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ORIGIN ID:DSMA <515) 289-0705
REW SERVICES
1226 ILLINOIS ST
DES MOINES, 18 50314
UNITED STATES US
SHIP DATE: 02APR19
ACTWGT: 0.20 LB
CAD: 006994016/SSFE2002
BILL THIRD PARTY
TO CITY CLERKS OFF/ CHRIS WESTERN
CITY OF WATERLOO
715 MULBERRY ST
WATERLOO IA 50703
(31u:9) 291-4366 REF:
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P0:
DEPT:
III 11111111111111111111111111111111tIIII11111111 II1111
1111 J I
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TRKN 7864 0136 4078 MORNING MAY0201
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50703
1A—US CID
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REW Services Corporation
1226 Illinois Street
Des Moines, IA 50314
REW Services Corporation
1226 Illinois Street
Des Moines, IA 50314
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EXHIBIT "A"
SIGNATURE PAGE
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:
1420 Commercial Street
Total
$ S lci 35
1422 Commercial Street
$ 14 l h-
1426 Commercial Street
$ 1,5S-0
1430 Commercial
$ t 5-S-0
1211 Sycamore Street
$ b pc)
328 W. 14th Street
$ t0
419 Lane Street
$ 1 1 t "}p
536 Dawson Street
,
$ 1, 5c0
Total
$ 2 -1,605 -
y,b03
Total in written form:
Zk1 ► 95 ` 1-1,1Etfriifvvi.2 TfjOU t4D EIGt1' }{tor0 f file
Submitting Firm: ` �[ rzv Sc t; S P
Address: I7-2-6 tLA-3ois Si
City: N)ES Mu WAS
Authorized Representative (print)
Authorized Representative Signature
Date: 4I2Ily
State: .141 Zip: s031
Phone: 0 S
mail:
Fax:
7tfF E'- O to w k . t c) frit
2 ,01- (Y? -bb
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
We choose not to bid at this time but would like to be considered for future requests for bid
RFP FOR ASBESTOS ABATEMENT SERVICES: 1420 Commercial Street, 1422 Commercial Street, 1426 Commercial Street and 1430
Commercial, 1211 Sycamore Street, 328 W. 14th Street, 419 Lane Street, 536 Dawson Street.
Page 8 of 8
---, ®
ACORO CERTIFICATE OF LIABILITY INSURANCE
it...-----
DATE (MMIDDrcYYY,
3/6!2019
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 policydes) 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
LMC Insurance & Risk Management
4200 University Ave., Suite 200
West Des Moines IA 50266-5945
CONTACT
NAME: Rachel ROZBII
PHONE
No Ezn: 515-237-0115 FAX
INCNo): 515-244-9535
ADDRESS: rachel.rozell@Imcins.com
INSURER(S) AFFORDING COVERAGE
NAIC N
INSURER A : Employers Mutual Casualty Company
21415
INSURED REWSERV-01
REW Services Corp
1226 Illinois Street
Des Moines IA 50314
INSURER s: Tokio Marine Specialty Insurance Company
23850
INSURER C: American Interstate Insurance Company
31895
INSURER D:
52,000,000
INSURER E :
5100,000
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 I5 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
SUBR
WVD
POLICY NUMBER
POLICY EFF
(MMIDDIYYYY)
POLICY EXP
IMMIDDIYYYY)
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
Y
Y
PPK1949728
3/1/2019
3/1/2020
EACH OCCURRENCE
52,000,000
DAMAGE TO RENTE
PREMISES (E occur re
5100,000
CLAIMS -MADE
X
OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 2,000,000
GENERAL AGGREGATE
$ 2,000,000
GE
'L AGGREGATE
POLICY
OTHER:
LIMIT APPLIES PER:
X LOC
PRODUCTS - COMP/OPAGG
$ 2,000,000
A
AUTOMOBILE
X
X
LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
X
SCHEDULED
AUTOS
NON -OWNED
AUTOS ONLY
Y
V
6X00578
3/1/2019
3/1/2020
COMBINED SINGLE LIMIT
(Ea eccidena
$1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY PdIDAMAGE
$
B
X
UMBRELLALIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
Y
Y
PUB666754
3/1/2019
3/1/2020
EACH OCCURRENCE
$5,000,000
AGGREGATE
$ 5,000,000
$
DED
RETENTION$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y,
N/A
Y
AVWCIA2777332019
3/1/2019
3/1/2020
X STATUTE OTH-
ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE- EA EMPLOYEE
$ 1,000,000
E.L. DISEASE- POLICY LIMIT
5 1,000.000
B
Pollution
Y
Y
PPK1949728
3/1/2019
3/1/2020
Limit
2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required)
To Whom It May Concern
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AU HORIZEO REPRESENTATIVE
ACORD 25 (2016/03)
-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
THE AMERICAN INSTITUTE OF ARCHITECTS
AIA Document A310
Bid Bond
BOND # REW4-4-19
KNOW ALL MEN BY THESE PRESENTS, that we
REW SERVICES CORPORATION
1226 Illinois SI. Des Moines, IA 50314
(Here insert full name ,and address or legal title of Contractor)
as Principal, hereinafter called the Principal, and
Granite Re, Inc.
14001 Quailbrook Dr Oklahoma City, OK 73134
a corporation duly organized under the laws of the State of OK as Surety, hereinafter called the Surety, are held and firmly bound unto
City of Waterloo
715 Mulberry St. Waterloo, IA 50703
(Here insert full name ,and address or legal title of Owner)
as Obligee, hereinafter called the Obligee, in the sum of Five Percent of Amount Bid Dollars 5.00%), for the payment of which
sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and
assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has submitted a bid for
Asbestos Abatement of 8 residential houses; AB -2019-04-8P
(Here insert full name, address and description of project)
NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in
accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or Contract Documents with good and
sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution
thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the
Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee
may in good faith contract with another party to perform the Work covered by said bid then this obligation shall be null and void, otherwise to
remain in full force and effect.
Signed and sealed this 4th day of April, 2019.
1(i( 12 nkkIaP
(Witness) (Ti
S CORPORATION
n , Granite Re, Inc.I e:Ckg-if
1 Iv/ (S a �l C.
(Witness)Marci Little Charles R. McQuiggan, Attorney -in -F
(Seal)
AIA DOCUMENT A310 BID BOND AIA ® FEBRUARY 1970 ED THE AMERICAN
INSTITU'T'E OF ARCHITECTS, 1735 N.Y. AVE., N.W. WASHINGTON, D.C. 20006
WARNING: Unlicensed photocopying violates U.S.copyright laws and is subject to legal prosecution.
1
GRANITE RE, INC.
GENERAL POWER OF ATTORNEY
Know all Men by these Presents:
That GRANITE RE, INC., a corporation organized and existing under the laws of the State of OKLAHOMA and having its principal office at the City of
OKLAHOMA CITY in the State of OKLAHOMA does hereby constitute and appoint;
CHARLES R. MCQUIGGAN; RALPH L. MCQUIGGAN; STEVE G. MCQUIGGAN; HOLLY V. JOHNSON its true and lawful Attorney -in -Facts) for the
following purposes, to wit;
To sign its name as surety to, and to execute, seal and acknowledge any and all bonds, and to respectively do and perform any and all acts and things
set forth in the resolution of the Board of Directors of the said GRANITE RE, INC. a certified copy of which is hereto annexed and made a part of this Power of
Attorney; and the said GRANITE RE, INC. through us, Its Board of Directors, hereby ratifies and confirms all and whatsoever the said:
CHARLES R. MCQUIGGAN; RALPH L. MCQUIGGAN; STEVE G. MCQUIGGAN; HOLLY V. JOHNSON may lawfully do in the premises by virtue of these
presents.
In Witness Whereof, the said GRANITE RE, INC. has caused this instrument to be sealed with Its corporate seal, duly attested by the signatures of Its
President and Secretary/Treasurer, this 14th day ofJune, 2017.
STATE OF OKLAHOMA )
) SS:
COUNTY OF OKLAHOMA )
Kenneth D. Whittington, President
Kyle P. McDonald, Treasurer
On this 14th day ofJune, 2017, before me personally came Kenneth D. Whittington, President of the GRANITE RE, INC. Company and Kyle P. McDonald,
Secretary/Treasurer of said Company, with both of whom I am personally acquainted, who being by me severally duly sworn, said, that they, the said Kenneth D.
Whittington and Kyle P. McDonald were respectively the President and the Secretary/Treasurer of GRANITE RE, INC., the corporation described in and which
executed the foregoing Power of Attorney; that they each knew the seal of said corporation; that the seal affixed to said Power of Attorney was such corporate
seal, that it was so fixed by order of the Board of Directors of said corporation, and that they signed their name thereto by like order as President and
Secretary/Treasurer, respectively, of the Company.
My Commission Expires:
August 8, 2021
Commission #: 01013257
Notary Pi blic
GRANITE RE, INC.
Certificate
THE UNDERSIGNED, being the duly elected and acting Secretary/Treasurer of Granite Re, Inc„ an Oklahoma Corporation, HEREBY CERTIFIES that the following
resolution is a true and correct excerpt from the July 15, 1987, minutes of the meeting of the Board of Directors of Granite Re, Inc. and that said Power of
Attorney has not been revoked and is now in full force and effect.
"RESOLVED, that the President, any Vice President, the Secretary, and any Assistant Vice President shall each have authority to appoint individuals as
attorneys -in -fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of
similar character issued by the Company in the course of its business. On any instrument making or evidencing such appointment, the signatures may
be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the Company, the seal, or a facsimile thereof,
may be impressed or affixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the validity of any such
instrument or undertaking."
IN WITNESS. WHEREOF, the undersigned has subscribed this Certificate and affixed the corporate seal of the Corporation this
- _4th__ day of ApxiL , 2019__
GRO800-1
Kyle P. McDonald, Secretary/Treasurer
State of Illinois
County of Madison
On this 411) day of April, 2019, before me, Holly V. Johnson, a Notary Public within and for the
above mentioned county, personally appeared Charles R. McQuiggan, to me personally known,
who being by me duly sworn he is an Attorney -In -Fact of:
Allegheny Casualty Company
AMCO Insurance Company
American Contractors Indemnity Company
Berkley Insurance Company
Contractors Bonding and Insurance Company
Developers Surety and Indemnity Company
Fidelity and Deposit Company of Maryland
First National Insurance Company ofAmerica
Granite Re, Inc.
Lexon Insurance Company
Merchants Bonding Company (Mutual)
Nationwide Mutual Insurance Company
Old Republic Surety Company
Pekin Insurance Company
Star Insurance Company
Selective Insurance Company ofAmerica
State Auto Insurance Company
The Ohio Casualty Insurance Company
Travelers Casualty and Surety Company ofAmerica
US Specialty Insurance Company
Western Surety Company
Western National Mutual Insurance Company
the corporation named in the foregoing instrument, and that the seal affixed to the said instrument
is the corporate seal of the said corporation, and that the said instrument was signed and sealed
on behalf of the said corporation by authority of its Board of Directors, and the said
Charles R. McQuiggan, acknowledged the said instrument to be the free act and deed of the
said corporation.
Official Seal
Holly V. Johnson
Notary Public, State of Illinois
My Commission Expires January 30, 2021
By: `KolTy v ,Johnson
rNotaly Public