HomeMy WebLinkAbout2000-107ORDINANCE NO /�'7
AN ORDINANCE ACCEPTING COMPETITIVE BIDS AND AWARDING A CONTRACT FOR THE
PURCHASE OF A 15/20/25 MVA POWER TRANSFORMER, PROVIDING FOR THE
EXPENDITURE OF FUNDS THEREFOR, AND PROVIDING AN EFFECTIVE DATE (BID 2408 —
POWER 'TRANSFORMER AWARDED TO WAUKESHA ELECTRIC SYSTEM, DIVISION OF
GENERAL SIGNAL POWER SYSTEMS, INC IN THE AMOUNT OF $441,877)
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 hivitahons", or plans and specifications on file in the Office
of the Crty'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
2408 Waukesha Electric System, Division $441,877
of General Signal Power Systems, Inc
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
SSACTION 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
buds and authorized contracts executed pursuant thereto
SECTION V That this ordinance shall become effective immediately upon its passage and
approval
5t
PASSED AND APPROVED this the a _ day of , 2000
MR, M
ATTEST
JENNIFER WALTERS, CITY SECRETARY
/�/ /.. _ ON
./ �i_'� i
APPROVED AS TO LEGAL FORM
HERBERT L PROUTY, CITY ATTORNEY
BY
BID 2408 - CON CTUAL ORDINANCE -SECOND AWARD
ATTACHMENT
TABULATION SHEET
• _.. ' 1
POWER TRANSFORMERS
N61
MY,
I WORIPTION
VENDOR
VENDOR
VENDOR
VENDOR
VENDOR
C , 3 Go<vi r a , '< 116 ;
g Y #<ro l>�> Yg 11.< a fi 4€;';,
;. Y Fz��£
Keasler
Waukesha
Temple
Wesco
Kuhlman
Sunbelt
§ �I R
°
Electric
Trans
EMS M, ohsi��
or<>p tlYk SY Y4,.tl�,�i§ g yY. hYp'e
Electnc
Principle Place of Business.
Richardeon, TX
Grand Prairie, TX
Ft Worth, TX
Goldsboro, TX
Temple, TX
Power Transformer
El
15/20/25 MVA, 138kV
$441,877
$428,892
$446,410
$436,356
$316,800
Wye with load tap
Changer
Second Award $441,877
Less Discount-$14,418
Cost $427,459
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CONTRACT AGREEMENT
STATE OF TEXAS §
COUNTY OF DENTON §
THIS AGREEMENT, made and entered into this 21 day of MARCH 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
Waukesha Electric Systems
Division of General Signal Power Systems Inc
P O Box 268
Goldsboro, North Carolina 27530
of the City of Goldsboro , County of Wayne and State of North Carolina ,
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 # 2408 - POWER TRANSFORMER
in the amount of $427,459 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 attached hereto, and
in accordance with all the General Conditions of the Agreement, the Special Conditions, the
Notice to Bidders (Advertisement for Bids), Instructions to Bidders, and the Performance and
Payment, Bonds, all attached hereto, and in
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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
ENGINEERING DEPARTMENT
all of which are 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, 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
IN WITNESS WHEREOF, the parties of these presents have executed this agreement
in the year and day first above written
ATTEST
CITY OF DENTON
OWNER
BY
(SEAL)
F fflm� WN M
kb6G72T W r '&LDo
APPROVED AS TO FORM
V
CITT ATTORNEY
(/(/Rt LKG ��L�Ti c _1uS1�Gm s
CONTRACTOR
Pr
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MAILING ADDRESS
$00 - E 35 - 12 73 )
PHONE NUMBER
�z6a- S1i- 0/98
FAX NUMBER
o TITLE
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STATE OF TEXAS
COUNTY OF DENTON
Bond No 929142310
KNOW ALL MEN BY THESE PRESENTS That Waukesha Electric Systems
Drv4nn of General Sisnal Power Systems, Inc , and Nations t+it insurance a
corporation organized and ealsting under the laws of the statif o C�t�nerrt�,, , and duly
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 FOUR HUNDRED TWENTY
tea percent or me stated penal sum as an additional sum or money representing additional court
expenses, attorneys' fees, and liquidated damages arising out of or connected with the below
identified Contract, is 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, Maly 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 2WO-107, with the
CIty of Denton, the Owner, dated the 21 day of MARCH A D., 2000, a copy of which is
hereto attached and made a part hereof, for BID M 2M — POWER TRANSFORMER
NOW, THEREFORE, if the Principal shall well, truly and faithfully perform and fulfill
all of the undertakings, covenants, terms, conditions and agreements of soul Contract In
accordituce 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 wanranry 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 wuhm 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 perforia
herein and shall fully reimburse and repay Owner all outlay and expense which the Owner may
Incur in malting good any default or deficiency, then this obligation shall be void, otherwise, it
shall remain in foil force and effect
PB - 1
T
PROVIDED FURTHER, that of any legal action be filed upon this Bond, exclusive
venue i 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 tune, alteration or addition to the roans of
the Contract. or to tits Work to be performed thereunder, or to the Piano, Specifications,
Drawings, etc., accompanying the same. shall in atrywise affect its obligation on this Bond,
sad it does hereby waive notice of any such change, extension of time, alteration or addition to
Me 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 2233 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 wbom say requisite notices may be delivered and on
whom service of process may be had to matters &rising 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 wkuch
shall be deemed an original, this the 21 day of MARCH , 2000,
ATTEST. PRINCIPAL
Ar&&By
4 SECRETARY
tom: COUNTERSIGNED BY -
Waukesha Electric Systems Division of
General Signal,Power Systems. Itnc.
BY 1
v 7ce. PRES
SURETY
National Fire Insurance Company
/ n BY ofHaHart�forrd(�
(�/ i`-�l OX
Lawrence W. Waldie BY
Texas Resident Agent ATTORNEY- -FACT Ronda L Pekel
The Resident Agent of the Surety in Denton County, Texas for dahvery of nonce and service
of the process is
NAME. Lawrence W Waldie
Marsh USA Inc.
STREET ADDRESS 1601 Elm St., Suite 2100, Dallas, TX 75201
(NOTE. Date of Performance Bond must be date of Contract. If Resident Agent is not a
corporgdon, give a person's name.)
PB-2
PAYMENT BOND
STATE OF TEXAS ¢
COUNTY OF DENTON §
KNOW ALL MEN BY THESE PRESENTS That Waukesha Electric Syatems
Divh of General Sind Power Siam, Inc , whose address is P 0 Boxed$
00100M. North Carolina Z7330, hereinafter called Principal, and National Fire Insurance Company
a corporation organ zed and e=tmg under the laws of the State of Conne fully of Hartford
authorized to transact business in the State of Texas, as Surety, are bold and�y bound unto
the City of Denton, a tmi umpal 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 FOUR HUNDRED TWENTY SEVEN THOUSAND FOUR
nunYKCLr Mill r rally, 14V/1W WLLAYb (34L/,4aV) in lawnil money or ice Vmten
States, to be paid in Demon, 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 do evect shall a Change Order or Supplemental Agreement which
reduces the Contract price decrease the penal stun of this Bond
THE OBLIGATION TO PAY SAME is conditioned as follows Whereas, the
Principal entered into a certain Contract, ideutified by Ordinance Number 2000-107, with the
City of Denton, the Owner, dated the 21 day of MARCH A D 2000 , a copy of which is
hereto attached and made a part hereof, for BID # 2408 - POWER TRANSFORMER
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 to 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 Plied 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
This Bond is given pursuant to the provisions of Chapter 2233 of the Texas
t3ovognment Code, as amended, ad any other applicable statutes of the State of Texas.
7110 Undersigned ad Resident Agent Denton designated agent hereby designated by the Sttrety herein as the
Cooly to whom any requisite notices may be delivered and on
whom service of process may be had in matters artstag 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 whieb
shall be deemed an original, this the 21 day of MARCH , 2000
ATTEST:
i
BY.
PRINCIPAL
Waukesha Electric Systems Division of
General Si nal Power Systems, Inc
BY, y.c
U c e. PRESIVU
SURETY
National Fire Insurance Company
— �/ _�� of Hartford
BY: i",�J � Q
Lawrence W. Waldie BY, e-C-7�- c �'
Texas Resident Agent A17ORNE ACT Ronda L Pekel
The Resident Agent of the Sarety in Demon County, Texas for delivery of notice and service
of the process is,
NAME, Lawrence W. Waldie
Marsh USA Inc.
STREBTADDRESS: 1601 Elm St., Suite 2100, Dallas, TX 75201
(NOTE. Date of Payment Bond mast be dote of Contract. if Resident Agent is not a
eorpomtion, give a personIstt m )
PB-4
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That CONTINENTAL CASUALTY COMPANY, an Illinois corporation, NATIONAL FIRE
INSURANCE COMPANY OF HARTFORD, a Connecticut corporation, AMERICAN CASUALTY COMPANY OF READING
PENNSYLVANIA a Pennsylvania corporation (herein collectively called 'the CCC Surety Companies ), are duly organized and existing
corporations having their principal offices in the City of Chicago, and State of Illinois and that they do by virtue of the signature and seals
herein affixed hereby make constitute and appoint
Drew Brach. Brian Cook Loretta A Peretti,H David Hoover, James A Dawdy, Ronda L Pekel, Individually
their true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign seal and execute for and on tneir Dorian
bonds undertakings and other obligatory instruments of similar nature
In Unlimited Amounts -
and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their corporations
and all the acts of said Attorney, pursuant to the authority hereby given are hereby ratified and confirmed
This Power of Attorney is made and executed pursuant to and by authority of the By -Laws and Resolutions, printed on the reverse
hereof, duly adopted as indicated by the Boards of Directors of the corporations
In Witness Whereof, the CCC Surety Companies have caused these presents to be signed by their Group Vice President and their
corporate seals to be hereto affixed on this 17th day of March 2000
CONTINENTAL CASUALTY COMPANY
OASU�<T 04SU9 m NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
1� AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA
pOPPOR�TP � \Mt'9Ar9AgtEG �
OU SEAL t' i 7a t� ,p��
1897 HA N �i • aP
Marvin J Cashion Group Vice President
State of Illinois County of Cook as
On this 17th day of March 2000 before me personally came
Marvin J Cashion tome known who being by me duly sworn, did depose and say that he resides in the City of Chicago State of Illinois
that he is a Group Vice President of CONTINENTAL CASUALTY COMPANY NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
and AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA described in and which executed the above instrument that he
knows the seals of said corporations, that the seals affixed to the said instrument are such corporate seals that they were so affixed
pursuant to authority given by the Boards of Directors of said corporations and that he signed his name thereto pursuant to like authority
and acknowledges same to be the act and deed of said corporations
2••••N.•N NN•N •N• ••H•�
OFFICIAL SEAL'
DIANE FAULKNER
Mary pow futo of ISlnols
My CamNoMat 8npira B/17ro1 •
My Commission Expires September 17 2001 Diane Faulkner Notary Public
CERTIFICATE
I Mary A Ribikawskis Assistant Secretary of CONTINENTAL CASUALTY COMPANY NATIONAL FIRE INSURANCE COMPANY OF
HARTFORD and AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA do hereby certify that the Power of Attorney herein
above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of each corporation printed on the
reverse hereof are still in force In testimony whereof I have hereunto subscribed my name and affixed the seals of the
said corporations this 21st day of March 2000
CONTINENTAL CASUALTY COMPANY
�GAsugtT tNSURq„_otio�'N
NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
'0•*AMERICAN CASUALTY COMPANY OF READING PENNSYLVANIA
' pOPPOR�TE S��p,.p •41897 NA^"
Mary A Ribikawskis Assistant Secretary
(Rev 10/1/97)
Authorizing By -Laws and Resolutions
ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the Board of
Directors of the Company
"Article IX —Execution of Documents
Section 3 Appointment of Attorney -in -fact The Chairman of the Board of Directors the President or any Executive Senior or
Group Vice President may from time to time appoint by written certificates attorneys -in -fact to act in behalf of the Company in the
execution of policies of insurance bonds undertakings and other obligatory instruments of like nature Such attorneys -in -fact subject to
the limitations set forth in their respective certificates of authority shall have full power to bind the Company by their signature and
execution of any such instruments and to attach the seal of the Company thereto The Chairman of the Board of Directors, the
President or any Executive Senior or Group Vice President or the Board of Directors may, at any time revoke all power and authority
previously given to any attorney -in fact
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of
Directors of the Company at a meeting duly called and held on the 17th day of February 1993
Resolved that the signature of the President or any Executive, Senior or Group Vice President and the seal of the Company may
be affixed by facsimile on any power of attorney granted pursuant to Section 3 of Article IX of the By Laws, and the signature of the
Secretary or an Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and
any power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company Any such power so
executed and sealed and certified by certificate so executed and sealed shall with respect to any bond or undertaking to which it is
attached continue to be valid and binding on the Company
ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING PENNSYLVANIA
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the Board of
Directors of the Company
"Article VF--Execution of Obligations and Appointment of Attorney -In -Fact
Section 2 Appointment of Attorney-m-fact The Chairman of the Board of Directors the President or any Executive Senior or
Group Vice President may from time to time appoint by written certificates attorneys -in -fact to act in behalf of the Company in the
execution of policies of insurance bonds undertakings and other obligatory instruments of like nature Such attorneys -in -fact subject to
the limitations set forth in their respective certificates of authority shall have full power to bind the Company by their signature and
execution of any such instruments and to attach the seal of the Company thereto The President or any Executive Senior or Group Vice
President may at any time revoke all power and authority previously given to any attorney -in -fact "
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of
Directors of the Company at a meeting duly called and held on the 17th day of February 1993
Resolved that the signature of the President or any Executive Senior or Group Vice President and the seal of the Company may
be affixed by facsimile on any power of attorney granted pursuant to Section 2 of Article VI of the By -Laws and the signature of the
Secretary or an Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and
any power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company Any such power so
executed and sealed and certified by certificate so executed and sealed shall with respect to any bond or undertaking to which it is
attached continue to be valid and binding on the Company
ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
This Power of Attorney is made and executed pursuant to and by authority of the following Resolution duly adopted on February 17
1993 by the Board of Directors of the Company
RESOLVED That the President an Executive Vice President or any Senior or Group Vice President of the Corporation may from
time to time appoint by written certificates Attorneys -in -Fact to act in behalf of the Corporation in the execution of policies of insurance
bonds undertakings and other obligatory instruments of like nature Such Attomey-in-Fact subject to the limitations set forth in their
respective certificates of authority shall have full power to bind the Corporation by their signature and execution of any such instrument
and to attach the seal of the Corporation thereto The President an Executive Vice President any Senior or Group Vice President or
the Board of Directors may at any time revoke all power and authority previously given to any Attorney -in -Fact
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of
Directors of the Company at a meeting duly called and held on the 17th day of February 1993
RESOLVED That the signature of the President an Executive Vice President or any Senior or Group Vice President and the seal
of the Corporation may be affixed by facsimile on any power of attorney granted pursuant to the Resolution adopted by this Board of
Directors on February 17 1993 and the signature of a Secretary or an Assistant Secretary and the seal of the Corporation may be
affixed by facsimile to any certificate of any such power and any power or certificate bearing such facsimile signature and seal shall be
valid and binding on the Corporation Any such power so executed and sealed and certified by certificate so executed and sealed shall
with respect to any bond or undertaking to which it is attached continue to be valid and binding on the Corporation
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
insurances requirements, that bidder may be disqualified from award of the contract Upon
bid award, all insurance requirements shall become contractual obligations which the
successful bidder shall have a duty to maintain throughout the course of this contract
STANDARD PROVISIONS:
Without limiting any of the other obligations or liabilities of the Contractor, the Contractor
shall provide and maintain until the contracted work has been completed and accepted by the
City of Denton, Owner, the minimum insurance coverage as indicated hereinafter
As soon as practicable after notification of bid award, Contractor shall file with the
Purchasing Department satisfactory certificates of insurance, containing the bid number and
title of the project Contractor may, upon written request to the Purchasing Department, ask
for clarification of any insurance requirements at any time, however, Contractors are strongly
advised to make such requests prior to bid opening, since the insurance requirements may not
be modified or waived after bid opening unless a written exception has been submitted with the
bid Contractor shall not commence any work or deliver any material until he or she
receives notification that the contract has been accepted, approved, and signed by the City of
Denton
All insurance policies proposed or obtained in satisfaction of these requirements shall comply
with the following general specifications, and shall be maintained in compliance with these
general specifications throughout the duration of the Contract, or longer, if so noted
• Each policy shall be issued by a company authorized to do business in the State of
Texas with an A M Best Company rating of at least A
• Any deductibles or self -insured retentions shall be declared in the bid proposal If
requested by the City, the insurer shall reduce or eliminate such deductibles or
self -insured retentions with respect to the City, its
officials, agents, employees and volunteers, or, the contractor shall procure a bond
guaranteeing payment of losses and related investigations, claim administration and
defense expenses
Liability policies shall be endorsed to provide the following
•• Name as additional insured the City of Denton, its Officials, Agents,
Employees and volunteers
•• 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 arising during the contract term which give rise
to clauns 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
[XI 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
[xl
If the Commercial General Liability form (ISO Form CG 0001 current edition) is
used
Coverage A shall include premises, operations, products, and completed
operations, independent contractors, contractual liability covering this
contract and broad form property damage coverage
• Coverage B shall include personal injury
Coverage C, medical payments, is not required
If the Comprehensive General Liability form (ISO Form GL 0002 Current Edition
and ISO Form GL 0404) is used, it shall include at least
Bodily injury and Property Damage Liability for premises, operations,
products and completed operations, independent contractors and property
damage resulting from explosion, collapse or underground (XCU)
exposures
Broad form contractual liability (preferably by endorsement) covering this
contract, personal injury liability and broad form property damage
liability
Automobile Liability Insurance
Contractor shall provide Commercial Automobile Liability insurance with Combined
Single Limits (CSL) of not less than $1,000,000 either in a single policy or in a
combination of basic and umbrella or excess policies The policy will include bodily
minry 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)
[ ] Owner's and Contractor's Protective Liability Insurance
The Contractor shall obtain, pay for and maintain at all times during the prosecution of the
work under this contract, an Owner's and Contractor's Protective Liability insurance policy
naming the City as insured for property damage and bodily injury which may arise in the
prosecution of the work or Contractor's operations under this contract Coverage shall be on an
"occurrence" basis, and the policy shall be issued by the same insurance company that carries
the Contractor's liability insurance Policy limits will be at least combined bodily injury
and property damage per occurrence with a aggregate
[ ] 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 budding 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 1
[X] Worker's Compensation Coverage for Building or Construction Projects for
Governmental Entities
A Definitions
Certificate of coverage ("certificate") -A copy of a certificate of insurance, a
certificate of authority to self -insure issued by the commission, or a coverage
agreement (TWCC-81, TWCC-82, TWCC-83, or TWCC-84), showing statutory
workers' compensation insurance coverage for the person's or entity's employees
providing services on a project, for the duration of the project
Duration of the project - includes the time from the beginning of the work on the
project until the contractor's/person's work on the project has been completed and
accepted by the governmental entity
Persons providing services on the project ("subcontractor" in §406 096) - includes
all persons or entities performing all or part of the services the contractor has
undertaken to perform on the project, regardless of whether that person contracted
directly with the contractor and regardless of whether that person has employees
This includes, without limitation, independent contractors, subcontractors, leasing
companies, motor carriers, owner -operators, employees of any such entity, or
employees of any entity which furnishes persons to provide services on the project
"Services" include, without limitation, providing, hauling, or delivering
equipment or materials, or providing labor, transportation, or other service related
to a project "Services" does not include activities unrelated to the project, such as
food/beverage vendors, office supply deliveries, and delivery of portable toilets
B, The contractor shall provide coverage, based on proper reporting of classification
codes and payroll amounts and filing of any overage agreements, which meets the
statutory requirements of Texas Labor Code, Section 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
(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,
(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 marl or personal
delivery, within 10 days after the person knew or should have known, of any
change that materially affects the provision of coverage of any person
providing services on the project, and
(7) contractually require each person with whom it contracts, to perform as
required by paragraphs (1) - (7), with the certificates of coverage to be
provided to the person for whom they are providing services
J By signing this contract or providing or causing to be provided a certificate of
coverage, the contractor is representing to the governmental entity that all
employees of the contractor who will provide services on the project will be
covered by workers' compensation coverage for the duration of the project, that the
coverage will be based on proper reporting of classification codes and payroll
amounts, and that all coverage agreements will be filed with the appropriate
insurance carrier or, in the case of a self -insured, with the commission's Division
of Self -Insurance Regulation Providing false or misleading information may
subject the contractor to administrative penalties, criminal penalties, civil penalties,
or other civil actions
K The contractor's failure to comply with any of these provisions is a breach of
contract by the contractor which entitles the governmental entity to declare the
contract void if the contractor does not remedy the breach within ten days after
receipt of notice of breach from the governmental entity
JUN-15-2000 13 34 AON OF GR
G^!1
616 456 7451 P 01
Aon Risk Services
Aon Risk Services, Inc of Michigan,
171 Monica NW, Suite 525, Grand Rapids, Michigan 49503
Telephone (616) 46a-5366 Facsimile (616) 456-7451 Direct Phone (616) 336-0416
TELEFAX TRANSMISSION
Date 06/15/00 Pages Ind cover 5
To Denise Harpool From C Joy Teitsma
Company City of Denton — Denton, TX
Fax Number 940 349 7302
Re Certificate of Insurance
wwra+•••wrr+++.•xwrwra+•*wwr++aa••wwrra+•••rrrr r+a••xrrr++•.xwrxra+•r
Accompanying this memo please find Certificates of Insurance for Waukesha Electric Systems/SPX
Corporation The onginal certificates are being mailed to you today
Should you need anything further, please feel free to call me
Regards,
c)t
cc Bob Baldus — Waukesha, Waukesha, WI (262) 521-0190
The matenals enclosed with this facsimile transmission are private and confidential and are the property of the sender The
Information contained in the material is privileged and is intended only for the use of the individual(s) or entity(ies) named
above If you are not the intended recipient, be advised that any unauthodzeri disclosure, copying, distribution or taking of any
action in reliance on the contents of this telecopled information Is stncdy prohibited If you have received this facsimile
transmission In error, please Immediately notify us by telephone to arrange for the return of the forwarded documents to us
JUN-15-2000 13134 RON OF GR 616 456 4451 P 02
q
rRDwIPPR
a
OATS IMMNDIYYI s
THIS CERTIFICATE IS ISIEUSD AS A MATT INFORMATION
Aon Risk Services, Ina
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND 6XTPND OR
171 Munroe Avenue N N
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
Suits 523
Grand Rapzdo MI 49503
COMPANY
616-456-5366
A O S Fidelity & Gcaraaty C,p
cDLnPANr
_
INSURED
—
Waukesha Electric SystELme
B O S F a 0 Soecialty Co
COMPANY
EPX Corporation
700 Terrace Point Drive
C
COMPANY
Muskegon, MI 49443
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE I IRTFIO AIR OW HAVE BEEN ISSUED TO THE INSURED NAMED AOOVE TOP THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE IBBUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 16 SUBJECT TO ALL THE TERMS,
FXOI IICIONS AND CONDITIONS OF SUCH POLICIES LIMITS BI
IDWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO
LTR
TYPEOPINSURANCR
POLICY NUMBER
POUOY EFFECTIVE
DAYC IMM/°°/YVI
POLICY EXPIRATION
°ATE WIMOD/YYI
IILNrE
GENERAL
UABIUTY
GENERAL AGGREGATE
8 5000000
PRODUCTS
X
GDMCLAIMSMADE OCCUR
DREaa60600
1/01/00
1/07/01
ERONµSoADVINJURYAEG
9• 5000000
OWNER S A CONTRACTOR S PROT
EACH OCCURRENCE
A 2000000
FIRE DAMAGE [Any ON INN
2 20 000
0 25000
MED EXP IMY IF19 MIMI
A
AUTOL40OLE
X
UASIUTY
ANY AUTO
DE82213500
1/01/00
1/01/0,
COMBINED SINGLE LIMIT
9 2000000
I ftr V9eaonl
P9r nl
F
S
ALL OWNED AUTOS
SCHEDULED AUTOS
DE92213400
1/01/00
1/01/01
Y
SUUILY INJURY
Per PCNd9ml
9
A
HIRED AUTOS
NON OWNED AUTOS
XR0230044
1/01/00
1/01/01
x
PROPERTY DAMAGE
0
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LIABILITY
AV I U UNLY RA ACCIDENT
9
OTHER THAN AUTO ONLY
ANY AUTO
EACH ACCIDENT
0
AGGREGATE
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a
AGGREGATE
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UMBRELLA FORM
9
OTI RR THAN WMDAMIA FORM
WORMERS COMPENSATION AND
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EMPLOYERS, LIABILITY
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PARTNERWEXECUTIVE
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0
S
OPPICERS ARE DLCL
EL DISEASE EA EMPLOYEE
OTHER
DEEORIPr10N OF opERATioN6&ocAiianommeLesispEclu ITEMS
RE City of Denton Hid #2409 - Power
Transformer
Bea attached a for additional information
gg33,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BS CANCELLED BEFORE THE
CITY Of DMINTON
EXPIRATION OA19 I"014!UF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATTN DENISE KWOOL
30 DAYS WRITTEN NOTICE TO THE CERTIPIOATE HOLDER NAMED TO THE LEFT
901-R TNXAS B!"13INT
MI FAILURE TO MAIL SUCH NOTICE SWILL IMPOSE NO OBLIGATION OR UAEAUTY
DENTON TX 76201
OF ANY MIND UPON THE COMPANY ITS RAIDERS OR REPRESENTATIVES
AITIN DRPPAWAT,v 045566017
;x' W,J s
f UKIGE
JUN-15-2000 13 35 RON OF UR
616 456 7451 P 03
Attachment to ACORD Certificate for. Waukesha Electric Systems / SPX Corporation.
The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the
coverage afforded by the Insurer(s) This attachment does not contain all terms conditions, coverages or exclusions contained In the
policy
li °t I'�i6°pi�atl'`i �i ,,
CITY of DENTON
ATTN DENISE HARPOOL
901-b TEXAS STREET
DENTON TY 76201
lie
DESCRIPTION of OPERATIONS/LOCATIONS/ VEHICLEr, ^�ont'd
The cancellation provision on this Certificate of Insurance is amended as follows
Said policy shall not be cancelled, nonrenewed or materially changed . without 00 days advant,ed
written notice being given to the owner (city) except when the policy is being cancelled for
nonpayment of premium Irt which case 10 days advance written notice is required
'Material Change means a s/gni flcant reduction m the provisions of the policy or
the limit of coverage for the policy in place today.
Additiondl Insured City of Denton, its Officials, Agents, Employees and Volunteers
Authorized Representative
Aon Risk Services
06/15/2000c
JUN-15-2000 13 35 AON OF GR 616 456 7451 P 04
h O $ Tan V
vlkf # g
�$ r i L'�",,�I DATE IMNIDD/YYI
�
a, a \ 3 ! >K
PRODUCER
a 9' ^ # 6 15 DD
THIS CERTIFICATE IS ISSUED ASIA MATTER OF INFORMATION
Aoa Risk Service¢, Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
171 Monroe Avenue N W
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
Suite 525
COMPANY
Grand Rapids EEI 49503
616-456-5366
A U S Fidelity & Guaranty Co.
INSURED
COMPANY
Waukesha Electric Systems
a __
_
COMPANY
SPX Corporation
700 Terrace Point Drive
C
COMPANY µ
Muskegon, MI 49443
D
]
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY
HAVE BEEN REDUCED BY PAID CLAIMS
00
LTR
Typg OF WSURANCE
POLICY NUMEER
POMCY EPPECTIVS
DATE IMMMDAYYI
POLICY EXPIRATION
DATE IMMMDMI
LIMITS
IRPIEM
LIABILITY
GENERAL AGGREGATE
e
PRODUCTS COMP/OP AGO
e
COMMERCIAL GENERAL LABILITY
CLAIMS MADE u OCCUR
PERSONAL E ROY INJURY
e
EACH OCCURRENCE
e
OWNER 6 • CONTRACTOR'S PROT
FIRE OAMAGE Any one finl
e
MID EXP Any one Fefeanl
F
RUTOMOBRE
LIABILITY
ANY AUTO
COMBINED SINGLE LIM B
s
BODILY INJURY
IPW M,WN
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ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
IPe, eodoeno
-
,
HIRED AUTOS
NON OWNED AUTOS
PROPERTY DAMAGE
S
GARAGE UAMLOY
AUTO ONLY EA ACCIDENT
s
OTHER THAN AUTO ONLY
ANY AUTO
EACH ACCIDENT
e
j
AGGREGATE
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E%OEBS LIABILITY
EACH OCCURRENCE
e
AGGREGATE
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UMBRELLA FORM
-
s
OTHER THAN UMBRELLA FORM
WORREM COMPENSATION AND
X ATU O
LIMTS
A
EMPLOYERS UABIUYV
DRE2260200
1/01/00
1/01/01
EL EACH ACCIDENT
6 1000000
A
THE PROPRIETOR/ INCL
PAPITNERVID(ECUTIV6
DR32260400
1/01/00
1/01/01
ELDISEASE POUCYLIMIT
S 1000000
EL DISEASE EA EMPLOYEE
E 1000000
OFFICERS ARE EXCL
OTHER
DESCRIPTION OF OKRATIONSAAO TIONSAMNIOLEEIBPECIAL ITEMS
RE: City of Denton Bid #2409 - Power Transformer
Sae attached a for additional Workers, C
eneatioa polio information
s sue,
SHOULD ANY OF THE ABOVE DESCRIBED POUOISE BE CANCELLE) BEFORE THE
CITY Of DEMON
EXPIRATION DATE THEREOF THE ISSUWO COMPANY WILL ENDEAVOR TO MAIL
ATTIE DENISE HARPOOL
30 DAYS WNTTEN NOTICE TO THE IJER'TIFICATE HOLDER NAMED TO THE LEFT
901-8 TEXAS STREET
AM FAILURE TO MAIL OUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
DENTON TX 76201
OF ANY BIND UPON THE COMPANY RSB AGENTS OR RERACH;NTATIm
AUTH7 AE. T^M 045566017
I � x Itl61Ia � e"'� � iY /L I rytLe 1 I F'IdSL .;kAI i�'i'T+'y IF ly L
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JUN-15-2000 13 35 PON OF GR 616 456 7451 P 05
Attachment to ACORD Certificate for. Waukesha Electric Systems / SPX Corporation
The terms, conditions end piuviolune noted below are hereby attached w the captioned certificate as additional description of the
coverage afforded by the insurer(s) This attachment does not contain all terms ^„1diflons, coverages or exclusions contained in the
Ilc
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CITY of UhN I UN
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U S Fidelity & Guaranty CO
ATTN UhNlbt HARPOOL
B
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C
DENTON TX 76201
D
ADDmONAL POLICIES If a policy below does not Include limit Information, refer to the corresponding policy on the
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XM094UU45
1/1/00
111/01
$
Employers Liability
A
Workers' Compensation &
IC12225419000
111/00
1/1101
$
Employees Liability
A
Workers' Compensation &
DRE2200300
1/1/00
1/1/01
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DRE2260500
111/00
1/1/01
S
Employers' Liability
All Workers' Compensation policies described on this Certificate of Insurance are subject to a Self Insured Ratantinn nP
S350,000 — Each Claim — Workers' Compensation — Coverage A
$300,000 — Each Claim — Employers Liability — (,overage B
$350,000 — Disease - Each Employee — Employer's Liability — Coverage B
Limits of Liability shown for all Workers' Compensation policies described on this Certificate of Insurance are in excess of the Self
Insured Retention limits shown above
The cancellation provision on this Certificate of insurance Is amended as follows
Said policy shall not be cancelled, nonrenewed or materially changed` without 30 days advance written notice being given to the owner
(city) except when Uiolpullcy lb being cancelled for nonpayment of premium in which case 10 days advance written notice is required
'Arafadal Change means a sleaMoant reduadon In the provlsiuna of Me policy or the limit of coverage for the polity in
place today
Waiver of Subrogation is Included in Workers' Compensation policies described hereon
Authorized Representative
Aon Risk Services
06/15/2000
TOTAL P 05