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HomeMy WebLinkAbout1999-017ORDINANCE NO -OI AN ORDINANCE ACCEPTING COMPETITIVE BIDS AND AWARDING A PUBLIC WORKS CONTRACT FOR THE PURCHASE OF A STEEL PLATFORM TRUCK SCALE, PROVIDING FOR THE EXPENDITURE OF FUNDS THEREFOR, AND PROVIDING AN EFFECTIVE DATE (BID #2312 — STEEL PLATFORM TRUCK SCALES AWARDED TO FAIRBANKS SCALES IN THE AMOUNT OF $52,974) WHEREAS, the City has solicited, received and tabulated competitive bids for the construction of public works or improvements in accordance with the procedures of STATE law and City ordinances, and WHEREAS, the City Manager or a designated employee has received and recommended that the herein described bids are the lowest responsible bids for the construction of the public works or improvements described in the bid invitation, bid proposals and plans and specifications therein, NOW, THEREFORE, THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS SECTION I That the following competitive bids for the construction of public works or improvements, as described in the "Bid Invitations", "Bid Proposals" or plans and specifications on file in the Office of the City's Purchasing Agent filed according to the bid number assigned hereto, are hereby accepted and approved as being the lowest responsible bids BID NUMBER CONTRACTOR AMOUNT 2312 FAIRBANKS SCALES $ 52,974 SECTION II That the acceptance and approval of the above competitive bids shall not constitute a contract between the City and the person submitting the bid for construction of such public works or improvements herein accepted and approved, until such person shall comply with all requirements specified in the Notice to Bidders including the timely execution of a written contract and furnishing of performance and payment bonds, and insurance certificate after notification of the award of the bid SECTION 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 Bid Proposals, 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 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 7 day of 1999 JAC M LER, MAYOR ATTEST JENNIFER WALTERS, CITY SECRETARY BY APPROVED AS TO LEGAL FORM HERBERT L PROUTY, CITY ATTORNEY 2312 STEEL PLATFORM TRUCK SCALES CONTRACT ORDINANCE ATTACHMENT #1 TABULATION SHEET BID # 2312 BID NAME STEEL PLATFORM Southcrest Sooner Sooner Powell All Fairbanks Mettler TRUCK SCALES Corp Scale Scale Steel Scales Toledo Scales Inc DATE a 0.98 TOTAL BID PRICE $117,777 $52,723 $44,982 NO BID $52,974 VENDOR $58,628 $4,320 $5,040 CONCRETE CONCRETE RAMP RAMP BOND YES YES YES YES YES CONTRACT AGREEMENT STATE OF TEXAS § COUNTY OF DENTON § THIS AGREEMENT, made and entered into this 19 day of JANUARY A.D., 1999, by and between CITY OF DENTON of the County of DENTON and State of Texas, acting through MICHAEL W. JEZ, City Manager, thereunto duly authorized so to do, hereinafter termed "OWNER," and FAIRBANKS SCALES 2626 MANANA - SUITE A DALLAS, TX 75220 of the City of DALLAS County of DALLAS and State of TEXAS, hereinafter termed "CONTRACTOR" WITNESSETH That for and in consideration of the payments and agreements hereinafter mentioned, to be made and performed by OWNER, and under the conditions expressed in the bonds attached hereto, CONTRACTOR hereby agrees with OWNER to commence and complete performance of the work specified below BID # 2312 - STEEL PLATFORM TRUCK SCALES in the amount of $52,974 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 CA-1 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 SOLID WASTE 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 APPROVED AS TO FORM CITY AMINEY CA-3 FAIRBANKS SCALES INC. CK4]211tMIN fCe77 2626 Manana - Ste. A Dallas, TX 75220 MAILING ADDRESS 214-357-7497 PHONE NUMBER 214-351-4253 FAX NUMBER BY — TITLE CORPORATE CREDIT MANAGER Michael D Smith PRINTED NAME (SEAL) PERFORMANCE BOND STATE OF TEXAS § COUNTY OF DENTON § Bond 190539843 KNOW ALL MEN BY THESE PRESENTS That FAIRBANKS SCALES, whose address is 2626 MANANA - SUITE A, DALLAS, TX 75220, hereinafter called Principal, and Continental Casualty 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 FIFTY TWO THOUSAND NINE HUNDRED SEVENTY FOUR and no/100 DOLLARS ($52,974) 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 99-017, with the City of Denton, the Owner, dated the 19 day of JANUARY A D 1999, a copy of which is hereto attached and made a part hereof, for BID # 2312 - STEEL PLATFORM TRUCK SCALES. 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 from all costs and damages which Owner may suffer by reason of failure to so perform herein and shall fully reimburse and repay Owner all outlay and expense which the Owner may incur in making good any default or deficiency, then this obligation shall be void, otherwise, it shall remain in full force and effect 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 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 , 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 19 day of JANUARY 1999 ATTEST PRINCIPAL BY SE T R� _ Fairbank Scales Inc BY PRESIDENT P SURETY Continent Casualty Company AT RNEY-IN-FACT Jay R Warner The Resident Agent of the Surety in Denton County, Texas for delivery of notice and service of the process is NAME Douglas G Hotchkiss Hotchkiss Insurance Agency STREET ADDRESS 16475 Dallas North Parkway, Suite 220, Dallas, Texas 75248 (NOTE Date of Performance Bond must be date of Contract If Resident Agent is not a corporation, give a person's name) 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 Compareee'), 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 harem affixed hereby make, constitute end appoint their true and lawful Atborneye)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds undertakings and other obligatory Instruments of similar nature - In Unlimited Amounts - and to bind them thejeby as fully and to the same extent ae 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 Thai 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 Wiliness Wh@rect, 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 1 Sth day of September 1 1998 CONTINENTAL CASUALTY COMPANY 000"MmAre oe NATIONAL FIRE INSURANCE COMPANY OF HARTFORD AMERRICAN CASUALTY COMPANY OF READING, PENNSYLVANIA IYIT Y�11,� a � •_ \ Marvin J Cashion Group Vice President State of Illinois County of Cook, as On this f 8th day of September 1998 , before me personally came Marvin J Cashion, to me�known, who, being by me duly awom, 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 afPoxed to the sold 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 some to be the act and deed of said corporations u� o Ia " No� My Commission Expires March 8, 2000 Mary Jo Abai Notary Public CERTIFICATE I, Mary A- Ribikowskis, 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 farce In testimony whereof I have hereunto subscribed my name and affixed the seals of the said corporations this 19 day of January 1999 CONTINENTAL CASUALTY COMPANY NATIONAL FIRE INSURANCE COMPANY OF HARTFORD 00WoxAtt AMERICAN CASUALTY COMPANY OF READING PENNSYLVANIA 1 a 1 0 le"at SPJ1L I VG.. 1eaT Mary A Ribikawslos Assistant Secretary (Rev 10/1197) Authonzing 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 folkyMng By -Law duly adopted by the Board of Directors of the Company "Article IX —Execution of Documents Section 3 Appointment of Attamey-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 attomeys-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 attomeyimn-fect, 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 Artois IX of the By -Laws, and the aWnsture of the Seorsury 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 V-Execution of Obligations and Appointment of Attomeyan-Fast Section 2 Appointment of Attorney-m-facL 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 attomeys-m-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 sttomeye4ri-fact, subject to the limitations set forth in their respectve 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 -fad " 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 xed 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 rasped 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 ad in behalf of the Corporation in the execution of poltotes of insurance, bonds, undertakings and other obligatory instruments of like nature Such Attorney -in -Fad, subject to the limitations set forth in their reaped" 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 pourer 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 " PAYMENT BOND Bond 190539843 STATE OF TEXAS § COUNTY OF DENTON § KNOW ALL MEN BY THESE PRESENTS That FAIRBANKS SCALES, whose address is 2626 MANANA — SUITE A, DALLAS, TX 75220, hereinafter called Principal, and Continental Casualty 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 FIFTY TWO THOUSAND NINE HUNDRED SEVENTY FOUR and no/100 DOLLARS ($52,974) 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 99-017, with the City of Denton, the Owner, dated the 19 day of JANUARY A D. 1999, a copy of which is hereto attached and made a part hereof, for BID # 2312 — STEEL PLATFORM TRUCK SCALES. NOW, THEREFORE, if the Principal shall well, truly and faithfully perform its duties and make prompt payment to all persons, firms, subcontractors, corporations and claimants supplying labor and/or material in the prosecution of the Work provided for in said Contract and any and all duly authorized modifications of said Contract that may hereafter be made, notice of which modifications to the Surety being hereby expressly waived, then this obligation shall be void, otherwise it shall remain in full force and effect PROVIDED FURTHER, that if any legal action be filed on this Bond, exclusive venue shall lie in Denton County, Texas AND PROVIDED FURTHER, that the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract, or to the Work to be performed thereunder, or to the Plans, Specifications, Drawings, etc , accompanying the same, shall in anywise affect its obligation on this Bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Contract, or to the Work to be performed thereunder, or to the Plans, Specifications, Drawings, etc Iti:IIc? 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 herem 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 19 day of JANUARY 1999. M PRINCIPAL Fairbank Scales Inc BY � '--------- e_� PRESIDENT SURETY /Conti nent asual ty Company ATT NEY-IN-FACT Jay R Warner The Resident Agent of the Surety in Denton County, Texas for delivery of notice and service of the process is NAME Douglas G Hotchkiss Hotchkiss Insurance Agency STREET ADDRESS 16475 Dallas North Parkway, Suite 220, Dallas, Texas 75248 (NOTE Date of Payment Bond must be date of Contract If Resident Agent is not a corporation, give a person's name ) 2312 CONTRACT & BONDS BMW 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 Pennsylvanat corporation (heroin 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 their true and lawful Attonney(sHn-Fact with full power and authority hereby conferred to sign seal and execute for and on their behalf 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 sign all the sots of said Attorney, pursuant to the authority hereby given are hereby ratified and This Power of Attomey is made and executed pursuant to and by authority of the By -Laws and Resolutions, printed an 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 16th day of September 1 1998 Oct s16Us�._ CONTINENTAL CASUALTY COMPANY "'v� NATIONAL FIRE INSURANCE COMPANY OF HARTFORD V � AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA li 1Uj� i, 444p d� Mervin J Cashion Group Vice President State of Illinois County of Cook as On this 18thme day of September 1998 , before me personally came Marvin J Cashion 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 a a4j� My Commissbn Expires March 6, 2000 Mary Jo Abel Notary Public CERTIFICATE I, Mary A Ribikawskle, 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 the 19 day of January 1999 w CONTINENTAL CASUALTY COMPANY ,try NATIONAL FIRE INSURANCE COMPANY OF HARTFORD ,e AMERICAN CASUALTY COMPANY OF READING PENNSYLVANIA ,won i BFJLL r Is > F Mary A Ribikewskis Assistant Secretary (Rev 1011/97) Authonzfng 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-ri-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 out in behalf of the Company in the execution of policies of Insurance bonds undertakings and other obligatory Instruments of like nature Such attorneys -in -Jett, 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 affaed 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 oerbficate bearing such facsimile signature and seal shall be valid and binding on the Company Any such power so executed and sealed and certified by certficate 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 VI —Execution of Obligations and Appointment of Attomeydn-Fact Section 2 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 attomeye-In-fact, subject to the limitations sat 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 attomeydn-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 Corpombon 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 Attorney -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 atibced 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 seeded, shall with respect to any bond or undertaking to which it is attached continue to be valid and binding on the Corporation " S I GEL PLA I'PORM TRUCK SCALE BID 'TABULATION SIIEET WORK DAYS 30 BID NO 2312 1'O NO rrki: mr'scKIPTION QUANI'I'I'Y UNIT' UNIT TOTAL PIUCE 1 Contractor's Warranties & 1 LS Understandings, 3,804 Mobilization Unit Prue in Words 2 1 $ $13,884 Truck Scale Foundation LS Unit Pruc in Words 11' x 100' Steel Platform 1 $ $ 3 Truck Scale LS 34,111 Unit Pricc in Words 4 Instrumentation & 1 LS $ $ 1,170 Lightning Protection Unit Pncc to Words TOTAL $52,974 TOTAL PRICE IN WORDS Fifty Two Thousand (Vine Hundred Seventy - Four Dollars BID SUMMARY mn-rAi ixrn UtaTrP TN WORTS Fiftv Two Thousand Nine Hundred Seventy Four Dollars In the event of the award of a contract to the undersigned, the undersigned will furnish a performance bond and a payment bond for the full amount of the contract, to secure proper compliance with the terms and provisions of the contract, to insure and guarantee the work until final completion and acceptance, and to guarantee payment for all lawful claims for labor performed and materials furnished in the fulfillment of the contract It is understood that the work proposed to be done shall be accepted, when fully completed and finished in accordance with the plans and specifications, to the satisfaction of the Engineer The undersigned certifies that the bid prices contained in this proposal have been carefully checked and are submitted as correct and final Unit and lump -sum prices as shown for each item listed in this proposal, shall control over extensions CONTRACTOR BY FAIRBANKS SCALES Street Address 2626 A DALLAS, TX 75220 City and State Seal & Authorization \ 3 �? C (If a Corporation) ) Td1 phone EM CITY OF DENTON INSURANCE REQUIREMENTS FOR CONTRACTORS Bidder's attention is directed to the insurance requirements below. It is highly recommended that bidders confer with their respective Insurance carriers or brokers to determine in advance of Bid submission the availability of insurance certificates and endorsements as prescribed and provided herein. if an apparent low bidder fails to comply strictly with the insurance requirements, that bidder may be disqualified from award of the contract. Upon bid award, all insurance requirements shall become contractual obligations which the successful bidder shall have a duty to maintain throughout the course of this contract. STANDARD PROVISIONS: Without limiting any of the other obligations or liabilities of the Contractor, the Contractor shall provide and maintain until the contracted work has been completed and accepted by the City of Denton, Owner, the minimum insurance coverage as indicated hereinafter As soon as practicable after notification of bid award, Contractor shall file with the Purchasing Department satisfactory certificates of insurance, containing the bid number and title of the project Contractor may, upon written request to the Purchasing Department, ask for clarification of any insurance requirements at any time; however, Contractors are strongly advised to make such requests prior to bid opening, since the insurance requirements may not be modified or waived after bid opening unless a written exception has been submitted with the bid Contractor shall not commence any work or deliver any material until he or she receives notification that the contract has been accepted, approved, and signed by the City of Denton. All insurance policies proposed or obtained in satisfaction of these requirements shall comply with the following general specifications, and shall be maintained in compliance with these general specifications throughout the duration of the Contract, or longer, if so noted CI-1 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 provide thirty(30) days prior written notice of cancellation, non -renewal or reduction in coverage Should any of the required insurance be provided under a claims -made form, Contractor shall maintain such coverage continuously throughout the term of this contract and, without lapse, for a period of three years beyond the contract expiration, such that occurrences arising during the contract term which give rise to claims made after expiration of the contract shall be covered. Should any of the required insurance be provided under a form of coverage that includes a general annual aggregate limit providing for claims investigation or legal defense costs to be included in the general annual aggregate limit, the contractor shall either double the occurrence limits or obtain Owners and Contractors Protective Liability Insurance CI-2 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 [XI Automobile Liability Insurance: Contractor shall provide Commercial Automobile Liability insurance with Combined Single Limits (CSL) of not less than $1 Million ($1.000,000)) 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 anti 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 1 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 CI-4 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 I i 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 IX ) Worker's Compensation Coverage for Budding 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, CI-6 regardless of whether that person contracted directly with the contractor and regardless of whether that person has employees This includes, without limitation, independent contractors, subcontractors, leasing companies, motor carriers, owner -operators, employees of any such entity, or employees of any entity which furnishes persons to provide services on the project "Services" include, without limitation, providing hauling, or delivering equipment or materials, or providing labor, transportation, or other service related to a project "Services" does not include activities unrelated to the project, such as food/beverage vendors, office supply deliveries, and delivery of portable toilets B The contractor shall provide coverage, based on proper reporting of classification codes and payroll amounts and filing of any overage agreements, which meets the statutory requirements of Texas Labor Code, Section 401 01 1(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 CI-7 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 mad 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 401.01 1(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, CI-8 AR�ORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMMIM PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOHMAI IO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT S E D G W I C K O F M I S S 0 U R I I N C HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND ( 2 6 0 0 G R A N D B L V D S U I T E 3 0 0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW K A N S A S C I T Y, M 0 6 4 10 8 1 IMQI Inns AcrnnnlNr, rnVFRAr,F INSURED - INSURERA C N A I n s u r a n c e INSURER B Fairbanks Scales Inc INSURERC B 2 1 L o c u s t INSURER D Kansas City MO 64106 INSURER uvvcrwuco 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 01 MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR L — —__--- TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY POLICY NUMBER G L 1 9 5 9 6 0 1 0 1 POLICY ECINE ATE QM 1/ 1 1/ 9 9 1'OLICV E%PIMTON DATrfMWODfYYI I/ 1 1/ O1 LIMITS EACH OCCURRENCE _ $_ 1 0 0 0 O O O FIRE DAMAGE (Anyone tire) 8-5 0 0 0 0 MED EXP (Any one person) $_ _� Q_Q_ $ 1 0 0 0 0 0 O r CLAIMS MADE KJ OCCUR PERSONAL A ADV INJURY GENERAL AGGREGATE $ 1 O O Q Q_QO_ _ _ PRODUCTS COMP/OP AGG GEN L AGGREGATE LIMIT APPLIES PER S 1Q_QQQQ fL POLICY F7 ECT Fl LOC AUTOMOBILE X UABIIITY ANY AUTO ALL OWNED AUTOS B U A 1 9 5 9 6 0 1 4 6 All States ex Tex p T A a s 5 9 6 0 1 7 7 1/ 1 1/ 9 9 s 1/ 1 1/ 0 C COMBINED SINGLE LIMIT (Ea accIdenQ $ BODILY INJURY (Per Ramon) $ _ SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) $ — X NON OWNED AUTO PROPERTY DAMAGE (Per accident) Is BARREL LIABILITY AUTO ONLY EA ACCIDENT $ — -- OTHERTHAN EA ACC $ ANVAUTO $ -- AUTO ONLY AEG EXCESS LIABILITY _ OCCUR [_] CLAIMS MADE C U P 1 9 5 9 6 0 19 4 1/ 1 1/ 9 9 1/ 1 1/ 0 EACH OCCURENCE $ 1 0 0 0 0 0 0 AGGREGATE $ 1 0 0 0 O O O_ _ — DEDUCTIBLE X RETENTION $ 1 0 0 0 O WORKERS COMPENSATION AND EMPLOYERS UABIUTY W C 1 9 5 9 6 0 0 8 2 ( G A, M I, M N, N J, O R, S W C 1 9 5 9 6 0 2 2 7 (All Other States 1/ 1 1/ 9 9 , W I ) ex M o n o p 1/ 1 1/ 0 i llstt c) X oEiys U OTH EL EACH ACCIDENT 10 0 0 0 0 0 S I Q1) O O (Tu _$ E L DISEASE EACH EMPLOYE E L DISEASE POLICY LIMIT $ 1000000 OTHER UFSCRIPIION OF OPERATO A710NSNEIIICLES/IXCLUSIONS ADDEDENDORSEMENTS/SPECIAL PROVISIONS •BadHwlcN is nollWlnH e"cluviuns or Bpeclel PrMelans City of Denton Is addItIGna1 Insured under general liability with respect to scale work performed by the Insured as required by contract or agreement, per policy provisions CERTIFICATE HOLDER ADDmoNALINSURED INSURERLETTER Ur luc's^' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THIS E%PIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO MALL C I t y o f D e n t o IT IMPOSE NO OBLIGATION OR LIABILITY OF ANY RAND UPON THE INSURER, ITS AGENTS On Purchasing Dept 9 0 1 - B Texas Street REPRESENrAI Denton, TX 76201 AURHOWM HEYMSPIWATIVE ACORD 25-S (7797) Page 1 of 2 - �(c)AEORD CORPORATION 1M IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) IF SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon ACORD 25-S (7/97) Page 2 of 2 /9b F•� UNITED STATES AND CANADIAN WARRANTY Fairbanks Scales Inc (the "Company") warrants and agrees that if, within two years after installation or 30 months from the date of shipment, whichever occurs first, any part manufactured by the Company should fail because of defective material or workmanship in its manufacture and the Company be notified promptly in writing of the nature of the defect, the Company will, (if Buyer's account with the Company is then and remains current), repair, replace such part, free of charge, provided the Buyer pays travel expense to and from the nearest Fairbanks Scales Customer Support Center, or Fairbanks Authorized Distributor, in the case of a replacement, shipping expenses from its factory (Travel charges and shipping expenses so incurred during the first 30 days following installation will be paid by the Company It is the Company's sole discretion whether to replace or repair the scale covered under this warranty The Company reserves the right to replace any defective part or product with a repaired part or product from its warranty stock Not withstanding anything contained herein to the contrary, this warranty is voidable at the discretion of the company if the product has been installed by anyone other than the Company or an authorized distributor of the Company or subject to misuse, neglect handling, accident or improper repairs or modifications Any warranties with respect to machinery, apparatus, accessories, articles or materials not manufactured by the Company shall be limited to those of the respective manufacturer thereof, if any, which the Company may be permitted to pass on to the Buyer Under this provision, the Company will be deemed to have manufactured only those articles bearing the Company's name -plate or trademark THE COMPANY'S WARRANTIES AS SET FORTH HEREIN ARE EXCLUSIVE AND ARE IN LIEU OF, AND BUYER HEREBY WAIVES, ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION, ANY IMPLIED WARRANTIES OF MERCHANTABILITY AND/OR FITNESS FOR A PARTICULAR PURPOSE UNDER NO CIRCUMSTANCES SHALL THE COMPANY HAVE ANY LIABILITY FOR LIQUIDATED DAMAGES OR FOR INCIDENTAL, COLLATERAL, CONSEQUENTIALOR SPECIAL DAMAGES OR FOR THE LOSS OF PROFITS, OR FOR ACTUAL LOSSES OR FOR LOSS OF PRODUCTION OR PROGRESS OF CONSTRUCTION, WHETHER RESULTING FROM DELAYS IN DELIVERY OR PERFORMANCE, BREACH OF WARRANTY, CLAIMS OF INCORRECT WEIGHING, CLAIMS OF OR FOR NEGLIGENT MANUFACTURE, ACTS OF GOD, OR OTHERWISE THE AGGREGATE TOTAL LIABILITY OF THE COMPANY UNDER THIS CONTRACT, WHETHER FOR BREACH OF WARRANTY OR OTHERWISE, SHALL IN NO EVENT EXCEED THE CONTRACT PRICE BUYER AGREES TO INDEMNIFY AND HOLD HARMLESS THE COMPANY FROM ALL CLAIMS BY THIRD PARTIES, WHETHER FOR BUSINESS LOSS, PERSONAL INJURY OR OTHERWISE, WHICH EXTEND BEYOND THE FOREGOING LIMITATIONS ON THE COMPANY'S LIABILITY W0030 1n" MI l 11 4! J%m NOFI,SNTAof 1Me. . Us^ F53 Ud D"Ortand of Commereo NadoW Iaetlbm ot aft6 de end TeebWOV iild bmbn bm =" Oerl OVb Mnmber: M09SA1 Pogo 1 of 1 National Type Evaluation Program Cer4*4* 4t CoMIl O"Mulae Ar fAW CA Fort LOW Cell Cb41RYt Mold Amoy: Act 8y11eog am ft o Cdl: 10 Wo Cspsmty' 780 kN • 400 kW* Aes mw Clout ID L enbmltted byt Pludobo bm. a" 881 8711eiee Avon ! . MA 01774 Tde: (0b 443 0880 rut: (xs) A sum Coma. 1IM7 L Lookery standard I?Utwer and Options o7Mo Ipedds models ooraal by this oadfloste in &A WOW. Ho GIil01Cm Y.A.W AC1.3"W !80 7.3 MCI4WkM 400 12.0 °i1 ! IdV (tmo ftmW Mmons) a U4.91 16 (Pounds For") TWOWN Ye ANN -low a PC (14 is tot .F) 70YieWIN 1Ya OY�IM YIWN eY �01141�o ewe 11%11111 alnll a:o rnM MYd b tlllhlr wM Yr.AN.obN tMYha �quFoaaroaratoNbbotl4'tpdea bI lbriYeMw�,�MdM7aMdelMrprnYaYMW�hMNrNNnaalAnwlre: evtlaMlsn wcllo q UYIN gnRMllYlel Momq Rr bY/aolbe and Yro b OoobYm w en ea Roebiq pp, etlm" aster laly 14,10% ca" a �'1Rlol�.ict� Chief. ORIN of WOOW sod i oMm lulu Ante: AYjen 1, t984 PAM 7M Iho4nN bglMAo s/heodaa and tpinNloa OoN aoNo/gw� ;'ragaRNntl . a'w1eYM W NW�IryY1 pmWO a:nmrhl. OVW a b flah bent a of e d4n a Vow. %phi obNt set b. Pros In W Mft or akr Vmm" � kd" ogegt or kpW wgplermaK of eb r:o�er.mwirey vi Ibol�ee. p« Nter rosar w ereaae.n. Z d !n f 13 SAWU881UJ WU9S 80 86, 80 03a 0 1 g i a CH I -Vow �Qdjw ACQRPw CERTIFICATE OF LIABILITY INSURANCE DATE (A MMOMYT SEDGWICK OF M I S S O U R I, INC HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2 6 0 0 GRAND BLVD SUITE 3 0 0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW K A N S A S C I T Y, M 0 6 4 1 0 8 INSURERS AFFORDING COVERAGE 1481HiED INSURER A CNA/Insurance INSURER B Fairbanks Scales Inc INSURER 8 2 1 L o c u s t INSURER Kansas City MO 64106 INSURER COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANCI` ANY nEGUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED C MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SLC- POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS BIER TYPE Or aIeUIUVICE POLICY N1MMM LIMITS GENERAL LIABILITY G L 1 9 5 9 6 0 1 0 1 1/ 1 1/ 9 9 1/ 1 1/ 0 EACH OCCURRENCE i 1 0 0 0 0 J COMMERCIAL GENERAI UABILITY CLAIMS MADE Exi OCCUR FIRE DAMAGE (Any one Me) i 5 0 0 C 0 MED EXP ( Any one person) E —5 Q 1-1�_ PERSONAL a ADV INJURY S 1 0 0 0 0 0 0 GENERAL AGGREGATE E 1 0 0 0 0 0 0 GEN L AGGREGATE UMITT APPLIES PER PRODUCTS-0OMP/OP AGO i POLICY JLPCT LOC AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS B U A 1 9 5 9 6 0 1 4 6 A I I S t a t e s e x TeX J U 0 ld gi 5 9 6 0 1 7 7 1/ 1 1/ 9 9 s 1/ 1 1/ 01 COMBINED SINGLE LIMIT (Be.1denl) S BODILY INJURY (Per person) E BODILY INJURY (Per accident) i X X HIRED AUTOS NON OWNED AUTO PROPERTY DAMAGE (Per accident) S• GARAGEINBIUIY AUTOONLY EAACCIDENT S ANY AUTO -- OTHER THAN EA ACO i S AUTO ONLY AGO FXCFMLUOUTY OCCUR L ]CLAIMS MADE JJ C U P 19 5 9 6 0 19 4 1/ 1 1/ 9 9 1/ 1 1/ 0 EACH OCCURENCE i 1 0 0 0 0 0 0 AGGREGATE $ O O O —00-- S S DEDUCTIBLE S X RETENTION i 1 0 0 0 0 wonme comPENBARON AND W C 1 9 5 9 6 0 0 8 2 1 1 1 9 9 1/ 1 1 0 EMPLOYERT Uneprn (G A, M I, N N, N J, O R, S , W I) E L EACH ACCIDENT E 1 0 0 0 0 0 0 W C 19 5 9 6 0 2 2 7 (All Other States ex Nonop listic) C L DI8EA8E EACH EMPLOYE S E L DISEASE POUCY LIMIT i 1000000 OTHER UCSUVIIONOFOPEINTNTNSAIMIKIN MIKXEBIEXCVJMMSADDEDFNDORSEMENnLWBMgLPRDVI810Ne •esdgwkk iv nollMhg mMwkmaBps4alPmMlone City of Denton is additional insured under general liability with respect to scale work performed by the insured as required by contract or agraainant,par policy provisions SEE ATTACHED CANCELLATION ADDENDUM CERTIFICATE HOLDER I I AWRoNALINmsyAINBUNEAEEnEFt CANCELLATION City of Denton Purchasing Dept 9 0 1 - B Texas Street Denton, TX 76201 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THIS EXPIRATION DATE THEREOF THE MUM 04KOM WILL ENDEAVOR TO MAL 3 0 DAYS WRITTEN NOTICE TO THE CLRIIFlCATE HOLDER NAMED TO THE LEFT BUT FADURETO LID SO SHALL IMPOSE NO OBIjMVBW'% UABRUTY OF ANY MD UPON THE INSURER, ITS AGENTS OR ACORD 25-8 (7197) Pepe t of 2 4 (0)AUU19J UUIHPUHAI IUN 19M IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) IF SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such andorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing msurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon ACORD 25-S (7/97) Page 2 of 2 CANCELLATION ADDENDUM Should any of the policies certified on the Certificate of Insurance to which this Addendum is attached be cancelled or non -renewed before the expiration date thereof, the issuing Company will mail 30 days written notice to the Certificate Holder named thereon, except in case of non-payment of premium 10 dates notice will be given