Contracts/Bonds Cedar & Dog Track Lift Station Improvements
CITY OF DUBUQUE, IOWA
PERFORMANCE, PAYMENT AND MAINTENANCE BOND
KNOWN ALL MEN BY THESE PRESENTS: That Portzen Construction, Inc. as
Principal (Contractor) and United Fire & Casualty Company as Surety are held firmly
bound unto the City of Dubuque, Iowa (City), in the penal sum of $1.400,000.00 the
same being 100% of the total price of the Contract for the Project herein referred to,
lawful money of the United States of America, well and truly to be paid to said City of
Dubuque, and to all other parties who, under the provisions of the laws of Iowa, are
intended to be protected and secured hereby for which payment we bind ourselves, our
heirs, executors, successors and assigns, jointly and severally by these presents.
Dated at Dubuque, Iowa, this
duly attested and sealed.
WHEREAS, the said Contractor by a Contract dated September 8 , 2006,
incorporated herein by reference, has agreed with said City of Dubuque to perform all
labor and furnish all materials required to be performed and furnished for the Cedar
Street and Dog Track Lift Station Improvements (the Project) according to the Contract
and Construction Documents prepared therefore.
8th
day of September
, 2006, and
It is expressly understood and agreed by the Contractor and Surety bond that the
following provisions are a part of this Bond and are binding upon said Contractor and
Surety, to-wit:
1. PERFORMANCE BOND: 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 City from all outlay and expense incurred by
the City 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 BOND: The Contractor and the Surety shall 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 which the City 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, Code of Iowa, which by this reference is made a
part hereof as though fully set out herein.
3. MAINTENANCE BOND: The Contractor and the Surety 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 within the period of one (1) year(s) from the date
of acceptance of the work under the Contract by the City Council of the City of
Dubuque, Iowa, by reason of defects in workmanship or materials used in
construction of said work:
B. To keep all work in continuous good repair; and
C. To pay the City the reasonable costs of monitoring and inspection to assure
that any defects are remedied, and to repay the City 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 agreement herein made extends to defects in
workmanship or materials not discovered or known to the City at the time such work
was accepted.
NOW, THEREFORE, the condition of this obligation is such that if the said
Contractor shall perform all of the work contemplated by the Contract in a workmanlike
manner and in strict compliance with the plans and specifications, and will pay all claims
for labor and materials used in connection with said Project, to indemnify the said City
for all damages, costs and expense incurred by reason of damages to persons or
property arising through the performance of said Contract, and will reimburse the City
for any outlay of money which it may be required to make in order to complete said
Contract according to the Construction Documents and will maintain in good repair said
Project for the period specified in the Contract where this bond is obligated for
maintenance, and will faithfully comply with all of the provisions of Section 573 of the
Code of Iowa, then this obligation shall be null and void, otherwise it shall remain in full
force and effect.
All the conditions of this bond must be fully complied with before the Contractor
or the Surety will be released.
The Contract, Contractor's Proposal, and Construction Documents shall be
considered as a part of this Bond just as if their terms were repeated herein.
Dated at Dubuque, Iowa this 8th
day of SAptAmbAr
,2006.
CITY OF DUBU1~' lOW. A
. /11 V;1t II
By. l 'iV!. J!.-----
City anager
~
PRINCIPAL:
Portzen Construction, Inc.
Contractor
By: Sign~LI!4
/J/'fsidmf
Title
SURETY:
United Fire & Casualty Company
Surety Company
By: F)..~kW~
Signature
Attnrn"'y-in_F""t
Title
Dubuque. IA 52001
City, State, Zip Code
~'in::l!f;f;R-f;441
elephone
k'~ /} IJJ~
Attorney In-F
.
CITY OF DUBUQUE, IOWA
IMPROVEMENT CONTRACT
THIS IMPROVEMENT CONTRACT ~the Contract), made in triplicate, dated for
reference purposes the 8th day of eptember , 2006, 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, Inc. 205 Stone Valley Drive of the
City of Dubuque Iowa 52003.
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
Cedar Street and Dog Track Lift Station Improvements (the Project).
The Project shall be made to the established grade and to the grades as shown on
the profiles and cross sections on file in the City Engineer's office for this Project; in
strict accordance with the requirements of the laws of the State of Iowa and
ordinances of the City of Dubuque relating to public works, and in accordance with
the Contract Document shall of which provisions and documents are each and all
hereby referred to and made a part of this Contract just as much as if the detail
statements thereof were repeated herein.
2. Contract Documents shall mean and include the following: All ordinances and
resolutions heretofore adopted by the City Council having to do with the Project; the
Notice to Bidders; the Contractor's Proposal; and the Plans, Specifications, and
General Requirements as adopted by the City Council for the Project.
3. All materials used by the Contractor in the Project shall be the best of their several
kinds and shall be put in place to the satisfaction of the City Manager.
4. The Contractor shall remove any materials rejected by the City Manager as
defective or improper, or any of said work condemned as unsuitable or defective,
and the same shall be replaced or done anew to the satisfaction of the City Manager
at the cost and expense of the Contractor.
5. Five percent (5%) of the Contract price shall 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 that may be filed within said time 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 time, as provided in Iowa
Code Chapter 573. The City shall 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 shall be held by the City until
such claims have been settled, adjudicated or otherwise disposed of.
6. The Contractor has read and understands the specifications including General
Requirements and has examined and understands the plans herein referred to and
agrees not to plead misunderstanding or deception because of estimates of quantity,
character, location or other conditions surrounding the same.
7. In addition to the guarantee provided for in the specifications, the Contractor shall
also make good any other defect in any part of the Project due to improper
construction notwithstanding the fact that said Project may have been accepted and
fully paid for by the City, and the Contractor's bond shall be security therefore.
8. The Contractor shall fully complete the Project under this Contract on or before June
1,2007.
9. 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 there from, 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.
THE CITY AGREES:
Upon the completion of the Contract, and the acceptance of the Project by the
City Council, the City agrees to pay the Contractor as full compensation for the
complete performance of this Contract, the amount determined for the total number of
units completed at the unit prices stated in the Contractor's Proposal and less any
liquidated damages provided for in the Contract Documents. The number of units
stated in the plans and specifications is approximate only and the final payment shall be
made by the work covered by the Contract.
CONTRACT AMOUNT $ 1 ,400,000.00
FURTHER CONDITIONS
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
agreement 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 agreement or arrangement with any other person,
firm, corporation or association which tends to or does lessen or destroy free
competition in the letting 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 be
less than $140,000.00 (One hundred and fortv thousand Dollars) (Refer to Liquidated
Damages Table) as liquidated damages to the City.
The surety on the bond furnished for this Contract, shall in addition to all other
provisions, be obligated to the extent provided for by Iowa Code 9 573.6, relating to this
Contract, which provisions apply to said bond.
The Contractor agrees, and its bond shall be surety therefore, that it will keep
and maintain the Project in good repair for a period of two years after acceptance of the
same by the City Council and its bond shall be security therefore.
CITY OF ,~UBU?UE. ' IO~A
By ..1 Uvl t~.. /11~
City Manager
PRINCIPAL:
By:
ff2;;tJ(;rJI
Title
CERTIFICATE OF CITY CLERK
This is to certify that a ce
office on the /'f"tv day of
~
anne F. Schneider, CMC, City Clerk
ACORD..
------_...-
CERTIFICATE OF LIABILITY INSURANCE
CSR DH
PORTZ-1 09 07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
06
PRODUCER
TRICOR, Inc. - Dubuque
PO Box 1810, 500 Iowa Street
Dubuque IA 52004-1810
Phone: 563-556-5441
INSURED
Portzen Construction
205 Stone Valley Dr.
Dubuque IA 52003
COVERAGES
Inc
I INSURERS AFFORDING COVERAGE
INSURER A West Bend Mutual
INSURER B
INSURER C
INSURER 0
INSURER E:
Ins. Co
I
-f'-
15350
--------
. .~------
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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR'''DD~a----- ---- I ... t'D~Lf~1ri~fJ~~IE ~~k!fill~~b~J!gN --_._--~-
LTRINSR TYPE OF INSURANCE POLICY NUMBER LIMITS
I GENERAL LIABILITY : EACH OCCURRENCE '1,000,000
AIX - ~~~A""-. .-
IX . COMMERCIAL GENERAL LIABILITY CPI061671604 12/31/05 12/31/06 ~,F3:,~MISES (Ea occurence) $200,000
i--'j CLAIMS MADE [!] OCCUR I
, MED EXP (Anyone person) '10,000__
I ---,--- -- ---
-----,-------- PERSONAL & ADV INJURY 'l,OOO,_OO~
I ------
GENERAL AGGREGATE 1$ 2/000/000
i .,,-- ~~_D_~~TS- COMP/OP A~ ~ LOOO, 000
, ! GE_N'L AGGREGA~E LIMIT APPlS PER
'I .Ix PRO.
I POLICY I JECT LOC
I ,
; AUTOMOBILE L1ABILl1Y COMBINED SINGLE LIMIT
r--' '1,000,000
A' : X ; ANY AUTO I CPI061671604 12/31/05 12/31/06 (Eaaccidenl)
q ALL DINNED AUTOS 1--- .
, BODILY INJURY
"
! I" SCHEDULED AUTOS i (Per person)
1 HIRED AUTOS .. ~ -----
! BODILY INJURY
I i~_1 NON.OWNED AUTOS (Peraccidenl)
--. "-------
PROPERTY DAMAGE ,
i - I'
(Peraccidenl)
GARAGE LlABILl1Y ~(.)NLY-EAACCIDENT 1$
,==:1 ANY AUTO OTHER THAN EA ACC I $ --,..----
m_____
AUTO ONLY AGG ,
! 1_ EXCESS/UMBRELLA llABILl1Y ~~_~URRENCE '10,000,000
A i IX OCCUR D CLAIMS MADE CPI059879603 12/31/05 12/31/06 AGGREGATE , 10,0001.00.0....
~ -----
t-~-~--I DEDUCTIBLE ,
.--- ---,-----
I "
X RETENTION ,WAIVED ,
WORKERS COMPENSATION AND i X :T6~Y:;~I~\fls I IUJ~-
EMPLOYERS' LIABILITY 1---.----- - - -.---
A I ANY PROPRIETORIPARTNER/EXECUTlVE YRI059878703 12/31/05 12/31/06 ~~ EACH ACCIDENT , 500000
OFFICER/MEMBER EXCLUDED? ~SEASE_:..E_AEMPLOYEE: $ 500000
If yes, des en be under
SPECIAL PROVISIONS below I E,L. DISEASE-POLICY LIMIT i $ 500000
, OTHER
I 12/31/05 12/31/06
A i West Bend Mutual CPI061671604 Rental
I RENTED/LEASED EQUIPMENT Eauinment 150,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
The City of Dubuque is an addtl insured on gen liab policies incl ongoing &
completed operations as well as being primary & non-contributing per form
WB1482&CG2037- Form CG1503 0397"Designated Projects"gen liab aggr limit form
attached. Governmental lnununites End. attached. Waiver of Subrogation in favor
of the City of Dubuque-Project: Cedar St/Dogtrack Lift Stations
CITYDBQ
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCelLED BEFORE THE EXP1RATIOl
CERTIFICATE HOLDER
DATE THEREOF, THE ISSUING INSURER WILL MAIL 30
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
DAYS WRITTEN
City of Dubuque
50 W. 13th St.
Dubuque IA 52001
Keith M. Sindb
ACORD 25 (2001/08)
@ACORD CO
TION 198'
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)
.
.
.
CP1061671604
121
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WB100 A
CHANGE ENDORSEMENT
PAGE 1 OF 1
THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING,
COMMERCIAL GENERAL LIABILITY COVERAGE PART
CITY OF DUBUQUE, IOWA GOVERNMENTAL IMMUNITIES ENDORSEMENT
1. NONWAIVER OF GOVERNMENTAL 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 IS 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 GOVERN-
MENTAL 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 GOVERNMENTAL 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.
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 FAVDR DF THE DEFENSE{S) DF GDVERNMENTAL IMMUNITY ASSERTED BY THE CITY
OF DUBUQUE, IDWA.
NO OTHER CHANGE IN PDLICY. THE ABOVE PRESERVATION DF GOVERNMENTAL IMMUNITIES
SHALL NDT DTHERWISE CHANGE DR ALTER THE CDVERAGE AVAILABLE UNDER THE POLICY.
WB 100 06 88
West Bend Mutual Insurance Company
West Bend, Wisconsin 53095
::;PI061671604
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - CONTRACTOR'S BLANKET
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. WHO IS AN INSURED (Section II) is amended
to include as an additional insured any person or
organization whom you are required to add as an
additional insured on this policy under a written
contract or written agreement.
The written contract or written agreement must
be:
1. Currently in effect or becoming effective dur-
ing the term of this policy; and
2. Executed prior to the "bodily injury," "property
damage," "personal injury and advertising in-
jury."
B. The insurance provided to the additional insured
is limited as follows:
1. That person or organization is only an addi-
tional insured with respect to liability arising
out of:
a. Your premises;
b. "Your work" for that additional insured; or
c. Acts or omissions of the additional insured
in connection with the general supervision
of "your work."
2. The Limits of Insurance applicable to the
additional insured are those specified in the
written contract or written agreement or in the
Declarations for this policy, whichever is less.
These Limits of Insurance are inclusive and
not in addition to the Limits of Insurance
shown in the Declarations.
3. Except when required by written contract or
written agreement, the coverage provided to
the additional insured by this endorsement
does not apply to:
a. "Bodily injury" or "property damage" occur-
ring after:
(1) All work on the project (other than
service, maintenance or repairs) to be
performed by or on behalf of the addi-
tional insured at the site of the covered
operations has been completed; or
(2) 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 con-
tractor or subcontractor engaged in
performing operations for a principal as
part of the same project.
b. "Bodily injury" or "property damage" arising
out of acts or omissions of the additional
insured other than in connection with the
general supervision of "your work."
4. The insurance provided to the additional in-
sured does not apply to "bodily injury," "prop-
erty damage," "personal injury and advertising
injury" arising out of an architect's, engineer's,
or surveyor's rendering of or failure to render
any professional services including;
a. The preparing, approving, or failing to
prepare or approve maps, shop drawings,
opinions, reports, surveys, field orders,
change orders or drawings and specifica-
tions; and
b. Supervisory, or inspection activities per-
formed as part of any related architectural
or engineering activities.
WB 14820606
West Bend Mutual Insurance Company
West Bend, Wisconsin 53095
Page 1 of 2
C. As respects the coverage provided under this
endorsement, Paragraph 4.b. SECTION IV -
COMMERCIAL GENERAL LIABILITY CONDI-
TIONS is amended with the addition of the fol-
lowing:
4. Other insurance
b. Excess insurance
This insurance is excess over:
Any other valid and collectible insurance
available to the additional insured whether
primary, excess, contingent or on any
other basis unless a written contract spe-
cifically requires that this insurance be ei-
ther primary or primary and noncontribut-
ing. Where required by written contract,
we will consider any other insurance
maintained by the additional insured for
injury or damage covered by this en-
dorsement to be excess and noncontrib-
uting with this insurance.
When this insurance is excess, as a con-
dition of coverage, the additional insured
shall be obligated to tender the defense
and indemnity of every claim or suit to all
other insurers that may provide coverage
to the additional insured, whether on a
contingent, excess or primary basis.
Page 2 of 2
West Bend Mutual Insurance Company
West Bend, Wisconsin 53095
WB 1482 06 06
, Poliey #CPI061671604
"
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
City of Dubuque
50 W 13th 51.
Dubuque, IA 52001
Location And Description Of Completed Operations
Cedar StlDogtrack Lift Station
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Section II - Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with
respect to liability for "bodily injury" or "property dam-
age" caused, in whole or in part, by "your work" at
the location designated and described in the sched-
ule of this endorsement performed for that additional
insured and included in the "products-completed
operations hazard".
CG 20 37 07 04
@ ISO Properties, Inc., 2004
Page 1 of 1
I
.
.
.
- WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
111'(' 00 0' 1') (Ed 04 84)
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 agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
HY-VEE WEITZ CONSTRUCTION, LC ~ HYVEE, INC
C!TY OF DU BUQUE
CARL A NELSON ~ COHPANY
TRICON CONSTRUCTION & FINLEY HOSPITAL
CONAGRA FOODS & ITS SUBSIDIARIES
CITY OF CLI NTDN
TSW, LLC, Renewal Energy Group
This endorsement changes the: poncy 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 tM policy.)
Endorsement Effec~ve
Insured Portzen Construction, Inc.
POlicy No.
CPI061671604
Endorsement No.
Premium $
Insumnce Company Countersigned by
West Bend Mutual Insurance Company
we 00 0313 (04 84)
Copyright 1983, National Council on Compensation Insurance, Inc.
Page 1 of 1
,
;
.
.
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED CONSTRUCTION PROJECT(S)
GENERAL AGGREGATE LIMIT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
DESIGNATED CONSTRUCTION PROJECTS:
YOUR PROJECTS AWAY FROM PREMISES OWNED BY OR RENTED TO YOU.
A. For ali sums which the insured becomes legally
obligated to pay as damages caused by "occur-
rences" under Coverage A (Section I), and for
all medical expenses caused by accidents un-
der Coverage C (Section I), which can be anri-
buted only to ongoing operations at a single
designated construction project shown ill the
Schedule above:
1, A separate Designated Construction
Project General Aggregate Limit applies to
each designated construction project, and
that limit is equal to the amount of the
General Aggregate Limit shown in the
Declarations.
2, The Designated Construction Project Gen-
eral Aggregate Limit is the most we will pay
for the sum of all damages under Coverage
A, except damages because of "bodily in-
jury" or "property damage" included in the
"products-completed operations hazard",
and for medical expenses under Coverage
C regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought: or
c. Persons or organizations making
claims or bringing "suits".
Any payments made under Coverage A for
damages or under Coverage C for medical
expenses shall reduce the Designated
Construc1ion Project General Aggregate
Limit for that designated construction
projec1. Such payments shall not reduce
the General Aggregate Limit shown in the
Declarations nor shall they reduce any
other Designated Construction Project
General Aggregate Limit for any other des-
ignated construction projec1 shown in the
Schedule above.
The limits shown in the Declarations for
Each Occurrence, Fire Damage and Med-
ical Expenses continue to appiy. However,
instead of being subject to the General Ag-
gregate Limit shown in the Declarations,
such limits will be subject to the applicable
Designated Construction Project General
Aggregate Limit.
3,
4.
.
(If no entry appears above, information required to complete this endorsement will be shown in the Declara-
tions as applicable to this endorsement.)
CG 2503 03 97
Copyright, Insurance Services Office. Inc., 1996
Page 1 of 2