HomeMy WebLinkAbout2001-363ORDINANCE NO A-61--20
AN ORDINANCE ACCEPTING COMPETITIVE BIDS AND AWARDING A PUBLIC WORKS
CONTRACT FOR THE CONSTRUCTION OF PAVING IMPROVEMENTS ON DUNCAN AND
NEFF STREETS, PROVIDING FOR THE EXPENDITURE OF FUNDS THEREFORE, AND
PROVIDING AN EFFECTIVE DATE (BID 2719 — DUNCAN AND NEFF STREET PAVING
AWARDED TO JAGOE PUBLIC COMPANY IN THE AMOUNT OF $65,603 25)
WHEREAS, the City has solicited, and received competitive sealed bids for the construction
of public works or improvement 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 respondent for the construction of the public works or
improvements described in the bid invitation, and plans and specifications therein, and
WHEREAS, Section 271 905 of the Local Government Code allows the City to award a
contract to a bidder having its principal place of business in the City if its bid is within three per cent
of the lowest bid price received from a nonresident bidder if the governing body determines in
writing, that the local bidder offers the City the best combination of price and additional economic
development opportunities for the City created by the contract award, including the employment of
residents of the City and increased tax revenues to the City, and
WHEREAS, the City Manager or a designated employee has reviewed the herein described
bids for the materials, equipment, supplies or services as shown in the "Bid Proposals" submitted
therefore and represents to the City Council that the herein described local bidder's bid is within
three per cent of lowest bid price received from a nonresident bidder, 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 1 That the following competitive sealed bid for the construction of public works
or improvements, as described in the "Sealed Bid Invitations", or plans and specifications on file in
the Office of the City's Purchasing Agent filed according to the bid number assigned hereto, and,
The City Council hereby determines that the vendor set forth below has its principal place of
business in the City of Denton, Texas, its bid is within three per cent of the lowest bid price received
from a nonresident bidder and such local bidder offers the City the best combination of price and
additional economic development opportunities for the City created by this contract award The
following numbered bid for construction of a public works project from the below described local
bidder and as shown in the "Bid Proposals" on file in the office of the City Purchasing Agent, are
hereby accepted and approved
BID
NUMBER CONTRACTOR AMOUNT
2719 Jagoe Public Company $65,603 25
SECTION 2 That the acceptance and approval competitive sealed bid 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 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 That 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 Request for Sealed Bids, and documents relating thereto specifying
the terms, conditions, plans and specifications, standards, quantities and specified sums contained
therein
SSECTION 4 That upon acceptance and approval of the above competitive sealed 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
approval
PASSED AND APPROVED this day of L , 2001
This ordinance shall become effective immediately upon its passage and
Z/'a
EULINE BROCK, MAYOR
ATTEST,
JE IFER WALTERS, C Y SECRETARY
BY
AP OVED AS TO LEGAL FORM
HERBERT L PROUTY, CUY ATTORNEY
BY v
BID 2719 DUNCAN NEFF S PAVING LOCAL PREFERENCE PUBLIC WORKS PROJECT ORDINANCE
Duncan & NefflStreet Paving Bid # 2719 CITY OF DENTON
August 02, 2001
CONTRACT AGREEMENT
STATE OF TEXAS
COUNTY OF DENTON
THISi AGREEMENT, made and entered into this 18`h day of September A D , 2001, by
and between CM of Denton of the County of Denton and State of Texas, acting
through
thereunto duly authorized so to do, hereinafter termed "OWNER," and
Jagoe Public Co
3020 Ft Worth Drive P 0 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 # 2719 Duncan & Neff Street Paving
in the amount of $65, 603 25 and all extra work in connection therewith, under the terns 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 the 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 staff
all of which are referenced herein and made a part hereof and collectively evidence and constitute the
entire contract
CA-1
Duncan & Neff Street Paving Bid # 2719 CITY OF DENTON
August 02, 2001
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 shall and does hereby agree to indemnify and hold harmless the City of Denton
from any and all damages, loss, or liability of any kind whatsoever, by reason of injury to property or
third persons occasioned by any error, omission or negligent act of Contractor, its officers, agents,
employees, invitees, and other persons for whom it is legally liable, with regard to the performance of
this Agreement, and Contractor will, at its cost and expense, defend and protect the City of Denton
against any and all such claims and demands
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
117
Duncan & Neff Street Paving Bid # 2719 CITY OF DENTON
August 02, 2001
IN WITNESS WHEREOF, the parties of these presents have executed this agreement in the
year and dayj first above written
ATTEST
!et4l aAdv"'
ATTEST
^
APPROVED AS TO FORM ®�
CITY ATTORNEY
0
(SEAL)
<j�I oe-/Yu61« Co
CONTRACTOR
MAILING ADDRESS
'l'lO 3 82 — Z Y-k/
PHONE NUMBER
41Kc SF2- --g757
FA��X��/ MBER
BY -!"," — (/P
TITLE
PRINTED NAME
CA-3
(SEAL)
118
Duncan & Neff Street Paving
Bid # 2719
CITY OF DENTON
August 02, 2001
CONTRACT DOCUMENTS having examined the Proposal, General Instructions, Materials,
Execution, Drawings, and Contract for (Bid # 2719) and Duncan & Neff Street Paving, and having
examined the premises and circumstances affecting the work, the undersigned offer
OFFER 1 To furnish all labor, material, tools, equipment, transportation, bonds, all applicable taxes,
incidentals, and other facilities, and to perform all work for the said Sherman Drive Stone Matrix
Asphalt Overly for the following area
BASE BID — Duncan & Neff Street Paving
In words �� - G r 4,.5
Duncan & Neff Street Paving
WORKDAYS 25 Days
101
Neff Paving
Bid ivo
BID TABULATION SHEET o rn
Duncan Drive Paving bk.pw�
Bid No
BID TABULATION SHEET
PO No
i n A
PROJECT
Duncan Drive Paving
Neff Paving
TOTAL
BID SUMMARY
WORKDAYS
25
BID
$ 30�y3.�o
$ 6 S (003. �S
Both paving sections will be awarded to one contractor Award of bid will be based on the total
The two sections are being separated for bookkeeping purposes Workdays will be kept
separately on each section of the project
104
Duncan & Neff Street Paving Bid # 2719
CITY OF DENTON
August 02, 2001
Project Total Cost = $ 6`J, b6-3
MATERIALS
$36 Ou0 O�
LABOR 4- a+�e/ $ 8
TOTAL $ i
EXAMINATI9N OF SITE By signing the Proposal Form, contractor acknowledges he is an
authorized representative and has examined the site and is aware of all field conditions, which may
affect the work
TAXES Tax shall not be included in your bid
Upon receipt of notl6e of acceptance of this bid, within thirty (30) days of the date of this proposal, I
(or we) agree t9 execute the formal contract within ten (10) days thereafter, and to deliver an Insurance
Certificate, aiJRETY BOND in the amount of ONE HUNDRED and TEN PERCENT (110%) of the
contract price for the faithful performance of the contract, and a ONE HUNDRED PERCENT (100%)
STATUTORY i PAYMENT BOND
The undersigned agrees to complete all work shown on the drawings and in the specifications within
the time limits set forth below subject to additional days that may be added due to inclement weather
and/or other jugtified and reasonable extensions or time as may be approved by the Owner
Contractors th4t are awarded contracts shall be prepared to unmediately sit down with the City of
Denton Representatives and present a plan that will illustrate how progression of work is to take place
to insure completion of all work within specified time limits The time limits are as follows
All work is to be started and completed within 25 (twenty five) work days Work days are defined in
the Supplementary Conditions
If a contractor �s awarded the project, the project must be completed within the dates shown above
the contractor will be subject to liquidated damages as set forth below or
A working day is defined as a calendar day, in which weather or other conditions not under the control
of the company will permit the performance of the principal units of work underway for a continuous
period of not less than seven (7) hours between 7 00 A M and 6 00 P M
The undersigne',d agrees that the Owner may retain the sum, as prescribed in the North Texas Council
of Governments General Provisions, from the amount to be paid to the undersigned for each calendar
day that the wotk contemplated remains moomplete beyond the time set forth, Sundays and holidays
INCLUDED This amount is agreed upon as the proper measure of liquidated damages which the
Owner will sustain per day by failure of the undersigned to complete the work at the stipulated time,
and is not to be, construed in any sense as a penalty
105
Duncan & Neff Street Pavmg Bid # 2719 CITY OF DENTON
August 02, 2001
Payment will be made to the contractor within thnty (30) days after receipt of proper invoice and
written acceptance of project from the Owner's representative, all required material invoices,
documentation, etc and all written warranties from both contractor and manufacturer
I (or we) agree to promptly furmsh a correct and current financial statement of condition with a list of
owned equipment and an experience record of completed projects for examination by Owner and
architect, if same is required
SEAL (If by Corporation) RESPECTFULLY SUBMITTED BY
1
(Name)
�% Ge, ��LSc/ilnaL�
(Title)
woe Ppwgb CAress,
H0. Box )
Denton, Tx 78202
OKI
Duncan & Neff lStreet Paving Bid # 2719 CITY OF DENTON
Bond No 111-33�9-5790 August 02, 2001
PERFORMANCE BOND
STATE OF TEXAS
COUNTY Of DENTON §
KNOW ALL MEN BY THESE PRESENTS That 7agoe Public Companv whose address is
3020 Ft Worth Drive P 0 Box 250 Denton TX 76202 hereinafter called
Principal, and ASSOCIATED INDEMNITY CORPORATION
a corporationlorganized and existing under the laws of the State of California 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, in the penal sum of Sixty Five Thousand Six Hundred and Three
DOLLARS a$d Twenty Frve cents ($ $65 O3 25 ) plus ten percent of the stated penal sum as an
additional sur 1 of money representing additional court expenses, attorneys' fees, and liquidated
damages ansi ig out of or connected with the below identified Contract, 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 bird 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 Ordeq or Supplemental Agreement, which reduces the Contract price, decrease the penal sum
of this Bond I
THE OBLIGATION TO PAY SAME is conditioned as follows Whereas, the Principal
entered into a certain Contract, identified by Ordinance Number 2001- 363, with the City of Denton,
the Owner, dated the 18a' day of September A D 2001 , a copy of which is hereto attached and
made a part hereof, for Bid #2719 Duncan & Neff Street Paving
NOW THEREFORE, if the Principal shall well, truly and faithfully perform and fulfill all of
the undertakings, covenants, terms, conditions and agreements of said Contract in accordance with the
Plans, Specifications and Contract Documents during the original term thereof and any extension
thereof which may be granted by the Owner, with or without notice to the Surety, and during the life of
any guaranty or warranty required under this Contract, and shall also well and truly perform and fulfill
all the undertakings, covenants, terms, conditions and agreements of any and all duly authorized
modifications of said Contract that may hereafter be made, notice of which modifications to the Surety
being hereby waived, and, if the Principal shall repair and/or replace all defects due to faulty materials
and workmanhip that appear within a period of one (1) year from the date of final completion and
final acceptance of the Work by the Owner, and, if the Principal shall fully indemnify and save
harmless the Owner from all costs and damages which Owner may suffer by reason of failure to so
perform herein and shall fully reimburse and repay Owner all outlay and expense which the Owner
may incur in making good any default or deficiency, then this obligation shall be void, otherwise, it
shall remain in full force and effect
119
Duncan & Neff ,Street Paving Bid # 2719 CITY OF DENTON
August 02, 2001
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
performed 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 copies, each one of which
shall be deemed an original, this the 18th day of September 2001
ATTEST
PRINCIPAL
� oe
BY
SE ±-��- — —.—
RETARY BY
V,cr PRESIDENT
ATTEST
SURETY
ASSOCIATED INDEMNITY CORPORATION
BY kp�ATTORNC�
Rosemary Weaver
The Resident Agent of the Surety in Denton County, Texas for delivery of notice and service of the
processes
NAME Willis of Texas, Inc - Rosemary weaver
STREET ADDRESS '3355 Noel Road, Suite 00, Daliae, Tx 75240-b612
(NOTE Date of Performance Bond must be date of Contract If Resident Agent is not a corporation,
give a person's name )
PB-2
IP-01
Duncan & Neff, Street Paving Bid # 2719 CITY OF DENTON
August 02, 2001
PAYMENT BOND
STATE OF TEXAS
COUNTY OF DENTON
KNOW ALL MEN BY THESE PRESENTS That Jagoe Public Company, whose address
is 3020 Ft Worth Drive P 0 Box 250 Denton TX 76202
hereinafter called Principal, and ASSOCIATED INDEMNITY CORP a
corporation organized and existing under the laws of the State of Californiaand 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 penal sum of Sixty Five Thousand
Six Hundred and Three DOLLARS and Twenty Five cents ($65, 603 25), 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 2001-363, with the City of Denton,
the Owner, dated the 18a' day of September A D 2001 , a copy of which is hereto attached
and made a part hereof, for Bid #2719 Duncan & Neff Street Paving
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 hereby expressly waived, 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 Contract, or to the Work to be
performed thereunder, or to the Plans, Specifications, Drawings, etc
PB-3
121
Duncan & NeffStreet Paving Bid # 2719 CITY OF DENTON
August 02, 2001
This Pond is given pursuant to the provisions of Chapter 2253 of the Texas Government Code,
as amended, i and any other applicable statutes of the State of Texas
The t ndersigned 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 ansing out of such surety, 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 4 copies, each one of which shall
be deemed an original, this the 18th day of September, 2001
LUgIRV
PRINCIPAL
BY �� / e!�4 OP hl C '�(%K
SECRETARY BY � �if�.c.G
V'(6 PRESIDENT
ATTEST
�: _ .�► . ►.. 11 Ott _. �1
SURETY
ASSOCIATED INDEMNITY CORPORATION
BY
ATTORNEY -IN- ACT
Rosemary Weaver
The Resident! Agent of the Surety in Denton County, Texas for delivery of notice and service of the
processis
NAME Willis of Texas, Inc. - Rosemary Weaver
STREET ADDRESS 13355 Noel Road, Suite 400, Dallas, Texas 75240-6612
(NOTE Date of Payment Bond must be date of Contract If Resident Agent is not a corporation, give
a person's name)
I' :
122
Duncan & NefflStreet Paving Bid # 2719 CITY OF DENTON
August 02, 2001
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 anj 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 andl 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 follting 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
•• That such insurance is primary to any other insurance available to the additional
123
Duncan & Neff Street Paving Bid 4 2719 CITY OF DENTON
August 02, 2001
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
All policies shall be endorsed to read:
`;`SAID POLICY SHALL NOT BE CANCELLED, NONRENE WED OR MATERIALLY
CHANGE WITHOUT 30 DAYS ADVANCED WRITTEN NOTICE BEING GIVEN TO
THE OWNER (CIT I) EXCEPT WHEN THE POLICY IS BEING CANCELLED FOR
NONPAYMENT OF PREMIUM IN WHICH CASE 10 DAYS ADVANCE WRITTEN
NOTICE IS REQUIRED'.
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
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 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
124
Duncan & Neff lStreet Paving Bid # 2719 CITY OF DENTON
August 02, 2001
[X]
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
Automobile Liability Insurance:
Contractor shall provide Commercial Automobile Liability insurance with Combined Single
Limits (CSL) of not less than $500,000 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
[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)
125
Duncan & Neff Street Paving Bid # 2719 CITY OF DENTON
August 02, 2001
[ ] 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"oocurrence" 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
[ ] Fire Damage Legal Liability Insurance
Coverage is required if Broad form General Liability is not provided or is unavailable to the
contractor or if a contractor leases or rents a portion of a City building Limits of not less than
each occurrence are required
[ ] 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
[ ] 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
126
Duncan & Neff Street Paving Bid # 2719 CITY OF DENTON
August 02, 2001
[X] Worker's Compensation
Governmental Entities
A Definitions
ATTACHMENT
Coverage for Building
or Construction Projects for
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 401011(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
127
Duncan & Neff ,Street Paving Bid # 2719 CITY OF DENTON
August 02, 2001
(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) 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,
128
Duncan & Neff Street Paving Bid # 2719 CITY OF DENTON
August 02, 2001
(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,
withm 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
Bid 2719 — Duncan & Neff Street Paving
129
Willis
Document A310
Bid Bond
KNOW ALL MEN By THESE PRESENTS, that we (Here Insert full name end add,.,, or legal till -of ConVaeton
Jagoe-Public Company TX 76202
P 0 Box 250, Denton,
as Principal, hereinafter called the Principal, and
(Here Insert full name and address or legal title of Surety)
Associated ludetnaitY Corpoxation
P 0 Box12519, Dallas, TX 75221
a corporation duly organized under the laws l the State of Calif oxaemaertruln.meanaeadr.aearlega,meafow^er)
as Surety, hereinafter called the Surety, are held and firmly bound unto
City o4 Denton, Texas
Denton, TX
as Obligee, hereinafter called the Obligee, in the sum Of
Five Percent of the Amount Sid
- Dollars ($ 596
sPrincipal and the said Surety, bind
for the
whichnt of and
made, the,
severally,
ourselves, our hers,executorsadmintrators, successors d assigns, jointly and
these presents
WHEREAS, the Principal has submitted a bid for
(Here insediull name addressanddesoripbonofprol°atl
Duncan and Neff streets Paving
give such bond or bonds as may be specified in the bidding or
NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract With
e prompt
the Obligee in accordance with the terms of such bed, and g
Contract Documents with good and sufficient surety for the faithful performance thee vent of the f difference the
not to ract and for exceedthe
nter
payment of labor and material furnished in the prosecution thereof, or In the event a tthehe failure en the ofPrito exceed
ood faith
such Contract and give such bond or bonds, of the Principal andsa such
bid,larger
a this obligation shall be null and void, otherwise
penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in g
contract with another party to perform the Work covered by
to remain in full force and effect day of August 2001
Signed and sealed this 14
Jagoe-Public Company (Seal)
(Princi al)
Witness t e
Attoxney-in-Fact
Raxgn ptsdxeaochi Joh g Stockton
.._....n... lneNlua dArohlleeb GlA�b1'Wtllb Wlllioin cdXh�the language in the
ian
FIREMAN'S FUND INSURANCE COMPANY
NATIONAL SURETY CORPORATION ASSOCIATED INDEMNITY CORPORATION
THE AMERICAN INSURANCE COMPANY AMERICAN AUTOMOBILE INSURANCE COMPANY
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BYiTHESE PRESENTS That FIREMAN'S FUND INSURANCE COMPANY a California corporation NATIONAL SURETY CORPORATION
an Illinois corporation' THE AMERICAN INSURANCE COMPANY a New Jersey corporation redomesticated in Nebraska, ASSOCIATED INDEMNITY
CORPORATION, a California corporation, and AMERICAN AUTOMOBILE INSURANCE COMPANY a Missouri corporation (herein collectively called the
Companies') does each hereby appoint ROSEMARY WEAVER AND JOHN R. STOCKTON OF DALLAS TX
their true and lawful AttPmey(s) in Fact, with full power of authority hereby conferred in their name place and stead to execute seal acknowledge and deliver any and all
bonds undertakings recpgnizanceb or other written obligations in the nature thereof -------------------------------------------
and to bind the Companies thereby as fully and to the same extent as if such bonds were signed by the President scaled with the corporate seals of the Companies and duly
attested by the Companies Secretary hereby ratifying and confirming all that the said Anorney(h) in Fact mas do in the premises
This power of attorney Its granted under and by the authority of Article VIl of the By laws of FIREMAN S FUND INSURANCE COMPANY NATIONAL SURETY
CORPORATION THE AMERICAN INSURANCE COMPANY ASSOCIATED INDEMNITY CORPORATION and AMERICAN AUTOMOBILE INSURANCE
COMPANY which prc Astons are now in full force and effect
This power of attorney is signed and sealed under the authority of the following Resolution adopted by the Board of Directors o1 FIREMAN S FUND INSURANCE
COMPANY NATIONAL SURETY CORPORATION THE AMERICAN INSURANCE COMPANY ASSOCIATED INDEMNITY CORPORATION and AMERICAN
AUTOMOBILE INSURANCE COMPANY at a meeting duly called and held or by written consent on the 19th day of March 1995 and said Resolution has not been
amended or repeaicd
RESOLVED that the signature of any Vice President, Assistant Secretary and Resident Assistant Secretary of the Companies and the seal of the
Companies may be affixed or printed on any power of attorney on any revocation of any power of attorney or on any certificate relating thereto by
facsimile and any power of attorney any revocation of any power of attorney of certificate bearing such facsimile signature or facsimile seal shall be
valid and binding upon the Companies
IN WITNESS WHEREOF the Compantes have caused these p e is is to be signed by their Vice President and their corporate seils to be hereunto alhxed
this 1 f day of Decelber
Tv0 �xrxw N s auaEJa„ N^."'.FIREMAN S FUND INSURANCE COMPANY
♦1 r p p "�.�p•• .fly ,, „e , "M 1101 x� NATIONAL SURETY CORPORATION
g '.^ ` • +• �" o ♦ P • 3 —•— THEAMERICANIN INSURANCE COMPANY
�PT agro �1 �`r •• y� _ e s A L'S AN AUTOMOBILE
INDEMNITY CORPORATION
tc Nag `\�.t�( �� �q �t Rs p y` —•— �6`J AMERICAN AUTOMOBILE INSURANCE COMPANY
bN h � nil nuNNN INea e�� �A'rNCE�CO�a �xJ'rlWl4 MU•a"
By
STATE OF CALIFORNIA vc aru,acnt
Ss
COUNTY( MARW �i On this 17 itay of December 1998 , before me personally came M A Mallonee to me known who being by me
duly swom did depose and say that he is a Vice President of each company described in and which executed the above instrument that he knows the seals of the said
Companies that the seg�ls affixed to the said instrument are such company seals, that they were so affixed by order of the Board of Directors of said companies and that he
signed his name thereto', by like order
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year herein first above written
L OCAMPO
' Commission M 1163726 a
.� NptoryPublic- California 5
♦'
,. ow Main County
My=m lslOv2E, 2001 Notaq Nbl,c
CERTIFICATE
STATE OF CALIFORIIA
COUNTY OF MARIN f
as
I the undersigned, Resident Assistant Secretary of each coin any, DO HEREBY CERTIFY that the foregoing and attached POWER OF ATTORNEY remains in full force
and has not been revoked, and furthermore that Article VII ot�the By laws of each company and the Resolution of the Board of Directors, set forth in the Power of Atromey
are now in force p
Signed and sealed at the County of Mann Dated the �`� day of
Nnnpxx N YIYJ4 //.�/t //
_fit p�C� `Ailr Mtil,r �, t�yNA 5 F`ry ��,A,r 11,•�4,, e^','�'pallE lNt�� G di��/� %���
iO•Sre3jTj w • • ♦ a Bf
eEPT agla y }. CA L''I
M` i! }
aN <INag 11 •, �' p�NCe eon` ��egxM'C['ea�e'� 'Travis vOx,0 R,.,dCnt Assisunt SecKinry
•xx„w„qN• xrn,n,N,u
IMPORTANT NOTICE
TO OBTAIN INFORMATION OR MAKE A COMPLAINT:
l YOU MAY CONTACT THE TEXAS DEPARTMENT OF
INSURANCE TO OBTAIN INFORMATION ON COMPANIES,
COVERAGES, RIGHTS OR COMPLAINTS AT:
1-800-252-3439
YOUIMAY WRITE THE TEXAS DEPARTMENT OF INSURANCE:
P. 0. BOX 149104
AUSTIN, TX 78714-9104
FAX #(512) 475-1771
PREMIUM OF CLAIM DISPUTES:
SHOULD YOU HAVE A DISPUTE CONCERNING YOUR
PREMIUM OR ABOUT A CLAIM YOU SHOULD CONTACT THE
AGENT OR COMPANY FIRST. IF THE DISPUTE IS NOT
RESOLVED, YOU MAY CONTACT THE TEXAS DEPARTMENT
OF INSURANCE.
ATTACH THIS NOTICE TO YOUR POLICY:
THUS NOTICE IS FOR INFORMATION ONLY AND DOES NOT
iBECOME A PART OF CONDITION OF THE ATTACHED
DOCUMENT.
FIREMAN'S FUND INSURANCE COMPANY
NATIONAL SURETY CORPORATION ASSOCIATED INDEMNITY CORPORATION
THE AMERICAN INSURANCE COMPANY AMERICAN AUTOMOBILE INSURANCE COMPANY
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS That FIREMAN S FUND INSURANCE COMPANY a California corporation NATIONAL SURETY CORPORATION
an Illinois corporation THE AMERICAN INSURANCE COMPANY a New jersey corporation reciomesticated in Nebraska ASSOCIATED INDEMNITY
ouri
ion
p CORPORATION)does ea h he eby appon retROSEMARYWEAVER ROAND LJOHN R. STOCKTON aOFasDALLASatTX (herein collectively called he
Comvie
their t IL and lawful Attorney(') in Fact with full power of authority hereby conferred in their name place and stead to execute seal acknowldfe and delver any and all
bond+ undutakmt_s recognirances or other written obligations in the nature thereof
aand to thind dlL Comones thereby tested by the Companies Secretary' hereby ratifying andeeXttIlL if such confirming all hatronds welt sit,mcit e said Altnrncy(b) mi Fact in I, do In the premises
y fil. PrLSidenl se tied with the orpomt<+e ih of this Comp mies and duly
This powel of attorney is granted under and by the authority of Article VII of the By laws of FIREMAN S FUND INSURANCE COMPANY NATIONAL SURETY
CORPORATION THE AMERICAN INSURANCE COMPANY ASSOCIATED INDEMNITY CORPORATION and AMERICAN AUTOMOBILF INSURANCE
COMPANY what provisions are now in full force and effeu
This power of attorney is attUgned and sealed under the authority of the following Resolution adopted by the Board of Directors of FIREMAN S FUND INSURANCE
AUTOMOBILE MOBILE INSURANCE COMPANY at aTmeeting duly ION THE AMERICAN
and held or by written ons nY n the ASSOCIATED
y INDEMNITY
March I1995 ind said CORPORATION n AMERICAN
not baAin
amends or rapwhd
RESOLVED that the signature of any Vice President Assistant Secretary and Resdnt Assistant Secretary of the Companies and the seal of the
Companies may be affixed or printed on any power of attorney on any revocation of any power of attorney or on any certificate relating thereto by
facsunile and any power of attorney any revocation of any power of attorney of a,nt5lat1s, bonne Suah faLsniale signature or faLSimde seal shall be
valid and binding upon the Coml1,,panies
IN WITNESS WHEREOF theDCeC�me es l ve caused here 1p a edits to be signed by their Vice Presdent and their corporate 'c ih to be hereunto affixed
thls 1 / day of 9
nN i Mfyy/ 1lE I
ETYC �OlYr111 .. 0ry1i A(I hN��01i fp4 ��i pNpe NJG p
Q O _$ B¢wL $
ry QamOs°j!1 � RANCE COR" ARANSE'CONI °wf laU'i 0
ti T t''�r �iamnnnsow°a
STATE OF CALIFORNIA
ss
FIREMAN S FUND INSURANCE COMPANY
NATIONAL SURETY CORPORATION
THE AMERICAN INSURANCE COMPANY
ASSOCIATED INDEMNITY CORPORATION
AMERICAN AUTOMOBILE INSURANCE COMPANY
B)
sic Prcsiaem
COUNTY OF MARIN
1 Decem er 1998 before me personally came M A Mallonee to me known who being by me
On this 7 day of
duly swom did depose and say that he is a Vice President of each company desenbed m and which executed the above instrument that he knows the seals of the said
Companies that the seals affixed to the said instrument are such company seals that they were so affixed by order of the Board of Directors of said companies and that he
signed his name thereto by like order
IN WITNESS WHEREOF I have hereunto set my hand and affixed my official Net
J LCJ
l r Commfulon#1163726 a
- Notary Public - COilfomia
Morin County
Nov213 2001
the day and year herein first above written
/*Pl�
Nosury Pabbc
My Comm rXi.X = P F CERTIFICATE
STATE OF CALIFORNIA
ss
COUNTY OF MARIN
I the and has tint been evoked and furthermore that Artcle VII companyf each heDO Byy laws of each h company ndY CERTIFY tthe the Resolution ofthetached Board of POWERDirectors oret fourth n heORNEY emains in full Power of Attorney
are now in force Q�r �L� ❑ �..,v (�
Signed and sealed at the County of Marro Dated the J U _ day of
�QeTYC plYritl Pl'NNN i FG h�tAw'ib.Rf��1y i ON�al IN,,
aBEAL2
0
seer aroro ' J
1R4 ResWeni A+suNm aecrewry
•'f
6. KaiNdd� s` RANG tOdAANCE'tON b �l0UR N0
It aumnunnP^
360789 1198
MMV01;tWXW,r MC3WXCE
To obtainlinformation or make a
complaint]
You may call Fireman's Fund's
toll -free telephone number for
information or to make a
complaint at
1— 8 0 0— 5 2 7— 5 7 8 7
You may also write to Fireman's
Fund at.
P 01• Box 2519
Dallas, TX 75221
jjVXSC? XMPORTJVAXq 'L
Para obtener informacion o Para
someter una que7a:
Usted puede 1lamar al numeeo de
telefono gratis de Fireman's
Fund's Para informacion c Para
someter una queja al
X--800-527-5787
Usted tambien puede escribir a
Fireman's Fund:
P 0. Box 2519
Dallas, TX 75221
You may contact the Texas Puede comunicarse con el
Department of Insurance to obtain Departamento de Seguros de Texas
information on companies, Para obtener informacion acerca
coverages, rights or complaints derechocompsnoas, cobeJaSaluras,
at
1-89 0-252-3439
You may write the Texas
Department of Insurance
P. 0, B04 149104
Austin, TX 78714-9104
FAX #(512) 475-1771
PFi.EM�XXM C7R CL.ASM
D S S P TES :
Should you have a dispute
concerning your premium or about
a claim you should contact the
agent fikst. If the dispute is
not resolved, you may contact the
Texas Department of Insurance.
ATT] .I_—U Tn 2 S
NOTXgE TC7 Vown
gOz,X Oy : This notice is
for information only and does not
become alpart or condition of the
attached document
46661M 99
3--800—a52-3439
Puede escribir al Departamento de
Seguros de Texas
P 0 BOX 149104
Austin, TX 78714-9104
FAX #(512) 475-1771
X/XSPLJTAS SOSRE
P12XMA3 O
RE CLAMO S si tiene una
disputa concerniente a su prima o
a un reclamo, debe comunicarse
con el agente primero. Si no se
resuelve la disputa, puede
entonces comunicarse con el
departamento (TDI)
UNA E S TE AV S S O A
SU PDX.XZA:
Este aviso as $010 Para proposito
de informacion y no Be convierte
an parte o condicion del
documento adjunto
to 11/9/01 Time 2 22 PM 7C Christy @ 349-73 2
Page 001-001
ACORQ C RTIFICATE OF LIABILITY
INSURANCE
a 940)382-969 PAX 4 -1 SO
Rantay 6 King Insurance
930 South I-35E, Suite A
T IBA BOA6 PI N
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
WXDBR. THIS CERTIFICATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POWES OBLOW
INSURERS AFFORDING COVERAGE
Banton, TX 76205-78'29
aawm 3agoal Public Pospalty, Inc
HOUPERA Travelor_s Llo ds
Bill Cheek
;ZWRe Phoenix Insurance
INBURERc Travelers TrIsurance Cc
P 0 Box 250
Denton, TX 76402
NSUERO Travelers n it y of Merit
NBWENt
THEP000IESOFMSURANO LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANYRtQUIRBMSNT TB IMO CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS OSRTIPICATEMAYBB RSBUSD OR
MAYPBRTAIH THEINw 8 AFFORDED BY YHS POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXOLUSRONB AND C40NDITIONG OF SUCH
POLICIES AOOREOATE U S 11HOWN MAY HAVE BEEN RBOUDHO BY PAID CLAIMS
rnsas Nn,a,ANe
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s 1,000,00
FIRE DAMAN (Aone fNr)
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f 100
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P 1000
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P 2.000.00
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P 2.0001
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CAP49102293
30 0! 2001
10 1 2002
cmete,D BINDLE LIMT
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11 1 000 00
aoIBMON or OFBRAYpNBAO BINS
City of Denton, Ira oRiclala, agents, employees and volunteers are shown as additional Insured CertNicate holder Is
shown as addMonal Insured, Waiver of sW"opallon Is leeued In favor of the City of Denton on the Workers Compensation
Ref Ouncan-Neff Pr*O
Sold policy shall not be Canceled, reneged or rtaterletly changed without
City of Denton 30 days advance written notice being given t0 the Owner, except when the
pCllcy is being wnceiad for nonwYme9t of f"emlMn, in which owe 10
9010 TemaStreet dalP.wrNlpn notice Is nwA //
Denton, Tx 76201 1
tte 10/2/01 Time 10 39 AM To JAOOE PUBLIC CO @ 382-9732
VVU-VUU
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)
If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may
require an endorsement A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s)
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing msurer(s), authorized representative or producer and the certificate holder nor does It
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon