HomeMy WebLinkAbout2011-175ORDINANCE NO. 2011-175
AN ORDINANCE ACCEPTING COMPETITIVE BIDS AND AWARDING A PUBLIC WORKS
CONTRACT FOR THE CONSTRUCTION OF THE BROWN STREET AND PRESTON PLACE
8 INCH SANITARY SEWER REPLACEMENTS; PROVIDING FOR THE EXPENDITURE OF
FUNDS THEREFOR; AND PROVIDING AN EFFECTIVE DATE (BID 4801-AWARDED TO
THE LOWEST RESPONSIBLE BIDDER MEETING SPECIFICATION, JAGOE-PUBLIC
COMPANY, IN THE AMOUNT OF $241,220).
WHEREAS, the City has solicited, received and tabulated competitive bids for the
construction of public works or improvements in accordance with the procedures of State law and
City ordinances; and
WHEREAS, the City Manager or a designated employee has received and recommended that
the herein described bids are the lowest responsible bids for the construction of the public works or
improvements described in the bid invitation, bid proposals and plans and specifications therein;
NOW, THEREFORE,
THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS:
SECTION 1. The following competitive bids for the construction of public works or
improvements, as described in the "Bid Invitations", "Bid Proposals" or plans and specifications on
file in the Office of the City's Purchasing Agent filed according to the bid number assigned hereto,
are hereby accepted and approved as being the lowest responsible bids:
BID
NUMBER CONTRACTOR
4801 Jagoe-Public Co.
AMOUNT
$241,220
SECTION 2. The acceptance and approval of the above competitive bids shall not constitute
a contract between the City and the person submitting the bid for construction of such public works
or improvements herein accepted and approved, until such person shall comply with all requirements
specified in the Notice to Bidders including the timely execution of a written contract and furnishing
of performance and payment bonds, and insurance certificate after notification of the award of the
bid.
SECTION 3. The City Manager is hereby authorized to execute all necessary written
contracts for the performance of the construction of the public works or improvements in accordance
with the bids accepted and approved herein, provided that such contracts are made in accordance
with the Notice to Bidders and Bid Proposals, and documents relating thereto specifying the terms,
conditions, plans and specifications, standards, quantities and specified sums contained therein.
SECTION 4. The City Council of the City of Denton, Texas hereby expressly delegates the
authority to take any actions that may be required or permitted to be performed by the City of Denton
under Bid 4801 to the City Manager of the City of Denton, Texas, or his designee.
SECTION 4. Upon acceptance and approval of the above competitive bids and the execution
of contracts for the public works and improvements as authorized herein, the City Council hereby
authorizes the expenditure of funds in the manner and in the amount as specified in such approved
bids and authorized contracts executed pursuant thereto.
SECTION 5. This ordinance shall become effective immediately upon its passage and
approval.
PASSED AND APPROVED this the � ✓ day of ( ,2011.
MARk A. B RROUGH , MAYOR
ATTEST:
JENNIFER WALTERS, CITY SECRETARY
BY:
APPROVED AS TO LEGAL FORM:
ANITA BURGESS, CITY ATTORNEY
BY: _
4-O . =11id 4801
CONTRACT AGREEMENT
STATE OF TEXAS
§ COUNTY OF DENTON §
THIS AGREEMENT, made and entered into this 4 day of October A.D., 2011, by and
between City of Denton of the County of Denton and State of Texas, acting through
George C. Campbell thereunto duly authorized so to do, hereinafter termed
"OWNER," and
Jagoe-Public Company
P.O. Box 250
Denton TX 76202
of the City of Denton, County of Denton and State of Texas , hereinafter termed
"CONTRACTOR."
WITNESSETH: That for and in consideration of the payments and agreements hereinafter
mentioned, to be made and performed by OWNER, and under the conditions expressed in the bonds
attached hereto, CONTRACTOR hereby agrees with OWNER to commence and complete
performance of the work specified below:
Bid # 4801 — Brown Street & Preston Place 8" Sanitary Sewer Replacement
in the amount of $241,220 and all extra work in connection therewith, under the terms as stated in
the General Conditions of the agreement; and at his (or their) own proper cost and expense to
furnish all materials, supplies, machinery, equipment, tools, superintendence, labor, insurance, and
other accessories and services necessary to complete the work specified above, in accordance with
the conditions and prices stated in the Proposal and the Performance and Payment Bonds, attached
hereto, and in accordance with all the General Conditions of the Agreement, the Special Conditions,
the Notice to Bidders (Advertisement for Bids), and Instructions to Bidders, as referenced herein
and on file in the office of the Purchasing Agent, and in accordance with all local, state and federal
laws; and plans, which includes all maps, plats, blueprints, and other drawings and printed or
written explanatory matter thereof, and the Specifications therefore, as prepared by:
City of Denton — Engineering Department
all of which are referenced herein and made a part hereof and collectively evidence and constitute
the entire contract.
CA-1
Independent Status
It is mutually understood and agreed by and between City and Contractor that Contractor is
an independent contractor and shall not be deemed to be or considered an employee of the City of
Denton, Texas, for the purposes of income tax, withholding, social security taxes, vacation or sick
leave benefits, worker's compensation, or any other City employee benefit. City shall not have
supervision and control of Contractor or any employee of Contractor, and it is expressly understood
that Contractor shall perform the services hereunder according to the attached specifications at the
general direction of the City Manager of the City of Denton, Texas, or his designee under this
agreement.
Indemnification
Contractor covenants and agrees to and does hereby indemnify, hold harmless and defend, at
its own expense, Owner, its officers, servants and employees, from and against any and all claims or
suits for property loss or damage and/or personal injury, including death, to any and all persons, of
whatsoever kind or character, whether real or asserted, arising out of the Work and services to be
performed hereunder by Contractor, its officers, agents, employees, subcontractors, licensees or
invitees, whether or not caused, in whole or in part, by the alleged negligence of the officers,
servants, employees, of the Owner. Contractor likewise covenants and agrees to, and does hereby,
indemnify and hold harmless Owner during the performance of any of the terms and conditions of
this Contract, whether arising out of in whole or in part, any and all alleged acts or omissions of
officers, servants, or employees of Owner. The provisions of this paragraph are solely for the
benefit of the parties hereto and not intended to create or grant any rights, contractual or otherwise,
to any other person or entity.
Choice of Law and Venue
This agreement shall be governed by the law of the State of Texas and venue for its
construction and enforcement shall lie in the courts of Denton County, Texas.
The CONTRACTOR hereby agrees to commence work on or after the date established for
the start of work as set forth in written notice to commence work and complete all work within the
time stated in the Proposal, subject to such extensions of time as are provided by the General and
Special Conditions.
The OWNER agrees to pay the CONTRACTOR in current funds the price or prices shown
in the Proposal, which forms a part of this contract, such payments to be subject to the General and
Special Conditions of the Contract.
CA-2
Right to Audit
The OWNER shall have the right to audit and make copies of the books, records and computations
pertaining to this agreement. The CONTRACTOR shall retain such books, records, documents and
other evidence pertaining to this agreement during the contract period and five years thereafter,
except if an audit is in progress or audit findings are yet unresolved, in which case records shall be
kept until all audit tasks are completed and resolved. These books, records, documents and other
evidence shall be available, within 10 business days of written request. Further, the
CONTRACTOR shall also require all Subcontractors, material suppliers, and other payees to retain
all books, records, documents and other evidence pertaining to this agreement, and to allow the
OWNER similar access to those documents. All books and records will be made available within a
50 mile radius of the City of Denton. The cost of the audit will be borne by the OWNER unless the
audit reveals an overpayment of 1 % or greater. If an overpayment of 1 % or greater occurs, the
reasonable cost of the audit, including any travel costs, must be borne by the CONTRACTOR
which must be payable within five business days of receipt of an invoice.
Failure to comply with the provisions of this section shall be a material breach of this contract and
shall constitute, in the OWNER'S sole discretion, grounds for termination thereof. Each of the
terms "books" "records" "documents" and "other evidence" as used above shall be construed to
include drafts and electronic files, even if such drafts or electronic files are subsequently used to
generate or prepare a final printed document.
CA-3
IN WITNESS WHEREOF, the parties of these presents have executed this agreement in the
year and day first above written.
ATTEST:
City of Denton
OWNE
BY: z�
(SEAL)
ATTE T:
Z 4 1a,gos✓- F.-61"C. CoN�
CONTRACTOR
APPROVED AS TO FORM:
ANIT URGESS, CITY A ORN
CA-4
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Zc ,r7-o^r �4 TEa<AS 7 4-y0 -L—
MAILING ADDRESS
3 $a, - z s a
PHONE NUMBER
1 qo- 38;'- - 173�
FAX ER
BY: V:14-69-6 .
TITLE
9; 11 CAeEK., So— -
PRINTED NAME
(SEAL)
PROVIDED FURTHER, that if any legal action be filed upon this Bond, exclusive venue
shall lie in Denton County, State of Texas.
AND 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 to the Plans, Specifications, Drawings, etc.,
accompanying the same, shall in anywise 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 to be perfonned thereunder, or to the Plans, Specifications, Drawings,
etc.
This Bond is given pursuant to the provisions of Chapter 2253 of the Texas Government
Code, as amended, and any other applicable statutes of the State of Texas.
The undersigned and designated agent is hereby designated by the Surety herein as the
Resident Agent in Denton County to whom any requisite notices may be delivered and on whom
service of process may be had in matters arising out of such suretyship, as provided by Article
7.19-1 of the Insurance Code, Vernon's Annotated Civil Statutes of the State of Texas.
IN WITNESS WHEREOF, this instrument is executed in four cr*, each one of which
shall be deemed an original, this the 4th dayof October , 2011 .
ATTEST:
BY:
SECRET
ATTEST:
BY: omq , &wi Q
Connie Kreqel Witness
.PI, ..
Jaqoe-Public Com a
BY: ka
V; c-*,—P SIDENT
SURETY
Federal In ce Co an
BY:
O Y- -FA
Jeffr y Todd McIntosh
The Resident Agent of the Surety in Denton County, Texas for delivery of notice and service of
the process is:
NAME: Jeffrey Todd McIntosh
STREET ADDRESS:2505 N. Plano Road #2200, Richardson, mx 75089
(NOTE: Date of Performance Bond must be date of Contract. If Resident Agelxt is not a corporation,
give a person Is name)
J
PAYMENT BOND
STATE OF TEXAS §
Bond No. 8228-49-07
COUNTY OF DENTON §
KNOW ALL MEN BY THESE. PRESENTS: That Jagoe-Public Company✓whose
address is P.O. Box 250 Denton TX 76202
hereinafter called Principal, and Federal Insurance Com an a corporation
organized and existing under the laws of the State of Indiana and fully
authorized to transact business in the State of Texas, as Surety, are held and firmly bound unto
-- the City -of Denton; -a municipal -corporation organized -and -existing under -the -laws -of the -State -of- -
Texas, hereinafter called Owner, and unto all persons, firms, and corporations who may furnish
materials for, or perform labor upon, the building or improvements hereinafter referred to, in the
pensum of Two Hundred Forty One Thousand Two Hundred Twenty "DOLLARS ($241,220�
in lawful money of the United States, to be paid in Denton, County, Texas, for the payment of
which ` sum well and truly to be made, we hereby bind ourselves, our heirs, executors,
administrators, successors, and assigns, jointly and severally, firmly by these presents. This
Bond shall automatically be increased by the amount of any Change Order or Supplemental
Agreement which increases the Contract price, but in no event shall a Change Order or
Supplemental Agreement which reduces the Contract price decrease the penal sum of. this Bond.
THE OBLIGATION TO PAY SAME is conditioned as follows: Whereas, the Principal
entered into a certain Contract, identified by Ordinance Number 20) 1-175, with the City. of
Denton, the Owner, dated the 4 day of October A.D. 2011, or
Bid # 4801 — Brown Street & Preston Place 8" Sanitary Sewer Replacement.
NOW, THEREFORE, if the Principal shall well, truly and. faithfully perform its duties
and make prompt payment to all persons, firms, subcontractors, corporations and claimants.
supplying labor and/or material in the prosecution of the Work provided for in said Contract and
any and all duly authorized modifications of said Contract that may hereafter be made, notice of
which modifications_ to the Surety being herebyexpresslywaived, then this obligation shall be
void; otherwise it shall remain in full force and effect.
PROVIDED FURTHER, that if any legal action be filed on this Bond,. exclusive venue
shall lie in Denton County, Texas.
AND 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 to the Plans, Specifications, Drawings, etc.,
accompanying the same, shall. in anywise 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
rmed thereunder, or to the Plans, Specifications, Drawings,
Contract, or to the Work to be perfo
etc.
PB - 3
Chubb POWER Federal Insurance Company Attn: Surety Department
OF Vigilant Insurance Company 15 Mountain View Road
Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059
Know All by These Presents, That an Indlana corporation, VIGILANT INSURANCE
COMPANY, a Now York cofporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corpora(W, do each hereby constitute and
appoint Bert Guiberteau Jr, of Baton Rouge, Louisiana; Stephen L. Cary K#Ianie Stern and Pamela K.
Tucker of Metairie, Louisiana; Connie Jean Kregel and Jeffrey Todd McIntosh f Richardson, Texas --------
each as their true and lawful Attorney- in- Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any
instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations.
In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested
these presents and affixed their corporate seals on this 1611111 day of March, 2011.
annatPIOC. Wendel, AssizMnt S&crelirry Davi . orris, Jr„ Vice Presi
STATE OF NEW JERSEY
'
County of Somerset SS.
On this 16th day of March, 2011 before me, a Notary Public of New Jersey, personalty came Kenneth C. Wendel, to me
known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which
executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly swum, did depose and say that he is Assistant Secretary of FEDERAL
INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the
foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By- Laws of said Companies; and that he signed said Power of Attorney as
Assistant Secretary of said Companies by like authority; and that he is acquainted with David B. Norris, Jr., and knows him to be Vice President of said Companies; and that the
signature of David S. Norris, Jr., subscribed to said Power of Attorney is in the genuine handwriting of David B. Norris, Jr„ and was thereto subscribed by authority of said By -
Laws and In deponent's presence.
Notarial Seal KATHERINE J. ADELAAR
NOTARY PUBLIC Of NEW JEk5fl
Nr•, IS, 2014
pirelt 65 �F %?
�0TAR1' �mrr►isaiert Expires July
~sue eI.INotary Public
y PIv�
CERTIFICATION
Extractfrom the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY -COMPANY:
"AI(powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the
President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The
signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any
Assistant Vice President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any
certificate relating thereto appointing Assistant Secretaries or Attorneys- in- Fact for purposes only of executing and attesting bonds and undertakings and other
writings obligatory In the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding
upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company
with respect to any bond or undertaking to which it is attached."
I, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY
(the "Companies") do hereby certify that
(1) the foregoing extract of the lay- Laws of the Companies is true and correct,
(ii) the Companies are duly licensed and authorized to transact surety business In all 50 of the United States of America and the District of Columbia and are
authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands, and Federal is licensed In
American Sarnoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and
(III) the foregoing Power of Attorney Is true, correct and in full force and effect.
Given under my hand and seals of said Companies at Warren, NJ this 4th day of
October, 2011 I /
1 :1�66/zz
Cr'v
Kenneth C. W del, Assistant Secretary
IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER
MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OIL BY Telephone (908) 903- 3493 Fax (908) 903- 3656
e-mail: surety@chubb.com
Farm 15-10- 0225B- U (Ed. 5- 03) CONSENT
Policyholder Information Notice
IMPORTANT NOTICE
To obtain information or mare a complaint:
You may call Chubb's toll -free telephone number
for information or to make a complaint at
1-800-36-CHUBB
You may contact the Texas Department of
Insurance to obtain information on companies,
coverages, rights or complaints at
1-800 252-3439
You may write the Texas Department of Insurance
P.O. Box 149104
Austin, TX 78714-9104
FAX # (512) 475-1771
Web: http://www.tdi.state.tx.us
E-mail: ConsumerProtection @ tdi. state,tx.us
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium
or about a claim you should contact the agent first.
If the dispute is not resolved, you may contact the
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY
This notice is for information only and does not
become a part or condition of the attached
document.
AVISO IMPORTANTE
Para obtener informacion o para someter una
quej a:
Usted puede llamas al numero de telefono gratis
de Chubb's para infonnacion o para someter una
quej a al
1-800-36-CHUBB
Puede comunicarse con el Departamento de
Seguros de Texas para obtener infonmci6n acerca
de compamas, cobei-turas, derechos o quejas al
1-800-252-3439
Puede escribir al Departamento de Seguros de
Texas
P.O. Box 149104
Austin, TX 78714-9104
FAX # (512) 475-1771
Web: http://www.tdi.state.tx.us
E-mail: ConsumerProtection@tdi.state.tx.us
DISPUTAS SOBRE PRIMAS O RECLAMOS:
Si tiene una disputa concerniente a su puma o a un
reclamo, debe comunicarse con el agente primero.
Si no se resueve la disputa, puede entonces
comunicarse con el departamento (TDI).
UNA ESTE AVISO A SU POLIZA:
Este aviso es solo para proposito de informacion y
no se convierte en paste o condicion del documento
adjunto.
Form 99-10-0299 (Rev. 1-08)
CITY OF DENTON
INSURANCE REQUIREMENTS FOR CONTRACTORS
Bidder's attention is directed to the insurance requirements below. It is highly recommended
that bidders confer with their respective insurance carriers or brokers to determine in advance
of Bid submission the availability of insurance certificates and endorsements as prescribed
and provided herein. If an apparent low bidder fails to comply strictly with the insurance
requirements, that bidder may be disqualified from award of the contract. Upon bid award, all
insurance requirements shall become contractual obligations, which the successful bidder
shall have a duty to maintain throughout the course of this contract.
STANDARD PROVISIONS:
Without limiting any of the other obligations or liabilities of the Contractor, the Contractor shall
provide and maintain until the contracted work has been completed and accepted by the City of
Denton, Owner, the minimum insurance coverage as indicated hereinafter.
As soon as practicable after notification of bid award, Contractor shall file with the Purchasing
Department satisfactory certificates of insurance, containing the bid number and title of the
project. Contractor may, upon written request to the Purchasing Department, ask for
clarification of any insurance requirements at any time; however, Contractors are strongly
advised to make such requests prior to bid opening, since the insurance requirements may not be
modified or waived after bid opening unless a written exception has been submitted with the bid.
Contractor shall not commence any work or deliver any material until he or she receives
notification that the contract has been accepted, approved, and signed by the City of Denton.
All insurance policies proposed or obtained in satisfaction of these requirements shall comply
with the following general specifications, and shall be maintained in compliance with these
general specifications throughout the duration of the Contract, or longer, if so noted:
Each policy shall be issued by a company authorized to do business in the State of
Texas with an A.M. Best Company rating of at least A.
Any deductibles or self -insured retentions shall be declared in the bid proposal. If
requested by the City, the insurer shall reduce or eliminate such deductibles or
self -insured retentions with respect to the City, its officials, agents, employees and
volunteers; or, the contractor shall procure a bond guaranteeing payment of losses and
related investigations, claim administration and defense expenses.
• Liability policies shall be endorsed to provide the following:
• Name as additional insured the City of Denton, its Officials, Agents,
Employees and volunteers.
CI-9
• That such insurance is primary to any other insurance available to the
additional insured with respect to claims covered under the policy and that this
insurance applies separately to each insured against whom claim is made or
suit is brought. The inclusion of more than one insured shall not operate to
increase the insurer's limit of liability.
• Cancellation: The City requires 30 day written notice should any of the
policies described on the certificate be cancelled or materially changed
before the expiration date.
• Should any of the required insurance be provided under a claims -made form,
Contractor shall maintain such coverage continuously throughout the term of
this contract and, without lapse, for a period of three years beyond the contract
expiration, such that occurrences arising during the contract term which give
rise to claims made after expiration of the contract shall be covered.
• Should any of the required insurance be provided under a form of coverage that
includes a general annual aggregate limit providing for claims investigation or
legal defense costs to be included in the general annual aggregate limit, the
Contractor shall either double the occurrence limits or obtain Owners and
Contractors Protective Liability Insurance.
• Should any required insurance lapse during the contract term, requests for
payments originating after such lapse shall not be processed until the City
receives satisfactory evidence of reinstated coverage as required by this contract,
effective as of the lapse date. If insurance is not reinstated, City may, at its sole
option, terminate this agreement effective on the date of the lapse.
Cl - 10
SPECIFIC ADDITIONAL INSURANCE REQUIREMENTS:
All insurance policies proposed or obtained in satisfaction of this Contract shall additionally
comply with the following marked specifications, and shall be maintained in compliance with
these additional specifications throughout the duration of the Contract, or longer, if so noted.
[X] A. General Liability Insurance:
General Liability insurance with combined single limits of not less than $1,000,000.00
shall be provided and maintained by the Contractor. The policy shall be written on an
occurrence basis either in a single policy or in a combination of underlying and
umbrella or excess policies.
If the Commercial General Liability form (ISO Form CG 0001 current edition) is used:
• Coverage A shall include premises, operations, products, and completed
operations, independent contractors, contractual liability covering this contract
and broad form property damage coverage.
Coverage B shall include personal injury.
Coverage C, medical payments, is not required.
If the Comprehensive General Liability form (ISO Form GL 0002 Current Edition and
ISO Form GL 0404) is used, it shall include at least:
Bodily injury and Property Damage Liability for premises, operations, products
and completed operations, independent contractors and property damage
resulting from explosion, collapse or underground (XCU) exposures.
• Broad form contractual liability (preferably by endorsement) covering this
contract, personal injury liability and broad form property damage liability.
[X] Automobile Liability Insurance:
Contractor shall provide Commercial Automobile Liability insurance with Combined Single
Limits (CSL) of not less than $500,000.00 either in a single policy or in a combination of
basic and umbrella or excess policies. The policy will include bodily injury and property
damage liability arising out of the operation, maintenance and use of all automobiles and
mobile equipment used in conjunction with this contract.
Satisfaction of the above requirement shall be in the form of a policy endorsement for:
any auto, or
all owned, hired and non -owned autos.
Cl - 11
[X] Workers Compensation Insurance
Contractor shall purchase and maintain Worker's Compensation insurance which, in addition
to meeting the minimum statutory requirements for issuance of such insurance, has
Employer's Liability limits of at least $100,000 for each accident, $100,000 per each
employee, and a $500,000 policy limit for occupational disease. The City need not be
named as an "Additional Insured" but the insurer shall agree to waive all rights of
subrogation against the City, its officials, agents, employees and volunteers for any work
performed for the City by the Named Insured. For building or construction projects, the
Contractor shall comply with the provisions of Attachment 1 in accordance with §406.096
of the Texas Labor Code and rule 28TAC 110.110 of the Texas Worker's Compensation
Commission (TWCC).
[ ] Owner's and Contractor's Protective Liability Insurance
The Contractor shall obtain, pay for and maintain at all times during the prosecution of the
work under this contract, an Owner's and Contractor's Protective Liability insurance policy
naming the City as insured for property damage and bodily injury which may arise in the
prosecution of the work or Contractor's operations under this contract. Coverage shall be on
an "occurrence" basis, and the policy shall be issued by the same insurance company that
carries the Contractor's liability insurance. Policy limits will be at least combined bodily
injury and property damage per occurrence with a aggregate.
[ ] Professional Liability Insurance
Professional liability insurance with limits not less than per claim with
respect to negligent acts, errors or omissions in connection with professional services is
required under this Agreement.
[ ] Builders' Risk Insurance
Builders' Risk Insurance, on an All -Risk form for 100% of the completed value shall be
provided. Such policy shall include as "Named Insured" the City of Denton and all
subcontractors as their interests may appear.
CI - 12
[ ] Commercial Crime
Provides coverage for the theft or disappearance of cash or checks, robbery inside/outside
the premises, burglary of the premises, and employee fidelity. The employee fidelity
portion of this coverage should be written on a "blanket' basis to cover all employees,
including new hires. This type insurance should be required if the contractor has access to
City funds. Limits of not less than each occurrence are required.
[ ] Additional Insurance
Other insurance may be required on an individual basis for extra hazardous contracts and
specific service agreements. If such additional insurance is required for a specific contract,
that requirement will be described in the "Specific Conditions" of the contract specifications.
Cl- 13
ATTACHMENT 1
[X] Worker's Compensation Coverage for Building or Construction Projects for
Governmental Entities
A. Definitions:
Certificate of coverage ("certificate") -A copy of a certificate of insurance, a certificate
of authority to self -insure issued by the commission, or a coverage agreement (TWCC-
81, TWCC-82, TWCC-83, or TWCC-84), showing statutory workers' compensation
insurance coverage for the person's or entity's employees providing services on a
project, for the duration of the project.
Duration of the project - includes the time from the beginning of the work on the project
until the contractor's/person's work on the project has been completed and accepted by
the governmental entity.
Persons providing services on the project ("subcontractor" in §406.096) - includes all
persons or entities performing all or part of the services the contractor has undertaken to
perform on the project, regardless of whether that person contracted directly with the
contractor and regardless of whether that person has employees. This includes, without
limitation, independent contractors, subcontractors, leasing companies, motor carriers,
owner -operators, employees of any such entity, or employees of any entity which
furnishes persons to provide services on the project. "Services" include, without
limitation, providing, hauling, or delivering equipment or materials, or providing labor,
transportation, or other service related to a project. "Services" does not include
activities unrelated to the project, such as food/beverage vendors, office supply
deliveries, and delivery of portable toilets.
B. The contractor shall provide coverage, based on proper reporting of classification codes
and payroll amounts and filing of any overage agreements, which meets the statutory
requirements of Texas Labor Code, Section 401.011(44) for all employees of the
Contractor providing services on the project, for the duration of the project.
C. The Contractor must provide a certificate of coverage to the governmental entity prior to
being awarded the contract.
D. If the coverage period shown on the contractor's current certificate of coverage ends
during the duration of the project, the contractor must, prior to the end of the coverage
period, file a new certificate of coverage with the governmental entity showing that
coverage has been extended.
E. The contractor shall obtain from each person providing services on a project, and
provide to the governmental entity:
CI - 14
1) a certificate of coverage, prior to that person beginning work on the project, so the
governmental entity will have on file certificates of coverage showing coverage for
all persons providing services on the project; and
2) no later than seven days after receipt by the contractor, a new certificate of coverage
showing extension of coverage, if the coverage period shown on the current
certificate of coverage ends during the duration of the project.
F. The contractor shall retain all required certificates of coverage for the duration of the
project and for one year thereafter.
G. The contractor shall notify the governmental entity in writing by certified mail or
personal delivery, within 10 days after the contractor knew or should have known, of
any change that materially affects the provision of coverage of any person providing
services on the project.
H. The contractor shall post on each project site a notice, in the text, form and manner
prescribed by the Texas Workers' Compensation Commission, informing all persons
providing services on the project that they are required to be covered, and stating how a
person may verify coverage and report lack of coverage.
I. The contractor shall contractually require each person with whom it contracts to provide
services on a project, to:
1) provide coverage, based on proper reporting of classification codes and payroll
amounts and filing of any coverage agreements, which meets the statutory
requirements of Texas Labor Code, Section 401.011(44) for all of its employees
providing services on the project, for the duration of the project;
2) provide to the contractor, prior to that person beginning work on the project, a
certificate of coverage showing that coverage is being provided for all employees of
the person providing services on the project, for the duration of the project;
3) provide the contractor, prior to the end of the coverage period, a new certificate of
coverage showing extension of coverage, if the coverage period shown on the current
certificate of coverage ends during the duration of the project;
4) obtain from each other person with whom it contracts, and provide to the contractor:
a) certificate of coverage, prior to the other person beginning work on the project;
and
b) a new certificate of coverage showing extension of coverage, prior to the end of
the coverage period, if the coverage period shown on the current certificate of
coverage ends during the duration of the project;
Cl- 15
5) retain all required certificates of coverage on file for the duration of the project and
for one year thereafter;
6) notify the governmental entity in writing by certified mail or personal delivery,
within 10 days after the person knew or should have known, of any change that
materially affects the provision of coverage of any person providing services on the
project; and
7) contractually require each person with whom it contracts, to perform as required by
paragraphs (1) - (7), with the certificates of coverage to be provided to the person for
whom they are providing services.
J. By signing this contract or providing or causing to be provided a certificate of coverage,
the contractor is representing to the governmental entity that all employees of the
contractor who will provide services on the project will be covered by workers'
compensation coverage for the duration of the project, that the coverage will be based on
proper reporting of classification codes and payroll amounts, and that all coverage
agreements will be filed with the appropriate insurance carrier or, in the case of a self -
insured, with the commission's Division of Self -Insurance Regulation. Providing false
or misleading information may subject the contractor to administrative penalties,
criminal penalties, civil penalties, or other civil actions.
K. The contractor's failure to comply with any of these provisions is a breach of contract by
the contractor which entitles the governmental entity to declare the contract void if the
contractor does not remedy the breach within ten days after receipt of notice of breach
from the governmental entity.
Cl - 16
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor or other person doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 1491, 80th Leg., Regular Session.
OFFICE USE ONLY
This questionnaire is being filed in accordance with chapter 176 of the Local Government Code by a
Date Received
person doing business with the governmental entity.
By law this questionnaire must be filed with the records administrator of the local government not
later than the 7th business day after the date the person becomes aware of facts that require the
statement to be filed. See Section 176.006, Local Government Code.
A person commits an offense if the person violates Section 176.006, Local Government Code. An
offense under this section is a Class C misdemeanor.
1 Name of person who has a business relationship with local governmental entity.
2
❑ Check this box if you are filing an update to a previously filed questionnaire.
(The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business
day after the date the originally filed questionnaire becomes incomplete or inaccurate.)
5Nameof local government officer with whom filer has an employment or business relationship.
Name of Officer
This section, (item 3 including subparts A, B, C & D), must be completed for each officer with whom the filer has an employment or other business
relationship as defined by Section 176.001 (1 -a), Local Government Code. Attach additional pages to this Form CIQ as necessary.
A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the
filer of the questionnaire?
0 0 No
Yes
B. Is the filer of the questionnaire receiving or likely to receive taxable income, other than investment income, from or at the direction of the
local government officer named in this section AND the taxable income is not received from the local governmental entity?
Yes 0 No
C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer
serves as an officer or director, or holds an ownership of 10 percent or more?
0
Yes No
D. Describe each affiliation or business relationship.
4
Signature of person doing business with the governmental entity Date
Adopted 06129120D7
CIQ - 1
Project Name: Brown Street and Preston Place 8" sanitary Sewer Replacements Calendar Days 90
Bid No. 4,801
P.O. No.
BID TABULATION SHEET
Item IDescription Quantity Unit
Unit Price I Total
103.3 SURETY BONDS 1 LS
t $ 11,250.00 ! $ 11,250.00
Unit Price In Words ELEVEN THOUSAND TWO HUNDRED FIFTY DOLLARS AND ZERO CENTS
107.19.3
TRENCH SAFETY
1 1,711
LF
$ 1.00 !
$ 1,711.00
Unit Price In Words ONE DOLLAR AND ZERO CENTS
107.2
1 PROJECT SIGNS
1 2
1 EA
J $ 450.00 !
$ 900.00
Unit Price In Words FOUR HUNDRED FIFTY DOLLARS AND ZERO CENTS
F201
TEMPORARY EROSION CONTROL, SEDIMENTATION &
WATER POLLUTION CONTROL
850
LF
$ 2.00 /
$ 1,700.00
Unit Price In Words TWO DOLLARS AND ZERO CENTS
F202.5
SODDING
450
SY
$ 5.00 /
$ 2,250.00
Unit Price In Words FIVE DOLLARS AND ZERO CENTS
F203-3 GENERAL SITE PREPARATION 1
LS
$ 10,000.00 /
$ 10,000.00
Unit Price In Words TEN THOUSAND DOLLARS AND ZERO CENTS
F203.3-A
I REMOVE CONCRETE CURB & GUTTER
250
LF
$ 3.00 /
$ 750.00
Unit Price In Words THREE DOLLARS AND ZERO CENTS
305.1
CONSTRUCT CONCRETE CURB & GUTTER
250
LF
$ 12.00 !
$ 3,000.00
Unit Price In Words TWELVE DOLLARS AND ZERO CENTS
F305.2
I CONCRETE DRIVEWAY APPROACH 6" THICK
12
SY
$ 70.00 !
$ 840.00
Unit Price In Words SEVENTY DOLLARS AND ZERO CENTS
F5-02.1 A I CONCRETE DRIVEWAY APPROACH 6" THICK
1
EA
$ 3,400.00 /
$ 3,400.00
Unit Price In Words THREE THOUSAND FOUR HUNDRED DOLLARS AND ZERO CENTS
F502.1-B
CONCRETE MANHOLE DROP (4' I.D.) (0-6 FEET DEEP)
1 3
1 EA
$ 4,000.00 /
$ 12,000.00
Unit Price In Words FOUR THOUSAND DOLLARS AND ZERO CENTS
F5-02.1 B
I CONCRETE MANHOLE 4' I.D.) (0-6 FEET DEEP)
1 9
EA
$ 2,700.00 /
$ 24,300.00
Unit Price In Words TWO THOUSAND SEVEN HUNDRED DOLLARS
AND ZERO CENTS
[502.1-C
ADDITIONAL MANHOLE DEPTH (4' I.D.) (> 6 FEET) 32
VF
$ 130.00 /
$ 4,160.00
Unit Price In Words ONE HUNDRED THIRTY DOLLARS AND ZERO CENTS
F502.1-D ADDITIONAL MANHOLE DEPTH (5' I.D_)(> 6 FEET)
7
VF
$ 190.00 /
$ 1,330.00
Unit Price In Words ONE HUNDRED NINETY DOLLARS AND ZERO
CENTS
502,10.4
4" SANITARY SEWER SERVICE INCLUDING CLEANOUT
18
EA
$ 2,960.00 1
$ �,280,00
Unit Price In Words TWO THOUSAND NINE HUNDRED SIXTY DOLLARS AND ZERO CENTS
P-3
Project Name: Brown Street and Preston Place 8" sanitary Sewer Replacements
BID TABULATION SHEET
Calendar Days 90
Bid No. 4801
P.O. No.
504.5
CONCRETE ENCASEMENT CAP
50
1 LF
1 $ 20.00 /
$ 1,000.00
Unit Price In Words TWENTY DOLLARS AND ZERO CENTS
507
8" ASTM D2241 SDR-26 SANITARY SEWER PIPE
1,711
LF
$ 59.00 /
$ 100,949.00
Unit Price In Words FIFTY NINE DOLLARS AND ZERO CENTS
801.1
BARRIERS AND WARNING AND/OR DETOUR SIGNS
1 1
LS
$ 6,000.00 !
$ 6,000.00
Unit Price In Words SIX THOUSAND DOLLARS AND ZERO CENTS
FSS01
CUT AND PLUG EXISTING SANITARY SEWER LINE 1 2
EA
$ 200.00 J
$ 400.00
Unit Price In Words TWO HUNDRED DOLLARS AND ZERO CENTS
SS02
ABANDON EXISTING MANHOLE
1 4
EA
$ 500.00 /
$ 2,000.00
Unit Price In Words FIVE HUNDRED DOLLARS AND ZERO CENTS
SUBTOTAL BASE BID
$ 241,220.00
P-4
BID SUNPAARY
TOTAL BASE BID PRICE IN WORDS:
7�o ll-1,0,c-Eo i-no-r7 D.✓E 7-A -sAnlD TcJo A4-^10At b
If
TrJFn/>y �epl.�.�s �4-n/'o ?�EILo GENY'S
Total Base Bid is defined as the sum of BROWN STREET & PRESTON PLACE 8"
SANITARY SEWER REPLACEMENTS.
In the event of the award of a contract to the undersigned, the undersigned will furbish a
performance bond and a payment bond for the full amount of the contract, to secure proper
compliance with the terms and provisions of the contract, to insure and guarantee the work
until final completion and acceptance, and to guarantee payment for all lawful claims for
labor performed and materials furnished in the fulfdllment of the contract.
It is understood that the work proposed to be done shall be accepted, when fully completed
and finished m accordance with the plans and specifications, to the satisfaction of the
Engineer.
The undersigned certifies that the bid prices contained in this proposal have been carcfully
checked and are submitted as correct and final.
Unit and lump sum prices as shown for each item listed in this proposal shah control over
extensions.
The undersigned agrees this bid becomes the property of the City of Denton after the
official opening.
The undersigned affirms that they are duly authorized to execute this contract.
Vendor hereby assigns to purchaser any and all claims for overcharges associated with
this contract which arise under the antitrust laws of the United States, 15 USCA Section I
et seq., and which arise under the antitrust laws of the State of Texas, Tex. Bus. & Coro.
Code, Section 15.01, et seq.
P - 5
Receipt is hereby acknowledged of the following addenda to the plans and specifications:
Addendum No. 1 dated i✓o,4/i-
7A — Received
Addendum No. Z dated
Received
Addendum No. 3 dated
Received
Addendum No. 4 dated
Received
Addendum No. 5 dated
Received
CONTRACTOR
SY
-P D . 8.x- z 5 a
Street Address
)�>'e n� T'ta n/, f- K,4 S 7 (v Zo Z
City and State
Seal & Authorization
(If a Corporation) /n4�p ' 3
Telephone
P-6
VENDOR COw1 LANCE TO STATE LAW
The 1995 Session of the Texas Legislature passed House Bill 620 relative to the award of
contracts to non-resident bidders. This law provides that, in order to be awarded a contract
as low bidder, non-resident bidders (out-of-state contractors whose corporate offices or
principal place of business are outside of the State of Texas) bid projects for construction,
improvemettts, supplies or services in Texas at an amount lower than the lowest Texas
resident bidder by the same amount that a Texas resident bidder would be required to
underbid a non-resident bidder in order to obtain a comparable contract in the state in which
the non-resident's principal place of business is located. The appropriate blanks in Section
A below must be filled out by all out-of-state or non-resident bidders in order for your bid to
meet specifications. The failure of out-of-state or non-resident contactors to do so will
automatically disqualify that bidder. Resident bidders must check the blank in Section B.
A. Non-resident bidders in (give state), our principal place of
business, are required to be percent lower than resident
bidders by state law. A copy of the statute is attached -
Non -resident bidders in (give state), our principal place of
business, are not required to underbid resident bidders.
B. Our principal place of business or corporate offices are in the State of Texas:
P-TI-1100
�--r„bl;C-� Cro ce
COMPANY
BY `� -
Street Address
r�-J, ri->,-As 7(-7
City and State
THIS FORM MUST HE RETURNED WITH YOUR BID.
P-7
CONTRACTOR COMPLIANCE TO TEXAS SALES TAX CODE
Comply with all requirements of the Texas Sales Tax Code. The Contractor hereby certifies
that the Contract Amount is divided as follows:
Materials incorporated into the Project
(resold to the Owner as defined in Tax Code)
All other charges and costs
Total
The total must equal the total amount of the Contract.
CONTRACTOR
�3aC, - �)," o �,- cz,P-Aw
COMPANY
BY
�P- o. /fix Z5v
Street Address
77) f,,J 00,1 4 E)cAS 7 6 z o -z--
City and State
$
$ /:(., f93.cd
THIS FORM SHALL BE EXECUTED AT THE TEME OF EXECUTION OF THE
CONTRACT AND SHALL BE MADE A PART OF THE CONTRACT.
P-8
CHUBS GROUP OF INSURANCE COMPANIES
FEDERAL INSURANCE COMPANY
BID BOND
Bond No. Bid Bond Amount $ 5%
Know All Men By These (Presents,
That we, Jagoe-Public Company
3020 Fort Worth Drive
Denton, TX 76202
(hereinafter called the Principal),
as Principal, and the FEDERAL INSURANCE COMPANY, Warren, New Jersey, a corporation duly organized under
the laws of the State of Indiana, (hereinafter called the Surety), as Surety, are held and firmly bound unto
City of Denton
901-B Texas Street
Denton, TX 76209 (hereinafter called the Obligee),
in the sum of Five Percent of the Amount Bid Dollars
($ 5% ), for the payment of which we, the said Principal and the said Surety, bind ourselves,
our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
Sealed with our seals and dated this 15th day of September, 2011
WHEREAS, the Principal has submitted a bid, dated September 15, 2011
for Bid 44801; Brown Street & Preston Place 8" Sanitary Sewer Replacements
Denton, Texas
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Obligee shall accept the bid of
the Principal and the Principal shall enter into a contract with the Obligee in accordance with such bid and give bond
with good and sufficient surety for the faithful performance of such contract, or in the event of the failure of the
Principal to enter into such contract and give such bond, if the Principal shall pay to the Obligee the difference, not
to exceed the penalty hereof, between the amount specified in said bid and the amount for which the Obligee may
legally contract with another party to perform the work covered by said bid, if the latter amount be in excess of the
former, then this obligation shall be null and void, otherwise to remain in full force and effect.
Jagoe-Public Company
Principal
By:
FEDERAL INSURANCE COMPANY
By:
Connie Jean Kre , Attorney -in -Fa
POWER Federal Insurance Company Attn: Surety Department
IcChubb OF Vigilant Insurance Company 15 Mountain View Road
Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059
Musa
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE
COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and
appoint Bert Guiberteau Jr. of Baton Rowe, Louisiana; Stephen L. Cary Melanie Stern and Pamela K.
Tucker of Metairie, Louisiana; Connie Jeantegel and Jeffrey Todd McIntosh of Richardson, Texas --------
each as their true and lawful Attorney- In- Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bonds and undertakings and other writings obligatory In the nature thereof (other than bail bonds) given or executed in the course of business, and any
instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations.
In witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMN17Y COMPANY have each executed and attested
these presents and affixed their corporate seals on this 16th day of March, 2011.
7,3/— xzf
Can C.Wendel,;--AssP n S ore Davl orris, Jr., Vice Presi
STATE OF NEW JERSEY
County of Somerset ss.
On this 16th day of March, 2011 before me, a Notary Public of New Jersey, personally came Kenneth C. Wendel, to me
known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which
executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly swom, did depose and say that he Is Assistant Secretary of FEDERAL
INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFICANDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the
foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By- Laws of said Companies; and that he signed said Power of Attorney as
Assistant Secretary of said Companies by like authority; and that he Is acquainted with David B. Norris, Jr., and knows him to be Vice President of said Companies; and that the
signature of David B. NoMs, Jr., subscribed to said Power of Attorney is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By -
Laws and in deponent's presence.
Notarial Seel KATHERINE J. ADELAAR
N NOTARY PUBLIC OF NEW JEkSf1
�
Nc^, 231 µaTARi• �� Commission Expirrzs July 14. 2034
i" e4 � Notary Public
�FU8LIC
CERTIFICATION
Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY" COMPANY:
"All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the
President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The
signature of such officers may be engraved, printed or lithographed. The signature of each of the fallowing officers. Chairman, President, any Vice President, any
Assistant Vice President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any
certificate relating thereto appointing Assistant Secretaries or Attorneys- In- Fact for purposes only of executing and attesting bonds and undertakings and other
writings obligatory In the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding
upon the Company and any such power so executed and certifled by such facsimile signature and facsimile seat shall be valid and binding upon the Company
with respect to any Mond or undertaking to wNch it is attached."
1, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY
(the 'Companies!) do hereby certify that
(1) the foregoing extract of the By- laws of the Companies Is true and correct,
(ii) the Companies are duly licensed and authorized to transact surety business In all 50 of the United States of America and the District of Columbia and are
authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands, and Federal is licensed In
American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and
(iii) the foregoing Power of Attorney Is true, correct and in full force and effect
Given under my hand and seals of said Companies at Warren, NJ this 15 th
dayof September, 2011
L/
Kenneth C. W71del, Assistant Secretary
IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER
MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903- 3493 Fax (908) 903- 3656
e-mail- surety@chubb.com
Form 15-10- 0225B- U (Ed. 5- 03) CONSENT
Policyholder Information Notice
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call Chubb's toll -free telephone number
for information or to make a complaint at
1-800-36-CHUBS
You may contact the Texas Department of
Insurance to obtain information on companies,
coverages, rights or complaints at
1-800-252-3439
You may write the Texas Department of Insurance
P.O. Box 149104
Austin, TX 78714-9104
FAX # (512) 475-1771
Web: http://Www.tdi.state.tx.us
E-mail: ConsumerProtectionCtdi.state.tx.us
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium
or about a claim you should contact the agent first.
If the dispute is not resolved, you may contact the
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY
This notice is for information only and does not
become a part or condition of the attached
document.
AVISO IIVIPORTAN i E
Para obtener informacion o para. someter una
quej a:
Usted puede llamar al numeeo de telefono gratis
de Chubb's Para infoinzacion o para someter una
quej a a1
1-800-36-CHUBB
Puede comunicarse con el Departamento de
Seguros de Texas para obtener informacion acerca
de companuas, coberturas, derechos o quejas al
1-800-252-3439
Puede escribir al Departamento de Seguros de
Texas
P.O. Box 149104
Austin, TX 78714-9104
FAX # (512) 475-1771
Web: http://www.tdi.state.tx.us
E-mail: ConsumcrProtc,-ction@tdi-state.tx.us
DISPUTAS SOBRE PRIMAS O REOLAMOS:
Si tiene una disputa concerniente a su pi7ma o a un
reclamo, debe comunicarse con el agente primero.
Si no se resueve la disputa, puede entonces
comunicarse con el departamento (TDI).
UNA ESTE AVISO A SU POLIZA.
Este aviso es solo para proposito de informacion y
no se convierte en parte o condicion del documento
adjunto.
BID No. 4801
PROPOSAL
TO
THE CITY OF DENTON, TEXAS
FOR THE CONSMUCTION OF
BROWN STREET & PRESTON PLACE 8" SANITARY SEWER
REPLACEMENTS
IN
DENTON, TEXAS
The undersigned, as bidder, declares that the only person or parties interested in this
proposal as principals are those named herein, that this proposal is made without collusion
with any other person, firm, or corporation; that he has carefully examined the form of
contract, Notice to Bidders, specifications and the plans therein referred to, and has carefully
examined the locations, conditions, and classes of materials of the proposed work and agrees
that he will provide all the necessary labor, machinery, tools, apparatus, and other items
incidental to construction, and will do all the work and furnish all the materials called for in
the contract and specifications in the manner prescribed herein and according to the
requirements of the City as therein set forth
It is understood that the following quantities of work to be done at unit prices are
approximate only, and are intended principally to serve as a guide in evaluating bids.
It is agreed that the quantities of work to be done at unit prices and material to be furnished
may be increased or diminished as may be considered necessary, in the opinion of the City,
to complete the work fully as planned and contemplated, and that all quantities of work
whether increased or decreased are to be performed at the unit prices set forth below except
as provided for in the specifications. The contractor shall provide the numeric unit price and
the unit price in words for each quantity. Unit price m words governs over the numeric
price given.
It is further agreed that lump sum prices may be increased to cover additional work ordered
by the City, but not shown on the plans or required by the specifications, in accordance with
the provisions to the General Conditions. Similarly, they may be decreased to cover
deletion of work so ordered.
It is understood and agreed that the work is to be completed in full within the number of
workdays shown on the bid tabulation sheet.
P-1
Accompanying this proposal is a certified or cashier's check or Bid Bond, payable to the
Owner, in the amount of five percent of the total bid
It is understood that the bid security accompanying this proposal shall be retumed to the
bidder, unless in case of the acceptance of the proposal, the bidder shall fail to execute a
contract and file a performance bond and a payment bond within fifteen days after its
acceptance, in which case the bid security shall become the property of the Owner, and shall
be considered as a payment for damages due to delay and other inconveniences suffered by
the Owner on account of such failure of the bidder. Owner.reserves the right to reject any
and all bids. Owner may investigate the prior performance of bidder on other contracts,
either public or private, in evaluating bid proposals. Should bidder alter, change, or qualify
any specification of the bid, Owner may automatically disqualify bidder.
The undersigned hereby proposes and agrees to perform all work of whatever nature
required, in strict accordance with the plans and specifications, for the following sum or
prices, to wit:
P-2
OP ID: LB
CERTIFICATE 4F LIABILITY INSURANCE
DATDIYYYY)
1111021/02/11
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(ies) must 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 endorsements .
PRODUCER 504-834-5080
Cory, Tucker & Larrowe, Inc. 504-835-7726
P. O. Box 6646
Metairie, LA 70009.6646
coNEACT
PHONE FAX
AIC No :
ADDDRRESS,
PRODUCERCUSTOM
ER,pJLEEM4
INSURERS AFFORDING COVERAGE
NAIC #
INSURED Jagoe-Public Company
J. Lee Milligan, Inc.
P. 0. Box 250 i�1j
Denton, TX 76202-0250
!r✓�C,
INSURERA:Travelers Lloyds Insurance Co
INSURER B:Travelers Property Casualty Co
125674
INSURERc:Texas Mutual Insurance Cc
INSURER D:
INSURERE:
INSURER F.
nn,.ennn_=c r-00T1C1ttATC kl IMCFR• REVISION NUMBER:
vTHIS 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.
INSR
L
TYPEOFINS CE
ADDL
SUBR
POLICYNUMB
POLICY EFF
POLICY EXP
LIMITS
A
GENERAL LIABILI Y
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
/
C08555R61Y
10/01/11
10/01/12
EACH OCCURRENCE
$ 1,000,00
PREMISES Ea occurrence
$ 300,00
MED EXP (Anyoneperson)
$ 5,00
PERSONAL & MW lWURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,00
GENT AGGREGATE LIMIT APPLIES PER:
POLICY X PRO- LOC
PRODUCTS-COMP/OPAGG
$ 2,000,00
$
B
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
/
8108555R619✓
10/01/11
10/01/12
COM INED SINGLE LIMIT
$ 1,000,00
X
BODILYINJUINJU RY(Perperson)
$
BOOkLY 4SJJURY (Pes accident)
$
PROPERTY DAMAGE
(Peraccident)
$
X
X
$
g
UMBRELLALIAB
EXCESSLIAB
X
OCCUR
CLAIMS -MADE
8555R619DEDUCTIBLE
10l01l11
10l01l12
EACH OCCURRENCE
$ 8,000,00
AGGREGATE
$ 8,000,00
RETENTION
$F—P
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOWPARTNER/EXECUTIVE YIN
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS bel
NIA
TSF00001072856
10/01/11
10/01/12
X ORSLA S ER
E.L.EACIiACCIDENT
$ 1,000,00
E.L. DISEASE -EA EMPLOYE
1 000,00
$ r
E.L. DISEASE-POLICYLIMrI
1,000,00
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 107. P.ddRlonal Remarks Schedule, If more space Is required)
RE: Brown St. & Preston Place 8" Sanitary Sewer Rep.
i+nr� u�� non f ahlCFl 1 A-nom
DENT002
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
/
City of Denton
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Materials Management Division
AUTHORIZED REPRESENTATIVE
901 B Texas Street
Denton, TX 76209
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C� 78SS-!UU'JA(:UfiU liUfCYVhCAIrVIV. w+nyrR� rCJC/ve:u.
ACORD 26 (2009109) The ACORD name and logo are registered marks of ACORD
lJ
1
HOLDER CODE DENT002 JLEEM 1 PAGE
NOTEPAD. INSURED'S NAME OP ID: LB DATE 11/02/11
If required by �written contract signed by Named Insured Certificate
Holder its O iicials, Agents, Employees�ricmteers aen al
s PrimaryanNon-Contributorybasis for coverages C pensaion
an are providedW
coverages.
"Said Policy shall not be cancelled, non -renewed or materially changed
without 30 days advance written notice being given to the Certificate
Holder, except when the policy is being cancelled for non-payment of
premium, in which case 10 days advanced written notice of required.