2020.
,0
Roy D. Buol, Mayor
Attest:
Kevin ` Firnstahl, City Clerk
Masterpiece on the Mississippi
TO:
FROM:
SUBJECT:
DATE:
Michael C. Van Milligen, City Manager
, n
Gus Psihoyos, City Engineer"I 2
Sanitary Sewer Construction Agreement
June 5, 2019
Dubuque
AII•America City
111111
2007.2012
2013.2017
Attached is an agreement between the City of Dubuque and Lori E & Brian A Silvia
for the relocation and construction of new sanitary sewer main.
The Silvia's are planning to construct a home, driveway and landscaping on Lot 63
and Lot 64 of Timber-Hyrst Estates #5. The City owns and maintains a public
sanitary sewer that lies on the common lot line of Lot 63 and Lot 64 of Timber-Hyrst
#5. The public sanitary sewer will need to relocated to accommodate the
construction of the improvements and allow for the future maintenance of the public
sanitary sewer. The developer will construct a new sanitary sewer alignment in
accordance with City plans and specifications. Upon completion of the project, the
developer will dedicate the sanitary sewer utility and any associated easements to
the City.
It would be appreciated if you would execute the noted document\ and return to the
Engineering office for further processing.
Attachs.
SANITARY SEWER CONSTRUCTION AGREEMENT
BETWEEN
THE CITY OF DUBUQUE, IOWA
AND
LORI E. SILVIA AND BRIAN A. SILVIA
This Sanitary Sewer Construction Agreement (Agreement) is made and entered
into this ;3rLA. day of May, 2019, by and between the City of Dubuque, Iowa, an Iowa
municipal corporation (City), and Lori E. Silvia and Brian A. Silvia (Developer).
WHEREAS, Developer is the owner of the real estate legally described as Lot 63
and Lot 64 of Timber-Hyrst Estates #5 in the City of Dubuque, Iowa, (Site); and
WHEREAS, City owns and maintains a public sanitary sewer, that lies on the
common lot line of Lot 63 and Lot 64 of Timber-Hyrst Estates #5 in the City of Dubuque,
Iowa, (Site); and
WHEREAS, said public sanitary sewer lies within a utility easement as dedicated
and shown on the Final Plat of Timber-Hyrst Estates #5 in the City of Dubuque, Iowa,
(Site); and
WHEREAS, Developer is proposing to construct a home, driveway, and
landscaping improvements (the Improvements) on the Site; and
WHEREAS, the Improvements are proposed to be located over said public
sanitary sewer and said utility easement; and
WHEREAS, said public sanitary sewer will need to be relocated to accommodate
the construction of the improvements and allow for the future maintenance of the said
public sanitary sewer (the Project); and
WHEREAS, Developer desires to construct the new sanitary sewer alignment
and will need to construct and carry out any other activities associated with the Project
in accordance with City plans and specifications; and
WHEREAS, upon completion of the project, Developer wishes to dedicate the
sanitary sewer utility and any associated easements, as required by the City, to the City.
NOW, THEREFORE, IT IS AGREED BY AND BETWEEN THE PARTIES AS
FOLLOWS:
SECTION 1. GENERAL CONDITIONS.
1.1 Developer will begin work on the Project in June of 2019. The Project will be
substantially completed by August 1, 2019. An initial plan for the Project is attached as
Exhibit 1.
1.2 Work on the Project may not commence until this Agreement is executed by
Developer and City, Developer has obtained and submitted copies to City of all
applicable licenses and permits, Developer has obtained all required bonds or other
acceptable form of security, and Developer had paid all applicable inspection fees.
1.3 Developer is responsible and will pay for all costs related to the Project, including
but not limited to, construction costs, connection fees and inspection fees.
1.4 Developer is responsible and will pay for all costs to abandon the existing public
sanitary sewer main in accordance with current City standards.
SECTION 2. PLANS AND PERMITS.
2.1 Developer must obtain and submit to the City copies of all applicable permits
necessary for the Project prior to commencing work.
2.2 Developer must obtain all applicable permits and licenses required for working in
the City right-of-way.
2.3 Developer must submit to the City final design plans, that meet current City
standards, for the Project prior to commencing work. The City will review and approve
such plans before work on the Project commences. If such plans are not approved, City
will provide feedback regarding the modifications necessary for approval.
SECTION 3. BONDS.
3.1 Developer must obtain a construction bond or other suitable security for one
hundred ten percent (11 Q%) of the estimated total construction cost of the Project.
3.2 Developer must obtain a maintenance bond or other acceptable security for
twenty-five percent (25%) of the estimated total construction cost of the Project.
Developer must maintain this maintenance bond for two (2) years after date that the
City Council accepts the completed Project.
SECTION 4. INSPECTIONS AND ACCEPTANCE.
4.1 The City will inspect the Project throughout its implementation and at its
completion to ensure compliance with the approved plans and specifications.
Developer must pay to the City an inspection fee in the amount of three percent (3%) of
the estimated total construction cost for the Project.
4.2 The City will conduct a final inspection upon the completion of the Project. If the
inspection establishes that the Project has been completed in accordance with the
approved plans and City requirements and specifications, the Project will be accepted
by City Council starting the two (2) year warranty period.
SECTION 5. EASEMENT AND MAINTENANCE.
5.1 Developer must provide the City with an easement dedicating the proposed
sanitary sewer utility easement (20' width) over Lots 63 and 64 of Timber-Hyrst Estates
#5, as shown on attached Exhibit 1, for access and activities associated with the
sanitary sewer, including but not limited to the maintenance and repair of the sewers by
the City. Developer must provide the City with a plat or exhibit of said easement. Grant
of Easement document to be in City Standard format. City will record Grant of
Easement with County Recorder. Developer is responsible for all recording fees
associated with easement.
5.2 After Developer has dedicated the proposed easements to the City, and the
Project has been completed, inspected and accepted by the City Council, City will be
responsible for the maintenance and repair of the sanitary sewer from the date of City
Council acceptance and onward in accordance with the Grant of Easement language.
The City shall be responsible for limited site restoration following any future sanitary
sewer work (future repairs, inspections, replacement). Restoration by the City shall only
include disturbed turf areas. Restoration of all other landscaping, paving and other
improvements shall be the responsibility of the property owner or other.
5.3 City agrees to vacate existing sanitary sewer easement at the completion of the
Project and upon Developer's granting a new easement. Developer shall provide any
needed surveying documents required to vacate existing easement. City will facilitate
the vacation of the existing easement and record the vacate documents with he County
Recorder. Developer is responsible for all recording fees associated with the easement
vacation.
SECTION 6. INSURANCE AND INDEMNIFICATION.
6.1 Developer agrees to hold harmless and indemnify City, and its officers, agents
and employees, against any and all claims, actions, demands, losses, liabilities or legal
expenses that may arise on account of injury to any person or damage to any property
occurring in connection with the Project. This indemnification includes, but is not limited
to, any liability or obligation of the City arising from any claim by Developer or any
person, firm, or corporation providing services for Developer in connection with the
Project.
6.2 At all times during the Project, from commencement of work to acceptance by the
City of the Project, any contractors or subcontractors hired by Developer to perform
work on the Project must comply with the insurance requirements set forth in the
Insurance Schedule F, attached as Exhibit 3.
SECTION 7. MISCELLANEOUS.
7.1 This Agreement may not be assigned without the prior written permission of the
City. Such written approval will not be unreasonably withheld.
7.2 This Agreement represents the entire Agreement between the parties. There are
no verbal additions to this Agreement, and all amendments, additions or changes to this
Agreement must be in writing and agreed to by both parties.
7.3 All covenants, conditions, and provisions of this Agreement will inure to the
benefit of and be binding upon the parties hereto and their respective successors, heirs
and assigns.
7.4 This Agreement is governed by the laws of the state of Iowa and venue for any
action arising from or related to this Agreement will be in the District Court of Iowa,
Dubuque County, Iowa.
7.5 If any term of this Agreement is found to be void or invalid, such invalidity will not
affect the remaining terms of this Agreement, which will continue in full force and effect.
7.6 All Riders and Exhibits attached hereto form material parts of this Agreement.
7.7 All notices and correspondence related to this Agreement must be sent to the
following:
If to Developer:
If to City:
Lori E. Silvia and Brian A. Silvia
1272 Deer Creek Ridge
Dubuque, IA 52003
City of Dubuque, Iowa
Attention: Gus Psihoyos, City Engineer
50 West 13th Street
Dubuque, Iowa 52001
CITY OF DUBUQUE, IOWA DEVELOPER
By:
Michael C. Van Milligen
City Manager
By: // ,j
Lori'E Silvia
By:
Brian
EXHIBIT 1
LOT 63 & 64 TIMBER HYRST ESATES #5
INITIAL SEWER CONSTRUCTION PLAN AND EASEMENTS
Orarkq uux, GLVVLECrS‘l0,1S001 - Y6nql.pmvt
A
1]
z
LOT 73
LOT 74
PROPOSED
SANITARY
SEWER RE-
ALIGNMENT AND
20' WIDE
EASEMENT
LOT 76
LOT 77
LOT 78
LOT 79
AAx u.
u uata�
abp Lost 4O ft?S For b. 20:9 - 4O3pn Plotted um Ape a€. 200 - 113Fnn ev :'auv0Sen
/LoT,85
EXISTING
SANITARY
SEWER AND
EASEMENT TO
BE ABANDONED/
VACATED
LOT 85
0
LOT
EXHIBIT 2
INSURANCE SCHEDULE F
EXHIBIT 2
City of Dubuque Insurance Requirements for General, Artisan or Trade Contractors,
Subcontractors or Sub -Subcontractors
Class A:
Class B:
Class C:
INSURANCE SCHEDULE F
Asbestos Removal Fiber Optics Sanitary Sewers
Asphalt Paving Fire Protection Sheet Metal
Concrete Fireproofing Site Utilities
Construction Managers General Contractors Shoring
Cranes HVAC Special construction
Culverts Mechanical Steel
Decking Paving & Surfacing Storm sewers
Demolition Piles & Caissons Structural Steel
Deconstruction Plumbing Trails
Earthwork Retaining Walls Tunneling
Electrical Reinforcement Water main
Elevators Roofing
Chemical Spraying Landscaping Rough Carpentry
Doors, Window & Masonry Stump Grinding
Glazing Vehicular Snow Removal Tank Coating
Drywall Systems Painting & Wall Covering Tree Removal
Fertilizer Application Pest Control Tree Trimming
Geotech Boring Scaffolding Tuckpointing
Insulation Sidewalks Waterproofing
Finish Carpentry Plastering Well Drilling
Carpet Cleaning General Cleaning Power Washing
Carpet & Resilient Grass Cutting Tile & Terrazzo Flooring
Flooring Janitorial Window Washing
Caulking & Sealants Non Vehicular Snow &
Acoustical Ceiling Ice Removal
Filter Cleaning Office Furnishings
Page 1 of 6 Schedule F, General, Artisan or Trade Contractors, Subcontractors or Sub Subcontractors November 2017
City of Dubuque Insurance
Requirems ors for
Seem tArtisan
or Trade Contractors,
Subt
rs
INSURANCE SCHEDULE F (continued)
Contractor shall furnish a signed certificate of insurance to the department responsible for the
contract for the coverage required 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 Iowa Department of Insurance or an
equivalent approved by the Finance Director. The certificate must clearly indicate the project
number, project name, or project description for which it is being provided
r drEg: Prtoject
at
Project name:
or construction of
2. All policies 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 required shall be furnished to the Department of the City of
Dubuque.
4. Failure to provide the coverages described in this Insurance Schedule 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 contract.
5. Contractor shall require all subcontractors and sub -subcontractors to obtain and maintain during
the performance of work insurance for the coverages described in this Insurance Schedule and
shall obtain certificates of insurance from all such subcontractors and sub -subcontractors.
Contractor agrees that it shall
e
le for
lure of a
d
ob
tain and maintain such coverage bThe Citythe mayasubcontractor
request acopy of suncertificatessuch from then to
Contractor.
6. All required endorsements to various policies shall be attached to the certificate of insurance.
7. Whenever an ISO form is referenced the current edition must be provided.
8. Contractor shall be required to carry the minimum coverage/limit, or greater if required by law or
other legal agreement, in Exhibit I - Insurance Schedule F. If the contractor's limits of liability are
higher than the required minimum limit then the contractor's limits shall be this agreement's
required limits.
o„ti +.�rrnrc nr Sub Subcontractors November 2017
City of Dubuque Insurance Requirements for General, Artisan or Trade Contractors,
Subcontractors or Sub Subcontractors
INSURANCE SCHEDULE F (continued)
EXHIBIT 1
A) COMMERCIAL GENERAL LIABILITY
General Aggregate Limit $2,000,000
Products -Completed Operations Aggregate Limit $2,000,000
Personal and Advertising Injury Limit $1,000,000
Each Occurrence
Fire Damage Limit (any one occurrence) $$0,000
000
Medical Payments
1) Coverage shall be written on an occurrence, not claims made, form. The general
liability coverage shall be written 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 owners form BP 0002 shall be clearly
identified.
2) Include ISO endorsement form CG 25 04 "Designated Location(s) General
Aggregate Limit" or CG 25 03 "Designated Construction Project(s) General
Aggregate Limit" as appropriate.
3) Include endorsement indicating that coverage is primary and non-contributory.
4) Include Preservation of Governmental Immunities Endorsement. (Sample
attached).
5) Include additional insured endorsement for:
The City of Dubuque, including all its elected and appointed officials, all its
employees and volunteers, all its boards, commissions and/or authorities and
their board members, employees and volunteers. Use ISO form CG 20 10
(Ongoing operations).
6) The additional insured endorsement shall include completed operations under
ISO form CG 2037 during the project term and for a period of two years after the
completion of the project.
7) Policy shall include Waiver of Right to Recover from Others endorsement
B) WORKERS' COMPENSATION & EMPLOYERS LIABILITY
Statutory Benefits covering all employees injured on the job by accident or disease as
prescribed by Iowa Code Chapter 85.
Coverage A Statutory —State of Iowa
Coverage B Employers Liability
Each Accident $100,000
Each Employee -Disease $100,000
Policy Limit -Disease $500,000
Policy shall include Waiver of Right to Recover from Others endorsement.
Coverage B limits shall be greater if required by the umbrella/excess insurer.
Nonelection of Workers' Compensation or Employers' Liability Coverage under Iowa
Code sec. 87.22
yes ` form attached
_ _ hrnntractors or Sub Subcontractors November 2017
City of Dubuque Insurance Requirements for General, Artisan or Trade Contractors,
Subcontractors or Sub Subcontractors
INSURANCE SCHEDULE F (continued)
C) AUTOMOBILE LIABILITY
Combined Single Limit $1,000,000
D) UMBRELLA/EXCESS LIABILITY
Umbrella liability coverage must be at least following form with the underlying policies
included herein.
All Class A contractors with contract values in excess of $10,000,000 must have
umbrella/excess liability coverage of $10,000,000.
All Class A and Class B contractors with contract values between $500,000 and
$10,000,000 must have umbrella/excess liability coverage of $3,000,000.
All Class A and B contractors with contract values less than $500,000 must have
umbrella/excess liability coverage of $1,000,000.
All Class C contractors are not required to have umbrella/excess liability coverage.
All contractors performing earth work must have a minimum of $3,000,000 umbrella
regardless of the contract value.
E) ENVIRONMENTAL IMPAIRMENT LIABILITY OR POLLUTION LIABILITY
Coverage required: _ yes no
Pollution liability coverage shall be required if project involves any pollution exposure for
hazardous or contaminated materials including, but not limited to, the removal of lead,
asbestos, or PCB's. Pollution product and complete operations coverage shall also be
covered.
Each Occurrence
Policy Aggregate
$2,000,000
$4,000,000
1) Policy to include job site and transportation coverage.
2) Include additional insured for:
The City of Dubuque, including all its elected and appointed officials, all its
employees and volunteers, all its boards, commissions and/or authorities and
their board members, employees and volunteers. Use ISO form CG 2010.
(Ongoing operations) as stated in A(6) above or its equivalent.
3) Include Preservation of Governmental Immunities Endorsement.
4) Provide evidence of coverage for 5 years after completion of project.
Page 4 of 6 Schedule F, General, Artisan or Trade Contractors, Subcontractors or Sub Subcontractors November 2017
City of Dubuque Insurance Requirements for General, Artisan or Trade Contractors,
Subcontractors or Sub Subcontractors
INSURANCE SCHEDULE F (continued)
F) RAILROAD PROTECTIVE LIABILITY
Coverage required: — yes no
Any contract for construction or demolition work on or within fifty feet (50') from the edge
of the tracks of a railroad or effecting any railroad bridge or trestle, tracks, roadbeds,
tunnel, underpass, or crossing for which an easement or license or indemnification of the
railroad is required, shall require evidence of the following additional coverages.
Railroad Protective Liability:
$ each occurrence (per limits required by Railroad)
policy aggregate (per limits required by Railroad)
OR
An endorsement to the Commercial General Liability policy equal to ISO CG 2417
(Contractual Liability -Railroads). A copy of this endorsement shall be attached to the
certificate of insurance.
, c„h cl ihmr1tractors November 2017
City of Dubuque Insurance Requirements for General, Artisan or Trade Contractors,
Subcontractors or Sub Subcontractors
PRESERVATION OF GOVERNMENTAL IMMUNITIES ENDORSEMENT
1. Nonwaiver of Governmental Immunity. The insurer expressly agrees and states that the purchase
of this policy and the including of the City of Dubuque, 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 is now exists and as it may be amended from time to time.
2. Claims Coverage. The insurer further agrees that this policy of insurance shall cover only those
claims not subject to the defense of governmental immunity under the Code of Iowa Section 670.4 as it
now exists and as it may be amended from time to time. Those claims not subject to Code of Iowa
Section 670.4 shall be covered by the terms and conditions of this insurance policy.
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 insurer.
4. Non -Denial of Coverage. The insurer shall not deny coverage under this policy and the insurer
shall not deny any of the rights and benefits accruing to the City of Dubuque, 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.
No Other Change in Policy. The above preservation of governmental immunities shall not otherwise
change or alter the coverage available under the policy.
Y
ECLL EN
(DEPARTMENT MANAGER: FILL IN ALL BLANKS AND CHECK BOXES)
T. a r,,.,+rn,,i„rC SI ihrnntrar.tors or Sub Subcontractors November 2017