Loading...
HomeMy WebLinkAboutStickfort Construction Company-5/16/2011FORM OF CONTRACT CONTRACT FOR THE CONSTRUCTION OF F.Y. 2011 MIDPORT BOULEVARD EXTENSION PHASE II PCC PAVEMENT - GRADE AND NEW CITY CONTRACT NO. 802 IOWA DOT RISE NO. RM -8155(722)--9D-07 CITY OF WATERLOO, IOWA This contract made and entered into this 1(l day of City of Waterloo, Iowa, a Municipal Corporation, (hereinafter referred Construction Company , of Hudson, Iowa 2011, by and between the to as (City), and Stickfort (hereinafter referred to as Contractor), WITNESSETH: PAR. 1 PAR. 2 PAR. 3 PAR. 4 PAR. 5 PAR. 6 Contractor agrees to build and construct the F.Y. 2011 MIDPORT BOULEVARD EXTENSION PHASE II, CITY CONTRACT NO. 802, and fumish 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. 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 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 August 1, 2011 , 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 therefore 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. C-1 MidPortBlvd Phase 11 60189781.13 PAR. 7 PAR. 8 PAR. 9 PAR. 10 PAR. 11 PAR. 12 PAR. 13 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. 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 fumish 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. The Contractor agrees to fumish 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. C-2 MidPortBlvd Phase 11 60189781.13 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. PAR. 16 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 $ 309,232.46 PAR. 17 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. PAR. 18 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 govem. PAR. 19 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. PAR. 20 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. C-3 MidPortBlvd Phase 11 60189781.13 PAR. 21 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 less 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. CITY OF ATERLOO, IOWA al Ma or Ci Caerk Siic,6el $+ (evs.sAir U J-1aw Contractor BY: 11,Q %1 i" Title: Wes,faint Approved by the City Council of the City of Waterloo, Iowa, this day of , 2011. ATTEST: , City Clerk Waterloo, Iowa C-4 MidPortBlvd Phase 11 60189781.13 E 6' 1.8L681.0911 amid PM911odRIN k 9dd •pe}deooe sem )110M Lions ewg ey} }e ee6ljgO etp o; uMoum ro peienooslp;ou lepa;ew Jo dlgsuew poM u! mop io; puoq sty; uo ans o;146ti atp )I1oM ay;lo eoue;deooe etp;o awn eon woo 1eaA (6) auo uey; ssai o; sgwo yolynn poen eq Heys;oej;uoo Jaw Aue 10 puoq stq;;o uotstnoJd ou;eyl 'eseaJoul ssaoX9 Ions 04 se Apo pasealei aq wan pegs pue 'eopd 4I;u0o te;o; etl;;o {°/,0Z) wowed Agiew; uey; eJow esea1oul ue anlonut lou saop a6uego Lions ua1M 3ow4uoo .to `sua;eogioads 'sueld ay; u! a6ueyo Aue of 'z '£ ';oei uoo ay; =pad o; 4o!4M ui palnu000 eq; o; awl;;o uolsue;xa Aue of '1. :sogou;noo%luesuoa o; '6uipue;stgiMnou I(ie quoo ay; 04 40 qu0o Atm 'play pue pawaap aq pus puoq st4; uo Ana1n9 fuen3 love pue eo10; Hn; ui utewei o; asIMfey;o ';oage ou;o pue pion aq on si not;e6ogo ay; ueq; ';lne;ap Lions Aue poo6 6ulmew ul 'flout Aew sesuadxe pue sAei;no ne ea61100 ay; Assisi pue esmgwiei Afin; nags pue 'os op 0; amtte};o uoseai Aq yawns Aew 1! 4o!4M sa6ewep pue s;soo He wog} ea611Q0 ay; sseitwe4 apes pue Aguwepu! Alli 11e4s pue 'awes ay; 101 paunoul spuewap pue 9unep Iie A;spec pegs pue '409184; 1oue; pue suua; a4; 01 6uipi000e ;oeJnu0o pies 914 Ilginl snoadsal He ut Ileus ledtoulld 844 ;t 'MON MCS Aq papinold se pa4sllge;se uaeq aneg HELM solid }oe14U00 Gig;o uo!}iod pies;sule6e s;uewtela pies ;o stump a4; ssalun uopeiodioo 10 'swag 'suoslad pies o; algell eq 101.1 neqs Dawns pue Iedtoupd etq;nq `;uewenoidwi ollgnd 84;;o uope dw000 'pun uie;al o; palinbal st uol;elodloo ongnd el.f; 4olLM solid ;oeuuoo ay; jo uoipod egg ;0 nno ! ayst;es ;ou 818 awes ay; ua4M uani6 sl puoq gown ;o;un000e uo;oel4U00 cap Jo eouewlo}tad ay; ul payslw); slaps;ew 10 peuuoped Axle' 1o; wain anp swiep }snf Ile 'sJo;omq;uoogns 4;iM 10 ledloupd eta 4;!M *alp s.0eguoo 6ulney suoi}eiodioo 10 swig 'suoslad ne o; Aed o; aa16e Ageieq puoq sl4a uo i )eJnS pue ledlouud eta 'Sd313HM pue :uieJaq t06ue1;e papal OJ9M;oeguoo pies;! se dia;aidwoo pue 11n; se ;meg ped e spew pue UIGJGLi pa;eiodJoou! s! 'suogefndl;s pue 'suopipuoa 's;ueueAoa 'sups; s;llo He ynuw/9449601 ';aeI}uoo gown Adoo e `Z08 'ON 1.3Y .NO9 JLLIO.113SHHd NOISN31.XX3 awA3lnOei 12IOdaIIN b 60Z ' 'd ;o uogona;suoo ail} 104 'eMol 'oolle;eM;o An a43 411M loe.quoo minim a o;ul Ja;ua ' 1602 ;o Aep 841 uo 'RP ledpulld uepunog anoge an St/3 3HM 18114 Lions sl NOUVeI'1gO SIHI d0 NOUIONOO 3H1 •swesaJd asap Aq *tug 'Aflelen9S pue ARO' `sao;eJ}slulwpe pue 'sao}noaxe 'su6lsse 'siosseoons s!y ';<aswly spulq AGMS pies 843 pue 'sJo;eJstupupe pue 'slo;noexe '911041I944/s14 'saniaswa41/JIaswI4 SPUR Afw14 elm; ledpuild ate} 'spew 9I 04 A!M PUe 119M 'wns tol4M;0 ;uewAed o; 'sa48;S pa;4ufl eta ;0 Aeuow ln4Ael 't 9i•ZEZ'60£ $J £el100 —00 6/9ti pue oMl n11141 paJpunfLi oM1 puesno41 au!N peipunH eeJ41 ;o wns (sued a4; u! '(e9611g0 a41 papeo 1ageuleieq) oopeneM ;0 A}13 eta own punoq Alpin; ppm pIa4 are '(A1wnS 841 peneo lageu4eiaq) HN 'Ja;segoueVi ;o Auedwo0 aoueinsu! Allepads ueopewd 4PoN pue'(Ied10Ulid ay; palled i91mutale4)df 'uospnf-f 40 ` Auedwoo uoipru;suoo popp41 gS 'em :SfN3S3Nd 9991-I1 A8 N9W lid mow UNDO 3ONVIN21OAt13d 6i'L£bl•Z •oN puo8 Ltb- Iii WITNESS WHEREOF, we have hereunto set our hands and seals this day of , 2011. Stickfort Construction Corporation Principal By: North American Specialty Insurance Company Surety ttomey-in-Fact Dianne S.`Riley, Attomey-in-fact PFB-2 MldPortBlvd Phase II 60189781.13 Bond No. 2143749 PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: that Stickfort Construction Company (Name of Contractor) 2175 Sergeant Road, Hudson, IA 50643 a (Address of Contractor) Corporation , hereinafter called Principal, (Corporation, Partnership or Individual) and North American Specialty Insurance Company (Name of Surety) 650 Elm Street, Manchester, NH 03101 (Address of Surety) hereinafter called Surety, are held and firmly bound unto CITY OF WATERLOO, IOWA (Name of Owner) 715 MULBERRY STREET, WATERLOO, IOWA 50703 (Address of Owner) hereinafter called OWNER, in the penal sum of Three Hundred Nine Thousand Two Hundred Thirty Two and 46/100 Dollars ($309.232.461 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 entered in o a certain contract with the OWNER, dated the I day of 2011, a copy of which is hereto attached and made a part hereof for the construction of: F.Y. 2011 MIDPORT BOULEVARD EXTENSION PHASE II CITY CONTRACT NO. 802 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. PB -1 Non -Federal MidPortBlvd Phase 11 60189781.13 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 3 (number) which shall be deemed an original, this the day of 2011. ATTEST: - •t ncipal) Secretary tness as to Principal 2175 Sergeant Road (Address) Hudson, IA 50643 - ATTEST: d' wItne s_as to Surety Cindy Bennett P.O. Box 9207 (Address) Des Moines, IA 50306-9207 counterparts, each one of ki Stickfort Construction Company By Vi 2175 eant Road Principal (s) (Address) Hudson, IA 50643 JAMIE STICKFORT SCommMNon Number 746795 MyCitmnisalon Expires North American Specialty Insurance Company Surety • By Attomey-inFact " ianne S. Riley P.O. Box 9207 (Address) Des Moines, IA 50306-9207 NOTE: Date of BOND must not be prior to date of Contract. If CONTRACTOR is Partnership, all partners should execute BOND. PB -2 Non -Federal MidPortBlvd Phase II 60189781.13 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Itasca, Illinois, each does hereby make, constitute and appoint: JAY D. FREIERMUTH, CRAIG E. HANSEN, CLIFFORD W. AUGSPURGER, DIANNE S. RILEY, BRIAN M. DEIMERLY, CINDY BENNETT, ANNE CROWNER, TIMOTHY J. McCULLOH, STEPHANIE R. FINNEY, STACY LYNN VENN, and ANGELA MARIE GROSS JOINTLY OR SEVERALLY Its true and lawful Attorneys) -in -Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of TWENTY-FIVE MILLION ($25,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 24th of March, 2000: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." By Steven P. Anderson, President & Chief Executive Officer of Washington International Insurance Company & Senior Vice President of North American Specialty Insurance Company By David M. Layman, Senior Vice Presiden of Washington International Insurance Company & Vice President of North American Specialty Insurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 30th day of September , 2008 . State of Illinois County of Du Page On this 30th day of September , 20 08 , before me, a Notary Public personally appeared Steven P. Anderson , President and CEO of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M. Layman , Senior Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective comnanies. ss: North American Specialty Insurance Company Washington International Insurance Company Donna D. Sklens, Notary Public I, James A. Carpenter , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this day of , 20 11 James A Carpenter, Vice President & Assistant Secretary of Washington International Insurance Company & North American Specialty Insurance Company HAST '`�R�'� CERTIFICATE OF LIABILITY INSURANCE GATE (MM/DD/YYYY) 5/16/2011 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 (319) 366-2723 TrueNorth 421 4th Ave SE COACT NAME: TrueNorth Risk Management (ac No, Ext): (319) 366-2723 FAX No): (877) 810-6374 E-MAIL ADDRESS: certs@truenorthcompanies.com PO Box 1863 Cedar Rapids, IA 52406-1863 PRODUCER CUSTOMER ID #:STICCON-01 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Stickfort Construction Co 2175 Sergeant Rd Hudson, IA 50643- INSURER A :United Fire and Casualty Company X INSURER B :Accident Fund Ins Co of America 10166 INSURER C : 4/9/2012 INSURER D : $ INSURER E : X INSURER F : $ 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 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM!DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL LABILITY COMMERCIAL GENERAL LIABILITY OCCUR X 60391644 4/9/2011 4/9/2012 EACH OCCURRENCE $ 1,000,000 X PREM SESD(EaEoccurrence) $ 100,000 CLAIMS -MADE X MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n JET 1I LOC PRODUCTS - COMP/OP AGG $ 2,000,000 —I $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 60391644 4/9/2011 4/9/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ A X UMBRELLA LIAB EXCESS LAB X OCCUR CLAIMS -MADE 60391644 4/9/2011 4/9/2012 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DEDUCTIBLE RETENTION $ None $ — X $ B WORKERS COMPENSATION AND°E-r112-1- AND EMPLOYERS' LABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N A N WCV6064912 4/9/2011 4/9/2012 X STATU- °E-r112-1- Tar LIMITS ER E.L EACH ACCIDENT $ 500,000 N EL DISEASE - EA EMPLOYEE $ 500,000 below EL DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) See attached page. CANCELLATION C of Waterloo City 715 Mulberry St. Waterloo, IA 50703 - 1 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 ----- ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STICCON-01 HAST PAGE 1 OF 1 DESCRIPTION OF OPERATIONS - Stickfort Construction Co 2175 Sergeant Rd Hudson, IA 50643 - City of Waterloo 715 Mulberry St. Waterloo, IA 50703 - If "X" is checked above for add, insd forms Gen Liab #CG7103 03/11 (premises), CG7150 03/06 (completed operations), Auto Liab #CA7109 01/06 applies. If "X" is checked above for waiver of subrogation forms Gen Liab #CG7103 03/11, Auto Liab #CA7109 01/06 and WC #WC000313 04/04 (IA only) applies. Coverage is extended for work performed under written contract with the above named insured. Re: Any and all projects The City of Waterloo and AECOM are listed as additional insured on the general liability for any and all work performed as required per written contract.