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HomeMy WebLinkAboutYoung Plumbing and Heating-12/7/2015Init. Please return this copy to: City Clerk & Finance Dept. 715 Mulberry St. Waterloo, IA 50703 SDocument A101TM - 2007 Standard Form of Agreement Between Owner and Contractor where the basis of payment is a Stipulated Sum AGREEMENT made as of the Seventh day of December in the year Two Thousand Fifteen (In words, indicate day, month and year.) BETWEEN the Owner: (Nance, legal status, address and other information) City of Waterloo 715 Mulberry Street Waterloo, IA 50703 Telephone Number: 319-291-4319 Fax Number: 319-291-4262 and the Contractor: (Name, legal status, address and other information) Young Plumbing and Heating 750 South Hackett Rd. PO Box 1077 Waterloo, IA 50704-1077 Telephone Number: 319-234-4411 Fax Number: 319-234-4540 for the following Project: (Name, location and detailed description) City of Waterloo, 5 Sullivan Bros Convention Center Boiler Replacement Phase I 200 W. 4th Street Waterloo, IA 50701 The Architect: (Name, legal status, address and other information) MODUS 214 E. 4th Street Waterloo, IA 50703 Telephone Number: 319-235-0650 Fax Number: 319-235-0644 The Owner and Contractor agree as follows. 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. AIA Document A201 TM -2007, General Conditions of the Contract for Construction, is adopted in this document by reference. Do not use with other general conditions unless this document is modified. AIA Document A101 TM — 2007, Copyright ©1915, 1918, 1925, 1937, 1951, 1958, 1961, 1963, 1967, 1974, 1977, 1987, 1991, 1997 and 2007 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 08:43:26 an 12/08/2015 under Order No.2909393120_1 which expires on 10/30/2016, and is not for resale. User Notes: (1264215351) 1 Init. TABLE OF ARTICLES 1 THE CONTRACT DOCUMENTS 2 THE WORK OF THIS CONTRACT 3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION 4 CONTRACT SUM 5 PAYMENTS 6 DISPUTE RESOLUTION 7 TERMINATION OR SUSPENSION 8 MISCELLANEOUS PROVISIONS 9 ENUMERATION OF CONTRACT DOCUMENTS 10 INSURANCE AND BONDS ARTICLE 1 THE CONTRACT DOCUMENTS The Contract Documents consist of this Agreement, Conditions of the Contract (General, Supplementary and other Conditions), Drawings, Specifications, Addenda issued prior to execution of this Agreement, other documents listed in this Agreement and Modifications issued after execution of this Agreement, all of which form the Contract, and are as fully a part of the Contract as if attached to this Agreement or repeated herein. The Contract represents the entire and integrated agreement between the parties hereto and supersedes prior negotiations, representations or agreements, either written or oral. An enumeration of the Contract Documents, other than a Modification, appears in Article 9. ARTICLE 2 THE WORK OF THIS CONTRACT The Contractor shall fully execute the Work described in the Contract Documents, except as specifically indicated in the Contract Documents to be the responsibility of others. ARTICLE 3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION § 3.1 The date of commencement of the Work shall be the date of this Agreement unless a different date is stated below or provision is made for the date to be fixed in a notice to proceed issued by the Owner. (Insert the date of commencement if it differs front the date of this Agreement or, if applicable, state that the date will be fixed in a notice to proceed.) If, prior to the commencement of the Work, the Owner requires time to file mortgages and other security interests, the Owner's time requirement shall be as follows: § 3.2 The Contract Time shall be measured from the date of commencement. § 3.3 The Contractor shall achieve Substantial Completion of the entire Work not later than ( ) days from the date of commencement, or as follows: (Insert number of calendar days. Alternatively, a calendar date may be used when coordinated with the date of conmrencement. If appropriate, insert requirements for earlier Substantial Completion of certain portions of the Work.) The Contractor shall achieve Substantial Completion of the entire Work not later than January 08, 2016. Portion of Work Substantial Completion Date AIA Document A101" — 2007. Copyright © 1915, 1918, 1925, 1937, 1951, 1958, 1961, 1963, 1967, 1974, 1977, 1987, 1991, 1997 and 2007 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 08:43:26 on 12/08/2015 under Order No.2909393120_1 which expires on 10/30/2016, and is not for resale. User Notes: (1264215351) Init. t , subject to adjustments of this Contract Time as provided in the Contract Documents. (Insert provisions, if any, for liquidated damages relating to failure to achieve Substantial Completion on time or for bonus payments for early completion of the Work) ARTICLE 4 CONTRACT SUM § 4.1 The Owner shall pay the Contractor the Contract Sum in current funds for the Contractor's performance of the Contract. The Contract Sum shall be One Hundred Twenty-nine Thousand Seven Hundred Eighty-nine Dollars and Zero Cents ($ 129,789.00), subject to additions and deductions as provided in the Contract Documents. § 4.2 The Contract Sum is based upon the following alternates, if any, which are described in the Contract Documents and are hereby accepted by the Owner: (State the numbers or other identification of accepted alternates. If the bidding or proposal documents permit the Owner to accept other alternates subsequent to the execution of this Agreement, attach a schedule of such other alternates showing the amount for each and the date when that amount expires.) Alternate #1 and Alternate #2 § 4.3 Unit prices, if any: (Idents and state the unit price; state quantity limitations, if any, to which the unit price will be applicable.) Item Units and Limitations Price Per Unit ($0.00) § 4.4 Allowances included in the Contract Sum, if any: (Identify allowance and state exclusions, if any, from the allowance price.) Item Price ARTICLE 5 PAYMENTS § 5.1 PROGRESS PAYMENTS § 5.1.1 Based upon Applications for Payment submitted to the Architect by the Contractor and Certificates for Payment issued by the Architect, the Owner shall make progress payments on account of the Contract Sum to the Contractor as provided below and elsewhere in the Contract Documents. § 5.1.2 The period covered by each Application for Payment shall be one calendar month ending on the last day of the month, or as follows: § 5.1.3 Provided that an Application for Payment is received by the Architect not later than the Fifteenth day of a month, the Owner shall make payment of the certified amount to the Contractor not later than the Fifteenth day of the following month. If an Application for Payment is received by the Architect after the application date fixed above, payment shall be made by the Owner not later than ( ) days after the Architect receives the Application for Payment. (Federal, state or local laths may require payment within a certain period of time) § 5.1.4 Each Application for Payment shall be based on the most recent schedule of values submitted by the Contractor in accordance with the Contract Documents. The schedule of values shall allocate the entire Contract Sum among the various portions of the Work. The schedule of values shall be prepared in such form and supported by such data to substantiate its accuracy as the Architect may require. This schedule, unless objected to by the Architect, shall be used as a basis for reviewing the Contractor's Applications for Payment. § 5.1.5 Applications for Payment shall show the percentage of completion of each portion of the Work as of the end of the period covered by the Application for Payment. AIA Document A101 TM — 2007. Copyright ®1915, 1918, 1925, 1937, 1951, 1958, 1961, 1963, 1967, 1974, 1977, 1987, 1991, 1997 and 2007 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. This document was produced by AIA software at 08:43:26 on 12/08/2015 under Order No.2909393120_1 which expires on 10/30/2016, and is not for resale. User Notes: (1264215351) Init. § 5.1.6 Subject to other provisions of the Contract Documents, the amount of each progress payment shall be computed as follows: .1 Take that portion of the Contract Sum properly allocable to completed Work as determined by multiplying the percentage completion of each portion of the Work by the share of the Contract Sum allocated to that portion of the Work in the schedule of values, less retainage of 5% percent ( 5% %). Pending final determination of cost to the Owner of changes in the Work, amounts not in dispute shall be included as provided in Section 7.3.9 of AIA Document A201T^' 2007, General Conditions of the Contract for Construction; .2 Add that portion of the Contract Sum properly allocable to materials and equipment delivered and suitably stored at the site for subsequent incorporation in the completed construction (or, if approved in advance by the Owner, suitably stored off the site at a location agreed upon in writing), less retainage of 5% percent ( 5% %); .3 Subtract the aggregate of previous payments made by the Owner; and .4 Subtract amounts, if any, for which the Architect has withheld or nullified a Certificate for Payment as provided in Section 9.5 of AIA Document A201-2007. § 5.1.7 The progress payment amount determined in accordance with Section 5.1.6 shall be further modified under the following circumstances: .1 Add, upon Substantial Completion of the Work, a sum sufficient to increase the total payments to the full amount of the Contract Sum, less such amounts as the Architect shall determine for incomplete Work, retainage applicable to such work and unsettled claims; and (Section 9.8.5 of AIA Document A201-2007 requires release of applicable retainage upon Substantial Completion of Work with consent of surety, if any.) .2 Add, if final completion of the Work is thereafter materially delayed through no fault of the Contractor, any additional amounts payable in accordance with Section 9.10.3 of AIA Document A201-2007. § 5.1.8 Reduction or limitation of retainage, if any, shall be as follows: (If it is intended, prior to Substantial Completion of the entire Work, to reduce or limit the retainage resulting from the percentages inserted in Sections 5.1.6.1 and 5.1.6.2 above, and this is not explained elsewhere in the Contract Documents, insert here provisions for such reduction or limitation.) § 5.1.9 Except with the Owner's prior approval, the Contractor shall not make advance payments to suppliers for materials or equipment which have not been delivered and stored at the site. § 5.2 FINAL PAYMENT § 5.2.1 Final payment, constituting the entire unpaid balance of the Contract Sum, shall be made by the Owner to the Contractor when .1 the Contractor has fully performed the Contract except for the Contractor's responsibility to correct Work as provided in Section 12.2.2 of AIA Document A201 2007, and to satisfy other requirements, if any, which extend beyond final payment; and .2 a final Certificate for Payment has been issued by the Architect. § 5.2.2 The Owner's final payment to the Contractor shall be made no later than 30 days after the issuance of the Architect's final Certificate for Payment, or as follows: ARTICLE 6 DISPUTE RESOLUTION § 6.1 INITIAL DECISION MAKER The Architect will serve as Initial Decision Maker pursuant to Section 15.2 of AIA Document A201 2007, unless the parties appoint below another individual, not a party to this Agreement, to serve as Initial Decision Maker. (If the parties mutually agree, insert the name, address and other contact information of the Initial Decision Maker, if other than the Architect) § 6.2 BINDING DISPUTE RESOLUTION For any Claim subject to, but not resolved by, mediation pursuant to Section 15.3 of AIA Document A201 2007, the method of binding dispute resolution shall be as follows: AIA Document A101 TM - 2007. Copyright ©1915, 1918, 1925, 1937, 1951, 1958, 1961, 1963, 1967, 1974, 1977, 1987, 1991, 1997 and 2007 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 8, 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 08:43:26 on 12/08/2015 under Order No.2909393120 1 which expires on 10/30/2016, and is not for resale. User Notes: (1264215351) Init. (Check the appropriate box. If the Owner and Contractor do not select a method of binding dispute resolution below, or do not subsequently agree in writing to a binding dispute resolution method other than litigation, Claims will be resolved by litigation in a court of competent jurisdiction) [ ] Arbitration pursuant to Section 15.4 of AIA Document A201-2007 [ ] Litigation in a court of competent jurisdiction [ ] Other (Spec) ARTICLE 7 TERMINATION OR SUSPENSION § 7.1 The Contract may be terminated by the Owner or the Contractor as provided in Article 14 of AIA Document A201-2007. § 7.2 The Work may be suspended by the Owner as provided in Article 14 of AIA Document A201-2007. ARTICLE 8 MISCELLANEOUS PROVISIONS § 8.1 Where reference is made in this Agreement to a provision of AIA Document A201-2007 or another Contract Document, the reference refers to that provision as amended or supplemented by other provisions of the Contract Documents. § 8.2 Payments due and unpaid under the Contract shall bear interest from the date payment is due at the rate stated below, or in the absence thereof, at the legal rate prevailing from time to time at the place where the Project is located. (Insert rate of interest agreed upon, if any) % § 8.3 The Owner's representative: (Name, address and other information) Craig Clark City of Waterloo 715 Mulberry St. Waterloo, IA 50703 Telephone Number: 319-291-4319 Fax Number: 319-291-4262 Mobile Number: 319-230-6887 Email Address: craig.clark@waterloo-ia.org § 8.4 The Contractor's representative: (Name, address and other information) Pete Sell Young Plumbing and Heating 750 South Hackett Rd. PO Box 1077 Waterloo, IA 50704-1077 Telephone Number: 319-234-4411 Fax Number: 319-234-4540 Mobile Number: 319-290-3583 Email Address: pete@youngphc.com AIA Document A101TM — 2007. Copyright © 1915, 1918, 1925, 1937, 1951, 1958. 1961, 1963, 1967, 1974, 1977, 1987, 1991, 1997 and 2007 by The American Institute of Architects. All rights reserved. WARNING: This AIM' 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 08:43:26 on 12/08/2015 under Order No.2909393120_1 which expires on 10/30/2016, and is not for resale. User Notes: (1264215351) Init. § 8.5 Neither the Owner's nor the Contractor's representative shall be changed without ten days written notice to the other party. § 8.6 Other provisions: ARTICLE 9 ENUMERATION OF CONTRACT DOCUMENTS § 9.1 The Contract Documents, except for Modifications issued after execution of this Agreement, are enumerated in the sections below. § 9.1.1 The Agreement is this executed AIA Document A101-2007, Standard Form of Agreement Between Owner and Contractor. § 9.1.2 The General Conditions are AIA Document A201-2007, General Conditions of the Contract for Construction. § 9.1.3 The Supplementary and other Conditions of the Contract: Document § 9.1.4 The Specificat (Paragraphs deleted) Section 00 2115 22 0050 22 0080 22 0529 22 0553 22 0719 22 1116 23 0050 23 0080 23 0090 23 0519 23 0529 23 0548 23 0553 23 0719 23 1123 23 2113 23 2123 23 2133 23 2500 23 5100 23 5243 23 5243-1 26 0050 26 0080 26 0090 26 0519 26 0526 26 0529 26 0533 26 0553 26 2416 26 2816 Title Date ions: Title Form of Proposal Basic Plumbing Requirements Minor Plumbing Demolition for Remodeling Hangers and Supports for Plumbing Piping and Equipment Identification for Plumbing and Equipment Domestic Plumbing Insulation Domestic Plumbing Piping Basic HVAC Requirements Minor HVAC Demolition for Remodeling HVAC Schedule of Values Meters and Gauges for HVAC Piping Hangers and Supports for HVAC Piping and Equipment Vibration and Seismic Controls for HVAC Piping and Equipment Identification for HVAC Piping and Equipment HVAC Piping Insulation Natural Gas Piping Hydronic Piping Hydronic Pumps Hydronic Specialties HVAC Water Treatment Breechings, Chimneys and Stacks High Efficiency Non -Condensing Boilers Pre Ordered Boiler Equipment Basic Electrical Requirements Electrical Schedule of Values Minor Electrical Demolition for Remodeling Electrical Power Conductors Grounding and Bonding for Electrical Systems Hangers and Supports for Electrical Systems Raceway and Boxes for Electrical Systems Identification for Electrical Systems Panelboards Enclosed Switches Pages Date Pages 11/25/2015 2 11/25/2015 6 11/25/2015 2 11/25/2015 4 11/25/2015 2 11/25/2015 4 11/25/2015 4 11/25/2015 6 11/25/2015 2 11/25/2015 2 11/25/2015 2 11/25/2015 4 11/25/2015 2 11/25/2015 2 11/25/2015 4 11/25/2015 2 11/25/2015 6 11/25/2015 2 11/25/2015 4 11/25/2015 4 11/25/2015 4 11/25/2015 4 11/25/2015 24 11/25/2015 6 11/25/2015 2 11/25/2015 2 11/25/2015 4 11/25/2015 4 11/25/2015 2 11/25/2015 4 11/25/2015 2 11/25/2015 2 11/25/2015 2 AIA Document A101 TM - 2007. Copyright ®1915, 1918, 1925, 1937, 1951, 1958, 1961, 1963, 1967, 1974, 1977, 1987, 1991, 1997 and 2007 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. This document was produced by AIA software at 08:43:26 on 12/08/2015 under Order No.2909393120_1 which expires on 10/30/2016, and is not for resale. User Notes: (1264215351) Init. § 9.1.5 The Drawings: (Paragraphs deleted) Number Title Date ME -0 Cover Sheet — Site Plan 11/25/2015 MD -1 Mechanical Demolition Plans 11/25/2015 M-1 Mechanical Phase I Plans 11/25/2015 E-1 Electrical Phase I Plans 11/25/2015 § 9.1.6 The Addenda, if any: Number Date Pages Addendum #1 12/2/2015 10 Addendum #2 12/4/2015 3 Portions of Addenda relating to bidding requirements are not part of the Contract Documents unless the bidding requirements are also enumerated in this Article 9. § 9.1.7 Additional documents, if any, forming part of the Contract Documents: .1 AIA Document E201T"t-2007, Digital Data Protocol Exhibit, if completed by the parties, or the following: .2 Other documents, if any, listed below: (List here any additional documents that are intended to fornt part of the Contract Documents_ AL4 Document A201-2007 provides that bidding requirements such as advertisement or invitation to bid Instructions to Bidders, sample forms and the Contractor's bid are not part of the Contract Documents unless enumerated in this Agreement. They should be listed here only if intended to be pari of the Contract Documents.) ARTICLE 10 INSURANCE AND BONDS The Contractor shall purchase and maintain insurance and provide bonds as set forth in Article 11 of AIA Document A201-2007. (Stale bonding requirements, if any, and limits of liability for insurance required in Article 11 ofAIA Document A201-2007.) Type of insurance or bond Limit of liability or bond amount ($0.00) This Agr ement entered into as of the day and year first written above. OWNER (Signature) Ernest "Buck" Clark, Mayor CONTRA OR ature C fign ) Travis Young, Vice President (Printed name and title) (Printed name and title) AIA Document A101 TM - 2007. Copyright © 1915, 1918, 1925, 1937, 1951, 1958, 1961, 1963, 1967, 1974, 1977, 1987, 1991, 1997 and 2007 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 thls AIA5 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 08:43:26 on 12/08/2015 under Order No.2909393120_1 which expires on 10/30/2016, and is not for resale. User Notes: (1264215351) Certification of Document's Authenticity AIA® Document D407TM — 2003 I, Dawn M. Klingfuss, hereby certify, to the best of my knowledge, information and belief, that I created the attached final document simultaneously with its associated Additions and Deletions Report and this certification at 08:43:26 on 12/08/2015 under Order No. 2909393120_1 from AIA Contract Documents software and that in preparing the attached final document I made no changes to the original text of AIA® Document A101T"t — 2007, Standard Form of Agreement Between Owner and Contractor where the basis of payment is a Stipulated Sum, as published by the AIA in its software, other than those additions and deletions shown in the associated Additions and Deletions Report. -DiGnnn M, (Signed) (k W� 1.�M VtiletitV- (Title DeumAlw , 20 l5 (Dated) AIA Document 0401 T^' — 2003. Copyright ©1992 and 2003 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 08:43:26 on 12/08/2015 under Order No.2909393120_1 which expires on 10/30/2016, and is not for resale. User Notes: (1264215351) ACORO CERTIFICATE OF LIABILITY INSURANCE YOUNPLU-02 JWILLARD DATE (MMIDD/YYYY) 12/17/2015 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 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 PDCM Insurance P.O. Box 2597 Waterloo, IA 50704 INSURED Young Plumbing & Heating Company PO Box 1077 Waterloo, IA 50704 CONTACT NAME: PHONE IN Na Eat) (319) 234-8888 : ADDREAiLpdcm@pssdcm.com EM: _IA. Na): (319) 234-7702 INSURER(S) AFFORDING COVERAGE NAIL q INSURER A: Employers Mutual Companies INSURER R : INSURER C : 21415 INSURER 0 : INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MMIDDNYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 5P27533AMAGE 04101/2015 04/01/2016 EACH OCCURRENCE $ 1,000,000 10 PREMSES(Ea occurrence) $ 100,000 CLAIMS -MAGE IX (OCCUR $ 5,000 MED EXP (Any one person) PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [X I PE8f I X I LOC OTHER: PRODUCTS-COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS AUTOS 5N27533 04/01/2015 04101/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 $ BODILY INJURY (Per person) BODILY INJURY (Peracddent) $ PROPERTY DAMAGE (Per accident) $ A X UMBRELLALIAB EXCESSLIAB X OCCUR CLAIMS -MADE 5J27533 04/01/2015 04101/2016 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ DED X RETENTION$ 0 A WORKERS COMPENSATION EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNER/EXECUIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N N NIA 5H27533 04/01/2015 04/01/2016 X I MUTE STATUTE ER E.L.EACH ACCIDENT $ 500,000 ---- E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if mo e space is requi ed( If required in written contract, City of Waterloo and Modus Engineers are named additional insureds under general liability. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) ©1968-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo a e registered marks of ACORD 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 City of Waterloo 715 Mulberry Street Waterloo, IA 50703, �a 1 /$1ngrty ""1� ACORD 25 (2014/01) ©1968-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo a e registered marks of ACORD