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US POSTAGE
02 7H $ 026.95°
00060081 59 FEB 08 2022
MAILED FROM ZIP CODE 52351
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D.W. Zinser Co.
P.O Box 398
1775 Commercial Dr
Watford, IA 52351
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EXHIBIT "A"
SIGNATURE PAGE
408 Courtland Street
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.
408 Courtland Street
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Total in written form: c 1 y 7'-
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AP LIMO. Ifr 10
The correct summation of the actual bid tabulation figures will supersede the listed total.
Submitting Firm: D. W,, 'Zv ns-c r A Co :Fitt
Address: 17'7S covvotercatA Pcvc
City: \jvta4ortA
State:
err4- zip: g•)-3fl
Authorized Representative (print) K.y t c et‘s\A
Authorized Representative Signature
Date : /49 /3reY
Phone: 3 ct -eU R v
Email: cry t Lj te-Li`51. er- c 'nc (- Cool
Fax:
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:
x
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
10
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we, D.W. Zinser Company
as Principal, and North American Specialty Insurance Company
as Surety are held and firmly bound unto the CITY OF WATERLOO , Iowa, hereinafter called
"OWNER." In the penal sum ---Five Percent of the Bid Submitted ---
Dollars ($---5%--- ) lawful money of the United States, for the payment
of which sum will and truly be made, we bind ourselves, our heirs, executors, administrators, and
successors, jointly and severally, firmly by these presents. The condition of this obligation is such that
whereas the Principal has submitted the accompanying bid dated the loth day of February
2022 for Demolition and Site Clearance Services (RACM) Demolition Contract
#RD-2022-02-01 P - 408 Courtland Street, Waterloo, Iowa
NOW, THEREFORE,
(a) If said Bid shall be rejected, or in the alternate,
(b) If said Bid shall be accepted and the Principal shall execute and deliver a contract in the form specified
and shall furnish a bond for his faithful performance of said contract, and for the payment of all persons
performing labor or furnishing materials in connection therewith, and shall in all other respects perform the
agreement created by the acceptance of said Bid,
Then this obligation shall be void, otherwise the same shall remain in force and effect; it being expressly
understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event,
exceed the penal amount of this obligation as herein stated.
By virtue of statutory authority, the full amount of this bid bond shall be forfeited to the Owner in liquidation of
damages sustained in the event that the Principal fails to execute the contract and provide the bond as
provided in the specifications or by law.
The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its bond
shall be in no way impaired or affected by any extension of the time within which the Owner may accept
such Bid or execute such contract; and said Surety does hereby waive notice of any such extension.
IN WITNESS WHEREOF, the Principal and the Surety, have hereunto set their hands and seals, and such
of them as are corporations, have caused their corporate seals to be hereto affixed and these presents to be
signed by their proper officers this 7th day of February , A.D. 2022
Arwner
By
�.vv. censer company _ __(Seal)
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Specialty Insurance Comparty3eal)
urety
Attorney -in -
lone R. Young
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SWISS RE CORPORATE SOLUTIONS
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
WESTPORT INSURANCE CORPORATION
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing
under laws of the State of New Hampshire, and having its principal office in the City of Kansas City, Missouri and Washington International
Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City
of Kansas City, Missouri and Westport Insurance Corporation, organized under the laws of the State of Missouri, and having its principal office in
the City of Kansas City, Missouri, each does hereby make constitute and appoint:
JAY D. FREIERMUTH, CRAIG E. HANSEN, BRIAN M. DEIMERLY, CINDY BENNETT, ANNE CROWNER,
TIM McCULLOH, STACY VENN, DIONE R. YOUNG, WENDY A. LEWIS, STACIE CHRISTENSEN and SETH ROOKER JOINTLY OR SEVERALLY
Its true and lawful Attorneys) -in -Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by
law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of:
ONE HUNDRED TWENTY FIVE MILLION ($125,000,000.00) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on March 24, 2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18, 2011.
"RESOLVED, that any Pvo of the President, any Senior Vice President, any Vice President, any Assistant Vice President,
the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named
in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them
hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached."
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Steven P. Anderson, Senior Vice President of Washington International Insurance Company
& Senior Vice President of North American Specialty insurance Company
& Senior Vice President of Westport Insurance Corporation
By
Erik Janssens, Senior Vice President of Washington International Insurance Company
& Senior Vice President of North American Specialty Insurance Company
& Senior Vice President of Westport Insurance Corporation
IN WITNESS WHEREOF, North American Specialty Insurance Company, Washington International Insurance Company and Westport
Insurance Corporation have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this
this 24th day of NOVEMBER , 20 21
State of Illinois
County of Cook
On this 24th day of NOVEMBER , 20 21, before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of
Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of
Westport Insurance Corporation and Erik Janssens Senior Vice President of Washington International Insurance Company and Senior Vice President
of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, personally known to me, who
being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the
voluntary act and deed of their respective companies.
ss:
North American Specialty Insurance Company
Washington International Insurance Company
Westport Insurance Corporation
YASMIN A. PATEL
OFFICIAL SEAL
Notary Public. State of Illinois
My Commission Expires
May 28, 2023
6. ad
Yasmin A. Patel, Notary
I, Jeffrey Goldberg, the duly elected Senior Vice President and Assistant Secretary of North American Specialty Insurance Company, Washington
International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a
Power of Attorney given by said North American Specialty Insurance Company, Washington International Insurance Company and Westport
Insurance Corporation which is still in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 7th day of February , 2022 .
Jeffrey Goldberg, Senior Vice President & Assistant Secretary of Washington International Insurance Company &
North American Specialty Insurance Company & Vice President & Assistant Secretary of Westport Insurance Corporation