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HomeMy WebLinkAboutBenton's Sand & GravelI332LLS H.Lb ISVa ITS -608 (INV ,L33 LLS Hit ISV3 L08 S33IAN3S 33NV2IV313 a.LIS (INV N0'I.LI10YQ3Q NO3 dd2I Q31V3S. EOLOS VI'0012I3.LVM .L332LLS Au2I381 IAI SIL 33Idd0 S,?RI313 A.LI3 11VH A.LI3 EI9OS VI S11Vd 2IVQ33 .L332LLS 2I3.LNaD SO6 13AVUD 23 QNVS SrNO1Na2 REMITTER: PAY TO THE ORDER OF First National Bank BENTON' S SAND AND GRAVEL INC MBmberFDIC CITY OF WATERLOO DATE VOID SIX MONTHS AFTER ISSUE DATE 3/01/18 EXACTLY **1,480 AND 50/100 DOLLARS CASHIER'S CHECK THE PURCHASE OF AN INDEMNITY BOND WILL BE REQUIRED BEFORE ANY CASHIER'S CHECK OF THIS BANK WILL BE REPLACED OR REFUNDED IN THE EVENT IT IS LOST, MISPLACED, OR STOLEN. II'L2400LH' 1:0 7 390 2 766: 0001.66" 124001 $1,480.50 FIRST NATIONAL BANK WO SIGNATURES REQUIRED OV ,000.00 a 0 v 0 c 0 EXHIBIT "A" SIGNATURE PAGE 807 East 4th Street and 809-811 East 4th Street- Minimum of 98% Compaction Required. 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 demolition, site clearance and minimum of 98% back fill compaction of the site is, and will not exceed: 807 East 4th Street $ 12,770.00 809-811 East 4th Street $ 16,840.00 Submitting Firm: Benton's Sand & Gravel Address: 905 Center Street City: Cedar Falls Authorized Representative (print) Authorized Representative Signature �i— i' Date : March 1, 2018 Email: j.snodprass anbe -tonsandandgravel corn Phone: (319) 266-2621 Fax: (319) 266-5926 State: IA James D Snodgrass Zip: 50613 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: We choose not to bid at this time but would like to be considered for future requests for bid Addenda Number None Date Addenda Number Date Addenda Number Date Addenda Number ___ Date A� o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/28/2018 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(les) must have ADDITIONAL INSURED provisions or 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 TrueNorth 226 Main Street Cedar Falls IA 50613 CONTNAME: Lynn Kimble PHONE FAX (A/c No Ext), 319-553-0096 (A/C, No): 319-268-2214 ADDRESS: Certs@truenorthcompanies.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: United Fire & Casualty Company INSURER B : Addison Insurance Company 13021 10324 INSURED BENTSAN-01 Benton's Sand & Gravel, Inc. 905 Center Street Cedar Falls IA 50613 INSURER C 1/1/2018 INSURERD: EACH OCCURRENCE INSURER E : DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F : COVERAGES CERTIFICATE NUMBER: 1343650474 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 LTRINSR TYPE OFINSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF IMMIDD/YYYYI POLICY EXP IMM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y N 60342437 1/1/2018 1/1/2019 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) 5100000 _ CLAIMS -MAGE X OCCUR MED EXP (My one person) $ 5,000 PERSONAL & ADV INJURY $1,000.000 GENERAL AGGREGATE $2,000000 GEN'L AGGREGATE 1 POLICY OTHER: LIMIT APPLIES X JECT PER: LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE X X __ LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY X SCHEDULED AUTOS NON -OWNED AUTOS ONLY N N 60342437 1/1/2018 1/1/2019 COMBINED SINGLE LIMIT (Ea accident) s 1 000.000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 60342437 1/1/2018 1/1/2019 EACH OCCURRENCE $6,000,000 AGGREGATE $ 6,000,000 $ DEO X RETENT ON$0 8 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED9 (Mandatory in NH) Ir yes, describe under DESCRIPTION OF OPERATIONS below N YNN NIA N 30303746 1/12018 1/12019 X STATUTE OTH- ER E.L. EACH ACCIDENT $100.000 E.L. DISEASE - EA EMPLOYEE $100,000 E.L. DISEASE - POLICY LIMIT $50ROOD A Leased Equipment 60342437 1/1/2018 1/1/2019 $250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is requir d) If Yes is indicated above for additional insu ed, forms General Liability #CG7201 & Auto Liability #CA7109 applies. If Yes is indicated above for waiver of subrogation, forms General Liability #CG7201, Auto Liability #CA7109, Work Comp #WC000313 apply. Umbrella Liability follows form for the General Liability, Auto Liability and Workers Compensation. Coverage is extended for work performed and required under written contract with the above named insured. Certificate holder is additional insured as required by written contract with named insured. Demolition and Site Clearance Services - 807 East 4th Street and 809-811 East 41h Street, Waterloo, IA 30 Day notice of cancellation is provided. CERTIFICATE HOLDER CANCELLATION City of Waterloo 715 Mulberry St. Waterloo IA 50703 USA 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 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD