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ORIGIN ID:IOWA (319) 354-2113
A CUSTOMER OF:
MAILBOXES OF IOWA CITY
308 EAST BURLINGTON STREET
IOWA CITY, IA 52240
UNITED STATES US
SHIP DATE: 11MAR20
ACTWGT• 0.10 LB
CAD: 114570935/WSXI3400
DIMS: 12x9x1 IN
BILL SENDER
TO NI : MR. CHRIS WESTERN
SEALED RFP FOR ASBESTOS SURVEY SERV
715 MULBERRY ST
CITY CLERKS OFFICE CITY HALL
WATERLOO IA 50703
(319) 291-4366
INV: PKG ID: 741952
P0:
REF: STEVE HENNEBERRY
DEPT:
II11111111111111111111111111111III 111111111111 III 11 III
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customs purposes. If exported from theU5,shippercertifiesthatthecommodities.technotogYorsoftwarewereexportedfromtheUSinaccordancewiththeExportAdminisRE2tratli
Regulations Diversion contrary to law is prohibited
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Solon, TA 52333
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EXHIBIT "A"
SIGNATURE PAGE
1100 Sycamore Street, 105 E. 10th Street, 300 Allen Street, 1527 E. 4th Street, 2127 E.
4th Street (St. Mary's Church and School Buildings only), 1526 E. 4th Street, 811
Williston Avenue, 179 Rebecca Lane, 1809 Black Hawk Street, 118 Shilliam Avenue, 1004
Fulton Avenue, 817 Bluff Street (Quonset hut only), 514 Johnson Street, 214 Cottage
Street, 921 W. 2nd Street and 220 Hopkins Court.
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.
Submitting Firm: Hawkeye Environmental
Address: 814 Wood Lily Road
City: Solon
State: IA Zip 52333
Authorized Representative (print) Steve Henneberry
Authorized Representative Signature
Date: 03/11/20 Email: steve@haw 2ybenv.com
Phone: 319-333-7420
Fax:
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 1 Date 03/09/20 Addenda Number Date
Addenda Number Date Addenda Number Date
RFP FOR ASBESTOS SURVEY SERVICES — 1100 Sycamore Street, 105 E 10th Street, 300 Allen Street, 1527 E. 4th Street, 2127 E. 4th
Street (St. Mary's Church and School Buildings only), 1526 E. 4th Street, 811 Williston Avenue, 179 Rebecca Lane, 1809 Black Hawk
Street, 118 Shilliam Avenue, 1004 Fulton Avenue, 817 Bluff Street (Quonset hut only), 514 Johnson Street, 214 Cottage Street, 921 W. 2nd
Street and 220 Hopkins Court. Page 10 of 11
Our bid, for asbestos survey services of the above listed sites is and will not exceed:
1100
Sycamore Street
$
850.00
105
E. 10th
Street
$
700.00
300
Allen Street
$
600.00
1527 E. 4th Street
$
550.00
2127 E. 4th Street
School Buildings
(St.
only)
Mary's
Church and
$
1
,975.00
1526
E. 4th Street
$
600.00
811 Williston Avenue
$
650.00
179 Rebecca
Lane
$
525.00
1809
Black Hawk
Street
$
525.00
118
Shilliam Avenue
$
525.00
1004
Fulton Avenue
$
525.00
817 Bluff Street
(Quonset
hut only)
$
500.00
514 Johnson
Street
$
525.00
214
Cottage
Street
$
600.00
921
W. 2nd Street
$
650.00
220
Hopkins Court
500.00
Total
$
10,800.00
The contractor with the lowest total bid for all properties will be awarded the contract.
RFP FOR ASBESTOS SURVEY SERVICES —1100 Sycamore Street, 105 E 10th Street, 300 Alien Street, 1527 E 4th Street, 2127 E 4th
Street (St. Mary's Church and School Buildings only), 1526 E 4th Street, 811 Williston Avenue, 179 Rebecca Lane, 1809 Black Hawk
Street, 118 Shilliam Avenue, 1004 Fulton Avenue, 817 Bluff Street (Quonset hut only), 514 Johnson Street, 214 Cottage Street, 921 W. 2nd
Street and 220 Hopkins Court. Page 11 of 11
ACO/ OR
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
03/ 11 /2020
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 have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the po icy, 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 Ambrisco Insurance, Inc.
24 Westside Drive
Iowa City
IA 52246
CONTACT Morgan Stroud
NAME:
PHONE (319) 887-3700
(A/C, No, Ext):
E-MAIL mstroud@awwelt.com
ADDRESS:
FAX (319) 887-3701
(A/C, No):
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Admiral Insurance Company
INSURED
Hawkeye Environmental LLC
814 Wood Lily Rd
Solon
IA 52333
INSURER B
ART - Ace USA
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES
CERTIFICATE NUMBER: 19-20
REVISION NUMBER:
THIS IS TO CERTIFY THAT
INDICATED. NOTWITHSTANDING
CERTIFICATE MAY BE ISSUED
EXCLUSIONS AND CONDITIONS
THE
POLICIES OF INSURANCE
ANY REQUIREMENT, TERM
OR MAY PERTAIN, THE INSURANCE
OF SUCH POLICIES. LIMITS
LISTED BELOW HAVE BEEN ISSUED
TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
BY PAID CLAIMS.
OR CONDITION OF ANY CONTRACT
AFFORDED BY THE POLIC
SHOWN MAY HAVE BEEN REDUCED
INSR
LTR
TYPE OF INSURANCE
ADDL3UBR
INSD
WVD
POLICY NUMBER
POLICY
(MM/DO/YYYY)
EFF
POLICY EXP
(MM/DD/YYYY)
LIMITS
X
COMMERCIAL
GENERAL
CLAIMS -MADE
$2,500
LIABILITY
FEI-ECC-14219-06
05/04/2019
05/04/2020
EACH OCCURRENCE
$ 1,000,000
DAMAGE RETED
PREMISESO(Ea occurrence)
$ 50,000
X
OCCUR
MED EXP (Any one person)
$ 5,000
X
Ded
PERSONAL &ADV INJURY
$ 1,000,000
A
GENERAL
$ 3,000,000
GEN'L AGGREGATE
LIMIT
APPLIES
PER:
AGGREGATE
PRODUCTS-COMP/OPAGG
$ 3,000,000
X
POLICY
PRO-
JECT
LOC
$
OTHER:
AUTO
LIABILITY
SCHEDULED
AUTOS
NON
AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
AUTOMOBILE
BODILY INJURY (Per person)
$
ANY
ONLY
ONLY
BODILY INJURY (Per accident)
$
OWNED
AUTOS
-OWNED
PROPERTY DAMAGE
(Per accident)
$
_
HIRED
AUTOS
ONLY
$
UMBRELLA
LIAB
LIAB
OCCUR
-MADE
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS
CLAIMS
$
DED
RETENTION $
B
WORKERS
AND
ANY
OFFICER/MEMBER
(Mandatory
If yes,
DESCRIPTION
COMPENSATION
EMPLOYERS'
PROPRIETOR/PARTNER/EXECUTIVE
in
describe
NH)
under
OF
LIABILITY
EXCLUDED?
OPERATIONS below
y / N
N /A
6S62UB2E17005
04/24/2019
04/24/2020
X
EROTH
STATUTE
E.L. EACH ACCIDENT
1 ,,
$
Y
E L
DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
10, 00000
$ ,
A
Pollution Liability
Professional Liability
FEI-ECC-14219-06
05/04/2019
05/04/2020
PoII/Prof Occurrence
Poll/Prof Aggregate
1,000,000
3,0001000
DESCRIPTION
OF OPERATIONS / LOCATIONS / VEHICLES
(ACORD
101, Additional Remarks Schedule, may be attached if more space is required)
CANCELLATION
I
City of Waterloo
Planning and Zoning Department
715 Mulberry St
Waterloo
IA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
50703
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
THE AMERICAN INSTITUTE OF ARCHITECTS
AIA Document A310
d, Bond 11
•
_•••._._.
ZAX13923
-fl
KNOW ALL MEN BY THESE PRESENTS,that we
I-IAWKEYE ENVIRONMENTAL LLC
IO\VA
as Principal, hereinafter called the Principal, and
AXES INSURANCE COMPANY (Here insert full name and address or legal title of Surety)
300 Connell Dr, SUITE 8000- Berkeley Heights, NJ 07922
a corporation duly organized under the laws of the State of ILLINOIS
as Surety, hereinafter called the Surety, are held and firmly bound unto
CITY OF \VA i'ERLOO (Here insert full name and address or legal lliie of Owner)
IO\-VA
(Here insert
full name and address or legal title of Contractor)
as Obligee, hereinafter called the Obligee, in the sum of FIVE PERCENT OF THE BID AMOUNT
Dollars ($TBD ),
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 SURVEY & SAMPLING
16 PROPERTIES
(Here insert full name, address and description of project) ..
NOW, T 1-11 R El' O ft E, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract
with the Obligee in accordznce 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 rnay 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 9T1-I
day of MARCH
2020
HA\VKEYE ENVIRONMENTAL LLC
(Principal)
(Title)
INSURANCF COMPANY
I.,AURIE IV) CRO\VL ..Y
(Title) Attorne, i
Fact
(Seal)
(Seal)
MA DOCUMENT A310 • BID BOND • AIA 0.0• FEBRUARY 1970 ED • THE AMERICAN
INSTITUTE OF ARCHITECTS, 1735 N.Y, AVE., N.W., WASHINGTON, D. C, 20006 1
Bono
Verification
Should you wish to verify the authenticity of this bond, please send your request,
including a copy of the bond, via email to: rich. zarandona@axiscapital . com
Contact
OR
Richard Zarandona
Executive Vice President- DCE&S
AXIS Insurance
300 Connell Dr., Suite 8000
PO Box 357
Berkeley Heights, NJ 07922-
Office: (908) 508-4324 •
Banc
•
Claims or Notices
Should you wish to file any notices to the Surety for the attached AXIS Insurance
Company bond(s) they should be sent to:
AXIS Insurance Company
300 Connell Dr., Suite 8000
PO Box 357
Berkeley Heights, NJ 07922
Attn: Surety Claims
POWER OF ATTORNEY
AXIN-8204
/t9
Know All Men by These Presents: That AXIS Insurance Company, an Illinois property and casualty company, (the "Company") does hereby appoint:
Laurie M. Crowley of Berkeley Heights, NJ
as its true and lawful Attomey(s)-In-Fact, to make execute, seal and deliver for and on its behalf as surety, bonds and undertakings, such documents to be valid as
though executed by the Company on its own behalf. The Company may revoke this appointment at any time.
EXCEPTION: NO AUTHORITY is granted to make, execute, seal and deliver bonds or undertakings that guarantee the payment or collection of any promissory note,
check, draft or letter of credit.
This Power of Attorney is signed, sealed and certified under and by the authority of resolutions adopted by unanimous written consent of the Board of Directors of
the Company on January 10, 2020:
RESOLVED, that upon the recommendation of Richard Zarandona, Scott Reis and Laurie M. Crowley, acting singly, are hereby appointed as the
Company s true and lawful Attorneys -in -Fact to make, execute, seal and deliver for and on behalf of the Company, as surety, bonds and undertakings, and
any such documents required in connection with such bonds and undertakings, to be valid as though executed by the Company on its own behalf
In Witness Whereof, AXIS Insurance Company has caused this instrument to be signed and its corporate seal to be affixed by a duly elected and qualified officer, this
J % day of January, 2020.
Attested and Certif
AXIS Insurance C
By:
Printed Name: Andrew M. Weissert
Title: Senior Vice President
pang
[Company Seal]
STATE OFj'
COUNTY OF6
Before me personally came Andrew M. Weissert , Senior Vice President of AXES Insurance Company to me known to be the individual and officer described
herein, who acknowledged that they being duly authorized signed, sealed with the corporate seal and delivered the foregoing instrument by the authority and direction
of said Company.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal.
CERTIFICATION
i(?)G�MMISg �•,``
r MAp� '-� . Cri
•••
N•n
2r _ m; _[Notary Seal]
Z;mom 202,3
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I, Frances R. Mathis , Assistant Secretary of AXIS Insurance Company, do hereby certify that the attached Power of Attorney dated January 19 2020 on behalf of
the person(s) as listed above is a true and correct copy and the same has been in full force and effect since the date thereof and is in full force and effect on the date of
this certificate, and I do further certify that the said Andrew M. Weissert , who executed the Power of Attorney, was a duly elected officer of AXIS Insurance Company
on the date of the execution of the attached Power of Attorney.
11,TraMO r REOF, I have hereunto set my hand and affixed the corporate seal of AXIS Insurance Company on this the
4 e , 2020.
nieriall—LitS
Printed Name: Frances R. Mathis
Title: Assistant Secretary
5
day of
[Company Seal]