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HomeMy WebLinkAboutActive Thermal ConceptsEXHIBIT "A" SIGNATURE PAGE 222 Walnut 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 bid, for asbestos abatement of the above mentioned site is: 5,250 Total Amount in written form, not to exceed: Five Thousand Two Hundred and Fifty Dollars and no cents Submitting Firm: Active Thermal Concepts Address: 2805 Stonegate Court City: Hiawatha State: Iowa Zip: 52233 Authorized Representative (print) vid Reiff Authorized Representative Signature Date : October 4, 2017 Email: jeden@activethermal.net Phone: 319-393-8088 Fax: 319-393-8081 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: x 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 Addenda Number Date Addenda Number Date We choose not to bid at this time but would like to be considered for future requests for bid RFP FOR ASBESTOS ABATEMENT SERVICES: 222 Walnut Street Page 9 of 9 A� I$ CERTIFICATE OF LIABILITY INSURANCE ATE Dlo�4/zo 7Y) 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 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 AW Welt Ambri sco Insurance, Inc. 24 Westside Drive Iowa City IA 52246 CONTACT NAME: INC cxtP (319) 887-3700 INC No): (3191887-3701 E-MAILADpRE55: infoQawwelt.com INSURER(S) AFFORDING COVERAGE NAIL 11 INSURER A:Starr Surplus Lines Ins CO COMMERCIAL GENERAL LIABILITY INSURED Active Thermal Concepts Inc. 2805 Stonegate Ct Hiawatha IA 52233 INSURERB.Wes t Bend Mutual Insurance 15350 INSURER c:Starr Indemnity & Liability Co 2/18/2018 INSURERD: $ 1,000,000 INSURER E: INSURERF: X COVERAGES CERTIFICATE NUMBER:17-18 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 INSD SUER WVD POLICY NUMBER POLICY EFF IMM/DDWYYYI POLICY EXP IMM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 1000065403171 2/18/2017 2/18/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR PREMISETORENTED PREMISESG50, (Ea occurrence) S 000 X Asbestos Abatement Inc. MED EXP (Any one person) $ 5,000 X Retention $10,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L X AGGREGATE POLICY OTHER: X LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 Pollution Liability $ 1,000,000 B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS 0906060 2/18/2017 2/18/2018 COMBINED SINGLE LIMIT (Ea accident) S 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Peracddenl ) $ PROPERTY CRTntDAMAGE $ $ A x UMBRELLA LIAR EXCESS LIAB x OCCUR CLAIMS -MADE 1000336367171 2/18/2017 2/18/2018 EACH OCCURRENCE $ 7,000,000 AGGREGATE $ 7,000,000 DED X RETENTIONS 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N y N / A 100 0002647 2/18/2017 2/18/2018 x PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 EL DISEASE - POLICY LIMIT $ 1,000,000 A Professional Liability 1000065903171 2/18/2017 2/18/2018 PerClaim 1,000,000 Retention 10, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written contract, the below listed Certificate Holder is included as an Additional Insured on the General Liability. A Third Party Notice of Cancellation (30 day) will be endorsed in favor of the below listed Certificate Holder, upon acceptance of bid. 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 L Joseph Wegman, CPCU ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD si y4 -�'�= Document A3IOTM — 2010 Bid Bond CONTRACTOR: (Name, legal status and address) Active Thermal Concepts Inc. 2805 Stonegate Ct Hiawatha, IA 52233-4714 OWNER: (Name, legal status and address) City of Waterloo 715 Mulberry St Waterloo IA 50703-5714 BOND AMOUNT: $ Five Percent of the Amount Bid PROJECT: (Name, location or address, and Project number, if any) Asbestos Abatement: 222 Walnut St., Waterloo, IA Bond Number: 2368380 SURETY: (Name, legal status and principal place of business) West Bend Mutual Insurance Company PO Box 620976 Middleton, WI 53562 The Contractor and Surety are 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 the 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 may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction 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 in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount 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 by said bid, then this obligation shall be mill and void, otherwise to remain in full force and effect. The Surety hereby waives 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 Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time 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 (60) days. 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. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other 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 A310"1 — 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 AIA, 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 09:57:09 on 02/16/2017 under Order No, 0322412791 which expires on 02/162019, and is not for resale. User Notes: (3B9ADA17) 1 Init. Sided and sealed this 12 day of October , 2017 (Witness) Active Thermal Concepts Inc. (C. r ctor as 'ifrlcipal) (Seal) (Tit e David Reisner, President West Bend Mutual Insurance Company (Surety) (Witness) ('Title) JOY PERKINS , Attorney -In -Fact AIA Document A3101" — 2010. Copyright © 1963, 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 AIA 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. Thls document was produced by AIA software at 09:57;0 on 021162017 under Order No. 0322412791 which expires on 02/16/2018, and is not for resale. User Notes: (3139ADA17) WEST BEND A MUTUAL INSURANCE COMPANY° 2368380 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: JOY PERKINS lawful Attorney(s)-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: Four Hundred Thousand Dollars ($400,000) 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 like 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 it is 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 al to be hereto duly attested by its secretary th's 1st day of_jvlarch, 2009. Attest R// , / . ,µ IN3 Ja y�/ J. Pa t ��ORAiF`':Si Kevin A. Steiner Se 7'tary 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 signed, his name thereto by like order. * i NOTARY . • : John'F—DUwell Wit:,. PUBLIC 1.. Executive Vice President - Chief Legal Officer 9 2% Notary Public, Washington Co. WI ••.;Op W�gG;.� 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 , 2017 ... Iola. .. ir,ORPORFR SEAL g 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 l P.O. Box 620976 I Middleton, WI53562 I ph (608) 410-3410 I www.thesilverlining.com Active Thermal Concepts 2805 Stonegate Ct. Hiawatha, IA 52233 SEALED RFP FOR ASBESTOS ABATEMENT SERVICES FOR: 222 Walnut Street BID ENCLOSED BID BOND ENCLOSED City Hall City Clerks Office 1st Floor City Hall 715 Mulberry Street Waterloo, IA 50703