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HomeMy WebLinkAboutAdvanced Envirnomental Afrvl ED ccNTA L NT 803 Ricker Street • Waterloo, IA 50703 SL�Au=b f�1= g FOO, psSLStas Pg4r'; I�V'JC sLRV ) ces c6NTrAC'T Ag - 2021 - i1 - CITY OF WA PML CI 0 of W1TUaLM F� Fj� KK'b �w �i�v � Cl?1 / aa�� c Ll' S UCT2 ! / 61A kd3 3e G � � 715 tAv L810may sr�t�er 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 . 928 Mulberry Street, 1526 E 4th Street, 1527 E 4th Street, 114 E 10th Street, and 105 E Iltth Street , Total " lump sum " bid : $ 1S4 660• bd 00t! K100411 D V1Rly F& ,j( 'h-� OvSAN� The correct summation of the actual bid tabulation fi4ures will supersede the listed total. Submitting Firm : J\):)VA0(g0 CsNVlZ0lJjAl'�A'L i114c • Address : & 3 R� CykA ST _ City : WAT106'lA State : ISA zip : 50703 Authorized Representative ( print) Wc.1NAeL fbL Authorized Representative Signature �� Date : /4 - :7ca242a1 Email : jAIcH1kI.Lsft Q AyVAOLMIA10Wtgr e M Phone : 311 U71404 %44 1 Fax : 319 PIS14449 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 I Date lQ S Z 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: AB-2021 - 11 -05P : 928 Mulberry Street, 1526 E 4'h Street, 1527 E 4111 Street, 114 E 1011' Street, and 105 E 1 I ` Street Page 8 of 9 Our " not to exceed " bid price for each property is : 928 Mulberry Street 0000 DU 1526 E 4th Street 5 , boo . Do 1527 E 4th Street N � Pc 114 E 10th Street 105 E 11th Street 55, 606 , fib Total $ � 3,.� � 606 . ob RFB FOR ASBESTOS ABATEMENT SERVICES : Contract : AB-2021 - 11 -05P : 928 Mulberry Street, 1526 E 4111 Street, 1527 E 41h Street, 114 E 101h Street, and 105 E 1 1 °i Street Page 9 of 9 ADVAENV-01 CWIGANT A`CO�R �► CERTIFICATE OF LIABILITY INSURANCE DAT9/2/2 D/YYYY) 9/212021 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 NAMEACT Cathy Wigant Brummel Madsen Insurance PAICIHONE FAX ( , No : (319) 277-2429 318 Main Street E pAIE Cedar Falls, IA 50613 . cathyw@brummelmadsen .com INSURERS AFFORDING COVERAGE NAIL # INSURER A : Crum & Forster Specialty Insurance Company 44520 INSURED INSURER B : Western National Mutual Insurance Company 15377 Advanced Environmental Testing & Abatement Inc INSURER C : 803 Ricker Street INSURER D : Waterloo, IA 50703 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 A D D L S6'BR POLICY EFF POLICY EXP LIMITS INSURANCE NSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2, 000,000 CLAIMS-MADE ] OCCUR EPK136883 9/13/2021 9/13/2022 DAMAGE ( RENTED 50,000 PREMISES Ea occu tante $ X Asbestos MED EXP (Any oneperson) $ 51000 X Contractor Pollution PERSONAL & ADV INJURY $ 21000,00 GENERAL AGGREGATE $ 51000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a JECPROT ❑ LOC PRODUCTS - COMP/OPAGG $ S, 000' UUO XOTHER: Professional Liability TRANSPORTATION $ 110001000 Ea accident SINGLE LIMIT $ 11000, 000 B AUTOMOBILE LIABILITY X ANY AUTO CPP 1013320 2/28/2021 2/28/2022 BODILY INJURY Perperson) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY AMAGE AUTOS ONLY AUTOS ONLY Per accident $ A X UMBRELLA LIAR tX OCCUR EACH OCCURRENCE $ 5,0001000 EXCESS LIAB CLAIMS-MADE EFX118804 9/13/2021 9/13/2022 AGGREGATE $ 5'000' 000 DED X RETENTION $ 10, 000 $ B AND EMPLOYERS' L ABI ON X STATUTE EERH ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N WCV 1001609 9/13/2021 9/13/2022 E.L. EACH ACCIDENT $ 1 , 00, 000 (Mand tory in NE) EXCLUDED? a N / A 1 ,000, p00 E.L. DISEASE - EA EMPLOYEE $ IF yes, describe under E.L. DISEASE - POLICY LIMIT $ 1 ,000, 000 DESCRIPTION OF OPERATIONS below B Umbrella Liab (auto) UMB 1016518 2/28/2021 2/28/2022 Ea Occ/ Aggregate 31000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Insurance verification ACCORDANCE WITH THE POLICY PROVISIONS * of policies and coverage limits AUTHORIZED REPRESENTATIVE ACORD 25 (2016!03) / © 1988--2015 ACORD CORPORATION. All rights reserved . The ACORD name and logo are registered marks of ACORD BID BOND KNOW ALL MEN BY THESE PRESENTS, Ilhat We, Advanced Environmental Testing and Abatement, Inc. as principal , and Merchants Bonding company (Mutual ) as Surety are held and firmly bound unto the OITY Oi` WATERLOO _ _, Iowa , hereinafter called "OWNER In the penal sum • - - Five Percent of the Bid Submitted... Dollars (� � -5°i°•-- ) lawful money 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 21st day of October 2021 , for Asbestos Abatement Services Contract AB-2021 -11 -0513 , Multiple Locations Waterloo Iowa NOW, THEREFORE , (a) If said Bid shall be rejected, or In the alternate, (b) 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 Sid , 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 , 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 extenslonn 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 5th day of October A,U . 2021 Advanced Environmental Testing and Abatememt% Principal By � 1`' /� CS) �T (rile) Merchants Bonding Company (Mutual ) (Seal) rety ItAe By Jaimie Kanga Attorney-in4act Grace Rasmussen MERCHANTS BONDING COMP'ANYTm 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, Anne Crowner; Ashlea McCaughey; Ben Williams; Brian M Deimerly; Cameron M Burt; Cindy Bennett ; Craig E Hansen ; D Gregory Stitts ; Dione R Young ; Donald E Appleby; Douglas Muth ; Ginger Hoke ; Grace Rasmussen ; Greg Krier; Jaimie Kangas; Jay D Freiermuth ; Jessica Jean Rini; Kathleen Brewer; Mark R DeWitt; Mark Sweigart; Michelle R Gruis; Sarah C Brown ; Seth D Rooker; Stacie Christensen ; Stacy Venn ; Tim McCulloh ; Todd Bengford ; Wendy A Lewis 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 2nd day of August 2021 %6 . 591 . r. rr� � . . � . . OttoN a� •� `� ��� � A '• MERCHANTS BONDING COMPANY (MUTUAL) PO R'4j�'•0 ..t; ; aiov�l PO 9,, �� MERCHANT NATIONAL BONDING, INC. tn ' • y ' • tm ., 2003 :`, :y:� 933 By President STATE OF IOWA .�r.�Rrrrr gas n`'��'� + • • s • + • ' 46 COUNTY OF DALLAS ss . On this 2nd day of August 2021 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 . elks POLLY MASON o Commission Number 750576 My Commission Expires Pato /0W % 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 5th day of October 2021 : ? %P 01?. 'p41 a ow QyflRFOA,q s'tit c� . : Z : . 2 ; psi; 1tJ33 Secretary 2003 iz . � .. , L+ • rs , .. • • �• • POA 0018 ( 1 /20 ) toss gas • • . . . •