HomeMy WebLinkAboutK&W Electric - Cont. No. 1054 - 8.1.2022FORM OF CONTRACT
FOR THE CONSTRUCTION OF
FY 2022 4TH STREET BRIDGE AND DAM LIGHTING PROJECT
CITY OF WATERLOO, IOWA
CONTRACT NO. 1054
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This contract made and entered into this day of August 20 2 , by and between the City of Waterloo, Iowa,
a Municipal Corporation, (hereinafter referred to as City), and K & W ELECTRIC, INC., of Cedar Falls, Iowa,
(hereinafter referred to as Contractor), WITNESSETH:
PAR. 1
PAR. 2
PAR. 3
PAR. 4
PAR. 5.
PAR. 6
PAR. 7
Contractor agrees to build and construct the FY 2022 4H STREET BRIDGE AND DAM LIGHTING
PROJECT, Contract No. 1054 and furnish all necessary tools, equipment, materials, and labor
necessary to do all the work called for in the plans and specifications in a workmanshiplike manner and
for the prices set forth in Contractor's proposal, which was accepted by the City, and which is understood
and agreed to be a part of this contract.
It is understood and agreed that the resolution adopted by the City Council ordering the construction of
the improvement, the Notice to Contractors as published, the Instruction to Bidders, the Form of
Proposal, the Construction and Maintenance Bonds, the Council Proceedings relating to this matter,
and the Plans and Specifications shall all be considered as forming a part of the contract the same as
though they were each set out in said contract.
The Contractor agrees to furnish at its own cost and expense, all necessary materials and labor for said
work and to construct said improvements in a thorough, substantial, and workmanlike manner, and in
strict accordance with the requirements of this contract, and of the plans and specifications made a part
hereof by reference, and to the satisfaction and approval of the City and its engineer.
The Contractor agrees to perform said work and install said improvements on the terms set out in bid
or proposal to the City which has been accepted by the City and which is by reference made a part of
this contract.
The Contractor agrees to commence said work within ten (10) working days after receipt of "Notice to
Proceed". The project shall be substantially completed on or before December 1, 2022, with final
completion on or before December 15, 2022.
Should the Contractor fail to complete said improvements in strict accordance with the terms and
conditions of this contract, or the plans and specifications therefor promptly by the date herein specified,
the City may pay such additional sums as it may be required to pay by reason of the failure of said.
contractor and deduct any and all such sums from any amount then due the Contractor.
The Contractor agrees to comply with and obey all ordinances of the City of Waterloo, Iowa, relating to
the obstruction of streets and alleys, keeping open passage ways for water, traffic, and protecting any
excavations in any street or alley, and maintaining proper and sufficient barricades with lights and
signals during all hours of darkness, to see that the backfilling is properly done, and agrees to keep the
City whole and defend any and all suits that may be brought against the City by reason of any injuries
that may be sustained by any person or property allegedly caused by the Contractor, or his agents,
while work is done pursuant to this agreement.
FORM OF CONTRACT Page 1 of 3
PAR. 8
PAR. 9
The Contractor agrees that in the event a law suit is brought against the City for damages allegedly
sustained by reason of any act, omission or negligence of the Contractor or its agents, or on account of
any injuries allegedly sustained by reason of any obstruction, hole, depression or barrier placed or dug
by the defendant or its agents, in the doing of the work herein contracted for, that it will defend said suit
and save the City harmless therein, and in case judgment is rendered against the City, the Contractor
agrees to pay the same promptly. The Contractor agrees to carry public liability insurance in a solvent
company in a sufficient amount to protect the City and those who use the streets of the City.
The City shall have the right to appoint one or more construction reviewers who shall review the
progress of the work in detail; also, to make any test or any material to be used in such work. No
material shall be used in any work until the same has first been approved by the construction reviewer.
Such construction reviewer shall have full authority to pass judgment upon all materials and upon the
manner of doing the work, and their judgment on rejecting any materials, substance, or manner of work
shall be final unless it is revoked or modified by the City Engineer.
PAR. 10 Any material, which has been rejected by the construction reviewer, shall be at once removed from the
line of work and shall not be again taken thereon or placed with the material proposed to be used without
the written consent of the City Engineer.
PAR. 11 The Contractor shall maintain no cause of action against the City on account of delays and prosecution
of work, but if said work is delayed by the City, the Contractor shall have such extra time for completion
of the job as was lost by reason of the delay caused by the City.
PAR. 12 The Contractor agrees to pay punctually all just claims of labor, material, men, or subcontractors who
shall perform labor or furnish materials entering into this improvement. It is agreed that the City need
not pay the Contractor until all such claims are paid by the Contractor. It is agreed that the City shall
not be liable for said labor, material, or men under this contract.
PAR. 13 The Contractor agrees to furnish the City, simultaneously with this contract, a bond on a form to be
provided by the City in the amount provided by law as stated in the Notice to Bidders, which shall be for
the benefit of the City, and any and all persons injured by the breach of any of the terms of this contract.
Said bond shall be filed with the City Clerk and shall be subject to the approval of the City Council, and
is by reference made a part of this contract.
PAR. 14 The Contractor agrees that should it abandon work under this contract or cease the prosecution thereof
for a period of thirty (30) consecutive days without reasonable cause, and should it fail to proceed with
said work within ten (10) days after a notice to continue or carry it on has been mailed to it at the address
given herein by the City, or after such notice has been served on it, then the City may proceed to
complete said work, using any material, tools, or machinery found along said line of work, doing the
work either by contract or as it may elect, and the Contractor and the sureties on its bond shall be liable
to the City for the costs and expenses so paid out. Said costs shall be retained by the City from any
compensation due, or to become due the Contractor, and may be recovered by the City in an action
upon Contractor's bond.
PAR. 15 In consideration of the full compliance on the part of the Contractor with all the provisions, stipulations,
and conditions hereof, or contained in the various instruments made a part of this contract by reference,
and upon completion and acceptance of said work, the City agrees to pay to the Contractor, in the
manner set out in the Notice to Contractors, the amount of money due the Contractor for work performed
and accepted, at the unit prices set out in the Contractor's proposal, which has been accepted by the
City.
PAR. 16 The total amount of the contract, based on the Engineer's estimates of quantities and the Contractor's
unit bid prices, and for which 100% surety bond is required is $749,772.30,
FORM OF CONTRACT Page 2 of 3
PAR. 17 After the completion of said work, the Contractor agrees to remove all debris and clean up said streets,
and to save the City harmless from any damage allegedly resulting from a failure to clean up and remove
the debris or put the street back in a proper condition for travel.
PAR. 18 This contract is not divisible, but in the event of a conflict between this contract and the various
instruments incorporated by reference, this contract shall govern.
PAR. 19 Before the Contractor shall be entitled to receive final payment for work done under this contract, it shall
execute and file a bond in the penal sum of not less than 100% of the total amount of the contract, same
to be known as "Maintenance Bond," and which bond must be approved by the City Council, and which
bond is in addition to the bond given by the Contractor to guarantee the completion of the work.
PAR. 20 The Contractor shall maintain all work done hereunder in good order for the period of two (2) years from
and after the date it is accepted by the Council of the City of Waterloo, Iowa. Said maintenance shall
be made without expense to the City or the abutting property. In the event of the failure or default of the
Contractor to remedy any or all defects appearing in said work within a period of two (2) years from the
date of its acceptance by said Council, and after having been given ten (10) days notice so to do by
registered letter deposited in the United States Post Office in said town, addressed to said contractor at
the address herein given, then the City may proceed to remedy such defects. The costs and expenses
thereof to be recovered from the Contractor and the sureties on its maintenance bond by an action
brought in any court of competent jurisdiction.
PAR. 21 The Contractor shall give notice to said City by registered letter directed to the Mayor or City
Clerk/Auditor thereof not more than four (4) and not less than three (3) months prior to the expiration of
the term during which the Contractor is required to maintain said improvements, in good repair by the
terms of its Contract. The liability of the Contractor and of the sureties on its bond for maintenance of
the said improvements shall continue until three (3) months after such notice has been given to the City,
and, in any event, until two (2) years after the acceptance of the work.
CITY OF WATERLOO, IOWA
Queth,z 11arE
Mayor
Kerley Ee[chre
City Clerk
Contractor
BY: /t2
41(7'
Title: otiqJ
1st
Approved lav the ity Council of the City of Waterloo, Iowa, this
day of mu us�t 20 zz
Kelley Eelchle ATTEST: ,City Clerk
Waterloo, Iowa
FORM OF CONTRACT Page 3 of 3
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
Bond Number: 208386F
That we, K & W Electric, Inc. of Cedar Falls, Iowa
(the "Principal"), and Westfield Insurance Company of Westfield Center, Ohio
(the "Surety"), are held and firmly bound unto the City of Waterloo, Iowa (the "Obligee"), in the penal sum of
Seven Hundred Forty Nine Thousand Seven Hundred Seventy Two & 301100 Dollars ($ 749,772.30 ), lawful
money of the United States,ust the
hepayment of said sum in connection with a contract (the "Contract")
dated on or about _ for the purpose of FY 2022 4th Street Bridge and
Dam Lighting Project, Contract No. 1054 . The Contract is incorporated herein by
reference as though fully set forth herein.
Whenever the Principal shall be and is declared by the Obligee to be in default under the Contract, with the
Obligee having performed its obligations in the Contract, then the Surety, acknowledging that time is of the
essence, may promptly remedy the default, or shall promptly undertake to:
1. Complete the Contract in accordance with its terms and conditions; or
2. Obtain one or more bids for completing the Contract in accordance with its terms and
conditions, and upon determination by the Surety of the lowest responsible bidder, or negotiated
proposal, or, if the Obligee elects, upon determination by the Obligee and the Surety jointly of
the lowest responsible bidder, or negotiated proposal, arrange for a contract between such party
and the Obligee. The Surety will make available as work progresses sufficient funds to pay the
cost of completion less the balance of the Contract price. The cost of completion includes
responsibilities of the Principal for correction of defective work and completion of the Contract,
the Obligee's legal and design professional costs resulting directly from the Principal's default,
and liquidated damages or actual damages if no liquidated damages are specified in the
Contract, The term "balance of the Contract price" means the total amount payable by the
Obligee to the Principal under the Contract and any amendments thereto, less the amount
properly paid by the Obligee to the Principal; or
3. Determine the amount for which it is liable to the Obligee and pay the Obligee that amount as
soon as practicable.
In the event this bond is enforced, Principal and Surety agree to indemnify Obligee and hold Obligee harmless
from and against any and all costs of enforcement, including but not limited to reasonable attorneys' fees and
expenses.
Every Surety on this bond shall be deemed and held, any contract to the contrary notwithstanding, to consent
to each and all of the following matters, without notice:
1. To any extension of time to the Contract in which to perform the Contract.
2, To any change in the plans, specifications, or Contract when such change does not involve an
increase of more than twenty percent (20%) of the total Contract price, and shall then be
released only as to such excess increase.
3. That no provision of this bond or of any other contract shall be valid which limits to less than
one (1) year from the time of the acceptance of the work the right to sue on this bond for defect
in workmanship or material not discovered or known to the Obligee at the time such work was
accepted.
PEFORMANCE BOND Page 1 of 3
If the Principal performs the Contract, then this bond shall be null and void; otherwise it shall remain in full
force and effect, hi no event shall the Surety's total obligation exceed the penal amount of this bond.
Terms used herein shall include, as appropriate, the singular or plural number, or the masculine, feminine or
neuter gender,
IN WITNESS WHEREOF, the undersigned Principal and Surety have executed this Performance Bond as of
August 1, 2022
PRINCIPAL SURETY
K & W Electric, Inc. Westfield Insurance Company
Narne
(t?iyiv
Name
By: r II By:
v
Title:fe Title: Joseph 1. Schmit, Attorney -in -Fact
[attach Power of Attorney]
NOTE: Date of BOND must not be prior to date of Contract.
If CONTRACTOR is Partnership, all partners should execute BOND.
IfAhiss rd'ect=:inclt cieS ec#er'ai :11iilgAlie` diloWirig'ap:i ,: ::.i:
p I plies�.totlieVayment'b-bnd:
IMPORTANT: Surety companies executing bonds must appear on the Treasury Department's most
current list (Circular 570 as amended) and be authorized to transact business in the State where the
project is located.
PEFORMANCE BOND Page 2 of 3
PEFORMANCE BOND Page 3 of 3
Bond Number: 208386F
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS: that
K & W Electric, Inc.
(Name of Contractor)
1127 Lincoln St., Cedar Falls, Iowa 50613
a
(Address of Contractor)
Corporation , hereinafter called Principal, and,
(Corporation, Partnership or Individual)
Westfield Insurance Company
(Name of Surety)
P.O. Box 5001, Westfield Center, OH 44251
(Address of Surety)
hereinafter called Surety, are held and firmly bound unto City of Waterloo, Iowa
(Name of Owner)
(Address of Owner)
hereinafter called OWNER, in the penal surn of Seven Hundred Forty Nine Thousand Seven Hundred
Seventy Two & 30/100 Dollars,($ 749,772.30 ) in lawful money of the
United States, for the payment of which sum well and truly to be made, we bind ourselves, successors, and
assigns, jointly and severally, firmly by these presents, THE CONDITION OF THIS OBLIGATION is such that
whereas the Principal entered into a certain contract with the OWNER, dated the lst day of
Augusi 20 2Z, a copy of which is hereto attached and made a part hereof for the construction of:
FY 2022 4th Street Bridge and Dam Lighting Project, Contract No. 1054
NOW, THEREFORE, if the Principal shall promptly make payrrient to all persons, firms,
SUBCONTRACTORS, and corporations furnishing materials for or performing labor in the prosecution of
the WORK provided for in such contract, and any authorized extension or modification thereof, including
all amounts due for materials, lubricants, oil, gasoline, coal and coke, repairs on machinery, equipment
and tools, consumed or used in connection with the construction of such WORK, and all insurance
premiums on said WORK, and for ail labor, performed in such WORK whether by SUBCONTRACTOR or
otherwise, then this obligation shall be void; otherwise to remain in full force and effect.
PROVIDED, FURTHER, that the said Surety for value received hereby stipulates and agrees that no
change, extension of time, alteration or addition to the terms of the contract or to the WORK to be
performed thereunder or the SPECIFICATIONS accompanying the same shall in any wise affect its
obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration
or addition to the terms of the contract or to the WORK or to the SPECIFICATIONS.
PROVIDED, FURTHER, that no final settlement between the OWNER and the CONTRACTOR shall abridge
PAYMENT BOND Page 1 of 3
the right of any beneficiary hereunder, whose claim may be unsatisfied.
IN WITNESS HEREOF, this instrument is executed in Three (3) counterparts, each one of which,
shall
(number)
be deemed an original, this the 'St day of August 20 22
ATTEST:
(SEAL)
(Principal) Secretary
BROWN
Cc: �mjission Number 766871
7=• `:57° My Commission Expires
t ti�u February 28, 2023
Witness as t+ Principal
1127 Lincoln St.
(Address)
Cedar Falls, Iowa 50613
ATTEST,
MY/
Witness as to Sur y
4200 University Ave., Ste. 200
(Address)
West Des Moines, Iowa 50266
K & W Electric, Inc.
By:
1127 Lincoln St.
(s)
(Address)
Cedar Falls, Iowa 50613
Westfield Insurance Company
By:
Surety
Joseph 1. Sc t t it, Attorney -In -Fact
4200 University Ave., Ste. 200
(Address)
West Des Moines, Iowa 50266
NOTE: Date of BOND must not be prior to date of Contract.
If CONTRACTOR is Partnership, all partners should execute BOND.
p...�
ect�ri�iciudesFi~deralfuncisihe:=.folloving'applies.toAFieiPayrnent:b6nd
IMPORTANT: Surety companies executing bonds must appear on the Treasury Department's most
current list (Circular 570 as amended) and be authorized to transact business in the State where the
PAYMENT BOND Page 2 of 3
project is located.
PAYMENT BOND Page 3 of 3
POWER NO. 1429172 00
Westfield Insurance Co.
Westfield National Insurance Co.
Ohio Farmers Insurance Co.
Westfield Center, Ohio
Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO
FARMERS INSURANCE COMPANY, corporations, hereinafter referred to Individually as a "Company' and collectively as 'Companies; duly
organized and existing under the laws of the State of Ohio, and having Its principal office In Westfield Center, Medina County, Ohio, do by these
presents make, constitute and appoint
JOSEPH I. SCHMIT, JEFFREY R. BAKER, OREO T. LAMAIR, E. A. VONHARZ, BRANDON HORBACH, JOINTLY OR SEVERALLY
of WEST DES MOINES and State of IA its true and lawful Attorney(s)-In-Fact, with full power and authority hereby conferred In Its name,
place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other Instruments or contracts of
suretyship In any penal Iimll..
LIMITAT ON: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE
GUARANTEE, OR BANK DEPOSITORY BONDS.
and to bind any of the Companies thereby as fully and to the same extent as If such bonds were signed by the President, sealed with the corporate
seal of the applicable Company and duly attested by Its Secretary, hereby ratifying and confirming all that the said Attomey(s)-In-Fact may do In
the premises. Said appointment Is made under and by authority of the follow ng resolution adopted by the Board of Directors of each of the
WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY:
'Be It Resolved, that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shall
be and Is hereby vested with full power and authority to appoint any one or more suitable persons as Attarney(s)-In-Fact to represent and act for
and on behalf of the Company subject to the following provisions:
The Attorney -In -Fact. may be given full power and authority for and In the name of and an behalf of the Company, to execute, acknowledge and
deliver, any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such Instruments so executed by any such
Attorney -in -Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary.'
'Be It Further Resolved, that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any
power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile
seal shall be valid and binding upon the Company with respect to any bond or undertaking to which It Is attached.' (Each adopted at a meeting
held on February 8, 2000).
In Witness WESTFIELD
Whereof, INSURANCE COMPANY,
WESTFIELD NATIONAL
COMPANY
OHIO FARMERS
INSURANCE haecausd these presents to be signby their NatioLeadernal and Senior Executive and their corporate seals to be hereto
affixed this 20th day of JUNE A.D., 2022 .
.. .....(N°..,
b.•
.G-P
'� SE
�seaiste .deo;RA:ex..,.
Affixed Lf f••� •,'gyp,
Al S.Lj
State of Ohlo
County of Medina ss.:
40011114
,�,
WESTFIELD INSURANCE COMPANY
not. WESTFIELD NATIONAL INSURANCE COMPANY
gx4 OHIO FARMERS INSURANCE COMPANY
Egg
'W'• C; �g:184sise ;:a
.*,,, n,,,,,,
By:
Gary W.
tumper, Nationa Surety Leader and
Senior Executive
On this 20th day of JUNE A.D., 2022 , before me personally came Gary W. Stumper to me known, who, being by me duly sworn,
did depose and say, that he resides in Medina, OH; that he is National Surety Leader and Senior Executive of WESTFIELD INSURANCE
COMPANY, WESTF ELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described In and which
executed the above Instrument; that he knows the seals of said Companies; that the seals affixed to said Instrument are such corporate seals; that
they were so affixed by order of the Boards of Directors of said Companies; and that he signed his name thereto by like order.
Notarial
seal fa+
Affixed K•ar
State of Ohio
County of Medina ss.:
THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING THIS SAME
POWER # AND ISSUED PRIOR TO 08120/22, FOR ANY PERSON OR PERSONS NAMED BELOW.
General
Power
of Attorney
CERTIFIED COPY
SC.
"rP Oi ..
I, Frank A. Camino, Secretary of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS
CompaniesINSURANC,.wh .which Is til In full force ands effect;thaandfurthermore, the the above and resolutionsoIs a rof the Boards of Directors,ue and correct y of a set out In ower of the Powerxof Attorneysaid
are
in fu I force and effect.
David A. Kotnlk, Attorney at Law, Notary Public
My Commission Does Not Expire (Sec. 147.03 Ohio Revised Code)
In Witness Whereof, I have hereunto set my hand and affixed the seals of
A.D.,
liZei ma.O.y4 a o•
. •''•r'9c, •.... Ar�„*�
nr =: tORITifatigl
gSE
z
n
t_Vt :02 `sat 1848 ;'in
„*,
3 ...... '' 4 x
said Companies at Westfield Center, Ohio, this day of
Prank A. Car Ino, Secretary
Secrete y
BPOAC2 (combined) (03.22)
Amur, ® CERTIFICATE
OF
LIABILITY
INSURANCE
DATE(MM/DD/YYYY)
n22/2022
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(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of tl e 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
AssuredP s Great Plains, LLC
4200 University Ave., Suite 200
West Des Moines IA 50266-5945
CONTACT
NAME:
Brenda Trogdon
PHONE
INC
515 237-0169
N,,.l:ny__._ -
Mc, no):515-237-0169
_.._..
MAIL ADDRESS.; BdT Assartners.com
Erena.r 09 uredP
. ,don _ ..
INSURERS) AFFORDING COVERAGE
NAIC #
INSURER A: Accident Fund Ins Co of America
10166
INSURED K&WELEC-02
K&W Electric, Inc.
1127 Lincoln St
Cedar Falls IA 50613
INSURER e: Middlesex Insurance Company
23434
INSURERC:
INSURER 0:
INSURER E:
INSURER F :
9692367
REVISION NUMBER'
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POL CY PERIOD
THIS IS TO CERTIFY
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, TIIE 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.
INSR
LTR
TYPE OF INSURANCE
ADDL-SUBR
WVD
POLICY NUMBER
POLICYEFF
(MM/DDIYYYY)
PO YE%P
(MM/DDIYYYYI
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
)flSD
Y
A0174644
7/15/2022
7/15l2023
EACH OCCURRENCE
511000,000
CLAIMS-MADEX
I OCCUR
ANIAGE TO
PREMISES(Ea occcurrrence)
$500,000
MEO EXP (Any one person)
310,000
PERSONAL&ADV INJURY
33,0001000
GENERAL AGGREGATE
$ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
(X I12COT I^
LI
LOG
PRODUCTS - COMP/OPAGG
52000,000
OTHER:
B
AUTOMOBILE
LIABILITY
A0174644
7/15/2022
7/15/2023
raml JefineNGLE LIMIT
$1,000000
X
ANY AUTO
BODILY INJURY (Per person)
$
OWNED
SCHEDULED
AUTOS
BODILY INJURY (Per acGdent)
$
AUTOS ONLY
y
NON -OWNED
POERTY
accid
$
X
AUTOS ONLY
)AAfAGE
(Perr
AIRED
UTOS ONLY
_
s
B
X
UMBRELLA aka
X
OCCUR
A0174694
7/15/2022
7/15/2023
EACH OCCURRENCE
55,000,000
EXCESS UAB
CLAWS -MADE
AGGREGATE
45,000,000 _ _
__
DEO
X
RETENPON$a
$
A
WORKERS
COMPENSATION
WCV6191970
7/15/2022
7/15/2023
X
STATUTE
OTH
ER
AND EMPLOYERS' LIABILITY Y! N
ANIPROPRIETCRIPARTNER/EXECUTIVE
EL EACH ACCIDENT
5500,000
OFFICERIME(Mandatory
N
NIA
In NH)
EL. E.L. DISEASE -EA EMPLOYEE
5500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
5500,000
B
Professional Liab'lity
A0179644
7/15/2022
7/15/2023
Per e
General Agregato
000,000
1,000,000
DESCRIPTION
OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, mayb attached if more space Is required)
Street Bridge Darn Lighting Project, Contract No. 1054
RE: FY 2022 4th and
Certificate Bolder Is an Additional Insured - Any Person or Organization you are Performing Work For; Lessor of Leased Equipment; Lessor or Leased Land;
Managers or Lessors or Premises; Owners, Lessees or Contractors; State or Political Subdivisions; when required in a written contract, agreement or permit on
a primary and non-contributory basis with respects to the General Liability policy per form CG7021 (06/16)
ON
I
City of Waterloo
Engineering Department
715 Mullberry 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.
AUTHORIZEDREPRESENTATIVE
C I_ N
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ACORD 26 (2016/03)
The ACORD name and logo a e registered marks of ACORD