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HomeMy WebLinkAboutAdvanced Environmental Testing and Abatement, Inc.CED `ENVrItiRgO D NM ENNlass AL' 803 Ricker Street • Waterloo. IA 50703 • CS fog /� 6\ St0S P$ siMC44T S�xt2S SL�t.��o R C 11 or wA11EP.1-60 CY y 1 I S Plebegri seriala ltingleab lAso?d 3 I •'R. •• 1' r • ! ,fir•' �• 0 .J nt sot air 1% 1.17 .. : {:• %71 •• a' v.a• v -,._- Lhit ID. , YI 1: t:i}f�»», x 't C filij Cy , 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. Portion of 100 E 9th Street. Total "lump sum" bid: $ I'i, 500.00 CF'ouKtl.%tN 11AoMsAIu0 AUI= NhirDAO 440 Yite� Submitting Firm: PWpt4St\) L'NIIFghtinte1'A1. I . Address: 2•63 9o,<'M 5T. City: LJA't'tiMfib State: TA Zip: 91/0 3 Authorized Representative (print) Klayseht. fAse Authorized Representative Signature (1.- Date: Mdi%•2l Email: M:1FNL'LitPwcr Afll/ANcemmDWUf.cser') Phone: 3 l9.2$? 44447 Fax: Sei •29 7 • qWR EXCEPTIONS/DEVIATIONS to this Request for Proposal shall be listed in writing on an attached document provided by the Bidder. Please be as specific as possible. Please check one: Our company has no exceptions/deviations. Our company does have exceptions/deviations which are listed on an attached document. GENERAL INFORMATION. Freight and/or delivery charges, if any, shall be included in the price. FIRM PRICING. Offered prices shall remain firm for a minimum of sixty (60) days after the due date of this solicitation unless indicated otherwise. Accepted prices shall remain firm for the duration of the contract. ADDENDA (It is the Bidder's responsibility to check for issuance of any addenda). The authorized representative herby acknowledges receipt of the following addenda: Addenda Number Date Addenda Number Date We choose not to bid at this time but would like to be considered for future requests for bid BID BONE KNOW: ALA. MEN BY THESE PRESENTS, that we, Advanced Environmental Testing and Abatement, Inc. as i n d Merchants Bonding Company Mutual r�hrt+�al� and ... g p— y _ — — as u y-ark held and fi,o,nly .d-unto the _CITY OF kiy T t ; .... L, Iowa, hereinafter called # W ER In the penat su ---Five Percent of the Bid Submittedm Dollars ($: _..50%0... - .-_..-10411.. erna + f tho.. tlfted state for' t.paynt . a'f' vvhich sum will and truly be made, e, 'We bind ourselves, our heirs, , xectA , administrators, and suc ssors, jointly and severally, firmly by these presents. *The condition Of this obligation is such :that _4th � November * 2021 for whereas the Prn pat has submitted the accompanying bid dated the day of Asbestos Removal at 100 E 9th Street, Waterloo, IA • :NOW, THE E -CS) If said Bid shall be rejected, or in the alternate, .(b) 1 Said Bid shall be: .acmpted and the Principal shall execute and deliver a contract in the f0.00 sp :and shall furnish a bond for his faithful performance of said contract and for the payment- Of all petiOnt perforrning labor or famishing materialni connection .h r%a s h a and shall in all other res a perform the -Ogreementrniated by the acceptanceof said Bid, Thee this obikiation shall be void otherwise the same shall remain in force and effect, `.`being expressly understood ands.; gre . that . e liability of the Surety for any and _uit claims hereunder shall, In no event,. exceedthe penal -.amou t of this obligatidh as herein stated, - By. virtue of statutory a t ority1:t a fuji• artiount of this bld bond shall be forfeited tdaho Owner in liquidation of (*mattes sustained in :the event. #hat Vele Principal :fails t ! execute the i ntrac . ' -probe :Oe bond as provided in the specifications otosii T - rev fpr value revived, -ereby stipulates and agrees that the Obligations of said Barely and its bared :Shalt -be in: rt0 Warr, impaired p ad by any extension of the time within whit th.e Owner may acceM ,:Su Bid Or execute such contractand saki Surety does hereby waive notice of arty such eXtenslorL ilk It s v oF{ the Principal and the Surety, have hereunto set their -hands and seats, andsuch of them as are c moratons,. have caused their corporate seals:to be hereto affixed and these presents to be 29thOctober ,,, : 2021 signed by their proper Officere this day of O .� Advanced Environmental Testing and Abatement, Inc. (Seal) Principal Witness: Grace Rasmussen By - Merchants Bonding Company (Mutual) (Seal) Sur Attomey¢ Jaimie Kangas VIA;61:0v31/44-- (Title) MERCHAN BONDING COMPANYTU 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 Attomey(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 consenti ng 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 *** **t`ON •• •t•• . * 1% A4 .• i01*53fl041 ..O. St et -O-�AO a• %Or 2003 : 0 . STATE OF IOWA •+..,*.**,..*' COUNTY OF DALLAS ss n(� •�• . FROlta 6- o; -•� 1933 ; :get By • MERCHANTS BONDING COMPANY (MUTUAL) MERCHANT$ NATIONAL BONDING, INC. President 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. low P POLLY MASON Commission Number 750576 My Commission Expires January 07, 2023 • MASS 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 29th day of October 2021 *P •••.•. cQ; -ow o ri: • w0• 2003 :wow '' "•, ,, tit 4' Secretary POA 0018 (1/20) ADVAENV-01 CWIGANT D/YYYY) DATE ACORO INSURANCE CERTIFICATE OF LIABILITY 9/2/2 9/2/2021 THIS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CERTIFICATE BELOW. THIS DOES CERTIFICATE NOT AFFIRMATIVELY OR 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. A statement on If SUBROGATION this certificate does IS WAIVED, not confer subject rights to the terms to the certificate and conditions of the policy certain holder in lieu of such endorsement(s). policies may require an endorsement. PRODUCER Brummel 318 Cedar Main Falls, Madsen Street Insurance IA 50613 CONTACT NAME: Cathy Wigant PHONE (A/C, No, Eat): (319) 266-2644 (Arc, Ne):(319) 277-2429 ADE-MAILDRESS: cathyw@brummelmadsen.com cath w/�brummelmadsen.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Crum & Forster Specialty Insurance Company 44520 INSURED Advanced 803 Ricker Waterloo, Environmental Testing & Abatement Street IA 50703 Inc INSURER B :Western National Mutual Insurance Company 15377 INSURER C : INSURER D : 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 THIS INDICATED. CERTIFICATE NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, PAID CLAIMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY INSR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF IMMIDDIYYYY) POLICY EXP (MMIDD/YYYYI LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2'000'000 9/13/2021 9/13/2022 DAMAGE PREMISE$ TO RENTED IEa occurrence) 50,000 $ CLAIMS -MADE X OCCUR EPK136883 MED EXP (Any one person) $ 5,000 x Asbestos PERSONAL & ADV INJURY $ 2,000,000 X Contractor Pollution GENERAL AGGREGATE $ 5,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 5,000,000 POLICY X PRO -CT JE LOC TRANSPORTATION $ 1,000,000 X X OTHER: Professional Liability B AUTOMOBILE LIABILITY COMBINEaBi(E SINGLE LIMIT S 1,000,000 2/28/2021 2/28/2022 BODILY INJURY (Per person) S X ANY AUTO CPP 1013320 BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY Per accident) DAMAGE S HIRED AUTOS ONLY NON -OWNED AUTOS ONLY $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 9/13/2021 9/13/2022 AGGREGATE S 5,000,000 EXCESS LIAB CLAIMS -MADE EFX118804 $ DED , X, RETENTION $ 10,000 B WORKERS COMPENSATION X STATUTE EORH 9/13/2021 9/13/2022 E.L. EACH ACCIDENT 1,000,000 $ AND EMPLOYERS' LIABILITY Y / N WCV 1001609 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y N / A E.L. DISEASE - EA EMPLOYEE 1,000,000 S (Mandatory in NH) If yes, describe under OF OPERATIONS below EL. DISEASE -POLICY LIMIT S 1,0001000 B DESCRIPTION Umbrella Liab (auto) UMB 1016518 2/28/2021 2/28/2022 Ea Occ/ Aggregate 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION Insurance of policies verification and coverage limits 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) I The ACORD name and logo are registered a marks 1988-2015 of ACORD ACORD CORPORATION. All rights reserved.