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Advanced Enviromental
lEN V l RO NMENTA L� 803 Ricker Street • Waterloo, IA 50703 S = ,,D �FP AS A$Pi1MA1lWf e6WAACT 41r AS • ?OZ t ►'N HAIL C 141 *1 tlCM!s 6M 'e 715 /AV1.131 01 ST. wATeout , IA so�3 VN�I Diu �oc�Inon�•s EXHIBIT "A" SIGNATURE PAGE The undersigned Proposer/Bidder, having examined these documents and having full knowledge of the condition under which the work described herein must be performed, hereby proposes that they will fulfill the obligations contained herein in accordance with all instructions, terms, conditions, and specifications set forth; and that they will furnish all required services and pay all incidental costs in strict conformity with these documents for the stated process as payment in full . Total in written form : 0012 141N12I0 X021 061il P30010 FouC HuNAV Awo `ALAI - Submitting Firm : ADVAPI(60 ['IVOW14UNTAL 7LO '41/J16 A ARA11 1 , ltkC Address : 803 tZ1 CKWL ST • ,,nA City : (Aim)LOIL00 State : -Izip : 50703 Authorized Representative ( print) M 1 CAkL70X, J?01c Authorized Representative Signature C � . Date : g - ? 6 - 20 Email : 01CMAEL • 8WQA�10M1DKI5T. COM Phone : 319 . 2 91 . 44147 Fax : 319 - 287 - 4419 EXCEPTIONS/ DEVIATIONS to this Request for Proposal shall be listed in writing on an attached document provided by the Bidder. Please be as specific as possible. Please check one . Our company has no exceptions/deviations . _ Our company does have exceptions/deviations which are listed on an attached document. GENERAL INFORMATION . Freight and/or delivery charges, if any, shall be included in the price . FIRM PRICING . Offered prices shall remain firm for a minimum of sixty (60) days after the due date of this solicitation unless indicated otherwise . Accepted prices shall remain firm for the duration of the contract. ADDENDA (It is the Bidder's responsibility to check for issuance of any addenda ) . The authorized representative herby acknowledges receipt of the following addenda : Addenda Number Date Addenda Number Date ❑ We choose not to bid at this time but would like to be considered for future requests for bid RFP FOR ASBESTOS ABATEMENT SERVICES : 118 Shilliam , 179 Rebecca Lane, 514 Johnson Street, 100 E. 9' Street, 1004 Fulton Street, 1100 Sycamore Street, 2127 E. 4th Street (Former St. Mary's Church and School), and 1809 Black Hawk Street, Page 9 of 10 Our " not to exceed " bid price for each property is : 118 Shilliam Avenue I q 00 . 0® I 179 Rebecca Lane I , soa . 00 514 Johnson Street ® , ob 100 E . 91" Street 1004 Fulton Street gop . aD 1100 Sycamore Street ) it 000 X 2127 E . 4th Street ( Former St. Mary's Church and School) 19 500000 1809 Black Hawk Street "i , (� 00 . 60 Total � 1Cie , `I60 . 00 RFP FOR ASBESTOS ABATEMENT SERVICES : 118 Shilliam , 179 Rebecca Lane, 514 Johnson Street, 100 E. 9' Street, 1004 Fulton Street, 1100 Sycamore Street, 2127 E . 4th Street (Former St. Mary's Church and School), and 1809 Black Hawk Street, Page 10 of 10 BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, Advanced Environmental Testing and Abatement, Inc. as Principal, and Merchants Bonding Company ( Mutual ) as Surety are held and " bound unto the CITY OF WATERILOO , Iowa , hereinafter called 'OWNER." In the penal sum •--Five Percent of the Bid Submitted==" Dollars ($ --•5%•-- lawful money of the United States, for the payment of which sum will and truly be made, tate bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by .these presents. The condition of this obligation is such that whereas the Principal has submitted the accompanying bid dated the 27th day of August • _ , 2020 , for Asbestos Removal at Vado ja Prnn r ties la WAtarlaQ. IA NOW THEREFORE , (t ) If sold Bid shall berejected, or in the aiteinate (b) If sold Bid shall be accepted and the Principal shall execute and deliver a contract in the form spedfied and shall furnish ' a bond for his faithful performance of said contract, and for the payment of all persons performing labor or furnishing materials In connection therewith , and shall in ,all other respects perform the agreement created by the acceptances of said Bid; Then this obligation shall be void, otherwise the same shall remain In force and effect, it being expressly understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event, exceed the penal amount of this obligation as herein stated. By virtue of statutory authority, the full amount of this bid bond shall be forfeited to the Owner in liquidation of damages sustained in the event that the Principal fails to execute the contract and provide the bond as provided in the specifications or by law: The Surety, for value received, herebystipulates and agrees that . the obligations of said Surety and Its bond shall be in no way, Impaired or affected by any , extension of the time within which the (homer may accept such Bid or execute such contract; and said Surety does hereby waive notice of any such extension, IN WITNESS WHEREOF, the Principal and the Surety, have hereunto set . their hands and seats, and such of them as are corporations, have caused their corporate seals to be hereto affixed and: these presents to be signed by their proper officers this 18th day of August , XD : 2020 Advanced Environmental Testing and Abatement, Inc, (5 , Principal By :(Titter ti Merchants Bonding Company ( Mutual) urety By gam! : Jaimie Kanga AOQWeyln4aCt Grace Rasmussen 3ik MERCHANTS BONDING C ® 1VlllyNTm POWER OF ATTORNEY Know All Persons By These Presents , that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING , INC. , both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make , constitute and appoint, individually, Grace Rasmussen their true and lawful Attorney(s)-in -Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds , undertakings , contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23 , 2011 and amended August 14 , 2015 and adopted by the Board of Directors of Merchants National Bonding , Inc. , on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto , bonds and undertakings, recognizances , contracts of indemnity and other writings obligatory in the nature thereof. " "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond , undertaking , recognizance , or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed . " In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney-in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation . It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney-in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation . In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 5th day of March 2020 . a� wNgt ♦• a ��Q C, ' (LP0/O �' ;��: ; Q � ' V Ppo 'd;!L04 MERCHANTS BONDING COMPANY MUTUAL 0% 8Z '0 640 * G, ,A44 MERCHANTS NATIONAL BONDING, INC. v ': 2003 :'. 1933 .o` By :,'vk •' �?'. ♦ y>�. . -� `aa President STATE OFIOWA !! !' ! ! ■ ■ s '"'' • as ♦ a ,+ + + 9 COUNTY OF DALLAS ss. On this 5th day of March 2020 before me appeared Larry Taylor, to me personally known , who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING , INC . ; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors . POLL,Y MASON o4/owt*, Commission Number 750576 � My Commission Expires January 07, 2023 Notary Public (Expiration of notary's commission does not invalidate this instrument) I , William Warner, Jr. , Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC . , do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF-ATTORNEY executed by said Companies , which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 18th day of August 2020 . !! 6 o( I q4 �'o ;,• " int ' Ctt�j'•. vkp Op. y ` a t ? - 0 ' C : � ' ih: - Q - a 104 w ': 2003 ;; p : Cot, 1933 Secretarymot POA 0018 ( 1 /20) !''!'" " " " `'•`• ` + ' ' • • ACCORV® CERTIFICATE F LIABILITY INSURANCE 08/255/DATE (M /22020020 Y) 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cathy Wigant NAME: Brummel Madsen & Associates PHONE (319) 266-2644 FAX No)b (319) 277-2429 AIC No Ext 318 Main Street EMAIL cathyw@brummelmadsen .com ADDRESS: P.O. BOX 399 INSURER(S) AFFORDING COVERAGE NAIC # Cedar Falls IA 50613 INSURERA : Crum & Forster INSURED INSURER B : Western National Insurance Advanced Environmental Testing & Abatement, Inc INSURER c : 803 Ricker St. INSURER D : INSURER E : Waterloo IA 50703 INSURER F : COVERAGES CERTIFICATE NUMBER: 2/20 IA IL MN WI 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 22000, 000 DAMAGE TO RE TED 10000 CLAIMS-MADE F OCCUR PREMISES Ea occurrence $ X Asbestos MED EXP Any one person) $ 51000 A X Contractors Pollution EPK- 128070 09/13/2019 09/13/2020 PERSONAL & ADV INJURY $ 21000, 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 51000, 000 F1PRO- ❑ LOO PRODUCTS - COMP/OPAGG $ 5 ,0001000 X POLICY JECT Transportation Occ $ 1 , 000,000 X OTHER: Professional Liability P AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 11000, 000 Ea accident X ANYAUTO BODILY INJURY (Per person) $ B OWNED SCHEDULED CPP1013320 02/28/2020 02/28/2021 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5 ,000, 000 A EXCESS LIAB El CLAIMS-MADE EFX-113383 (Liab & WC) 09/13/2019 09/13/2020 AGGREGATE $ 5 ,0001000 DED I X1 RETENTION $ 10, 000 $ WORKERS COMPENSATION X1 STAI I EERH AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE a N / A WCV1001609 09/13/2019 09/13/2020 E.L. EACH ACCIDENT $ 1 ,000, 000 B OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 110000000 If yes, describe under 10000, 000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Each Occurrence $3 ,000,000 Umbrella Liability B Retention - $ 10 , 000 UM61016518 (Auto) 02/28/2020 02/28/2021 Aggregate $3 , 000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) Insurance Verification CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Waterloo ACCORDANCE WITH THE POLICY PROVISIONS. 715 Mulberry St AUTHORIZED REPRESENTATIVE Waterloo IA 50703 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD