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HomeMy WebLinkAboutFehr Graham EngineeringFEHR GRMAM ENGINEERING & ENVIRONMENTAL 200 5th Avenue SE Suite 100 I Cedar Rapids, IA 52401 FOR FY 2018 MANHOLE INSPECTIONS - SERVICE AREAS 10,11,12, AND 13, CITY CONTRACT NO.935 PropoSol R GRI‘11-1AM NEERING & ENVIRONMENTAL ISE I Suite 100 Cedar Rapids, IA 52401 FY 2018 MANHOLE SERVICE AREAS 10, CITY CONTRACT NO INSPECTIONS - 11,12, AND 13, .935 e---6ia -Bona THIS DOCUMENT HAS A COLORED BACKGROUND, AN ULTRAVIOLET INK FEATURE AND A SIMULATED WATERMARK ON THE BACK /Pik 1718 S. Di rck '45r\F re4ort‘';')L,410!2$ Freeport, IL , REMITTER FEHR -"GRAHW 8e.:/,ASSpCIATES LLC , . 70-2591/711 CASHIERS „CHECK 0000018 Date /j7.\ • \ \‘‘ Branch: 1001 EXACTLY * *5,667 ,AND 50/100s DOLLARS , • TO THEORDER OF CITY OF WATERLOO, 046487 5,667.50 11110 6,48 70 1:0 L 2 59 L11: 000 /00 L',/ &II! ALITHORIZp,SIGIVAT\U RE\ • FEHRGRPJ-:AM ENGINEERING & ENVIRONMENTAL July 13, 2017 City of Waterloo 715 Mulberry Street Waterloo, Iowa 50703 RE: FY 2018 Manhole Inspections - Service Areas 10,11,12, and 13 City Contract No. 935 To Whom It May Concern: Thank you for the variance on the maintenance bond and bidding requirements. Enclosed is our bid/check and complete contact information for this project. Sincerely, Brad Geater, PE, PLS Land Surveyor 200 5th Avenue SE 1 Suite 100 1 Cedar Rapids, IA 52401 1 p:319294.6909 1 f:319.294,5133 1 www.fehr-graham.com insight. Experience. Results. FORM OF BID OR PROPOSAL FY 2018 MANHOLE INSPECTIONS — SERVICE AREAS 10, 11, 12 AND 13 CITY OF WATERLOO, IOWA CITY CONTRACT NO. 935 Honorable Mayor and City Council Waterloo, Iowa Gentlemen: The undersigned, being a Corporation existing under the laws of the State of Iowa a Partnership consisting of the following partners: R. Todd Weegens, Adam Holder, Ken Thompson having familiarized (himself) (themselves) (itself) with the existing conditions on the project area affecting the cost of the work, and with all the contract documents listed in the Table of Contents and Addenda (if any), as prepared by the City Engineer of the City of Waterloo now on file in the office of the City Clerk, City Hall, Waterloo, Iowa, hereby proposes to furnish all supervision, technical personnel, labor, materials, machinery, tools, appurtenances, equipment, and services, including utility and transportation services required to construct and complete this FY 2018 MANHOLE INSPECTIONS — SERVICE AREAS 10, 11, 12 AND 13, CITY CONTRACT NO. 935, all in accordance with the above -listed documents and for the unit prices for work in place for the following items and quantities: FY 2018 MANHOLE INSPECTIONS — SERVICE AREAS 10, 11, 12 AND 13 CITY OF WATERLOO, IOWA CITY CONTRACT NO. 935 Item Description Unit Estimated Quantiles Unit Price Total Amount 1 Manhole Inspection - SA 10 EA 346.00 $ 135.00 $ 46,710.00 2 Manhole Inspection - SA 11 EA 347.00 $ 130.00 $ 45,110.00 3 Manhole Inspection - SA 12 EA 140.00 $120.00 $ 16 800.00 4 Manhole Inspection - SA 13 EA 43.00 $110.00 $ 4,730.00 TOTAL BID $ 113,350.00 2. It is understood that the quantities set forth are approximate only and subject to variation and that the unit bid price for the work done shall govern in the actual payment to Contractor. 3. In submitting this bid, the bidder understands that the right is reserved by the City of Waterloo, Iowa, to reject any or all bids. If written notice of the acceptance of this bid is mailed, telegraphed, or delivered to the undersigned within thirty (30) days after the opening thereof, or at any time thereafter before this bid is withdrawn, the undersigned agrees to execute and deliver an agreement in the prescribed form and furnish the required bond and certificate of the insurance within ten (10) days after the agreement is presented to him for signature, and start work within ten (10) days after "Notice to Proceed" is issued. 4. Security in the sum of Five thousand six hundred sixty seven and 50 cents Dollars ($ 5.667.50 ) in the form of Cashier's Check , is submitted herewith in accordance with the INSTRUCTIONS TO BIDDERS. 5. Attached hereto is a Non -Collusion Affidavit of Prime Contractor. FORM OF BID AECOM 60543369 CONTRACT NO. 935 BF -1 OF 2 6. Attached hereto is a Resident Bidder Certification ( X ) or Non -Resident Bidder Certification (). (Mark one.) 7. The bidder is prepared to submit a financial and experience statement upon request. 8. The Prime Contractor and Subcontractor(s), which have performed an aggregate of $10,000.00 in work for the City in the current calendar year, are prepared to submit an MP or Update and an EOC, within ten (10) days of notification that the bid submitted is lowest and acceptable. 9. The bidder has received the following Addendum or Addenda: Addendum No. N/A Date N/A 10. The bidder shall list the MBE/WBE subcontractor(s), amount of subcontracts and bid items on the City of Waterloo Minority and/or Women Business Pre-bid Contact Information Form submitted with this Form of Bid or Proposal. The apparent low Bidder shall submit a list of all other Subcontractor(s) to be used on this Project to the City of Waterloo by 5:00 p.m. the business day following the day Bids on this Project are due along with the Non -Collusion Affidavits of All Subcontractor(s). The Contractor shall submit information on subcontractors on "SUBCONTRACTOR REQUEST AND APPROVAL" Form to be provided by City prior to approval of contract. The subcontractors listed on this proposal and/or submitted to the Contract Compliance Officer cannot be changed except for the following reasons: 1) The City of Waterloo does not approve the subcontractors. 2) The subcontractors submit in writing that they cannot fulfill their subcontracts. 11. The bidder has filled in all blanks on this proposal. Those blanks not applicable are marked "none" or "NA". 12. The bidder has attached all applicable forms. 13. The Owner reserves the right to select alternates, delete line items, and/or to reduce quantities prior to the award of a contract due to budgetary limitations. Fehr Graham Engineering & Environmental July 13 2017 (Name of Bidder) (Date) BY: Nathan P Kass PE PLS Title Branch Manager Official Address: (Including Zip Code): 200 5th Avenue SF Suite 100 Cedar Rapids, IA 52401 I.R.S. No. N/A FORM OF BID AECOM 60543369 CONTRACT NO. 935 BF -2 OF 2 Mayor QUENTIN M. HART COUNCIL MEMBERS TOM POWERS Ward 1 Cedar Rapids, IA 52401 CITY OF WATERLOO, IOWA WATERLOO ENGINEERING DEPARTMENT 715 Mulberry St. • Waterloo, IA 50703 • (319) 291-4312 Fax (319) 291-4262 ERIC THORSON, P.E. • City Engineer INFORMATION NEEDED FOR IOWA CONSTRUCTION SALES TAX EXEMPTION CERTIFICATE CONTRACTOR NAME: Fehr Graham Engineering & Environmental ADDRESS: 200 5th Avenue SE, Suite 100 BRUCE Tard2 (Check One) PRIME: X SUBCONTRACTOR: PATRICK FEDERAL ID#: 36-2780335 MORRISSEY Ward 3 PROJECT NAME: FY 2018 MANHOLE INSPECTIONS — JEROME SERVICE AREAS 10,11,12 AND 13 AMOS, JR. Ward 4 PROJECT CONTRACT NO.: 935 RON WELPER Ward5 DESCRIPTION OF WORK: TOM LIND ❑ Brickwork ❑ Landscaping At -Large ❑ Carpentry 0 Painting STEVEN SCHMITT 0 Concrete 0 Paving A1 -targe 0 Drywall -Plaster -Insulation 0 Plumbing O Electrical 0 Roofing -Siding -Sheet Metal O Excavation/Grading 0 Windows ❑ Flooring 0 Wrecking -Demolition ❑ Heavy Construction 0 Other (Please Specify) ❑ Heating -Ventilating -Air Cond. 0 Manhole Inspections WE'RE WORKING FOR YOU! An Equal Opportunity/Affirmative Action Employer SALES TAX EXEMPTION AECOM 60543369 CONTRACT NO. 935 Page STE-1 OF 1 State of Iowa County of Linn NON -COLLUSION AFFIDAVIT OF PRIME BIDDER ) )ss Nathan P. Kass, PE, PLS , being first duly sworn, deposes and says that: 1. He is Owner Partner Officer Representative or Agent) , of Fehr Graham Engineering & Environmental , the Bidder that has submi ted t e a ached Bid; 2. He is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid; 3. Such Bid is genuine and is not a collusive or sham Bid; 4. Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees, or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm or person to fix the price or prices in the attached Bid or of any other Bidder, or, to fix any overhead, profit or cost element of the bid price or the bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against the City of Waterloo, Iowa, or any person interested in the Proposed Contract; and 5. The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant. / (Signed) Subscribed and sworn to before me this Branch Manager Title /3'6 day of 20 }7 7"ham My commission expires (' – l7 — / 3 Title ,,s""� a ECCA A. HARRIS ° CommissioREBn No. 190699 z 4oww . My Comm. Expires June 17, 20 /E% NON -COLLUSION CONTRACT NO. 935 NCA -1 OF 2 AECOM 60543369 EQUAL OPPORTUNITY CLAUSE (As provided in Executive Order No. 11246) All contractors, subcontractors, vendors and suppliers of goods and services doing business with the City and value of said business equals or exceeds ten thousand dollars ($10,000.00) annually agree as follows: 1. The contractors, subcontractor, vendor and supplier of goods and services will not discriminate against any employee or applicant for employment because of race, color, creed, sex, national origin, economic status, age, mental or physical handicap, political opinions or affiliations. The contractor, subcontractor, vendor and supplier will develop an Affirmative Action program to ensure that applicants are employed and that employees are treated during employment without regard to their race, creed, color, sex, national origin, religion, economic status, age, mental or physical disability, political opinions or affiliations. Such actions shall include but not be limited to the following: a. Employment b. Upgrading c. Demotion or Transfer d. Recruitment and Advertising e. Layoff or Termination f. Rates of Pay or Other Forms of Compensation g. Selection for Training Including Apprenticeship 2. The contractor, subcontractor, vendor and supplier of goods and services will, in all solicitations or advertisements for employees, state that all qualified applicants will receive consideration for employment without regard to race, creed, color, sex, national origin, religion, economic status, age, mental or physical disabilities, political opinion or affiliations. 3. The contractor, subcontractor, vendor and supplier or his/her collective bargaining representative will send to each labor union or representative of workers which he/she has a collective bargaining agreement or other contract or understanding, a notice advising said labor union or workers' representative of the contractor's commitment under this section. 4. The contractor, subcontractor, vendor and supplier of goods and services will comply with all published rules, regulations, directives, and order of the City of Waterloo Affirmative Action Program Contract Compliance Provisions. 5. The contractor, subcontractor, vendor and supplier of goods and services will furnish and file compliance reports within such time and upon such forms as provided by the Affirmative Action Officer. Said forms will elicit information as to the policies, procedures, patterns, and practices of each subcontractor as well as the contractor himself/herself and said contractor, subcontractor, vendor and supplier will permit access to his/her employment books, records and accounts to the City's Affirmative Action Officer, for the purpose of investigation to ascertain compliance with this contract and with rules and regulations of the City's Affirmative Action Program—Contract Compliance Provisions relative to Resolution No. 24664. 6. In the event of the contractor's non-compliance with the non-discrimination clauses of this contract or with any of such rules, regulations and orders, this contract may be canceled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further contracts in accordance with procedures authorized by the City Council. 7. The contractor, subcontractor, vendor and supplier of goods and services will include, or incorporate by reference, the provisions of the non-discrimination clause in every contract, EQUAL OPPORTUNITY CLAUSE AECOM 60543369 CONTRACT NO. 935 EOC-1 of 2 subcontract or purchase order unless exempted by the rules, regulations or orders of the City's Affirmative Action Program, and will provide in every subcontract, or purchase order that said provisions will be binding upon each contractor, subcontractor, or supplier. 8. We, the undersigned, recognize that we are morally and legally committed to non-discrimination in employment. Any person who applies for employment with our company will not be discriminated against because of race, creed, color, sex, national origin, economic status, age, mental or physical disabilities. EQUAL OPPORTUNITY CLAUSE AECOM 60543369 (Signed) (Appropriate Official) Branch Manager July 13, 2017 (Title) (Date) CONTRACT NO. 935 EOC-2 of 2 CONTRACT NO: PROJECT NAME: DATE OF LETTING: RESIDENT BIDDER CERTIFICATION 935 FY 2018 Manhole Inspection - Service Areas 10,11,12 and 13 July 13, 2017 To be a qualified resident bidder, the bidder shall be a person or entity authorized to transact business in this state and having a business for at least three years prior to the date of the first advertisement for the public improvement. If another state or foreign country has a more stringent definition of a resident bidder, the more stringent definition is applicable as to bidders from that state or foreign country. This qualification as resident bidder shall be maintained by the contractor and his subcontractors at the work site until this project is completed. I hereby certify that I am a resident bidder as defined above. RESIDENT BIDDER AECOM 60543369 COMPANY NAME Fehr Graham Engineering & Environmental CORPORATE OFFICER Nathan P. Kass, PE, PLS e. TITLE Branch Manager DATE July 13 9017 CONTRACT NO. 935 RB -2 OF 3 Revised February 2003 CONTRACTOR'S OR SUBCONTRACTOR'S AFFIRMATIVE ACTION PROGRAM Check box that applies to party completing program: ( x ) General Contractor ( ) Subcontractor Section A to be completed by GENERAL CONTRACTORS only: A. Name of Company Fehr Graham & Associates Address of Company 221 E. Main Street, suite 200 Zip 61032 Telephone Number ( 815 ) 235-7643 Federal ID Number (if no Federal ID Number, Owner/President's Social Security Number) 36-2780335 Name of Project City of Waterloo Project Contract Number 935 Estimated Construction Work Dates 7/27/17 / 9/15/17 Start Finish Section B to be completed by SUBCONTRACTORS only: B. Name of General or Prime Contractor Fehr Graham & Associates Name of Subcontractor N/A Subcontractor's Address Zip Subcontractor's Telephone Number ( Subcontractor's Federal ID Number (if no Federal ID Number Owner/President's Social Security Number) Name of Equal Employment Officer Stacy Bradley C. Remainder of program to be completed by party completing program, either Prime or Subcontractor. -1 - The Owners and/or Principals of your company: Ethnic Name Address Position Sex Origin R. Todd Weegens 1575 West Demeter Drive /Principal/Male/White Adam Holder 1682 Barberry Circle/Principal/Male/White Ken Thompson 807 North Bolton Road/Principal/Male/White 2. Other Areas of Interest: If your company has branches or subsidiaries, or if your company is a branch or subsidiary of a parent organization, give the following information: Name Type of Address Affiliation Degree II. EMPLOYER'S POLICY (Please read carefully.) A. We, the undersigned, recognize that we are morally and legally committed to nondiscrimination in employment. Any person who applies for employment with our company will not be discriminated against because of race, color, creed, sex, national origin, economic status, age, mental or physical handicap. B. The employment policies and practices of the undersigned are to recruit and hire employees without discrimination, and to treat them equally with respect to compensation and opportunities for advancement, including training, upgrading, promotion, and transfer. However, we realize the inequities associated with employment training, upgrading, contracting and subcontracting for minorities and women and we will direct our efforts to correcting any deficiencies to the maximum extent possible. The same will be required of our SUBCONTRACTORS and suppliers. C. We submit this program to assure compliance with Executive Order 11246, as amended, and other subsequent orders that may pertain to equal employment opportunity and merit employment policies, fully realizing that our qualification and/or merit system should be evaluated and revised, if necessary. D. We agree to put forth the maximum effort to achieve full employment and utilization of capabilities and productivity of all our citizens without regard to race, creed, color, sex, national origin, economic status, age, and mental or physical handicap. E. Fehr Graham & Associates will give training (Name of Company) 1. The Owners and/or Principals of your company: Ethnic Name Address Position Sex Origin Joel Zirkle 612 North Blackmore/Principal/Male/White Michael Gronewold 403 West Willow/Principal/Male/White Noah Carmichael 1330 Sunset Terrace/Principal/Male/White 2. Other Areas of Interest: If your company has branches or subsidiaries, or if your company is a branch or subsidiary of a parent organization, give the following information: Type of Name Address Affiliation Degree 11. EMPLOYER'S POLICY (Please read carefully.) A. We, the undersigned, recognize that we are morally and legally committed to nondiscrimination in employment. Any person who applies for employment with our company will not be discriminated against because of race, color, creed, sex, national origin, economic status, age, mental or physical handicap. B. The employment policies and practices of the undersigned are to recruit and hire employees without discrimination, and to treat them equally with respect to compensation and opportunities for advancement, including training, upgrading, promotion, and transfer. However, we realize the inequities associated with employment training, upgrading, contracting and subcontracting for minorities and women and we will direct our efforts to correcting any deficiencies to the maximum extent possible. The same will be required of our SUBCONTRACTORS and suppliers. C. We submit this program to assure compliance with Executive Order 11246, as amended, and other subsequent orders that may pertain to equal employment opportunity and merit employment policies, fully realizing that our qualification and/or merit system should be evaluated and revised, if necessary. D. We agree to put forth the maximum effort to achieve full employment and utilization of capabilities and productivity of all our citizens without regard to race, creed, color, sex, national origin, economic status, age, and mental or physical handicap, E. Fehr Graham & Associates will give training (Name of Company) -2 and employment opportunities to local residents of Waterloo, Iowa, to the greatest extent feasible. III. AFFIRMATIVE ACTION A. Fehr Graham & Associates recognizes that the (Name of Company) effective application of a policy of merit employment involves more than just a policy statement, and Fehr Graham & Associates (Name of Company) will, therefore, re-evaluate our Affirmative Action Program to ensure that equal employment opportunities are available on the basis of individual merit, and to actively encourage minorities, women and local residents to seek employment with our company on this basis. B. Fehr Graham & Associates will undertake the (Name of Company) following six (6) steps to improve our Affirmative Action Program: 1. Minority Recruitment and Employment; 2. Local Recruitment and Employment; 3. Disabled Veteran and Vietnam Era Veteran Recruitment and Employment; 4. Handicapped Recruitment and Employment; 5. Female Recruitment and Employment; and 6. Training, Upgrading and Promotional Opportunities. Fehr Graham & Associates C will take (Name of Company) whatever steps are necessary to ensure that our total work force has adequate minority, female, and local representation. We will utilize the following methods in our recruitment attempts: 1. Local advertising media (newspapers, radio, TV); 2. Community organizations (churches, clubs, schools); 3. Public and private institutions in the area (UNI, Hawkeye Community College); 4. Job Service of Iowa; and 5. Other. D. Fehr Graham & Associates will seek qualified minority, (Name of Company) female, and local group applicants for all job categories and will make asserted efforts to increase minority, female and group representation in occupations at the higher levels or skill and responsibility. E. All sources of employment used shall be aware that we are an Equal Employment Opportunity Employer. Labor organizations representing our employees will be notified of our Equal Employment Opportunity Policy and Affirmative Action Program. 3 F. Training, upgrading, promotion and transfer activities at all levels will be monitored to ensure that full consideration has been given to qualified minority, female, and local group employees. G. Fehr Graham & Associates will encourage other (Name of Company) companies with whom we are associated and/or do business, to do the same and we will assist them in their efforts. H. Fehr Graham & Associates has taken the following (Name of Company) Affirmative Action to ensure that minority, female, local contractors and/or suppliers were provided opportunities to negotiate and/or bid on this project: (if none, write "NONE") 1. N/A 2. As a result of the above efforts, we have involved minority, female, and local contractors and/or suppliers in the following areas of subcontracting: (if none, write "NONE") 1. N/A 2. J. Fehr Graham & Associates will require approved (Name of Company) Affirmative Action Programs from all nonexempt contractors who propose to work on this project and will take whatever steps are necessary to ensure that non - minority contractors have adequate representation of minority, female and local persons in their total work force. K. In further accordance with rules and guidelines issued pursuant to Executive Order 11246 as amended, we establish the goals for our company, based on parity percentages supplied by the City, and we realize these goals will be reviewed on an annual basis. L. Fehr Graham & Associates will keep records of (Name of Company) specific actions relative to recruitment, employment, training, upgrading and promotion and will provide the City of Waterloo with any information relative to same, including activities of our SUBCONTRACTORS and suppliers as necessary or when requested. M. Parity figures for companies located in Waterloo are as follows: Minority Parity = .08 (8%) Fehr Graham & Associates N. Affirmative Action (Name of Company) -4 - Employment Goals: The definition of Affirmative Action Goals is as follows: "Goals may not be rigid and inflexible quotas which must be met, but must be targets, reasonably attainable by means of applying every good faith effort to make all aspects of the entire Affirmative Action Program work." For the year 201 7, please submit percentage targets for employing minorities and women, If you already have reached your target for hiring minorities and women, please submit that percentage. *Goals for Minorities: 34 Goals for Women: 29 *Your affirmative action goals should be between 1% and 10% or more for minorities and 1% and 5% or more for women. Please be advised that the goals or targets are purely your estimation of how many women and minorities your company can reasonably expect to hire in 201 . Note, that none of the goals are rigid or inflexible. They are targets that your company calculates as reasonably attainable. This will help the City in its monitoring procedures as required by City of Waterloo Resolution No. 1984- 142(4). -5 - First Last Name Address 1 Address 2 CityName State Zip Job Category Sex Race Hourly Billing Base Rate Eleanor Macklin 202 E. McConaughy Ave Rochelle Illinois 61068 Technician Female Asian $ 35.00 Erica Toledo 1717 Hancock Street Rockford Illinois 61103 Professional Female Hispanic $ 76.00 Yanel Jones 1654 Sheep Road Franklin Grove Illinois 61031 Technician Female Hispanic $ 72.00 Anna Derocher 4319 Forest View Ave Rockford Illinois 61108 Manager Female White $ 118.00 Mary Coombe Bloxdorf 21 Hickory Ridge Lane Springfield Illinois 62707-9308 Manager Female White $ 174.00 Lori Willging 1550 West Logan Street Freeport Illinois 61032 Manager Female White $ 132.00 Renee Bohr 30729 Granite Road Castalia Iowa 52133 Office Female White $ 90.00 Lora Brown 704 S. Emerson Monticello Illinois 61856 Office Female White $ 85.00 Tara Cormier 2904 S Glenwood Ave Springfield Illinois 62704 Office Female White $ 65.00 Deanna Dow 1394 S. Golf Road Stockton Illinois 61085 Office Female White $ 65.00 Carolle Duncan 7289 Big Stone Circle Roscoe Illinois 61073-9707 Office Female White $ 65.00 Jessica Endres 521 E. US HWY 36 Tuscola Illinois 61953 Office Female White $ 65.00 Roxane Frank W8411 Brazelton Drive Random Lake Wisconsin 53075 Office Female White $ 65.00 Maria Lynch 505 South Broad Street Lanark Illinois 61046 Office Female White $ 65.00 Bernadine Martin 205 South Burrell Box 73 Hawkeye Iowa 52147 Office Female White $ 65.00 Mandy McCrary 410 Wiley Blvd NW Cedar Rapids Iowa 52405 Office Female White $ 65.00 Ellen Miller 5596 South Greenland Driv Rochelle Illinois 61068 Office Female White $ 65.00 Amy Ries 2969 Highway 38 Hopkinton Iowa 52237 Office Female White $ 65.00 Danielle Smith 2256 Mallard Drive Freeport Illinois 61032 Office Female White $ 65.00 Christine Steeb 220 Giddings Ave Sheboygan Falls Wisconsin 53085 Office Female White $ 65.00 Eleanor Willging 1550 West Logan Street Freeport Illinois 61032 Office Female White $ 35.00 Katherine Badskey 914 Waterview Way Apt C Champaign Illinois 61822 Professional Female White $ 87.00 Michelle Boeldt 3616 South 16th St. Sheboygan Wisconsin 53081 Professional Female White $ 90.00 Donna Bomhoff 445 High Road Cary Illinois 60013 Professional Female White $ 137.00 Stacy Bradley 6146 Carisburg Lane Rockford Illinois 61109 Professional Female White $ 83.00 Jennifer Buholzer 2708 22nd Avenue Monroe Wisconsin 53566 Professional Female White $ 112.00 Lauren Downing 1511 Torch Pine Drive Rockton Illinois 61072 Professional Female White $ 140.00 Shelly Dunham 6276 Roundup Butte Street Colorado Springs Colorado _80925 Professional Female White $ 127.00 Christie Elliott 670 West Forsyth Parkway Forsyth Illinois 62535 Professional Female White $ 132.00 Greta Elsbemd 316 East Union Street Manchester Iowa 52057-1429 Professional Female White $ 78.00 Carla. Gaunt 1501 Sheridan Drive Norfolk Nebraska 68701 Professional Female White $ 40.00 Erin Jarrett 3926 Eaton Drive Rockford Illinois 61114 Professional Female White $ 91.00 Lauren Jones 1021 Harlem Blvd. Rockford Illinois 61103 Professional Female White $ 76.00 Katelyn Kane 409 Allen Street Clinton Wisconsin 53525 Professional Female White $ 69.00 Brenda Metzger 1049 North 3rd Street Rochelle Illinois 61068 Professional Female White $ 93.00 Elisabeth Rutter 537 W. Fairway Drive Lena Illinois 61048 Professional Female White $ 67.00 Bridget Smith 328 West Evelyn Street Freeport Illinois 61032 Professional Female White $ 91.00 Alyssa Stahl 3440 Holiday Drive Apt. #18 Rockford Illinois 61109-2590 Professional Female White $ 85.00 Bridgette Stocks 303 North Maple Street Apple River Illinois 61001 Professional Female White $ 86.00 Amy Trimble 48 Highview Court Orangeville Illinois 61060 Professional Female White $ 88.00 Catherine Turner 3280 San Marcos Street Brookfield Wisconsin 53005 Professional Female White $ 125.00 Charity Voskuil 8724 Sarver Road Pecatonica Illinois 61063 Professional Female White $ 35.00 Brandy Williams 203 Windmill Drive Rochelle Illinois 61068 Professional Female White $ 119.00 Perri Wilson 1031 Burke Drive Freeport Illinois 61032 Professional Female White $ 83.00 Debra Baxter 2276 North 2653 Road Marseilles Illinois 61341 Technician Female White $ 128.24 Gay Broocks 1537 Demeter Drive Freeport Illinois 61032 Techniaan Female White $ 95.00 Amy Cabalke 2156 Plymouth Avenue Independence Iowa 50644 Technician Female White $ 59.00 Megan Hansen 420 Western Avenue Plymouth Wisconsin 53073 Technician Female White $ 65.00 Tawnya Liezert 936 N. 10th Street Rochelle Illinois 61068 Technician Female White $ 57.00 Patricia Marr 16551 Old Jacksonville Roa New Berlin Illinois 62670 Technidan Female White $ 94.04 Jean Pijan McKeever 361 Golden Eagle Bend Machesney Park Illinois 61115 Technician Female White $ 77.00 Michelle Young 602 Monroe Street Pawnee Illinois 62558 Technician Female White $ 90.00 Benjamin Garde 2525 Wydown Avenue Springfield Illinois 62704 Manager Male Asian $ 146.00 Maanitraj Gopalraj 2403 W. Springfield Ave. Apt R6 Champaign Illinois 61821 Professional Male Asian $ 97.00 Narendra Patel 711 Luria Lane Champaign Illinois 61822-1106 Professional Male Asian $ 131.00 George Weber 1218 Rose Drive Sycamore Illinois 60178 Technician Male Asian $ 74.00 Jesus Hernandez 571 Sierra Drive, Apt #1 Freeport Illinois 61032 Technician Male Hispanic $ 72.00 Muhanad Jawad 1917 Maynard Drive Champaign Illinois 61822 Professional Male Two RacE $ 138.00 Kenneth Beach 1524 W Harrison Street Freeport Illinois 61032 Manager Male White $ 176.00 Guy Bergschneider 1620 South Douglas Springfield Illinois 62704-3518 Manager Male White $ 92.00 Jon Biederman 302 Lovers Lane Fayette Iowa 52142 Manager Male White $ 161.00 Keith Brandau 806 W. Clark Street Champaign Illinois 61820 Manager Male White $ 181.00 Noah Carmichael 1330 Sunset Terrace Rochelle Illinois 61068 Manager Male White $ 205.00 Frederick Coombe 4704 Bears Paw Springfield Illinois 62711 Manager Male White $ 174.00 William Coombe 25 Carole Road Springfiled Illinois 62711 Manager Male White $ 174.00 Kendrick Ebbott W5877 Pheasant Lane Plymouth Wisconsin 53073 Manager Male White $ 165.00 Thomas Graceffa 108 Andreis Trail South Windsor Connecticut 06074 Manager Male White $ 190.00 David Griffin 3908 North 46th St. Sheboygan Wisconsin 53083 Manager Male White $ 120.00 Michael Gronewold 403 West Willow Forreston Illinois 61030 Manager Male White $ 205.00 Kent Henschen 3660 Appiewood Lane Rockford Illinois 61114 Manager Male White $ 117.00 Adam Holder 1682 Barberry Circle Freeport Illinois 61032 Manager Male White $ 205.00 Larry Johnson 19 Ashley Lane Champaign Illinois 61820 Manager Male White $ 187.00 Matthew Johnson 2104 Strand Drive Champaign Illinois 61822-3517 Manager Male White $ 176.00 Andrew Kieser 2005 Trout Valley Drive Champaign Illinois 61822 Manager Male White $ 165.00 Gordon Koch 2422 North 5th St. Sheboygan Wisconsin 53083 Manager Male White $ 145.00 Alan Kon 2009 Clarion Drive Springfield Illinois 62711 Manager Male White $ 174.00 John Moms 129 White Pine Drive Springfield Illinois 62712 Manager Male White $ 186.00 Jason Stoll 3984 Pepper Drive Rockford Illinois 61114 Manager Male White $ 157.00 Lyle TeKippe 128 South Vine Street West Union Iowa 52175 Manager Male White $ 156.00 Ken Thompson 807 North Bolton Road Freeport Illinois 61032 Manager Male White $ 205.00 R. Todd Weegens 1575 West Demeter Drive Freeport Illinois 61032 Manager Male White $ 205.00 Ryan Wicks 400 Seeley Street Manchester Iowa 52057 Manager Male White $ 166.00 Joel Zirkle 612 North Blackmore Davis Illinois 61019 Manager Male White $ 205.00 George TeKippe 1306 Panorama Drive Decorah Iowa 52101 Manager Male White $ 160.00 Mason Ward 17218 A Avenue Elgin Iowa 52141 Office Male White $ 35.00 Adam Recker 621 8th Avenue S.E. Dyersville Iowa 52040 Professional Male White $ 87.00 Marc Smith 13354 Ardmoor Court Rockton Illinois 61072 Professional Male White $ 92.00 Steven Adamavich 2011 North 9th St. Sheboygan Wisconsin 53081 Professional Male White $ 130.00 Evan Arachikavitz 27 N. Memitz Freeport Illinois 61032 Professional Male White $ 35.00 Brandon Boggs 12817 N. Fork Creek Road Baileyville Illinois 61007 Professional Male White $ 79;00 Cody Buelt 390 Robinwood Drive Robins Iowa 52328 Professional Male White $ 87.00 Scott Buske 757 N. Hunt Avenue Freeport Illinois 61032 Professional Male White $ 40.00 Gary Cartwright 498 Haddington Lane Springfield Illinois 62711 Professional Male White $ 147.00 Chad Clauson 2917 Panorama Drive Rockford Illinois 61109-1819 Professional Male White $ 90.00 Michael Cunningham 126 W. Church Street Apt 2 Champaign Illinois 61820 Professional Male White $ 99.00 Matthew Dahlem 5037 Green Meadow Place Sheboygan Wisconsin 53083 Professional Male White $ 115.00 Jesse Duff 2629 15th Street Monroe Wisconsin 53566 Professional Male White $ 125.00 Dustin Eisenhut WZ3557650 Vernon Hills Di Big Bend Wisconsin 53103 Professional Male White $ 35.00 Lucas Elsbernd 316 East Union Street Manchester Iowa 52057-1429 Professional Male White $ 120.00 Paul Ertmer 1271/2 South Main Street Stockton Illinois 61085 Professional Male White $ 115.00 Lukas Evans 313 East Franklin Street Fisher Illinois 61843 Professional Male White $ 81.00 Randall Evans 1114 Co. Road 1300 N. Lema Illinois 62440 Professional Male White $ 131.00 Terrence Fountain 536 Augusta Drive Chatham Illinois 62629 Professional Male White $ 145.34 Brad Geater 1302 Crescent Oak Lane Marion Iowa 52302 Professional Male White $ 145.00 ,Zachary Gill 827 Lewis Street DeKalb Illinois 60115 Professional Male White $ 105.00 ;Thomas Glendenning 318 South Maple Street PO Box 400 Stillman Valley Illinois 61084 Professional Male White $ 100.00 IRoss Grimes 302 North Rockford Avenue Rockford Illinois 61107 Professional Male White $ 82.00 Nicholas Grindey 210 WestTownline Road Lena Illinois 61048 Professional Male White $ 102.00 Terry Heitkamp 1860 Quail Hollow Road Steward Illinois 60553 Professional Male White $ 137.00 Scott Immel 1774 South Columbian Roa Oregon Illinois 61061 Professional Male White $ 158.00 Thomas Jordan 2305 Scottsdale Champaign Illinois 61822 Professional Male White $ 170.00 Nathan Kass 817 Tanglewood Drive Manchester Iowa 52057 Professional Male White $ 143.00 Daniel Kasten 806 N. Rockford Avenue Rockford Illinois 61107 Professional Male White $ 140.00 John Krueger 283 Amherst Avenue Sheboygan Falls Wisconsin 53085 Professional Male White $ 130.00 John Lee 626 Buckeye Road Pleasant Plains Illinois 62677 Professional Male White $ 102.00 Mark Leighton 5357 Yavapai Drive Forsyth Illinois 62535 Professional Male White $ 134.00 Vaughn Lewis 101 Cynthia Court Durand Illinois 61024 Professional Male White $ 115.00 Johnathon l.illge 1453 Jay Street Freeport Illinois 61032 Professional Male White $ 78.00 Daniel Ludwig 16631 W. Prairie Dell Road Badeyville Illinois 61007 Professional Male White $ 54.00 Brian McWilliams 1026 N 2nd St. Manchester Iowa 52057 Professional Male White $ 104.00 Jason Miller 612 Willow Bend Drive Davis Junction Illinois 61020 Professional Male White $ 102.00 Derek Noll 675 Shimer Drive Freeport Illinois 61032 Professional Male White $ 112.00 Jeffrey Ogden 2210 Wheatland Terrace Freeport Illinois 61032 Professional Male White $ 111.00 Tyler Olson 817 New Street Manchester Iowa 52057 Professional Male White $ 74.00 Chad Osterbur 528 Hawthorne Drive St. Joseph Illinois 61873 Professional Male White $ 125.00 Elmer Pearcy 265 Circle Drive Springfield Illinois 62703 Professional Male White $ 133.94 Scott Pickard 714 South Elm Boulevard Champaign Illinois 61820 Professional Male White $ 170.00 Joshua Rak 1107 W. Green Sreet Urbana Illinois 61801 Professional Male White $ 88.00 Andrew Reeter 2366 North Lynn Avenue Freeport Illinois 61032 Professional Male White $ 111.00 William Ripley W412S Garnett Road Eden Wisconsin 53019 Professional Male White $ 105.00 Gary Salefski 6641 Skyline Drive Springfield Illinois 62711 Professional Male White $ 104.00 Nicholas Schaufenbuel 420 S. Pine Street, Apt 420 West Union Iowa 52175 Professional Male White $ 87.00 William Schmidt 5351 N. Bemard Street Chicago Illinois 60625 Professional Male White $ 205.00 Dylan Schroeder 424 S. Ringold Street Janesville Wisconsin 53545 Professional Male White $ 70.00 Matthew Schroeder 5129 Evergreen Drive Sheboygan Wisconsin 53081 Professional Male White $ 140.00 Justin Schuenemann 1102 4th Street IGel Wisconsin 53042-1146 Professional Male White $ 67.00 Timothy Souther 127 Twin Oaks Drive Chatham Illinois 62629 Professional Male White $ 139.00 Ernest Stewart 415 Westminster Drive Rainbow City Alabama 35906 Professional Male White $ 50.00 Alexander Stykel 1425 S. Park Blvd Freeport Illinois 61032 Professional Male White $ 35.00 Bradley Ten Pas 111 River Oaks Drive Sheboygan Falls Wisconsin 53085 Professional Male White $ 110.00 Derek Thompson N2549 Carnie Road Monroe Wisconsin 53566 Professional Male White $ 105.00 Keith Wilson 10794 Keokuk Road Roscoe Illinois 61073 Professional Maie White $ 114.00 Joseph Stricker 1546 Demeter Drive Freeport Illinois 61032 Technidan Male White $ 88.00 Emory Aired 317 Woodland Drive Rantoul Illinois 61866 Technidan Male White $ 85.00 Timothy Bates 5 Goodwin Court Springfield Illinois 62704-5826 Technician Male White $ 64.00 Jacob Bergeron 2315 Glenwood Avenue Rockford Illinois 61103 Technidan Male White $ 45.00 Kenneth Boardrow P.O. Box 65 Marion Iowa 52302 Technidan Male White $ 86.00 Justin Boehm 105 4th Street NE West Union Iowa 52175 Technician Male White $ 70.00 Alexander Bower 414 South Street Ryan Iowa 52330 Technician Male White $ 93.00 Charles Connor 6 Downing Lane Springfield Illinois 62712 Technician Male White $ 92.00 William Covell 1617 Winnetka Street Dixon Illinois 61021-9669 Technician Male White $ 94.00 Donald Craddock 4210 East Airport Road Urbana Illinois 61802 Technician Male White $ 86.00 Michael Day 850 Wild Oats Trail Freeport Illinois 61032 Technician Male White $ 81.00 Brian Dunt 113 Hollywood Boulevard West Union Iowa 52175 Technician Male White $ 68.00 Robert Frey 4742 Terrang Trail Machesney Park Illinois 61115 Technidan Male White $ 83.00 Larry Goranson 201 Bailey Drive Manchester Iowa 52057 Technician Male White $ 80.00 Seth Gronewold 12817 N. Fork Creek Road Baileyville Illinois 61007 Technician Male White $ 90.00 Martin Hillman 230 Berkey Street Maynard Iowa 50656 Technidan Male White $ 74.00 Zachary Hoppenjan 1717 Valleyview Drive Freeport Illinois 61032 Technidan Male White $ 79.00 William Humphrey 3312 W.William Street Champaign Illinois 61821 Technidan Male White $ 126.00 Bryan Isbell 3376 66th Street Palo Iowa 52324 Technician Male White $ 65.00 Tyler Jahn 333 Old Mill Road Franklin Grove Illinois 61031 Technidan Male White $ 60.00 Hunter Jancek 865 Hillside Drive Byron Illinois 61010 Technidan Male White $ 35.00 Jacob Kaiser 507 W Union Street Edgewood Iowa 52042 Technidan Male White $ 64.00 John McCool 320 S. Water Street PO Box 322 Warren Illinois 61087 Technician Male White $ 102.00 Royce Monk 204 South Dement Avenue Dixon Illinois 61021 Technician Male White $ 89.00 Phillip Moore 109 Hwy C2W Volga ' Iowa 52077 Technidan Male White $ 83.00 Brian Nott 4096 Autumn Lane Freeport Illinois 61032 Technician Male White $ 92.00 Dillon Plamann 2305 Hillshire Drive Apartment :Sheboygan Wisconsin 53081 Technician Male White $ 67.00 Kenneth Plowman 2300 Sunset Drive Freeport Illinois 61032 Technician Male White $ 92.00 Joseph Shelly 1626 S Highland Avenue Freeport Illinois 61032-6439 Technician Male White $ 84.00 Matthew Smith 2299 Swan Drive Freeport Illinois 61032 Technician Male White $ 89.00 Monty Stabenow 3903 Landstrom Road Rockford Illinois 61114 Technician Male White $ 85.00 Darin Stykel 1891 West Harrison Street Freeport Illinois 61032 Technician Male White $ 90.00 Drake Szyp 3511 Louise Street Rockford Illinois 61103 Technician Male White $ 35.00 Richard Tarntino 1604 Sangamon Drive Champaign Illinois 61826-8132 Technician Male White $ 85.00 Ryan Townsley 23196 State Route 49 Nort Armstrong Illinois 61812 Technician Male White $ 63.00 Jeffrey Weegens 511 Shumway Street Lena Illinois 61048 Technidan Male White $ 79.00 We hereby certify that we are in compliance with all City and Federal Affirmative Action Regulations and agree to accept all liability for failure to comply. Respectfully submitted, By: Corn any Executive Date By: r..��r-F'�e �1 G Equal Employment Opportunity Officer Date City of Waterloo Affirmative Action Officer Approved Disapproved Reason: By: Date: -7 • EHRGRA ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/12/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 Dimond Bros Insurance, LLC 660 W Stephenson St. Freeport, IL 61032 (815) 235-7717 ext. 1323 CONTACT Valerie DeBoer NAME: iac°NN Ext): 815 235-7717 (A/CC, No): 815 235-2255 E-MAIL valerie.deboer@dimondbros.com ADDRESS: INSURER(5)AFFORDINGCOVERAGE NAIC# INSURER A: Travelers Insurance Company EACH OCCURRENCE INSURED Fehr- Graham & Associates, LLC 221 E. Main, Suite 200 Freeport, IL 61032 INSURER B: ACE American Insurance Company X INSURER C Y INSURER 0: 6802H592476 INSURER E : $300,000 INSURER F : CLAIMS -MADE I_. X, OCCUR • REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. ILTR TYPE OF INSURANCE NSR SUBR WVD POLICY NUMBER POLICY EFF J (MM/DDY/YYYY) LIMITS 09/15/2016 09/15/2017 EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERALLIABILITY Y Y 6802H592476 PREMSESO(Esoaw soca) $300,000 CLAIMS -MADE I_. X, OCCUR MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GE 'L AGGREGATE LIMIT APPLIES PRO- POLICY F PRO- JECT OTHER: PER: LOC PRODUCTS-COMP/OPAGG $2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X _ SCHEDULED AUTOS AUTOSWNED Y BA6A185070 09/15/2016 09/15/2017 ( EaOMaccident)BINEDSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ROEX DAMAGE (Parr acctl n[) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y Y CUP6A244904 09/15/2016 09/15/2017 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 $ DED X RETENT ON $10000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) Dyes, RTIN under DESCRIPTIONcOF OPERATIONS below YIN Y N/A Y UB3785T420 09/15/2016 09/15/2017 X STATUTE OTH- ER E.L. EACH ACCIDENT 51,000,000 EL DISEASE- EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 B Professional Liab with Pollution Impairment Liab Y G25549855001 09/15/2016 09/15/2017 $2,000,000 Each Claim $2,000,000 Agg $100,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is requ red) ** Workers Comp Information ** Proprietors/Partners/Executive Officers/Members Excluded: Joel P. Zirkle, Principal R. Todd Weegens, Principal Michael W. Gronewold, Principal (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Waterloo 715 Mulberry ST Waterloo, IA 50703 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE •I 1/oc © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD #S448981/M383349 VDEBO DESCRIPTIONS (Continued from Page 1) Ken R Thompson, Principal Adam G. Holder, Prinicipal Noah J. Carmichael, Principal Blanket Waiver of Subrogation ** Supplemental Name ** First Supplemental Name applies First Supplemental Name applies First Supplemental Name applies Consultant First Supplemental Name applies First Supplemental Name applies First Supplemental Name applies First Supplemental Name applies to all policies - Fehr & Graham & Associates to all policies - Fehr -Graham & Associates LLC to all policies - Fehr -Graham & Associates, Engineering and Science to all policies - Fehr -Graham & Associates, Consulting Engineers to all policies - Joseph G Graham and Allen E Fehr Consulting Engineers to all policies - R. Todd Weegens, Ken R. Thompson, Michael W. Gronewold, to all policies - Adam G. Holder, Joel P. Zirkle, Noah J. Carmichael SAGITTA 25.3 (2014/01) 2 of 2 #S448981/M383349