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ACCOUNT
NO.
REFERENCE NUMBER
R hi Vic h0a1z"-1
110101.
CALLA
TELEPHONE
319- 3-80813
ACTIVE THERMAL CONCEPTS
2805 STONEGATE COURT
HIAWATHA
IA 52233
DELIVERY TO
\0101911202609 6/14 RRD
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Residential
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1 7 QVQ fnf3V 77 1 fine) e)tn
IAHIA223UDC US 5240 DEC 1 20168102 2021 HIP 21.9.0 2P450S
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Shipper collies that these
commoditie , technology or software, II
exported from the United Stales, were
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contrary to law is prohibited.
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(420) 50703 - 0000
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For Information about UI
- _ _• •_t_____.e__ at
Active Thermal Concepts
2805 Stonegate Ct.
Hiawatha, TA 52233
City of Waterloo
City Clerk's Office
715 Mulberry St
Waterloo, IA 50703
r �r
•
SEALED RFB FOR ASBESTOS
ABATEMENT SERVICES
CONTRACT AB-2021-12-04P
Active Thermal Concepts
2805 Stonegate Ct.
Hiawatha, IA 52233
Sealed Bid
Bond Enclosed
a
•
•
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: $ 115,416.00
The correct summation of the actual bid tabulation figures will supersede the listed total,
Submitting Firm: Active Thermal Concepts
Address: 2805 Stonegate Court
City: Hiawatha State: IA
Authorized Representative (print) Terry Beaird
Authorized Representative Signature
Date: 12/1/21
Phone: 319-393-8088
Zip• 52233
Email: TBea'. do activethermal.net
Fax:
319-393-8081
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 10th St, and 105 E 11h St
Page 8 of 9
Our "not to exceed" bid price for each property is:
928
Mulberry
Street
$ 3,740.00
1526E
4th Street
$ 4,845.00
114 E 10th
Street
$ 74,
956.00
105 E llth
Street
$ 31,
00
875.
$
Total
115,416.00
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 1 1'h St
Page 9 of 9
ACOR0
ACTITHE-02
CERTIFICATE OF LIABILITY INSURANCE
JPERKINS
DATE (MMIDD/YYYY)
2/18/2021
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, 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).
PRODUCER
Relion Insurance Solutions
24 Westside
Iowa City, IA 52246
INSURED
Active Thermal Concepts Inc.
2805 Stonegate Ct
Hiawatha, IA 52233
CONTACT
NAME.
PHONE
(A/C, No, Ext): (319) 887-3700
E-MAIL ADDRESS: L% info@/�relion-ins corn
INSURER(S) AFFORDING COVERAGE
(A///C, No): (319) 887-3701
INSURER A: Arch Specialty Insurance Compa
INSURER B : Integrity Insurance
INSURER C : Starr Indemnity & Liability Company
INSURER D :
NAIC ft
14303
38318
INSURER E :
INSURER F :
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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
(MM/DDIYYYYI
EFF
POLICY EXP
IYPOLICY
(MM/DDYYYI
LIMITS
A
1,000,000
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$
CLAIMS -MADE
X
OCCUR
X
12
EMP 11834
04
2/18/2021
2/18/2022
DAMAGES
PREMISES
(RENT
(Ea occurrence)ED
100,000
$
x
Ded $25,000
MED EXP
(Any one person)
$ 5,000
X
Inc!
Asbestos
Abatmn
PERSONAL
& ADV INJURY
$ 1,000,000
2,000,000
GEN'L
AGGREGATE LIMIT APPLIES
PER:
GENERAL
AGGREGATE
$
X
POLICY
X
,JECT
LOC
PRODUCTS-COMP/OPAGG
$ 2,000,000
OTHER:
POLLUTION
$ 1,000,000
B
AUTOMOBILE
LIABILITY
COMBINED
JEa accident)
SINGLE LIMIT
$ 1,000,000
ANY AUTO
CA 2802768
2/18/2021
2/18/2022
BODILY INJURY
(Per person)
$
X
AUTOS
ONLY
AUTOSULEO
BODILY INJURY
(Per accident)
$
X
AUTOS
ONLY
X
AUTOS ONLY
PRO
acEcident)
DAMAGE
$
$
A
UMBRELLA LIAB
X
OCCUR
EACH
OCCURRENCE
$ 5,000,000
X
EXCESS LIAB
CLAIMS -MADE
12
EMX 11835
04
2/18/2021
2/18/2022
AGGREGATE
$ 5,000,000
DED
X
RETENTION $
0
$
C
WORKERS
COMPENSATION
X 1
PERTUTE
EOTH
AND
EMPLOYERS' LIABILITY
Y / NE.L.E
100
0004530
2/18/2021
2/18/2022
1,000,000
ANY
PROPRIETOR/PARTNER/EXECUTIVE
EACH ACCIDENT
$
OFFICER/MEMBER
EXCLUDED?
Y
N / A
1,000,000
(Mandatory
in NH)
E.L. DISEASE - EA EMPLOYEE
$
If yes,
DESCRIPTION
describe under
OF OPERATIONS below
E.L. DISEASE - POLICY
LIMIT
$ 1,000,000
A
Professional
Liab
12
EMP 11834
04
2/18/2021
2/18/2022
Each
Claim
1,000,000
DESCRIPTION
If required
OF OPERATIONS / LOCATIONS / VEHICLES
by written contract, the below listed
(ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate Holder is included as an Additional Insured on the General Liability.
CERTIFICATE HOLDER
CANCELLATION
City of Waterloo
715 Mulberry St.
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
THE AMERICAN INSTITUTE OF ARCHITECTS
•
AM Document A310
Bid Bond n
ZA 42468
KNOW ALL MEN BY THESE PRESENTS, that we
ACTIVE THERMAL CONCEPTS INC (Effete insert full name and address or legal title of Contractor)
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 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 MI 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- 928 MULBERRY ST, 1526 E 4TH ST, 114 E 10TH ST, 105 E 11TH ST
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 sealed this
(Witness)
30TH day of NOVEMBER
9W 2021
ACTIVE THERMAL CONCEPTS INC
(Principal) (Seal)
reify Deu,`y/ (Title) feeYe fart.
ARCH INSURANCE COMPANY
�,.re)m (Surety)
MARIA A GONZALEZ(T'tle)Attorne, in -Fact
MA DOCUMENT A310 • BID BOND ' MA ® • FEBRUARY 1970 ED o THE AMERICAN
INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D. C, 20006
r ssr lam.—,-si tee,,.
.,f
1I '))) I l
AIC 0000356746
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, Karen O'Connell, Maria A. Gonzalez, Olga Garza, Pauline Perlongo 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 16'h day
of November, 2021.
Attested and Certified
,g/irte
Regan . Shulman, Secretary
STATE OF PENNSYLVANIA SS
COUNTY OF PHILADELPHIA SS
Arch Insurance Company
atiaCiataltr.,-P
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 voluntary acts for the uses and
purposes therein set forth.
Commonwealth of Pemn»ivania • Ncwy Seal
MICHELE Tf lPODto Notary Public
Philadelphia County
My Commission Expires My 31, 2025
Comrade/1 Number HMO
Miche podi, Notary Public
My commission expires 07/31/2025
CERTIFICATION
I, Regan A. Shulman, Secretary of the Arch Insurance Company, do hereby certify that the attached Power of Attorney dated November 16, 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 executio
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 thiflLday of
20'
Regia.A 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
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
4ta3Ce�
LT)KYCWAY E
SEM
„Ti
Mean
PISMO
To verify the authenticity of this Power of Attorney, please contact Arch Insurance Company at SuretyAuthentic@arthinsurance.Got
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.