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AP _ D lE I�RAON�MEHNTAL) � 803 Ricker Street • Waterloo. IA 50703 s p�BR�M�� S���V�c�:s LAU:t� �r Fo- AS 8L.si0 5 co -OS �O1 112Picr Ag^Z42.3 N c i r1 or. WAT02140� C v�="may Slate �1S M 56?6--% 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. 123 East Parker Street (former Saint Mary's Villa). Total "lump sum" bid: $ l 41, 5 CO • O 0 Total bid in written form: ON la NUN Aal-V Fd,ry S CVL=N 6U Sitio A VL= A vt,A2{ o Aside Submitting Firm: ps)v c4 D t NJlab r iitemAL 1 11`'t. . Address: 8 63 R1c-XL'i2 3r_ City: IW-IA'L6t> Authorized Representative (print) n Authorized Representative Signature �, 9--!` Date: Oil I 2-0 123 Email: N11c14/Ael:. ASV e A1)VANCtDM,Dw ' r• C6t4 Phone: 311- -%1- I497 Fax: S I q - 2 B 7 - 4141/419 State: 2N Zip: S 070 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: Y 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 ninety (90) 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-2023-05-01 P: 123 E Parker St (former Saint Mary's Villa) Page 9 of 9 l_fd Bond CONiTRACTOR: (Name, legal status and addres.sj Advanced Environmental Testing and Abatement, Inc. 803 Ricker Street Waterloo, IA 50703 OWNER: (Nam, legal status and address) City of Waterloo, Iowa 715 Mulberry Street Waterloo, IA 50703 Conforms with The American Institute of Architects AiA Document 31(1 SURETY: (Maure, legal status and pnzucipal place rfhn.vines.$) Merchants Bonding Company (Mutual) P.O. Ilox 1'1498 Des Moines, IA 50306-3498 BOND AMOUNT: $ Five Percent of the Total Amount Bid (5%) PROJECT: (Name, location or address and Project number, if any) Asbestos Removal, Former Saint Mary's Villa, 123 L Parker St, Waterloo, IA 'this document has important legal consequences. Consultation with an attorney is encouraged with respect to its cornplolion or rnodification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety arc bound to the Owner in the amount set forth above, for the payment of ‘vbich the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives suck bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the, jurisdiction of the Project and othcrwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof', or (2) pays to the Owner the difference, not to e::cccd the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perlbrni the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full three and elThct. The Surety hereby waives any notice ol'an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall nut apply to any extension exceeding sixty (60) days in the aggregate beyond the time Iur acceptance; of bids specified in the bid documents; and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the tern Contractor in this Bond shall be deemed to be Subcontractor and the terns Owner shall be deemed to be Contractor. When this Bond has been furnished to comply ‘vith a statutory or other legal requirement in the location ol'the Project; any provision in this Bond conflicting with said statutory or legal requirement shall be deerne.d deleted herclroin and provisions eunionning to such statutory or other legal requirement shall be deemed incorporated herein. Wizen so furnished, tine intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Sinned and sealed this 12th day of April, 2023 thinness) (Witness) Jodi Heiser Advanced Environmental Testing and Abatement, Inc. (Principal) (Seal) ?2LSiDt,aN 1 (I i le) Merchants Bonding Company (Mutual) (Sung) (Title) Jessi Attorney -in -Fact (Seal) i%4ERCI—IANT BBONDING COMPANY,,, POWER or 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, dlb/a Merchants National Indemnity Company (in California only) (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Anne Cromer; Ben Williams; Brian M Deimerly; Cameron M Burt; Cindy Bennett; C raig E Hansen; D Gregory S titts; Dione R Young; Donald E Appleby; Douglas Muth; Ginger Hoke; Grace Rasmussen; Greg Krier; J ames A I Jolter; J ay D Freiermuth; J ennifer Marino; J essica J can Rini; J essie Allen; J oe Tiernan; J ohn Cord; Kate Zanders; Mark R DeWitt; Mark Sweigart; Michelle R Gruis; Sara Huston; Sarah C Brown; S eth D Rooker; Stacy Venn; Tim McCulloh; Todd Bengford; W R Withrow their true and lawful Attorney(s)-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) cm 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 consenti ng 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 24th day of J anuary , 2023 • `,,,,,,,theet •°o •• 40•1,,0.••N ,,•`,tter OoOUGC O• AP••• .., , •• tZ • • •� • • ��/ . s T•:, 2003 •`,` o.d•, 1933 •,��o By ���/ • STATE OF IOWA 04. 44 4 4 * • ` O`'e ° • O • tf° ° ° . ° • COUNTY OF DALLAS ss. ettttttett• On this 24th day of J anuary 2023 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. k4% IA <o Kim Lee ID_, '3 Commission Number 702737 z ' `(°,' : My Commission Expires k;. i% April 14, 2024 MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY President 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, I have hereunto set my hand and affixed the seal of the Companies on this 12th day of April , 2023 . .....ttttttttt ° O°° • ••• �`,.oNqtett000 Cog). s soN...,.•••, p 0**, .!o • '•OR/.b °`� .tPQ �••9• 6 -€%�.��e��•'p e•va a�•G� �'aO. �,4J/.A. a `sia. O :x '•• 2003 go � a'' 1933 :' s ecretary :0 .y a •�•• A�10 %MO ttt .�� o• s o 0 0•° et4ttttttl,,, POA 0018 (10/22) CWIGA NT AFRO ADVAENV-01 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 2/17/2023 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 Brummel Madsen Insurance 318 Main Street Cedar Falls, IA 50613 INSURED Advanced Environmental Testing & Abatement Inc 803 Ricker Street Waterloo, IA 50703 CONTACT Cathy Wigant NAME: PHONE (A/C, No, Ext): (319) 266-2644 FAx 319 277-2429 D DR y wV ADDRESS: cathyw@brummelmadsen.com A INSURER(S) AFFORDING COVERAGE NAIC 11 INSURER A : Crum & Forster Specialty Insurance Company 44520 INSURER B : Western National Mutual Insurance Company INSURER C : INSURER D : INSURER E : INSURER F : 15377 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS IS TO CERTIFY AND NOTWITHSTANDING MAY CONDITIONS BE THAT ISSUED THE OR OF POLICIES ANY SUCH MAY REQUIREMENT, POLICIES. PERTAIN, OF INSURANCE LIMITS THE TERM INSURANCE SHOWN LISTED OR CONDII MAY BELOW AFFORDED HAVE ION HAVE BEEN OF BEEN ANY BY REDUCED THE ISSUED CONTRACT POLIC BY TO ES PAID THE OR DESCRIBED CLAIMS. INSURED OTHER DOCUMENT NAMED HEREIN ABOVE IS WITH SUBJECT FOR RESPECT THE TO ALL POLICY TO THE WHICH PERIOD TERMS, THIS INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD(MM/DD/YYYY) POLICY NUMBER POLICY EFF (MMJDD/YYYY) POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS -MADE X OCCUR EPK140885 9/13/2022 9/13/2023 DAMAGE PREMISES TO RENTED (Ea occurrence) $ 50,000 X Asbestos MED EXP (Any one person) $ 5,000 X Contractor Pollution PERSONAL & ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 5,000,000 POLICY X PRCO- LOC PRODUCTS - COMP/OP AGG $ 51000,000 X OTHER: Professional Liability TRANSPORTATION $ 1,000,000 B AUTOMOBILE LIABILITY COMBINED (Ea acciden) SINGLE LIMIT 1,000,000 $ X ANY AUTO CPP 1013320 2/28/2023 2/28/2024 BODILY INJURY (Per person) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED NON AUTOS -OWNED ONLY PROPEaccRTY ) DAMAGE $ AUTOS ONLY S A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS -MADE EFX121008 9/13/2022 9/13/2023 AGGREGATE $ 5,000,000 DED X RETENTION $ 10,000 $ B WORKERS COMPENSATION y X PER STATUTE OTH- ER AND EMPLOYERS' LIABILITY Y / N WCV 1001609 9/13/2022 9/1312023 1,000,000 ANY P RTNER E ECUTIVE E.L. EACH ACCIDENT $ IPROPRII OFF(Mandatory TOR Y N / A 1,000,000 in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION Insurance Verification of policies and coverage limits only for Advanced Environmental Testing & Abatement Inc. 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 /9 _t&4i � l (f‘tei ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD