HomeMy WebLinkAbout1996-094ORDINANCENO %10g4
AN ORDINANCE ACCEPTING COMPETITIVE BIDS AND AWARDING A CONTRACT FOR
THE PURCHASE OF MATERIALS, EQUIPMENT, SUPPLIES OR SERVICES, PROVIDING
FOR THE EXPENDITURE OF FUNDS THEREFOR, AND PROVIDING FOR AN EFFECTIVE
DATE
WHEREAS, the City has solicited, received and tabulated competitive bids for the purchase
of necessary materials, equipment, supplies or services in accordance with the procedures of STATE
law and City ordinances, and
WHEREAS, the City Manager or a designated employee has reviewed and recommended
that the herein described bids are the lowest responsible bids for the materials, equipment, supplies
or services as shown in the 'Bid Proposals" submitted therefore, and
WHEREAS, the City Council has provided in the City Budget for the appropriation of funds
to be used for the purchase of the materials, equipment, supplies or services approved and accepted
herein, NOW, THEREFORE,
THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS
SECTION I That the numbered items in the following numbered bids for materials,
equipment, supplies, or services, shown in the 'Bid Proposals" attached hereto, are hereby accepted
and approved as being the lowest responsible bids for such items
BID ITEM
NUMBER Na VENDOR AMOUNT
1868 ALL PREMIER EQUIPMENT SERVICES EXHIBIT "A"
1882 ALL WEFF INDUSTRIES $48,141 00
SECTION Il That by the acceptance and approval of the above numbered items of the
submitted bids, the City accepts the offer of the persons submitting the bids for such items and
agrees to purchase the materials, equipment, supplies or services in accordance with the terms,
specifications, standards, quantities and for the specified sums contained in the Bid Invitations, Bid
Proposals, and related documents
SECTION III That should the City and persons submitting approved and accepted items and
of the submitted bids wish to enter into a formal written agreement as a result of the acceptance,
approval, and awarding of the bids, the City Manager or his designated representative is hereby
authorized to execute the written contract which shall be attached hereto, provided that the written
contract is in accordance with the terms, conditions, specifications, standards, quantities and
specified sums contained in the Bid Proposal and related documents herein approved and accepted
SECTION IV That by the acceptance and approval of the above numbered items of the
submitted bids, the City Council hereby authorizes the expenditure of funds therefor in the amount
and in accordance with the approved bids or pursuant to a written contract made pursuant thereto as
authorized herein
SECTION V That this ordinance shall become effective immediately upon its passage and
approval
PASSED AND APPROVED this & day of 00011996
BOB CASTLEBERRY,
ATTEST
JENNIFER WALTERS, CITY SECRETARY
BY?t —
APPROVED AS TO LEGAL FORM
HERBERT L PROUTY, CITY ATTORNEY
BY r�
SUPPLY ORD
BID # 1868
BID NAME HEAVY EQUIP MECHANIC
OPEN DATE FEB 8,1986
PREMIER
EQUIP
SVC
VENDOR
1 HOURLY RATE BASED
UPON 40 HRS PER WEEK $38 00
2 HOURLY RATE FOR OVER
40 HOURS PER WEEK $38 00
EXHIBIT "A"
DATE APRIL 16, 1996
MTFWWI► �
TO Mayor and Members of the City Council
FROM Rick Svehla, Acting City Manager
SUBJECT BID # 1868 - HEAVY EQUIPMENT MECHANICAL SERVICES
RECOMMENDATION. We recommend this bid be awarded to the lowest responsible bidder,
Premier Equipment Services, at the hourly rate of
$38 00 per hour regular time
$38 00 per hour overtime
SUMMARY: This bid is for a qualified technician with all associated equipment to preform
preventative maintenance and repairs to the Solid Waste fleet at the landfill on an as needed basis The
bid requires a service truck with hydraulic cranes, tools, Jacks, power wrenches, etc The City of
Denton furnishes parts and limited shop supplies only This is the second year of this program and
it has proven to be very cost effective and satisfactory
With current work load and staff the City of Denton Fleet Services Department is unable to dedicate
the required time and personnel to the landfill equipment maintenance program
The successful bidder will work under the direction of the Fleet Services Superintendent
The Fleet Services Department and Solid Waste Landfill personnel have made several attempts to meet
with the L E David bidder to review the equipment and Job requirements Each time the L E David
bidder has been non responsive
BACKGROUND._ Tabulation Sheet
PROGRAMS, DEPARTMENTS OR CROUPS AFFECTED. Solid Waste Landfill Operations
and Fleet Services Division
FISCAL IMPACT- The funds to pay for the services of Premier Equipment will be taken from Fleet
Services Sublet Labor Account #730-025-0580-8710
?VItlully submitted
6 4ieveMa4&A�'
Acting City Manager
Ap oved
Name Tom D Shaw, C P M
Title Purchasing Agent
726 AGENDA
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DATE APRIL 16, 1996
► t s1117:I1 Y
TO Mayor and Members of the City Council
FROM Rick Svehla, Acting City Manager
SUBJECT BID #1882 -16 FT DIESEL RIDING MOWER
RECOMMENDATION. We recommend this bid be awarded to the lowest responsible bidder,
Weff Industries, in the amount of $48,141 00
SUMMARY: This bid is for the purchase of a 16' diesel powered riding mower The unit is a
motor pool replacement for a similar unit purchased in 1986 which is no longer economical to
maintain The replacement was approved during the 1995-96 budget process
This mower will be utilized by the Parks Department to maintain park areas, medians, right of way
The old unit will be sold at public auction
BACKGROUND. Tabulation Sheet
PROGRAMS, DEPARTMENTS OR GROUPS -AFFECTED. Parks Department Grounds
Maintenance and Fleet Services Division
FISCALIMPACT- IMPACT. This unit will be funded from an internal motor pool lease account #720-025-
0584-9104 and repaid by the department over a 60 month time period
Respectfully submitted
A34
eeoe �C..
Rick Svehla
Acting City Manager
Approved
Name Tom D Shaw, C P M
Title Purchasing Agent
725 AGENDA
BID N 1882
BID NAME 16 FT DIESEL RIDING
GOLDTHWAITE'S
WEFF
MOWER
OF
INDUSTRIES
OPEN DATE APRIL 2, 1996
TEXAS
TY DSCRTpTION
VENDOR
VENDOR
'VENDOR
VENDOR _
VEN
_
1
1
16 FT DIESEL RIDING MOWER
100 HP CAB, AC, AIR RIDE SEAT
$52,3800101_
$48,141 00
12 MOS
WARRANTY IN MONTHS OR
24 MOS
UNLIMITED
OPERATIONS HOURS
1500 HRS
HRS
_ _
DELIVERY IN DAY AFTER
RECEIPT OF ORDER
15-30 DAYS
45 DA_YS
_
HOWARD
MFG
TORO
PRICE
30580
TURF
GROUNDSMASTER
MODEL
HYDRO 180
i
DOR
PROPOSED CONTRACT
AGREEMENT FOR MAINTENANCE SERVICES
This Agreement is made this 16 day of
April lg 96
between the CITY OF DENTON, Texas, a municipal corporation, of
Denton, Denton County, Texas (City) and Premier Equipment Services,
whose address is 308 Austin St , Keller, TX 76248 (Contrac-
tor)
I. DUTIES
The parties to this Agreement stipulate and agree that City
shall employ, engage, and hire Contractor in the position of Heavy
Equipment Mechanic to perform the following duties
Provide routine preventative maintenance service for all
heavy equipment as determined by City
Provide for emergency repair for all heavy equipment as
determined by City
Contractor further agrees that in the event of a break down
of equipment, Contractor will, to the extent possible
absent events not controllable by the Contractor, make any
and all necessary repairs to allow work to commence on the
next working day
Coordinate all parts requirements through the City of Denton
Fleet Services Department
Perform "parts pickup" services if required by City
II. CONSIDERATION
In consideration of such services, City agrees to pay Contrac-
tor compensation in the amount not to exceed Eighty Thousand
Dollars ($80,000 09 at a rate of Thirty Eight Dollars ($38 00 )
per hour for the term of this Agreement Payment by City for these
services properly performed will be made upon receipt and approval
of invoices submitted by Contractor every two weeks in accordance
with City's standard processing procedures
III. TERM
The term of this Agreement shall be for a period of one
year beginning on May 1 19 96 and
terminating on April 30 , 19 97
IV. TERMINATION
This Agreement may be terminated by either party at any time
upon the giving of thirty (30) days written notice of termination
to the other party In the event of termination of this Agreement
in any manner, payments previously paid plus payments for services
properly performed to the date of termination shall be deemed to be
in full satisfaction of all claims against City under this
Agreement
V. INDEPENDENT CONTRACTOR
It is agreed and understood that any work requested by the
parties hereto shall be performed under the terms of this Agreement
and that all parties hereto are considered independent contractors
Each party is interested only in the results obtained hereunder,
and has the general right of inspection and supervision in order to
secure the satisfactory completion of such work Neither party
shall have control over the other party with respect to its hours
or times, and under no circumstances shall either party hereto be
deemed an employee of the other or act as an agent of the other
VI. DUE DILIGENCE
Contractor warrants that he shall perform the obligations with
due diligence in a safe, competent, workmanlike manner and in
compliance with any and all applicable statutes, rules, and
regulations of the City of Denton and state and Federal law
PAGE 2
VII. INSURANCE
A Contractor shall maintain continuously in effect at all
times during the term of this agreement or any extension thereof,
at Contractor's expense, the following insurance coverage
Comprehensive General Liability Insurance covering
the Contractor, its personnel and its operations,
for bodily injury and property damage in the
minimum amount of $1,000,000, combined single
limits on a per occurrence basis
B All policies shall be issued by a company authorized to do
business in the State of Texas, be approved by the City of Denton,
copies of which shall be provided to City The policies shall name
the City as an additional named insured and shall provide for a
minimum of thirty (30) days written notice to the City prior to the
effective date of any cancellation or lapse of such polices
VIII EQUIPMENT
Contractor shall furnish a service truck with auto crane and
shall provide parts, fuel, and oil for this equipment Contractor
further agrees to furnish all basic hand tools, including any and
all tools necessary to make repairs and to service all types of
light and heavy equipment
Contractor shall furnish all metal cutting and welding equip-
ment and all motor fuel and oil for operation of this equipment
City shall furnish all specialty tools required and designed by
the manufacturer to perform a specific service or repair needed to
a given piece of equipment
PAGE 3
IX. INDEMNITY
Contractor agrees to indemnify, hold harmless, and defend the
city, its officers, agents, and employees from and against any and
all claims or suits for injuries, damages, loss, or liability of
whatever kind or character, arising out of Contractor's error,
negligent act, or omission in connection with Contractor's perfor-
mance of the services described in this Agreement In addition,
Contractor shall hold harmless the City, its officers and employees
from any and all expenses, including attorneys' fees and court
costs which may be incurred by the City in litigation or otherwise
resisting any claim or liability which might be imposed on the City
as the result of the Contractor's activities In the event the
City is determined by a court of law to be jointly negligent for
such damage or injury, City shall indemnify Contractor on a pro-
portionate basis in accordance with the final judgment determining
such joint liability
X. MISCELLANEOUS
This Agreement shall be construed under and in accordance with
the laws of the State of Texas, and all obligations of the parties
created hereunder are performable in Denton, Denton County, Texas
All notices provided to be given under this Agreement shall be
given by certified mail, registered mail, or hand -delivered,
addressed to the proper party, at the following address
The City of Denton Contractor
ATTN Jack Jarvis
215 E McKinney
Denton, Texas 76201
PAGE 4
XI. MODIFICATION
It is further agreed that no waiver or modification of this
Agreement or any covenant, condition, or limitation contained
herein shall be valid unless in writing and duly executed by the
party to be charged therewith
EXECUTED this 0?W- day of I 19C
CITY OF DENTON, TEXAS
1
A T NG ITY MANAGER
ATTEST
JENNIFER WALTERS, CITY SECRETARY
BY �—
APPR D AS 0 LEGAL FORM
MICHAEL A BUCEK, ACTING CITY ATTORNEY
BY
E \WPDOCS\K\MAINTENANCE K
Premier Equipment Services
0
C R
PAGE 5
ak'PREMIER
EouIPMENT SERVICE, INC.
ATTACHED IS COPIES OF THE INSURANCE POLICIES ON TRUCKS CURRENTLY
IN USE
308 AUSTIN STREET • KELLER, TE%As 76248 • (817) 431-6641 0 MOBILE (817) 992-5297
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
17301 PRESTON ROAD
DALLAS, TX 75319 *RENEWAL CERTIFICATE
FORM OF BUSINESS ® CORPORATION PARTNERSHIP ❑ INDIVIDUAL [ OTHER POLICY NUMBER 299 3 7 5 2 - A 1 6- 4 3
ITEM1 NAMED INSURED AND MAILING ADDRESS
43-7178 C
PREMIER EQUIPMENT SERVICE INC
308 AUSTIN ST
KELLER TX 76248-2246
11411141111111LILIIt11111111111$111111111a11111111114611614111
POLICY PERIOD FROM JAN-1,6-�6 TO JUI�es a -tt 6-9
at 12 01 A M Standard T,me at the a dress 0 the named msur Sled he+
PREMIUM SHOWN IS PAYABLE $ 1528,90 AT INCEP
t + I rtlb Pr L_
I I _ ANIOUNfOut
ITEM THREE
SCHEDULE OF COVERED AUTOS YOU OWN
COVERED AUTO
YEAR TRADE NAME MODEL
BODY TYPE
SERIAL NUMBER IS)
VEHICLE IDENTIFICATION NUMBER (VIN)
CLASS TERRITC
1
84 CHEVROLET C70
PICKUP
1G8J7D1B4EV140929
3318300 0
ITEM TWO SCHEDULE OF COVERAGES AND COVERED AUTOS
COVERAGF SYMBOL COVERED AUTO NUMBER PREMIUM COVERAGE NAME LIMIT AUTO COVERAGE SYMBOL
AB LIABILITY -(SYMBOL 7)
$244.00 BODILY INJURY LIABILITY
LIMIT -COVERAGE AB - EACH PERSON, EACH ACCIDENT
$101.00 PROPERTY DAMAGE LIABILITY 25,000 500000
LIMIT -COVERAGE AB - EACH ACCIDENT
25 000
P2 $28.00 PERSONAL INJURY PROTECTION(SEE EF)DOROEMENT)
ss 'LIMIT -COVERAGE P2 - EACH PERSON 5 00
G 155.00 5500 DEDUCTIBLE COLLISION-(SYMBOLM7) 7)
U UNINSURED/UNDERINSURED MOTORISTS(SEE ENDORSEMENT)
$34.00 LIMIT -COVERAGE U-BODILY INJURY
EACH
2PERSON, EACH ACCIDENT
$7.00 LIMIT -COVERAGE U-PROPERTY DAMA6E($250 DEDUCTIBLE)
EACH ACCIDENT
25,000
$528.00 ESTIMATED TOTAL PREMIUM FOR POLICY PERIOD JAN-16-96 TO JUL-16-96
EXCEPTIONS AND ENDORSEMENTS ATTACHED TO THIS POLICY.
PREMIUM FOR ENDORSEMENTS(SHOWN ABOVE WHEN APPLICABLE)
FINANCED -ANY LOSS UNDER PHYSICAL DAMAGE COVERAGE IS PAYABLE AS INTEREST MAY
APPEAR TO THE INSURED AND NATIONS BANK, PO BOX 740125, ATLANTA GA
30374-0125.
IL
00
21
NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT BROAD FORM.
TE
00
39B
AMENDATORY ENDORSEMENT: CHANGE CONDITIONS AND DEFINITIONS.
TE
00
40
AMENDATORY ENDORSEMENT -TEXAS: CHANGE CANCELLATION OR NONRENEWAL
CONDITIONS.
ITEM
2-SYM60L
7 SPECIFICALLY DESCRIBED AUTOS.
TE
04
01C
PERSONAL INJURY PROTECTION ENDORSEMENT -TEXAS (COVERAGE P).
TE
04
068
MEXICO COVERAGE -LIMITED.
TE
04
09C
UNINSURED/UNDERINSURED MOTORISTS INSURANCE (COVERAGE U).
TE
20
35A
LOSS PAYABLE CLAUSE -MODIFIED.
TE
99
60A
SUPPLEMENTARY DEATH BENEFIT.
CAR 1-TE2015A-MOBILE EQUIPMENT.
CAR 1-TE2045A-EXCLUSION OF EQUIPMENT.
THIS IS YOUR DECLARATIONS PAGE
PLEASE ATTACH TO YOUR AUTO POLICY BOOKLET
COUNTERSIGNED 12-13-95
BY JOHN ANDERSON
YOUR POLICY CONSISTS OF THIS PAGE, ANY ENDORSEMENTS AND THE POLICY BOOKLET FORM 9 8 4 3 U . 2 N T PLEASE KEEP TOGETHER
7178-0
1554972
Jcuuf UI_uft_" Imo, ,✓u.,u vVJJ H✓I✓VVvLIIHUL uvnivl ✓LI,LNf1H 11 ✓IYJ'1'HUaLI
A]STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
17301 PRESTON ROAD
DALLAS, TX 75379 *RENEWAL CERTIFICATE
FORM OF BUSINESS ®CORPORATION PARTNERSHIP ❑ INDIVIDUAL ❑OTHER POLICYNUMBER D00 7363—BO7-43
Ia
io ITEM1 NAMED INSURED AND MAIL4NG71DDDRESS
e PREMIER EQUIPMENT SERVICE INC
308 AUSTIN ST
KELLER TX 76248-2246
-- IIaJdIuu6LIu11aLuLInLIJoLILd1IJnlmdll
POLICY PERIOD FROM FEB-07-96 TO AUG-07-9
at 12 01 A M Standard Time at the address of the named insured as stated her
STATE FARM PAYMENT
PLAN NUMBER 0330633008
PREMIUM SHOWN IS PAYABLE $ $ 2 4 7 . U 0 AT INCEP
.,u .Gr P,Y I .,A THIS PAGE
,, iiA I E S I AIr'AMOUNT DUB
ITEM THREE
SCHEDULE OF COVERED AUTOS YOU OWN
COVERED AUTO
YEAR TRADE NAME MODEL
BODY TYPE
SERIAL NUMBER (S(
VEHICLE IDENTIFICATION NUMBER (VIN)
CLASS
TERRITO
1
85 CHEVROLET S10
PICKUP
1GCBS14E5F2218009
3A 0
0
ITEM TWO SCHEDULE OF COVERAGES AND COVERED AUTOS . V ;:ID[ FOR
COVERAGF SYMBOL COVERED AUTO NUMBER PREMIUM COVERAGE NAME LIMIT AUTO COVERAGE SYMBOL Iu. �I ..-CimMATION
AS LIABILITY —(SYMBOL 7)
$167.00 BODILY INJURY LIABILITY
LIMIT —COVERAGE AS — EACH PERSON, EACH ACCIDENT
25,000 50,000
$80.00 PROPERTY DAMAGE LIABILITY
LIMIT -COVERAGE AS - EACH ACCIDENT
25,000
$247.00 ESTIMATED TOTAL PREMIUM FOR POLICY PERIOD FEB-07-96 TO AUG-07-96
EXCEPTIONS AND ENDORSEMENTS ATTACHED TO THIS POLICY.
PREMIUM FOR ENDORSEMENTS(SHOWN ABOVE WHEN APPLICABLE)
IL 00 21 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT BROAD FORM.
TE 00 39B AMENDATORY ENDORSEMENT CHANGE CONDITIONS AND DEFINITIONS.
TE 00 40 AMENDATORY ENDORSEMENT —TEXAS CHANGE CANCELLATION OR NONRENEWAL
CONDITIONS.
ITEM 2—SYMBOL 7 SPECIFICALLY DESCRIBED AUTOS.
TE 04 06B MEXICO COVERAGE —LIMITED.
TE 04 09D UNINSURED/UNDERINSURED MOTORISTS INSURANCE (COVERAGE U%
THIS IS YOUR DECLARATIONS PAGE
PLEASE ATTACH TO YOUR AUTO POLICY BOOKLLT
COUNTERSIGNED 01-04-96
BY JOHN ANDERSON
7178-01
YOUR POLICY CONSISTS OF THIS PAGE ANY ENDORSEMENTS AND THE POLICY BOOKLET FORM 9 8 4 3 P . 3 N T PLEASE KEEP TOGETHER
155-4972
21VPREMIER
EouiPMENTSERVICE, INC.
Attached is a copy of the 1,000,000 00 General Liability Insurance
Policy currently ineffect
308 AUSTIN STREET - KELLER, TEXAS 76248 - (817) 431-6641 - MOBILE (817) 992-5297
COMMERCIAL LIABILITY
DECLARATIONS
J tf11� SCOTTSDALE INSURANCE COMPANY®
8877 North Gainey Center Drive, Scottsdale, Arizona 85258
CLS217605 1-800- 423-7675 (outside Arizona)
Renewal of Number A STOCK COMPANY Policy Number
308 AUSTIN STREET
KELLER
BURNS & WILCOX LTD
1250 E COPELAND RD , #900
TX 76248
CLS286521
ARLINGTON TX 76011 Agent No 42-0020
Item 2 Policy Period From 10/03/95 To 10/03/96
12 o1 A M Standard Time at the address of the Named Insured as stated herein
Item 3 Retroactive Date
Item 4 Business Description HEAVY MACHINE REPAIR
Item 5 In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide
the insurance as stated In this policy
This policy consists of the following coverage parts for which a premium Is Indicated Where no premium Is shown, there Is
no coverage This premium may be subject to adjustment
Coverage Part(s)
Form No and Edition Date
Premium
Commercial General Liability Coverage Part
CLS-SD-1(2-92)
$ 1495 00
Professional Liability Coverage Part
NOT COVERED
E
Milk
insurance in Mds Stateiand fe Wood and dWverod Y a swpus
E
$
artmem of Insure (State Board of Insurance) does t1N a
rovidi this coverage. and this insurer is not a member Of the
rance
property the insucama rods Agide 1 The ingi m Cock
a
E
s
a
Article 1 14.2, rslILJas payMent of 4 86%tas sn WOW Total
$ 1,49500
POLICY FEE $ 115 00
STATE TAX $ 78 09
STAMPING FEE $ 1 61
Item 6 Forms and endorsements applicable to all Coverage Parts CLS-SD-1(02-92srlow NUMBERS
10-12-95 DC/TH By DOMCARSONIS
Countersigned DATE AUTHORIZED REPRESENTATIVE
THIS COMMERCIAL LIABILITY DECLARATIONS AND THE SUPPLEMENTAL DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS
COVERAGE FORM(S) AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED POLICY
CLS 0 1 )10-92) ORIGINAL
ASCOTTSDALE INSURANCE COMPANY
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SUPPLEMENTAL DECLARATIONS
These Supplemental Declarations form a part of policy number CLS286521
LIMITS OF INSURANCE
General Aggregate Limit (other than Produote/Completed Operations)
$ 1 000 000
Products/Completed Operations Aggregate Umit
$ 1 OOOA00
Personal and Advertising Injury Umit
$ 1 000 000
Each Occurrence Umit
$ 1,000,000
Fire Damage Limit
$ 50,000 any one fire
Medical Expense Limit
$ EXCLUDED any one person
BUSINESS DESCRIPTION AND LOCATION OF PREMISES
Form of business
I] Individual ❑ Joint Venture ❑ Partnership ❑ Organization
(other than Partnership or Joint Venture)
Business description HEAVY MACHINE REPAIR
Location of all promisee you own, rent or occupy SAME
PREMIUM
Classification Code No "Premium Basis
Rate Advance Premium
PR/Co All Other Pr/Co All Other
MACHINERY OR EQUIPMENT -INDUSTRIAL 97222 P)31,900
16 402 30 477 S 523 5 972
-INSTALLATION, SERVICING OR REPAIR
FORMS AND ENDORSEMENTS (Other than appilrahin formn and andnirgannents hownsinewhareinthAP011CW
Forms and endorsements applying to this Coverage Part and made part of this policy at time of issue
CLS-J2(02-95), CG000100 93), CG2101(11-85), CG2116(11-85), CG2141(11 85), CG2146(01-87), CG2147(10-93), IL0017(11-85),
GLS-839(03-92), UTS-889 TX(09-94), UTS 128g(10-94), UTS 137g(03 93), UTS-182g(02-94), UTS 230g TX(09 94)
"(a) Area, (c) Total Cost, (m) Admission, (p) Payroll, (a) Gross Sales, (u) Unite, (0) Other
THIS SUPPLEMENTAL DECLARATIONS AND THE COMMERCIAL LIABILITY DECLARATIONS, TOGETHER WITH THE COMMON POLICY
CONDITIONS COVERAGE FORM(S) AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED POLICY
CLS-SD-1 (2 92) ORIGINAL
SCOTfSDALE INSURANCE COMPANY®
ENDORSEMENT
NO.
ATTACHED TO AND
FORMING A PART OF
ENDORSEMENT EFFECTIVE
(STANDARD TIME)
INSURED
AGENCY AND CODE
POLICY NUMBER
MO DAY YR 1201 NOON
0.M
CLS286521
X
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
OPTIONAL PROVISIONS ENDORSEMENT
In consideration of the premium charged, It Is agreed that the following special provisions (indicated by an ")C) apply to
this policy
SCHEDULE
® Bodily Injury, Property Damage, Personal Injury and Advertising Injury Liability Deductible Endorsement
• r "1.r't,1X1lt Itt s ' <� ��
Arrt�ur# �,ttS1 �l$p� � t'�Acltl�tlkla
Bodily Injury Liability
$ 50000
per claimant
Property Damage Liability
$ 50000
per claimant
Personal Injury Liability
$ 50000
per claimant
Advertising Injury Liability
$ 50000
per claimant
N Service of Suit Clause
Service of Process will be made upon BURNS & WILCOX LTD
1250 EAST COPELAND ROAD #900 ARLINGTON, TEXAS 76011
® Minimum and Advance Premium Endorsement
Minimum Premium $ 1 495 00
Minimum Earned Premium
Minimum Earned Premium 25 %of the original premium
BODILY INJURY, PROPERTY DAMAGE, PERSONAL INJURY AND ADVERTISING INJURY
LIABILITY DEDUCTIBLE ENDORSEMENT
APPLICATION OF ENDORSEMENT (Enter below any limitation on
the application of this endorsement If no limitation is entered, the
deductibles apply to damages for all "bodily Injury," "property
damage, "personal Injury' "and "advertising Injury," however
caused)
Our obligation under the Bodily Injury Liability Property
Damage Liability, Personal Injury Liability and Advertising Injury
Liability Coverages to pay damages on your behalf applies only
to the amount of damages in excess of any deductible
amounts atatad In the Schadula shove as appilcableto
such coverages, and the limits of Insurance applicable to "each
occurrence' for such coverages will be reduced by the amount
of such deductible "Aggregate" limits for such coverages shall
not be reduced by the application of such deductible amount
2 The deductible amounts Include all legal and loss adjustment
expenses
The deductible amounts stated In the Schedule apply under
the Bodily Injury Uebihty, Property Damage Liability, Personal
Injury Liability and Advertising Injury Liability Coverages,
respectively, to all damages because of "bodily Injury" or
personal Injury" sustained by one person, or to all dam ages
because of "property damage" sustained by one person, any
organization, or association or any Individual member of any
organization or association as the result of any one
"occurrence "
UTS-1289 (1D-94) Page 1 of 2
APR-2E-1996 09 46 FARMERS INS 817 581 1941 P'01
� ISSUE DATE (MMIOOIYY)
A�OI�B.
4-23-95
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFE
NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMA
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
MARK CARL rNSURANCE AGENCY
6851 NE LOOP 820 STE. 226 COMPANIES AFFORDING COVERAGE
FT. WORTH, TEXAS 76180
COMPANY A
Lan" SCO(PTSDALE INSUM09% COMPANY
COMPANY B
LETTER
INSURED
COMPANY C
LETTER
JAY JOHNSON
308 AUSTIN STREET OLWOMMPa Y D
KELLER, TEXAS 76248
DOMPawrLETTER E
THE INSURED NAMED
•DIY THIS 18
EEN
OF LISTED MONNT,, TERM OR CONDITIONVOFBANY CONTRACT OR OTHER DOCUMENT WIDTH FOR
TO WHICH THIS
REOUIRBSURANCE
INDICATED NOTWITHSTANDING ANYIES
MAY eg ISSUED OR MAY PERTAN THE INSURANCE AFFORDED
BY THE POLICIES 18 SUBJECT TO ALL THE TERMS
M8EIN
SUCH POLICIESDESCRIBED LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM
ECERTIFICATE
XCLUSIONS AND CONDITIONS OF
LTN TYPE OF INSURANCE pOL10Y NUMBEROATB(MMIDD/Y'0
POLICY OFPHtt1VS POLICY EXPIRATION ALL LIMITS IN THOURANOd
DATE(MMIODNY)
GENERAL, LIABILITY
GENERAL AGGREGATE f 1000
commEnciAL CLS266521
PRODUCTS•COMPIOPS AGGREGATE 3
10-03-95 10-03-96 1000
A X
CLAIMS MADE ODOUR
PERSONAL d ADVERTISING INJURY 3 1000
OWNER S d CONTRACTOR a PROT
EACH OCCURRENCE i 1000
FIRE DAMAGE (Any one An) 3 50
MEDICAL EXPENSE (Any My PPnwn) i
COMBINBO
AUTOMOBILE LIABILITY
SINGLE 3
UNIT
ANY AUTO
BODILY
ALL OWNED AUTOS
, INJURY 3
SCHEDULED AUTOS
(PAD person )
HIRED AUTOS
BODILY
INJURY f
NON -OWNED AUTOS
irw powpmm)
GARAGE LIABILITY
PROPERTY 3
DAMAGE
EACH AGGREGATE
el(OBBS LIABILITY
OCCURRENCE
3
f
OTHER THAN UMBRELLA FORM
STATUTORY
WORKER'S COMPENSATION
3 (EACH AOOIDENI)
AND
3 (DISEASE —POLICY LIMIT)
EMPLOYERS LIABILITY
S (DIBBABE—EACH EMPLOYI
OTHER
DESCRIPTOR OP 0p3AAT10NBILOGAT0NWV3H=9S18PWAL ITEMS
DENTONCITY OF
DAL INSURED
NOTICE
WITH 30 DAYS CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF DENTON
EXPIRATION DATE, THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO
TO THE
MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED
401 TEXAS ST .
,3.Q-
LEFT BUT FAILURE TO MAIL SUCH NOTICE $HALL IMPOSE NO OBLIGATION OR
DENTON, TX. 76201
LIABILITY OF ANY KIND UPON THE COMPANY, IT$ AGENTS OR REPRESENTATIVES
AUTHORRED REPR88dNTATVE.
TOTAL P 01
IPR-25-1996 13 50 FARMERS INS
817 581 1941 P,-01
Burns & Wilcox Ltd.
NATIGMAL
UNpapWMTM MAMOM AND URoMS
1280E COPEIANDRD,#M,ARUNOTON TX78011
.� INSURANCE BINDER
THIS BINDER IS ATEMPORARY INSURANCE CONTRACT, SUBJECT TO THE
CONDITIONS SHOWN BELOW
1 INSURED JAY JOHNSON MARK A. CARL
306 AUSTIN STREET 6851 NE LOOP 820 STE 226
3DE A STINR. TX STREET
N RICHLAND HIL, TX 76180
KIE75248
LOCATION OF RISK:
L EFFECTIVE FROM. 10/03/95 TO I01=96,130TH DAYS A�TIF122 01
M STANDARD
TIME AT LOCATION OF RISK
3 INSURER(S):
SCOTTSDALE INSURANCE COMPANY 1000000%
4 FORM OF COVERAGE: COMMERCIAL GEN LIAB OCCURRENCE
6. UMMWDEDUCT113LES•
13.1-LIABILITY
GEN. aOG.
PROD AM.
PERS/ADR/IBJ
EACH OCC.
FIRE DAMAGE
MEDICAL ESP
6. PREMIUM.
� 1,000,000
DNOUCTIBLE: $ 500 BI I PO PER CLAIM
1,000,000
1,0000000
1,000,000 DEFENSE COSTS;
50,000
ZXCL=zD RATE; ADJV9TABLE - VRS PER $1000 OF PAYROLL
g 1,495.00 AIPAODAL TEM MINIMDM a DEPOSIT$ 373.75
215 .4 PVL7,Y EARNED.
POLICY FEE $ 115.00 FOLLY GUR)DED $ STATE TAS 78.091.61
STATE PEE
TOTAL CHARGE. $ 1,609.70
7 FORMS
APPLICABLE
P CLICABL ATARE $USXDVER IB�T pN pHEN FUSE BTHE Ty THE INSURERS), UNLESS WHEERWISE SP CONDITIONS AND UmrrAmONS OF � SPECIFIED
S. EXCLUSIONS AND ENDORSEMENTS:
ASBESTOS, POLLUTION PUN DAMAGES, LEAD CONTAMINATION, MED PAY,
NUCLEAR PROFESSIONAL. INTERCOMPANY PROD SUBSIDENCE OF LAND
&U ATHLETIC PARTICPANT
EXCLUDES ANY ALL MOBILE EQUIPMENT LCEND FOR ROAD USE
9. 0014 TONS:
StONEO APPLIOATIOK
INCLUDES No ADDITIONAL INSUREDS ADVISE IF WE NE90ANY
10. THE PRODUCER MUST READ T142S CERTIFICATE, AND IF NOT CORRECT REr11RN IT IMMEDIATELY TO BURNS & M1 J;QA U7 U_ �rNags
erft In Int " not Iban'd W I meet M a b Orb Stop of b bqw and dell
nojwldN VN �an;aa or mr ITN
"11tb pnt to the
a aanm k N 1 ei bWNWW=npt Boats o1 Iof d wpr* �U�q aaaookow
paauwd to ow Toxea Ylw" wa a w pm The Texas OwWj1 O
aelvenaY oT aleltAapMta IYlaO tM1BOf P�'Md q1b aorwaBa, wld d1b FaeroT b not a naan6ar d Iha propetlY end aaou
us no
8Y PON Q9.R`NjN
Authorized Represerda0ve (FORM 2335e•28128)