HomeMy WebLinkAboutMidwest Concrete - FY23 Sidewalk Repair - Zone 2, Cont No. 1064 - 10.17.2022FORM OF CONTRACT
CONTRACT FOR THE CONSTRUCTION OF
F.Y. 2023 SIDEWALK ASSESSMENT PROGRAM — ZONE 2
CITY OF WATERLOO, IOWA
CONTRACT NO. 1064
October
This contract made and entered into this 17th day of
, 20 22, by and
between the City of Waterloo, Iowa, a Municipal Corporation, (hereinafter referred
to
as City), and MIDWEST CONCRETE INC. of PEOSTA, IA (hereinafter
referred to
as Contractor), WITNESSETH:
PAR. 1
PAR. 2
PAR. 3
Contractor agrees to build and construct the F.Y. 2023 SIDEWALK
ASSESSMENT PROGRAM — ZONE 2. Contract No. 1064, 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.
FORM OF CONTRACT PAGE 1 OF 5
PAGES
PAR. 4 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.
PAR. 5
PAR. 6
PAR. 7
PAR. 8
The work under the proposed contract shall be commenced within ten (10)
working days after receipt of "Notice to Proceed". Ten (1O%) percent of the
items shall be completed on or before December 16, 2022 and one
hundred percent (100%) of all items shall be completed on or before
August 4, 2023.
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.
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.
PAR. 9 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
FORM OF CONTRACT PAGE 2 OF 5
PAGES
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 mariner 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
PAR. 14
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.
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
FORM OF CONTRACT PAGE 3 OF 5
PAGES
PAR. 15
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.
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 $576,893 30 .
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
FORM OF CONTRACT PAGE 4 OF 5
PAGES
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
Mayor
Kerrey Fetch/Te
City Clerk
MIDWEST CONCRETE
Contractor
BY: y,,,. G
Title: PRESIDENT
Approved by the City Coupcil of the City of Waterloo, Iowa, this 17t
day of October , 20.
FORM OF CONTRACT PAGE 5 OF 5
PAGES
7(eOCey Fetchte
ATTEST: , City Clerk
Waterloo, Iowa
FORM OF CONTRACT PAGE 6 OF 5
PAGES
Bond No. 2529418
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
That we, Midwest Concrete, Inc. of 9835 Midwest Ln,
Peosta, IA 52068 (the "Principal"), and West Bend Mutual Insurance
Company of 1900 South 18t Avenue, West Bend, WI 53095
(the "Surety"), are held and firmly bound unto the City of Waterloo, Iowa (the "Obligee"), in the
penal sum of Five hundred seventy-six thousand, eight hundred ninety-three dollars and thirty cents
Dollars ($ 576,893.30 ), lawful money of the
Unitecti§W0522for the payment of said sum in connection with a contract (the "Contract") dated on or about
for the purpose of 2023 Sidewalk Repair Assessment Program -Zone 2
. 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.
If the Principal performs the Contract, then this bond shall be null and void; otherwise it shall remain in full force and
effect. In no event shall the Surety's total obligation exceed the penal amount of this bond.
PEFORMANCE BOND Page 1 of 3
Terms used herein shall include, as appropriate, the singular or plural number, or the masculine, feminine or neuter
gender.
IN WI7c4HEREOF, the undersigned Principal and Surety have executed this Performance Bond as of
PRINCIPAL SURETY
Midwest Concrete, Inc. West Bend Mutual Insurance Company
Name Name
By: 46.
Title: Owner
Ryan Coates
By: K\� Kim Hess
Title: Attornev-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.
If this project includes Federal Funds, the following applies to the payment bond:
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
Ars-
WEST BEND
A MUTUAL INSURANCE COMPANY'
THE SILVER LINING®
Bond No. 2529418
POWER OF ATTORNEY
Know all men by these Presents, That West Bend Mutual Insurance Company, a corporation having its principal office in the City of West Bend,
Wisconsin does make, constitute and appoint:
KIM HESS
lawful Attomey(s)•in•fact, to make, execute, seal and deliver for and on its behalf as surety and as its act and deed any and all bonds, undertakings
and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the
sum of: Ten Million Dollars ($10,000,000)
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board
of Directors of West Bend Mutual Insurance Company at a meeting duly called and held on the 211I day of December,1999.
Appointment of Attorney-In•Fact The president or any vice president or any other officer ofWest Bend Mutual Insurance Company may appoint
by written certifcate Attorneys -In -Fact to act on behalf of the company in the execution ofand attesting of bonds and undertakings and other
written obligatory instruments of like nature. The signature of any officer authorized hereby and the corporate seal may be affixed by facsimile
to any such power of attorney or to any certificate relating therefore and any such power of attorney or certificate bearing such facsimile
signatures orfacsimile seal shall be valid and binding upon the company, and any such power so executed and certified by facsimile signatures
and facsimile seal shall be valid and binding upon the company In the future with respect to any bond or undertaking or other writing obitgatory
in nature to which ft is attached. Any such appointment may be revoked, for cause, or without cause, by any saki officer at any time.
In witness whereof, the West Bend Mutual Insurance Company has caused these presents to be signed by its president undersigned and its
corporate seal to be hereto duly attested by Its secretary this 17th day of August, 2021.
Attest
PM(bt7G4U.t C• 14AI
Christopher C. Z
Secretary
State of Wisconsin
County of Washington
On the 17th day of August, 2021, before me personally came Kevin A. Steiner, to me known being by duly sworn, did depose and say that he resides
in the County of Washington, State of Wisconsin; that he Is the President of West Bend Mutual Insurance Company, the corporaUon described in and
which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to said instrument is such corporate seal;
that is was so affixed by order of the board of directors of said corporation and that he signed his name thereto by like order.
ga
Kevin A. Steiner
Chief Executive Officer/President
Matthew E. Carlton
Senior Corporate Attorney
Notary Public, Washington Co., WI
My Commission is Permanent
The undersigned, duly elected to the office stated below, now the incumbent in West Bend Mutual Insurance Company, a Wisconsin corporation
authorized to make this certificate, Do Hereby Certify that the foregoing attached Power of Attorney remains in full force effect and has not been
revoked and that the Resolution of the Board of Directors, set forth in the Power of Attomey Is now in force.
Signed and sealed at West Bend, Wisconsin this _ day of
kVI' Vice President— Chief Financial Officer
Heather Dunn
Notice: Any questions concerning this Power of Attomey may be directed to the Bond Manager at West Bend Mutual Insurance Company.
1900 South 181h Avenue I West Bend, WI 53095 I Phone: (608) 410-3410 I Fax: (877) 674-2663 I www.thesilvedinIng,com
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS: that
Midwest Concrete, Inc.
Bond No. 2529418
(Name of Contractor)
9835 Midwest Lit, Pcosta, IA 52068
(Address of Contractor)
a Corporation
, hereinafter called Principal, and,
(Corporation, Partnership or Individual)
West Bend Mutual Insurance Company
(Name of Surety)
1900 South 18th Avenue, West Bend, WI 53095
(Address of Surety)
hereinafter called Surety, are held and firmly bound unto City of Waterloo
(Name of Owner)
715 Mulberry St, Waterloo, IA 50703
(Address of Owner)
hereinafter called OWNER, in the penal sum of
Five hundred seventy-six thousand eight hundred ninety-three dollars and thirty cents
Dollars,($ 576,893.30 ) 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 OBLIGATIOntis such that whereas, the
Principal entered i9t2 a certain contract with the OWNER, dated the day of
October 20 , a copy of which is hereto attached and made a part hereof for the construction of:
FY 2023 Sidewalk Repair Assessment Program -zone 2
NOW, THEREFORE, if the Principal shall promptly make payment 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 all 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 the
right of any beneficiary hereunder, whose claim may be unsatisfied.
PAYMENT BOND Page 1 of 2
IN WITNESS HEREOF, this instrument is executed in 1 counterparts, each one of which, shall
be deemed an original, this the 17th day of (n'coer 20 22
ATTEST:
�/w,t,cL 14J
(Principal) Secretary
(SEAL)
Witness as to Princi
°t (1775-- Ifvubtw{sf Lv��
(Address)
f to0bA , \A 5? T
ATTTST:
600 Star Brewery Dr Ste 110
Witness as to 6.,grety (Address)
Midwest Concrete, Inc.
(Principal)
By: (s)
Ryan Coates Owner
9835 Midwest Lit
(Address)
Peosta, IA 52068
West Bend Mutual insurance Company
Surety
By:
Attorney -inn -Fact Kim Hess
600 Star Brewery Dr Ste 110 Dubuque, IA 52001
(Address)
Dubuque, IA 52001
NOTE: Date of BOND must not be prior to date of Contract.
If CONTRACTOR is Partnership, all partners should execute BOND.
If this project includes Federal Funds, the following applies to the payment bond:
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.
PAYMENT BOND Page 2 of 2
WEST BEND
A MUTUAL INSURANCE COMPANY'
THE SILVER LINING®
Bond No. 2529418
POWER OF ATTORNEY
Know ail men by these Presents, That West Bend Mutual Insurance Company, a corporation having Its principal office in the City of West Bend,
Wisconsin does make, constitute and appoint:
KIM HESS
lawful Attomey(s)•in-fact, to make, execute, seal and deliver for and on its behalf as surety and as its act and deed any and all bonds, undertakings
and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the
sum of: Ten Million Dollars ($10,0001000)
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authodty of the following Resolution adopted by the Board
of Directors of West Bend Mutual Insurance Company at a meeting duly called and held on the 2laday of December, 1999.
AppointmentofAttorney/n-Fact The president or any vice president, or any other officer of West Bend Mutual Insurance Company may appoint
by written certificate Attorneys-1n•Fact to act on behalf of the company In the execution of and attesting of bonds and undertakings and other
written obligatory Instruments of like nature. The signature of any officer authorized hereby and the corporate seal may be affixed by facsimile
to any such power of attorney or to any certificate relating therefore and any such power of attorney or certificate bearing such facsimile
signatures or facsimile seal shall be valid and binding upon the company, and any such power so executed and certified by facsimile signatures
and facsimile seal shall be valid and binding upon the company in the future with respect to any bond or undertaking or other writing obligatory
In nature to which it Is attached. Any such appointment may be revoked, for cause, or without cause, by any said officer at any time.
In witness whereof, the West Bend Mutual Insurance Company has caused these presents to be signed by its president undersigned and its
corporate seal to be hereto duly attested by Its secretary this 17th day of August, 20211
Attest
Nevti
c
tAt
Christopher C. Zgart
Secretary
State of Wisconsin
County of Washington
On the 17th day of August, 2021, before me personally came Kevin A, Steiner, to me known being by duly sworn, did depose and say that he resides
In the County of Wash ngton, State of Wisconsin; that he is the President of West Bend Mutual Insurance Company, the corporation described in and
which executed the above instrument; that he knows the seal of the sald corporation; that the seal affixed to said instrument is such corporate seal;
that is was so affixed by order of the board of directors of said corporation and that he signed his name thereto by like order.
Kevin A Steiner
Chief Executive Officer/President
OPYA'
Matthew E. Carlton
Senior Corporate Attorney
Notary Public, Washington Co., WI
My Commission is Permanent
The undersigned, duly elected to the office stated below, now the incumbent in West Bend Mutual Insurance Company, a Wisconsin corporation
authorized to make this certificate, Do Hereby Certify that the foregoing attached Power of Attorney remains In full force effect and has not been
revoked and that the Resolution of the Board of Directors, set forth in the Power of Attorney Is now in force.
Signed and sealed at West Bend, Wisconsin this _ day of
•
�oC/.u�1iJ•..
Heather Dum
Vice President — Chief Financial Officer
Notice: My questions concerning this Power of Attomey may be directed to the Bond Manager at West Bend Mutual Insurance Company.
1900 South 181h Avenue I West Bend, WI 53095 I Phone: (808) 410-3410 I Fax: (877) 674-2663 I wavw.thesilvedinIng.com
ACC) RIf)
MIDWCON-03 KHESS
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
10/7/2022
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(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
TR COR, LLC - Dubuque
600 Star Brewery Drive
Stile 110
Dubuque, IA 52001
INSURED
Midwest Concrete Inc
AHL Equipment Leasing, Inc.
9835 Cottingham Rd
Peosta, IA 52068
NAMEACT
(E
NcC,, Ho, Ext): (563) 556-5441
AQD"REss: service@tricorinsurance.com
INSURER(S) AFFORDING COVERAGE
ac,No):(608)723-6440
INSURER A : Sheboygan Falls/LeMars/Donegal Ins Co.
INSURER B: Markel Insurance Company
INSURER C:
NAIC 11
15148
INSURER D:
INSURER E:
INSURER F:
COVERAGES
CERTIFICATE NUMBER:
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 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
POLICY EFF
IMM/DD/YYYYI
POLICY EXP
IMMIDDWYYYI
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CPA9030194
4/15/2022
4/15/2023
EACH OCCURRENCE
$ 1,000,000
DAMAGETORENTED
PREMISES(Ea ocourrence)
$ 100,000
CLAIMS -MADE
X
OCCUR
MED EXP (My one person)
$ 5,000
PERSONAL &ADV INJURY
$ 11000'000
GEN'L
AGGREGATE LIMIT APPLIES PER:
$ 2'000'000
GENERAL AGGREGATE
POLICY
X
Sri
LOC
PRODUCTS-COMP/OPAGG
$ 2,000,000
1
$
OTHER:
A
AUTOMOBILE LIABILITY
CAA9030194
4/15/2022
4/15/2023
COMBINED SINGLE LIMIT
(Fa accident
1,0001000
$
X
ANY AUTO
BODILY INJURY (Per person)
$
OWNED
AUTOS ONLY
SCHEDULED
AUTOSU
BODILY INJURY (Per accident)$
NUS ONLY
_
WN
OS ONLY
p
P �acciRidentrMA"
A
X
UMBRELLALIAB
X
OCCUR
CWA9030194
4/15/2022
4/15/2023
EACH OCCURRENCE
$ 4,000,000
EXCESSLIAB
CLAIMS -MADE
AGGREGATE
$ 4,000,000
DED
RETENTION$
$
A
AND EMPLOYERS' LIABILITY
Y/N
N/A
1000024036
4/15/2022
4/15/2023
X
PER
ORH
E.L. EACH ACCIDENT
500,000
$
ANY PROPRETORIPARTNERIEXECUTIVE
EIGER/MEE Btory Fib
EXCLUDED?
N
E.L. DISEASE - EA EMPLOYEE
500,000
S
in
If yes, describe unde
DESCRIPTION OF
OPERATIONS below
E.L. DISEASE - POLICY LIMIT
500,000
$
B
Pollution Liability
CPLMOL111008
4/15/2022
4/15/2024
Each Incident/Aggreg
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is requl ed)
Protect: FY 2023 Sidewalk Repair Assesment Program - Zone 2
The City of Waterloo is additional Insured on the general liability policy with respect to the Insured contract.
CERTIFICATE HOLDER
CANCELLATION
City of Waterloo
715 Mulberry St
Waterloo, IA 50703
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
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ACORD 25 (2016/03)
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