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Home My WebLink AboutWhole Excavation O)Ad7e Em vou6l& CSC AA (No -� !� ��!�i (I 1111111 '� �ellll ' 11 =1111 ;, ,III ft:EBill- ' �U � OF � ��YU %3 L WD LF Uffy � OFFICE CC 121202 ". A00 W D FIV, 1 QIP ITK-7 �o C V if CC wj moil cm) SIS � y PEI . . . .C111 III I I: 1 11 ljjjj r7 OFFICIAL CHECK 050819 FARMERS STATE BANK 131 TOWER PARK DRIVE SUITE 100 10/ 21 / 2021 m WATERLOO , IA 50701 $ N 'A d PAY TO THE $21744 . 45 A ORDER OF City of Waterloo L`J i v D Two Thousand Seven Hundred Forty- Four DoLLars And Forty - Five Cents DOLLARS c City of Waterloo VOID AFTER 90 DAYS w TTW�O�SIIGNAATT�URRESS REQUIRED A UNTTSG^RREEf)AATTE/R THAN $100,000.00 � Demolition Contract / D20211103P MEMO - AUTHORIZED SIGNATURE W 1110 5 08 1 911' I : 0 7 390804 Dom 000 113 7 9110 EXHIBIT "A" SIGNATURE PAGE The undersigned Proposer/ Bidder, having examined these documents and having full knowledge of the condition under which the work described herein must be performed, hereby proposes that they will fulfill the obligations contained herein in accordance with all instructions, terms, conditions, and specifications set forth ; and that they will furnish all required services and pay all incidental costs in strict conformity with these documents for the stated process as payment in full . Our bid, for demolition and site clearance of the sites are, not to exceed : 1027 Sycamore Street $ na 325 W 13"' Street $ ' U 742 Grant Avenue $ O Total $ ou v Total in written form : 4 T �� / � The correct summation oft actual bid tabulation figures i# supersede the listed tots . Submitting Firm : va tooON (� Address V City : State : 1A Zip : Authorized Representative ( print) i G Authorized Rep esent tive Signature Date : Email : d C'C'ICM 1' it Cd Phone : Fax : 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 acknowledgesjrecipt of the following addenda : Addenda Number Date f Addenda Number . Date ❑ We choose not to bid at this time but would like to be considered for future requests for bid AC:"K" 0'52412021 CERTIFICATE OF LIABILITY INSURANCE DATEpdM00 (Y /) 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 certilicate 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 corder rights; to the certificate holder in lieu Of such endorsements . PRODUCER CAMEAGT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 (AHOAN46,E : 888333-4949 104 Pw� No)• 507-446-4664 OWATONNA, MN 55060 IL ADDRESS: CLIENTCONTACTCENTER FEDINS.COM INSURER(S) AFFORDING COVERAGE NAIL 4 INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 301-265-5 INSURER B: WHOLE EXCAVATION LLC INSURER Co PO BOX 126 HUDSON, IA SO043.0126 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 48 REVISION NUMBER: 0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 16SUED 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 ADDLPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE Sp POLICY NUMEER D I Y WDD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1 ,0003000 DAMAGE TO RENTED 5100000 CLAIMS MADE X OCCUR MED EXP (Any one per a ) $$,DOD A N N 6047535 07/01 /2021 07/01 /2022 PERSONALS ADVINJURY $1 ,000,000 GEWLAGGREGA UMIT APPLIES PER: GENERAL AOOREGATE s2,00D,000 X POLICY � CT OLOC PRODUCTS - COMPIOP AGO $2,0000000 OTHER: AUTOMOBILE LIABILITY EOMIBIQED WHOLE LIMB Cr1 X ANY AUTO BODILY INJURY (Per persmf) OWNED AUTOS ONLY SCHEDULED A AUTOS N N 8047535 07/01 /2021 07/01/2022 BODILY INJURY IPeraa7dan4 HIRED AUTOS ONLY HON-OWHEO pROPEflTY DAMAGE AUTOS ONLY PeraedeV X UMBRELLA UABX OCCUR EACH OCCURRENCE $1s000,000 A EXCESS UAB CLAIMS-MADE N N 6047536 07/0112021 07171/2022 AGOREoATE $1 ,000.000 DED RETENTION WORKERS COMPENSATION X IFERSTAWYE1 I OT - AND EMPLOYERS' LIABILITY ERH ANY PROPIRIETORIPAR7NERI"ECUTIVE E.L. EACH ACCIDENT $.5001 A OFFIOEMMEMBER EXCLUDED? If I A N 6047537 07/01 /2021 07/01/2022 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE s5D0,000 If yea. describe under DESCRIPTION OF OPERATIONS b JaW E.L DISEASE POLICY LIMIT $5006000 DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES (ACORD 101 , Additional Re.narrcI Scht6ul_, may be atathed If more spam i; re*imd) CERTIFICATE HOLDER CANCELLATION 480 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 REPRES011FATWE O 198&2015 ACORD CORPORATION. All rights reserved ACORD 26 (2016!03) The ACORD name and logo are registered marKs of ACORD Pa Ov BOAX 126 UDSON4 IA 5064 ;