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Advanced Enviromental
® D E N V I R O N M E N T A L 803 Ricker Street • Waterloo, IA 50703 5MLED A WFO/1 AsB1:oPsTDS *4VCpMT sr[20q&*s CONTRACT * AB20.20 • e* _ ) P c f Ty NAU. L 11'y LIC�rS �� 071S NAOL$rCAk S54?0 � I„JAR1.00 r TA 12D 6CPAW 5T. 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 . Our "not to exceed " bid price for each property is : 120 Center Street $ 3 i Total in written form : 1 }`Q fiv H / do Submitting Firm : ADVROXI!n ENVIfRbi44Corsm k. -STPA AB/117-M " ) , )AX . Address : 963 R) gL'''12 ST City : UA1 dLt6b State . :TA Zips 56703 Authorized Representative ( print) Authorized Representative Signature Date . - n - ZO Email : w1I CHALL . p6L'- Q ADVANIaoDM ) OWLst COM Phone : 319 - 2 8 � • 4 %47 Fax : 3 ) 9 - 2970 44Y2 EXCEPTIONS/ DEVIATIONS to this Request for Proposal shall be listed in writing on an attached document provided by the Bidder. Please be as specific as possible . Please check one . X Our company has no exceptions/deviations . Our company does have exceptions/deviations which are listed on an attached document. GENERAL INFORMATION . Freight and/or delivery charges, if any, shall be included in the price . FIRM PRICING . Offered prices shall remain firm for a minimum of sixty (60) days after the due date of this solicitation unless indicated otherwise . Accepted prices shall remain firm for the duration of the contract. ADDENDA ( It is the Bidder's responsibility to check for issuance of any addenda) . The authorized representative herby acknowledges receipt of the following addenda : 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 : 120 Center Street Page 9 of 9 XX 81D BONo KNOW ALE. MEN BY THESE PRESENTS, that we, Advanced Environmental Testing and Abatement, Inc. As Principal , and Merchants Bonding Company ( Mutual) 8s Surety are held and firmly bound unto the _ €'€°1f OF WATER IC?O , lows, hereinafter called `GINNER." In the penal sum ---Five Percent of the Bid Submitted--- Dollars''( .--s°io-- lawful tr.oney of the United States, for the payment Of Which sum will and truly be made, we 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 Rpmovalthrouab NOWs THEREFORE, E } if sa 0 Bid shall be rejected, or in the altemat . (h) if said Bid shall be accepted and the Principal _shall execute and deliver a contract in the form specified 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 acceptance of said Bid, Then this obligation shell 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 shalt, 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 shalt be forfeited to the Owner In liquidation of damages sustained in the event that the Principal fa€ls to execute the contract and provide the bond as provided in the specifications at ons or by law: The Surety, for value received, hereby stipulates 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 Owner 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 seals, 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 R A*Do 2020 , Advanced Environmental Testing and Abatement, Inc. (Sea( Principal By Merchants Bonding Company (Mutual) Witness. urety B Jaimie Kangas At rney4n-fact Grace Rasmussen f AC40RV CERTIFICATE OF LIABILITY INSURANCE DATE (MYYYY) 08/255/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S ), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the 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 alCNr o Exit: (319) 266-2644 FAX No): (319) 277-2429 318 Main Street E-MAIL cathyw@brummelmadsen .com ADDRESS: P. O. BOX 399 INSURERS) 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 MM/DD/YYYY MMIDD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2 , 000, 000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED 100, 000 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 $ 2 ,000, 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000, 000 X POLICY PRO- 5 ,000, 000 JF COMP/OP AGO $ X OTHER: Professional Liability Transportation Occ $ 10000, 000 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 accident) NON-OWNEDAUTOS ONLY AUTOS HIRED POpcRdnAMAGE AUTOS ONLY ATOS ON $ X UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 5 ,000, 000 A EXCESS LIAB El CLAIMS-MADE EFXA 13383 (Liab & WC) 09/13/2019 09/13/2020 AGGREGATE $ 5 ,0001000 DED I X RETENTION $ 103000 $ WORKERS COMPENSATION X STATUTE OT _ AND EMPLOYERS' LIABILITY Y / N 13000, 000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACHACCIDENT $ B OFFICER/MEMBER EXCLUDED? N / A WCV1001609 09/13/2019 09/13/2020 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1 ,000, 000 If yes, describe under 19000, 000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Each Occurrence $3, 0009000 Umbrella Liability B Retention - $ 10 , 000 UMB1016518 (Auto) 02/28/2020 02/28/2021 Aggregate $31000,000 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 G e '�f "�. © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD