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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: ea,
Submitting Firm: 7c ets3 crAc
•
Address:
/i'3./ Cnsr
i-ree 1 AL. c1"
City: 4/13c74)fr State: a Zip: 6:0 61/
Authorized Representative (print) &)I9f'LJ/F riL�
Authorized Representative Signature a LCp •� �.GSi /WA/fi`
gate: its V- ) / Email: tr .C�671jC&Sar!'ter e a/l1i¢/L-C'oh'1
Phone: 5/59&5 6tf3S
Fax: 67 S _;5s5 t ,3)95--
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
THE AMERJCAN INSTITUTE OF ARCHITECTh
•
AIA Document A310
id Bond
ZA 42446
_ Fcev4t-_._-- stS . _elar _t.
KNOW ALL MEN BY THESE PRESENTS, that we a and ad
SITE SERVICES INC (Here insert lull name e address fe a d s or al title of Contractor} 8
I O WA
as Principal, hereinafter called the Principal, and
ARCH INSURANCE COMPANY (Here insert full name and address or legal title of Surety)
3100 BROADWAY- KANSAS C!TY, MO 641 1 1
a corporation duly organized under the laws of the State of MISSOURI
as Surety, hereinafter called the Surety, are held and firmly bound unto
Were insert Lull name and address or legal title of Owner)
CITY OF WATERLOO
I O WA
as Obligee, hereinafter called the Obligee, in the sum of
FIVE PERCENT OF THE BID AMOUNT Dollars ($ TBD ),
for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind
ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by
these presents.
WHEREAS, the Principal has submitted a bid for
ASBESTOS ABATEMENT- VACANT WAREHOUSE
(Here insert full name, address and description of project) ..
NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract
with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding
or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt
payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter
such Contract and give such bond or bands, if the Principal shall pay to the Obligee the difference not to exceed the penalty
hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith cornttrsst
with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise tc remain
in full force and effect.
Signed and seale. this
(Witness)
22ND day of OCTOBER
SITE SERVICES INC
%R 2021
(Principal) (Seal)
( u)
A RCI-I INSURANCE COMPANY
(Witness) i �.
MARIA A GONZALEZ(Title)
... sYi J� R i�fa1
(,Seal,)
1=^ Some intr_ciibena „Acre
in-Fa:'t
MA DOCUMENT A310 • BID BOND • AIA ®• FEBRUARY 1970 ED THE AMERICAN
INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D. C, 20006
AIC 0000338809
except in the manner and to the extent herein stated.
PLEASE SEND ALL CLAIM INQUIRIES RELATING TO THIS BOND TO THE FOLLOWING ADDRESS:
Arch Insurance — Surety Division
3 Parkway, Suite 1500
Philadelphia, PA 19102
This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and 10 the extent herein stated.
Not valid for Note, Loan, Letter of Credit, Currency Rate, Interest Rate or Residential Value Guarantees.
POWER OF ATTORNEY
Know All Persons By These Presents:
That the Arch Insurance Company, a corporation organized and existing under the laws of the State of Missouri, having its principal administrative office in Jersey City,
New Jersey (hereinafter referred to as the "Company") does hereby appoint:
Anne M. Barber, Daniel McNeil III, Maria A. Gonzalez, Olga Garza and William A. Ballay of Orland Park, IL (EACH)
its true and lawful Attorney(s)in-Fact, to make, execute, seal, and deliver from the date of issuance of this power for and on its behalf as surety, and as its act and deed:
Any and all bonds, undertakings, recognizances and other surety obligations, in the penal sum not exceeding Ninety Million Dollars ($90,000,000.00).
This authority does not permit the same obligation to be split into two or more bonds In order to bring each such bond within the dollar limit of authority as set forth
herein
The execution of such bonds, undertakings, recognizances and other surety obligations in pursuance of these presents shall be as binding upon the said Company as
fully and amply to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal administrative
office in Jersey City, New Jersey.
This Power of Attorney is executed by authority of resolutions adopted by unanimous consent of the Board of Directors of the Company on December 10, 2020, true
and accurate copies of which are hereinafter set forth and are hereby certified to by the undersigned Secretary as being in full force and effect:
"VOTED, That the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business Division, or their
appointees designated in writing and filed with the Secretary, or the Secretary shall have the power and authority to appoint agents and attorneys -in -fact, and to
authorize them subject to the limitations set forth in their respective powers of attorney, to execute on behalf of the Company, and attach the seal of the Company
thereto, bonds, undertakings, recognizances and other surety obligations obligatory in the nature thereof, and any such officers of the Company may appoint agents for
acceptance of process."
This Power of Attorney is signed, sealed and certified by facsimile under and by authority of the following resolution adopted by the unanimous consent of the Board of
Directors of the Company on December 10, 2020:
VOTED, That the signature of the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business
Division, or their appointees designated in writing and filed with the Secretary, and the signature of the Secretary, the seal of the Company, and certifications by the
Secretary, may be affixed by facsimile on any power of attorney or bond executed pursuant to the resolution adopted by the Board of Directors on December 10, 2020,
and any such power so executed, sealed and certified with respect to any bond or undertaking to which it is attached, shall continue to be valid and binding upon the
Company. In Testimony Whereof, the Company has caused this instrument to be signed and its corporate seal to be affixed by their authorized officers, this 27'h day
of April, 2021.
Attested and Certified
Pt r
an.ShulmanSecreta
Reg
Secretary
STATE OF PENNSYLVANIA SS
COUNTY OF PHILADELPHIA SS
Arch Insurance Company
Stephen C. Ruschak, Executive Vice President
I, Michele Tripodi, a Notary Public, do hereby certify that Regan A. Shulman and Stephen C. Ruschak personally known to me to be the same persons whose names
are respectively as Secretary and Executive Vice President of the Arch Insurance Company, a Corporation organized and existing under the laws of the State of
Missouri, subscribed to the foregoing instrument, appeared before me this day in person and severally acknowledged that they being thereunto duly authorized signed,
sealed with the corporate seal and delivered the said instrument as the free and voluntary act of said corporation and as their own free and voluntaracts for the uses and
purposes therein set forth.
COHMONWtAtTh OF PENNSYLVANIA
1CTAR1A>. SEA
WOW Ti:POOI, Homy P1 ik
City of Philadelphia, Phila. City
IN CCorksion Expires My M1, 2021
Miche podi, Notar. 1 ublic
My commission expires 07/31 /2021
CERTIFICATION
I, Regan A. Shulman, Secretary of the Arch Insurance Company, do hereby certify that the attached Power of Attorney dated April 27, 2021 on behaif of the
person(s) as listed above is a true and correct copy and that the same has been in full force and effect since the date thereof and is in full force and effect on the date of
this certificate; and I do further certify that the said Stephen C. Ruschak, who executed the Power of Attorney as Executive Vice President, was on the date of execution
of the attached Power of Attorney the duly elected Executive Vice President of the Arch Insurance Company. el)._
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the Arch Insurance Company on thi V ___day of
20
,g/irre
Regafi A. Shulman, Secretary
This Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein and they have no authority to bind the Company
ante
tuKYOrlr►Yf
SEAL
1971
Missouri
To verify the authenticity of this Power of Attorney, please contact Arch Insurance Company at SuretyAuthentic@archinsurance.corn
Please refer to the above named Attorney -in -Fact and the details of the bond to which the power is attached.
AICPOA040120
Printed in U.S.A.