HomeMy WebLinkAboutAdvanced EnvironmentalENVIRONMENTAL
TESTING AND ABATEMENT INC.:
803 Ricker Street • Waterloo, IA 50703
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Authorized Representative Signature
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.
200 Merriman Street, 1027 Sycamore Street, 325 W 13th Street, 321 W 6t" Street, and 742 Grant
Avenue
Total in written form:
=16 Nr Th�S4MO PI 14.' iivM01t0 M
1
5
The correct summation of the actual bid tabulation figures will supersede the listed total,
Submitting Firm: PD%Jpv%JCI5) L:N V112ONML JTAL 1 Oc.
Address: gn PCKVA ST_
City: wATE12160
State: Tint Zip: 5070
Authorized Representative (print) (A c.HAZl. 9.0Le
9fia
Date: l,Ujf `i1 �-OZ1 Email: MicNAI:L.POE EADVA\JCLT)M1DWtiStCO/1
Phone: 3VL2f7-414t41 Fax: 3 fie- 2a7- `Fp{q
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
RFB FOR ASBESTOS ABATEMENT SERVICES: Contract: No. AB-2021-08-5P
200 Merriman Street, 1027 Sycamore Street, 325 W 13`h Street, 321 W 6`h Street, and 742 Grant Avenue
Page 9 of 10
Our "not to exceed" bid price for each property is:
200 Merriman Street
$ 1/5 00, 60
1027 Sycamore Street
325 W 13th Street
$ I/504, 00
321 W 6th Street
$ 31506.�b
742 Grant Avenue
$ i,oco,00
Total
$ gi 560 , 60
RFB FOR ASBESTOS ABATEMENT SERVICES: Contract: No. AB-2021-08-5P
200 Merriman Street, 1027 Sycamore Street, 325 W 13th Street, 321 W 6th Street, and 742 Grant Avenue
Page 10 of 10
ACOR0`
ADVAENV-01
CERTIFICATE OF LIABILITY INSURANCE
CWIGANT
DATE (MM/DDIVYYY)
3/1/2021
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(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
Brummel Madsen Insurance
318 Main Street
Cedar Falls, IA 50613
INSURED
Advanced Environmental Testing & Abatement Inc
803 Ricker Street
Waterloo, IA 50703
CONTACT Cathy Wigant
NAME:
(a°NNo, Ext): (319) 266-2644
E-MAIL
IM RIESS: cathyw@brummelmadsen.com
INSURER(S) AFFORDING COVERAGE
(a/c, No):(319) 277-2429
INSURER A: Crum & Forster Specialty Insurance Company
INSURER B : Western National Mutual Insurance Company
INSURER C :
NAIC #
44520
15377
INSURER D :
INSURER E :
INSURER F :
•
•
vux.n
.vr..a...wn.v....'
_ __
_
._
VV VCRA
L°
ABOVE FOR THE POLICY PERIOD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED
THIS
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH
BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
OR MAY PERTAIN, THE INSURANCE AFFORDED
CERTIFICATE MAY BE ISSUED
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR
LTR R
OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
(MM/DD/YYYYI
POLICY
(MMIDD/YYYYI
EXP
LIMITS
9/13/2020
EACH
OCCURRENCE
$ 2'000'000
A
X
COMMERCIAL GENERAL LIABILITY
9/13/2021
DAMAGE
PREMISES
TO
RENTED
(Ea occurrence)
$ 50,000
CLAIMS -MADE
X
OCCUR
EPK128070
MED
EXP
(Any one
person)
$ 5,000
X
Asbestos
PERSONAL&ADVINJURY
$ 2,000,000
X
Contractor
Pollution
GENERAL
AGGREGATE
$ 5,000,000
GEN'L
AGGREGATE
LIMIT APPLIES
PER:
PRODUCTS
- COMP/OP
AGG
$ 5,000,000
POLICY
X
JE
J
LOC
TRANSPORTATION
$ 1,000,000
X
OTHER:
Professional
Liability
B
AUTOMOBILE
LIABILITY
2/28/2021
(Ea acccidentSINGLE
LIMIT
$ 1,000,000
2/28/2022
BODILY
INJURY
(Per
person)
$
CPP
1013320
X
ANY AUTO
BODILY
INJURY
(Per
accident)
$
OWNED
AUTOS
ONLY
SCHEDULED
AUTOS
PROPERTY
Per
accident)
DAMAGE
$
H
AUTOS
RED
ONLY
NON -OWNED
AUTOS ONLY
$
X
Hired auto
x
Non -owned auto
B
X
UMBRELLA LIAB
X
OCCUR
2/28/2021
EACH
OCCURRENCE
$
3,000,000
2/28/2022
AGGREGATE
$
3,000,000
EXCESS LIAB
CLAIMS -MADE
UMB
1016518
$
DED
X
RETENTION $ 10,000
B
AND
EMPLOYCOMPENSATION
RS'
LIABILITY O
Y
Y /
N
WCV 1001609
9/13/2020
X
STATUTE
OTH-
ER
9/13/2021
E.L.
EACH
ACCIDENT
1,000,000
$
ANY
OFFICER/MEMBER
PROPRIETOR/PARTNER/EXECUTIVE
EXCLUDED?
N / A
E.L.
DISEASE
-
EA
EMPLOYEE
1,000,000
$
(Mandatory
f
D
DESCRIPTION
Insurance
OF OPERATIONS / LOCATIONS / VEHICLES
Verification
(ACORD
101, Additional Remarks Schedule, may be attached if more space Is required)
CERTIFICATE HOLDER
Insurance Verification copy
for Advanced Environmental Testing
& Abatement Inc.
CANCELLATION
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
ACORD 25 (2016/03)
1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
BID BONE)
KNOW ALL MEN Y MIME PRESENTS, that wew
Advanced Environmental Testing and Abatement, Inc.
as Principal, Merchants Bonding Company (Mutual)
00 $urety-areltekLasIti firtrily-0000 unto the CITY Y F WATE.490, Iowa% hereinafter called
n.QVVISIERt"In the ---Five Percent of the Bid Submitted ---
Dollars (.T-..5%__.
) lawful mon�y .of the United States, for the payment
of vvhich sum will and tnoriy:be ade; we hind ourselves, our heirs, executors% administrators,. and
.successors, jointly. and severally, fimmly by these presents. The condition of this obligation is such :tbat
whereas the Principal has submitted the a 5th accompanying bid dated the 4, day of August ..
2021 t for Asbestos Removal at Various Properties, Waterloo, IA
.THEREFORE,
(a) If said: Bid shall be rejected, or in the alternate,
If said Bid shall be accepted and the Principal shall execute and deliver a contract in the corm specified
and shall furnish a bond for his faithful performance of saki contract and for the payment of oil persons
performing labor or furnishing materials in connection therewith, and shall in all other respects perform the
agreement created by the acceptance :of said Bid{
Then this obligation shall be wok& otherwise the same shall remain in forf,w and effect; it big expressly
understood and agreed the the liability of the Surety for any and all claims hereunder shalt,to no event,
exceed the penal amount of this obligation as herein stated,
By virtue of statutory authority, the full amount of this bid bond shall be forfeited to the Owner in liquidation of
damages sustained in the event that the Principal fails to execute the contract and provide the bond as
provided in the specifications or by law,
The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its bond
shalt be in no way^ impaired or affected by any extension of the time within which the Owner may accept
such Bid or execute suchcontract; •and said Surety .does hereby waive notice of any such extension
IN ITN S$ WHEREOFt 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 28th dayo
f July : ,.: 2021 ,
Advanced Environmental Testing and Abatement Inc.
4seal)
Witness
ess Jaimie Kanga
•
Principal
Sy
....-•-.- ... .. Air ..w .
Merchants Bonding Company (Mutual)
Surety
(Seal)
Attorneytinftfact Grace Rasmussen
• (Title)
MERCHANTS
BONDING COMPANY
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
'............. •«., s...••.
.•``•p4°NAB , ** ,• k \ C0,1;o
3Os _ inns 5 : . 1933
, �' c: By
�+•
%mod •.•4" S
STATE OF IOWA
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.
•
5th day of March , 2020 .
MERCHANTS BONDING COMPANY (MUTUAL)
MERCHANT,$ NATIONAL BONDING, INC.
President
•• • •
alAt
0
z oath r
POLLY MASON
Commission Number 750576'
My Commission. Expires
January 07, 2023
Notary Public
4
(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 28th day of July
POA 0018 (1/20)
••.••P110NA�''•.,
y••�1NG Cp4,••,
_O- ��:Z*, e„ Ci! A�•T';•
v 2003 _Apt* : E� 1933 . f
• • ..
� ••..........
Secretary
2021