HomeMy WebLinkAboutAspro FY20 Asphalt Overlay, Cont. No. 992 - 7.20.2020FORM OF CONTRACT
CONTRACT FOR THE CONSTRUCTION OF
F.Y. 2020 ASPHALT OVERLAY PROGRAM
CITY OF WATERLOO, IOWA
CONTRACT NO. 992
This contract made and entered into this 20th day of July , 20 20, by and
between the City of Waterloo, Iowa, a Municipal Corporation, (hereinafter referred to
as City), and ASPROJNC.
referred to as Contractor), WITNESSETH:
PAR. 1
PAR. 2
PAR. 3
PAR. 4
of Waterloo, Iowa , (hereinafter
Contractor agrees to build and construct the F.Y. 2020 ASPHALT
OVERLAY PROGRAM, Contract No. 992, and furnish 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 a part of this contract.
It is understood and agreed that the resolution adopted by the City Council
ordering the construction of the improvement, the Notice to Contractors 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 contract the same as though they were each set out in
said contract.
The Contractor 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 contract, and of the plans
and specifications made a part hereof by reference, and to the satisfaction
and approval of the City and its engineer_
The Contractor 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 contract.
FORM OF CONTRACT PAGE 1 OF 6 PAGES
PAR. 5 The Contractor agrees to commence said work within ten (10) working
days after receipt of "Notice to Proceed" and complete it on or before
October 30, 2020, unless an extension of time is granted in writing by the
Council of the City.
PAR. 6 Should the Contractor fail to complete said improvements in strict
accordance with the terms and conditions 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 such sums from any
amount then due the Contractor.
PAR. 7
PAR. 8
PAR. 9
The Contractor agrees to comply with and obey all ordinances of the City
of Waterloo, Iowa, relating to the obstruction of streets and alleys, keeping
open passage ways for water, traffic, and protecting any excavations in any
street or alley, and maintaining proper and sufficient barricades with lights
and signals during all hours of darkness, to see that the backfilling 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 caused by the
Contractor, or his 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 contracted for, that it will defend said suit and save the City
harmless therein and in case judgment is rendered against the City, the
Contractor agrees to pay the same promptly. The Contractor agrees to
carry public liability insurance in a solvent company in a sufficient amount
to protect the City and those who use the streets of the City.
The City shall have the right 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 such work. No material shall be used in any
work until the same has first been approved by the construction reviewer.
Such construction reviewer shall have full authority to pass judgment upon
all materials and upon the manner of doing the work, and their judgment on
rejecting any materials, substance, or manner of work shall be final unless
it is revoked or modified by the City Engineer.
FORM OF CONTRACT PAGE 2 OF 5 PAGES
PAR. 10
PAR. 11
PAR. 12
PAR. 13
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 placed with the material proposed to be used without the written
consent of the City Engineer.
The Contractor shall maintain no cause of action against the City on
account of delays and prosecution of work, but if said work is delayed by
the City, the Contractor shall have such extra time for completion of the job
as was lost by reason of the delay caused by the City.
The Contractor agrees to pay punctually all just claims of labor, materral,
men, or subcontractors who shall perform labor or furnish materials
entering into this improvement. 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
contract.
The Contractor agrees to furnish the City, simultaneously with this contract,
a bond on a form to be provided by the 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 injured by the breach of any of the terms of this
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 of this
contract.
PAR. 14 The Contractor agrees that should it abandon work under this contract or
cease the prosecution thereof for a period of thirty (30) consecutive days
without reasonable cause, and should it fail to proceed with said work
within ten (10) days after a notice to continue or carry 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 proceed 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 so 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 Contractor'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.
FORM OF CONTRACT PAGE 3 OF 5 PAGES
PAR. 16 The total amount of the contract, based on the Engineer's estimates of
quantities and the Contractors unit bid prices, and for which 100% surety
bond is required is $3,219,441.48.
PAR. 17
After the completion of said work, the Contractor agrees to remove all
debris and cleanup said streets, and to save the City harmless 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.
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 govern.
PAR. 19
PAR. 20
PAR. 21
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 100% 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.
The Contractor shall maintain 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 contractor at the address herein given, then the City may
proceed to remedy such defects. The costs and expenses thereof to be
recovered from the Contractor and the sureties on its maintenance bond by
an action brought in any court of competent jurisdiction.
The Contractor shall give notice to said City by registered letter directed to
the Mayor or City Clerk/Auditor thereof not more than four (4) and not less
than three (3) months prior to the expiration of the term during which the
Contractor is required to maintain said improvements, in good repair by the
terms of its Contract. The liability of the Contractor and of the sureties on
its bond for maintenance of the said improvements shall continue until
three (3) months after such notice has been given to the City, and, in any
event, until two (2) years after the acceptance of the work.
FORM OF CONTRACT PAGE 4 OF 5 PAGES
CITY OF WATERLOO, IOWA
Quentin Hart
Mayor
Ke//ef �elchle
City Clerk
Aspro, Inc.
Contractor
BY/fri9 A/MAtzX
Title: President
Approved by the City Council of the City of Waterloo, Iowa, this 20th
day of July , 2020.
ATTEST: Ke//ef welch/e City Clerk
Waterloo, Iowa
FORM OF CONTRACT PAGE 5 OF 5 PAGES
Bond No. 2303443
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
That we, Aspro, Inc. Of Waterloo, Iowa
(the "Principal"), and North American Specialty Insurance Company of
Kansas City, MO (the "Surety"), are held and firmly bound unto the City of
Waterloo, Iowa (the "Obligee"), in the penal sum of Three Million Two Hundred Nineteen Thousand Four Hundred
Forty-one And 49/100 Dollars ($ $3,219,441.48 ), lawful money of the United
States, for the payment of said sum in connection with a contract (the "Contract")
dated on or about July 20 2020 for the purpose of FY2020Asphalt Overlay
Program, Contract No. 992, Waterloo, IA . 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:
1. Complete the Contract 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.
Performance Bond Page 1 of 2
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:
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 known 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 as of July 20 2020
PRINCIPAL
Aspro, Inc.
Name
By(/'?
Title:/'4 d/O4r,vl
SURETY
North American Specialty Insurance Company
Name
Title: Attorney -In -Fact
[attach Power of Attorney]
Performance Bond
Page 2 of 2
NOTE: Date of BOND must not be prior to date of Contract.
If CONTRACTOR is Partnership all partners should execute BOND.
If th s project includes Federal Funds, the following applies to the payment 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 3 of 2
Bond No. 2303443
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS: that
Aspro, Inc.
P. O. Box 2620, Waterloo, IA 50704-2620
a Corporation
(Name of Contractor)
(Address of Contractor)
(Corporation, Partnership or Individual)
and, North American Specialty Insurance Company
(Name of Surety)
1200 Main Street, Suite 800, Kansas City, MO 64105
, hereinafter called Principal,
(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)
Three Million Two Hundred Nineteen Thousand Four
hereinafter called OWNER, in the penal sum of Hundred Forty-one And 4[31�ars,k$ss,219,441.46
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 20th day of
July
20, a copy of which is hereto attached and made a part hereof for the construction
of:
FY 2020 Asphalt Overlay Program, Contract No. 992, Waterloo, IA
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; otherwise 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 three(3) counterparts, each
one of
20tn (number)
which shall be deemed an original, this the day of July
2020
ATTEST:
(Principal) Secretary
(SEAL)
Witness as to Pr- pal
P. O. Box 2620
(Address)
Waterloo, IA 50704-2620
o Surety Anne Crowner
2727 Grand Prairie Parkway
Waukee. IA 50263
Aspro,Inc.
Principal
(Address)
Waterloo, IA 50704-2620
North American Specially Insuranc. Company
By
Sur
Attorney-
Dlone R. Young
Holmes, Murphy and Associates, LLC
(Address)
2727 Grand Prairie Parkway
Waukee. IA 50263
(Address)
NOTE: Date of BOND must not be prior to date of Contract.
If CONTRACTOR is Partnership all partners should execute BOND.
If this project includes Federal Funds, the following appl es to the payment 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.
SWISS RE CORPORATE SOLUTIONS
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
WESTPORT INSURANCE CORPORATION
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT North 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 Overland Park, Kansas and Washington International Insurance
Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland
Park, Kansas, and Westport Insurance Corporation, organized under the laws of the State of Missouri, and having its principal office in the City of
Overland Park, Kansas 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, DIONE R. YOUNG, and WENDY ANN CASEY JOINTLY OR SEVERALLY
Its true and lawful Attomey(s)-in-Fact, 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: ONE HUNDRED TWENTY FIVE MILLION ($125,000,000.00) 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 North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on March 24, 2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18, 2011.
"RESOLVED, that any two of the President, any Senior Vice President, any Vice President, any 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 thereto by facsimile, and any such Power of Attomey 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."
0011101,0
'atSEAL Vg=
ixi 1973 ruin:
Steven P. Anderson, Senior Vice President of Washington International Insurance Company
& Senior Vice President of North American Specialty Insurance Company
& Senior Vice President of Westport Insurance Corporation
By
Mike A. Ito, Senior Vice President or Washington International Insurance Company
& Senior Vice President of North American Specialty Insurance Company
& Senior Vice President of Westport Insurance Corporation
IN WITNESS WHEREOF, North American Specialty Insurance Company, Washington International Insurance Company and Westport
Insurance Corporation have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this
this 3rd day of November , 20 17
State of Illinois
County of Cook
On this 3rd day of
North American Specialty Insurance Company
Washington International Insurance Company
Westport Insurance Corporation
ss:
November , 20 17, 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 lnsurance Company and Senior Vice President of
Westport Insurance Corporation and Michael A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President
of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, 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 Mimic
My Commission Erpares
121044021
M. Kenny, Notary Public
I, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company, Washington
International Insurance Company and Westport Insurance Corporation 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, Washington International Insurance Company and Westport Insurance
Corporation which is still in full force and effect.
20th
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this day of July 20
Jeffrey Goldberg, Vico President & Assistant Secretary of Washington International Insurance Company &
North American Specialty Insurance Company & Vice President & Assistant Secretary of Westport Insurance Corporation
PRODUCER
Arthur J. Gallagher Risk Management Services, Inc.
4200 Corporate DEive Ste 160
West Des Moines IA 50266
INSURED
Aspro, Inc.
P.C. Box2620
Waterloo, IA 50704
ACORD
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMfDnrYYYY)
11122/2010
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, tho pollcy(lea) 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 Ileu of such pendorsement(s),
NAMEACT Tlna Feldemian
lac N, ems G15-440-2330
EMAIL
[A/C Not: 595-457-5984
_ADDRESS; Tina Felderman@a)g.com
INSURERISI AFFORDING COVERAGE
INSURERA: Employers Mutual Casually Company
INSURERS: EMCASCO Insurance Company
INSURERc;
NAIC l
21415
21407
INSURERD: -
NSURER :
INSURERF:
COVERAGES
CERTIFICATE NUMBER: 2389b1
•
THIS IS TO CERTIFY MAT 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'FHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS or SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS..
AObLSUBR
ILTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
POT-TC1
IMM/ODIYTYYI
EPF
POLICYEXP
IMMIDD,YYYY)
4MiTs
A
X
COMMERCIAL GENERALLIAatLITY
Y
Y
9D91383
12/1/2019
12/1➢2020
EACH OCCURRENCE
$ 1,0001000
CLAIMS.MAI]E
X
'OCCURDAMAGEfiffREATED
ISSR-EWA. pcourencel_._£
3GO1000
_E/
X
Coeliac rel Liab
MEDEXP[Any one person)
_-. _:_
$51000
X
XCUlrcluded -
PERSONAL 3 ADV INJURY
31(000,000
GEHL
AGGREGATE um APPLIES PER;
GENEPJLAGGREGATE
$2.000,000
X
JECOT
LOG
POLICY
J
PRODyCT3-COMP/OP AO G
y 2,000,000
OTHER:
Emp Benefits
31,0091000
D
AUTOMOBILE LIABILITY
0E91383 -
12/1/2019
12/1/2020
C MeecloNdEO1$NGLELIMIT
31,000,000
X
ANY AUTO
BODILY INJURY (Per person)
3
OVMED
AUTOS
ONLY
SCHEDULED
AUTOS
BODILY INJURY (Pt dent)
S
X
HIRED-)(
AUTOS ONLY
NON -OWNED
AUTOS ONLY
PROPERTY DAMAGE
Per aenAcent)
F_.--
2._
3 .
A
X
WERELLE "AA
X
OCCUR
9J81383
12/1/2019
12/112020
EACH OCCURRENOI:
$8,0001000
EXCESS LIAR
CtA1MS-MADE
AGGREGATE
38,000,000
DED
X
RETENT ON AL)
3
a
AND EMPLOVERS'L
LIABON ILITY
9M81383
12/1l2019
12/1/20?.0
X
STATUTE.
ERIt
V/N
ANYPROPRIETCrbPARTNER/EXECUTIVE
OFHCERMEMREREXCLUDEDI
N
NZA
EA EACH ACCIDENT
3500,000
Mandatory In NH)
describe
EL DISEASE . EA EMPLOYEE
3500,000
ryqes ender
DESCRIPTION OF
OPERATIONSbelowE.L
DISEASE • POLICY LIMIT
$500,000.
DESCRIPTION OF OPERATIONS! LOCATIONS / VEHIC ES (ACORD 101, Additional Remarks Schedule, may be altacbed If more space is required)
Certificate holder Is an additional insured (OG74820108) with respect to any and all wo k performed by the named Insured.
CERTIFICATE HOLDER
CANCELLATION
City of Waterloo
715 Mulberry Street
Waterloo IA 50703
USA
ACORD 25 (2016(03)
•
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
4.45
0)1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD