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HomeMy WebLinkAboutAdvanced Environmental \ �/ \ ( £ § � \ & �° � � : . ) . a � \ \ � J Ul zo ( ƒ / ( \ 2 \ ( � ` > ) » ] 04 ] c §m / / , §IQ ) / \ � { w m } Lq � § 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 . 212 Sunnyside Avenue and 1318 Martin Road . Total "lump sum" bid : $ 12 , 3aa ' ac Total bid in written form : Submitting Firm : fir- . Address : So f� P.Vc�<`/Z 5T . City : (j�jA ii.( USb State : TA Zip : soja ? Authorized Representative (print) Authorized Representative Signature Date : a -7 ) 'Z`7 1 2 '_, Email : M I C-FALL L a PO LZ ADVAAKt9JMivWt:Sr . �fdrj Phone : '3 H9 237 •t q\47 Fax : 3 q - 2-Q� 7 r 41 4WI 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 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 —Nb Date Addenda Number Date ❑ We choose not to bid at this time but Would like to be considered for future requests for bid RPB FOR ASBESTOS ABATEMENT SERVICES : Contract: AB-2023-07-02P: 212 Sunnyside Avemic and 1318 Martin Road Page 9 of 10 Our " not to exceed " bid price for each property is : 212 Sunnyside Avenue � aa , bo 1318 Martin Road $ C30 Total REB FOR ASBESTOS ABATEMENT SERVICES: Contract: AB-2023-07-02P: 212 Sunnyside Avenue and 1318 Marlin Road Page 10 of 10 -� ADVAENV-01 CWIGANT CERTIFICATE OF LIABILITY INSURANCE DATE (MMMoz3YY) 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 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 Ca JACT Cathy Wigant Brummel Madsen Insurance IacoNN, EaU: (319) 266-2644 jac, No):(319) 277-2429 318 Main Street Cedar Falls, IA 50613 E eDAILESS, cathyw@brummelmadsen.eom INSURER B AFFORDING COVERAGE NAIC a INSURER A : Crum & Forster Specialty Insurance Company 44520 INSURED INSURER 8 : Western National Mutual Insurance Company 15377 Advanced Environmental Testing & Abatement Inc INSURER C : 803 Ricker Street INSURER D Waterloo, IA 50703 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 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 TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS L N D WVO MMIDO (MMIDDffMI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 21000'000 CLAIMS-MADE OCCUR EPK140885 9113/2022 9/13/2023 PREMISESERENTED cccc $ 50'000 X Asbestos MED EXP (Any oneperson) $ 5'000 X Contractor Pollution PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT- APPLIES PER: GENERAL AGGREGATE $ 5'0003000 POLICY [X ] %&- [::] LOC PRODUCTS - COMP/OPAGG $ 51000'000 X OTHER: Professional Liability TRANSPORTATION $ 1 ,0003000 B AUTOMOBILE LIABILITY CO eBI tlED SINGLE LIMIT $ 1000,000 X ANY AUTO CPP 1013320 2125/2023 212812024 BODILY INJURY Per arson $ OWNED SCHEDULED AUTOS ONLY AUTOS SSWN BODILY INJURY Per accident $ ACT OE ONLY ARTOS ONLY PBEacri nt AMADE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5'000'000 EXCESS LIAB CLAIMS-MADE EFX121008 9/1312022 9/13/2023 AGGREGATE $ 5'0003000 DED I X I RETENTION $ 10,000 $ B WORKERS COMPENSATION X PER E OTH- ANDEMPLOYERS' LIABILITY YIN CV 1001609 9/1312022 9/13/2023 110003000 OFFICERIMEMBER EXCLUDED?ECUTIVE NIA E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 1 '000'000 If yes, describe under 13000A00 DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, maybe attached if more apace is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE InInsurance Verification THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN InACCORDANCE WITH THE POLICY PROVISIONS. of policies and coverage limits only for Advanced Environmental Testing & Abatement Inc. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Document A310TM - 2010 Conforms with The American institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Nr a re, legal .erains and adet ecs) (,mane, legal strHns andlninclpal place rjhwhicss) Advanced Environmental Testing and Abatement, Inc. Merchants Bonding Company (Mutual) 803 Ricker Street P.O. Box 14498 This document has Important Waterloo, IA 50703 Des Moines, IA 50306.3498 legal consequences. Consultation vath an attorney Is encouraged Will respect to Its completion or OWNER : modification. (Name, legal status and adfross) Any singular reference to City of Waterloo Contractor, Surely, Owner or 715 Mulberry Street other party shall be considered rY plural where applicable. Waterloo, IA 50703 BOND AMOUNT: $ Five Percent of the Total Amount Bid (5%) PROJECT: (Nanta, location or address, andProjeclnumben; {(arm) Asbestos Abatement, City of Waterloo, 212 Sunnyside Ave 81318 Rd, Waterloo, Iowa The Contractor and Surety are bound to ilia Owner in file amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and ossigns, jointly and severally, as provided herein. The conditions of this Bond aro such that if the Owner accepts the bid of the Contractor within ilia time specified in the bid documents, or within such time period astray be agreed to by the Owner and Contractor, and the Contractor either ( 1 ) enters into a contract with the Owner in accordance with the tonns of such bid, and gives such bond or bonds ns may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Protect and othenviso acceptable to ilia Owner, for ilia faithful performance of such Contract and for the prompt payment of labor and material furnished in ilia prosecution thereof,, or (2) pays to the Owner the difterenec, not to exceed 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 perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full lorce and eflecf . The Surely hereby waives tiny notice ul'an agreement between the Owner and Contractor to extend the time in which the Owner may accept ilia bid. Waiver ut notice by the Surely shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time liar acceptance of bids speci lied in the bid doeunwnts; and tie Owner and Contactor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcoutmetor's bid to a Contractor, the temp Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be doomed to be Contractor. When this Band has been liunislnad to comply with a statutory orolherlegal requirement in the locution ol'tne Project, any provision in this Bund conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions cendomning to such slatulory or other legal requirement shall be deemed incogarafed herein. When so furnished, the intern is that this Band shall be construed as it statutory bond and not as a common law bund. Sieved and scaled this lith day of July, 2023 Advanced Environmental Testing and Abatement, Inc. !Principal) l (Seat) Merchants Bonding Company (Mutual) 1 (Seal . . . . , . 69 -- opPOcnMeve '• ! noes) Bailey each .--.,� 0� " a R4f:* _ ._.=:%nom'"..,:..__ i _p_ p •i3 � : i (Tille Jessie Ag JlaA tome • ° �93s ` �' { J Y imFact � .... neer MERCHANT BONDING COMPANYT„ 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, d/b/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 Delmedy; Cameron M Burl; Cindy Bennet; C raig E Hansen; D Gregory Sfitts; Dione R Young; Donald E Appleby; Douglas Muth; Ginger Hoke; Grace Rasmussen; Greg Krier, J ames A Holter, J ay D Freiermuth; J ennifer Marino; J essica J can Rini; J essie Allen; J oe Tieman; I ohn Cord; Kate Zanders; Mark R DeWitt; Mark Sweigart Michelle R Gruis; Sara Huston; Sarah C Brown; Seth D Rooker; Stacy Venn; Tim McCulloh; Todd Bengford; W R Withrow their true and lawful Attorney(s)-in-Fact, to sign its name as surely(les) 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 24th day of 1 anuary , 2023 �Pt0 MERCHANTS BONDING COMPANY (MUTUAL ) l Nq4 to : �OV0 CQ�. MERCHANTS NATIONAL BONDING, INC . hy,,40(LPog40Xos '4 :ySto 4 Q0 POgA�9y�� d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY VA .z • Z �`•., 2003 ;•,sig � y1. 1933 •;ti . BY t. d' ' : Q ' •0004 .. . ..060 � ,. •:VQ4j . . . . •�1�� President STATE OF IOWA {l' „ , COUNTY OF DALLAS ss. #18 ' SSto is On this 24th day of 1 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 seats 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. Kim Lee ' CommissionissionE702737 My Commission Expires , `i Ap it 143 2024 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 11th day of July , 2023 . :•i1Po•,p'OA� SOF' :� Of 0��\PPO lio �6 A 6 Fiy o"� Rqr. oZ, , m:�0 9A� y� OF 0 = 4 •, 2003 to oy' ,it 41 000000 1933 :•ti : Secretary so 0 POA 0018 ( 10/22) '