Loading...
HomeMy WebLinkAbout2000-052ORDINANCE NOD'OJra2 AN ORDINANCE ACCEPTING COMPETITIVE BIDS AND AWARDING A PUBLIC WORKS CONTRACT FOR THE CONSTRUCTION OF A LANDFILL TREE BUFFER ZONE, PROVIDING FOR THE EXPENDITURE OF FUNDS THEREFORE, AND PROVIDING AN EFFECTIVE DATE (BID 2452 — LANDFILL TREE BUFFER ZONE PHASE I AWARDED TO A & A LANDSCAPE AND IRRIGATION, INC IN THE AMOUNT OF $149,995) WHEREAS, the City has solicited, and received competitive sealed 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 respondent for the construction of the public works or improvements described in the bid invitation, and plans and specifications therein, NOW, THEREFORE, THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS SECTION I 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, are hereby accepted and approved as being the lowest responsible bids BID NUMBER CONTRACTOR AMOUNT 2452 A & A Landscape and Irrigation, Inc $149,995 SECTION II That the acceptance and approval of the above 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 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 III 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 SECTION IV 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 V That this ordinance shall become effective immediately upon its passage and approval PASSED AND APPROVED this the I�Eq day of 2000 a1IFTMA • MAYOR_ ATTEST JENNIFER WALTERS, CITY SECRETARY BY APPROVED AS TO LEGAL FORM HERBERT L PROUTY, CITY ATTORNEY ATTACHMENT 1 TABULATION SHEET Bid # 2452 Date 1 /25/00 LANDFILL TREE BUFFER ZONE PROJECT PHASE I No 1 1,04,t N ENDOR VENDOR VENDOR VENDOR VENDOR < � 3 Y=y¢�` ; £ $ American Laan8scase Sprinkle N Carruthers A & A Landgcape My Gardner t , # � T � £ N £g s Y Sprout & Irrigation Landscaping b<`49 &b�'t>tG�i bb`S of Total Base Bid $185,000 $206,423 $167,300 $149,885 $466,617 1 Alternate -Deduct Alternate #1 if b6 000 $1,280 $6,876 $2,340 No Bid 2 declduois tree not staked Alternates - Dedu Alternate #2 $4,240 $2,366 $12,024 $7,110 No Bid 3 if evergreen plants not staked CONTRACT AGREEMENT STATE OF TEXAS § COUNTY OF DENTON § THIS AGREEMENT, made and entered into this 15 day of February A D , 2000, by and between City of Denton of the County of Denton and State of Texas, acting through Michael W Jez thereunto duly authorized so to do, hereinafter termed "OWNER," and A & A Landscape & Irrigation Inc 13758 Hwy, 380 East Farmersville, TX 75442 of the City of Farmersville , County of Collin and State of Texas , hereinafter termed "CONTRACTOR " WITNESSETH That for and in consideration of the payments and agreements hereinafter mentioned, to be trade 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 2452 - Landfill Tree Buffer Zone Phase I in the amount of $149,995 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 the plans, which includes all maps, plats, blueprints, and other drawings and printed or written explanatory matter thereof, CA-1 and the Specifications therefore, as prepared by Dunkin Suns Stoffels, Inc all of which are referenced herein and made a part hereof and collectively evidence and constitute the entire contract 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, mvitees, 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 INI WITNESS WHEREOF, the parties of these presents have executed this agreement in the year and day first above written 91, (SEAL) CONTRACTOR G MAILING ADDRESS 19h2.) -7S.q -i4S'0 PHONE NUMBER FAX NUMBER TITLE I S1ro,ul.ey LJ P-Kt rr APPROVED AS TQ FORM / PRINTED NAME (SEAL) CA-3 PERFORMANCE BOND STATE OF TEXAS § COUNTY OF DENTON § Bond No KC0622 KNOW ALL MEN BY THESE PRESENTS That A & A Landscape and Irrigation, Inc whose address is 13758 Hwy 380 East Farmersville, TX 75442 hereinafter called Principal, and United States Fidel tv and Guaranty Company a corporation organized and existing under the laws of the State of Texas 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 One Hundred Forty Nine Thousand Nine Hundred Ninety Five and no/100 DOLLARS ($ 149,995 ) plus ten percent of the stated penal sum as an additional sum of money representing additional court expenses, attorneys' fees, and liquidated damages arising 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 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 2000-052, with the City of Denton, the Owner, dated the 15 day of February AD 2000, a copy of which is hereto attached and made a part hereof, for Bid # 2452 - Landfill Tree Buffer Zone Phase I 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 workmanship 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 fxom all costs and damages which Owner may suffer by reason of failure to so perform herein and shall fully reunburse 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 PB-1 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 tune, 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 4 copies, each one of which shall be deemed an original, this the 15 day of February , 2000 ATTEST BY SECRETAM X NTM WITNESS PRINCIPAL SURETY United States Fidelity and Guar nt Company BY BY ATTORNEY -IN -FACT Elnora Cruthis The Resident Agent of the Surety in Denton County, Texas for delivery of notice and service of the process is NAME PCL Insurance Agency STREET ADDRESS 206 Elm Suite 105 Lewisville, TX 75067 (NOTE Date of Performance Bond must be date of Contract If Resident Agent is not a corporation, give a person's name ) PB-2 PAYMENT BOND STATE OF TEXAS § Bond No KC0622 COUNTY OF DENTON § KNOW ALL MEN BY THESE PRESENTS That A & A Landscape & Irrigation, Inc , whose address is 13758 Hwy, 380 East Farmersville, TX 75442 , hereinafter called Principal, and United States Fidelity and Guaranty Company , a corporation organized and existing under the laws of the State of Texas , 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 penal sum of One Hundred Forty Nine Thousand Nine Hundred Ninety Five and no/100 DOLLARS ($ 149,995 ) 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 2000-052, with the City of Denton, the Owner, dated the 15 day of February A D 2000, a copy of which is hereto attached and made a part hereof, for Bid 2452 - Landfill Tree Buffer Zone Phase I 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, Drawingp, 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 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 4 copies, each one of which shall be deemed an original, this the 15 day of February , 2000 ATTEST Alffiff WITNESS PRINCIPAL 'II&&Ogatio53 Inc ., SURETY United States Fidelity and Guaranty Company BY BY ATTORNEY -IN -FACT Elnora Cruthis The Resident Agent of the Surety in Denton County, Texas for delivery of notice and service of the process is NAME PCL Insurance Agency — STREET ADDRESS 206 Elm, Suite 105, Lewisville, TX 75067 (NOTE Date of Payment Bond must be date of Contract If Resident Agent is not a corporation, give a person's name ) Ow POWER OF ATTORNEY TheStPaul Power of Attorney No Seaboard Surety Company St Paul Fire and Marine Insurance Company St Paul Guardian Insurance Company St Paul Mercury Insurance Company 21012 United States Fidelity and Guaranty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc Certificate No KNOW ALL MEN BY THESE PRESENTS That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York and that St Paul Fire and Marine Insurance Company St Paul Guardian Insurance Company and St Paul Mercury Insurance Company are corporations duly organized under the law% of the State of Minnesota and that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland and that Fidelity and Guaianty Insurance Company is a corporation duly organized under the laws of the State of Iowa snd that Fidelity and Guaranty Insurance Underwrteis Inc is a corporation duly organized under the laws of the State of Wiseomni (herein collectively called the Companies ) and that the Companies do hereby make constitute and appoint Elnora Cruthis, Derrell C Dodson, Douglas Moore, Sam J Mullis, Jr, Jowana Bryant and Sheila M Young of the City of Dallas State Texas then true and lawful Attorney(%) inFact each in their separate capacity if more than one is named above to sign its name as sumty to and to execute seal and acknowledge any and all bond% undertakings contracts and other written instruments in the nature thereof on behalf of the Companies in their business of guiranteemg the fidelity of persons guaranteeing the performance of cotmaet% and exeeuung or guaranteeing bonds and undertakings rpkuaed or permuted in ,any actions or piooeedmgs allowed by law $flit ` October 1999 IN WITNESS WHERF OF the Companies have caused this msm myeay sr rie�rt rs ,r t day of �al l`4 y'4 Seaboard Surety Company q� Lam, ly t t, 41nited States Fidelity and Guaranty Company St Paul Fire and Marine Ins Gott ally 4 I } Fidelity and Guaranty Insurance Company St Paul Guardian InsuranEf��@�t1ao-, y , Fidelity and Guaranty Insurance Underwriters, Inc St. Paul Mercury Insurance Co t� g� j/� ',,aB 1927® ^� ssxa a tees 1977 g 1831 aE0.t. 8 J' AIN✓e� ae MICHAPLB KELGAN V¢c Pre%rtlma State of Maryland MICHAEL R MCKIBBeN Avvst an Secmtary City of Baltimore On this 5th day of October 1999 before me the undersigned officer personally appeared Michael B Keegan and Michael R McKibben who acknowledged themselves to be the Vice President and Assistant Secretary respectively of Seaboard Surety Company St Paul Fire and Marine Insurance Company St Paul Guardian Insurance Company St Paul Mercury Insurance Company Untied States Fidelity and Guaranty Company Fidelity and Guaranty Insurance Company and Fidelity and Guaranty Insurance Underwriters Inc and that they as such benif, authorized so to do executed the foregoing instrument for the purposes therein contained by signing the names of the corporations by themselves as duly authorized officers In Witness Whereof, 1 hereunto set my hand and official seal e4�' NO U m /'U rgRP My Commission expires the 13th day of July 2002 BUC i REBECCA EASLEY ONOKALA Noiary Public �qE CnV 66203 Ed 5 99 Printed In U S A This Power of Attorney n granted undo and by the authority of the following resolutions adopted by the Boards of Directors of Seaboard Surety Company St Paul Fire and Marine Insurance Company St Paul Guardian Insurance Company St Paul Mercury Insurance Company United States Fidelity and Guaranty Company Fidelity and Guaranty Insurance Company and Fidelity and Guaranty Insurance Underwriters Inc on September 2 1998 which resolutions are now in full force and effect reading as follow% RESOLVED, that in connection with the fidelity cord surety insurance business of the Company all bonds undertakings contracts and other instruments relating to said business may be signed exeuncd and aeknowkdyed by pusons or Counts appointed as Attomey(s) in Fact pursuant to a Power of Attorney issued in accordance with these iosolutions Said Power(s) 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 any Vwt President or in Assistant Vice President jointly with the Secretary or an Assistant Secretary under them respective designations The signature of such officers may be engraved printed or lithographed The signature of each of the foregoing officers and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Attorney(s) in Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof and subject to any limitations set forth therein any such Power of Attorney or eenitieale bearing such facsimile st(,nature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such faesimde signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is validly attached and RESOLVED FURTHFR, that Attorncy(s) in Fact shall have the power and authority and in any case subject to the terms and limitations of the Power of Attorney issued them to execute and deliver on behalf of the Company and to attach the seal of the Company to any and all bonds and undertakings and other writings obligatory in the union, thereof and any such instrument executed by such Attorneys) in Fact shall be as binding upon the Company as it signed by an Executive Officer and sealed and attested to by the Secretary of the Company I Michael R McKibben Assistant Secrctary of Seaboard Surety Company St Paul Fire and Marine Insurance Company St Paul Guardian Insurance Company St Paul Mercury Insurance Company United States Fidelity and Guaranty Company Fidelity and Guaranty Insurance Company and Fidelity and Guaranty Insurance Underwriters Inc do hereby Willy that the above and forcgoing is a true and corru.t copy of the Power of Attorney executed by said Companies which is in full force and effect and has not been revoked IN TESTIMONY WHEREOF, 1 hereunto set my hand this 15th day of February 2000 rD P Y2% G C Y0ssan$ 1B88�"`� nxs" .' tr ' Michaellit McKibben AISIStant Secretary s To verify the authenticity of thrs Power of Attorney, roll 1 800 421 .j8!( as Ort4AWiforney clerk Please refer to the Power of Attorney number, the above named individuals and the detarA of the bond to whredoffie a erlgched °i ,.^A:' 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 f le 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 •• 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 • All policies shall be endorsed to read "SAID POLICY SHALL NOT BE CANCELLED, NONRENEWED OR MATERIALLY CHANGE WITHOUT 30 DAYS ADVANCED WRITTEN NOTICE BEING GIVEN TO THE OWNER (CITY) 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 ansing 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 $500,000 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 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 (XCLI) 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 $300,000 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 mimmum 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 anse 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 [ ] 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 ATTACHMENT [XI 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 carvers, 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 (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 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 401011(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, (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 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 carver 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 2452 - LANDFILL TREE BUFFER ZONE PHASE I -CONTRACT & INS 2-00 SECTIONIO0300 -- Proposal (Bid) Form A & A LANDSCAPE & IRRIGATION, INC. 13758 HWY 380 EAST FARMERSVILLE, TX 75442 Time 2 00 p m Date January 25, 2000 To Purchasing Agent City of Denton, Texas 901-B Texas Street Denton, Texas 76201 Gentlemen The undersigned having examined the Contract Documents entitled Landfill Tree Buffer Zone Project, Phase I Bid #2452 And having visited the site of the proposed construction, and having familiarized himself with the local conditions affecting the cost of the work, and with all addenda to the said documents, hereby proposeds to furnish all supervision, labor, materials, equipment, tools, and accessories and to do all work in accordance with said documents and addenda thereto for the stipul ted sum of SAa� Case Mw4D j'(a+1xY-NMIB "i ce 1 e� 0 A VUI9'14QfiJJWM w1uJTY_Jtd� taou.aQs + �� DollarsO 149 -995 1 wMam=... :. 00 $ 9A,991v — Total Labpr.Supervision and Materials Not Incoroorated into the Proiect$ _156_999 u,�KMDLVw Mw 101N1MMI 00300 - 1 ALTERNATES Deduct Altimate #1 - Delete the installation of the staking for all deciduots plants as per the plans and specifications Two -rKw, ,sAAo -rMase NL.oAIV4=t' r.•n+✓ a02L,(.Aas I d''w Dollars IS Total Base Bid Total Materials Incorporated into the Proiect _ Total Labor, Supervision and Materials Not Incorporated into the Proiect$ Deduct Alternate #2 - Delete the installation of the staking for all evergreen plants as per the plans and specifications � $BrNc�t 'tMo�s►Wt, on�E NuuD2cA c_n oc ao3 Dollars 0 Total Base Bid W.M.11 : o L • T. - _ L - Total Labo�, Supervision and Materials Not Incorporated into the Proiect$ Z O�b D\WlDNAN01 WWFFMNL MIMMOOM 00300- 2 UNIT PRICIES. The undersigned agrees that the following unit prices will apply to adjust quantities of materials i dicated on drawings Prices are for materials furnished and installed It is further agreed the 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 Owner's Representative, 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 All unit prices are for addition or deletion SITE IRRIGATION COMPONENTS (FURNISH AND INSTALL) Controller C EBP�ntie.-7�, Bubbler Quick Coupler Valve with Box C0314Ci 12 inch Pop-up Spray Head 4 inch Pop-up Spray Head Pop-up Rotor eta.vv) Station Valve (A l 2 inch pipe 1'h inch pipe 1'/4 inch pipe 1 inch pipe % inch pipe 'h inch pipe !` !--Dollars each Sp = Dollars each is 15 Dollars each A -6 ue- Dollars each M .35 s Dollars each r IA40 !t Dollars each e 1 1 i mo- Dollars each i6 / 97 Dollars per L F 0 1 Y9 Dollars per L F e ) `W Dollars per L F 0 ) Iz Dollars per L F t 1 Dollars per L F / 34 Dollars per L F PLANT MATERIALS (FURNISH AND INSTALL, AS PER PLANS) Canopy Trees Pecan Sweetgum Chinese Pistache Bur Oak Lacebark Elm Red Cedar Dollars each Dollars each Dollars each Dollars each j Y5 Dollars each 1 4) Dollars each C%wN NDWMIMWMM. 101MIM m 00300- 3 Afghan Pine Bald Cypress Understory Trees Oklahbme Red Bud Possumhaw Holly Mexican Plum Burford Holly Stevens Holly Large Tree Staking Multi-trunked tree staking Tree staking on Berm slope s 175 •M' Dollars each $165 Dollars each 0 1 h5 '= Dollars each Dollars each M 141,5 �o Dollars each x X3,5 Dollars each *;L35 !!-'—Dollars each y e0 /81 Dollars each Dollars each or 1$ = Dollars each BIDDER understands the statements and Owner's objectives contained in SECTION 01010-- Summarvlof Work, This will acknowledge receipt of the following addenda which are part of the Bidding Documents, Addendum No Addendum No — Addendum No Addendum No The undersigned bidder hereby declares that he has visited the site of the work and has carefully examined the Contract Documents pertaining to the work covered by the above bid, and he fuher agrees to commence work within ten (10) days after date of written notice to proceed and to substantially complete the work on which he has bid within consecutive calendar days subject to such extensions of time allowed by specifications The undersigned bidder agrees that his bid shall be good and may not be withdrawn for a period of 60 calendar days after the scheduled closing time for receiving bids The undersigned bidder understands that the Owner reserves the right to reject any or all bids and to waive any informalities in the bidding D\WF80\ MDE"UFFMW 101M l0001 00300- 4 � c _ : Nbei Enclosed With this Bid is a Certified Check for DOLLARS ($ or a Bid Bond in the sum of Serves V%0L*.AN0 F8u2 Muu4R!'b AJ1A4*r'r-.t1^E V44,4.Hias �k DOLLARS ($ 7'4499 7S ), which it isi agreed shall be collected and retained by the Owner as liquidated damages in the event this Bid is accepted by the Owner within sixty (60) days after the bids are received and the undersigned fads to execute the Contract and the required Bonds with the said Owner within ten 00) days after the date said Bid is accepted, otherwise said check or bond shall be returned to the undersigned upon demand 4 A L ►ab5¢APt: b easaa IotJ Lie. . Contractor (firm name) Authorized Signature E31'i�s.dT�_/ Lie, , u. Title Address 4'A2m6"jl I c _ -rV '7!54 4 Z. (If corporation, attest and City, State, ZIP Code affix a Corporate Sea[) ('47z) 784 -7956 Telephone (End of Section) u.wram...wmoew FFMM ro.mlaW) 00300- 5 3-21-2000 3 05PM FROM FORBES-TROXEL INS 972 772 3344 acoRn CERTIFICATE OF LIABILITY INSURA P 2 DATE ("IOOIYY) FOrbeS-TrOxel insurance Agency P 0 Sox 1267 Rockwall TX 76097-1267 Phone 972-772-3333 Fax 972-772-3344 INAIIAFn r A TAnTIFU a=X R• C13758 Hwy TrrT rJ;,.txr•n, Inc FarmersvieBT llX 15442 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ---I-- INSURERS AFFORDING COVERAGE INSUPERA uhi0 r-asualty Company___ INSURERS Texas_Workers Com_p_Ins Fund INSURCR C THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TIME INSURED NAMED ABOVE PON THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT ThRM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIrICATC MAY Nh Ih UEO OR MAYPERTAIN THE INSURANCE AFPOROED BY THE POLICIES OESCmS60 NSAMN IS SUBJECT TO ALL THE TERMS hXCLIIvnNEAMn MNmYInNAA.lurH UNITS 54OWN MAY RAVE BEEN REDUCED By PAID CLAIMS _ y�PO�LICIEESS 'AGGREGATE I�"'I TYPE OF INSURANCE POLICY NUMBER AI C OALILI'SYfYp0AryON LIMITS GENERAL LMURLITV EACH OCCUkHhNCP E1, 000,000 A X I COMMERCIAL GENERIAVI,LIABILm BKO50390336 05/06/99 05/06/00 rIRCDALIA(--(APVOUp RrVI I E 1 nn,nnn I CLAIMS MADE I X I OCCUR IMCOEXP(Any DnspwW") Is 5,000 Contractual Liab I PER FORM CCOO-01 t6RA !AI BAnV IN IIIRV 1 T i,000,000 -1 GENERAL AGO ATE S2,0_00_,000 - OEN L AGGREGATE LIMIT APPLIES P6R1 .R VUCTS COMPRIPAOG X2,000,000 _ POLICY I I TOT LOC AUTOMOBILE LIABILITY COMBINES SINGLE LIMIT $1 000 , 000 A X ANv puro BA,w50390336 05/06/99 05/06/00 1EA AcndcnU , X I AI I nWNRn AIITrIF DODILY IN JURY IPArpas"nl S X SCHEDULED AU708— X HIRED AUTOS BODILY INJ"' (P.Rccaf-1) F X NON4yWN60AUYOS - — PROPERTYDAMAGE f '~ — (PRr ACpIGpInI anAAOa LIABILITY AUTO ONLY EA ACCIDENT S ANYAUTO OTHER THAN EA ACC { -- AUTO ONLY AGG ( E EXCESS LIABILITY EACH OCCUNRENCF IE 1,000,000 A IIX I OCCUR �� CLAIMSMADP BX050390336 05/06/99 05/06/00 AGGREGATE_-_- 5 -_ S DEDUCT I - ___� SOLf RETENTION S TH I Wr. hipTU I OER I 5 -- WORKERS COMPENSATION AND X TONV UMITSJ ER EMPLOYERS LIABILITY ND INCLD088 NtATe Dt TX EL CACN ACCIDENT _ E 1 , 000 , 000_ I d TSF124215 01 05/12/99 05/12/00 LLDISFASh EA EMPLOYE$EI,000,000 G.L. MI UtP POLICY LIMIT(( $ 1 000, 000 ^ 0 NE A Equipment Floater M4050390336 07/19/99 05/06/00 schr+rilltorj '11Q QA7 Deductible 500 00 DESCRIPTION OF OPRRATIONSA. CAnONBNCMICLESI6XCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS vro]ect J.andtxll Troe Buffer Zone Project, Phase I Certxfxcate Holder, its Officials, Agents, Employees and volunteers are named as an Additional Insured under the GL policy GL includes Primary Non -Contributory endorsement GL and Workers Comp include Waiver of Subrogation in favor of same /Cancellation Clause replaced with endorsement CG0205-attached ' GaRTIFIGATL HULIMIA I Y I ADDmONAI INRNH6n ,u .I y - CITYODO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Bh CANCELL FO BEFORE THE EXPIRAMO DATE TRISTBar nIC ICDUING INSURCR WILL CNOCAVOR TO NAIL 30 PAY3 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT7a0(DVOLIMIXENW SMALL City of Denton IMrOOC NO OOLIOATION 0. LIABnJTY Or ANr HIND UPON Ins INhUNG,61INAbCNIN OR 901-H Texas St Denton TX 76201 REPRESENTATIVES - _ 3-21-2000 3 06PM FROM FORBES-TROXEL INS 972 772 3344 P 3 MAR 15 2000 1 22PM OHIO CASUALTY NO 59.1 r 2/2 03/15/00 Silver Plume Document 14.01 37 Silver Plume User ID. OTX2 ISO CGL-FM Toxa6 01/01/96 1 POLICY NUMBER. COMXMCI2LL GENERAL LIABILITY s1K050390336 CG 02 05 01 96 THIS ZND012SE[M1T CHANG88 THE POLICY- PLEASE READ IT CAREFULLY TEXAS CHANGES - ADEMMMENT OF CANCELLATION pROVI8ION8 OR COVER=E CWWOE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY CUVkJLWX PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVM MGE PART r0LLUTiOW LZA,BILITH COVSAAGE PART PRADUCTS/COMPLETED OPHRATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART �In the event o4 cancellation or material change that reduces or r20trlctC, the 1.nsuraLnoe aEfordad by thla Cuvc.cm.S& Fa1L0 we agree to mail Prier Wr'teen notice of Cancellation or material change to - SCHEDULE 1 Name City of Denton 2. Addreae `OU1-W Texas bt , Denton, TX 76201 3 Number of days advance notice. 30 (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsements.) CO 02 OS 01 9G Page 1 O£ 1 Copyright, Insurance Services office, Inc , 1994 3-28-2000 2 17PM FROM FORBES-TROXEL INS 972 772 33dd W CERTIFICATE OF LIABILITY INSURANC LRu °°03,2d;U� ONLY AND CONFERS NO RICHTC I IPnN THE CERTIFICATE Forbes-Troxel Insurance Agency HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR B 0 Box 1267 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Rockwall TX 75067-1267 INSURERS AFFORDING COVERAGE Phone 972-772-3333 Fax 972-772-3344 INSURER Ohio Casualty Company— INSURERB Texas workers Comp Ins Fund — — AiS33��,,6 A Landscape 6 Irrigation, INSURE_RD _ 13�tIEI olwvTy.j 390X$354A2 INSURER C Nelore r GLIVE:NAwlm3 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR OONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY RE ISSUED OR MAY PERTAIN THE DISURANOE AFFORDED BY THE POLICIES OBSCRIBED NBRBIN Ib SUBJEOT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS Or SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 1 ICV PF TVE PO TON LTRI TYPE OFINSURANCE POLICYNUMBER-- A TE 1 LIMITS EACH OCCURRENCE_ I S l 1000, 000 GENERAL LIABILITY A XfGNMFRPIAI GFNPRAI IIARII ITV BKO50390336 05/06/AQ 1T5/06/00 opr neMARcpNy NN. ,nn(1T 100,000 1 CLAIMSMADE XIOCCUR MEDCXP(AnydnopCrsoR( S 5,000 � Contraotual Liab PER LTORDE CCOO-01 Pcpoowu a nDV lwoAY � S 1 , OQO , 000 - GCNCRALAGORLGAY: _ S_2,000, 000 ^OCN L AGEOCOATC LIMIT APPLICI PCPL17 PROO_OYO-COMNOPAUO $2,000 000 _ _ POLICY PRD LOG AUTOMO MILE LUDILITY COMBINED SINGLE LIMIT S 1 000 000 A XI ANY AUTO RAWS0390336 05/06/99 05/06/00 , , (E""HI°PG_ _ XI ALL UWNEUAUIUb BODILY INJURY S leer person) X SCNEDULCD AUTOS- X HIREDAUTOS BODILY INJURY S X I NON OWNED AUTOS (Per Acudenq PROPEkYY DAMAGE S - -- - - -- - - �- (Por=clden I GARAGE LIABILITY AUTOONLY CAACC102NY IS ANY AUTO OTHLRYHAN EA ACC $ I AUTO ONLY AG G $ EXCESS LIABILITY EACH OCCURRENre S1,000 000 A X OCCUR 1 CLAIMS MADE EX050390336 05/06/99 05/06/00 AGGREGATE s DEDUCTIBLE I I 8 RETENTION S TU X,To YLIMITSI I CR WORNfiRS CpMPBN54TON AND fiMPLOYEES LIABILITY EL EACH ACCIDENT $ 1 , 000 000 B PTAav pv Nr +xrulnxn Tx TSF124225 01 1 05/12/99 O5/12/001ELDISEASE EA FMPLOYEI $1,000,000 EL DISEASE P0=11LIMIT $ l 000 000 OTHER A F.rlLilrWent Fl,nater E040t;0390336 07/1Q/99 05/06/on 1 SChodulod 119,967 Deductible I 500 00 DESCRIPTION OF OPERATONSILOCATONSNEHIOLESIEXCLUSIONSADDED BY ENDORSEMENTISPECIAL PROVISIONS Pro3ect Landf:Lll Tree Buffer Zone Pr030ct, Phase I Certificate Holder, its O£f,LCials, Agents, Employees and volunteers are named as an Additional Insured under the GL policy GL includes Primary Non -Contributory endorsement GTn and Workers Comp D.nclude Wa1VeE of Subrogation J.n favor of same /Cancellation Clause replaced with endorsement CG0205 6TE0202 attached (71 ty of nontnn 901-13 Texas St Denton TX 762D1 17MTI c i TyaD0 SHOULD ANY OF THP ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOD UNIGIMCM..t IM61S5U1NY 1NT11NtIt WILL <NLI¢NVVN IUMAIL JO WITS WNII IeN NOTICE TO THE CERYIFICATh HOLOLR NAMLD TO THE LEFT BVTXXK RxiGCMMBD $HALL IMPOSR NO OSLI4ATION OR LIABILITY OF ANY ^KIND UPON THE INSURER ITS AGENTS OR RLFkbSENTATNhS. / l 3-28-2000 2 18PM FROM FORBES-TROXEL INS 972 772 3344 P 2 MAR 28 2000 2 WPM OHIO CASUALTY NO 125 P Lei c 03/28/00 Silver Plume Document 14 59.57 Silver plume User ID: GIT1 TxDOT TX -FM Texas 03/18/92 Forma TEXAS A13TOMM.LLJ6 RULES AND RATING M WMQ L TR 02 02A POLICY NUMBER BAW50390336 (Ed. Effective 3/92) CANCELLATION PROVISION OR COVERAGE CMWGE ENDORSEMENT This endorsement modifies ineurance provided under the tollow3ng BUSINESS AC7T0 COVERAGE FORM GARAGE COVERAGE PORN TRVCVjW COVERAGE FORK 30 days before this policy is cancclled or materially changed to reduce or restrict coverage we will mail notice of the cancellation or change to. Clty of Denton -B TeXaS $t D r _ mx ?aini (Enter Name and Address) FIRST REPRINTING BOY EFFECTIVE MARCH is, 1992 Copyright - TIO Serviee0, Inc. - 1996