1985-0230923L
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 AN
EFFECTIVE DATE
WHEREAS, the City has solicited, received and tabulated
competitive bids for the construction of public works or improve-
ments in accordance with the procedures of state law and City
ordinanes, 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 therefore, and
WHEREAS, Section 2 36 (f) of
that the city Council approve
$3,000, and
the Code of Ordinances requires
all expenditures of more than
WHEREAS, Section 2 09 of the City Charter requires that every
act of the Council providing for the expenditure of funds or for
the contracting of indebtedness shall be by ordinance, 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 Invita-
tions", "Bid Proposals" or plans and specifications attached
hereto are hereby accepted and approved as being the lowest
responsible bids
BID NUMBER CONTRACTOR AMOUNT
9399 R L Roberts Construction $189,876 85
SECTION II
That the acceptance and approval of the above competititve
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
SECTION III
That the City Manager is hereby authorzied to excecute 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,
quantitites and specified sums contained therein
PAGE 1
SECTION IV
That upon acceptance and approval of
bids and the execution of contracts for
improvements as authorized herein, the
authorizes the expenditure of funds in
amount as specified in such approved
contracts executed pursuant thereto
SECTION V
the above competitive
the public works and
City Council hereby
the manner and in the
bids and authorized
That this ordinance shall become effective immediately upon
its passage and approval
PASSED AND APPROVED this the 5+K day of February, 1985
ATTEST
4
CITY OF DENT N, TEXAS
APPROVED AS TO LEGAL FORM
JOE D MORRIS, ACTING CITY ATTORNEY
CITY OF DENTON, TEXAS
BY CfYVa
PAGE 2
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_ r
CONTRACT AGREE~,IENT
STATE OF TEXAS
COUNTY OF Denton ) (
THIS AGREEMENT, made and entered into this 7 day of February _
A.D., 19 85, by and between City of Denton, Texas
of the County of Denton and State of Texas, acting through
G. Chris Hartung thereunto duly authorized so to do,
Party of the First Part, hereinafter termed the OWNER, and R.L. Roberts
Construction, Inc. P.O. Box 375
of the City of Sange- County of
and state of Texas 76266 Party of the Second Part, hereinafter
termed CONTRACTOR.
WITNESSETH: That for and in consideration of the payments and
agreements hereinafter mentioned, to be made and performed by the Party of the
First part (OWNER), and under the conditions expressed in the bonds bearing
even date herewith, the said Party of the Second Part (CONTRACTOR) hereby
agrees with the said Party of the First Part (OLvNER) to commence and complete
the construction of certain improvements described as follows:
BID #9399 Purchase Order ;66967 - Paving Improvements on East Prairie
and Robertson Streets
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 said construction, 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 other drawings and printed or
CA-1
0044b
7-371 /
aritt..n. explanatory matter thereof, and the Specifications therefore, as c
prepared by Jerry Clark City Engineer City of Denton
, all of which are made a part hereof and collectively evidence and
constitute the entire contract.
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.
IN WITNESS WHEREOF, the parties of these presents have executed this
agreement in the year and day first above written.
ATTEST:
///gyp 7
All
R.L. Roberts Construction, Inc.
Party of the Second Part, CONTRACTOR
B ~~t~~~ ~vad%
Title
(SEAL)
APPROVED AS TO FORM:
ty Attorney
CA-2
0044b
U.S. Department of Housing and Urban Development
CERTIFICATE OF OWNER'S ATTORNEY
I, the undersigned,
duly authorized and acting legal representative of
follows:
Muo-1323.!--
12-e61
the
do hereby certify as
I have examined the attached contract(s) and surety bonds and the manner
of el:cutlon thereof, and I am o, tine opinion that each of the aforesaid
agreements has been duly executed by the proper partles.thereto acting
through their duly authorized representatives: that said representatives
have full power and authority to execute said agreements on behalf of the
respective parties named thereon; and that the foregoing agreements consti-
tute valid and legally binding obligations upon the parties executing the
same in accordance with terms, conditions and provisions thereof.
Date:
CO-1
u.,Dt.niaEnt Of A.0 U.K.. Ukvr~QP.EnT
COMMUNITY DEYF.LG: NT BLOCK CRANT PROGPAr
CONTRACTOP'.' 'ERTIFICATION
CONCERNING LABOR STANDA. ;ND PREVAILING WAGE REQUIREMENTS - '
To rare.ar•er~ x,niplrrr,: Februar 7 1985
Denton, Texas . r. -
G. Chris Hartung " E °t4Piatr'iea ft8b rH8FM§Pts
1. The undersigned, having executed a contract with City of Denton, Texas
for the c::.- fiction of the above-identified project, acknowledges that:
(a) The Labor Standards provisions are included E.. T aforesaid contract;
(b) Correction of any infractions of the doresa iE .tions, including infractions by any of his subcontractors and
any Icram ti., ..bC.nt'.cI.rs' L. his
2. He s."IHer thae
(a) Neither he nor •try firm, partnership or assoaat!r, in which he has substantial interest is designated as an
ineligible contactor by the Comptroller G<ne r.. the United Stales pursuant to Section 5.6(b) of the Regulations
of the Secretary of Labor, Part 5 (79 C)iB, Pa::. or pursuant to Section 3(2) of the Davis-Bacon Act, as
amended (60 U.J.C. 276.-2(a)),
(b) No part of the aforementioned contract has been ..r will be subcontracted to any subcontract., it such sub-
contractor or any firm, corporation, partnership zssociation in which such sub.ontractor has r substantial
Interest is designated as an ineligible contract- .'u n.ant to any of the aforementioned regulatory or statutory
provisions.
3. He agrees to obtain and forward to the a fa,e..nt.ont-`. !ecipient within ten days after the execution of anysubcontract,
including those executed by his subcontractors and u-:; lower tier subcontractor, a Subcmt,actot's Certi(icatmn
Coneeming Labor Standards and Prevailing Wage Rec-iirements executed by the subcontractors.
d. He [."ilia. Cher. -
(a) Th. legal ram, red t6r bu.ineu add.... of the unEsra;nrd are: -
R.Lr. Roberts Construction, Inc.
Pr O, Box 375, Sanger Texas 76266
1 r:
nl ♦ 9Mee[ rroewlero wsPlw I I . eoweo".Tro. o1r.a..zeo 1,1 T.t sr•TC or
1.1 0l PO" .PG.,IIZ.TIOX
IZI ♦ a.laTM [n3F1I
(e) Th. ram., Gd• and adrh,,, of the o-ner, ponnvs .ice.. of the and nr laved a,e:
R.L. Roberts
President
Same
Geneva Roberts
Sec./Tres.
Same
Nuo-lln U-751
U.f. DEPARTMENT OE 'CVPNC 1N0 VaBAN DEVELOPMENT
COMMUNITY DeYeLOPMENT BLOCK GRANT PROGRAM
SUBCONTRACTOR'S CERTIFICATION
CONCERNING LABOR STANDARDS AND PREVAILING WAGE REQUIREMENTS
TO (.1 pp, ep/iau N•nPaoU:
OAT[
'-o'CCT NVYe
PN016T NAnt
3. The undersigned, havint executed • ,,hu.ct with
mrrvuv/ Rr e<mvR Uap
aurae uc/a
the amount of S
in the construction of the abao -identified project, Certifies that:
(a) The Labor Standards Ptovisions of The Contract For Consrrvc[ion are included in the aforesaid convect.
(b) Noitner be not any firm, Corpora uon, partnership or ass OCiaUm in which he has a subauntial int erezf is
designated as an ineligible contractor by the Comptml let GartersI of the United States pursuant to Section 5.6(b)
of the Retuiatims of the Secretary of Labor. Pan 5 129 CYR, Pon S), or pursuant to Section 3(a) of the Cavis-
Bacon Act, as amended 00 U.S.C. 276.-2(o)).
(C) ?lo part of the afa•etnenuoned contract has been or will be auCCantta Cted to any suoeuntraccor if such
subcontractor ar any firm, corporation, partnership or associaum in which such suoeontractoi has a
substantial interest is desitnatea as an inelitiole contractor pursuant to the aforesaid ieg'ularory or
statutory ptonsdons.
2. he agrees to obtain and twwotd to the cmmctor, for transmittal to the recipient, wimin ten days otter ine raccution
of any lower subcontract, a Subcontractor's Certification Concerning Labor Standaras and Ptevailint Wage R"ui,L_
me:nis, executed by the lower tier sumaninuctor, in duplicate.
(a) The wurkmen will report for auty an at
3. He Certifies rho: -
(a) The legal n... and the buai nesa adarna of the undatigned err.
(b) The und.r»gn rd ia:
111 A a1NCL[Pnonwt[TOnsNtP: 111 ACOPPORATION OROAMIZKO I" 114C $7ATK 01'
t31 APARTN[naNl P: I{I OTNCrt ORa Ah'ZAT.0. In<!</Id<)
(e) The m.ua, title and address RI the R.nw, parmrn or eifcrra of the unavaignrd via:
NnY[ TIYL[ AOUR[ss
huV-lap} le-)))
C-11
(d) Th n•~.. end .ddr..... .1.11 .ihw vw.on 6e,h n .w.l anJ <.r.enb, h..i.g / eulu..ti•1 uuw..t In the undwilpwd,
end th. mture .l th.
Y•YC ♦OOI.C 1. M.TVYC.O/ iY Ti Y[1T
(e) TM .twee, eddcefe.• oad Uede cl.•eilieptl..e of ell ethw building cbnetmoina c.ntnclen in .filch the uold.reip.4 has
e cubft.ntiel intaeel en .u. r, ce e..uh
.AbC I ADO. CIS Tw4O4 CL•SUPIC•TIOY
(Sa1...wew1
BT
(5:p•c•r.l
(Typed 9..e ad Tidc)
WARNING
U.S. C.ISIa.I C.d.. S.eO.. 1010. Tilt. IS, U.1G. pr..ld•e N pare ""a"w..... sake., posse.. vnw., of v.bli.hw .aT
•luaewa, kn..{n{ lb. arn. t. b. 1.1....... ah.11 b. ❑..e •W men N.n 73.000 er Ispd.med at ..r. M. I.. Tory .e bath"
C-
C-12
COMMUNITY DEVELOPMENT BOOK OMB CIRCULAR A-102.
GRANT REGULATIONS ATTACHMENT B
BONDING AND INSURANCE REQUIREMENTS
A state or local unit of government receiving a grant from
the Federal government which requires contracting for construction
or facility improvement shall follow its own requirements
relating to bid guarantees, performance bonds, and payment
bonds, except for contracts or subcontracts exceeding $100,000.
For contracts or subcontracts exceeding $100,000, the Federal
agency may accept the bonding policy and requirements of the
grantee provided the Federal agency has made a determination
that the Government's interest is adequately protected. If such
a determination has not been made, the minimum requirements
shall be as follows:
a. A bid guarantee from each bidder equivalent to five percent
of the bidbi.d price. The "bid guarantee" shall consist of a
.firm con¢nitment such as a bid bond, certified check, or
other negotiable instrument accompanying a bid as
assurance that the bidder will, upon acceptance of his/her
bid, execute such contractual documents as may be required
within the time specified.
b.. A perfo rnance bond on the part o= the contractor for,
100 percent of the contract price. A "performance ond"
is one executed in connection with a contract to secure
fulfillment of all the contractor's obligations under such
contract. y
c. A payment bond on the. p, art of the contractor for
100 percent of the contract price. A "payment bond" is
one executed in connection with a contract to assure
payment as required by law of all persons supplying labor
and material in the execution of the work provided for
in the contract.
PB-1
PERFORMANCE BOND
STATE OF TEXAS
COUNTY OF DENTON )
KNOW ALL MEN BY THESE PRESENTS: That R.L.ROBERTS CONSTRUCTION,
INC. of the City of SANGER
County of DENTON and State of TEXAS
as PRINCIPAL, and SECURITY NATIONAL INSURANCE COMPANY
as SURETY, authorized under the laws of
the State of Texas to act as surety on bonds for principals, are held and firmly
bound unto the CITY OF DENTON TEXAS
as OWNER, in the penal sum of Qna Hundred igblv-Nine Thousand Eight Hundred
Seventy-Six and 85/1D81lars ($189,876.85 ) for the payment whereof, the said
Principal and Surety bind themselves and their heirs, administrators, executors,
successors and assigns, jointly and severally, by these presents:
WHEREAS, the Principal has entered into a certain written contract
with the OWNER, dated the 7tii day of FEBRUARY , 19 85, for the construction of
Rrn aozgg PiiRruAgF 0RDER #66967 - PAVING IMPROVEMENTS ON EAST PRAIRIE
AND ROBERTSON STREETS
which contract is hereby referred to and made a dpart hereof as fully and to the
same extent as if copied at length herein.
NOW, THEREFORE, the condition of this obligation is such, that if the
said principal shall faithfully perform said Contract and shall in all respects,
conditions and agreements in and by said contract agreed and covenanted by the
Principal to be observed and performed, and according. to the true intent and
meaning of said Contract and the Plans and Specifications hereto annexed, then this
obligation shall be void: otherwise to remain in full force and effect;
PB-1
PROVIDED, HOWEVER, that this bond is executed pursuant to the
provisions of Article 5160 of the Revised Civil Statutes of Texas as amended by
acts of the 56th Legislature, Regular Session, 1959, and all liabilities on this
bond shall be determined in accordance with the provisions of said Article to the
same extent as if it were copied at length herein.
PROVIDED FURTHER, that if any legal action be filed upon this bond,
venue shall lie in DENTON County, State of Texas.
Surety, for value received, 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 the plans, specifications, or drawings 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.
IN WITNESS WHEREOF, the said Principal and Surety have signed and
sealed this instrument this 14th day of FeSruary , 19 85,
R.L.ROBERTS CONSTRUCTION INC
Principal
By ^ - C l/U✓✓
R.L. Roberts
SECURITY NATIONAL INSURANCE COMPANY
Surety
RA~.,DALL L. MINNIS
Title President
Address Sanger, Texas
P.O. Box 375
(SEAL)
Title AGENT & ATTORNEY- IN- FACT
Address DALLAS, TEXAS
The name and address of the Resident Agent of Surety is:
RAMEY,KING & MINNIS INSURANCE
707 FIRST STATE BANK BUILDLNG DENTON TEXAS 76201
NOTE: Date of Bond must not be prior to date of Contract.
PB-2
0091b
PAYMENT BOND
STATE OF TEXAS
COUNTY OF pFNTON
KNOW ALL MEN BY THESE PRESENTS: That R. L. ROBERTS CONSTRUCTION
INC. of the City of SANGER
County of DENTON and State of _
SECURITY NATIONAL INSURANCE COMPANY
TEXAS , as principal, and
authorized under the laws of the State of Texas to act as surety on bonds for
principals, are held and firmly bound unto CITY OF DENTON, TEXAS
, OWNER, in the penal sum of One Hundred Eighty-Nine Thousand
-Fight Hundred Seventy Six and 89/100--- Dollars 189,876.85 )
for the payment whereof, the said Principal and Surety bind themselves and their
heirs, administrators, executors, successors and assigns, jointly and severally, by
thes presents:
WHEREAS, the Principal has entered into a certain written contract
with the Owner, dated the 7~h day of Fehrnary 1985
for construction of Bid 99399 Purchase Order 966967 - Paving Improvements
on East prairie and Robertson Streets
to which contract is hereby referred to and made a part hereof, as fully and to the
same extent as if copied at length herein.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the
said Principal shall pay all claimants supplying labor and material to him or a
subcontractor in the prosection of the work provided for in said contract, then
this obligation shall be void, otherwise to remain in full force and effect;
PROVIDED, HOWEVER, that this bond is executed pursuant to the
provisions of Article 5160 of the revised Civil Statutes of Texas as amended by the
acts of the 56th Legislature, Regular Session, 1959, and all liabilities on this
bond shall be determined in accordance with the provisions of said Article to the
same extent as if it were copied at length herein.
PB-3
Surety, for value received, 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 the plans, specifications or drawings 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.
IN WITTINESS WHEREOF, the said Principal and Surety have signed and
sealed this instrument this 14th day of February 19 85
R. L. ROBERTS CONSTRUCTION,INC
Principal
By /t .
R.L. Roberts
SECURITY NATIONAL INSURANCE CO.
~rettyy
RANDAL~L L. MINNIS
Title president
Address P.O. Box 375
Sanger, Texas 76266
(SEAL)
Title AGENT AND ATTORNEY-TN-FACT
Address DALLAS, TEXAS
The name and address of the Resident Agent of Surety is:
_RAMEY,KING F, MTNNIS INSURANCE
707 FIRST STATE BAN[ BUILDING DENTON TEXAS 76201
PB-4
0092b
t-JAINTENANCE BOND
STATE OF TEXAS
COUNTY OF DENTON
KNOW ALL MEN BY THESE PRESENTS: THAT R.L.ROBERTS CONSTRUCTION
INC. as Principal, and SECURITY NATIONAL INSURANCE M
a Corporation authorized to do business in the State of
Texas, as Surety, do hereby acknowledge themselves to be held and bound to pay unto
the City of Denton, A Municipal Corporation of the State of Texas, its successors
and assigns, at Denton, Denton County, Texas the sum of Ei httgen ibousand Nine
Hundred Eiqhty-Seven and 69/100 Dollars 1A_gA7 rq 10% of
the total amount of the contract for the payment of which sum said principal and
surety do hereby bind themselves, their successors and asssigns, jointly and
severally.
This obligation is conditioned, however, that:
WHEREAS, said R. L. ROBERTS CONSTRUCTION, INC.
has this day entered into a written contract with the said City of Denton to build
and construct Bid #9399 Purchase Order #66967 - Pavine improvements on East
Prairie and Robertson Streets
which contract and the plans and specifications therein mentioned, adopted by the
City of Denton, are filed with the City Secretary of said City and are hereby
expressly incorporatd herein by reference and made a part hereof as though the same
were written and set out in full herein, and:
WHEREAS, under the said plans, specifications, and
contract, it is provided that the Contractor will maintain and keep in good repair
the work therein contracted to be done and performed for a period of one (1) year
from the date of acceptance thereof and do all necessary backfilling that may
become necessary in connection therewith and do all necessary work toward the
repair of any defective condition growing out of or arising from the improper
construction of the improvements contemplated by said contractor on constructing
the same or on account of improper excavation or backfilling, it being understood
that the purpose of this section is to cover all defective conditions arising by
reason of defective materials, work, or labor performed by said Contractor, and in
case the said Contractor shall fail to repair, reconstruct or maintain said
improvements it is agreed that the City may do said work in accordance with said
contract and supply such materials and charge the same against the said Contractor
and its surety on this obligation, and said Contractor and surety shall be subject
to the damages in said contract for each day's failure on the part of said
Contractor to comply with the terms and provisions of said contract and this bond.
MB-1
0093b
agreement to maintain
period of one (1) ye,
shall be null and vc
force and effect.
NOW, THEREFORE, if the said Contractor shall perform its
said construction and keep same in repair for the maintenance
r, as herein and said contract provided, then these presents
d and have no further effect; otherwise, to remain in full
It is further agreed that this obligation shall be a
continuing one against the Principal and Surety and that successive recoveries may
be had hereon for successive breaches of the conditions herein provided until the
full amount of this bond shall have been exhausted, and it is further understood
that the obligation to maintain said work shall continue throughout said
maintenance period, and the same shall not be changed, diminished, or in any manner
affected from any cause during said time.
IN WITNESS WHEREOF the said R. L. ROBERTS CONSTRUCTION,
INC. as Contractor and Principal, has caused
these presents to be executed by R. L. ROBERTS
and the said SECURITY NATIONAL INSURANCE COMPANY
as surety, has caused these presents to be executed by its Attorney-in-Fact
RANDALL L. MINNIS and the said Attorney-in-Fact has hereunto set his hand
this 14thday of FEBRUARY 1985 .
SURETY:
PRINCIPAL:
SECURI' NATIONAL INSURANCE CO. R.L.ROBERTS CONSTRUCTION CO.
BY: • _G~ ;mil c~v
RANDALL L. MINNIS
Attorney-in-Fact
MB-2
0093b
TheTirinity
7VCompanies
Dallas. Texas 75201
LIMITED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That TRINITY UNIVERSAL INSURANCE COMPANY and SECURITY NATIONAL INSURANCE COMPANY,
each a Texas Corporation and TRINITY UNIVERSAL INSURANCE COMPANY OF KANSAS, INC., a
Kansas Corporation do hereby appoint M. G. RAMEY, TERRELL W. KING, III OR
RANDALL L. MINNIS - DENTON, TEXAS
its true and lawful Attorney(s)-in-Fact, with full authority to execute on its behalf fidelity and surety
bonds or undertakings and other documents of a similar character issued in the course of its business, and
to bind the respective company thereby, in amounts or penalties not exceeding the sort of
ONE MILLION AND N01100
Dollars
1,000,000
EXCEPT NO AUTHORITY IS GRANTED FOR
1. Bid or proposal bonds where estimated contract price exceeds the amount stated herein.
2. Open Penalty bonds.
3. Bonds where Attorney(s)-in-Pact, appear as a party at interest.
IN WITNESS WHEREOF, TRINITY UNIVERSAL INSURANCE COMPANY, SECURITY NATIONAL IN-
SURANCE COMPANY and TRINITY UNIVERSAL INSURANCE COMPANY OF KANSAS, INC., have each
executed and attested these presents
this 15th day of 1972. _
JUDITH E. coax. SECRETARY A~I. YL R T
f ~O
AUTHORITY FOR POWER OF ATTORNEY)
That TRINITY UNIVERSAL INSURANCE COMPANY and SECURITY NATIONAL INSURANCE COMPANY,
each a Texas Corporation and TRINITY UNIVERSAL INSURANCE COMPANY OF KANSAS, INC., a Kansas
Corporation, in pursuance of authority granted by that certain resolution adopted by their respective Board of
Directors on the 1st day of March, 1976 and of which the foliowing is a true, full, and complete copy:
"RESOLVED, That the President, any Vice-President, or any Secretary of each of these Companies be and
they are hereby authorized and empowered to make, execute, and deliver in behalf of these Companies
unto such person or persons "residing within the United States of America, as they may select, its Power
of Attorney constituting and appointing each such person its Attorney-in-Fact, with full power and author-
ity to make, execute and deliver, for it, in its name and in its behalf, as surety, any particular bond or
undertaking that may be required in the specified territory, under such limitations and restrictions, both
as to nature of such bonds or undertaking and as to limits of liability to be undertaken by these Companies,
as said Officers may deem proper, the nature of such bonds or undertakings and the limits of liability to
which such Powers of Attorney may be restricted, to be in each instance specified in such Power of
Attorney.
RESOLVED, That any and all Attorneys-in-Fact and Officers of the Companies, including Assistant Secre-
taries, whether or not the Secretary is absent, be and ore hereby authorized and empowered to certify or
verify copies of the By-Laws of these Companies as well as any resolution of the Directors, having to do
with the execution of bonds, recognizances, contracts of indemnity, and all other writings obligatory in the
nature thereof, or with regard to the powers of any of the officers of these Companies or of Attorneys-in-
Fact.
RESOLVED, That the signature of any of the persons described in the foregoing resolution may be fac-
simile signatures as fixed or reproduced by any form of typing, printing, stamping or other reproduction of
the names of the persons hereinabove cuthorized."
CERTIFICATION OF POWER ATTORNEY
I, Juidth E. Fagan, Corp. Secretary of TRINITY UNIVERSAL INSURANCE COMPANY, SECURITY NATIONAL
INSURANCE COMPANY and TRINITY UNIVERSAL INSURANCE COMPANY OF KANSAS, INC. do hereby
certify that the foregoing Resolution of the Boards of Directors of these Corporations, and the Power
Attorney issued pursuant thereto, are true and correct and are still in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of each Corporation
this 41d day of ,6,4 1 LVL 19 0
mums '011i nummty
'pSµ IFS a =.~:"n„y -6::-o'~ o o
?r - S> ✓UDITH E. FAGAN, CORP. SECRETARY
SEasts :SEAL:;- .,:SEAL`::.
~inniumn ~mnnnM
REV 31-e2
CITY OF ULN'fON
NSURANCE MINIMU l REI~UIRrMEN'iS
Without limiting any of the other obligations or liabilities of the
Contractor, the Contractor shall provide and maintain until the
work is completed and accepted by the City of Denton, Owner,
minimum insurance coverage as follows:
TYPE OF COVERAGE LIMITS OF LIABILITY
I. WORKMEN'S COMPENSATION STATUfO&Y
II. COMPREHENSIVE GENERAL LIABILITY
Bodily Injury $300,000 $l,000,000
Each occurance Aggregate
Property Damage $100,000
Each accident
III. COMPREHENSIVE AUTOMOBILE LIABILITY
Bodily Injury $300,000 $1,000,1000
Each person Each accident
Property Damage $100,000
Each accident
A. In addition to the insurance described above, the
Contractor shall obtain at his expense an OWNER'S
PROTECTIVE LIABILITY INSURANCE POLICY with the
following limits:
BODILY INJURY PROPERTY DAMAGE
$300,000 each person $100,000 each accident
$30U,000 each accident $i,000,OUO aggregate
Covering the work to be performed by toe Contractor for
the City of Denton.
B. The contractor will furnish the Owner's Protective
Policy described above and execute the Certificate
described on the following page to the City of Uenton
for its approval. Insurance must ve accepted before
commencing any work under the contract to which this
insurance applies.
The City of Denton will be listed on all policies as an
additional named insured.
ti0399C
CERTIFICATE OF INSURANCE
t10-IS TO CERTIFY that the following policies, subject to their, terms, condibuns and exclusions. have been issued br
coiaoarty or companies shown below:
T'raS CERTIFICATc OF INSURANCE neither affirmativeiv or ne3atively amends, "mrids or alters the cuverulee afforded b"
r- v or policies shown below, nor is it an endursement making the person, tlrm or corporation at whusc request it is issued ar
all insured on the policy or policies referred to herein.
In the event of any matenal change in or canecilatlun of the policy or policies, the company or companies wiiT mail ten ( i0
s' written notice to the patty to whom this certificate is addressed.
A=E AND AOOAESS OF PARTY TO VVMCM CCATiFICATE IS ISSUED II GATE:
REMARKS;
City of Denton Bid 0 9399
901-B Texas St.
Denton, TX 76201
;tit: John J. uarshall, C.?. I.
Purchaslag Agent
60 .+:.u AuunE_,i OF li116UAEij:
TYbe of Ir,mtrartea Pbtkv
raa~ i
I Erteabve
Eaoiratiort
Number
cats
Cate
LIMITS OF LIABILITY'
'NommM'l CJrnaenSban
$btutOrv
i
Will
I
Ermolovere Liability
I Emolov eri Liaodity L,mts-31 C6,001
CJmarellaRSlye
I
I eaally Injury
General Liability
0
S -_io t Cc_urr cs
I
i
Aggregate P*a
.
S & Camoletea CCe
crrat
Praoerry Damage
IS c3cm CCLfrence
is Cgfeaate C Cer3ttart
is Aggregate 'rotecr:ve
IS Aggregate Gnrrac:u
_ggregate rroaucrs
I
S & Camaleteo Ccerat
Comorenerutve
I 3catly Imury
Automobile Liabiliry
S 5 ?rrsan
Is cacti e~ rrrncr
I
Procerry Damage
is Eaen Cc =rrer,"
I
i
I
I
i
as at anv aonracriate entry maam, na sz.,= imurand is in farce.
all awnea, nan awnea or mires venic:ei
C T- 9
BID # 9399
PROPOSAL
TO
THE CITY OF DENTON, TEXAS
For the Construction of
East Prairie Pavin Im rovements
an
Robertson Street Paving Improvements
IN
DENTON
The undersigned, as bidder, declares that the only person or
parties interested in this proposal as principals are those
named herein, that this proposal is made without collusion with
any other person, firm or corporation; that he has carefully
examined the form of contract, Notice to Bidders,
specifications and the plans therein referred to, and has
carefully examined the locations, conditions, and classes of
materials of the proposed work and agrees that he will provide
all the necessary labor, machinery, tools, apparatus, and other
items incidental to construction, and will do all the work and
furnish all the materials called for in the contract and
specifications in the manner prescribed therein and according
to the requirements of the City as therein set forth.
It is understood that the following quantities of work to be
done at unit prices are approximate only, and are intended
principally to serve as a guide in evaluating bids.
It is agreed that the quantities of work to be done at unit
prices and material to be furnished may be increased or
diminished as may be considered necessary, in the opinion of
the City, to complete the work fully as planned and
contemplated, and that all quantities of work whether increased
or decreased are to be performed at the unit prices set forth
below except as provided for in the specifications.
It is further agreed that lump sum prices may be increased to
cover additional work ordered by the City, but not shown on the
plans or required by the specifications, in accordance with the
provisions to the General Conditions. Similarly, they may be
decreased to cover deletion of work so ordered.
P - 1
It is understood and agreed that the work is to be completed in
the specified schedule:
1) East Prairie - 35 work days
2) Robertson Street - 60 work days
Accompanying this proposal is a certified or cashier's check or
Bid Bond, payable to the Owner, in the amount of five percent
of the total bid.
It is understood that the bid security accompanying this
proposal shall be returned to the bidder, unless in case of the
acceptance of the proposal, the bidder shall fail to execute a
contract and file a performance bond and a..payment bond within
fifteen days after its acceptance, in which case the bid
security shall become the property of the Owner, and shall be
considered as payment for damages due to delay and other
inconveniences suffered by the Owner on account of such failure
of the bidder. It is understood that the Owner reserves the
right to reject any and all bids.
The undersigned hereby proposes and agrees to perform all work
of whatever nature required, in strict accordance with the
plans and specifications, for the following sum or prices, to
wit:
P - 2
N
BID # 9399
PO#
WORK DAYS 35
EAST PRAIRIE PAVING IMPROVEMENTS
BID TABULATION SHEET
Item
Description
100
Preparation of Right-of-Way
104-A
Remove Concrete Pavement
104-B
Remove Curb and Gutter
260
Trevira Subgrade
340B
Type D Asphalt Patch
360
6" Concrete Pavement
432
4" Concrete Riprap
479
Adjust Existing Manhole
520
Integral Curb
524-A
Concrete Driveway
S P-2
Sawcut
L. S.
14 s. Y.
350 L. F.
1353 S.Y.
10 TONS
1360 S.Y.
10 S.Y.
1 Ea.
300 L.F.
23 S.Y.
6 L. F.
Unit Price
$
/S.Y.
$
~c /L.F.
$
Z-'-4-/S.Y.
$
/TON
$
i~jc/S.Y.
$
~ccv/S.Y.
$
scn.6p /Ea.
$
-J.vn /L.F.
$
LZee /S.Y.
$
124° /L.F.
Bid Total
Addendum Received
Alternate Bid - Asphalt/Concrete Combined
Ext Total
$/1,$cc. ac
$ f'k o. o0
$J' SG!'.. o C.'
$ 1 z 32.x!
$ bce.ce
$ 3c-n. c
$ Src.e
$ ian . cn
$ &2 i. n
$ 7. ze
Items 100, 104A, 104B, 340-B, 432, 479 and SP-2 Remain the Same $1,62V?, 20
FROM ABOVE
260
Trevira Subgrade
1300
S . Y.
5-
S . Y.
$
? i4 S cc
340A1
4 1/2" Type G Asphalt
625
S.Y.
9,~ o
/S.Y.
$
3 7, Se
340A2
1 1/2" Type D Asphalt
625
S.Y.
/S, Y.
$
Z cvn,co
360
6" Concrete Pavement
676
S.Y.
J0
/S,Y,
$
fe
520
Integral Curb
208
L.F.
7oC
/L,F.
$
96.e0
522
Concrete Curb and Gutter
112
L.F.
6.ev
/L.F.
$
72, CO
524-A
Concrete Driveway & Radius
39
S.Y.
.27,vo
/S.Y.
$
ALTERNATE TOTAL
Bid Quantity
P-3a
BID # 9399
PO #
WORK DAYS b
ROBERTSON STREET PAVING IMPROVEMENTS
BID TABULATION SHEET
Item Description
Bid Quantity Unit Price Ext Total
100 Preparation of Right-of-Way
104-A Remove Concrete (Pavement)
104-B Remove Concrete (Curb & Gutter)
104-C Remove Concrete (Driveway&Sidewalk)
110 Unclassified Excavation
132 Compacted Fill
260 6" Lime Treatment of Subgrade
264 Type A Hydrated Lime (Slurry)
340-A1 3 1/2" Asphalt (Type G)
340-A2 1 1/2" Asphalt (Type D)
340-B 2" Asphalt (Type D)
421 Class A Concrete
432 Class B Concrete (Rip-Rap)
440 Reinforcing Steel
460 24" Steel Casing & Bore
465-A 15" RCP
465-B 18" RCP
465-C 24" RCP
470-A Manhole & Cover (4' I.D.)
470-B 10' Curb Inlet
471 Inlet Frame & Cover
479 Adjust M.H.
522 Concrete Curb & Gutter
524-A1 Driveway b"
524-A2 Concrete Pavement 6" (Flatwork)
524-B Sidewalk 4" (Continous)
SP-2 Saw Cut
kddendum Received
LS
55.00
SY
570.00
LF
35.00
SY
1,150.00
CY
710.00
CY
5,260.00
SY
48.00 T
4,360.00 SY
4,360.00 SY
15.00 T
1.00
CY
40.00
SY
40.00
LB
20.00
LF
70.00
LF
70.00
LF
18.00
LF
1.00
EA
2.00
EA
2.00
EA
1.00
EA
2,170.00
LF
380.00
SY
65.00 SY
310.00 SY
100.00 LF
G,Sco. GO
/LS
40. oo
/SY
a oc
/LF
-c. Gc
/SY
6 Sc
/CY
y.vo
/CY
mo
/SY
9 cn
/T
4,. S'7
/SY
2.>a
/SY
//-O.'?o
/T
zGC. Gc
/CY
jc. aG
/SY
/LB
i sc. cc
/LF
22.CC
/LF
24'.co
/LF
3W-ce'
/LF
lco.oa
/EA
/,$ao.co
/EA
35"a.oo
/EA
Snc.ca
/EA
~..oc
/LF
2 7• ec'
/
/SY
Z2. !5-c> /SY
/7. Z~')_ /SY
20 /LF
TOTAL
/~.StOn°
3, 3co.ne'
7c 0. G0
Z /C V-ely
7,g7S:cc
Yv-
y, 5L/6. cc
OScn, o0
z°~ gs3.ac,
/Z4 S~'z.on
boo, oc
Lyp, cc
LGO.oa
3,oce~. cc
1, Szo. oe
/Z.cc
Zac.oc•
3,7oo. nc'
Tan. oc,
5ce). co
/3 C2 c. co
~V ZG.G.ov
/ 414: 2. fc
P - 3B
BID SUMMARY
TOTAL BID PRICE IN WORDS e"
JO2,1
L-,..
L-.e ~ ~ ev
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
w.~i % 1 y~ 5 7-Z
Street/ Address
City and State.
Seal & Authorization
(If a Corporation)
f//;, Z7` S-✓ - J'/ y/'
Telephone
P - 4
U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
CERTIFICATION OF BIDDER REGARDING EQUAL EMPLOYMENT OPPORTUN17,'
INSTRUCTIONS '
This certification is required pursuant to Executive Order 11246 (30 F. R. 12319-25). The is 7lementing
rules and re=ulations provide that any bidder or prospective contractor, or any of their proposed subcon-
tractors. shall state as an initial part of the bid or negotiations of the contract whether it has pa icipated in
1 any previous contract or subcontract subject to the equal opportunity clause: and, if so, wheth:: it has filed
all compliance reports due under applicable instructions.
Where the certification indicates that the bidder has not filed a compliance report due under , - dlicable in-
structions. such bidder shall be required to submit a compliance report within seven calendar days after bid
opening. No contract shall be awarded unless such report is submitted.
CERTIFICATION BY BIDDER
NAME AND ADDRESS OF BIDDER !include ZIP Code)
Z. e, 75
Z
.
1. Bidder has participated in a previous contract or subcontract subject to the Equal Opportunity Clause.
E Yes C! No
2. Compliance reports were required to be filed in connection with such contract or subcontract.
[ 'Yes C No
3. Bidder has filed all compliance reports due under applicable instructions, including SF-100.
C Yes ❑ No C None Required
4. Have you ever been or are you being considered for sanction due to violation of Executive Order 11246, as amended?
Yes No
NAME AND TITLE OF SIGNER !Please wpel
i
SIGNATURE
DATE
Reobces Form HUD-1270.CD-7, wh¢n is Obsolete
HU0-950.7 ill-78)
C-1
SAMPLE
CERTIFICATION OF BIDDER REGARDING SECTION 3
AND SEGREGATED FACILITIES
R.L. Roberts Construction,Inc. Paving Improvements # 9399
Name of Prime Contractor Project Name & Number
The undersigned hereby certifies that
(a) Section 3 provisions are included in the Contract
(b) A written Section 3 plan was prepared and submitted
as part of the bid proceedings (if bid equals or
exceeds $10,000).
(c) No segregated facilities will be maintained.
Name R_T._ Robert -P sid nt
Name & Title o= Signer (Print or Type)
A,e z
Signature
February 7, 1985
C-2
CONTRACTOR
Section 3 Plan Format
R.L. Roberts Construction,Inc.
(name of contractor) agrees to implement the following
specific affirmati:: action steps directed at increasing the utilization
of lower income re_ dents and businesses within the City of nnnt nn
A. To ascertain f:;m the locality's CDBG program official the exact boundaries
of the Section 3 covered project area and where advantageous, seek the
assistance of -.cal officials in preparing and implementing the affirmative
action plan.
B. To attempt to ~cruit from within the city the necessary number of
lower income r=:Adents through: Local advertising media, signs placed
at the propose: site for the project, and community organizations and
public or priv:-.:e institutions operating within or serving the project
area such as Sr-vice Employment and Redevelopment (SER), Opportunities
Industrializat?on Center (OIC), Urban League, Concentrated Employment
Program, Homet•.:n Plan, or the U.S. Employment Service.
C. To maintain a . _st of all lower income area residents who have applied
either on thei- own or on referral from any source, and to employ
such persons, if otherwise eligible and if a vacancy exists.
*D. To insert this Section 3 plan in all bid documents, and to require all
bidders on subc.ntracts to submit a Section 3 affirmative action plan including
utilization go..!.s and the specific steps planned to accomplish these
goals.
*E. To insure that subcontracts which are typically let on a negotiated
rather than a bid basis in areas other than Section 3 covered project
areas, are alsc let on a negotiated basis, whenever feasible, when
let in a Section 3 covered project area.
F. To formally contact unions, subcontractors and trade associations to
secure their ccoperation for this program.
G. To insure that all appropriate project area business concerns are
notified of per-ling subcontractual opportunities.
H. To maintain records, including copies of correspondence, memoranda,
etc., which doc,.ment that all of the above affirmative action steps
have been taker,.
I. To appoint or recruit an executive official of the company or agency
as Equal Opportunity Officer to coordinate the implementation of
this Section 3 plan.
;Loans, grants, contracts and subsidies for less than $10,000 will be exempt.
C-3
J. To list on Table A, information related to subcontracts awarded for the
three year period preceding date of this bid submission.
K. To list on Table B, all projected workforce needs for all phases
of this project by occupation, trade, skill level and number of
positions.
As officers and representatives of R.L. Roberts Construction, Inc.
(Name of Contractor)
We the undersigned have read and fully agree to this Affirmative Action Plan,
and become a party to the full implementation of this program.
Signature
President
Title g 7
Signature / 1
Sec./Tres.
Title
February 7, 1985
Date
February 7, 1985
Date
1
C-4
_ r
PROPOSED SUBCONTRACTS BREAKDOWN TABLE A
FOR THE PERIOD COVERING 19 through
(Duration of the CDBG-Assisted Project)
19
COLU:2; 1 I
CCLL:C; 2
I COL'.^^: 3 I
COLi:_: G
CCLL-~O:
E OF CO:ITZ>C
(BUST NESS OF ?i.0-
FES5I0`;)
?OT;.L NZ`!9_ER OF
CON AC:5
?OTAL A??30SL17z
DOLLAR A.:=N-r
EST1:1.Ti:O :Z:SE.?
OF CONi7f7!S
TO PROJECT Aeta
SUSI\T_55?C+
.
ESTL'_;= DCLIAR
.:`:OL':;7 TO PROJECT
.k.RE; ~;;SI::E55'S+
I
*The Project Area is coextensive with the City of is
boundaries.
Company
Project Name Project Number
EEO Officer (Signature) Date
TABLE B
ESTL` kTro PFC.-Li wCti_ C: CZ BR~L~ CSO
LLL:C:
JO
B CATECCRY
TOTAL EST~ITE
I
?CSiTiC::S C 3-
::0.
1 ?CSiIiG:;S
::0.
POSi:if::S
P
~
POSiCSS
Ti
I =;-LY CCC:;?iEO B°
NOT CU.1._ -rv
TO
I FiT-
CZRS/
RVTSCRS
I 1
I 1
0
I
PROFESSIONALS
Trr r.ICI.'.:'S
I
HOUSI:;C. SALSS/
-
RZ17 AL
OFFICE CT.V•:r!,L I
2 I
2
0
0
SERVICE t;O=-RS
orates
7-tun r
J0URN-F! IN
I 2
2
0
0
vrt nrnS
I 2
2
0
0
A??RE1?ICES I
0
0
0
0
I
TRA.IM==S
0
0
0
I 0
IOTHERS
TR,knr.
JOL?-%,r :Z!7
3
3
I 0
0
HELPERS
4
4
0
110
Apo?s+-iCZS
:L.Xb :.^S NO.
TRAI\-=5
( 1
I 0
I 1
I
0
I 0
I 0
0
0 I
OTHERS
TRa7F, Laborers
JM7-N--,.,r.•
6
6
I
kEL?=RS
I
I I
A??REN-1 CES
Y.rLCL.^J`.: :.0.
TRAISE=S
I
I
O=RS
toTAL
21
21
0
*Lower Income Project Area residents.
Individuals residing within the City
of whose family income does nor
exceed 90%of the median income in
R. L. Roberts Construction Inc
CO:2,I`IY
l
r.
0 _ L
U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
CERTIFICATION BY PROPOSED SUBCONTRACTOR REGARDING
EQUAL EMPLOYMENT OPPORTUNITY
NAME OF PRIME CONTRACTOR
INSTRUCTIONS
PROJECT NUMBER
This certification is required pursuant to Executive Order 11246 (30 F. R. 12319-1_5). The implementing
rules and regulations provide that any bidder or prospective contractor, or any of their proposed subcon-
tractors, shall state as an initial part of the bid or negotiations of the contract whether it has participated in
any previous contract or subcontract subject to the equal opportunity clause; and, if so, whether it has filed
all compliance reports due under applicable instructions.
Where the certification indicates that the subcontractor has not filed a compliance report due under appli-
cable instructions. such subcontractor shall be required to submit a compliance report before the owner
approves the subcontract or permits work to begin under the subcontract.
SUBCONTRACTOR'S CERTIFICATION
NAME AND ADDRESS OF SUBCONTRACTOR !Include ZIP Cods)
1. Bidder has participated in a previous contract er subcontract subject to the Equal Ooportunity Clause.
❑ Yes ❑ No
2. Compliance reports were required to be filea in connection with such contract or subcontract.
❑ Yes ❑ No
3. Bidder has filed all compliance reports due under applicable instructions, including SF-110,
❑ Yes ❑ No n Nnne
Have you ever been or are you being considered for Banc;ion due to violation of Executive Order 11246, as amended?
❑ Yes ❑ No
NAME AND TITLE OF SIGNER 1PIesso rype)
SIGNATURE
eowces Farm HUD- 238.CD-2, wnich is Obsolete
OA
HUD-950.2
C-7
OF PROPOSED SUBC
3 AND SEGREGATE
REGARDING
Name of Sub Contractor Project Name & Number
The undersigned hereby certifies that
(a) Section 3 provisions are included in the Contract
(b) A written Section 3 plan was prepared and submitted
as part of the bid proceedings(if bid equals or exceeds
$10,000).
(c) No segregated facilities will be maintained as
required by Title VI of the Civil Rights Act of 1964.
Name & Title of Signer (Print or Type)
Signature
Date
C-8
-o
0
0
0
u
0
no
E
i;
LL
E
•
•
INSURANCE CERTIFICATE
This is to certify that the policy or policies listed below have been issued to the named insured and are in force as of the date of this certificate. This
Certificate shall remain in effect until the listed expiration date, if any, or until 10 days after written notice is mailed to the certificate holder, whichever date
shall first occur.
This certificate is not an insurance policy and does not amend, alter or extend coverage afforded by the policies listed. Notwithstanding any requirement,
term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the
policies listed is subject to all the terms of such policies.
NAME AND ADDRESS OF CERTIFICATE HOLDER
IF THI5 CERTIFICATE
18, 1985
City of Denton'
Denton, Texas 76201
Sherman, Texas
Texas EMPLOYeRS
InsURance AssoclaTlon
Texas Em PLOYeRS
LnoemnITY company
EFTIPLOYeRS. casuaLT_Y
company
EMPLOYeRS NaTlonaL
In SURance company
EMPLOYeRS casuaLTY
cORPORaTIOn
NAME
ADDRESS OF INSURED
R.L. Roberts Construction, Inc.
P.O. Box 375
Sanger, Texas 76266
v
c
0
m
0
E
o
0
z
a
0
Em PLOVERS NaTlonaL
In SURance cORPORaTIon
EMPLOYeRS OF Texas
LLOYD'S
.L C1..
V ° V `s
INSURANCE IN FORCE
E
i
ti
LIMITS OF LIABILITY NOT LESS THAN
xp
ra
on
pDate
Eech Per
Eoch Accldem
Kind Policy Number
for Employee)
Par Pehry Proenien.
or Oaa,re'ce
Per Pollry Pr°.aiom
P" r°Rq
Or Aggregme
STATE AND
LOCATION OF OPERATIONS
It 1
Coy. a e
P
r"
Fully Complies With Requirements of
u- -6 E
art
98199
T.
xas Workers' Compensation Low
u a
°
o
Disease Only
Disease Only
STATE OF TEXAS
s
ci
Coversge
Part II
An Renewal
If Blank -
Thereof
Be. Heading
$100,000
$100,000
$500,000
Item 2
Cove ge
P
t 1
Fully Complies With Requirements
E
ar
of State Law
°
0 v
Disease 0.1
Y
Disease Only
Y d
Cover'ge
E
Part II
And Renewal
If Blank -
3
Thereof
See Heading
$100,000
$100,000
$500,000
Item 3
Bodily
$
f
f
o
v g
Injury
Products Only
U
° of
'
Property
And Renewal
If Blank -
.S.A., ITS TERRITORIES OR
POSSESSIONS AND CANADA
O ^
D.M.E.
Thereof
See Heading
X X X
$
f
from 4
Bodily
f
$
NW
_
Injury
Applicable
U
S
A
ITS TERRITORIES OR
'
.
.
a
o' o
Property
And Renewal
11 el'nk -
POSSESSIONS AND CANADA
Damage a
Thereof
See Heading
X X X
f
Applicable
Item 5
f
f
S
And Renewal
If Blank -
Thereof
See Heading
f
f
$
Item 6
T
f
f
f
And Renew
Blank -
Thereof
Head
ing
S
$
$
REMARKS
TECO 17993 (4-1 84)
Or
ISSUE DATE (MMIDDNY)
. 2 / 14 / 8 5
0
PRODUCER
P'RAMEY
KING & M I NN I S INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
N
R
,
t
O
IGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND
707 FIRST _STATE BANK BUILDING
,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
_
DENTON, TEXAS
76201
COMPANIES AFFORDING COVERAGE
COMPANY A -
LETTER TRINITY UNIVERSAL INS. CO.
COMPANY
INSURED
LETTER B
R. L. ROBERTS CONSTRUCTION,INC.
COMPANY C
P.O. BOX 37S
SANGER, TEXAS 76266
C
OMPANY D
LETTER
COMPANY E -
`r
LETTER
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW H
AVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF AN
.
Y CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE P
.
OLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
- EXCLUSIONS
AND CONDI-
TIONS OF SUCH POLICIES.
,
,
CO
ITS
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFRCTNE
POLICY EXPIRATION
LIABILITY LIMITS IN THOUSANDS
DATE (MMNDMY)
DATE (MMMOffY)
EACH
OOCURREN AGGREGATE
G
ENERAL LIABILITY
- -
A
X
COMPREHENSIVE FORM
-
BODILY
$ 300
$
x
PREMISES/OPERATIONS
G LA> 7.2 9 5 S 3 7
9/1/84
9/1/85
PROPERT
EXPLOSIONUB COLLAPSE HAZARD
Y
DAMAGE
$ 100
$ -
X
PRODUCTSICOMPLETED OPERATIONS
-
X
CONTRACTUAL
BI a
COMBINED
$
$
X
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
f
PERSONAL INJURY
_
PERSONAL INJURY
$ -
A
UTOMOBILE LIABILITY
MY
-
A
X
ANY ALTO
(PER PRsan
$ 300
X
ALL OWNED AUTOS (PRN. PASS.)
G LA 7 2 9 5 5 3 7
9/1/84 9
/l/,85
Ony
X
ALL OWNED AUTOS (
PRIV E PhSS~. )
-
-
(PER AIU~ND
$11000
X
HIRED AUTOS
-
X
NON-OWNED AUTOS
DRAMAS PROPERTY
100
GARAGE LIABILITY
BI 8
COMBINED
$
EXCESS LIABILITY
UMBRELLA FORM
CBI& PD
OMBINED
$
OTHER THAN UMBRELLA FORM
,
WORKERS' COMPENSATION
- -
STATUTORY
AND
$ (EACH ACCIDENT)
EMPLOYERS' LIABILITY
(DISEASE-POLICY LIMIT)
$ (DISEASE-EACH EMPLOYEE)
OTHER
..~a,nir n~rv yr urEmA nuNWLUIJA I IUNSNEHIGLESISPECIAL ITEMS
CITY OF DENTON, TEXAS SHOULD ANY OF HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
Denton TX 76201 PIRATI0 ;MTHEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL l U NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
AICH N071~E SHALL IMPOSE NO OBLIGATION OR LIABILITYPANY, RS AGENTS OR REPRESENTATIVES.