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Advanced Environmental, Inc.
3 J n n n 11� 3 o g m Ts to q ill 1 el c4 as 6 A W Gs 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. 1804 W. 4th Street, 207 Lafayette Street, 208 Sunnyside Avenue, and 637 Ankeny Street. Total "lump sum" bid: $ Vt1 SM. 00 The correct summation of the actual bid tabulation figures will supersede the listed total, Submitting Firm: NOVAINICUO 1=1JV%YZO t'M)%L 1 1.ac. Address: %v% ft cve2 sr - City: wAf'id2L00 Authorized Representative (print) State: Zip: 5070 S f� t ck-v\t~ L 1°cam Authorized Representative Signature Date: aI -Os 2t Email: !4IcNA1 L. roe QAOVAA ccepM1p&1tfr.cam Phone: 3161. 20l • Li 441 Fax: 311- 25n n9li-W 9 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 flrm 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 NA 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-2023-02-04P: I804 W 4I'h St, 207 Lafayette St, 208 Sunnyside Av, and 637 Ankeny St Page 9 of 10 Our "not to exceed" bid price for each property is: 1804 E. 4th Street $ '7166b, 00 207 Lafayette Street $ &ISC)6 b® . 208 Sunnyside Avenue $ 3 500 . v® 637 Ankeny Street $ bD coa,,Li . Total $ 00 19, s®b . RFB FOR ASBESTOS ABATEMENT SERVICES: Contract: AB-2023 02-04P: 1804 W 4i1' St, 207 Lafayette St, 208 Sunnyside Av, and 637 Ankeny St Page 10 of 10 t31T) BOND KNOW ALL MEN BY THESE PRESENTS, that we, Advanced Environmental Testing and Abatement, Inc. as Principal, and M©Schants Bonding Company (Mutual) as Surety are held and firmly bound unto the CITY OF WATERLOO , Iowa, hereinafter called "OWNER." In the penal sum --•Flve Percent of the BId Submitted --- Dollars ($ ) 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 19th day of January 2023 , for Removal of Asbestos Containing Materials, 1804 E 4th, 207 Laryettc, 208 Sunnyside Ave, & 637 Ankeny StreettWaterloo, IA 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 shalt, 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 18th day of January _ , A.D. 2023 Witness /a/k- Wnes` r.co Rasmussen Advanced Environmental Testing and Abatement, Inc_(Seal) Principal BY Merchants Bonding Company (Mutual) (Seal) Suret torney-in•fact Jessie Allen (Title) MERCHANT BONDING COMPANY•, POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa, dib!a Merchants National Indemnity Company (in California only) (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Anne Crowner; Ben Williams; Brian M Deimerly; Cameron M Burt; Cindy Bennett; Craig E Hansen; D Gregory Stilts; Dione R Young; Donald E Appleby; Douglas Muth; Ginger Hoke; Grace Rasmussen; Greg Krier; Jay D Freiermuth; Jennifer Marino; Jessica Jean Rini; Jessie Allen; Joe Tiernan; John Cord; Kate L Fineran; Mark R DeWitt; Mark Sweigart; Michelle R Grins; Sara Huston; Sarah C Brown; Seth D Rooker; Stacy Venn; Tim McCulloh; Todd Benglord their true and lawful Attorneys) -in -Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations In favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of Its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 27th day of December , 2022 • • �ON4<'• •NG C ;',�y'•oRPoRq'mo : •; coo''o�po44 A9ti•• MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY . "." • ••• „ • • •x: • z= ;d' 1933 ''C• By i �' •. ..' • �'' •� • • .b'. 'a •.,. •,.,...•••;oe�•. ••.�0y ). `A•.• STATE OF IOWA • r <<•• • COUNTY OF DALLAS ss. ��•""`�� On this 27th day of December 2022 , before me appeared Larry Taylor, to me personally known, witid being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC„ and that tiie seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealeOE jn behalf of the Companies by authority of their respective Boards of Directors. Kim Lee Commiss on Number 702737 My Commission E pres April 14, 2024 4\ncl Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which Is still in full force and effect and has not been amended or revoked. In Witness Whereof, 1 have hereunto set my hand and affixed the seal of the Companies on this 18th day of January , 2023 . .•••••. •'' \tU 3 Cp • • .�r�; c • •;m. • � 1933 •' • �i) V • •• or • POA 0018 ('10/22) • ejalaLflec et-eirt&e:fi • Secretary CONSTRUCTION A t t e n t i o n: Jessie Allen B U t L E) M p lM t N._t. u M Email: JAllen@holmesmurphy.com BID BOND RESULT FORM CONTRACTOR: Advanced Environmental Testing and Abatement, Inc. BID DATE : 1 /19/2023 OWNER: City of Waterloo, Iowa PROJECT: Removal of Asbestos Containing Materials, 1804 E 4th, 207 Lafayette, 208 Sunnyside Ave, & 637 Ankeny Street, Waterloo, IA The Surety asks that Bid Results be provided as soon as possible after the bid date. We would appreciate you completing this form and returning via e-mail at your earliest opportunity. Thank you! 1st 2nd 3rd CONTRACTOR BID $ If you are not one of the three lowest bidders: My Bid: $ If you were low, or were low and negotiating, evaluation of bids and award of contract is expected by 1 /__. ACORO' ADVAENV-01 CERTIFICATE OF LIABILITY INSURANCE CWIGANT DATE (MM/DD/YYYY) 9/21/2022 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). CONTACT Cathy Wigant NAME: PRODUCER Brummel Madsen Insurance 318 Main Street Cedar Falls, IA 50613 INSURED Advanced Environmental Testing & Abatement Inc 803 Ricker Street Waterloo, IA 50703 PHONE (A/C, No, Ext): (319) 266-2644 D DR y w4 ADDRESS: cathyw@brummelmadsen.com A INSURER(S) AFFORDING COVERAGE 1 FAX No):(319) 277-2429 INSURER A : Crum & Forster Specialty Insurance Company INSURER B :Western National Mutual Insurance Company INSURER C :Western National Assurance Company INSURER D : NAIC # INSURER E : INSURER F : 44520 15377 24465 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS 1S TO CERTIFY NOTWITHSTANDING AND MAY CONDITIONS BE THAT ISSUED THE OR OF POLICIES ANY SUCH MAY REQUIREMENT, PERTAIN, POLICIES. OF INSURANCE LIMITS THE TERM INSURANCE SHOWN LISTED OR BELOW CONDITION MAY AFFORDED HAVE HAVE BEEN OF BEEN BY ANY REDUCED THE ISSUED CONTRACT POLIC TO BY ES PAID THE OR DESCRIBED CLAIMS. INSURED OTHER DOCUMENT NAMED HEREIN ABOVE WITH IS SUBJECT FOR RESPECT THE TO ALL POLICY TO THE WHICH PERIOD TERMS, THIS INSR TYPE OF INSURANCE ADDL INSD SUBR WVD(MM!DD/YYYY1 POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP LIMITS A X CO ,1MERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS -MADE X OCCUR EPK140885 9/13/2022 9/13/2023 PREh ISES (a occurrrence) S 50,000 x Asbestos MED EXP (Any one person) S 5,000 X Contractor Pollution PERSONAL & ADV INJURY S 2,000,000 LIMIT APPLIES PER: GENERAL AGGREGATE S 5,000,000 GEN'L AGGREGATE POLICY X PECOT- LOC PRODUCTS - COMP/OP AGG S 5,000,000 X X OTHER: Professional Liability TRANSPORTATION S 1,000,000 B AUTOMOBILE LIABILITY (EOMBI a accdent) SINGLE LIMIT S 1,000,000 X ANY AUTO CPP 1013320 2/28/2022 2/28/2023 BODILY INJURY (Per person) S OWNED SCHEDULED AUTOS BODILY INJURY (Per accident) S AUTOS ONLY HIRED NON-O NED PROPERTY (Per acciden DAMAGE S AUTOS ONLY AUTOS ONLY S A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 EXCESS LIAB CLAIMS MADE EFX121008 9/1312022 9/13/2023 AGGREGATE S 5,000,000 DED X RETENTIONS 10,000 S OTH- B WORKERS COMPENSATION X PTATUTE AND EMPLOYERS' EMPLOYERS' LIABILITY Y / N WCV 1001609 9/13/2022 9/1312023 ACCIDENT 1,000,000 S E.L. EACH ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBgER EXCLUDED? it, Y N / A EMPLOYEE S 1,000,000 (Mandatory in NH) E.L. DISEASE - EA If yes, describe DESCRIPTION under OF OPERATIONS below E.L. DISEASE POLICY LIMIT 1,000,000 S C Umbrella Liab (auto) UMB 1016518 2/28/2022 2/28/2023 Ea Occl Aggregate 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER Insurance verification of policies and coverage limits CANCELLATION 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