HomeMy WebLinkAboutChyma's Machine and Welding Shop, Inc.-7/11/2016-FY16 Lower Plaza FencingFORM OF CONTRACT
CONTRACT FOR THE CONSTRUCTION OF
F.Y. 2016 LOWER PLAZA FENCING PROJECT
CITY OF WATERLOO, IOWA
CONTRACT NO. 915
I a�1
This contract made and entered into this l -T day of C l,� 20L by and
between the City of Waterloo, Iowa, a Municipal Corporation, (hereinafter referred to
as City), and CHYMA'S MACHINE AND WELDING SHOP. INC. of Toledo, Iowa,
(hereinafter referred to as Contractor), WITNESSETH:
PAR. 1 Contractor agrees to build and construct the FY 2016 LOWER PLAZA
FENCING PROJECT, CONTRACT NO. 915 and furnish all necessary
tools, equipment, materials, and labor necessary to do all the work called
for in the plans and specifications in a workmanshiplike manner and for the
prices set forth in Contractor's proposal, which was accepted by the City,
and which is understood and agreed to be a part of this contract.
PAR. 2 It is understood and agreed that the resolution adopted by the City Council
ordering the construction of the improvement, the Notice to Contractors as
published, the Instruction to Bidders, the Form of Proposal, the
Construction and Maintenance Bonds, the Council Proceedings relating to
this matter, and the Plans and Specifications shall all be considered as
forming a part of the contract the same as though they were each set out in
said contract.
PAR.3 The Contractor agrees to furnish at its own cost and expense, all
necessary materials and labor for said work and to construct said
improvements in a thorough, substantial, and workmanlike manner, and in
strict accordance with the requirements of this contract, and of the plans
and specifications made a part hereof by reference, and to the satisfaction
and approval of the City and its engineer.
PAR. 4 The Contractor agrees to perform said work and install said improvements
on the terms set out in bid or proposal to the City which has been accepted
by the City and which is by reference made a part of this contract.
FORM OF CONTRACT PAGE 1 OF 5 PAGES
PAR. 5
PAR. 6
PAR. 7
PAR. 8
PAR. 9
PAR. 10
The Contractor agrees to commence saicl work within ten (10) working
days after receipt of Notice to Proceed" and alt items shall be completed
on or before October 30, 2016.
Should the Contractor fail to complete said improvements in strict
accordance with the terms and conditions of this contract, or the plans and
specifications therefor promptly by the date herein specified, the City may
pay such additional sums as it may be required to pay by reason of the
failure of said contractor and deduct any and all such sums from any
amount then due the Contractor.
The Contractor agrees to comply with and obey alt ordinances of the City
of Waterloo, Iowa, relating to the obstruction of streets and alteys, keeping
open passage ways for water, traffic, and protecting any excavations in any
street or alley, and maintaining proper and sufficient barricades with Iights
and signals during alt hours of darkness, to see that the backfilling is
properly done, and agrees to keep the City whote and defend any and all
suits that may be brought against the City by reason of any injuries that
may be sustained by any person or property allegedly caused by the
Contractor, or his agents, while work is done pursuant to this agreement.
The Contractor agrees that in the event a law suit is brought against the
City for damages allegedly sustained by reason of any act, omission or
negligence of the Contractor or its agents, or on account of any injuries
allegedty sustained by reason of any obstruction, hole, depression or
barrier placed or dug by the defendant or its agents, in the doing of the
work herein contracted for, that it will defend said suit and save the City
harmless therein, and in case judgment is rendered against the City, the
Contractor agrees to pay the same promptly. The Contractor agrees to
carry public Iiability insurance in a sotvent company in a sufficient amount
to protect the City and those who use the streets of the City.
The City shall have the right to appoint one or more construction reviewers
who shall review the progress of the work in detail; also, to make any test
or any material to be used in such work. No material shati be used in any
work until the same has first been approved by the construction reviewer.
Such construction reviewer shall have full authority to pass judgment upon
all materials and upon the manner of doing the work, and their judgment on
rejecting any materiats, substance, or manner of work shall be final unless
it is revoked or modified by the City Engineer.
Any material, which has been rejected by the construction reviewer, shall
be at once removed from the line of work and shall not be again taken
thereon or placed with the material proposed to be used without the written
consent of the City Engineer.
FORM OF CONTRACT PAGE 2 OF 5 PAGES
PAR. 11
PAR. 12
PAR. 13
PAR. 14
PAR. 15
PAR. 16
The Contractor shall maintain no cause of action against the City on
account of detays and prosecution of work, but if said work is delayed by
the City, the Contractor shall have such extra time for completion of the job
as was lost by reason of the delay caused by the City.
The Contractor agrees to pay punctually alt just claims of labor, materiat,
men, or subcontractors who shall perform labor or furnish materials
entering into this improvement. It is agreed that the City need not pay the
Contractor until all such claims are paid by the Contractor. It is agreed that
the City shall not be liabte for said labor, material, or men under this
coritract.
The Contractor agrees to furnish the City, simultaneousty with this contract,
a bond on a form to be provided by the City in the amount provided by Iaw
as stated in the Notice to Bidders, which shalt be for the beneflt of the City,
and any and all persans injured by the breach of any of the terms of this
contract. Said bond shall be fiied with the City Cterk and shall be subject to
the approval of the City Council, and is by reference made a part of this
contract.
The Contractor agrees that should it abandon work under this contract or
cease the prosecution thereof for a period of thirty (30) consecutive days
without reasonabte cause, and should it fait to proceed with said work
within ten (10) days after a notice to continue or carry it on has been mailed
to it at the address given herein by the City, or after such notice has been
served on it, then the City may proceed to comptete said work, using any
material, tools, or machinery found atong said line of work, doing the work
either by contract or as it may elect, and the Contractor and the sureties on
its bond shalt be Iiable to the City for the costs and expenses so paid out.
Said costs shall be retained by the City from any compensation due, or to
become due the Contractor, and may be recovered by the City in an action
upon Contractor's bond.
In consideration of the full compliance on the part of the Contractor with ati
the provisions, stipulations, and conditions hereof, or contained in the
various instruments made a part of this contract by reference, and upon
completion and acceptance of said work, the City agrees to pay to the
Contractor, in the manner set out in the Notice to Contractors, the amount
of money due the Contractor for work performed and accepted, at the unit
prices set out in the Contractor's proposat, which has been accepted by the
City.
The total amount of the contract, based on the Engineer's estimates of
quantities and the Contractor's unit bid prices, and for which 100% surety
bond is required is $28,384.26
FORM OF CONTRACT PAGE 3 OF 5 PAGES
PAR. 17
PAR. 18
PAR. 19
PAR. 20
PAR. 21
After the completion of said work, the Contractor agrees to remove all
debris and clean up said streets, and to save the City harmless from any
damage allegedly resulting from a failure to clean up and remove the
debris or put the street back in a proper condition for travel.
This contract is not divisibte, but in the event of a conflict between this
contract and the various instruments incorporated by reference, this
contract shall govern.
Before the Contractor shalt be entitled to receive final payment for work
done under this contract, it shall execute and file a bond in the penal sum
of not Iess than 100% of the totat amount of the contract, same to be
known as 'Maintenance Bond," and which bond must be approved by the
City Council, and which bond is in addition to the bond given by the
Contractor to guarantee the completion of the work.
The Contractor shall maintain all work done hereunder in good order for
the period of two (2) years from and after the date it is accepted by the
Councit of the City of Waterloo, Iowa. Said maintenance shall be made
without expense to the City or the abutting property. In the event of the
faHure or default of the Contractor to remedy any or alt defects appearing in
said work within a period of two (2) years from the date of its acceptance
by said Council, and after having been given ten (10) days notice so to do
by registered !etter deposited in the United States Post Offlce in said town,
addressed to said contractor at the address herein given, then the City may
proceed to remedy such defects. The costs and expenses thereof to be
recovered from the Contractor and the sureties on its maintenance bond by
an action brought in any court of competent jurisdiction.
The Contractor shall give notice to said City by registered tetter directed to
the Mayor or City ClerklAuditor thereof not more than four (4) and not Iess
than three (3) months prior to the expiration of the term during which the
Contractor is required to maintain said improvements, in good repair by the
terms of its Contract. The Iiability of the Contractor and of the sureties on
its bond for maintenance of the said improvements shall continue untH
three (3) months after such notice has been given to the City, and, in any
event, until twa (2) years after the acceptance of the work.
FORM OF CONTRACT PAGE 4 OF 5 PAGES
CITY OF WATERLOO, IOWA
Mayor
Ci y Clerk
BY:�i��./�
Title: CCLIJhA
Approved by the City Council of the City of Waterloo, Iowa, this day of
\T 2014.
ATTEST: , City Clerk
Waterloo, Iowa
FORM OF CONTRACT PAGE 5 OF 5 PAGES
Duplicate Original (3)
Bond No. SLTR31000166
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
That we, Chyma's Machine and Welding Shop, Inc. of 206 2nd Ave, Toledo, IA 52342
(the "Principal"), and Itonshore Indemnity Inc. of PO Box 3407,
New York, NY 10008 (the "Surety"), are held and firmly bound unto the City of
Waterloo, Iowa (the "Obligee"), in the penal sum of Twenty Eight Thousand Three Hundred Eighty
Four & 26/100 ----------- Dollars ($ 28,384.26 ), lawful money of the United
States, for the payment of said sum in connection with a contract (the "Contract') dated on
or about -)U ff A l t1 2 _,1 l< for the purpose of FY 2016 Lower Plaza Fencing
Proiect. Contract No. 915 Waterloo lA . The Contract is
incorporated herein by reference as though fully set forth herein
Whenever the Principal shall be and is declared by the Obligee to be in default under the
Contract, with the Obligee having performed its obligations in the Contract, then the
Surety, acknowledging that time is of the essence, may promptly remedy the default, or
shall promptly undertake to:
1. Complete the Contract in accordance with its terms and conditions; or
2. Obtain one or more bids for completing the Contract in accordance with its
terms and conditions, and upon determination by the Surety of the lowest
responsible bidder, or negotiated proposal, or, if the Obligee elects, upon
determination by the Obligee and the Surety jointly of the lowest responsible
bidder, or negotiated proposal, arrange for a contract between such party
and the Obligee. The Surety will make available as work progresses
sufficient funds to pay the cost of completion less the balance of the
Contract price. The cost of completion includes responsibilities of the
Principal for correction of defective work and completion of the Contract, the
Obligee's legal and design professional costs resulting directly from the
Principal's default, and liquidated damages or actual damages if no
liquidated damages are specified in the Contract. The term "balance of the
Contract price" means the total amount payable by the Obligee to the
Principal under the Contract and any amendments thereto, less the amount
properly paid by the Obligee to the Principal; or
3. Determine the amount for which it is liable to the Obligee and pay the
Obligee that amount as soon as practicable.
In the event this bond is enforced, Principal and Surety agree to indemnify Obligee and
hold Obligee harmless from and against any and all costs of enforcement, including but
not limited to reasonable attorneys' fees and expenses.
Every Surety on this bond shall be deemed and held, any contract to the contrary
notwithstanding, to consent to each and all of the following matters, without notice:
Performance Bond Page 1 of 2
1. To any extension of time to the Contract in which to perform the Contract.
2. To any change in the plans, specifications, or Contract when such change
does not involve an increase of more than twenty percent (20%) of the total
Contract price, and shall then be released only as to such excess increase.
3. That no provision of this bond or of any other contract shall be valid which
limits to less than one (1) year from the time of the acceptance of the work
the right to sue on this bond for defect in workmanship or material not
discovered or known to the Obligee at the time such work was accepted.
If the Principal performs the Contract, then this bond shall be null and void; otherwise it
shall remain in full force and effect. In no event shall the Surety's total obligation exceed
the penal amount of this bond.
Terms used herein shall include, as appropriate, the singular or plural number, or the
masculine, feminine or neuter gender.
IN WITNESS WHEREOF, the undersigned Principal and Surety have executed this
Performance Bond as of
PRINCIPAL
Chyma's Machine and Welding Shop, Inc.
Name
By:
Title: W- Noh✓
SURETY
Ironshore Indemnity Inc.
Name
Title: Ronald L. Kaihoi, Attorney -in -Fact
[attach Power of Attorney]
SEAL
1919
NOTE: Date of BOND must not be prior to date of Contract.
If CONTRACTOR is Partnership, all partners should execute BOND.
If this project includes Federal Funds, the following applies to the payment bond:
IMPORTANT: Surety companies executing bonds must appear on the Treasury
Department's most current list (Circular 570 as amended) and be authorized to transact
business in the State where the project is located.
Performance Bond Page 2 of 2
Bond No. SUR31000166
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS: that
Chyma's Machine and Welding Shop, Inc.
(Name of Contractor)
206 2nd Ave, Toledo, IA 52342
(Address of Contractor)
a corporationhereinafter called Principal, -
(Corporation, Partnership or Individual)
and, Ironshore Indemnity Inc.
(Name of Surety)
PO Box 3407, New York, NY 10008
(Address of Surety)
hereinafter called Surety, are held and firmly bound unto
of Waterloo
715 Mulberry Street, Waterloo, IA 50703
(Address of Owner)
hereinafter called OWNER, In the penal SUM of Twenty Eight Thousand*Dollars,( 28,384.26
*Three Hundred Eighty Four & 26/100
in lawful money of the United States, for the payment of which sum well and truly to be made,
we bind ourselves, successors, and assigns, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION is s4Rh that whereas, the Principal entered into a
certain contract with the OWNER, dated the 11 day of ,i v
20 tlo , a copy of which is hereto attached and made a part hereof for the construction of:
FY 2016 Lower Plaza Fencing, Contract No. 915, Waterloo, IA
NOW, THEREFORE, if the Principal shall promptly make payment to all persons, firms,
SUBCONTRACTORS, and corporations furnishing materials for or performing labor in the
prosecution of the WORK provided for in such contract, and any authorized extension or
modification thereof, including all amounts due for materials, lubricants, oil, gasoline, coal and
coke, repairs on machinery, equipment and tools, consumed or used in connection with the
construction of such WORK, and all insurance premiums on said WORK, and for all labor,
performed in such WORK whether by SUBCONTRACTOR or otherwise, then this obligation
shall be void; otherwise to remain in full force and effect.
PROVIDED, FURTHER, that the said Surety for value received hereby stipulates and agrees
that no change, extension of time, alteration or addition to the terms of the contract or to the
WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall
in any wise affect its obligation on this BOND, and it does hereby waive notice of any such
change, extension of time, alteration or addition to the terms of the contract or to the WORK
or to the SPECIFICATIONS.
PROVIDED, FURTHER, that no final settlement between the OWNER and the
CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be
unsatisfied.
IN WITNESS HEREOF, this instrument is executed in 3 counterparts, each one of
(number)
which shall be deemed an original, this the day of J-�-
20 (� .
ATTEST:
C' /O.,e cA� ,
�P (Principal) retary
(SEAL)
Chymas Machine and Welding Shop, Inc.
Principal
By e(S)
206 2nd Ave
(Address)
Toledo, IA 52342
i�itness as toPrincipal � l
Id� wj , (Ado l,P
j
Tronshore Indemnity Inc
Surety
ATTEST: By Z ,
Attorney -in -Fact Ronald L. Kaihoi
cc/o ACCRA Surety & Insurance Services, LLC (Agent)
Witness as to Surety Cal Anderson (Address)
3246 E Hwy 7, Ste 150 PO Box 506, Montevideo, MN 56265 ����\\\� 1NIIsllllll ���
(Address) Ph: 320-269-8546 r�
Montevideo, MN 56265
NOTE: Date of BOND must not be prior to date of Contract.
If CONTRACTOR is Partnership, all partners should execute BOND.
SEAL
1919
If this project Includes Federal Funds, -the following applies to the payment bond:
IMPORTANT: Surety companies executing bonds must appear on the Treasury
Department's most current list (Circular 570 as amended) and be authorized to transact
business in the State where the project is located.
ACKNOWLEDGMENT OF PRINCIPAL (Individual)
State of
County of
On this day of in the year before me
personally comes ,
to me known and known to me to be the pers ho is described in and executed the foregoing instrument, and
acknowledges to me that he/she exec the same.
Notary Public
ACKNOWLEDGMENT OF PRINCIPAL (Partnership)
State of
County of
On this day of , in the year before me
personally come(s)
a member of the co -partnership of
to me known and known to me to bet erson who is described in and executed the foregoing instrument, and
acknowledges to me that he/she e ecuted the same as the act and deed of the said co -partnership.
Notary Public
ACKNOWLEDGMENT OF PRINCIPAL (Corporation/LLC)
State of 1owA
County of'TAmA,
On this SLS day of 3 "i , in the year ?QUo , before me personally come(s)
ChAt s NNW, W, to me known, who being duly swom, deposes and says that
he/she resides in the City of "rtN" that he/she is the Co - Ow NC -L of the
Ch yMA S MAGA IN(- Ams sidoe , )r -C. , the corporation described in and
which executed the foregoing instrument, and that he/she signed his/her name thereto by like order.
<1�pJAl,G. JERIMI KOPSA
<'F Commission Number 753451
* * MY OMMISSICNEXPIRE5
27 — LDD SILL,,
Not Public
III- 31000166
Ironshore Indemnity Inc.
KNOW ALL MEN BY THESE PRESENTS, that IRONSHORE INDEMNITY INC., a Minnesota Corporation, with its principal office In New York, NY does
hereby constitute and appoint: Jack L. Anderson and Ronald L. Kaihoi its true and lawful Attorney(s)-In-Fact to make, execute, seal and deliver for, and
on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond.
This authority Is made under and by the authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC. on the
22"d day of April, 2013 as follows:
Resolved, that the Director of the Company is hereby authorized to appoint and empower any representative of the company or other person or
persons as Attorney -In -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of Indemnity or other writings obligatory
in nature of a bond not to exceed $7,500,000 dollars, which the Company might execute through its duly elected officers, and affix the seal of the
Company thereto. Any said execution of such documents by an Attorney -In -Fact shall be as binding upon the Company as if they had been duly
executed and acknowledged by the regularly elected officers of the Company. Any Attorney -In -Fact,. so appointed, may be removed for good cause and
the authority so granted may be revoked as specified in the Power of Attorney.
Resolved, that the signature of the Director and the seal of the Company may be affixedby facsimile on any power of attorney granted, and the
signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or
certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate
so executed and sealed shall, with respect to any bond of undertaking to which It is attached, continue to be valid and binding on the Company.
IN WITNESS THEREOF, IRONSHORE INDEMNITY INC. has caused this instrument to be signed by its Director, and its Corporate Seal to be affixed this
7 1 day of August, 2013
IRONSHORE INDEMNITY INC.
BR -
D a nTPT L. Suss n
Director
On this 7`h Day of August, 2013, before me, personally came Daniel L. Sussman to me known, who being duly sworn, did depose and say that he is the
Director of Ironshore Indemnity, Inc. , the corporation described in and which executed the above instrument; that he executed. said Instrument on
behalf of the corporation by authority of his office under the By-laws of said corporation.
�. 3
AMYiPttOR
— „°�'; =
ReuryvuNlo-eltle eliennneee
- t. a^
urvle•en ceunry
`
•Ircommimm� rmineor.Ban
BY 1
Amy aylor
Nota Public
CERTIFICATE
I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of
which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions asset forth are now in force.
h
Signed and Sealed at this_ Day of ..l��V ,20
lkhNO
—
�/1V� Paul S. GI dano
Secreury
"WARNING: Any person who knowingly and with intent to defraud any Insurance company or other person, files and application for Insurance or statement of claim
containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent
Insurance act, which is a crime and. subjects such person to criminal and civil penalties."
ACKNOWLEDGEMENT OF SURETY
STATE OF MINNESOTA
COUNTY OF CHIPPEWA
On this 21 st day of July , 2016 , before me, a Notary Public within and for said
County, personally appeared Ronald L. Kaihoi to me personally known, who being by me duly
sworn he/she did say that he/she is the attorney-in-fact of Ironshore Indemnity Inc. , the
corporation named in the foregoing instrument, and the seal affixed to said instrument is the
corporation seal of said corporation, and sealed on behalf of said corporation by authority of its
Board of Directors and said Ronald L. Kaihoi acknowledged said instrument to be the free act
and deed of said corporation.
CARA L. ABEL
Notary PubllaMinnaeota
My ComnUm EMWAr101, 2021
NOTARYPUBLIC
My Commission Expires V-31124
ACORIJ CERTIFICATE OF LIABILITY INSURANCE
6/30/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS LIPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OE INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S), AUTHORIZED
REPRESENTATIVE OR PRODIJCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: if the certificate holder is an ADDFTIONAL INSURED, the policy(ios) must be endorsed. If SUBROGATION 15 WAIVED, subjoct to
the terms and conditions af tho policy, certain policies may requiro an endorsenient. A statement an this cortificate does not confer rights to the
certificate holder in Iieu ofsuch endorsenient(s).
PRODUCER
ndependentlnsuranceservioes of Central Iowa
P0. Box 97
CONTAOT Toni Chaska
jNosxtis4i4g42l4o No):641-484-2314
POUCY EXP
(MM(DD/YYYY)
AD0RESS:tOni.0haSka@nSUreCeflffaIjQWa.COm
Toledo IA 52342
INSURER(S) AFFORDING COVERAGE
NAIO #
INSURERA:Ufljted Fire & Casualtv
INSURERB:
13021
INSUREO CHYMASM-0l
Chymas Machine & Welding
PauI Chyma
206 2nd Avenue South
Toledo IA 52342
INSURERC:
811/2016
INSURERO:
81,000000
INSURER 6:
8100,000
INSURERF:
COVERAGES
CERTIFICATE NUMBER: 17284992
REVISION NUMBER:
THIS 18 TO CERTIFY TI -IAT THE POLICIES OF INSURANCE LISTEO 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 DOGUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 $(JBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLIOIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF NSURANCE
AODL
INSR
SUBR
VNO
POLIGY NUMBER
POLI0Y EFF
IMM)DOTYYYY)
POUCY EXP
(MM(DD/YYYY)
LIMITS
A
GENERALLIABILITY
COMMERCIAL GENERAL LIABILtTY
¥
60022686
8/1/2015
811/2016
ECj{OCCURRENCE
81,000000
DAMAGE TO RENTED
PREMISES (Ea oceurrence)
8100,000
CLAIMS -MADE
X
OCCUR
MED EXP (Any one persan)
85,000
PERSONAL &ADV INJURY
81,000,000
GENERALAGGREGATE
82,000,000
GEI4'L AGGREGATE
POLICY
X
LIMIT APPLIES PER:
1f LOC
PRODUCTS - COMP/OP AGG
82,000,000
$
A
AUTOMOBILELIABILIIY
ANY AUTO
HIRED AUTOS
x
SCHEDULED
N0N-OWED
AUTOS
60022686
611/2015
8/1/2016
CUMBINEDSIN(,LELIMIT
i0000
000ILY INJURY (Per person)
$
BODILY INJURY (Peraccidenl)
$
PROPERTYDAMAGE
(Per accidenl)
8
A
X
UMBRELLALIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
60022666
8/1/2015
8/1/2016
EACFIOCCURRENCE
$3,000,000
AGGREGATE
$3,000,000
DED
RETENTON$
$
A
WORKERSCOMPENSATION
ANDEMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTWE
OFFICEWMEMBER EXCLUDED?
(Mendatory in NH)
5 von, desoribe under
DESCRIPTION OF OPERATIONS below
Y/N
N /A
60022666
8/1/2015
6/1/2016
X
STATU- OTH-
TORYLIMITS ER
E.L. EACH ACCI0ENT
8500.000
E.L. DISEASE - EA EMPLOYEE
8500,000
EL. DISEASE - P0LICY LIMIT
8500,000
A
EquipmentFloater
Property
60022666
8/1/2015
6/1/2016
Rented/leased equip 100000
BFP Blanket 300000
DESORIPTION 0F OPERATIONS / LOCATIONS (VEHICLES (Attach ACORD 101, Addltlonal Remarks Schadul , 0 morespace is raquired)
City of Waterioo is Fsted as Additional Insured on the General Liability policy.
CERTIEICATE HOLDER
C
City of Waterloo
715 MUlberry St
Waterloo Ia 50703
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITI-I THE POLICY PROVISIONS.
AUTHORIZED REPRESEFJTA11VE
ACORD 25 (2010/05)
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The AGORD name and logo 8 e registered marks of ACORD