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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.
708 W. 3rd St, 324-326 W. 7th St, 617 W. 1st St, 200 E. Mullan Av, and 1202 Sycamore St (City
owned properties), as well as 100 Commercial St, 118 Sycamore St, and 128 Sycamore St (WDC
owned properties).
Total "lump sum" bid: $ Zl4 CoP7b. "
Total bid in written form'Ii�o 4- o&tn
aJ1 J� ,rr �t� -ivN y� i� 1r .� eo f
Submitting Firm: `l i-= . k»
Address: Co 2-\ �. Colv`^ N" + ..
cairt
City: A-t-C.,•cy.--st AN
Authorized Representative (print)
Authorized Representative Signature
State: t.IN- Zip: Gc�
idfigApi
Date: ,,. ._A Email// �r� t �ex� itGe� a�z.-�e_e- cv�a-A`. Caw`..
Phone: l - 2l k; — O7f2E'� Fax:
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 Date MtA►t-\ Z° 2-A Addenda Number 12) Date mi 2k ZZ-A
A representative of my company attended the Mandatory Walk Thru:
vet-L-�L--�,
Representative Name
[—I 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-2024I-05-08P
Page 9 of 10
O u r "not to exceed" bid price for each property is:
Property
Address
(City
owned
properties)
Per
Property
Cost
(bid)
Total
708W3rdSt
$
1(0, 3�D
,‘c'26)
324-326 W 7th
St
$
617
w :1st
St
$
200
E Mullan
Av
$
1202
Sycamore
St
$
b
(t S2��b
Property
Address
(WDC
owned
properties)
100
Commercial
St
$
C,00O .
118
Sycamore
St
$
\ c-,043 c--=E-.
S., 1
128 Sycamore
St
$
Total
Proposed
Lump
Sum
Contract
Amount:
$
24#
( ?7<.
1
RFB FOR ASBESTOS ABATEMENT SERVICES: Contract: AB-2024 05-08P
Page 10 of 10
t ,
BID BOND
ZA43182
CONTRACTOR: SURETY:
(Name, legal status and address) (Name, legal status and principal place of business)
Site Services, Inc.; Spray Seal, Inc. Arch Insurance Company
1621 East Commercial Street Jersey City, NJ
Algona, IA 50511
OWNER:
(Name, legal status and address)
City of Waterloo
715 Mulberry St
Waterloo, IA 50703
BOND AMOUNT: 5 % of Bid Bond Amount
PROJECT:
(Name, location or address, and Project number, if any)
Abate ACM from 7 different properties in City of Waterloo RFB Asbestos Abatement Services
Contract AB-2024-05-08P
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which 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 such bond or bonds as may be specified in the bidding or Contract Documents,
with a surety admitted in the jurisdiction of the Project and otherwise 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 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 force
and effect. The Surety hereby waives any notice of 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 not apply to any extension
exceeding sixty (60) days in the aggregate beyond the time for 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 term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the
Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted
herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated
herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common
law bond.
The Company executing this bond vouches that this document conforms to American Institute of Architects Document A310, 2010 edition
1
Signed and sealed this 1 5thday of May , 2024
Site Seres, Inca Spr y Seal, Inc.
(Contractor a
(Witness) (Title)
see attached Power of Attorney
(Witness)
Principal (Seal)
0 Pita(
Arch Insurance Company
(Surety)
(Title) Peter
(Seal)
ttQrney- ill. Fact
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The Company executing this bond vouches that this document conforms to American Institute of Architects Document A310, 2010 edition
•
2
NEW YORK STATE NOTARY ACKNOWLEDGMENT
THE STATE OF NEW YORK
COUNTY OF CORTLAND
On the 5/15/2024 before me, the undersigned, personally appeared Peter Tam
personally known to me or proved to me on the basis of satisfactory evidence to
be the individual(s) whose name(s) is (are) subscribed to the within instrument and
acknowledged to me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the instrument, the
individual(s), or the person upon behalf of which the individual(s) acted, executed
the instrument.
Notary Public Signature
Print: Sarah E. West
Title or Office: Notary
My commission expires: August 3, 2026
Sarah E. West
N, tol y Public, State of New York
No. 01 WE6011 309
Ounlrlied in Cortland County
Th,nrrrrission ExpiresAug 3, 20 cR&
(Seal)
ri
Page 1 of 1
10409
'This Poivi'r of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.
Not valid for Note, Loan, Letter of Credit, Currency Rate, Interest Rate or Residential Value Guarantees.
POWER OF ATTORNEY
Know All Persons By These Presents:
That the Arch Insurance Company, a corporation organized and existing under the laws of the State of Missouri, having its principal administrative office in Jersey City,
New Jersey (hereinafter referred to as the "Company") does hereby appoint:
Anne NI. Barber, Daniel McNeil III, David Byrne, Olga Garza, Pauline Perlongo, Peter Tam and William A. Ballay of Orland Park, IL (EACH)
its true and lawful Attorney(s)in-Fact, to make, execute, seal, and deliver from the date of issuance of this power for and on its behalf as surety, and as its act and deed:
Any and all bonds, undertakings, recognizances and other surety obligations, in the penal sum not exceeding One Hundred Fifty Million Dollars (S150,000,000.00).
This authority does not permit the same obligation to be split into two or more bonds In order to bring each such bond within the dollar limit of authority as set forth
herein.
The execution of such bonds, undertakings, recognizances and other surety obligations in pursuance of these presents shall be as binding upon the said Company as
fully and amply to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal administrative
office in Jersey City, New Jersey.
This Power of Attorney is executed by authority of resolutions adopted by unanimous consent of the Board of Directors of the Company on August 31, 2022, true and
accurate copies of which arc hereinafter set forth and are hereby certified to by the undersigned Secretary as being in full force and effect:
"VOTED, That the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business Division, or their
appointees designated in writing and filed with the Secretaiy, or the Secretary shall have the power and authority to appoint agents and attorneys -in -fact, and to
authorize them subject to the limitations set forth in their respective powers of attorney, to execute on behalf of the Company, and attach the seal of the Company
thereto, bonds, undertakings, recognizances and other surety obligations obligatory in the nature thereof, and any such officers of the Company may appoint agents for
acceptance of process."
This Power of Attorney is signed, sealed and certified by facsimile under and by authority of the following resolution adopted by the unanimous consent of the Board of
Directors of the Company on August 31, 2022:
VOTED, That the signature of the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business
Division, or their appointees designated in writing and filed with the Secretary, and the signature of the Secretary, the seal of the Company, and certifications by the
Secretary, may be affixed by facsimile on any power of attorney or bond executed pursuant to the resolution adopted by the Board of Directors on August 31, 2022, and
any such power so executed, scaled and certified with respect to any bond of undertaking to which it is attached, shall continue to be valid and binding upon the
Company. In Testimony Whereof, the Company has caused this instrument to be signed and its corporate seal to be affixed by their authorized officers, this 6'h day of
July, 2023.
Attested and Certified
,cite-%,
Regan `i . Shulman, Secretaiy
STATE OF PENNSYLVANIA SS
COUNTY OF PHILADELPHIA SS
Arch Insurance Company
Stephen C. Ruschak, Executive Vice President
I, Michele Tripodi, a Notary Public, do hereby certify that Regan A. Shulman and Stephen C. Ruschak personally known to me to be the same persons whose names
arc respectively as Secretary and Executive Vice President of the Arch Insurance Company, a Corporation organized and existing under the laws of the State of
Missouri, subscribed to the foregoing instrument, appeared before me this day in person and severally acknowledged that they being thereunto duly authorized signed,
sealed with the corporate seal and delivered the said instrument as the free and voluntary act of said corporation and as their own free and voluntary acts for the uses and
pw1>oses therein set forth.
CERTIFICATION
I, Regan A. Shulman, Secretary of the Arch Insurance Company, do hereby certify that the attached Power of Attorney dated July 6, 2023, on behalf of the person(s)
as listed above is a true and correct copy and that the same has been in full force and effect since the date thereof and is in full force and effect on the date of this
certificate; and I do fiuther certify that the said Stephen C. Ruschak, who executed the Power of Attorney as Executive Vice President, was on the date of execution of
the attached Power of Attorney the duly elected Executive Vice President of the Arch Insurance Company.
iN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the Arch Insurance Company on thisl5thday of May
2024
CoMroonweaW►of Fermi/Wade • lloiesy Scal
• MICHEI.E TRWWODP, notary Public
Pbita &Ohia county
MyCommission ExpirOs Aily 3112025
Con►miiliwt lumbar f idb;
MichMepodi, Notar}(l'ublic
My commission expires 07/31/2025
Regafi A. Shulman, Secretary
This Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein and they have no authority to bind the Company
except in the manner and to the extent herein stated.
PLEASE SEND ALL CLAIM INQUIRIES RELATING TO THIS BOND TO THE FOLLOWING ADDRESS:
Arch Insurance — Surety Division
3 Parkway, Suite 1500
Philadelphia, PA 19102
Cicl MAIM
SEAL
1971
Missouri
To verify the authenticityof this Power of Attorney, please contact Arch Insurance Company at SuretyAuthentic@arc iinsurance.com
Please refer to the above named Attorney -in -Fact and the details of the bond to which the power is attached.
AICPOA040120 Printed in U.S.A.
ARCH INSURANCE COMPANY
STATEMENT OF FINANCIAL CONDITION
DECEMBER 31, 2023
Assets
Cash & Cash Equivalents in Banks
Bonds owned
Stocks
Premiums in course of collection
Accrued interest and other assets
Total Assets
Liabilities
Reserve for losses and adjustment expenses
Reserve for unearned premiums
Ceded reinsurance premiums payable
Amounts withheld or retained by company for account of others
Reserve for taxes, expenses and other liabilities
Total Liabilities
Surplus as regards policyholders
Total Surplus and Liabilities
By:
Attest: Ea),
$328,130,777
6,481,021,338
813,423,103
945, 968, 974
1,398,321,681
$ 9,966,865,873
$3,580,722,897
1,770,436,315
1,021,006,333
165,467,758
986, 839, 682
$7,524,472,985
2,442,392,888
$9, 966, 865, 873
Executive Vice President, Chief Execut ve Vice President,
Financial Officer and Treasurer General Counsel and Secretary
State of New Jersey )
SS
County of Hudson )
Thomas James Ahern, Executive Vice President, Chief Financial Officer and Treasurer and
Regan Shulman, Executive Vice President, General Counsel and Secretary being duly sworn,
of ARCH INSURANCE COMPANY, Missouri; and that the foregoing is a true and correct
statement of financial condition of said company, as of December 31, 2023.
Subscribed an9,8W rn to before me, this,, day of An
�`�z
BARBARA A. LEE
Commission # 50107758
Notary Public, State of New Jersey
My Commission Expires
June 27, 2024
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