1992-044 ORDINANCE NO ~
AN ORDINANCE ACCEPTING COMPETITIVE BIDS AND PROVIDING FOR THE AWARD
OF CONTRACTS FOR PUBLIC WORKS OR IMPROVEMENTS, PROVIDING FOR THE
EXPENDITURE OF FUNDS THEREFOR~ AND PROVIDING FOR ANEFFECTIVE DATE
WHEREAS, the City has solicited, received and tabulated com-
petitive 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 receiv-
ed and recommended that the herein described bids are the lowest
responsible bids for the construction of the public works or im-
provements 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 con-
struction of public works or improvements, as described in the "Bid
Invitations,', "Bid Proposals" or plans and spec~flcatlons 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 be-
lng the lowest responsible bids
B__~ CONTRACTOR AMOUNT
1335 FRONTIER WATERPROOFING $44,457 00
~ 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, after notification of
the award of the bid
~ 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 Propos-
als, and documents relating thereto specifying the terms, condi-
tions, plans and specifications, standards, quantities and speci-
fied sums contained therein
~ 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 C~ty Council here-
by authorizes the expenditure of funds in the manner and ~n the
amount as specified in such approved b~ds and authorized contracts
executed pursuant thereto
~_~ That this ordinance shall become effective im-
mediately upon its passage and approya~
PASSED AND APPROVED this the /7~day of~,1992
BOB CASTLEBERRY, MA7 ~
ATTEST
JENNIFER WALTERS, CITY SECRETARY
APPR~E~' AS~TO LEGAL FORM
DEBRA A DRAYOVITCH, CITY ATTORNEY
DATE MARCH 17, 1992
CITY COUNCIL REPORT
TO Mayor and Members of the City Counml
FROM Lloyd V Harrell, City Manager
SUBJECT BID #1335 - PAINT/SEAL EXTERIOR OF SERVICE CENTER BUILDING
RECOMMENDATION We recommend tins bid be awarded to the lowest bidder,
Frontier Waterproofing, in the amount of $44,457 00
SUbIMARY This bid is for all materials and labor necessary to strip the old pmnt
from the Service Center Building exterior and replace it with a waterproof
elastomeric coating This bid will also include recaulklng and painting all trim on the
building
BACKGROUND Tabulation sheet
PROGRAMS, DEPARTMENTS OR GROUPS AFFECTED Utility Adrmmstratlon,
Employees working in the Servme Center
FISCAL IMPACT Budgeted funds for 91-92 account #610-080-0252-8301
City Manager
Prepared by
Name Denise Harpool I
Title Semor Buyer
Approved
~D Shaw, C
Title Purchasing Agent
243 DOC
BID # 1335
2 UNIT PRIC~ TO CUT OUT AND $3 00 $2 80
BECAL~LK PANEL JT p~R LF
BID BOND YES YES
0/;2 - 0(/ 'I
CONTRACT AGREEMENT
STATE OF TEXAS
)(
COUNTY OF DENTON
)(
THIS AGREEMENT, made and entered into this --!Z- day of MARCH
A.D., 19 92, by and between CITY OF DENTON
of the County of
DENTON
and State of Texas, acting through
Llovd V. Barrell thereunto duly authorized so to do,
hereinafter termed 'OWNER,' and
--.,.. 701 S. ELM. DENTON. TEXAS 76201
of the City of
DENTON
, County of
DENTON
and State of TEXAS , hereinafter termed . CONTRACTOR. .
WITNESSETH: That for and in consideration of the payments and
agreements hereinafter mentioned, to be made and performed by OWNER, and under
the conditions expressed in the bonds bearing even date herewith, CONTRACTOR
hereby agrees with OWNER to commence and complete performance of the work
specified below:
BID # 1335 - PAINT/SEAL EXTERIOR OF SERVICE CENTER BUILDING in the "mount
of $44.457.00
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 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
accordance with the plans, which includes all maps, plats, blueprints, and
CA-l
0114s
other drawings and printed or written explanatory matter thereof,
Specifications therefore, as prepared by
and the
CITY OF DENTON PURCHASING STAFF
,
, 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
01l4s
IN WITNESS WHEREOF, the parties of these presents have executed this
agreement in the year and day first above written.
ATTEST:
~/J)oJ~"
(71-rLiJ
B
(SEAL)
ATTEST:
FRONTIER WATERPROOFING
CON~ C1 - (?f [)
By Titllj
7n~rt jJM1MMI~
(SEAL)
~,
_---::- -
-~
APPROVED AS TO FORM:
~<;k,~ -
-'
(\^fv~
l' -
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CA-3
01l4s
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 endorse-
ments 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:
o 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:VII.
o 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.
IRl
APPROVED 12-18-91
Insurance Requirements
Page 2
o Liability pOlicies shall be endorsed to provide the
following:
00 Name as additional insured the City of Denton, its
Officials, Agents, Employees and volunteers.
00 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.
o
All policies shall be endorsed to provide
prior written notice of cancellation,
reduction in coverage.
thirty(30) days
non-renewal or
o 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.
o 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.
o Should any required insurance lapse during the contract
term, requests for payments originating after such lapse
shall not be processed until the city receives satisfactory
evidence of reinstated coverage as required by this
contract, effective as of the lapse date. If insurance is
not reinstated, city may, at its sole option, terminate
this agreement effective on the date of the lapse.
SPECIFIC ADDITIONAL INSURANCE REOUIREMENTS:
All insurance policies proposed or obtained in satisfaction of this
Contract shall additionally comply with the following marked
specifications, and shall be maintained in compliance with these
additional specifications throughout the duration of the Contract,
or longer, if so noted:
IR2
APPROVED 12-18-91
Insurance Requirements
Page 3
[XI A. General Liabilitv Insurance:
General Liability insurance with combined single limits of
not less than S ,>nn nnn nn shall be provided and
maintained by the contractor. The policy shall be written
on an occurrence basis either in a single policy or in a
combination of underlying and umbrella or excess policies.
If the Commercial General Liability form (ISO Form CG OOOl
current edition) is used:
o Coverage A shall include premises, operations,
products, and completed operations, independent
contractors, contractual liability covering this
contract and broad form property damage coverages.
o Coverage B shall include personal injury.
o Coverage C, medical payments, is not required.
If the Comprehensive General Liability form
0002 Current Edition and ISO Form GL 0404)
shall include at least:
(ISO Form GL
is used, it
o 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.
o Broad form contractual liability (preferably by
endorsement) covering this contract, personal injury
liability and broad form property damage liability.
[ X] Automobile Liabili tv Insurance:
Comprehensive or Business Automobile Liability insurance shall
be provided by the Contractor with limits of not less than _
S 500.000.00 per occurrence either in a single policy or in a
combination of underlying and umbrella or excess policies.
The policy will include bodily injury and property damage
liability arising out of operation, maintenance or use of any
auto, including owned, non-owned and hired automobiles and
employee non-ownership use. (ISO Form CA OOOl Current
Edition)
IR3
APPROVED 12-18-91
Insurance Requirements
Page 4
[ X] Workers ComDensation 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 $lOO, 000 for each accident,
$100,000 per each employee, and a $500,000 policy limit for
occupational disease. The city need not be named as an
"Additional Insured" but the insurer shall agree to waive all
rights of subrogation against the City, its officials, agents,
employees and volunteers for any work performed for the City
by the Named Insured.
[] Owner's and Contractor's Protective Liabilitv Insurance
The Contractor shall obtain, pay for and maintain at all times
during the prosecution of the work under this contract, an
Owner's and Contractor's Protective Liability insurance policy
naming the City as insured for property damage and bodily
injury which may arise in the prosecution of the work or
contractor's operations under this contract. coverage shall
be on an "occurrence" basis, and the policy shall be issued by
the same insurance company that carries the contractor's
liability insurance. Policy limits will be at least
combined bodily injury and property damage per
occurrence with a aggregate.
[] Fire Damaqe Leqal Liabilitv Insurance
Coverage is required if Broad
provided or is unavailable
contractor leases or rents
Limits of not less than
required.
form General Liability is not
to the contractor or if a
a portion of a city building.
each occurrence are
[] professional Liabilitv Insurance
Professional liability insurance with limits not less than
per claim with respect to negligent acts,
errors or omissions in connection with professional services
is required under this Agreement.
IR4
APPROVED 12-18-91
Insurance Requirements
Page 5
[] Builders' Risk Insurance
Builders' Risk Insurance, on an All-Risk form for 100% of the
completed value shall be provided. Such policy shall include
as "Named Insured" the City of Denton and all subcontractors
as their interests may appear.
[] Additional Insurance
other insurance may be required on an individual basis for
extra hazardous contracts and specific service agreements. If
such additional insurance is required for a specific contract,
that requirement will be described in the "Specific
Conditions" of the contract specifications.
OOOED
IRS
APPROVED 12-18-91
"~'7f.~r<" '.,
- ~-..;.- :,,;,",~.,~;~~,"':~' '. - .
1.,'"
.
PROPOSAL
Havinq examined the specifications and conditions for this project
and havinq examined the premises and circumstances affectinq the
work, the undersiqned offer:
To furnish all labor, material, tools, equipment,. transportation;-
incidentals and other facilities, and to perform all work for the
Paintinq of the Service Center, 90l Texas St., Denton, Texas.
.
--- .- - -....- - .....--
817-5&'6-7".0.> .t
Phone Number
UNIT PRICE '1'0 CUT OUT AND RECAULK CONSEALED PANEL JOIl'fl'S PER LINER -
d--.~
BASE BID $ f'y fS:?y-.,
BASE BID IN WORDS ~1 fvvr 7iOl<~ ~tH #r/r-/j/'e/ ..J-
~~t7 ~ &JJ~~ '
F~;"~ ~,o~-
~TOR '
~~.' .
BY .
70 / 5 E~Z/1
A ADDRESS
,LJt'~ ?X 7tG ~/
City, State, and ZIP Code
FOOT $
PER LF
,.....
Seal if Incorporated
PI
~ ---
"" .
...
WASHINGTON
L'\TER.'.;"\TlO:->AL l:-;SL"RA.'.;CE CO~IPA.'\'Y
BID OR PROPOSAL BOND
KNOW ALL MEN BY 11iESE PRESENTS:
That We. Frontier Waterproofing, Inc.
701 S. Elm
Denton, Tx. 76201
O:ereinaHer called the ;:rmclpalJ. os ;:rincipal. and WASHINGTON IllTERNATIONAL INSURANCE CO. . a corporation organ.
Ized and doir.g busmess under and by virtue of the laws of the Slate of ARIZONA . and duly licensed for the pur;::ose of
making, guaranteemg or becoming sole surety upon bonds or undertakings required or authorized by the laws of the State of Texas
as Surety, are held and firmly bound unto
"Ci ty of Denton
Denton, Texas
(hereinafter called the Obligee)
In the just and full sum of Five percent (5%) of the amount bid.
Dollars ($ 5% ) lawlul money of the United States of America. for the payment of which. well and truly to be
t:'l.ode, we hereby bind ourselves and our and each of our successors and assigns. Jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH THAT. WHEREAS. the above bounden prinCipal os aforesaid. is about to hand
in and submit to the obligee a bid or proposal for the
Paint/Seal Service Center Building
In accordance with the plans and specifications filed in the office of the obligee and under the notice inviting proposals therefor.
tJow, THEREFORE, if the bid or proposal of said principal shall be accepted. and the contract for such work be awarded to the principal
thereupon by the said obligee, and said principal shall enter into a contract and bond for the completion of said work as required
by law. then this obligation to be null and void, otherwise to be and remain in full force and effect.
IN WITNESS WHEREOF. said Principal and said Surely have caused these presents to be duly signed and sealed this
25th
day of
February
'Z.-"'/
.1992
Frontier Waterproofing, Inc.
By /7d ~
WASHINGTON INTERNATIONAL INSURANCE COMPANY
By ~:~?~'-'ir - cr) 0 "'..:.
Ph 1 is 01 n
Auomey.in.Faet
SC 600201 Rev. 1/84
.
GeMnl
WASHINGTON INTERNATIONAL INSURANCE COMPANY
pOVER Of ATTORNEY
tN~ AI.L MEN IV tHESE PRESENTS, that the Washington JnterMtlorMil In,urance Ccrrpany,. corporltlon,org.nlnd Ind
e.l.tln8 under the llWI of the Stlte of Arlzonl, Ind having It. prlnclpl' officI In the Village of Sch.umburg,
.Illlnoll, doe. hereby conltltuta and appoint
I
. . TOM P. ELLIS III AND PHYLLIS OLSON ..
Its true .rd hwful IttorneyCI).ln-hcl to execute, ...l and delfver for and on Ita beh.lf .. 'Iurety, any and III
bonds and W'de'rt.kfno., recoClnluncu, contnctl of fndennlty and othe,. writing. obllg.tory In tt)e nature thereof,
~Ich ue or ""y be allowed, requIred, or permitted' by law, .tatut., rule, regulation, contract or other..lse, and
the cxtcutlon of luch Instrunent(l) In pursuance of thele prelenta, ahall be II bindIng '4"Oft the uld Weshlngton
Internatlonll Inaurance Company a. fully and amply, to all Int.nta and purpo..., .1 If the .ame hi' been duly
executed and acknowledged by It. President at It. principal office.
Thll Pow.' 01 Atto.noy Ihlll be llmltod In amount to S65D,OOO.00 for Rny RIngle OOllg.tlon.
,
This Power of Attorney Is les~ pursuant to authority granted by the reaolutlonl of the Board of Dlrecto~. adopted
'ebruery 4, 1976, ftnd Jenu8ry 17, 1934, which reed, In part, .1 followl:
1. the President may eppelnt Attorneys-tn-feet, end authorize them to execute on behalf of the C~"Y, .t'd
.tueh the Sut of the CClnl>"ny thereto, bonds, and U"lCfertaklngl, reeognluncea, contracts of Indennlty and oth~r
",rltlngs obtIQetory In the nature thereof, and to appoint Special Attorneys.ln.Fact, who are hereby luthorlzed to
certify to copIes of any power.of-attorney Issued In pursuant to thl, aectlon Ind/or any of the By-Laws of the
Company, end to remove, at any time, any luch Attorney.ln-Feet or Special Attorney-tn-Feet and revoke the authority
given him."
2. the Ilgnatures of the Chairman of the Board, the PresIdent, Vice President, Alllltant Secretary, Treasurer
end Secretary, end the corporate leal of the company, may be .fflxed to .ny power of Attorney, certifIcate, bond or
undtrtaklnv reletlng thereto, by fecllmlte. Any luch Power of Attorney, certificate bond or U"derUklng bearing
auch facslmlte algnetur. or facllmlte .eel affixed In the ordInary count of butlnels Ihlll be valid and bindIng
upon tho "_ny.
1M TESTIMONY WHEREOr...'~MMt.~~n International Insurance COfIl"8ny haa caused thh tnatrunent to be .Igned and In
.0.porRte I.el to~~~\lVJY~ ~Jlho.lzod 0111..., thll 8th day 01 April, 1991.
"':'<....,.~':....... <it. ;j
.i if ..... ..... ~" WAS~~G~ INT NAY! AL INSURAN COIlPANY
~:>:: :CORPORATE~ ~~ ~/ -;;;{;.
~ ~ ~ S EA L : g ~ / "/.. ." 'fA~
tf ~ .... ARIZONA .... ~ J Paul ,0_ Amltutz, pr..ldent
STATE 0' ILLlNOJ~~Ji;;.."..~~~
COUNTY Of Coco: ) ""'~"".!:_--
0" this 8th day of April, 1991, before me came the Indlvldull who executed the preceding Initrunent, to lIle
PI,"on"lly known, .nd, beIng by me duly .worn, .ald that he I. the therein descrIbed and Ruthorlzod olll..r 01 tho
~8$hlngton International Insurance c~ny: that the leal .fflxed to .ald Instrument II the Corporate Seal of .Iid
CCJl'T1)8ny;
IN Y[\TIMONT WHEREO',
written.
I have herel to .et my hand and affIxed my Official S..t, the day and yelr flrlt above
"OFFICIAL SEfjL"
C;~ri~tinc Zaretsky
't~O\hry Pa:blic. St;\e of Illinois
My Commission bpi'os 10n192
CERTIfiCATE
STATE Of ILLINOIS )
COUNTY Of COO( )
I. the U"derslvned, Aulstent Secretary of \lASHtNGTON INTERNATIONAL INSURANCE_ CCJlPANT, In ARIZONA Corpora1ilon, DO
"EREBY CERTifY that the foregoing end attached P~R OF AttORNEY remains In full force and has not been revok~. Ind
furthermore thet ArtIcle tll, section 5 of the By-LewI of the corpor.tlo~and the ...olutlon of the lo.rd of
Director., let forth In the Power of Attorney, are now In force. -
Slgnod Rnd I..lod In tha County of Cook. Da~ ?:1i!.l!r'~' 19..92.....
Lewla ~. Moeller, Secretary
fA.~.tit'it"
5~#.""'l+!-M;W;""'~.:i~'" .,:,:,:~
t11WU\rI:"
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03I101Q2
: '1'HIS CI!RTlFlCATI! IS ISSUI!Il AS A MAT'l'l!1l 01' INI'Oiiw.T10N 'ONLV"AND'
i CONFERS NO RIClH'1'S UPON TilE CERnFICATE HOLDER. THIS CERnFICA'l'E
! DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORCEll BY THE
i POLICIES BELOW.
j"........""'"'''''''' "...."..."" ""..".,,,,,,,..,,,,,,,,..,
, COMPANIES AFFORDING COVERAGE
Ramey King . Mlnnl. In.ul1lnce
101 S. Locu.I
Suite 707
DllIllon 1)( 76201.
ooer
42-36301
SU8<CODI!
COMP"" A
,1lTTl!R
Commerc;I.1 Union
I\lSUAED
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i ~ B Hou.ton Clanaral
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Fronlfar WIlIlproollng Ino
701 South Elm
COMPANY C
,"""R
lIenton
1)( 762D1.
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COMPANv D
I.EMIl
=VE
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THIS IS TO CERTIFY THAT THE PO",CIES OF INSURANCE ~ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICv PERIOD
INDICATED, NDlWlTHSTANOING ANY AeOUIREMENT, TERM OR CONDITION OF ANv CONTRACT OR OTHER OOCUMENT WITH RESPEcr TO WHICH THIS
CERTIFICATE MAv BE Issueo OR MAY peRTAIN, THE INSURANCE AFFOROEO BY THE PO",CIES OESCRIBEO HEREIN IS SUBJECT TO ALL THE reRMS,
exC~USIONS ANO CONDITIONS OF SUCH POUCIES, "'MIlS SHOWN MAY HAVE BEEN REouceo BV PAID OLAIMS,
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co I POLlCv EFl'eCTM! 'POUCv EXPIRATION :
,11l; TYPE OF tlSURANC! POUCv NUMlIlffi : DAll! IMMIOOiYV) CAve (MM,l>Oll'l) !
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, . .." '" l1ioiiiil"" """'" "ll/oiiiii' '''''''' i' 'GENEA';;:'AGGAeil;:i&'" '"'''' '''i j' """ """,iiOOOOO"
" , ."." ." . "... . . , . , "" . . ",,~ ". ." ,. .,,, "."." .
: PAOOU~COMP,oP AOO, : S lDDDOOO
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: ftlFlE OAMAGe (/lIlV one f1rt) ! Ii 50000
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C!;;SCRIPTION Of" OPtlRATIONS;\.OC....T1ONS/'IEHICI.E~e:OlAl. rtEM$
Vahlcle Mslnlansncl Building
Addltlonsl InlUI'<Id: City 01 Danlon
:~!\ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
!~ exPIRATION OArE THEReOF, THe ISSUING OOMPANV W,"L. ENDEAVOR TO
I:l, MAIL ~ DAvS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
~'\iX
~:!ii' ~EFT, BUT .AILURE TO MA," SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
~:] WABILlTV OF ANV KIND UPON THE OOMPANV, ITS AGENTS OR RePReSENTATIVES,
i:\I;Aul'HOAIl:EO REPRESENTATM! ~ 1<//
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City 01 Denton
QD1 Tellll Sl
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lIenlon
TX
762D1.