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N 1 La: 00 1 2 4 • 1 1 `°"° 8166 1508 2309 0R15 XN ALOA 50Q7674 1 ..0071 1191A chirp /ADF5 /1 R23 Express 1 From Date I Sender's Name gnu PRIORITY OVERNIG,I 50703 IA -US CID clinical Specimens in this packaging. TFedEx 816 6 1508 2309 ring Nackumber Phone •' 1 t 1'4 R ' s' •• Ao r • Y fy1 r-' - t., y rr cv r� J.a .rJ e 1✓•_ o ffrrr - ors ,1r1 . a >.r ✓,, 13: 4 n rPrrr'� 4.03,1211.1. i• L6 y. ,. Vi'. s F.r -.Or% I. 1'r1.4 Company Address City 2 Your Internal Billing Reference State ZIP Dept/Floor/Suite/Room 3 To Recipient's Name r ft. ch r-c.i, e r'L» Phone 1 l 2 1 i L/.J[� "•. ��t ` CompanJl 1rti Address 1 11. i i'Autht r y We cannot deliver to P.O. boxes or P.O, ZIP codes. Address ri CI 1 f Dept/Floor/Suite/Room Use this line for the HOLD location address or for continuation of your shipping address. City Lei II 8166 1508 2309 State ZIP Hold Weekday FedEx location address REQUIRED. NOT available for FedEx First Overnight Hold Saturday FedEx location address REQUIRED. Available ONLY for FedEx Priority Overnight and FedEx 2Dayto select locations. Form ID No. 0215 r 4 Express Package Service *To most locations. Next Business Day ' L FedEx First Overnight Earliest next business morning delivery to select locations. Friday shipments will be delivered on Monday unless Saturday Delivery is selected. FedEx Priority Overnight Next business morning* Friday shipments will be delivered an Monday unless Saturday Delivery is selected. FedEx Standard Overnight Next business afternoon.* Saturday Delivery NOT available. Packages up to 150 lbs. For packages overr50lbs.,use the FedEx Express Freight US Airbill. 2 or 3 Business Days FedEx 2Day A.M. Second business morning.* Saturday Delivery NOT available. FedEx 2Day Second business afternoon.* Thursday shipments will be delivered on Monday unless Saturday Delivery is selected, FedEx Express Saver Third business day.` Saturday Delivery NOT available. 5 Packaging * Declared value limit5500. FedEx Envelope* FedEx Pak* FedEx Box FedEx Tube Other 6 Special Handling and Delivery Signature Options Saturday Delivery NOT available for FedEx Standard Overnight, FedEx 2Day A.M., or FedEx Express Saver. No Signature Required Package may be leftwithout obtaining a signature for delivery. Direct Signature Someone at recipient's address may sign for delivery. Does this shipment contain dangerous goods? Ooo box must Its cMMck.d. No Yes As per attached Shipper's Declaration. Yes Shipper's Declaration not required. Restrictions apply for dangerous goods —see the current FedEx Service Guide. Fees may apply. See the FedEx Service Guide Indirect Signature If no one is evadable at recipient's address, someone at a neighboring address may sign for delivery. For residential deliveries only. Dry Ice Dryice, 9, UN 1845 x kg Cargo Aircraft Only 7 Payment Bill to: 'Sender Acct No. in Section 1 will be billed. Enter FedEx Acct No. below Recipient Third Party Total Packages Total Weight US$100 unless you declare a highervalue. See the current FedEx Service Guide for details. Is1/4 • .- 9134 • ©1994-2019 FedEx •PRINTED IN U.S.A. � � ��Q 23p9 9r, A2.02 692 Obtain recip. FedEx Acct No. 611 CD sz 0 1.800.GoFedEx 1.800.463.3339 I • I • r • Align top of FedEx Express® shipping label here. y J C K 1!i'tt f f"6 L. G 11j �C3;fv • Enve i 1/40 rn 0) U, O z co Q 0 La O Ui UJ rn thIlle!pell,108 )1EILIOLUILIOJIA1,13 UOMWIllea Siepealalfl EARTH SERVICES & ABATEMENT The Leaders in Demolition & Environmental Rernediation 1901 Easton Blvd., Des Moines, IA 50316 SEALED BID • Sealed RF5 For Asbe*s Ahatemer* Sexviccs atithrade- M-2OZ1-12L-Q'-tP �l^1 aL Wcderloo ejliai Ci2nts Orn-tt 1I6 MRlbenh1 54-rtef waex too 114, 50163 +'m(llu`il B IL u "A" SIGNATURE IURE 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, 114 E 10th Street, and 105 E 'i lt}' Street. Total "lump sum" bid: $ 155,000.00 The correct summation of the actual bid tabulation figures will supersede the fisted total. Submitting Firm: Earth Services & Abatement, LLC Address: 1901 Easton Blvd City: Des Moines Authorized Representative (print) Authorized Representative Signature Date: December 2, 2021 Email: State: Iowa Zip: 50316 Chris Riley chris.riley@esasite.com Phone: 515-284-0401 Fax: 515-265-0440 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 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: AB-2021-12-04P: 928 Mulberry St, 1526 E 4th St, 1 14 E 10`'` St, and 105 E I I'h St Page 8 of 9 Our "not to exceed" bid price for each property is: 928 Mulberry Street $ 5,200.00 1526 E 4th Street $ 9,300.00 114 E 10th Street $ 101,500.00 105 E 11th Street $ 39,000.00 $ 155,000.00 Total RFB FOR ASBESTOS ABATEMENT SERVICES: Contract: AB-2021-12-04P: 928 Mulberry St, 1526 E 41)' St, 114 E 10'h St, and 105 E I I"' St Page 9 of 9 ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 8/3/2021 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, If SUBROGATION IS WAIVED, subject to the terms and conditions this certificate does not confer rights to the certificate holder in lieu the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. of the policy, certain policies may require an endorsement. A statement on of such endorsement(s). PRODUCER IBTX Risk Services 32335 US Highway 281 N Suite 1201 Bulverde TX 78163 INSURED Earth Services & Abatement LLC dba Iowa Demolition 1901 Easton Blvd Des Moines IA 50316 1 PRIORI-03 CONTACT NAME: Elvia Salazar E (A/C, No, Ext): 214-989-7100 E-MAIL ADDRESS: service@ib-tx.com INSURER(S) AFFORDING COVERAGE INSURER A : Steadfast Insurance Company INSURER B : Zurich American Insurance Company INSURER C : FAX No): 210-696-8414 NAIC # 26387 16535 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1713383526 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. INSRL TYPE OF INSURANCE INSD DDL SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY (MM/DD/YYYY) EXP LIMITS A X COMMERCIAL GENERAL LIABILITY GPL 2461633 01 8/4/2021 6/30/2022 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE XOCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 X Contractual Liab MED EXP (Any one person) $ 25,000 X XCU PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X ref LOC PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER: $ B AUTOMOBILE LIABILITY BAP 2461632-01 8/4/2021 6/30/2022 COMBINED (Ea accident) SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS ONLY x NON -OWNED AUTOS ONLY PROPERTY (Per accident) DAMAGE $ $ A UMBRELLA LIAB X OCCUR SXS 7418249-00 8/4/2021 6/30/2022 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $ 10,000,000 DED X RETENT ON $ n $ B WORKERS COMPENSATION WC 7808524-00 8/4/2021 6/30/2022 X STATUTE EOTH AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE N N/A E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If DESCRIPTION yes, describe under OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Pollution/Asbestos Professional Deductible $10,000 Liability GPL 2461633-01 8/4/2021 6/30/2022 Each Pollution Cond Per Claim/Per Occurr Aggregate $5,000,000 $5,000,000 $5,000,000 DESCRIPTION General OF Liability/Pollution OPERATIONS / LOCATIONS & Auto Policies / VEHICLES include (ACORD blanket 101, Additional Additional Remarks Schedule, Insured Endorsements may be attached if more space [STF-ESP-MAN-02 is required) 08/20 (Ongoing Operations & Comp Ops), CA2048 10/13] as agreed Named Insured. General Liability/Pollution, Excess, Auto & Workers Compensation blanket Waiver in writing with policies include of Subrogation Endorsements [STF-ESP-248-A CW 04/10 & U-CA-424-F CW 04/14, WC000313 & WC420304B] as agreed in writing with Named Insured General Liability/Pollution and Excess includes blanket Primary & Non -Contributory Endorsements [STF-ESP-MAN-01 08/20-STF-ESP-MAN-4 06/20, U-CA-424-F CW 04/14]. Excess Liability follows form of underlying GL, Auto & Employers Liability. Cancellation Endorsement [STF-ENVL-1632-A CW 11/10, U-CA-103-A CW 10/16 U-WC-100-A-CW]. General Liability/ Pollution Blanket Contractual Liability Railroad [STF-ESP-185-C CW 1/06]. CERTIFICATE HOLDER CANCELLATION City of Waterloo, Iowa 715 Mulberry Street Waterloo IA 50703 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 BOND Conforms with The American Institute of Architects, A.I.A. Document No. A-310 KNOW ALL BY THESE PRESENTS, That we, Earth Services & Abatement, LLC 1901 Easton Blvd., Des Moines, Iowa 50316 and the Nationwide Mutual Insurance Company as Principal, hereinafter called the Principal, of One West Nationwide Blvd, 1-04-701, Columbus, OH 43215 , a corporation duly organized under the laws of the State of Ohio , as Surety, hereinafter called the Surety, are held and firmly bound unto City of Waterloo, Iowa, 715 Mulberry Street, Waterloo, IA 50703 in the sum of *** FIVE PERCENT OF TOTAL AMOUNT BID BY PRINCIPAL*** as Obligee, hereinafter called the Obligee, Dollars ( 5% TAB ) , 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 Services Contract #AB-2021-12-04P 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 furnishedin the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, 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 contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 2nd day of December , 2021 itatitcxf Witness Earth Services & Abatement, LLC (Seal) Title Nationwide Mu alainsurance y sue/_ B Bryan Kelly Moore Attorney -in -Fact Power of Attorney KNOW ALL MEN BY THESE PRESENTS THAT: Nationwide Mutual Insurance Company, an Ohio corporation hereinafter referred to severally as the "Company" and collectively as "the Companies" does hereby make, constitute and appoint: BETTY J REEH; BRYAN KELLY MOORE; MICHAEL DONALD HENDRICKSON; PATRICIA ANN LYTTLE; ELIZABETH ORTIZ; ANA TOMES; ANDREW ADDISON; PATRICK COYLE each in their individual capacity, its true and lawful attorney -in -fact, with full power and authority to sign, seal, and execute on its behalf any and all bonds and undertakings and other obligatory instruments of similar nature, in penalties not exceeding the sum of UNLIMITED and to bind the Company thereby, as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company; and all acts of said Attorney pursuant to the authority given are hereby ratified and confirmed. This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company: "RESOLVED, that the president, or any vice president be, and each hereby is, authorized and empowered to appoint attorneys -in -fact of the Company, and to authorize them to execute and deliver on behalf of the Company any and all bonds, forms, applications, memorandums, undertakings, recognizances, transfers, contracts of indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other writings obligatory in nature that the business of the Company may require; and to modify or revoke, with or without cause, any such appointment or authority; provided, however, that the authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company." "RESOLVED FURTHER, that such attorneys -in -fact shall have full power and authority to execute and deliver any and all such documents and to bind the Company subject to the terms and limitations of the power of attorney issued to them, and to affix the seal of the Company thereto; provided, however, that said seal shall not be necessary for the validity of any such documents." This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company. Execution of Instruments. Any vice president, any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all approved documents, instruments, contracts, or other papers in connection with the operation of the business of the company in addition to the chairman of the board, the chief executive officer, president, treasurer or secretary; provided, however, the signature of any of them may be printed, engraved, or stamped on any approved document, contract, instrument, or other papers of the Company. IN WITNESS WHEREOF, the Company has caused this instrument to be sealed and duly attested by the signature of its officer the 20th day of August, 2021. Antonio C. Albanese, Vice President of Nationwide Mutual Insurance Company ACKNOWLEDGMENT STATE OF NEW YORK COUNTY OF NEW YORK: ss On this 20th day of August, 2021, before me came the above -named officer for the Company aforesaid, to me personally known to be the officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me duly sworn, deposes and says, that he is the officer of the Company aforesaid, that the seal affixed hereto is the corporate seal of said Company, and the said corporate seal and his signature were duly affixed and subscribed to said instrument by the authority and direction of said Company. Stephanie Rubino McArthur Notary Public, State of New York No. 02MC6270117 Qualified in New York County Commission Expires October 19, 2024 Notary Public My Commission Expires October 19, 2024 CERTIFICATE I, Laura B. Guy, Assistant Secretary of the Company, do hereby certify that the foregoing is a full, true and correct copy of the original power of attorney issued by the Company; that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has not been revoked or amended in any manner; that said Antonio C. Albanese was on the date of the execution of the foregoing power of attorney the duly elected officer of the Company, and the corporate seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board of directors; and the foregoing power of attorney is still in full force and effect. IN WITNESS WHEREOF, I have hereunto subscribed my name as Assistant Secretary, and affixed the corporate seal of said Company this 2nd day of December , 2021 Qua e BDJ 1(08-21)00 Assistant Secretary Nationwide Nationwide Mutual Insurance Company 1100 Locust St, Dept 2006 Des Moines, Iowa 50391-2006 Attn: Surety Claims Manager Tel. 866-387-0457 Surety Claim Notification Claim notices should be sent to the attention of the Surety Claims Manager via e-mail to bondclms@nationwide.com or via mail to the address above. All other notices should be sent to the attention of the Surety Underwriting Department via e-email to bondconun@nationwide.com or via mail to the address above. Thank you for your cooperation. Nationwide Mutual Insurance Company, Surety Department