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1997-167 ORDINANCE NO d~ Q ~ { ~ ~ AN ORDrNaNCE ACCEPT G CO a'ETmVE BIDS AND PROVIDING THE AWARD OF CONTRACTS FOR PUBLIC WORKS OR IMPROVEMENTS, PROVIDING FOR THE EXPENDITURE OF FUNDS THEREFOR, AND PROVIDING FOR AN EFFECTIVE DATE WHEREAS, the City has sohclted, received and tabulated competitive bids for the construction of pubhc works or improvements in accordance with the procedures of STATE law and City ordinances, and WHEREAS, the C~ty Manager or a dastgnated employee has received and recommended that the herein described Nds are the lowest responmble Nds for the constmcUon of the public works or improvements described in the Nd mwtat~on, Nd proposals and plans and specfficaUons them~n, NOW, THEREFORE, THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS SECT. JI3N_I That the follovang competmve Nds for the construction of publ,c works or ~mprovements, as described in the "Bid Invitations", "B~d Proposals" or plans and specfficat, ons on file ~n the Office of the C~ty's Purchasing Agent filed according to the Nd number assigned hereto, are hereby accepted and approved as being the lowest responsible Nds BID NiJ_MBER. C O_NIRACIDR AMOUNT 2053 TELCOM OF TEXAS $ 32,175 00 SECIIOBLII That the acceptance and approval of the above compet~tlve Nds shall not constitute a contract between the C~ty and the person submitting the Nd for constmcUon of such pubhc works or improvements hereto accepted and approved, until such person shall comply with all reqmrements specified m the Notice to B~dders ~nclud~ng the umely execuuon of a written contract and fum~shlng of performance and payment bonds, and ~nsurance certfficate after notfficatmn of the award of the Nd SECTION III That the C~ty Manager ~s hereby authorized to execute all necessary written contracts for the performance of the constmeUon of the pubhc works or ~mprovements ~n accordance w~th the Nds accepted and approved herein, provided that such contracts are made ~n accordance w~th the Not~ee to B~dders and B~d Proposals, and documents relating thereto specifying the terms, conditions, plans and specfficatlons, standards, quantmes and specified sums contained thereto SECIIOISJ~ That upon acceptance and approval of the above competat~ve b~ds and the execution of contracts for the pubhc works and ~mprovements as authorized hereto, the C~ty Councd hereby anthonzes the expenditure of funds ~n the manner and ~n the amount as specffied in such approved b~ds and authorized contracts executed pursuant thereto SECTION V That flus ordinance shall become effective ~mmedmtely upon ~ts passage and approval PASSED AND APPROVED thls the I~'t~ dayof ~ ,1997 ATTEST JENNIFER WALTERS, CITY SECRETARY APPROVED AS TO LEGAL FORM HERBERT L PROUTY, CITY ATTORNEY DATE JUNE 17, 1997 CITY COUNCIL REPORT TO Mayor and Members of the City Council FROM Kathy DuBose, Executive Director of Finance SUBJECT BID 2053 - BORE CROSSING AT NORTH LOCUST STREET AND UNIVERSITY DRIVE ~: We recommend this bid be awarded to the low bidder, Telcom of Texas, tn the total amount of $32,175 00 SIJMMAR~' Tlus bid is for all labor and equipment necessary in boring two crossings under the streets North Locust at Gary Street and West University at the new Braums site These bores wlllallow eondmt and electric dlstnbutton cable to be anstalled without open cutting these streets Notices to bad were mailed to seventy contractors and responses were received from two PROGRAMS.. DEPARTMENTS OR GROUPS AFFECTED: Electric Distribution, Electric Utilities, Electric Utility Customers C~ttzens of Denton FISCAL IMPACT.. Budgeted Funds for Underground Construction for 1997 Account #610-103-1031- 9220 Attachments Tabulation Sheet Respectfully submitted Katl~ DuBg~e Execu~e I~lrector of Finance Prepared by Name DeniSe Harpool Title Senior Buyer Approved ~ Shaw, C P M Title Purchasing Agent 886 AGENDA lB-ID # 2053 BID NAME BORE CROSSINGS AT N LOCUST DICKERSON TELCOM OF OPEN DATE &MAyUNIVERSITY2?, 1997 CONST TEXAS ILS BORE CROSSING AT N. LOCUST ST $11,125 00 $11,550 00 2 L$ BORE CROSSING AT UNIVERSITY DR $25,656 $20,625 00 TOTAL $36,781 25 $32,175 00 4 CONTRACT AGREEMENT STATE OF TEXAS COUNTY OF DENTON THIS AGREEMENT, made and entered into this 17 day of Ju~ A.D., 19 97 , by and between CITY OF DENTON of the County of DENTON and State of Texas, acting through .r~u BENAVIDES thereunto duly authorized so to do, hereinafter termed "OWNER," and T~OM OF TEF~%S { INC. P.O. BOX 130 WHI~RIG~Tf TX 75491 of the City of WHITEWRI,~-T , County of GI~AYSON 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 % 2Q53 -BORECBOSSINGSAT N. LOCUST &UNIVERSITY in the amount of ~32f 175.00 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 ell materiels, 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 accordance with the plans, which includes all maps, plats, CA - i blueprints, and other drawings and printed or written explanatory matter thereof, and the Specifications therefore, as prepared by CITY OF DENTON ~.~CT~XC ENGINEERS all of which are made a part hereof and collectively evidence and constitute the entire contract. Indenendent 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. t o 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 thes~ presents have executed this agreement in the year and day first above written. TELCOM OF TEXAS, INC. CONTRACTOR ~ILING ~DRESS F~ ~ TITLE APPROVED AS TO FORM: (SEAL) city Attorney : AAA0184D Rev. 07/28/94 CA - 3 THE STATE OF TEXAS ' , COUNTY OF DENTON ' KNOW ALL MEN BY THESE PRESENTS That TELCOM OF TEXAS, whose address is P 0 BOX 130, WHITEWRIGHT, TEXAS 75491, hereinafter called Principal, and , a corporation organized and ex,sting under the laws of the State of , 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 THIRTY TWO THOUSAND ONE HUNDRED SEVENTY FIVE and no/100 DOLLARS ($32,175.00) 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 97-167, with the City of Denton, the Owner, dated the 17 day of JUNE, A D 1997, a copy of which is hereto attached and made a part hereof, for BID # 2053 - BORE CROSSING AT NORTH LOCUST STREET AND UNIVERSITY DRIVE. 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 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 PAYMENT BOND - Page 1 Thzs 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 ~s hereby deslgnated by the Surety here~n as the Reszdent Agent ~n Denton County to whom any requisite notices may be delivered and on whom service of process may be had ~n matters arising out of such suretyship, as provided by Article 7 19-1 of the Insurance Code, Vernon's Annotated Clvll Statutes of the State of Texas IN WITNESS WHEREOF, this ~nstrument is executed ~n cop~es, each one of which shall be deemed an original, th~s the day of , 19 ATTEST PRINCIPAL BY BY SECRETARY PRESIDENT ATTEST SURETY BY BY ATTORNEY- IN- FACT The Resident Agent of the Surety in Denton County, Texas for delivery of not~ce and service of the process ~s NAME STREET ADDRESS (NOTE Date of Payment Bond must be date of Contract If Resident Agent · s not a corporation, g~ve a tlarsl~.Lm name ) [Revised 2/97 \FORMS\PAYMBNT BON BID ~ 2053 PAYMENT BOND - Page 2 THE STATE OF TEXAS ' , COLINTY OF DENTON ' KNOW ALL MEN BY THESE PRESENTS That TELCOM OF TEXAS, whose address is P.O BOX 130, WHITEWRIGHT, TEXAS 75491, hereinafter called Principal, and , 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 THREE THOUSAND TWO H~NDRED SEVENTEEN and 50/100 DOLLARS ($3,217.50) plus 10 percent of the stated penal sum as an additional sum of money representzng additional court expenses, attorneys' fees, and liquidated damages arising out of or connected with the below Identified Contract, 1n lawful money of the Un,ted States, to be pa~d 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 97-167, with the City of Denton, the Owner, dated the 17 day of JUNE A D 1997, a copy of which is hereto attached and made a part hereof, for BID # 2053 - BORE CROSSING AT NORTH LOCUST STREET AND UNIVERSITY DRIVE. NOW, THEREFORE, if the Principal shall well, truly and faithfully perform and fulfill all of the undertakings, covenants, terms, conditions and agreements of sa~d Contract in accordance w~th 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, not~ce 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 f~nal completion and final acceptance of the Work by the Owner, and, if the Principal shall fully lnderanlfy and save harmless the Owner from all costs and damages which Owner may suffer by reason of failure to so perform here~n 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 PERFORMANCE BOND - Page 1 PROVIDED FURTHER, that if any legal actaon be faied upon thas Bond, exclusave venue shall lme in Denton County, State of Texas AND PROVIDED FLTRTNER, that the saad Surety, for value receaved, hereby stmpulates and agrees that no change, extension of ~ame, alterataon or additaon to the terms of the Contract, or to the Work to be performed thereunder, or to the Plans, Speclfacatlons, Drawmngs, etc , accompanying the same, shall an anywise affect its oblagataon on thas Bond, and it does hereby waive horace of any such change, extensaon of time, alteration or addition to the terms of the Contract, or to the Work to be performed thereunder, or to the Plans, Speclfacataons, Drawangs, etc This Bond as gaven pursuant to the provasmons of Chapter 2253 of the Texas Government Code, as amended, and any other applmcable statutes of the State of Texas The undersagned and designated agent as hereby designated by the Surety herein as the Resident Agent mn Denton County to whom any requasate notices may be delivered and on whom service of process may be had an matters arasang out of such suretyshmp, as provaded by Artacle 7 19-1 of the Insurance Code, Vernon's Annotated Cmvml Statutes of the State of Texas IN WITNESS WHEREOF, thas instrument is executed mn copies, each one of whach shall be deemed an oraganal, thas the day of , 19__ ATTEST PRINCIPAL BY BY SECRETARY PRESIDENT ATTEST SURETY BY BY ATTORNEY- IN- FACT The Resmdent Agent of the Surety an Denton County, Texas for delmvery of notace and service of the process as NAME STREET ADDRESS (NOTE ,Date of Performance Bond must be date of Contract If Resmdent Agent is not a corporation, give a p~_r~mnts name ) BID # 2053 PERFORMANCE BOND - Page 2 BID NUMBER - 2053 BID PROPOSALS Page 2 of 2 city of Denton, Texas 901 B Texas 8L Pumflaslng Department Denton, Texas 78201 ITEM DE$CRIFTION QUAN PRICE AMOUNT l. SO~ CROSSINC, AT NOI~TII LOCUST STP..EET ~;~6~ ~ I $1_1,550 ~ 1,550 2. BORE CROSSING AT UNI¥~TTY DIIIVE /~'~' I $2,0,625 $20,625 TOTALS $: 2,175.0( we quote the above f o b delivered to Oenton, Texas Shipment can be made In days from receipt of order Terms netl30 unless otherwise Indicated In submitting the above bid, the vendor agrees that acceptance of any or all bid Items by the City of Oenton. Texas within a reasonable period of time constltuee a contract The completed Bid Proposal must be properly priced, signed and returned P. O. BOX 130 Telcom of Texas, Inc. Mailing ~ddreae Bidder 903-364-2144 President CITY OF DENTON INSURANCE REQUIREMENTS FOR CONTRACTORS Bidder's attention ia directed to the Insurance requ.rementa 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 aa prescribed and provided herein If an apparent Iow bidder fails to comply strictly with the Insurance requirements, that bidder may be disqualified from award of the contract. Upon bid award, ell insurance requirements shall become contractual obligations which the successful bidder shall have a duty to maintain throughout the course of this contract STANDARD PROVISIONS: W~thout limiting any of the other obhgat,ons or hah,hr;es of the Contractor, the Contractor shall provide and ma,ntmn until the contracted work has been completed and accepted by the C~ty of Denton, Owner, the m~n~mum ~nsurance covetable as ~nd,cated here,nafter As soon as practicable after not;flcat~on of b,d award, Contractor shall file w;th the Purchasang Department satisfactory certaficates of insurance, containing the b~d number and t~tle of the project Contractor may, upon written request to the Purchas;ng Department, ask for clar,flcatlon of any ;nsurance reclu~rements at any t~me; however, Contractors are strongly adwsed to make such re(~uests prior to opemng, s~nce the ~nsurance requirements may not be modified or wa,ved after b,d opening unless a written exception has been submitted w~th the bid. Contractor shall not commence any work or del,var any material unt;I he or she receives notification that the contract has been accepted, approved, and sagned by the City of Denton All ~nsurance pohc~es proposed or obtmned in satisfaction of these reclu~rements shah comply w~th the follow~ng general specifications, an(] shall be ma,nta~ned ~n comphance w~th these general specifications throughout the duration of the Contract, or longer, ~f so noted. · Each pohcy shall be ~ssued by a company authonzed to do bus,ness ~n the State of Texas w~th an A.M Best Company rating of at least A · Any deductibles or self-,nsured retentions shall be declared ~n the b~d proposal If requested by the C,ty, the ,nsurer shall reduce or ehm~nate such deductibles or self-insured retentions w~th respect to the C;ty, AAA003§0 REV~SEO 10/~2/84 CI - 1 Insurance Requirements Page 2 offic,als, agents, employees and volunteers; or, the contractor shell procure a bond guarantee,ng payment of losses and related ~nvestigatlons, claim adm,nlstratlon and defense expenses. · Llab~lity pohc~es shall be endorsed to prov;de the following · · Name as additional ;nsured the C;ty of Denton, ~ts Offic;als, Agents, Employees and volunteers. · · That such insurance ~s primary to any other ~nsurance available to the additional insured w,th respect to claims covered under the policy and that this insurance applies separately to each insured against whom claim is made or suit ~s brought. The ~ncluslon of more than one insured shall not operate to ~ncrease the insurer's limit of liability · All pohcles shall be endorsed to provide thirty(30) days prior written not~ce of cancellation, non-renewal or reduction in coverage · Should any of the requ,red ,nsurance be prowded under a claims-made form, Contractor shall maintain such coverage continuously throughout the term of th,a contract and, without lapse, for a period of three years beyond the contract exp,rat~on, such that occurrences ar,sing during the contract term which g,ve r,se to cia,ms made after expiration of the contract shall be covered. · Should any of the requ;red insurance be provided under a form of coverage that includes a general annual aggregate hm~t providing for claims investigation or legal defense costs to be included in the general annual aggregate limit, the contractor shall e,ther double the occurrence limits or obta,n Owners and Contractors Protective Llab~hty insurance · Should any required Insurance lapse during the contract term, requests for payments or,g,natlng after such lapse shall not be processed until the City rece,ves satisfactory evidence of reinstated coverage as required by this contract, effective as of the lapse date If ,nsurance ~s not reinstated, City may, at ~ts sole option, terminate this agreement effective on the date of the lapse AAA00360 REVISED 10112/~4 CI - 2 Insurance Requirements Page 3 SPECIFIC ADDITIONAL INSURANCE REQUIREMENTS: All insurance policies proposed or obtained in satisfaction of this Contract shall additionally comply w;th the following marked specifications, and shall be maintained in compliance with these additional specifications throughout the durat;on of the Contract, or longer, if so noted. A. General Liability Insurance: General Liability insurance with combined single limits of not less than $!.ooo.ooo.o0 shall be provided and maintained by the contractor The pohcy shall be written on an occurrence basis either ~n a single policy or ~n a combination of underlying and umbrella or excess policies If the Commercial General Liability form (ISO Form CG 0001 current edition) ~s used: · Coverage A shall include premises, operations, products, and completed operations, independent contractors, contractual I,ablhty covering this contract and broad form property damage coverage · Coverage B shall include personal ~njury · Coverage C, medical payments, is not required If the Comprehensive General Llab~hty form (ISO Form GL 0002 Current Edition and ISO Form GL 0404) ~s used, it shall ~nclude at least · Bodily injury and Property Damage Llab~hty 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) covenng this contract, personal injury habd,ty and broad form property damage hab~llty. AAA00360 .EV~SEO ~o/~2~4 CI - 3 Insurance Requirements Page 4 Automobile Liability Insurance: Contractor shall provide Commercial Automobile Liability insurance w~th Combined Single Limits (CSL) of not less than $1.o0o.ooo.o0elther in a stogie 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 end use of all automobiles and mobile equipment used in conjunction with th~s contract. Satisfaction of the above requirement shall be ,n the form of a pohcy endorsement for · any auto, or · all owned, h~red and non-owned autos Workers Compensation Insurance Contractor shall purchase and maintain Worker's Compensation ~nsurance which, ~n addition to meeting the minimum statutory requirements for ~ssuance of such ~nsurance, has Employer's L,ablhty hm~ts of at least $100,000 for each accident, $100,000 per each employee, and a $500,000 policy I.m~t for occupational disease. The City need not be named as an "Additional Insured" but the insurer shall agree to waive all nghts of subrogation against the C.ty, its officials, agents, employees and volunteers for any work performed for the C~ty by the Named Insured For building or construction projects, the Contractor shall comply with the prowslons of Attachment I in accordance w~th §406.096 of the Texas Labor Code and rule 28TAC 110.110 of the Texas Worker's Compensation Comm~ss.on (TWCC) [ ] Owner's and Contractor's Protect,ve L.abil,ty 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 Liablhty insurance policy naming the C~ty as ~nsured for property damage and bodily injury which may anse m the prosecution of the work or contractor's operations under this contract Coverage shall be on an AAAOO360 ,~'visEo ~o. 2;~ CI - 4 Insurance Reqmrements Page 5 "occurrence" basis, and the policy shall be issued by the same insurance company that carries the contractor's habllity insurance Policy lira,ts will be at least combined bodily ~njury and property damage per occurrence with · aggregate. Fire Damage Legal Liability Insurance Coverege is requ,red if Broad form General L~ab,hty ,s not provided or ~s unavmlable to the contractor or ~f a contractor leases or rents a port~on of a C;ty bu;Id,ng. Lira,ts of not less than each occurrence are required [ ] Professional Liability Insurance Professional liab,hty insurance with limits not less than per claim with respect to negligent acts, errors or omissions m connection w~th professional services is required under this Agreement [ ] Bu,lders' Risk Insurance Budders' Risk Insurance, on an AII-R~sk form for 100% of the completed value shall be prowded. Such pohcy shall ~nclude as "Named Insured" the C~ty of Denton and all subcontractors as thmr interests may appear [ ] Additional Insurance Other ~nsurance may be required on an ~ndiv,dual bas~s for extra hazardous contracts and specific service agreements If such additional insurance ~s requ;red for a specific contract, that requirement w~ll be described m the "Spec;ftc Conditions" of the contract spec~flcat;ons AAAO0360 r~'V~SE= ~0~==4 CI - 5 Insurance Requirements Page 6 ATTACHMENT I Worker's Compensation Coverage for Building or Construction ProJects for Governmental Entities A. Definitions: Certif,cate of coverage ("cert~ficate")-A copy of a cert;flcate of insurance, a certificate of author,ty to self-,nsure issued by the comm,ss~on, or a coverage agreement (TWCC-81, TWCC-82, TWCC-83, or TWCC-84), showing statutory workers' compensation ~nsurance coverage for the person's or entity's employees providing services on a project, for the duration of the project. Duration of the project - ~ncludes the time from the begmmng 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 entit~es 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, w~thout hm~tat~on, 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, w~thout limitation, prowdlng, 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 dehvenes, and delivery of portable to~lets B. The contractor shall provide coverage, based on proper reporting of classification codes and payroll amounts and flhng of any overage agreements, which meets the statutory requirements of Texas Labor Code, Section 401 011 (44) for all employees of the contractor providing serwces on the project, for the duration of the prolect AA~30360 REVISED 10/12/94 (~1 - 6 Insurance Requirements Rage 7 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 w~th 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 certifica{es of coverage showing coverage for 811 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 prolect. 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 mall 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. 7 Insurance Requirements Page 8 I. The contractor shall contractually requ,re each person w,th whom ~t contracts to provide services on a project, to. (1) prov,de coverage, based on proper reporting of class,flcation codes and payroll amounts and filing of any coverage agreements, wh,ch meets the statutory requ,rements of Texas Labor Code, Sect,on 401.011 (44) for all of Its employees prov,d,ng serv,ces on the project. for the duration of the project, (2) provide to the contractor, prior to that person beg,nn,ng work on the project, a certificate of coverage show, ng that coverage ,s being prov,ded for all employees of the person prov,d,ng serv,ces on the project, for the duration of the project, (3) prowde the contractor, prior to the end of the coverage per,od, a new certificate of coverage show, rig extens,on of coverage. ,f the coverage period shown on the current certificate of coverage ends during the duration of the project; (4) obtain from each other person w,th whom ~t contracts, and prov,de to the contractor. (a) a cert,flcate of coverage, prior to the other person beg,nn,ng work on the project, and (b) a new certificate of coverage show,ng extens,on of coverage. prior to the end of the coverage period, if the coverage period shown on the current cert,flcate of coverage ends dunng the durat,on of the prolect; (5} reta,n all requ,red certificates of coverage on file for the duration of the prolect and for one year thereafter. (6) not~fy the governmental entity ,n writ,rig by certified mad or personal dehvery, w,th~n 10 days after the person knew or should have known. of any change that matenally affects the prows~on of coverage of any person prov~d,ng serwces on the project, and AAAO0360 I~'VlSED 1011~¥04 Cl - 8 Insurance Requirements Page 9 (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 certif,cate of coverage, the contractor is representing to the governmental entity that all employees of the contractor who w,II provide services on the project w~ll be covered by workers' compensation coverage for the duration of the project, that the coverage will be based on proper report,ng 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, w~th the commlss,on's Division of Self-Insurance Regulation Providing false or misleading ~nformatlon may subject the contractor to administrative penalties, criminal penalties, civil penalties, or other civil actions . K. The contractor's failure to comply w~th any of these provisions is a breach of contract by the contractor which ent~tles 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 AAA00360 ~J~FO~D , COUNTY OF DENTON ' KNOW ALL MEN BY THESE PRESENTS That TELCOM OF TF.~AS, whose address Is P 0 BOX 130, %~HIT~WRX~T, TBXAS ~91, herexnaft~r called and ~~~ a co~oration or~anlzed and exlstin~ sum o~ ~I~~U~ ~ ~F~/100 ($32,175.00) plu~ 10 percen~ of the stated penal sum as an aadzt~on=l sum li~ida~d dmmmM~ azi~znM ~ut of or co~ected with ~he below cun~xac=, in lmwful money of th= ~ited Ogate~, to be pai~ in Denten *e hezeby bind ourselves, our heirs, execuuorm, adminimtrat~r~, successors, ~d amsi~n~, Jointly and ~evcrally, fl~ly by th~e in no event shall a Change Order or Supplemental Agreement whmch reduces ghe Contract price decrease ~he penal sum of this Bond ~E OBLIGATION TO PAY S~E is conditioned as follows ~ereas, the Nu~er 9T-16T, wi~h =he City of D~nton, the O~er, dated the 1T day ~E A D 199T, a copy O= which is hereto attached and made a part NOW, TMER~FORE, if th= Principal shall well, truly and perfo~ and fulfill all of the undertakings, coven~=s, te~, con~i:ions and a~zeements of said Con~ract in accordance wlCh =he Plane, Speclfication~ and Contract Documen¢s dur~n~ the original =e~ thereof and any extension thereof which may be granted by the O~er, with or wx~hou~ notice ~ the Surety, and durln9 the life of any ~uaranty or Surety bein9 l%ezeby wazv~d, ~d, if ~h~ Principal 0hall repair ~/or replace all defecL~ due go faulty material~ and workmanmhmp =ha~ appear wxthtn a period of one (1) year from the date of fmnal completion and f~nal acceptance of the Work by =he O~er, and, if Uhe Prxncmpal shall fully inde~t~y and ~ave ha&mlesm the O~er from all cemus and ~amagm~ s~all fully r=l~u~ ~d z=pmy O~r all outlay and c~en~e which the owner ~ay incur in mmktn~ good any default or defmcmency, then oDliga=~on shall b= void, oth~i~e, it shall rem=mn xn full force effect PERFORCE BO~ - Page 1 &Od S£8S P9£ E06 ON BNOHd SV^BI ~0 WODqBI WOmB PROVIDED ~URTHER, tha~ if ~ny legal mormon ~e £mlmd upon this exclusive venue ~hall 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 ~me, alteration or addition to the terms of the Contract, or to the Work be performed thereunder, or to the Plans, Specifica=monu, Drawings, ets , t~me, al=eraCion o= addition to the ~e~mts of the Con,race, o= =o tbs Work to be performed ~hereunder, or to the Plans Specif~cations, Drawzngs, ets This Bond is given pursuant to the prov~ons of Chapter 2253 of =he Texas ~v~&~a~nt Co~e, a~ amended, and any other applicable the State of Texas. ~urety herein as ~he Rcsiden~ A~ent in Denton County to whom any requ±~ite notices may be dellver~d and on whom serviso of process may be had ~n ~attere arising out of such suretyship, aa provided by Art~¢le 7 19-1 of the Illsu~ance Code, Vex-r%on's ~%/%notated C1vll Statutes of the State of Texas IN WITNBSS WHEREOF, this instrument is executed in , ~ copies, each one o£ whi=~ shall be deemed an orig%nal, this the )6th day of , ~9 97 ATTEST PRINCIPAL /~~ ~ TDlc0m of Texas, Inc. SECl~TARY 7' P~ES~DEN~T - ATTEST SURETY Cap~t~l Indemn~v Coroorat~on / , ATTORN~¥~iN_FACT The Reszden~ Agent o~ ~he Surety in Wlchlta County, Texas for delzvery of notxse and service o~ the process is NAM~ Boley Featherst0n Insurance Company SleET ADDRESS 701Lamar W~ch~taFalls, Tx 76301 (NOI~ Date o~ Performance Bond must be date of Contract Agent is not a corporation, give a ~e~eon's name ) ~ID # 2053 PERFORMANCE BOND - Page 2 80d ~£8S ~9£ ~06 ON BNOHd S~JxBI 40 WODqBI WO~JJ RA~ THE STATE OF TEXAS ' COUNTY OF DENTON KNOW ALL MEN BY THESE PRESENTS That T~LCOM OF T~XAR, whose ad~rsss is P.O BOX 130, ~ITEWR~T, TEXAS ~491~ h~relnaf~er cal]~ ~r~nciDal, under the laws o~ che Sta~e of Wlm~AnRln , and ~ully au~ho~e~ to bo~d Unto the City of Denton, a municipal corporation ~is~Ln~ ~der the laws of the State of Texas hereinafter called O~er, FI~ and no/100 DOL~S ($~Z,iT~.00) in lawful money ~ States, to be ~aid in Denton Co~y, Tex=m, for ~he paten= of well and truly to be made, we hereby band our~clvco, our heirs, executors, admlnis~ra=ors, successors, and assigns, joln=ly and severally, ~irmly by ~hese ~resents This Bond shall automatically be incremued by ~he amount of any Change Ordcr or Supplemental Agreement which increases th~ Cu~tract price, but ~n no event shall a Change Order or Supplemental A~&~e~%en= which reduces the Contract price decrease the penal su~ of =his Bond THE OBLIGATION TO PAY S~Z lm conditione~ ~s follows ~crea~, the 97-1~7, with ~he City of Den=on, the O~er, datcd the 17 day A D 1997, a copy of which ls hereto attached and made a part hereof, for BID % 20~3 - BORE CROSSING AT NORTH LOCUST STREET ~ ~I~RBI~ DRi~ uny and =11 duly authorzzed mod~ficat=ons o~ sa~d Con=tact exclusive venue shall lie i~ Denton County, ~D PROVIDED F~THER, that the said Surety, for value r~ce~ve~ al~erm~ion or add~tlon to the =e~ of the Contract or to ~he Work perfo~ed ~huAoun~er, or to the Plan~, Specifl~at~ons, Drawings, etc. accomp~ying nh= ~ame, shall in an~se affect ~t~ obligat~on on this time, a]~ra=i0~ or addition to the ~s of the Contract, or to the Work to be perfo~ed theze~der, or to ~he Plan~, Spec~f~cae{ons, DrawingS, PAYMENT BOND - Page 1 SOd S£8S ~9£ £06 ON BNOHd SUxBI BO WOD]BI WO~d the State of Texas The ~nder~l~zled and designated agent ms hereby designated by the Surety herein as the Resident Agent in D~nton C~ty to whom any revisits notice~ may bs dullvered and on whom u~ice of process ~y be had in mat~ers arising out of such suretyship, as provided by Article 7 19-1 of the Insurance Code, Vernon's ~notated Civml S~atutes of the , lO q7 ATTEST PRINCI PAL Telcom of Texas, Inc. BY BY S~c~T~R¥ --~/ PRESIDENT ATTEST SURETY BY' ~ ~ BY <~ / ~ ATTORNEY-I~-F~CT Stacl Gross The Resident Agent of the Sure~y ~n~qldqlta County, Texas for dcliw=ry of no~zce a~d semite of =he process is N~E. ~ley Fea~erston Ins~ce Co~y STREET ~DRESS 701 ~ Wlchl~ Falls, TX 76301 (NOTE Date o~ ~a~ent Bond mu~t be da~e of Contract If Resident PAYMENT BOND - Page 2 90d S£8S ~9£ £06 ON BNOHd S~xBI ~0 WODqBI WO~ INDEMNITY CORPORATION 4610 UNIVERSITYAVENUE SUITE 1400 MADISON WISCONSIN 53705 0900 PLEASE ADDRESS REPLY TO PO BOX 5900 MADISON WI 53705 0900 PHONE (608) 231 4450 · FAX (608) 231 2029 POWER OF ATTORNEY No Know all men by these Presents, That the CAPITOL INDEMNITY CORPORATION, a corporation of the State of Wisconsin, hawng ~ts pnnc~pal offices m the C~ty of Madison, W~scons~n, does make constitute and appoint .............. STACI ~ ORO~S, LAURA A ESPINOZA, STEVE DEAL OR DONALBOLEY .................. ~ts true and lawful Attorney(s)-in-fact, to make, execute, seal and dehver for and on ~ts behalf as surety, and as its act and deed, any and ali bonds, undertakings and contracts of suretyship, prowded that no bond or undertaking or contract of suretyship executed under this authority shall ~exceed m amount the sum of ............................................... NOTTO ]EXCE]~D $4,000,000,00 ............................................ Th~s Power of Attorney is granted and ~s s~gned and sealed by facsimile under and by the authonty of the following Resolution adopted by the Board of D~rectors of CAPITOL INDEMNITY CORPORATION at a meeting duly called and held on the 5th day of May t960 ' RESOLVED, that the President and V~ce President,the Secretary or Treasurer acbng ~nd~wdually or otherwise be and they hereby are granted the power and authorization to appoint by a Power of Attorney for the purposes only o1 execubng and attesting bonds and undertakings and other wnflngs obhgalory in the ~lature t~ere0f one or more resident wce presidents assistant secretaries and attorney(s) in fact each appointee to have the powers and duties usual [o such offices to the buslr~se of this company the s~gnature of such off~cers and seal of the Company may be afhxed to any such power DJ attorney Dr to any certlhcate relating thereto by facsimile and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be vahd and b~ndlng upon the Company and any such power so executed and certlhed by facsimile signatures and facsimile seal shall be valid and binding upon the Company m the future w~th respect to any bond er undertaking or other wntmg obhgatory m the nature thereof to which it tS attached Any such appointment r~ay be revoked for cause or without cause by any Of sa~d officers at any time IN WITNESS WHEREOF, the CAPITOL INDEMNITY CORPORATION has caused these presents to be signed by ~ts officer undersigned and ~ts corporate seal to be hereto affixed duly attested by ~ts Secretary, this 1 st day of June, 1993 CAPITOL INDEMNITY CORPORATION U Virg,liae U Schulte, Secretary 2'; ~ ./"Georq?~f.~. Fait, President STATE OF WISCONSIN COUNTY OF DANE On the 1St day of Jun~, A D, 1993, before me personally came George A Fa~t, to me known, who be~ngby me duly sworn, did depose and say' that he resides in the Count)' of Dane, State of W~sconsm, that he ~s the President of CAPITOL INDEMNITY CORPORATION, the ¢OrpOrat~on c~escnbed ~n and which executed the above instrument, that he knows the seal of the said corporatmn; that the seal affixed to sa~d instrument ~s such corporate seal, that it was so affixed by order of the Board of Directors of sa~corporation and that he s~gned his name thereto by hke order STATE OFW'S ONS'N } COUNTY OF DA%IR * * t H ~ Notary Public, Dane Co, WI CERTIFICATE I, the undersigned, duly elected to the ofhce stated below, now the ~ncumbent ~n CAPITOL INDEMNITY CORPORATION, a W~sconsm Co,rporat~on, ~uthonzed to make th~s certd~cate, DO HEREBY CERTIFY that the foregoing attached Power 'of Attorr)ey remains m full forc~ and has riot been revoked, and furthermore that the Resolution of the Beard of D~rectors, set fo]th In the Power of Attorney ~s new in force S gned and sea ad at the C ty of Mad,son Dated the...i,i,lll#/; 6~.~3. day of /.~ ~u~.e/s~,.~.,~,.~ 19 97~//~/~ , - CORPOF Paul J Bio'imm{er Treasurer Thee power e Ca ~d Only If the power of attorney number prtnt~:t in ti' upper rloht hand corner eppoam ~n rod Photo¢o~ee carbon sepses or other repmdust~ons ~tm ~ot blrtdmg oe~ the company Inquklos eonaermng th~a power et attorney may be O~rected to the Send ManaOer at the Home Office of the Capitol Indemnity Corporatmon / TI~i~ is to Oortlfy that Telcom Of Texas I LIBE P O ~Ox 130 Nmrm and M~AT-.~ Wh~tewflght, TX 75491 InsurEd I_ ~o I~ ~ ~ ~1~ ~d rl~, I~u~ ~ ~e ~m~y ~r~ ~(me) I1~ ~w ~e ~ ~ffo~ ~ ~ ~ ~09~) ~8 ~b~ ~ all t~r ~P DA~ tYPE OF POLIOY ~ ~oeo POLIOY NUMBER LIMIT O~ UABIU~ ~ ~v ~M WORKER8 ~e/ea WOT-lel ~684~17 ~n~ou.~nw0 ~P~RS~I~ OOMPENBATION ~wor i~ ~1~ ~A~e ~~nt ~ ;EO0.O00 ;aah ssoo.o~ C~M8 MAD~ ~W In[~ ~d Pm~ Oamm~ ~B~ LIABILITY sl,~o,ooo OWNED 4[6/gn ~2-1g1-~7 F~, ~tor~ HON~WNED ~IW OF DENTON ~ LINDA K BARNES e~ ~16 E MGKINN~ AUFH~I~D R~IbS~TATIVE ~R DCNTON, ~ T6~1 IRVING .PM (g7~) as~Taee 7/1e/a/ ~ ~ ~o~ PHONE NU~E~ DATE Ib~UED