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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.
1335 Mulberry St, 724 Lincoln St, 418 Oak Av, 110 Chestnut St, 318 Bratnober St, 309 E 2nd St,
and 1103 Commercial St.
Total "lump sum" bid: $ 45,019.00
Total bid in written form: Fourty-five thousand nineteen dollars.
Submitting Firm: Site Services, Inc.
Address: 1621 E Commercial St.
City: Algona
State: Iowa Zip: 50511
Authorized Representative (print) Brent Clegg
Authorized Representative Signature gait.
Date: Sept. 23, 2024 Email: siteservicesabate@gmail.com
Phone: 515-295-6888 Fax: none
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 (60) 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-2024-09-07P: 1335 Mulberry St, 724 Lincoln St, 418 Oak Av, 110 Chestnut St, 318
Bratnober St, 309 E 2nd St, and 1103 Commercial St
Page 9 of 10
Our "not to exceed" bid price for each property is:
Property
Address
Per
Cost
Property
(bid)
Total
1335
Mulberry
Street
$ 3,300.00
724
Lincoln
Street
$ 10,560.00
418
Oak
Avenue
$
2,900.00
110
Chestnut
Street
$ 17,259.00
318
Bratnober
Street
$
1,250.00
309
E 2nd
Street
$
600.00
1103
Commercial
Street
$
9,150.00
Total
Proposed
Lump
Sum
Contract
Amount:
$ 45
019.00
RFB FOR ASBESTOS ABATEMENT SERVICES: Contract: AB-2024-09-07P: 1335 Mulberry St, 724 Lincoln St, 418 Oak Av, 110 Chestnut St, 318
Bratnober St, 309 E 2"' St, and 1 103 Commercial St
Page 10 of 10
BID BOND
ZA43263
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: 10 % of Bid Bond Amount
PROJECT:
(Name, location or address, and Project number, if any)
Abate ACM from 7 properties in Waterloo, IA
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 this23rdday of September, 2024
(Witness)
see attached Power of Attorney
(Witness)
Sit S'xvices, In4.; Spry Seal, Inc.
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(Title)
Arch Insurance -Got pa
(Surety] •e"eer
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Peter Tamtas, tgtney'in,Fact
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The Company executing this bond vouches that this document conforms to American Institute of Architects Document A310, 2010 edition
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2
NEW YORK STATE NOTARY ACKNOWLEDGMENT
THE STATE OF NEW YORK
COUNTY OF CORTLAND
On the 9/23/2024 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 )tdi y Public, State of New York
No. 01 VVEG011309
Ounlilied in Cortland County
`,'r fnrnrission Expires Aug 3, 20 c-R,
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(Seal)
Page 1 of 1
10409
This P,on;er of A;lorney li►►rits 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 M. 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 ($150,000,000.00).
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
frilly 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 are 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 Secretary, 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, sealed and certified with respect to any bond or undertaking to which it is attached, shall continue to be valid and binding upon the
Company. In Testimony Whereof, the Company has caused this instniment to be signed and its corporate seal to be affixed by their authorized officers, this 6th day of
July, 2023.
Attested and Certified
Regan%. Shulman, Secretary
STATE OF PENNSYLVANIA SS
COUNTY OF PHILADELPHIA SS
Arch Insurance Company„Ay,
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
are 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
purposes 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 further 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 this23rd day of septambar ,
20 24
Commot► realth of . risy Ea . Notary St:*
MMCH TRIP001, gamy Public:
Phiietial 6a County
Aty Cammlts q cii m 31, 2025
C ..... Plumbic _
Mich Zrle'Iipodi, Notar}(1'ublic
My commission expires 07/31/2025
r ,(2)tra
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 , • • • • • • •
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To verify the authenticity of this Power of Attorney, please contact Arch Insurance C-empany ctiSuretyAuthentixt@arc-hinsurance.com
Please refer to the above named Attorney -In -Fact and the details of tliefiond to which het poi attached.
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AICPOA040120 Printed in U.S.A.
Subscribed an8Wrn to before me, this,, I day of
Notary Publid-
BARBARA A. LEE
Commission # 50107758
Notary Public, State of New Jersey
My Commission Expires
June 27, 2024
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:
eawasosor;..-;51 it
Executive Vice President, Chief
Financial Officer and Treasurer
State of New Jersey )
SS
County of Hudson )
$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
Attest: Ear. C_
Executive Vice President,
General Counsel and Secretary
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.
or) L