HomeMy WebLinkAboutBenton's Sand and Gravel, Inc-8/13/2012FORM OF CONTRACT
CONTRACT FOR THE CONSTRUCTION OF
F.Y. 2012 GERALDINE ROAD EXTENSION
CITY OF WATERLOO, IOWA
CONTRACT NO. 821
This contract made and entered into this l day of
, 20by and
between the City of Waterloo, Iowa, a Municipal Corporation, (hereinafter referred to
as City), and BENTON'S SAND AND GRAVEL, INC. of Cedar Falls, Iowa,
(hereinafter referred to as Contractor), WITNESSETH:
PAR. 1
PAR. 2
PAR. 3
Contractor agrees to build and construct the FY 2012 GERALDINE ROAD
EXTENSION, CONTRACT 821 and furnish all necessary tools,
equipment, materials, and labor necessary to do all the work called for in
the plans and specifications in a workmanshiplike manner and for the
prices set forth in Contractor's proposal, which was accepted by the City,
and which is understood and agreed to be a part of this contract.
It is understood and agreed that the resolution adopted by the City Council
ordering the construction of the improvement, the Notice to Contractors as
published, the Instruction to Bidders, the Form of Proposal, the
Construction and Maintenance Bonds, the Council Proceedings relating to
this matter, and the Plans and Specifications shall all be considered as
forming a part of the contract the same as though they were each set out
in said contract.
The Contractor agrees to furnish at its own cost and expense, all
necessary materials and labor for said work and to construct said
improvements in a thorough, substantial, and workmanlike manner, and in
strict accordance with the requirements of this contract, and of the plans
and specifications made a part hereof by reference, and to the satisfaction
and approval of the City and its engineer.
PAR. 4 The Contractor agrees to perform said work and install said improvements
on the terms set out in bid or proposal to the City which has been
FORM OF CONTRACT PAGE 1 OF 5 PAGES
PAR. 5
PAR. 6
PAR. 7
PAR. 8
PAR. 9
accepted by the City and which is by reference made a part of this
contract.
The Contractor agrees to commence said work within ten (10) working
days after receipt of "Notice to Proceed" and complete it on or before
November 21, 2012 , unless an extension of time is granted in writing by
the Council of the City.
Should the Contractor fail to complete said improvements in strict
accordance with the terms and conditions of this contract, or the plans and
specifications therefor promptly by the date herein specified, the City may
pay such additional sums as it may be required to pay by reason of the
failure of said contractor and deduct any and all such sums from any
amount then due the Contractor.
The Contractor agrees to comply with and obey all ordinances of the City
of Waterloo, Iowa, relating to the obstruction of streets and alleys, keeping
open passage ways for water, traffic, and protecting any excavations in
any street or alley, and maintaining proper and sufficient barricades with
lights and signals during all hours of darkness, to see that the backfilling is
properly done, and agrees to keep the City whole and defend any and all
suits that may be brought against the City by reason of any injuries that
may be sustained by any person or property allegedly caused by the
Contractor, or his agents, while work is done pursuant to this agreement.
The Contractor agrees that in the event a law suit is brought against the
City for damages allegedly sustained by reason of any act, omission or
negligence of the Contractor or its agents, or on account of any injuries
allegedly sustained by reason of any obstruction, hole, depression or
barrier placed or dug by the defendant or its agents, in the doing of the
work herein contracted for, that it will defend said suit and save the City
harmless therein, and in case judgment is rendered against the City, the
Contractor agrees to pay the same promptly. The Contractor agrees to
carry public liability insurance in a solvent company in a sufficient amount
to protect the City and those who use the streets of the City.
The City shall have the right to appoint one or more construction reviewers
who shall review the progress of the work in detail; also, to make any test
or any material to be used in such work. No material shall be used in any
work until the same has first been approved by the construction reviewer.
Such construction reviewer shall have full authority to pass judgment upon
all materials and upon the manner of doing the work, and their judgment
on rejecting any materials, substance, or manner of work shall be final
unless it is revoked or modified by the City Engineer.
FORM OF CONTRACT PAGE 2 OF 5 PAGES
PAR. 10
PAR. 11
PAR. 12
Any material, which has been rejected by the construction reviewer, shall
be at once removed from the line of work and shall not be again taken
thereon or placed with the material proposed to be used without the
written consent of the City Engineer.
The Contractor shall maintain no cause of action against the City on
account of delays and prosecution of work, but if said work is delayed by
the City, the Contractor shall have such extra time for completion of the
job as was lost by reason of the delay caused by the City.
The Contractor agrees to pay punctually all just claims of labor, material,
men, or subcontractors who shall perform labor or furnish materials
entering into this improvement. It is agreed that the City need not pay the
Contractor until all such claims are paid by the Contractor. It is agreed
that the City shall not be liable for said labor, material, or men under this
contract.
PAR. 13 The Contractor agrees to furnish the City, simultaneously with this
contract, a bond on a form to be provided by the City in the amount
provided by law as stated in the Notice to Bidders, which shall be for the
benefit of the City, and any and all persons injured by the breach of any of
the terms of this contract. Said bond shall be filed with the City Clerk and
shall be subject to the approval of the City Council, and is by reference
made a part of this contract.
PAR. 14
PAR. 15
The Contractor agrees that should it abandon work under this contract or
cease the prosecution thereof for a period of thirty (30) consecutive days
without reasonable cause, and should it fail to proceed with said work
within ten (10) days after a notice to continue or carry it on has been
mailed to it at the address given herein by the City, or after such notice
has been served on it, then the City may proceed to complete said work,
using any material, tools, or machinery found along said line of work,
doing the work either by contract or as it may elect, and the Contractor
and the sureties on its bond shall be liable to the City for the costs and
expenses so paid out. Said costs shall be retained by the City from any
compensation due, or to become due the Contractor, and may be
recovered by the City in an action upon Contractor's bond.
In consideration of the full compliance on the part of the Contractor with all
the provisions, stipulations, and conditions hereof, or contained in the
various instruments made a part of this contract by reference, and upon
completion and acceptance of said work, the City agrees to pay to the
Contractor, in the manner set out in the Notice to Contractors, the amount
of money due the Contractor for work performed and accepted, at the unit
prices set out in the Contractor's proposal, which has been accepted by
the City.
FORM OF CONTRACT PAGE 3 OF 5 PAGES
PAR. 16
PAR. 17
PAR. 18
PAR. 19
PAR. 20
PAR. 21
The total amount of the contract, based on the Engineer's estimates of
quantities and the Contractor's unit bid prices, and for which 100% surety
bond is required is $272,178.80.
After the completion of said work, the Contractor agrees to remove all
debris and clean up said streets, and to save the City harmless from any
damage allegedly resulting from a failure to clean up and remove the
debris or put the street back in a proper condition for travel.
This contract is not divisible, but in the event of a conflict between this
contract and the various instruments incorporated by reference, this
contract shall govern.
Before the Contractor shall be entitled to receive final payment for work
done under this contract, it shall execute and file a bond in the penal sum
of not less than 100% of the total amount of the contract, same to be
known as "Maintenance Bond," and which bond must be approved by the
City Council, and which bond is in addition to the bond given by the
Contractor to guarantee the completion of the work.
The Contractor shall maintain all work done hereunder in good order for
the period of two (2) years from and after the date it is accepted by the
Council of the City of Waterloo, Iowa. Said maintenance shall be made
without expense to the City or the abutting property. In the event of the
failure or default of the Contractor to remedy any or all defects appearing
in said work within a period of two (2) years from the date of its
acceptance by said Council, and after having been given ten (10) days
notice so to do by registered letter deposited in the United States Post
Office in said town, addressed to said contractor at the address herein
given, then the City may proceed to remedy such defects. The costs and
expenses thereof to be recovered from the Contractor and the sureties on
its maintenance bond by an action brought in any court of competent
jurisdiction.
The Contractor shall give notice to said City by registered letter directed to
the Mayor or City Clerk/Auditor thereof not more than four (4) and not Tess
than three (3) months prior to the expiration of the term during which the
Contractor is required to maintain said improvements, in good repair by
the terms of its Contract. The liability of the Contractor and of the sureties
on its bond for maintenance of the said improvements shall continue until
three (3) months after such notice has been given to the City, and, in any
event, until two (2) years after the acceptance of the work.
FORM OF CONTRACT PAGE 4 OF 5 PAGES
CITY OF WATERLOO, IOWA
tphe/fri
�C�kl
Mayor
BENTON'S SAND AND GRAVEL, INC.
Contractor
Approved by the City Council of the City of Waterloo, Iowa, this � J
day of �5� , 20 �.—
ATTEST: � ;�� , , City Clerk
Waterloo, Iowa
FORM OF CONTRACT PAGE 5 OF 5 PAGES
Bond Number S414223
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
That we, Benton's Sand & Gravel Inc. of Cedar Falls IA
(the "Principal"), and Employers Mutual Casualty Company of Des Moines IA
(the "Surety"), are held and firmly bound unto the City of Waterloo, Iowa
(the "Obligee"), in the penal sum of Two Hundred Seventy-two Thousand One Hundred Seventy-eight & 80/100ths
Dollars ($ 272,178.80---------------), lawful money of the United States, for the payment of said
sum in connection with a contract (the "Contract") dated on or about Av,-;5t 122 f)-f)lam'
for the purpose of F.Y. 2012 Geraldine Road Extension Contract #821
. The Contract is incorporated herein by reference as though fully set
forth herein.
Whenever the Principal shall be and is declared by the Obligee to be in default under the Contract,
with the Obligee having performed its obligations in the Contract, then the Surety, acknowledging
that time is of the essence, may promptly remedy the default, or shall promptly undertake to:
l . Complete the Contract in accordance with its terms and conditions; or
2. Obtain one or more bids for completing the Contract in accordance with its terms
and conditions, and upon determination by the Surety of the lowest responsible
bidder, or negotiated proposal, or, if the Obligee elects, upon determination by the
Obligee and the Surety jointly of the lowest responsible bidder, or negotiated
proposal, arrange for a contract between such party and the Obligee. The Surety
will make available as work progresses sufficient funds to pay the cost of
completion less the balance of the Contract price. The cost of completion includes
responsibilities of the Principal for correction of defective work and completion of
the Contract, the Obligee's legal and design professional costs resulting directly
from the Principal's default, and liquidated damages or actual damages if no
liquidated damages are specified in the Contract. The term "balance of the Contract
price" means the total amount payable by the Obligee to the Principal under the
Contract and any amendments thereto, less the amount properly paid by the Obligee
to the Principal; or
3. Determine the amount for which it is liable to the Obligee and pay the Obligee that
amount as soon as practicable.
In the event this bond is enforced, Principal and Surety agree to indemnify Obligee and hold
Obligee harmless from and against any and all costs of enforcement, including but not limited to
reasonable attorneys' fees and expenses.
Every Surety on this bond shall be deemed and held, any contract to the contrary notwithstanding,
to consent to each and all of the following matters, without notice:
Performance Bond
Page 1 of 2
1. To any extension of time to the Contract in which to perform the Contract.
2. To any change in the plans, specifications, or Contract when such change does not
involve an increase of more than twenty percent (20%) of the total Contract price,
and shall then be released only as to such excess increase.
3. That no provision of this bond or of any other contract shall be valid which limits to
less than one (1) year from the time of the acceptance of the work the right to sue on
this bond for defect in workmanship or material not discovered or known to the
Obligee at the time such work was accepted.
If the Principal performs the Contract, then this bond shall be null and void; otherwise it shall
remain in full force and effect. ' In no event shall the Surety's total obligation exceed the penal
amount of this bond.
Terms used herein shall include, as appropriate, the singular or plural number, or the masculine,
feminine or neuter gender.
IN WITNESS IEREOF, the undersigned Principal and Surety have executed this Performance
Bond as of ;: s� C3 CP– .
PRINCIPAL SURETY
Benton's Sand & Gravel Inc.
Employers Mutual Casualty Company
Name Name
By: `lco — l c,c-a
Title: Nancy D. Schwarz, Attorney -in -Fact
[attach Power of Attorney]
NOTE: Date of BOND must not be prior to date of Contract.
If CONTRACTOR is Partnership, al] partners should execute BOND.
If tl3is,prgject xlucle£eea1 Fonts„tlz o}<loy�ning applesQ tb Iaa31`i?rcfz
IMPORTANT: Surety companies executing bonds must appear on the Treasury Department's
most current list (Circular 570 as amended) and be authorized to transact business in the State
where the project is located.
Performance Bond
Page 2 of 2
Bond Number S414223
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS: that
Benton's Sand & Gravel Inc.
(Name of Contractor)
905 Center Street, Cedar Falls IA 50613
(Address of Contractor)
a Corporation
, hereinafter called Principal,
(Corporation, Partnership or Individual)
and Employers Mutual Casualty Company
(Name of Surety)
P 0 Box 712, Des Moines IA 50306
(Address of Surety)
hereinafter called Surety, are held and firmly bound unto
City of Waterloo
(Name of Owner)
571 Mulberry Street, Waterloo IA 50703
(Address of Owner)
hereinafter called OWNER, in the penal sum of $272,178.80
Dollars, $(272,178.80-- )
in lawful money of the United States, for the payment of which sum well and truly to be made,
we bind ourselves, successors, and assigns, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal eptered into a
certain contract with the OWNER, dated the d`l", day of
20, a copy of which is hereto attached and made a part hereof for the constructiorlbf:
F.Y. 2012 Geraldine Road Extension Contract #821
NOW, THEREFORE, if the Principal shall promptly make payment to all persons, firms,
SUBCONTRACTORS, and corporations furnishing materials for or performing labor in the
prosecution of the WORK provided for in such contract, and any authorized extension or
modification thereof, including all amounts due for materials, lubricants, oil, gasoline, coal and
coke, repairs on machinery, equipment and tools, consumed or used in connection with the
construction of such WORK, and all insurance premiums on said WORK, and for all labor,
performed in such WORK whether by SUBCONTRACTOR or otherwise, then this obligation
shall be void; otherwise to remain in full force and effect.
PROVIDED, FURTHER, that the said Surety for value received hereby stipulates and agrees
that no change, extension of time, alteration or addition to the terms of the contract or to the
WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in
any wise affect its obligation on this BOND, and it does hereby waive notice of any such change,
extension of time, alteration or addition to the terms of the contract or to the WORK or to the
SPECIFICATIONS.
PROVIDED, FURTHER, that no final settlement between the OWNER and the CONTRACTOR
shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied.
IN WITNESS HEREOF, this instrument is executed in 4 counterparts, each one of
}Vi (number)
which shall be deemed an original, this the day of
ATTEST:
Benton's Sand & Gravel Inc.
(Principal) Secretary
(SEAL) By
Witness as to Priucipal
;4-1
(Addre s)
(57.13
A 11 LST:
ness as to Surety
4 00 University Avenue #200
(Address)
West Des Moines IA 50266
Principal
(s)
Center Street, Cedar Falls IA 50613
(Address)
Employers Mutual Casualty Company
Surety
�a
ey-in- •act! Nancy D. Schwarz
4200 University Avenue #200
(Address)
West Des Moines IA 50266
NOTE: Date of BOND must not be prior to date of Contract.
If CONTRACTOR is Partnership, all partners should execute BOND.
ix:.?'�'CG-:v:.;t`::'s'rr ...,,,a58• _ � �su<.'>:�.:,�..,�'� ` §;<•r„”' ..^�a,^, _ 4.:;4i,:t�7:ix:` i :cr
Jf'thus project cru p l e er, l Ft nS 1theql,,PiN4BggP�1i s 1
IMPORTANT: Surety companies executing bonds must appear on the Treasury Department's
most current list (Circular 570 as amended) and be authorized to transact business in the State
where the project is located.
THE FACE AND REVERSE OF THIS DOCUMENT HAVE A COLORED FLAG ON WHITE PAPER
MEM Insurance Companies® No. A06089
P.O. Box 712 • Des Moines, IA 50306-0712
CERTIFICATE OF AUTHORITY INDIVIDUAL ATTORNEY-IN-FACT
KNOW ALL MEN BY THESE PRESENTS, that:
1. Employers Mutual Casualty Company, an Iowa Corporation 5. Dakota Fire Insurance Company, a North Dakota Corporation
2. EMCASCO Insurance Company, an Iowa Corporation 6. EMC Property & Casualty Company, an Iowa Corporation
3. Union Insurance Company of Providence, an Iowa Corporation 7. Hamilton Mutual Insurance Company, an Iowa Corporation
4. Illinois EMCASCO Insurance Company, an Iowa Corporation
hereinafter referred to severally as "Company" and collectively as "Companies", each does, by these presents, make, constitute and appoint:
F. MELVYN HRUBETZ, PATRICK K. DUFF, GREG T. LAMAIR, JOYCE 0. HERBERT, MARK E. KEAIRNES, NANCY D. SCHWARZ, JEFFREY R. BAKER,
JOSEPH I. SCHMIT, JILL SHAFFER
its true and lawful attomey-in-fact, with full power and authority conferred to sign, seal, and execute its lawful bonds, undertakings, and other obligatory instruments of a
similar nature as follows:
In an amount not exceeding Ten Million Dollars $10,000,000.00
and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such Company, and all of
the acts of said attorney pursuant to the authority hereby given are hereby ratified and confirmed.
The authority hereby granted shall expire
APRIL 1, 2014 unless sooner revoked.
AUTHORITY FOR POWER OF ATTORNEY
This Power-of-Attomey is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the Companies at a
regularly scheduled meeting of each company duly called and held in 1999:
RESOLVED: The President and Chief Executive Officer, any Vice President, the Treasurer and the Secretary of Employers Mutual Casualty Company shall have power
and authority to (1) appoint attomeys-in-fact and authorize them to execute on behalf of each Company and attach the seal of the Company thereto, bonds and
undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof; and (2) to remove any such attomey-in-fact at any time and revoke
the power and authority given to him or her. Attorneys -in -fact shall have power and authority, subject to the terms and limitations of the power-of-attomey issued to them,
to execute and deliver on behalf of the Company, and to attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and
other writings obligatory in the nature thereof, and any such instrument executed by any such attorney-in-fact shall be fully and in all respects binding upon the Company.
Certification as to the validity of any power-of-attomey authorized herein made by an officer of Employers Mutual Casualty Company shall be fully and in all respects
binding upon this Company. The facsimile or mechanically reproduced signature of such officer, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power-of-attomey of the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed.
IN WITNESS THEREOF, the Companies have caused these presents to be signed for each by their officers as shown, and the Corporate seals to be hereto affixed this
10th day of JANUARY , 2011 .
Seals
in
ONES, 10 CERTIFICATE
I, James D. Clough, Vice President of the Companies, do hereby certify that the foregoing resolution of the Boards of Directors by each of the Companies,
and this Power of Attorney issued pursuant thereto on JANUARY 10, 2011 on behalf of:
F. MELVYN HRUBETZ, PATRICK K. DUFF, GREG T. LAMAIR, JOYCE O. HERBERT, MARK E. KEAIRNES, NANCY D. SCHWARZ, JEFFREY R. BAKER, JOSEPH I. SCHMIT,
JILL SHAFFER
z
"
LAUREL A. BLOSS
Commission Number 183662
My Comm. Exp Mar13.2014
Bruce G. Kelley, Chairman
of Companies 2, 3, 4, 5 & 6; President
of Company 1; Vice Chairman and
CEO of Company 7
Michael Freel
Assistant Vice President/
Assistant Secretary
On this 10th day of JANUARY AD 2011 before me a
Notary Public in and for the State of Iowa, personally appeared Bruce G. Kelley and Michael Freel,
who, being by me duly swom, did say that they are, and are known to me to be the Chairman,
President, Vice Chairman and CEO, and/or Assistant Vice President/Assistant Secretary,
respectively, of each of The Companies above; that the seals affixed to this instrument are the
seals of said corporations; that said instrument was signed and sealed on behalf of each of the
Companies by authority of their respective Boards of Directors; and that the said Bruce G. Kelley
and Michael Freel, as such officers, acknowledged the execution of said instrument to be the
voluntary act and deed of each of the Companies.
My Commission Expires March 13, 2014.
Notary Public in and for the State of Iowa
are true and correct and are still in full force and effect.
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of
each Company this day of
7832 (5-07) SIXTH "For verification of the authenticity of the Power of Attorney you may call (515) 345-2689."
Vice President
08/08/2012 WED 10:27 FAX 319 268 2214
•
ACR®'
BENTONS SAND & GRAVEL
I—J001/001
BENTSAN-01 LMK
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
8/8/2012
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY MD 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(les) must 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
TruoNorth, Kimble Insurance
226 Main Street
Cedar Falls, IA 50613
(319)268-2034
cWrrMErncT TrueNorth Risk Management
N - exo: (319) 366-2723
FAX
No): (877) 810-6374
E-MAIL certs@truenorthcompanies.com
INSURER(S) AFFORDING COVERAGE
NAM
INSURER A:United Fire and Casualty Company
INSURED
Benton's-Sand-&-Gravel,-Incr
905 Center Street
Cedar Falls, IA 50613-
-INSURERS
INSURER C
INSURER D :
INSURER E :
INSURER F :
•
UMBER:
4MV CfWVca •...1-v , 1. a...-.1 c nvw.v�,..
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDRION 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.
INSR
LTR
TYPE OF INSURANCE
ADD
INSR
SUBR
WVD
POLICY NUMBER
POLICYE� F
(MMIAA
POLICY EXP
(MMIDDMYYY)
UMIiS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X
COMMERCIAL GENERAL LIABIUTY
X
60342437
1/112012
111/2013
PRDAM0ENowDa/xa
$ 100,000
CLAIMS -MADE ^ OCCUR
MED EXP (Any one per)
$ 5,000
I I
PERSONAL&ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEML
AGGREGATE UMR APPLIES��PER:
PRODUCTS - COMPIOP AGO
$ 2,000,000
�
nlPOLICY ITITer" FIC Loc
$
AUTOMOBILEUABTLITY(Ea�COMBIIaD)INGLEUMIT
$ 1,000,000
A
X
ANY AUTO
60342437
111/2012
1/1/2013
BODILY INJURY (Per person)
$
ALL OWNED
SCHEDULED
BODILY INJURY (Per accident)
$
X
AUTOS
HIRED AUTOS
X
NNOON.O RJED
PROPERTY DAMAGE
(Per accident)
$
AUTOS
$
X
UMBRELLA UAB
X
OCCUR
EACH OCCURRENCE
$ 6,000,000
A
EXCESS LIAR
CLAIMS -MADE
60342437
1/1/2012
1/1/2013
AGGREGATE
$ 6,000,000
OED RETENTION $
$
WORKERS COMPENSATION
WC STATU-
X TORY LIMITS
°R.
ER
A
AND EMPLOYERS' LIABILITY
ANY PRQPRIETORIPARTNER/ExECUTNEYI
60342437
1/1/2012
1/112013
EL EACH ACCIDENT
$ 100,000
OFFICER/MISER OCCLUDED?
(Mandatory In NH)
N(A
E.L DISEASE - EA EMPLOYEE
$ 100,000
Um describe under
DESCRIPTION OF OPERATIONS below
EL DISEASE -POUCYUMR
$ 500,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remelts Schedule if more space is required)
F.Y. 2012 Geraldine Road extension. Contract #821.
Certificate holder is additional insured with respects to the General Liability.
I
of Waterloo
715 Mulberry St
Waterloo, IA 50703-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ACCORDANCEIWITH THE O ICY EXPIRTON DATE PROVISIONSE OF, NOTIC� BE DELIVERED IN
TCity
AUTHORIZE) REPRESENTATIVE
•
ACORD 25 (2010/05)
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