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Peterson Contractors - FY21 Shaulis Rd Construction, Cont. No. 1020 - 5.17.2021
i HR Green, Inc. Shaulis Road Reconstruction - Hess Road to US-218 Project No. RM-8155(772)--9D-07 Waterloo, Iowa FORM OF CONTRACT CONTRACT FOR THE CONSTRUCTION OF F.Y. 2021 SHAULS ROAD RECONSTRUCTION - HESS ROAD TO US-218 City Contract #1020 CITY OF WATERLOO, IOWA CONTRACT NO. RM-8155(772)--9D-07 This contract made and entered into this 17th day of May , 20 21 , by and between the City of Waterloo, Iowa, a Municipal Corporation, (hereinafter referred to as City), and Peterson Contractors, Inc. of Reinbeck. Iowa , (hereinafter referred to as Contractor), WITNESSETH: PAR. 1 Contractor agrees to build and construct the FY 2021 Shaulis Road Reconstruction — Hess Road to US-218 , Contract No. RM-8155(772)--9..D-07 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 r 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. 1 FORM OF CONTRACT Page 1 of 5 f i HR Green , Inc. Shaulis Road Reconstruction - Hess Road to US-218 Project No. RM-8155(772)--9D-07 Waterloo, Iowa PARA 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 . 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 September 15 2023 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 FORM OF CONTRACT Page 2 of 5 HR Green , Inc. Shaulis Road Reconstruction - Hess Road to US-218 Project No. RM-8155(772)--9D-07 Waterloo , Iowa 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 . 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 . FORM OF CONTRACT Page 3 of 5 HR Green, Inc. Shaulis Road Reconstruction - Hess Road to US-218 Project No. RM-8155(772)--9D-07 Waterloo, Iowa 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 /0 surety bond is required is $8, 639 . 212 . 15 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 1001Y. 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 . FORM OF CONTRACT Page 4 of 5 i HR Green, Inc. Shaulis Road Reconstruction - Hess Road to US-218 Project No. RM-8155(772)--9D-07 Waterloo, Iowa 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. CITY OF WATERLOO, IOWA Ov.�4;1 H114 MEo Mayor i' Kelley �elchle �� City Clerk Peterson Contractors, Inc. Contractor BY: Title: president Approved by the City Council of the City of Waterloo, Iowa, this 17th day of May , 20 21 . Kelley �elchle ATTEST: , City Clerk Waterloo, Iowa I r is FORM OF CONTRACT Page 5 of 5 HR Green, Inc. Shaulis Road Reconstruction - Hess Road to US-218 Project No. RM-8155(772)--9D-07 Waterloo, Iowa Bond No. 107398376 PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: that Peterson Contractors Inc. (Name of Contractor) 104 Black Hawk St., Reinbec�,.IA 50669 (Address of Contractor) a Corporation , hereinafter called Principal, (Corporation, Partnership or Individual) and, Travelers Casualty and Surety Company of America (Name of Surety) One Tower Square, Hartford, CT 06183 (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) hereinafter called OWNER, in the penal sum of Eight Million Six Hundred Thirt _ Nine Thousand Two Hundred Twelve and 15/00 Dollars,($$339,212.15) in iawful 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 17th day of May 20 21 , a copy of which is hereto attached and made a part hereof for the construction of: FY 2021 Shaulis Road Reconstruction -- Hess Road to US-218 Citv Contract No. RM-8155(772)--9D-07 Waterloo Iowa PAYMENT BOND Page 1 of 3 HR Green, Inc. Shaulis Road Reconstruction - Hess Road to US-218 Project No. RM-8155(772)--9D-07 Waterloo, Iowa 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 (number) which shall be deemed an original, this the 17th day of May 20 21 . ATTEST: Peterson Contractors, Inc. Principal (Principal) Secretary rr C4-(SEAL) By 104 Black Hawk St. (Address) Reinbeck, IA 50669 Witness as to rincipal PAYMENT BOND Page 2 of 3 HR Green, Inc. Shaulis Road Reconstruction - Hess Road to US-218 Project No, RM-8155(772)--81]-07 Waterloo, Iowa P.O. Box A (Address) Reinheck, IA 50669 Travels as al y and Surety Company of America Surety ATTEST: Attorney-in-Fact Anne Crowner blfto 40 LL24hA*%k2 Holmes, Murphy and Associates, LLC Witness as to Surety Marg Wysonol ZK�-' (Address) 2727 Grand Prairie Parkway 2727 Grand Prairie Parkway Waukee, IA 50263 (Address) Waukee, IA 50263 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 3 of 3 HR Green, Inc. Shaulis Road Reconstruction - Hess Road to US-218 Project No. RM-8155(772)--9D-07 Waterloo, Iowa Bond No. 707398376 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That we, Peterson Contractors Inc. of 104 Black Hawk St., Reinbeck IA (the "Principal"), and Travelers Casualty and Surety Company of Americaof Hartford, CT (the "Surety"), are held and firmly bound unto the City of Waterloo, Iowa (the "Obligee"), in the penal sum of E�i,ht Million Six Hundred Thirty-Nine Thousand Two Hundred Twelve and 15/100 Dollars ($8,639.212,15), lawful money of the United States, for the payment of said sum in connection with a contract (the "Contract") dated on or about May 17, 2021 for the purpose of_ FY 2021 Shaulis Road Reconstruction — Hess Road to US-218 . 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. PERFORMANCE BOND Page 1 of 3 HR Green, Inc. Shaulis Road Reconstruction - Hess Road to US-218 Project No. RM-8155(772)--9D-07 Waterloo, Iowa 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%) 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 May 17, 2021 PRINCIPAL SURETY Peterson Contractors, Inc. Travelers Casualty and Surety Company of America Name Name B -&6a4�or Title: pac,..-_: A Title: AnneCrowner,Attorney-in-Fact PER+✓ORMANCE BOND Page 2 of 3 HR Green, Inc. Shaulis Road Reconstruction - Hess Road to US-218 Project No, RM-8155(772)--91D-07 Waterloo, Iowa [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 . PERFORMANCE BOND Page 3 of 3 Travelers Casualty and Surety Company of America TRAVELERS Travelers Casualty and Surety Company St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Anne Crowner of Waukee Iowa , their true and lawful Attorney-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory 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. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 17th day of January, 2019. Kk State of Connecticut By: City of Hartford as. Robert L. Rane , enior Vice President On this the 17th day of January, 2019, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. IN WITNESS WHEREOF, I hereunto set my hand and official seal. *`a `% uomnr * My Commission expires the 30th day of June, 2021 * ^�� J POSY° Anna P. Nowik, Notary Public This Power of Attorney Is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of Indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof Is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of Indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the. President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile sealshall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I , Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. , Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing Is a true and correct copy of the Power of Attorney executed by said Companies, which remains in full force and effect. Dated this day of C0771 so Kevin E. Hughes, Assistant Secretary ro verify the authenticity of this Power of Attorney, please callus at 1-800-421-3880. Please refer to the above-named Attorney-in-Fad and the details of the bond to which this Power of Attorney is attached. PETECON-02 ZCOUNSELL IMMIDDCERTIFICATE OF LIABILITY INSURANCE DATE 516/2021 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 endorsements . PRODUCER C EgCT LSB Financial Services PHONE 219 Main St lac, No, Ext): (319) 874.4242 ac, No): Cedar Falls, IA 50613 E-MAIL , info mylsb.com INSURERS AFFORDING COVERAGE NAIL # INSURER A : Greenwich Insurance Company 22322 INSURED INSURERB : National Fire & Marine 20079 Peterson Contractors, Inc. INSURER C ! XL Specialty Insurance Company 37885 104 Biackhawk St PO Box A INSURER D : Zurich American Ins Co 16535 Reinbeck, IA 50669 1 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP OMITS D D IDD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2'000'000 CLAIMS-MADE [X] OCCUR X CGD7469902 7/1/2020 7/1/2021 DPREMISESAMAGE T ERENTED $ 100,000 la Qizauatncei X Blanket Contractual MED EXP (Any oneperson) $ 103000 X XCU Coverage PERSONAL & ADV INJURY $ 2'0001000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 430001000 POLICY � PRD a LOC PRODUCTS - COMP/OP AGG 43000,000 OTHER: $ COMBINED SINGLE LIMIT 2,000,000 A AUTOMOBILE LIABILITY Ea ac ' X ANY AUTO CAS7469903 7/1/2020 7/1/2021 BODILY INJURY Per personj $ OWNED SCHEDULED AUTOS ONLY AUOTOpS BODILY INJURY Per accident $ X AUT OS ONLY X AUTOS ONLB Pe�accRtlehi DAMAGE $ $ B UMBRELLA LIAR X I OCCUR EACH OCCURRENCE $ 11000'000 X EXCESS LIAB F CLAIMS-MAGE 42-XSF-1 (10514-05 7/112020 7/112021 AGGREGATE 5 1 '0009000 DED RETENTION $ $ C WORKERS COMPENSATION X PER ST E OTH. AND EMPLOYERS' LIABILITY CWD7469901 7/1/2020 71112021 11000,000 ER ANYCERIMEM%R/PARTNER/EXECUTIVE YIN E.L. EACH ACCIDENT $ (Manddatoryine H) EXCWDED'! NIA 1 ,000,000 N E.L. DISEASE - EA EMPLOYEE 5 Ifyes, describe under 11000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ D Leased/Rented Equipm CPP9267064-10 7/1 /2020 7/1/2021 Leased/Rented Equipm 51000,000 D Equipment Floater CPP9267064-10 7/112020 7/112021 Cargo 23500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES )ACORD 101 , Additional Remarks Schedule, maybe attached if more space Is required) RE: FY 2021 Shaulis Road Reconstruction - Hess Road to US-218 Waterloo, IA City of Waterloo Is named as additional insured perwritten contract requirements. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of Waterloo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. 715 Mulberry St. Waterloo, IA 50701 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION . All rights reserved. The ACORD name and logo are registered marks of ACORD ENDORSEMENT #029 This endorsement, effective 12: 01 a. m. , July 1 , 2020, forms a part of Policy No. CGD7459902 issued to PETERSON CONTRACTORS , INC. by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following : COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Person or Organization : ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT TO INCLUDE AS AN ADDITIONAL INSURED PROVIDED THE " BODILY INJURY" OR 'PROPERTY DAMAGE" OCCURS SUBSEQUENT TO THE EXECUTION OF THE WRITTEN CONTRACT OR WRITTEN AGREEMENT BUT ONLY WHEN THE CONTRACT DEMAND SPECIFIES ISO 2001 EDITION FORMS OR EQUIVALENT (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. ) A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured . B. With respect to the insurance afforded to these additional insureds , the following exclusion is added : 2. Exclusions This insurance does not apply to "bodily injury" or "property damage" occurring after: (1 ) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed ; or XIL 2010-1001 ( Ed. 0413) © 2013 , XL America, Inc. Page 1 of 2 All rights reserved. May not be copied without permission . Includes copyrighted material of Insurance Services Office, Inc. , with its permission (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms and conditions remain unchanged. XIL 2010-1001 (Ed. 0413) © 20135 XL America, Inc. Page 2 of 2 All rights reserved . May not be copied without permission . Includes copyrighted material of Insurance Services Office, Inc. , with its permission ENDORSEMENT #030 This endorsement, effective 12: 01 a. m. , July 1 , 2020, forms a part of Policy No, CGD7459902 issued to PETERSON CONTRACTORS , INC. by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS , LESSEES OR CONTRACTORS — COMPLETED OPERATIONS This endorsement modifies insurance provided under the following : COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Person or Organization : ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT TO INCLUDE AS AN ADDITIONAL INSURED PROVIDED THE 'BODILY INJURY" OR 'PROPERTY DAMAGE" OCCURS SUBSEQUENT TO THE EXECUTION OF THE WRITTEN CONTRACT OR WRITTEN AGREEMENT BUT ONLY WHEN THE CONTRACT DEMAND SPECIFIES ISO 2001 EDITION FORMS OR EQUIVALENT Location and Description of Completed Operations : VARIOUS AS REQUIRED PER WRITTEN CONTRACT. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. ) Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products- completed operations hazard". All other terms and conditions remain unchanged. XIL 2037-1001 (Ed . 0413) © 2013, XL America, Inc. Page 1 of 1 All rights reserved. May not be copied without permission . Includes copyrighted material of Insurance Services Office, Inc. , with its permission