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Aspro, Inc.-4/4/2016
FORM OF CONTRACT CONTRACT FOR THE CONSTRUCTION OF F.Y. 2016 STREET RECONSTRUCTION PROGRAM CITY OF WATERLOO, IOWA CONTRACT NO. 898 This contract made and entered into this P day of 6 r, � 201 L by and between the City of Waterloo, Iowa, a Municipal Corporation, (hereinafter referred to as City), and Aspro, Inc. of Waterloo, Iowa, (hereinafter referred to as Contractor), WITNESSETH: PAR. 1 Contactor agrees to build and construct the F.Y. 2016 Street Reconstruction Program, Contract 898, Base Bid + Alternate A + Division H and famish all necessary tools, equipment, materials, and labor necessary to do all the work called for in the plans and specifications in a workmanshiplike manner and for the prices set forth in Contractor's proposal, which was accepted by the City, and which is understood and agreed to be apart of this contact. PAR.2 It is understood and agreed that the resolution adopted by the City Council ordering the construction of the improvement, the Notice to Contactors as published, the Instruction to Bidders, the Form of Proposal, the Construction and Maintenance Bonds, the Council Proceedings relating to this matter, and the Plans and Specifications shall all be considered as forming a part of the contact the same as though they were each set out in said contact. PAR.3 The Contactor agrees to furnish at its own cost and expense, all necessary materials and labor for said work and to construct said improvements in a thorough, substantial, and workmanlike manner, and in strict accordance with the requirements of this contact, and of the plans and specifications made a part hereof by reference, and to the satisfaction and approval of the City and its engineer. PAR. 4 The Contactor agrees to perform said work and install said improvements on the terms set out in bid or proposal to the City which has been accepted by the City and which is by reference made a part of this contact. FORM OF CONTRACT PAGE 1 OF 5 PAGES PAR. 5 PAR. 6 PAR. 7 PAR. 8 PAR. 9 PAR. 10 The Contractor agrees to commence said work within ten (10) working days after receipt of 'Notiee to Proceed and complete it on or before November 10, 2016 unless an extension of tirne is granted in writing by the Couneil ofthe City. Should the Contraetor fail to cornplete said irnprovernents th strict aceordance with the terms and eonditions of this contract, or the plans and specifications therefor promptly by the date herein specified, the City may pay such additional sums as it may be required to pay by reason of the failure of said contractor and deduct any and all sueh sums from any amount then due the Contractor. The Contractor agrees to comply with and obey all ordinances of the City of Waterloo, Iowa, relating to the obstruetion of streets and alleys, keeping open passage ways for water, traffic, and protecting any exeavations in any street or alley, and maintaining proper and sufficient barricades with lights and signals during all hours of darkness, to see that the baekfihling is properly done, and agrees to keep the City whole and defend any and all suits that may be brought against the City by reason of any injuries that may be sustained by any person or property allegedly eaused by the Contractor, or bis agents, while work is done pursuant to this agreement. The Contractor agrees that in the event a law suit is brought against the City for damages allegedly sustained by reason of any act, omission or negligence of the Contractor or its agents, or on account of any injuries allegedly sustained by reason of any obstruction, hole, depression or barrier placed or dug by the defendant or its agents, in the doing of the work herein eontraeted for, that it will defend said suit and save the City harmless therein, and in case judgment is rendered against the City, the Contraetor agrees to pay the same promptly. The Contractor agrees to cany publie liability insurance in a solvent company in a suffieient amount to proteet the City and those who use the streets of the City. The City shall have the rght to appoint one or more construction reviewers who shall review the progress of the work in detail; also, to make any test or any material to be used in sueh work. No material shall be used in any work until the same has first been approved by the construction reviewer. Such eonstruction reviewer shall have fiull authority to pass judgment upon all materials and upon the manner of doing the work, and their judgment on rejecting any materials, substance, or maimer ofwork shall be final unless it is revoked or modified by the City Engineer. Any material, which has been rejected by the construction reviewer, shall be at once removed from the line of work and shall not be again taken thereon or plaeed with the material proposed to be used without the written consent of the City Engineer. FORM OF CONTRACT PAGE 2 OF 5 PAGES PAR. 11 PAR. 12 The Contractor shall mathtain no cause of action against the City on account of delays and prosccution of work, but if said work is delayed by the City, the Contractor shall have sueh extra time for completion of the 3 ob as was lost by reason ofthe delay caused by the City. The Contraetor agrees to pay punctually all just elaims of labor, material, men, or subcontraetors who shall perform labor or ftirnish materials entering into this irnprovement. It is agreed that the City need not pay the Contractor until all such claims are paid by the Contractor. It is agreed that the City shall not be liable for said labor, material, or men under this contraet. PAR. 13 The Contraetor agrees to furnish the City, simultaneously with this contract, a bond on a form to be provided by thc City in the amount provided by law as stated in the Notice to Bidders, which shall be for the benefit of the City, and any and all persons injurcd by the breach of any ofthe terms ofthis contract. Said bond shall be filed with the City Clerk and shall be subject to the approval of the City Council, and is by reference made a part ofthis contraet. PAR. 14 The Contractor agrees that should it abandon work under this contract or cease the proseeution thereof for a period of thirty (30) eonseeutive days without reasonable cause, and should it fail to proceed with said work within ten (10) days afier a notice to continue or cany it on has been mailed to it at the address given herein by the City, or after such notice has been served on it, then the City may proeeed to complete said work, using any material, tools, or machinery found along said line of work, doing the work either by contract or as it may elect, and the Contractor and the sureties on its bond shall be liable to the City for the costs and expenses 50 paid out. Said costs shall be retained by the City from any compensation due, or to become due the Contractor, and may be recovered by the City in an action upon Contracto?s bond. PAR. 15 In consideration of the full compliance on the part of the Contractor with all the provisions, stipulations, and conditions hereof, or contained in the various instruments made a part of this contract by reference, and upon completion and acceptance of said work, the City agrees to pay to the Contractor, in the manner set out in the Notice to Contractors, the amount of money due the Contractor for work performed and accepted, at the unit prices set out in the Contractor's proposal, which has been accepted by the City. PAR. 16 The total amount of the contract, based on the Enginee?s estimates of quantities and the Contractors unit bid prices, and for which 100% surety bond is required is $6,290,912.75. PAR. 17 After the completion of said work, the Contractor agrees to remove all debris and clean up said streets, and to save the City harrnless from any damage allegedly resulting from a failure to clean up and remove the debris or put the street back in a proper condition for travel. FORM OF CONTRACT PAGE 3 OF 5 PAGES PAR. 18 This contract is not divisible, but in the event of a conflict between this contract and the various instruments incorporated by reference, this contract shall govem. PAR. 19 Before the Contractor shall be entitled to receive final payment for work done under this contract, it shall execute and file a bond in the penal sum of not less than 1 00% of the total amount of the contract, same to be known as Maintenance Bond,' and which bond must be approved by the City Council, and which bond is in addition to the bond given by the Contractor to guarantee the completion of the work. PAR. 20 PAR. 21 The Contraetor shall rnaintain all work done hereunder in good order for the period of two (2) years from and after the date it is accepted by the Council of the City of Waterloo, Iowa. Said maintenance shall be made without expense to the City or the abutting property. In the event of the failure or default of the Contractor to remedy any or all defects appearing in said work within a period of two (2) years from the date of its acceptance by said Council, and after having been given ten (10) days notice so to do by registered letter deposited in the United States Post Office in said town, addressed to said contraetor at the address herein given, then the City may proceed to remedy such defeets. The costs and expenses thereof to be reeovered from the Contractor and the sureties on its maintenance bond by an action brought in any court of competentjurisdietion. The Contractor shall give notice to said City by registered letter directed to the Mayor or City ClerklAuditor thereof not more than four (4) and not less than three (3) months pnor to the expiration of the term during which the Contractor is required to maintain said improvements, in good repair by the teims of its Contract. The liability of the Contractor and of the sureties on its bond for maintenanee of the said irnprovements shall continue until three (3) months afier sueh notice has been given to the City, and, in any event, until two (2) years after the aeeeptance ofthe work. FORM OF CONTRACT PAGE 4 OF 5 PAGES CITY OF WATERLOO, IOWA s Mayor City Clerl- ,fI5P✓l p ra/( . Contractor " BY: Qr/'CQj J✓1,�) Title: /0 SS/il ttw Approved by the City Council of the City of Waterloo, Iowa, this day of nom, 20 �. ATTEST: �' City Clerk Waterloo, Iowa FORM OF CONTRACT PAGE 5 OF 5 PAGES Bond No.2212654 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That we, Aspro, Inc. of Waterloo, IA (the "Principal'), andNorth American Specialty Insurance Companyof Manchester, NH (the "Surety"), are held and firmly bound unto the City of Waterloo, Iowa (the "Obligee"), in the penal sten of six Million Two Hundred Ninety Thousand Nine Hundred Fifty One and 171100 Dollars ($_--:±.290.951.17-- ), lawful money of the United States, for the payment of said sum in connection with a contract (the "Contract") dated on or about i5 A21 i y 2016 for the purpose of F.Y. 2016 Street Reconstruction Program in the City of Waterloo, IA - Contract No. 898 . The Contract is incorporated herein by reference as though fully set forth herein. Whenever the Principal shall be and is declared by the Obligee to be in default under the Contract, with the Obligee having performed its obligations in the Contract, then the Surety, acknowledging that time is of the essence, may promptly remedy the default, or shall promptly undertake to: I. Complete the Conti -act in accordance with its terms and conditions; or 2. Obtain one or more bids for completing the Contract in accordance with its terms and conditions, and upon determination by the Surety of the lowest responsible bidder, or negotiated proposal, or, if the Obligee elects, upon determination by the Obligee and the Surety jointly of the lowest responsible bidder, or negotiated proposal, arrange for a contract between such party and the Obligee. The Surety will make available as work progresses sufficient funds to pay the cost of completion less the balance of the Contract price. The cost of completion includes responsibilities of the Principal for correction of defective work and completion of the Contract, the Obligee's legal and design professional costs resulting directly from the Principal's default, and liquidated damages or actual damages if no liquidated damages are specified in the Contract. The term "balance of the Contract price" means the total amount payable by the Obligee to the Principal under the Contract and any amendments thereto, less the amount properly paid by the Obligee to the Principal; or 3. Determine the amount for which it is liable to the Obligee and pay the Obligee that amount as soon as practicable. In the event this bond is enforced, Principal and Surety agree to indemnify Obligee and hold Obligee harmless from and against any and all costs of enforcement, including but not limited to reasonable attorneys' fees and expenses. Every Surety on this bond shall be deemed and held, any contract to the contrary notwithstanding, to consent to each and all of the following matters, without notice: performance Bond Page 1 of 2 1. To any extension of time to the Contract in which to perform the Contract. 2. To any change in the plans, specifications, or Contract when such change does not involve an increase of more than twenty percent (20%) of the total Contract price, and shall then be released only as to such excess increase. 3. That no provision of this bond or of any other contract shall be valid which limits to less than one (1) year from the time of the acceptance of the work the right to sue on this bond for defect in workmanship or material not discovered or know_ n to the Obligee at the time such work was accepted. If the Principal performs the Contract, then this bond shall be null and void; otherwise it shall remain in full force and effect. In no event shall the Surety's total obligation exceed the penal amount of this bond. Terms used herein shall include, as appropriate, the singular or plural number, or the masculine, feminine or neuter gender. IN WITNESS WHEREOF, the undersigned Principal and Surety have executed this Performance Bond asof 19,412 % 2016 ' , t►C 1�1 7�\II Aspro, Inc. Name By: Title: eo!�/Zt.S1vIl,t.✓l SURETY North American Specialty Insurance Company Name Bel rrc/ Title: Dione R. Young, Attorney-in-fact [attach Power of Attorney] NOTE: Date of BOND must not be prior to date of Contract. If CONTRACTOR is Partnership, all partners should execute BOND. IMPORTANT: Surety companies executing bonds must appear on the Treasury Department's most current list (Circular 570 as amended) and be authorized to transact business in the State where the project is located. Performance Bond Page 2 of 2 Bond No. 2212654 PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: that Aspro, Inc. (Name of Contractor) P.O. Box 2620, Waterloo, IA 50704 (Address of Contractor) a Corporation hereinafter called Principal, (Corporation, Partnership or Individual) aIld _ North American Specialty Insurance Company (Name of Surety) 650 Elm Street, Manchester, NH 03101 (Address of Surety) hereinafter called Surety, are held and firmly bound unto City of Waterloo (Name of Owner) 715 Mulberry Street, Waterloo, IA 50703 (Address of Owner) Six Million Two Hundred Ninety Thousand Nine Hundred Fifty One and 171100 hereinafter called OWNER, in the penal sum of A Dollars, $(6,290.951.17 ) in lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the OWNER, dated the i day of Aso/t I z. 2016 , a copy of which is hereto attached and made a part hereof for the construction of: F.Y. 2016 Street Reconstruction Program in the City of Waterloo, IA - Contract No. 898 NOW, THEREFORE, if the Principal shall promptly make payment to all persons, firms, SUBCONTRACTORS, and corporations furnishing materials for or performing labor in the prosecution of the WORK provided for in such contract, and any authorized extension or modification thereof, including all amounts due for materials, lubricants, oil, gasoline, coal and coke, repairs on machinery, equipment and tools, consumed or used in connection with the construction of such WORK, and all insurance premiums on said WORK, and for all labor, performed in such WORK whether by SUBCONTRACTOR or otherwise, then this obligation shall be void; otherwvise to remain in full force and effect. PROVIDED, FURTHER, that the said Surety for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to the WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any wise affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the WORK or to the SPECIFICATIONS. PROVIDED, FURTHER, that no final settlement between the OWNER and the CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. IN WITNESS HEREOF, this instrument is executed in Pour (4) counterparts, each one of (number) which shall be deemed an original, this the �/ day of FI4/2 /c 2016 ATTEST: (Principal) Secretary (SEAL) witness as to Prinei P.O. Box 2620 (Address) Waterloo, IA 50704 ATTEST: witness as to S ty�nnett Holmes, Murphy and Associates, LLC (Address) P.O. Box 9207, Des Moines, IA 50306-9207 Aspro, Inc. Principal B (s) P.O. B 2620 (Address) Waterloo, IA 50704 North American Specialty !pquragce Company Sun,/�\ h cJ Attomey= t -Fact] ne R. Young Holmes, Murphy and Associates, LLC (Address) P.O. Box 9207, Des Moines, IA 50306-9207 NOTE: Date of BOND must not be prior to date of Contract. If CONTRACTOR is Partnership, all partners should execute BOND. IMPORTANT: Surety companies executing bonds must appear on the Treasury Department's most current list (Circular 570 as amended) and be authorized to transact business in the State where the project is located. NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,. THATNorth American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hmnpshire and having its principal office in the City of Schaumburg,. Illinois, each does hereby make, constitute and. appoint: JAY D. FREIERMUTH, CRAIG E. HANSEN, BRIAN M. DEIMERLY, SHIRLEY S. BARTENHAGEN, CINDY BENNETT, ANNE CROWNER, TIM McCULLOH, STACY VENN, LACEY CRAMBLIT and DIONE R. YOUNG JOINTLY OR SEVERALLY Its true and lawful Attorneys) -in -Pact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9d' of May, 2012: "RESOLVED, that any two of the Residents, any Managing Director, any Senior Vice President, any Vice President, ary Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating themto by facsimile, mid any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." s\pnallliagtu \s�G\Al...... qui wontlONq ��9 2Q.46PPOflq��Gi By 4Q'bFPoNS SEAL °.io= stem P.Ander,an,shoo, vire president orwmmagton late rnauonnnn.nmmee company '" SEAL Swi,2, 1073 coin\ & Senior Vice President ufNorlln American Specialty Insurance Company pyyti//�OqN - I#`a C �da� Michael A. IItto,Semor G ire emof\ uFmeroT, oma 14aiiia� & Senior Vice Resident of North American Specialty Insarome Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 8th day of September , 2015 , North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook as: On this 8th day of September , 2015 before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A. Ito , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL M KENNY NOTARY PUBLIC, STATE OF IWN018 M. Kenny, Notary Public 1 MY COMMISSION EXPIRES 17/04/2017 -- I, Jeffrey Goldberg -the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this � day of WAA 1 L , 20 16 . Jeffrey Goldberg, Vice President & Assistant Secretary of Washington Internationallnsorame Con, y& Nodh American Specialty lnsuronca Company ACORLI' CERTIFICATE OF LIABJLITY INSURANCE DATE(MM/DD/YYYY) 11/4/2015 ADDL INSD THIS CERTIFICATE IS ISSUED AS A MATTER OF NFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. TI-tIS 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 TKE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND TI -IE CERTIFICATE HOLDER. IMPORTANT: If the certificato holder is an ADDITIONAL NSURED, tho policy(ies) must be endorsed. If SUBROGATI0N IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate doos not confer rights to tho certificate I-iolder in Iieu of such endorsement(s). PRODUCER Arthur J, Gallagher Risk Management Services, Inc. 1415 28th Street Suite 300 West Des Moines IA 50266 CONTACT NAME: Elisabeth Jackson PHONE - 5153095200 FAX 515-30g6225 _WlZ.No FxtI (A/C Nol E-MAIL e AODRESS hsabethjackson@ajg.com INSURER(S) AFFORDING COVERAGE NAIC # IN5uRERAEnlployers Mutual Casualty Company INSURERB: 21415 INSURED Aspro, Inc. P0. Box 2620 Waterloo, IA 50704 INSURERC: 12/1/2016 INSURER 0 INSURER E: INSURER F CLAIMS -MADE LJ OCCUR CERTIFIC 1l.l IY 11-) L. fl. THIS 8 TO CERTIFY THAT THE POLIcIES OF INSURANGE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY FERIOD INDICATEO. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W-IICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCE ADDL INSD SUHfl WVD POLICVNUMBER POLICY EFF (MM/DDTrYYY) POLICY EXP (MM/DD[yyyy) LIMITS A COMMERCIALGENERALLIABILITY Y 9081363 12/1/2015 12/1/2016 EACH0CCURRENCE CLAIMS -MADE LJ OCCUR 51,000,000 X Contractual Liab EnCe) MED EXP (Myone $ 100,000 X xcu Included person) PERSONAL&ADVINJURY 55,000 GENLAGOREGATE LIMITAPPLIES PER: GENERALAGGREGATE $I,000,000 52,000,000 POLICY X LOC PROOUCTS-COMP/OpAGG 52,000,000 OTHER: Emp Benetits $l,000,000 A AUTOMOOILELIABILITY 9E61383 12/112015 12/1/2016 INGLELIMIT X ANY AUTO SCHEDULED BODILY INJURY (Per person) $ NON-OW4ED BODILYINJURY(PeraCCidenI) $ HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accdenI) A X UMBRELLALIAB X OCCUR 9J61363 12/1/2015 12/1/2016 EACHOCCURRENCE 5,0O0,0O0 OED H F RETENTON$I0,000 s5,000,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIADILITY y / N 9M81383 12/1/2015 12/1/2016 x PER STATUTE OTH- ER ANYPRIDPRIETOR/PARTNER/EXECIJT}VE OFFICER/MEM6EREXCLUDED? 1 Nj N/A E.L. EACHACGIDENT 5500,000 (Mandatoiy in NH) IF yes, descrjbe under E.L, DISEASE - EA EMPLOYEE 5500,000 DESCRIPTION OF OPERATIONS belaw EL. DISEASE - POLIGY LIMIT $500,000 A Property 9P81383 1211/2015 12/1/2016 Blanket BPP 500,000 OESCRIPTION 0E OPERATIONS! LOCATIONS/VEHICLES (ACORB 101, Additional Remarks Schedule, may be atlached fmn e spaco Is requi ed) Certificate holder is an additional insured (CG74820108) with respect to any and all work performed by the named insured. City of Waterloo 715 Mulberry Street Waterloo IA 50703 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TFIEREOF, NOTJCE WILL 13E DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2014/01) ©1988-20I4ACORD CORPORATION. All rights resorved. The AGORD name and logo are registered marks of ACORD