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AAA Budget Enfironmental Inc.
EXHIBIT "A" SIGNATURE PAGE 1100 Grant Avenue, 919-925 Commercial Street and 216-222 Commercial Street The undersigned Proposer/Bidder, having examined these documents and having full knowledge of the condition under which the work described herein must be performed, hereby proposes that they will fulfill the obligations contained herein in accordance with all instructions, terms, conditions, and specifications set forth; and that they will furnish all required services and pay all incidental costs in strict conformity with these documents for the stated process as payment in full. Our "not to exceed" bid price for each property is: 1100 Grant Avenue $ 6—.5 2 0 216-222 Commercial Street $ —9 0r S 7 $ Removed from RFP -Must Demo as (RACM) 919-925 Commercial Street Submitting Firm: A- a /1d, Address: 42 (1 t -per Sh City: /{/4) i -GCo State: ,Tv zip: 523/ c> Authorized Representative (print) , _S%A f/P Authorized Representative Signature Date: /6-- 3-/7 Email: /J( et-) .A (L Phone: 63/ / for toss' Fax: S( st 370 y EXCEPTIONS/DEVIATIONS to this Request for Proposal shall be listed in writing on an attached document provided by the Bidder. Please be as specific as possible. Please check one: Our company has no exceptions/deviations. Our company does have exceptions/deviations which are listed on an attached document. GENERAL INFORMATION. Freight and/or delivery charges, if any, shall be included in the price. FIRM PRICING. Offered prices shall remain firm for a minimum of sixty (60) days after the due date of this solicitation unless indicated otherwise. Accepted prices shall remain firm for the duration of the contract. ADDENDA (It is the Bidder's responsibility to check for issuance of any addenda). The authorized representative herby acknowledges receipt of the following addenda: Addenda Number Date Addenda Number Date i I 145 • t%ie!< We choose not to bid at this time but would like to be considered for future requests for bid t!:AIADocument A310r"- 2010 CONTRACTOR: (Nanre,;legal status and address) AAA Budget Environmental Inc 1900 Walnut Street -- Cedar. Falls, IA 50613 (Name, legal status an City of Waterloo 715.Mulberry St dress) • Waterloo IA 50703-5714 BOND AMOUNT: $ PROJECT:<6", (Namg, locafioa or address, and Project number, if any) Asbestos Remove AC/PW, FT'and Masten Five Percent of the Amount Bld Bond Number: 2368108 SURETY: (Name, legal status and principal place of business) West Bend Mutual Insurance Company PO Box 620976 Middleton, WI 53562 The Contractor and Suety ate bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and�assigns, jointly and severally, as provided herein. The conditions of this Bond are'such that if the Owner accepts the bid of the Contractor within time specified in the bid documents, or within such time period as may be agreed to by the Owner and. Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as maybe specified in the bidding or Contract Documents, with a surety admitted in the jurrsdictimf of the Project and `otherwise acceptable to the Owner, for the faithful performance,of such.Contract and for the prompt payment of labor and material furnished the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the 'amoug6,of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith :contract with another party to perform the work covered. bysaid bid, then this'obligationshall be null and void, otherwise to remain in full force and effect, The Surety herebywaives any notice of an agreement between the Owner and Contractor to. extend the time in which the Owner may accept the bid. Waiver of notice by the Suety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the tune for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty 1.:1`,..(60) If this Bond is issued; in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. •thisBondhas been finnished to complywith a statutory or other legal requirement in the locattonof the Project; any provision in this Bond conflicting with said statutory or legal requi ement shall be deemed deleted herefrom and provisions conforming to such statutory or otter legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond, Init. ADDITIONS AND DELETIONS: The author of this document has added information needed for its completion. The author may also have revised the text of the original AIA standard form. An Additions and Deletions Report that notes added Information as well as revisions to the standard form text is available from the author and should be reviewed. A vertical line in the left margin of this document indicates where the author has added necessary Information and where the author has added to or deleted from the original AIA text. This document has Important legal consequences. Consultation with an attorney Is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. AIA Document A310TM —2010. Copyright ®1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIA' Document Is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlAA Document, or any portion of it, may result in severe chill and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 09:57:09 on 02/16/2017 under Order No. 0322412/91 which expires on mnenme. and is not for resale. User Notes: (309ADA17) 1 . $igned and sealed this 12 day of October , 2017 AAA Budget rnyironmental Inc (Contrac : as Principal) itf C(b'ea1) Init. West Bend Mutual lnsura ce Company (Surety) (Title) (Seal) JOAN TOBIN , Attorney -In -Fact AIA Document A310To —2010. Copyright 91963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIAe Document Is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIM Document, or any portion of It, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 095799 on ovtart017 under Order No. 0322412791 which expires on o2/isi2o1s, and Is not for resale, (388ADA 17) User Notes: 2 WEST BEND A MUTUAL INSURANCE COMPANY" • 2368108 Power of Attorney Know all men by these Presents, That West Bend Mutual Insurance Company, a corporation having its principal office in the City of West Bend, Wisconsin does make, constitute and appoint: JOAN TOBIN lawful Attorneys) -in -fact, to make, execute, seal and deliver for and on its behalf as surety and as its act and deed any and all bonds, undertakings and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the sum of: Seven Million Five Hundred Thousand Dollars ($7,500,000) This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of West Bend Mutual Insurance Company at a meeting duly called and held on the 21st day of December, 1999. Appointment of Attorney -In -Fact. The president or any vice president, or any other officer of West Bend Mutual Insurance Company may appoint by written certificate Attorneys -in -Fact to act on behalf of the company in the execution of and attesting of bonds and undertakings and other written obligatory instruments of litre nature. The signature of any officer authorized hereby and the corporate seal may be affixed by facsimile to any such power of attorney or to any certificate relating therefore and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the company, and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the company in the future with respect to any bond or undertaking or other writing obligatory in nature to which itis attached. Any such appointment may be revoked, for cause, or without cause, by any said officer at any time. In witness whereof, the West Bend Mutual Insurance Company has caused these presents to be signed by its president undersigned and its corporate 4 -al to be hereto duly attested by its secretary th» lst day arch, 2009. Attest Ja J. Pa Sec •Lary State of Wisconsin County of Washington On the 1st day of March, 2009 before me personally came Kevin A, Steiner, to me known being by duly sworn, did depose and say that he resides in the County of Washington, State of Wisconsin; that he is the President of West Bend Mutual Insurance Company, the corporation described in and which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to said instrument is such corporate seal; that is was so affixed by order of the board of directors of said corporation and that he slgned_his name thereto by like order. - Kevin A. Steiner Chief Executive Officer/ President 4 NOTARY '+: Wit_ PUBLIC lz :yeti,. $ John well Executive Vice President - Chief Legal Officer Notary Public, Washington Co. WI My Commission is Permanent The undersigned, duly elected to the office stated below, now the incumbent in West Bend Mutual Insurance Company, a Wisconsin corporation authorized to make this certificate, Do Hereby Certify that the foregoing attached Power of Attorney remains in full force effect and has not been revoked and that the Resolution of the Board of Directors, set forth in the Power of Attorney is now in force. Signed and sealed at West Bend, Wisconsin this 12 day of October f , 2017//�J r�boRaoRArE�; a.G, �F SEAL, Dale J. Kent Executive Vice President - Chief Financial Officer NOTICE: Any questions concerning this Power of Attorney may be directed to the Bond Manager at NSI, a division of West Bend Mutual Insurance Company 8401 Greenway Blvd. Suite 1100 I P.O. Box 620976 I Middleton, V71 53562 1 ph (608) 410-3410 1 www.thesilvcdining.cnm AAABU-1 OP ID: MJS ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYV) 09/27/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS BY THE POLICIES AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 15 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 515-224-4391 The Dana Company 12345 University Des Moines, IA 50325-8245 Cory S. Holland CONTACT NAME: PHONE 515-224.4391 I Fax A C, No, Ext): (A/C, No): 515-224-4955 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: One Beacon Ins. Company INSURED AAA Budget Environmental 121 E Grand St Monticello, IA 52310 INSURER B: Western National Insurance 15377 INSURER C: INSURER D COMMERCIAL GENERAL LIABILITY INSURER E : INSURER F : • " "– "�"'–_"' RG V 10lUN IVUIVICCK: 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 INS!) ISUBR WVD POLICY NUMBER POLICY A IMMIDDWYVY) (MM/DDTYYYYI LIMITS X COMMERCIAL GENERAL LIABILITY 2,000,000 EACH OCCURRENCE $ CLAIMS -MADE X OCCUR X 793-00-04-98-0005 02/04/2017 02/04/2018 PREMIES oN , ence) 50,000 ((Ea $ 5,000 MED EXP (Any one person) $ 2,000,000 PERSONAL &ADV INJURY $ GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICYPRO- JECT LOC PRODUCTS- COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ra accident) $ ANY AUTO OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY HIRED AUTOS BODILY INJURY (Per accident) $ AUTOS ONLY _— NON -OWNED AUTOS ONLY PROPERTY DAMAGE Aper accident) $ A UMBRELLA LIAR X OCCUR EACH OCCURRENCE 1,000,000 X EXCESS LIAB CLAIMS -MADE 793-00-58-30-0000 02/04/2017 02/04/2018 1,00%000 AGGREGATE $ DED X RETENT ON $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER� EXCLUDED? NIA WCV 1006401 02/04/2017 02/04/2018 E.L. EACH ACCIDENT $ 1,000,000 (Mandatory In NH) If yes, describe under E. L. DISEASE- EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 A B Pollution Liab Rent/leased equip 793-00-04-98-0005 105267R2� 02/04/2017 02/04/2017 02/04/2018 02/04/2018 Limit/occ Rent/leas 2,000,000 70,000 �,L Cp7 p (q pCPP �r.I�g ¢, art ismPer400 IS an Haa li ionaiv nsure0 onRifl'e' denferal LraDlllry poll cyY be attached if mo ospace Is `aqui ed) CANCELLATION CITYWAT City of Waterloo City Clerks Office - 1st FI 715 Mulberry Street 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 ce71444 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,1111111' 111 , ,1111'ill.111111.1111111111.111d' 111;111111 1000 50703 U.S. POSTAGE MONT CELLO IA 52310 OCT 04 17 AMOUNT $1.19 R2304Y123279-06 5LED I Rip ro R F5B SOS ABA ---rut NT 5� Imo r 222 Watnu- S i rzE E C iy -ALL C.14C`.lerIc5 C3-ff k ce Floor '71 bOr ry 5*r Q f \t\.l r 100 -Tow 0" o3 L rl 4 CV (J? CD Cd -k - H ' AAA Budget Environmental, Inc. Field Office: 121 East Grand St. Monticello, IA 52310 `SEALED RFP FOR [BA1 i EmEN I 5Cflu:fi S