HomeMy WebLinkAboutSite Services•
Site Services
1621 East Commercial
Algona, IA 50511
Sazie irfre 1-923g5.5 ,gairrituizr szen,
6.077,ter /i8-aoaJ-/d -oyfr
gdy op asoc)
diry eZt4e5a ofiricc
Ji C/fr/it &&flp S'r
riatrv, � 5'07673
•
e-• 5/y ___42ovetartp
e _joie ey soica<cff wcy
r
J ilani at tsataw iraea ams• a •
'1/44/dot/
f7naQ12/
•
i- i. 505 `di `euobid
IepiewwoO Tsea 1.391-
seoinaeg ep
- •-nee,.an.arlAlnrAWAbw.vantlai$alil,+earann1r'oltaaa►irrarrairem►rtalintc lint ins anr.rntWernn-- Wen WOW era :._. --
Site Services
1621 East Commercial
Algona, IA 50511
fill) gewo budcrise-A
5 731r5 lea- M349-CA eitiCgISCeS
61127-fier 7,7 Co I ci Or?
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, 114 E 10th Street, and 105 E 11th Street.
Total "lump sum" bid: $ f /e/�
C
The correct summation of the actual bid tabulation figures will supersede the listed total,
Submitting Firm: Sin Sei 'U/G6%S •
Address: / , l/ i`;mmt' Gf• L s!
City: 7¢l ,a t1f -
State: Zips ;//
Authorized Representative (print) %t �% f
Authorized Representative Signature 44/ CA
Date: /1"--01 a; ( Emai' Sir` -Se e frk2e—S a ha /c- a 6/na 4- =
Phone: 3'i S a2 y5%• 67 Fax 52S-" S;S 6 5—
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 4'h St, 114 E 10`h St, and 105 E 11th St
Page 8 of 9
Our "not to exceed" bid price for each property is:
928 Mulberry
Street
$
Street
$
1526 E 4th
114E 10th
Street
/ 5-
0.
0
•mod,
Street
INA a
105 E 11th
217
Total
$
,
/46,
/6i,
RFB FOR ASBESTOS ABATEMENT SERVICES: Contract. AB-2021-12-04P: 928 Mulberry St, 1526 E 4th St, 114 E 10th St, and 105 E 11`h St
Page 9 of 9
THE AMERICAN INSTITUTE OF ARCHITECTS
•
AIA Document A310
Borad
- - -
ZA 42458
-- _ -s - ....--- - - - • -.
KNOW ALL MEN BY THESE PRESENTS, that we
SITE SERVICES INC (Here insert full name and address or legal title of Contractor)
IOWA
as Principal, hereinafter called the Principal, and
ARCH INSURANCE COMPANY (Here Insert lull name and address or legal title of Surety)
3100 BROADWAY- KANSAS CITY, 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
(Here insert full 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
(Here insert full name, address and description of project)
ASBESTOS ABATEMENT-4 CITY OWNED PROPERTIES (2 COMMERCIAL & 2 RESIDENTIAL)
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 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 set : • this
(Witness)
(Witness)
16TH day of NOVEMBER 9Q 2021
•
S E SERVICES INC
{
ARCH
(Princ
(Title)
SURANCE COMPANY
(Su ty) -- — -- -- 'Simi)
MARIA A GONZALEZ(Title
MA DOCUMENT A310 • BID BOND • MA ®• FEBRUARY 1970 ED • THE AMERICAN
INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D. C. 20006
Attorney -in -Fact
.. y,Si1 at -a
Zi
AIC 0000338829
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 to 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 frill 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
i
Regan . Shulman, Secretary
STATE OF PENNSYLVANIA SS
COUNTY OF PHILADELPHIA SS
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 voluntary acts for the uses and
purposes therein set forth.
COMMONWEALTH OF PENINZYLVARLA
Arch Insurance Company
OfilkectsaArs„,---•
Stephen C. Ruschak, Executive Vice President
NOTARIAL SE.
MOUE MOM wcnsy Ft+ik
City of ptasseph>r, Ph*>t. sty
1 Cgrwrnksak l ENSres SI, 2021
fi
Mich • e podi, Notar 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 behalf 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 eecutioi}
of the attached Power of Attorney the duly elected Executive Vice President of the Arch Insurance Company.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the Arch Insurance Company on this day of
20
,g/irer
Reg afi 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 hind the Company
tan4. es\
d
.05c
W I
To verify the authenticity of this Power of Attorney, please contact Arch Insurance Company at SuretyAuthentic@archir4Scurance.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.
.d►►� CERTIFICATE OF LIABILITY INSURANCE
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(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 confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT
NAME: Karen O'Connell
PRODUCER
Bonding & Insurance Specialists Agency, Inc.
BISA a McNeil Company, McNeil and Company, Inc. in CA dba
McNeil & Company Insurance Services Lic# 0B67313
13841 Southwest Highway, Orland Park
INSURED
Site Services, Inc.
IL 60462
1621 East Commercial Street
Algona IA 50511
PHONE 708 598 5355
(A/C, No, Ext)
I DATE (MMIDDIYYYY)
07/29/2021
E-MAIL oconnean
ADDRESS: @ p y'
kll mcneilandcom com
INSURER(S) AFFORDING COVERAGE
FAX
No): 708-598-6686
INSURER A: ARCH Specialists Insurance Company
INSURER B : American Interstate Insurance Company
INSURER C :
INSURER D :
INSURER E :
INSURER F :
NAIC #
21199
24759
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO
INDICATED. CNOTIPOLICIESFY THAT THE
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIONFORPOLICY
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHICH THISS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
NS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
EXCLUSIO
POLICY
EFF
POLICY
EXP
INSR
TYPE OF INSURANCE
INSOADDL
INSD
WVDSUBR
WVD
POLICY NUMBER
(MMIDDIYYYY)
(MM/DD/YYYY)
LIMITS
LTR
EACH OCCURRENCE
$ 2,000,000
X
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
1
OO,000
PREMISES
(Ea
occurrence)
$
CLAIMS -MADE
X
OCCUR
04/01/22
5,000
04/01/21
A
X
X
12EMP7187810
MED EXP
(Anyone person)
$
X
Contractors
Pollution
Liability
2,000,000
PERSONAL & ADV INJURY
$
X
Incl.
Asbestos
Ops
2,000,000
GENERAL AGGREGATE
$
GEN'L AGGREGATE
LIMIT APPLIES PER:
2,000,000
N/
PRO-
PRODUCTS -COMP/OP AGG
$
POLICY
/�
JECT
LOC
$ 2,000,000
Per
Claim
OTHER:
COMBINED
(Ea
accident)
SINGLE
LIMIT
$
AUTOMOBILE LIABILITY
BODILY INJURY (Per person)
$
ANY AUTO
$
BODILY INJURY (Per accident)
OWNED
SCHEDULED
AUTOS ONLY
AUTOS
PROPERTY
DAMAGE
$
HIRED
NON -OWNED
(Per
accident)
AUTOS ONLY
AUTOS ONLY
$
04/01/21
04/01/22
$ 2,000,000
X
X
12EMX2229402
EACH OCCURRENCE
A
UMBRELLALIAB
X
OCCUR
2,000,000
CGL
CPL/PL/Mold),
(Inc
AGGREGATE
$
X
EXCESS LIAB
CLAIMS -MADE
Auto & Employers
Liability
RETENTION
$PER
DED
X
STATUTE
OT-
ERH
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
Y/ N
X
AVWCIA3011202021
08/01/21
08/01/22
EL
EACH ACCIDENT
$ 1,000,000
OFFICEANYPRMEMB REXC
UDED?ECUTIVE
CLUDED?
l Y
N/A
E.L. DISEASE - EA EMPLOYEE
$
1,000,000
(Mandatory in NH)
(Mandatory NH)
If yes, describe
under
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
OF
OPERATIONS
below
A
D
DESCRIPTION
Contractors
Ops-Claims
Pollution
Made
Liability
-Mold
X
X
12EMP7187810
04/01/21
04/01/22
Per Occurrence
Aggregate
$2,000,000
$2,000,000
Professional
Liability
-Claims
Made
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is regal
CERTIFICATE HOLDER
CANCELLATION
FOR INFORMATION
AND
BIDDING PURPOSES
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
Karen O'Connell
giift
I
A^nest% fG /f/14CI1191
1988-2015 ACORD CORPORATION. All rights reserved.
T Isa A 1ftP10 r1 .....J Imo... a .. .... .......: .. {......J „,.....1... .-f A /+Afl r1
CONTRACTOR REGISTRATION
CERTIFICATE
STATE OF IOWA
DIVISION OF LABOR
150 Des Moines St, Des Moines, IA 50309
Phone: 515-242-5871 I FAX: 515-725-2427
www.iowacontractor.gov I contractor.registration(a�iwd.towa.gov
SITE SERVICES INC
1621 E COMMERCIAL ST
ALGONA, IA 50511
g
DATE ISSUED:
11/08/2021
DATE EXPIRES:
11/08/2022
REGISTRATION NUMBER:
C102068
�e a6344-te
Rod A. Roberts, Labor Commissioner