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HomeMy WebLinkAboutBrock Even Construction - FY21 Sidewalk and Trail Repair, Cont. No. 1044 - 6.7.2021 FORM OF CONTRACT CONTRACT FOR THE CONSTRUCTION OF F.Y. 2021 SIDEWALK & TRAIL REPAIR PROGRAM —ZONE 1 CITY OF WATERLOO, IOWA CONTRACT NO. 1044 This contract made and entered into this 7 day of June 20 21 , by and between the City of Waterloo, Iowa, a Municipal Corporation, (hereinafter referred to as City), and BROCK EVEN CONSTRUCTION, LLC of JESUP, IA (hereinafter referred to as Contractor), WITNESSETH: PAR. 1 Contractor agrees to build and construct the F.Y. 2021 SIDEWALK&TRAIL REPAIR PROGRAM — ZONE 1, Contract No. 1044, 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. PAR. 2 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. PAR. 3 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. PAR. 4 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 5 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 29. 2021 , 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 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. PAR. 8 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. PAR, 9 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, PAR , 10 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. FORM OF CONTRACT PAGE 2 OF 5 PAGES PAR . 11 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. PAR. 12 The Contractor agrees to pay punctually all just claims of labor, material , 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. PAR. 13 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. PAR, 16 The total amount of the contract, based on the Engineer's estimates of quantities and the Contractor's unit bid prices, and for which 100% surety bond is required is $150,690.93 FORM OF CONTRACT PAGE 3 OF 5 PAGES 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 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 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. PAR. 20 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 . PAR. 21 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 J Mayor klellq �-elchle City Clerk BROCK EVEN CONSTRUCTION, LLC Contractor BY: Title: =•�� Approved by the City Council of the City of Waterloo, Iowa, this 7th day of June 12021 Kelley �elchle ATTEST: , City Clerk Waterloo, Iowa FORM OF CONTRACT PAGE 5 OF 5 PAGES PERFORMANCE BOND Bd 7901069337 KNOW ALL MEN BY THESE PRESENTS : That we, Brock Even Construction . LLC of 13012 Fox Road Jesup , IA 50648 (the " Principal "), and Nationwide Mutual Insurance Company of 1100 Locust St Dept 2006 Des Moines IA 50391 -2006 (the "Surety"), are held and firmly bound unto the City of Waterloo, Iowa (the "Obligee "), in the penal sum of One Hundred Fifty- One Thousand Four Hundred Forty-Three and no/ 100 Dollars ($ 151 .443 . 00 ), lawful money of the United States, for the payment of said sum in connection with a contract (the "Contract") dated on or about for the purpose of F . Y . 2021 Sidewalk & Trail Repair Program — Zone 1 Contract NO 1044 is incorporated herein by reference as though fully set forth herein . . The Contract 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 . 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 /0) 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 PEFORMANCE BOND Page 1 of 3 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 June 2 . 2021 PRINCIPAL SURETY Brock Even Construction , LLC Nationwide Mutual Insurance Company. Name Name - _ - By. By. ! iggpL �9 Jeff ose e Title: /esac Title: 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 . If this 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 . PEFORMANCE BOND Page 2 of 3 Power of Attorney KNOW ALL MEN BY THESE PRESENTS THAT: Nationwide Mutual Insurance Company, an Ohio corporation hereinafter referred to severally as the °Company" and collectively as "the Companies' does hereby make, constitute and appoint: Jeff Cose each in their individual capacity, Its true and lawful attomey-In-fact, with full power and authority to sign, seal, and execute on Its behalf any and all bonds and undertakings, and other obligatory instruments of similar nature, in penalties not exceeding the sum of UNLIMITED and to bind the Company thereby, as fully and to the some extent as if such Instruments were signed by the duly authorized officers of the Company; and all acts of said Attorney pursuant to the authority given are hereby ratified and confirmed. This power of attorney Is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company: "RESOLVED, that the president, or any vice president be, and each hereby is, authorized and empowered to appoint attorneys-in-fact of the Company, and to authorize them to execute and deliver on behalf of the Company any and all bonds, forms, applications, memorandums, undertakings, recognizances, transfers, contracts of indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other writings obligatory in nature that the business of the Company may require; and to modify or revoke, with or without cause, any such appointment or authority; provided, however, that the authority granted hereby shall In no way limit the authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company." -RESOLVED FURTHER, that such attorneys-in-tact shall have full power and authority to execute and deliver any and all such documents and to bind the Company subject to the terms and limitations of the power of attorney issued to them, and to affix the seal of the Company thereto; provided, however, that said seal shall not be necessary for the validity of any such documents.' This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company. Execution of Instruments. Any vice president, any assistant secretary or any assistant treasurer shall have the power and authority to sign or sliest all approved documents, instruments, contracts, or other papers in connection with the operation of the business of the company In addition to the chairman of the board, the chief executive officer, president, treasurer or secretary; provided, however, the signature of any of them may be printed, engraved, or stamped on any approved document, contract, Instrument, or other papers of the Company. IN WITNESS WHEREOF, the Company has caused this Instrument to be sealed and duly attested by the signature of Its officer the 2r day of February, 2019. (moi /lti. d !//ly" _ Antonio C. Albanese, Vice President of Nationwide Mutual Insurance Company ACKNOWLEDGMENT STATE OF NEW YORK, COUNTY OF NEW YORK: ss p iriC.�. A On this 2T" day of February, 2019, before me came the above-named officer for the Company 'SJL:at�l..i„f aforesaid, to me personally known to be the officer described In and who executed the preceding e Sufi..X1.6.0' instrument, and he acknowledged the execution of the same, and being by me duly swum, deposes `44 =0 AF.fir and says, that he is the officer of the Company aforesaid, that the seal affixed hereto is the corporate seal of said Company, and the said corporate seal and his signature were duly affixed and subscribed to said Instrument by the authority and direction of said Company. C. Mousy PuNk, S7MUG 20ENpuallf SusanneaMMUSIon Earlier i oluny FUN it mvcmmllmogEgoyes aa Zan CERTIFICATE s.Pla,roe. I, Laura B. Guy, Assistant Secretary of the Company, do hereby certify that the foregoing is a full, two and correct copy of the original power of attorney issued by the Company; that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has not been revoked or amended in any manner; that said Antonio C. Albanese was on the date of the execution of the foregoing power of attorney the duly elected officer of the Company, and the corporate seal and his signature as officer were duly affixed and subscribed to the said Instrument by the authority of said board of directors; and the foregoing power of attorney is still in full force and effect. IN WITNESS WHEREOF, I have hereunto subscribed my name as Assistant Secretary, and affixed the corporate seal of said Company this 2nd day of June 2021 BDJ 1 (02-19)00 Assistant Secretary PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: that Bd 7901069337 Brock Even Construction LLC (Name of Contractor) 13012 Fox Road Jesup, IA 50648 (Address of Contractor) a Limited Liability Company , hereinafter called Principal, and, (Corporation, Partnership or individual) Nationwide Mutual Insurance Company (Name of Surety) 1100 Locust St. Dept. 2006 Des Moines IA 50391.2006 (Address of Surety) hereinafter called Surety, are held and firmly bound unto City of Waterloo 715 Mulberry St., Waterloo IA 50703 (Name of Owner) (Address of Owner) hereinafter called OWNER, in the penal sum of One Hundred Fifty-One Thousand Four Hundred Forty-Three and no/100 Dollars,($151,443.00 ) 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 7th day of June 20 21 , a copy of which is hereto attached and made a part hereof for the construction of: F.Y. 2021 Sidewalk & Trail Repair Program — Zone 1 Contract NO. 1044 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 PAYMENT BOND Page 1 of 3 the right of any beneficiary hereunder, whose claim may be unsatisfied . IN WITNESS HEREOF, this instrument is executed in 1 counterparts , each one of which , (number) shall be deemed an original , this the 2nd day of _June 2021 _. ATTEST: Brock Even Construction LLC (Principal) (Principal) Secretary (SEAL) By : cc . _ . (s) 10012 Fox Road (Address) Jesup , IA 50648 Witness as to Principal (Address) Nationwide Mutual Insurance Company Surety � �� ATTEST: By: "sEt � q/, /M� Jeff Use , Attorney- in - Fact CPS J0jam ' ° 1100 Locust St. , Dept 2006 " Witness as ttto1 Surety (Address) �+ Des Moines IA 50391 - 2006 (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 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 . PAYMENT BOND Page 2 of 3 Power of Attorney KNOW ALL MEN BY THESE PRESENTS THAT: Nationwide Mutual Insurance Company, an Ohio corporation hereinafter referred to severally as the "Company" and collectively as "the Companies° does hereby make, constitute and appoint: Jeff Cose each in their individual capacity, its true and lawful attomey-In-fact, with full power and authority to sign, seal, and execute on Its behalf any and all bonds and undertakings, and other obligatory instruments of similar nature, in penalties not exceeding the sum of i 1NUMITED and to bind the Company thereby, as fully and to the same extent as if such Instruments were signed by the duly authorized officers of the Company; and all acts of said Attorney pursuant to the authority given are hereby ratified and confined. This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company: "RESOLVED, that the president, or any vice president be, and each hereby is, authorized and empowered to appoint attorneys-in-fact of the Company, and to authorize them to execute and deliver on behalf of the Company any and all bonds, forms, applications, memorandums, undertakings, recognizances, transfers, contracts of indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other writings obligatory in nature that the business of the Company may require; and to modify or revoke, with or without cause, any such appointment or authority; provided, however, that the authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company." "RESOLVED FURTHER, that such attorneys-in-fact shall have full power and authority to execute and deliver any and all such documents and to bind the Company subject to the terms and limitations of the power of attorney issued to them, and to affix the seal of the Company thereto; provided, however, that said seal shall not be necessary for the validity of any such documents.' This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company. Execution of Instruments. Any vice president, any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all approved documents, instruments, contracts, or other papers in connection with the operation of the business of the company in addition to the chairman of the board, the chief executive officer, president, treasurer or secretary; provided, however, the signature of any of them may be printed, engraved, or stamped on any approved document, contract, Instrument, or other papers of the Company. IN WITNESS WHEREOF, the Company has caused this Instrument to be sealed and duly attested by the signature of Its officer the 27" day of February, 2019. . 6 *- Antonio C. Albanese, Vice President of Nationwide Mutual Insurance Company 41K VA ACKNOWLEDGMENT xatuy.wK,�� ' STATE OF NEW YORK, COUNTY OF NEW YORK: ss 'tit ' On this 2714 day of February, 2019, before me came the above-named officer for the Company +t, SEAL)' aforesaid, to me personally known to be the officer described In and who executed the preceding 11� instrument, and he acknowledged the execution of the same, and being by me duly swum, deposes� and says, that he is the officer o1 the Company aforesaid, that the seal affixed hereto is the corporate seal of said Company, and the said corporate seal and his signature were duly affixed and subscribed to said Instrument by the authority and direction of said Company, NmuY puWk, Rate GII Now York auanr,.d mwe here, eounil XJLL ammisslan RlAre, September 16, M21 CERTIFICATE s.pumber6a 2021 1, Laura B. Guy, Assistant Secretary of the Company, do hereby certify that the foregoing is a full, true and correct copy of the original power of attorney issued by the Company; that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has not been revoked or amended in any manner; that said Antonio C. Albanese was on the date of the execution of the foregoing power of attorney the duly elected officer of the Company, and the corporate seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board of directors; and the foregoing power of attorney is still in full force and effect. IN WITNESS WHEREOF, I have hereunto subscribed my name as Assistant Secretary, and affixed the corporate seal of said Company this 2nd day of June , _ 2021 So BDJ 1 (02-19)00 Assistant Secretary AC es/9312021 CERTIFICATE OF LIABILITY INSURANCE MIOOIYYVY) 3rzszl 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 Bobby Liebsch Bobby Liebsch NAME: Go FBL Financial Group Inc. NCNNo Ext (319) 334-2561 IANC No): 1400 First St West E-MAIL Independence, IA 50644 ADDRESS: INSURER(S) AFFORDING COVERAGE NAICN _ INSURERA : Farm Bureau Property B Casualty Insurance Company 13773 INSURED INSURER B : BROCK EVEN CONSTRUCTION LLC — 13012 FOX RD INSURER C : JESUP, IA SOMB-9642 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. _ ? EXP LTR TYPE OF INSURANCE INSD WVO SUBR POLICY NUMBER MM/O�YIYEVYY MMID�Y/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY ® ❑ EACH OCCURRENCE $ 1000000 GPP6033494 05/28/2021 05/28/2022 OAMAGETO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence . $ 100000 MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY_ $ 1000000 GEN1 AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2000000 X ECT LOC PRODUCTS - COMP/OP AGO $ 2000000 POLICY ❑ PRO OTHER: I $ A AUTOMOBILE LIABILITY ® F�l CPP6033494 05/28/2021 05/28/2022 Ee auItlE00t51NGLE LIMIT $ 1000000 ANY AUTO BODILY INJURY (Per person) $ OWNED X SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS - HIRED NON-OWNED PROPERTY ROP ci TYDAMAGE $ AUTOS ONLY AUTOS ONLY — $ UMBRELLA LIAB OCCUR 7 EACHOCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED RETENTIONS L $ WORKERS COMPENSATION PER AND EMPLOYERS' LIABILITY Y1 N STATUTE ER ANY PROPRIETORJPARTNER/EXECUTIVE ❑ NIA E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (AGGRO 101 , Additional Remarks Schedule, may be attached if more apace is required) CERTIFICATE HOLDER CANCELLATION City of Waterloo 715 Mulberry Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Waterloo , IA 50703 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Aon Mitchell, Underwriting Vice President © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD