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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 .
123 East Parker Street (former Saint Mary's Villa) (Rebid)
Total "lump sum" bid : $ 198,989.00
Total bid in written form : one hundred ninety-eight thousand, nine hundred eighty-nine dollars.
Submitting Firm : AAA Budget Environmental, Inc.
Address : 121 East Grand Street
City: Monticello State: Iowa Zip : 52310
Authorized Representative (print) Jeff Intlekofer
Authorized Representative Signature
Date: June 18, 2024 Ern/a. aaabeinc@gmail .com
Phone : 319-465-7055 Fax: 319-465-3104
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 :
X 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 X Date 6/6/24 Addenda Number _X_ Date 6/ 13/24
❑ 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-2024-06-01 P (rebid): 123 E Parker St (former Saint Mary's Villa)
Page 9 of 9
Bond Number: 2579284
Offfig
"=AIA Document A310TN - 2010
Bid Bond
CONTRACTOR: SURETY:
(Marne, legal slalus and address) (Vanle, legal status and principal place
AAA Budget Environmental Inc of business)
9 ADDITIONS AND DELETIONS:
West Bend Insurance Company The author of this document has
121 E Grand St 1900 S 18th Ave added Information needed for Its
Monticello, IA 52310-1618 West Bend, WI 53095-8796 completion. The author may also
OWNER:
(Aranre, legal slalus and address) have revised the text of the original
AIA standard form. An Additions and
Saint Marys Villa Deletions Report that notes added
2127 E 4th St Information as well as revisions to the
Waterloo, IA 50703-2627 standard form text is available from
the author and should be reviewed. A
BOND AMOUNT: $ Five Percent of the Amount Bid vertical line in the left margin of this
document indicates where the author
PROJECT: has added necessary information
(Mane, location or address, and Project number, if an)) and where the author has added to or
Davis Bacon work deleted from the original AIA text.
This document has important legal
consequences. Consultation with an
attorney is encouraged with respect
The Contractor and Surety are bound to the Owner in the amount set forth above, for the to its completion or modification.
payment of which the Contractor and Surety bind themselves, their heirs, executors,
administrators, successors and assigns, jointly and severally, as provided herein. The Any singular reference to Contractor,
conditions of this Bond are such that if the Owner accepts the bid of the Contractor within Surety, Owner or other party shall be
the time specified in the bid documents, or within such time period as may be agreed to by considered plural where applicable.
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.
Ing, AIA Document A310'" - 2010. copyright ® 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIA' Document
is protected by ILLS. Copyright law and International Treaties. Unauthorized reproduction or distribution of this AIAD Document, oranyportionofit, may 1
result In severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA
t software at 08:17:00 ET on 02/21/2024 under Order No. 4104250388 which expires on 02/2012026, and is not for resale.
User Notes: (1496601206)
Signed and sealed this 20 day of June , 2024
AAA Budget Environmental Inc
(Cor t ctor as Principal) (Seal)
�l.lyvt!l� 1CY �ll�� .Y
( Fitness) ( e) Jeff Intlekofer le President
West Bend Insurance Company
(Surety) � � (Seal)
�C:/ZCLeG�
(I 'i cess) (TttW Jame chultz , Attorney-In-Fact
Init, AIA Document A310`" — 2010. Copyright@1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This Alk" Document
Is protected by U,S. Copyright law and International Treaties. Unauthorized reproduction ordislribution of this AIA'' Document, oranyportionofit, may 2
result In severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA
i software at 08: 17:00 ET on 02/21/2024 under Order No. 4104250388 which expires on 0212012625, and is not for resale.
User Notes: (1496601206)
WESTBEND
Bond No. 2579284
POWER OF ATTORNEY
Know all men by these Presents, that West Bend Insurance Company (formerly known as West Bend Mutual Insurance Company prior to 1/112024), a
corporation having its principal office in the City of West Bend, Wisconsin does make, constitute and appoint:
James Schultz
lawful Attorney(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 band or undertaking or contract of suretyship executed under this authority shall exceed in amount the
sum of: Thirty Million Dollars ($30,000,000)
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 Insurance Company by unanimous consent resolution effective the 1st day of January 2024.
Appointment ofAttorney-In-Fact. The president or any vice president, or any other officer of West Bend Insurance Company may appoint by
written certificate Attorneys-In-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 ofany 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 berevoked,forcause, orwithout cause, byany said officer at
any time.
Any reference to West Bend Mutual Insurance Company in any Bond and all continuations thereof shall be considered a reference to West Bend
Insurance Company.
In witness whereof, West Bend 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 1st day of January 2024. ` an rrrr
s\�SURANC:
Attest 'VIAS' t!L(�t' 'L e�=O.�IIN oVO yT�;46 e
Christo her C. Z art - m O� °' Robert J. Jacques
SEAL
Secretary �N r, ,� ab President
'ice l� •. IF
!010" "0 'r NZ%
State of Wisconsin o, r rN04t t `t
County of Washington
On the 1st day of January 2024, before me personally came Robert Jacques, to me known being by duly sworn, did depose and say that he is the
President of West Bend Insurance Company, the corporation 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, s'sNN e Neo''
o t —•— c
%NI'••;AUB�I�' �2 jerporate Attorney
�OF' SGN%Nublic, Washington Co., WI
'11ount v° My Commission is Permanent
The undersigned, duly elected to the office slated below, now the incumbent in West Bend 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 20th day of June 2024
��OxPs'o'"NCct`''; Nvtt IIIA G . �1.U1 AhI�
WW2 :$° naTF. n
tm- �; SEAL = Christopher C. Zv k a
,x Secretary
- N • 7 ,
N*
IF 3or0,440,
1900 S 18th Avenue I West Bend, WI 53095 1 Phone: (800) 236-5010 1 Fax: (877) 674-2663 1 www,thesilverlining.com
A�® CERTIFICATE OF LIABILITY INSURANCE DATE/HMMID24 n
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 CONTACT
Agency Sk0 man Insurance A NAME: Eric Christensen
9 9 Y PHONE
417 1st Ave SE 319-200-1481 AX No : 319-364-7157
EMAIL
Cedar Rapids IA 52401 ADDREss: eric sko manins.com AIC
INSURERS AFFORDING COVERAGE NAIC #
INSURER A : Homeland Insurance Company of New York
INSURED AAABUDG-01 INSURER B :
AAA Budget Environmental Inc
Asbestos Inspections Testing Training Inc INSURER C :
121 E, Grand Street INSURER D :
Monticello IA 52310-1618 INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1447394044 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,
ILTR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP
INSID me POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY 793-00-04-98-0011 2/4/2024 2/4/2025 EACH OCCURRENCE $ 1 ,0000000
X CLAIMS-MADE
—1 OCCUR PREMISES (En
oDAMAGE TO cicurrence $ 50,000
MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 1 ,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000
XPRO-
POLICV JECT LOC PRODUCTS - COMP/OP AGO $ 2,000,000
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per $
er
HIRED NON-OWNED PROPERTY DAMAGE ccIdsnl) $
AUTOS ONLY AUTOS ONLY Per accident
H $
UMBRELLA LIAR OCCUR EACHOCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE $
DED I I RETENTION $ $
WORKERS COMPENSATION I PER I OTH-
AND EMPLOYERWLIABILITY YIN STATUTE I ER
ANYPROPRIETOMPARTNEWEXECUTIVE E.L. EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED? NIA
(Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $
Ifdescribe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
A Pollution Liability
billability 793-00-04-98-0011 2/4/2024 2/4/2025 2,000,000
,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached If more space is required)
Contractors Pollution Liability $2,0001000 Each Pollution Condition
Transportation Pollution Liability $1 ,000,000 Each Pollution Condition
Non-Owned Disposal Site Liability $1 ,000,000 Each Pollution Condition
CERTIFICATE HOLDER 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,
City of Waterloo
715 Mulberry St AUTHORIZED REPRESENTATIVE
Waterloo IA 50703 � n , _
1988.2016 ACORD CORPORATION, All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD