2014-121•• � ' . • � �
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WHEREAS, the City has solicited, received and tabulated competitive bids for the
constructian af public works or improvements in accordance with the procedures of State law and
City ardinances; and
WHEREAS, the City Manager or a designated employee has received and recommended that
the herein described bids are the lowest responsible bids far the canstruction ofthe public works or
improvements described in the bid invitation, bid proposals and plans and specifications therein;
No VV y 1 L1Edtl.�d' oiV�y
' � '. . . '� �; � � � : � � � �; �: � � �; �
SECTION l. The following competitive bids for the constructian of public works or
improvements, as described in the "Bid Invitations", "Bid Propasals" or plans and specifications on
file in the Office of the City's Purchasing Agent filed according to the bid number assigned hereto,
are hereby accepted and approved as being the lawest respansible bids:
BID
NUMBER CONTRACTOR AMOUNT
5467 Midwest Wrecking Co. of Texas, Inc. $256,990
SECTION 2. The acceptance and approval of the abave competitive bids shall nat 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 cantract and furnishing
of performance and payment bonds, and insurance certificate after notification of the award of the
bid.
SECTION 3. The City Manager is hereby authorized to execute all necessary written
cantracts for �the performance of the canstructian of the public warks or improvements in accordance
with the bids accepted and approved herein, pravided that such contracts are made in accordance
with the Notice to Bidders and Bid Proposals, and documents relating thereto specifying the terms,
canditions, plans and specifications, standards, quantities and specified sums contained therein.
SECTION 4. The City Council of the City of Denton, Texas hereby expressly delegates the
authority to take any actions that may be required ar permitted ta be performed by the City of Denton
under File 5467 to the City Manager of the City of Denton, Texas, or his designee.
SECTION 5. Upon acceptance and appraval of the abave campetitive bids and the execution
of contracts for the public works and impravements as authorized herein, the City Council hereby
autharizes the expenditure of funds in the manner and in the amaunt as specified in such approved
bids and autharized contracts executed pursuant thereto.
SECTION 6. This ordinance shall become effective immediately upan its passage and
approval. �
PASSED AND APPROVED this the ���� __., da of `��'� ti` � .._, 2014.
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ATTEST:
JENNIFER WALTERS, CITY SECRETARY
BY: . � .
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CITY OF DENTON, TEXAS AND MIDWEST WRECKING CO. OF TEXAS, INC
(IFB 5467)
► � • �
, � • � • .
THIS AGREEMENT, made and entered into this 6th day of Mav A.D., 2014, by and
between City of Dentan of the County af Denton and State of Texas, acting through
Gear�e C. Campbell thereunto duly autharized so to do, hereinafter termed "OWNER," and
Midwest Wreckin� �`�� �_f TPxa�_ IN(`� P(� Rox 161819. Ft�rt: Wnrth; TX 7h161 of the City of
. ,_..._ -
Fort Worth, County of Tarrant and State of _ Texas , hereinafter termed "CONTRACTOR."
WITNESSETH: That for and in consideration of the payments and agreements
hereinafter mentianed, 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 #5467 ���:I.�..., l����'1� �l��tT'T�.��:��`].l-�T*�J'[��` �TI���:: l'�.��:� DL1'+��1�..�� I I�I�
in the amount af 256 990 and all extra work in connection therewith, under the terms as stated
in the General Canditions of the agreement; and at his (ar their) own praper cost and expense to
furnish all materials, supplies, machinery, equipment, taols, superintendence, labor, insurance,
and ather accessories and services necessary to camplete the work specified above, in
accordance with the canditians and prices stated in the Proposal and the Performance and
Payment Bonds, attached hereto, and in accordance with all the General Conditions of the
Agreement, the Special Conditions, the Notice to Bidders (Advertisement for Bids), and
Instructions to Bidders, as referenced herein and on file in the office of the Purchasing Agent,
and in accardance with the plans, which includes all maps, plats, blueprints, and other drawings
and printed or written explanatory matter thereof, and the Specifications therefore, as prepared
by:
Freese and �ic1�c�C� Inc
all of which are referenced herein and made a part hereof and collectively evidence and
constitute the entire contract.
�,�. �.
It is mutually understood and agreed by and between City and Contractar that Contractor
is an independent contractar and shall not be deemed to be or considered an employee of the City
of Denton, Texas, far the purposes of income tax, withholdingy SOCIaA SPCUTIL� LaXPiSy vacation or
sick leave benefits, worker's compensation, or any ather City employee benefit. City shall not
have supervision and control of Contractar ar any employee of Contractor, and it is expressly
understoad that Contractor shall perfarm the services hereunder according to the attached
IFB 5467
specifications at the general direction of the City Manager af the City of Denton, Texas, or his
designee under this agreement.
Inde nification
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THE �"!�'��i�. CnNT CTOR �,Il������. COVENANTS AND �,t�����E� TO. AND
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CONT CT. WHF,THER A SING OiJ'Y' nF IN WlH[OLE OR IN P��k�.T. AN�' AND
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OTHEIZ P'ERSON OR ENTITY.
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This agreement shall be governed by the law of the State of Texas and venue for its
construction and enforcernent shall lie in the courts af Denton County, Texas.
The CONTRACTOR hereby agrees to commence work an ar after the date established
far the start of work as set forth in written notice to cammence wark and complete all work
within the time stated in the Proposal, subject to such extensions of time as are pravided by the
General and Special Conditions.
The OWNER agrees to pay the CONTR.ACTOR in current funds the price ar prices
shown in the Praposal, which forms a part of this contract, such payments to be subject to the
General and Special Canditions of the Contract.
. , �,; , �
The OWNER shall have the right to audit and make copies of the books, records and
computatians pertaining to this agreement. The CONTR.ACTOR shall retain such baoks,
records, documents and other evidence pertaining to this agreement during the contract period
and five years thereafter, except if an audit is in progress or audit findings are yet unresoived, in
which case records shall be kept until all audit tasks are completed and resolved. These boaks,
IFB 5467
records, documents and other evidence shall be available, within 10 business days of written
request. Further, the CONTRACTOR shall also require all Subcontractors, material suppliers,
and other payees to retain all books, records, documents and other evidence pertaining to this
agreement, and to allow the OWNER similar access to those documents. All books and records
will be made available within a 50 mile radius of the City of Denton. The cost of the audit will
be borne by the OWNER unless the audit reveals an overpayment of 1% ar greater. If an
overpayment of 1% or greater occurs, the reasonable cost of the audit, including any travel costs,
must be borne by the CONTRACTOR which must be payable within five business days of
receipt of an invoice.
Failure to comply with the provisions of this section shall be a material breach of this
contract and shall constitute, in the OWNER'S sole discretion, grounds far termination thereof.
Each of the terms "books", "records", "documents" and '°other evidence", as used above, shall be
canstrued to include drafts and electronic. files, even if such drafts or electronic files are
subsequently used to generate or prepare a final printed document.
IFB 5467
IN WITNESS WHEREOF, the parties of these presents have executed this agreement in
the year and day first above written.
ATTEST:
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IFB 5467
OWNER � � M �
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(SEAL)
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CONT CTOR AUTHORIZED SIGNATURE
Midwest Wreckin� ('c� nf TPxa_�_ Tnc:
PO Box 161819
_ _._.�... ---
Ft. Warth. TX 76161
MAILING ADDRESS
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PHONE NUMBER �
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FAX NUMBER
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TITLE
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P TED NAME
(SEAL)
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Upon contract execution, all insur^ance requirements shall become contractual obligations, which the
successfud contr°acto�° shadl have a duty to mazntain th�°oughout the course of this contract.
STAND PROVISIONS:
Without limitang any of the otl:er obligcziions or liabalitaes af the Contractor, the Contrrrctor slaczll
provide ancl rrzczintccin untal the contrccctecl work has been compCetecl and accepted by the Crty of
Denton, Owner, the minimum ansurc�nce coverage as anclicntecl hereanafter.
Contrc�ctor shall file with the Purchasang Department satasfactory cert fcates af insccs°ccnce anclutlfng
any applicable nddendum or° endorserrtents, contc�dndng the contract number arzd title of the project.
Contractor may, upon writlen request to tlae Purchasing Depczrtment, czsk for cic�rification of any
ansurance requirements c�t czny tirne; howeve�°, Contr°actor shccll not commence any work or deliver nny
materzal until l:e or she receaves notzfzcation tltat the contrcrct lzrrs been acceptecl, c�pproved, ancl signed
by the City of Denton. `
All insurance Policzes propn,ced or obtainecl in satisfaction of t/zese requirements sJzall comPly with the
following general specifications, an�l slaall be naaiiataiized irz co�zpliance witlz tlzese general
specifications througlaout tlae duration of tlze Contract, ot- longer, if so nated:
• 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 or better.
• Any deductibles or self-insured retentions shall be declared in the proposal. If requested by the
City, the insurer shall reduce or eliminate such deductibles or self-insured retentions with respect
to the City, its officials, agents, employees and volunteers; or, the contractor shall procure a bond
guaranteeing payment of losses and related investigations, claim administration and defense
expenses. ' '° �
• Liability policies shall be endorsed to provide the following:
■ Name as Additional Insured the City of Denton, its Officials, Agents, Employees and
volunteers.
■ That such insurance is primary to any other insurarice 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.
• Cancellatdon: City requires 30 clay wratten notice should �cny of tlae palacaes descrabed on tl:e
certaficate be cnncellecl ar matericzlly claangecl befare tlae expirataon drzte.
• 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.
IFB 5467
• Should any of the required insurance be provided under a form of coverage that includes a
general annual aggregate limit providing for claims investigation or legal defense costs to be
included in the general annual aggregate limit, the Contractor shall either double the occurrence
limits or obtain Owners and Contractors Protective Liability Insurance.
• Should any required insurance lapse during the contract terrn, requests for payments originating
after such lapse shall not he 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.
� , � � 1 1 � � I ' • " ' ! I"'
All insurance policies proposed ar obtained in satisfaction of tlais Contract slzall a�dition�lly comply
with the foClowing marked specificcztions, ancl shczll be maintained dn compliance with these addrtional
specifications tlzrouglzout tl:e clurc�tion of the Contract, nr lnnger, if .so noted:
[X] A. General Liability Insurance:
General Liability insurance with cornbined single limits of not less than $1,000,000.00 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 0001 current edition) is used:
• Coverage A shall include premises, operations, products, and completed operations,
independent contractors, contractual liability covering this contract and broad form
property damage coverage.
• Coverage B shall include personal injury.
• Coverage C, medical payments, is not required.
If the Comprehensive General Liability form (ISO Form GL 0002 Current Edition
and ISO Form GL 0404) is used, it shall include at least:
• Bodily injury and PropeMy I7amage Liability for premises, operations, products and
completed operations, independent contractors and property damage resulting from
explosion, collapse or underground (XCU) exposures.
• Broad form contractual liability (preferably by endorsement) covering this contract,
personal injury liability and broad form property damage liability.
[X] Automobile Lfability Insurance:
Contractor shall provide Commercial Automobile Liability insurance with Combined Single
Limits (CSL) of not less than $500,000 either in a single policy or in a combination of basic and
umbrella or excess policies. The policy will include bodily injury and property damage liability
arising out of the operation, maintenance and use of all automobiles and mobile equipment used
IFB 5467
in conjunction with this contract.
Satisfaction of the above requirement shall be in the form of a policy endorsement for:
• any auto, or
• all owned hired and non-owned autos.
[X] Workers' Compensation Insurance
Contractor shall purchase and maintain Workers' Compensation insurance which, in addition to
meeting the minimum statutory requirements for issuance of such insurance, has Employer's
Liability limits of at least $100,000 for each accident, $100,000 per each employee, and a
$500,000 policy limit for occupational disease. The City need not be named as an "Additional
Insured" but the insurer shall agree to waive all rights of subrogation against the City, its officials,
agents, employees and volunteers for any work performed for the City by the Named Insured.
For building or construction projects, the Contractor shall comply with the provisions of
Attachment 1 in accordance with §406.096 of the Texas Labor Code and rule 28TAC 110.110 of
the Texas Workers' Compensation Commission (TWCC).
[] Owner's and Contractor's Protective Liability Insurance
The Contractor shall obtain, pay for and maintain at all times during the prosecution of the work
under this contract, an Owner's and Contractor's Protective Liability insurance policy naming the
City as insured for property damage and bodily injury which may arise in the prosecution of the
work or Contractor's operations under this contract. Coverage shall be on an "occurrence" basis
and the policy shall be issued by the same insurance company that carries the Contractor's
liability insurance. Policy limits will be at least $500,000.00 combined bodily injury and
property damage per occurrence with a$1,000,000.00 aggregate.
[] Fire Damage Legal Liabflity Insurance
Coverage is required if Broad form General Liability is not provided or is unavailable to the
contractor or if a contractor leases or rents a portion of a City building. Limits of not less than _
each occurrence are required.
[ ] Professional Lfabflfty Insurance
Professional liability insurance with limits not less than $1,000,000.00 per claim with respect to
negligent acts, errors or omissions in connection with professional services is required under this
Agreement.
[ ] Builders' Risk Insurance
Builders' Risk Insurance, on an All-Risk form for 100% of the completed value shall be provided.
Such policy shall include as "Named Insured" the City of Denton and all subcontractors as their
interests may appear.
IFB 5467
ATTACHMENT 1
[X] Workers' Compensation Coverage for BnYldrng or Construction Projects for
Governmental Entities
A. Definitians:
Certificate of coverage ("certificate")-A copy of a certificate of insurance, a
certificate of authority to self-insure issued by the cammission, or a coverage
agreement (TWCC-81, TWCC-82, TWCC-83, or TWCC-84), showing statutary
warkers' compensation insurance coverage for the person's or entity's employees
providing services on a project, far the duration of the project.
Duration of the praject - includes the time from the beginning of the work an the
praject until the contractor"s/persan's wark on the project has been completed and
accepted by the governmental entity.
Persons providing services on the project ("subcontractor" in §406.096} - includes all
persons or entities performing all or part of the services the contractor has
undertaken to perform an the project, regardless of whether that person contracted
directly with the contractor and regardless of whether that person has employees.
This includes, withaut Iimitation, independent cantractors, subcontractors, leasing
companies, mator carriers, owner-operators, employees of any such entity, or
employees of any entity which furnishes persans to provide services on the project.
"Services" include, without limitation, providing, hauling, or delivering equipment or
materials, ar praviding labar, transportation, or other service related to a project.
"Services" does not include activities unrelated to the project, such as food/beverage
vendors, office supply deliveries, and delivery of portable toilets.
B. The contractor shall provide coverage, based an praper reporting of classification
codes and payroll amounts and filing of any overage agreements, which meets the
statutory requirements of Texas Labar Code, Section 401.011(44) far all employees
of the Contractor providing services on the project, for the duration of the praject.
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 contractar's current certificate af coverage ends
during the duration of the project, the contractor must, priar ta the end of the
coverage period, file a new certificate of coverage with the governmental entity
showing that coverage has been extended.
E. The contractor shall obtain from each person providing services on a project, and
provide to the gavernmental entity:
1. a certificate of coverage, prior to that person beginning work an the project, so
: ,,�
the governmental entity will have on file certificates of coverage sho-wing
caverage for all persons providing services on the praject; and
2. no later than seven days after receipt by the contractor, a new certificate of
coverage showing extensian af coverage, if the coverage period shown on the
current certificate of coverage ends during the duration of the project.
F. The contractor shall retain all required certificates of coverage far the duration of the
project and for one year thereafter.
G. The contractor shall notify the governmental entity in writing by certified mail or
personal delivery, within 10 days after the cantractor knew or should have knawn, of
any change that materially affects the provision af coverage of any persan providing
services on the project.
H. The contractor shall post on each project site a notice, in the text, form and manner
prescribed by the Texas Workers" Compensation Commission, informing all persons
providing services on the project that they are required to be covered, and stating
how a person may verify coverage and report lack of coverage,
I. The contractar shall contractually require each person with wham it contracts to
provide services on a praject, to:
1. pravide coverage, based on praper reparting of classificatian codes and payroll
amounts and filing of any coverage agreements, which meets the statutory
requirements of Texas Labor Code, Section 401.011(44} for all of its employees
providing services on the praject, for the duration ofthe project;
2. pravide to the cantractor, priar to that person beginning work on the project, a
certificate of caverage showing that coverage is being pravided far all employees
ofthe person providing services on the project, for the duration of the project;
3. pravide the contractar, prior to the end af the coverage period, a new certificate of
coverage showing extension of coverage, if the coverage period shawn on the
current certificate of coverage ends during the duration of the praject;
4. obtain from each other person with whom it contracts, and provide to the
contractor:
a. a certificate of coverage, prior to the ather person beginning work on the
project; and
b. a new certificate of coverage showing extension of coverage, prior to the end
of the coverage periad, if the coverage periad shown on the current certificate
af coverage ends during the duration of the proj ect;
IFB 5467
5. retain all required certificates of coverage on file for the duration of the project
and for one year thereafter;
6. natify the governmental entity in writing by certified mail or persanal delivery,
within 10 days after the person knew or shauld have known, af any change that
materially affects the provisian of coverage of any persan providing services on
the project; and
7. Contractually require each persan with whom it contracts, to perform as required
by paragraphs (1) -(7), with the certificates of coverage to be provided to the
person far wham they are providing services.
J. By signing this contract or providing or causing to be pravided a certificate of
coverage, the cantractor is representing ta the governrnental entity that all employees
of the contractor who will provide services on the project will be covered by
workers' compensation coverage for the duration of the praject, that the coverage
will be based on proper reporting af classification codes and payroll amounts, and
that all coverage agreements will be filed with the appropriate insurance carrier or, in
the case of a self-insured, with the cammission's Divis�on of Self-Insurance
Regulation. Providing false or misleading information may subject the contractor to
administrative penalties, criminal penalties, civil penalties, or other civil actions.
K. The contractar's failure to camply with any of these provisions is a breach af
contract by the contractor which entitles the governmental entity to declare the
contract void if the contractar daes not remedy the breach within ten days after
receipt of notice af breach fram the governmental entity.
IFB 5467
. _ _ ___
ITEM DESCRIPTION UNIT QUANTITY UNIT PRICE TOTAL
Mobilization and Bonds
NCTCOG n�+�%J'��ve LS 1 (p�Z�i�•f � Z IS• ,�
103.3 ' � dollars and 1
ze,ro cents per unit.
Project Signs
NCTCOG � - �
2
107.20 O�. kaKC�+� ���N dollars and EA I�O. �j� d
�-e�p cents per unit.
Temporary Erosion Control
NCTCOG ����� LS 1 0° ``f
201 �.a..sar�d��e,l�wNd�r� dollarsand �0�5aS. I�Sa�
�Ero cents per unit.
Asbestos Abatement }we �'�'^��d � �
Special �.��gu�Y I.S 1 �3��Z�• �' 13��Z8�
Item 1 4s.�+�s�d �+� . -� '���a�lars and
� zero cents per unit.
Demolition and Removal of Residential
Structures ee ,
Special 'e`5�"�``��wb EA S 13 r8x: ! 91a'
� i�5
Item 2 ,�, ����r�������,�lars and �
�.c'o cents per unit.
Demolition and Removal of Commercial
S ecial Structures � r' .o
p �.,�eK� EA 2 �b �D2�• Z`10•
1
Item 2 �y����� s;k 4�+��dollars and �
z2�ro cents per unit.
Rough Site Grading
Special °�'
r�e 11...�. �red dollars and EA 7 30� • 'L� �00•
Item 3 - —
zevd cents per unit.
���
IFB 5467
__
ITEM DESCRIPTION , UNIT QUAN7ITY UNIT PRICE , TOTAL
4" Topsoil and Hydromulch Seeding
NCTCOG , ,� gi�a.
202.2 and �� ____ dollars and SY 6,100 ` ��
202.6 kWev��- _cents per unit.
�7, 3�t�
Total Base Bid
$256,990
*NOTE: Last bid item incorrectly totaled.
�X�X
IFB 5467
BID SiJMMARY
TO`TAL BASE BID PRICE IN WORDS:
�: �.�..�.� � C1 ° �� -° _ � u,S c�� i � � r �
The award of the contract will be based on the Total Base Bid. The lowest responsive proposal for
purposes of award shaIl be the conforming resporisible bidder offering the lowest cost for the base
bid.
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
coinpliance 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 specifcations, 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.
The undersigned agrees this bid becomes the property of the City of Denton after the official
opening.
The undersigned affirms that they are duly authoxized to execute this contract.
Vendor hereby assigns to purchaser any and all claims for overcharges associated with this
contract which arise under the antitrust laws of the United States, 15 USCA Section 1 et sea., and
which arise under the antitrust laws of the State of Texas, Tex. Bus. & Com. Code,
Section 15.01, et sea.
Receipt is hereby acknowledged of the following addenda to the plans and specifications:
Addendum No. 1 dated oz z S I Zal�� Received �--- �---'
Addendum No. 2 dated t� 3� t o � Z ol Received
Addendum No. 3 dated . D� � � Z�� Received 4�'�'`--"'
Addendum No. 4 dated Received
Addendum No. 5 dated • Received
��
IFB 5467
r, e�t' Cc.�{[.i � . b�-`r?cc l��C, •
CONTRACTOR
BY ��a����i '�i�.��.�! tr�� ` a���i���-
� � � i� ��
� _
Street Address
��.� �� �.� 'C�� '7� I (a � �
City �z�i State
Seal & Authorization n
(If a Corporation) 'Ot�' S q.7 Ol��
Telephone
. .�.
, ..�^,
�
�
��.q� � � �.
�� _ �, �-
� �
:� q,$. _ ,�� �
. �; .�
w � `"`�� �;�..
�°
- . , - �.��:�
, . k.,,4
�+:#:�+�
IFB 5467
VENDOR COMPLIANCE TO STATE LAW
The 1985 Session of the Texas Legislature passed House Bill- 620 relative to the award of contracts
to non-resident bidders. This law provides that, in order to be awarded a contract as low bidder,
non-resident bidders (out-of-state contractors whose corporate offices or principal place of business
are outside oi the State of Texas) bid projects for construction, improvements, supplies or services
in Texas ai an amount lower than the lowest Texas resident bidder by the same amount that a Texas
resident bidder would be required to underbid a non-resident bidder in order to obtain a comparable
contract in the state in which the non-resident's principal place of business is located. The
appropriate blanks in Section A below must be filled out by all out-of-state or non-resident bidders
in order for your bid to meet specifications. The failure of out-of-state or non-resident contractors to
do so will automatically disqualify that bidder. Resident bidders must check the blank in Section B.
A. Non-resident bidders in (give state), our principal place of business,
are required to be mm percent lower than resident bidders by state law.
A copy of the statute is attached.
Non-resident bidders in (give state), our principal place of business,
are not required to underbid resident bidders.
B. Our principal place of business or corporate offices are in the State of Texas: �
BIDDER:
�.�r�.7EST [���a � "V• O�,r'�iC_�!� _
COMPANY
BY `
A� tl��.JEST �itEG1G�r_ l�0 � D�r 'rX i�'�G '
�• O• S�Ja�C � l� I$ �
Street Address
�+• w� +G � Tx
City and State
THIS FORM MUST B� RETURNED WITH YOUR BID.
I¢��iX
IFB 5467
CONTRACTOR COMPLIANCE TO TEXAS SALES TAX CODE
Comply with all requirements of the Texas Sales Tax Code. The Contractor hereby certifies that the
Contract Amount is divided as follows:
Materials incorporated into the Project
(resold to the Owner as defined in Tax Code)
All other charges and costs
To�l
The total must equal the total amount of the Contract.
CONTRACTOR:
,� � 1+.h�r,� ��� '�• o�'TX ��� -
co��
BY _
illl►h,,,� �St' lnitLCGtGtr�c� Co • o�- fiX,l�- .
�•�• �ox ti(��$�9
Street Address
f'�-• IJl�02T1� � �,�
City and State
$ 1a52-5. �°
� 255�515••�
� 25 �-, o�a . °°°°
'�'I-��� �`��,� �� ' �, �� ��.1��."�i"T'�� �'I' �' �: "�'�. �� i�T� ����:����� ��"�w���+
�%�1'�"����°�' ,�1�'�3 � ��� �l� �±, � I'�i� � �,�'+ °� IIC ���1T.- +�:"�'.
i,.;:
IFB 5467
corrTRacTOR con�LialvcE To TExas s�ES TAx conE
Comply with all requirements of the Texas Sales Tax Code. The Contractor hereby certiiies that the
Contract Amount is divided as follows:
Materials incorporated into the Project
(resold to the Owner as defined in Tax Code)
All other charges and costs
Total
The total must equal the total amount of the Contract.
CONTRACTOR:
� ����� ����� (� �-�� � ��. A
co�Arr�
BY V � °
.
1v�1Dw�'� �C1-Ec,�11�.(' ��t�r�K c�+aC_. •
�- �. 45oX lc� ti'� L°�
Street Address
r�l � Wm�� � �X
City and State
� I 1 �Z.�j • °"-
� 2sS, 515. e-""
$ 25�,Cx�D,r"''_
THIS FORM SHALL BE EXECUTED AT THE 'TIME OF EXECUTION OF TH�
_ ._ ___
CONTRACT AND SHALL BE MADE A PART OF TI3E CONTRACT.
���
IFB 5467
00 42 23.04 Conflict of Interest Questionnaire - Form CIQ
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor or other person doing business with local governmental entity
This questlonnalre reflects changes made to the law by H.B. 1491, 80th Leg., Regular Session.
This questionnaire is being filed in accordance with Chapter 176, Local Government Code
by a person who has a business reiationship as defined by Section 176.001(1-a) with a local
governmental entity and the person meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administratorof the local governmental
entity not later than the 7th business day after the date the person becomes aware of facts
that require the statement to be filed. See Section 176.006, Local Government Code.
A person commits an offense if the person knowingly violates Section 176.006, Local
Government Code. An offense underthis section is a Class C misdemeanor.
Name of person who has a business relationshlp with local governmental entity.
Check this box if you are �ling an update to a previously filed questionnaire.
•�� ���
OFFICE USE ONLY
Date Recelved
(The law requires that you file an updated completed questionnaire with the appropriate filing authority not
later than the 7th business day after the date the originally filed questionnalre becomes incomplete or inaccurate.}
Name oi local government officer with whom filer has employment or business relationship.
Name of Officer
Thls sectlon (item 3 including subparts A, B, C& D) must be completed for each officer with whom the filer has an
employment or other business relationship as defined by Section 176.001(1-a}, Local Government Code. Attach additional
pages to this Form CIQ as necessary. '
A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment
income, from the filer of the questionnaire?
� Yes � No
B. Is the filer of the questionnaire receiving or likely to receive taxable income, other than investment income, from or at the
direction of the local government officer named in thls section AND the taxable income is not received from the local
governmental entity?
Yes No
C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local
government officer serves as an officer or director, or holds an ownership of 10 percent or more?
Yes No
D. Describe each employment or business relationship with the local government officer named in this section.
.. _ _ _ _ --
Signature of person doing business with the govemmental entlty
• � • j'I
Date
Adopted 06/29/2007
IFB 5467
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THIS BOND RIDER CONTAINS IMPORTANT COVERAGE �NFORMATION
To obtain info►�mation, make a complaint or assert a claim, or if you have a dispute concerning your prernium,
you should call the Surety's toll f►•ee telephane numbe�• for information at: 1-800-486-6695, Xou may also write
to the Su�•ety at:
Texas Bonding Company
GO1 S. Figueroa St,, Suite 1600
Los Augeles, CA 90017
You may contact the Texas Department of Tnsurance to obtain infoz�mation on companies, coverage, rights or
complaints at 1-800�252-3439, You may write tlie Texas Depaittnent of Insura�ice at
P.O. Box 149104
Austin, Tx 78714-9104
Fax No. 512-475-1771
ImporEa�it Notice Regarding
Terrorism Risk Exclusions
Notwithstandicig anytlting to the contcary in the Constcuction Contract and Bond, the Botid to which this Rider
is attached does not provide coverage foc, and the Sucety thereon sliall not be liable for, acts of tert•orism, riot,
civil insurrection, acts of wa�� or arrned hostilities or other national or international calamity, directly ot�
indirectly fcustrating pe��formance of, or directly or indirectly causing any loss or damage under, the
Construction Cont�•act for which this Bond was issued.
Exclusion of Liability fo�•
Mold, Mycotoxins, Fungi & �nvironmental Hazards
������������������ ���y�l�i��� �� tl�� c�s�tz=���� io� �1�� �C c����tkF�zction Contract and Bond, the Bond to which this Rider
is ��ta�l��cf c�c�es ���t pz•�avid� �sa�����g� �'c�t�, �r��l tlte ����:ty� �[��Ge�,t� sl���l� �7�at he lial�l� f�E•, rnca9��, lirr��i� c��� cl���l
�'u����, �a�t��°6�, �E1��•��t�s3l�i�ta���i:��s, s��x•�s, ��,yi��aa�, ��• ���ycott������, o�• �i��i►� ��1���� ���•c�c��a�ts c�r ��rt;�, izc�r f��°
�r�y ei�v's�������ea�i�i 4�������1�, �it�-����a�•c€s, I����i•t����� a���t�i°i�ls, ���v��°��rtn�aai�s[ s���l1�, ��rsi����ii����i��i, �r c3e�F���,
���ac� t��� �°�i�cc���ti��� tii��•c�i`, r��k° the e�r�;�c€���er�c;�� tca �s�s°,��r��,1arr����a°�y, r��° tl�� ����•fcae•�r����cc o�`tl�� ����c����
obligations, of the occu���•ence, existence, o�� appeac•ance theceof.
HCCSZ2684B10l09
PERFORMANCE BOND
STATE OF TEXAS §
COUNTY OF DENTON §
Bona #i000sso221
KNOW ALL MEN BY THESE PRESENTS: That Midwest Wreckin� Co. of Texas, Inc, ��F"
whose address is i�+J C��ra; 1 G]� l��F`c�r1i W�art��, `1`?� '�� 1�[ hereinafter cal led Principal, and
��;�r�� ��„����,�� ,��.�r,�,��,,,� ��= ` , a corporation organized and existing under the
laws of the State of TeXas T, 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, 1��.r»�:ir��ltet• called Owner, in the
penal sum of T�v� h�aa�d�•�d �ftv �ix i�����s��1��i r�i��� t���i���•�c� nin�t�� �[������� (����,�"��TM},�,i��
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 Ordir�����u�:, �l��d��h�r ?���-[21;f'witl� t��� ��ity �f'
Denton, the Owner, date the 6th day of Mav A.D., �i� 14, �°�?r 13ici 6� ��fai IVia ��ill ��n��•�r���1��i�t:�
Structure Demolition.
NOW, THEREFORE, if the Principal shall well, truly and faithfully perform and fulfll
all of the undertakings, covenants, terms, conditions and agreements of said Contract in
accordance with the Plans, Specifcations and Contract Documents during the original term
thereof and any extension thereof which may be granted by the Owner, with or without notice to
the Surety, and during the life of any guaranty or warranty required under this Contract, and shall
also well and truly perform and fulfill all the undertakings, covenants, terms, conditions and
agreements of any and all duly authorized modifications of said Contract that may hereafter be
made, notice of which modifcations 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 two (2) years from the date of final completion and final acceptance of the Work by
the Owner; and, if the Principal shall fully indemnify and save harmless the Owner from all costs
and damages which Owner may suffer by reason of failure to so perform herein and shall fully
reimburse and repay Owner all outlay and expense which the Owner may incur in making good
any default or deficiency, then this obligation shall be void; otherwise, it shall remain in full
force and effect.
IFB 5467
PROVIDED FURTHER, that if any legal action be filed upon this Bond, exclusive venue
shall lie in Denton County, State of Texas.
AND PROVIDED FURTHER, that the said Surety, for value received, hereby stipulates
and agrees that no change, extension of time, alteration or addition to the terms of the Contract,
or to the Work to be performed thereunder, or to the Plans, Specifcations, 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.
This Bond is given pursuant to the provisions of Chapter 2253 of the Texas Government
Code, as amended, and any other applicable statutes of the State of Texas.
The undersigned and designated agent is hereby designated by the Surety herein as the
Resident Agent in Denton County to whom any requisite notices may be delivered and on whom
service of process may be had in matters arising out of such suretyship, as provided by Article
7.19-1 of the Insurance Code, Vernon's Annotated Civil Statutes of the State of Texas.
IN WITNESS WHEREOF, this instrument is executed in three cc��7��s, each one of which
shall be deemed an original, this the 6th day of lvtay _, 2014 ..'`
ATTEST:
BY: � �-��
SECRETARY
ATTEST:
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PRINCIPAL
iV1 i� vc�E Wrecking -;c�. of Texas, f��c�.
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BY: � �'-° �,
�' �'�II�ENT
SURETY
Texas Bonding C'otzi�ampy �m �
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BY� �-� �. �"
, �f�x�-���'I" teremy �3�ir��etr
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The Resident Agent of the Surety in Denton County, Texas for delivery of notice and servi�e of
the process is:
NAME: K&S Group, Inc. dba K&S Insurance'��;eoauy
STREET ADDRESS: 2925 Country Club Rd. #103 Denton TX 76210
(NOTE: Date of Performance Bond musl be date of Contract. If Resident Agent is not a corporation,
give a person's name.)
IFB 5467
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EXHIBIT D
PAYMENT BOND Bond #1000880221
STATE OF TEXAS §
COUNTY OF DENTON
KNOW ALL MEN BY THESE PRESENTS: �l'I���t �litl�v�st t�i`�c:l<in�, �c�. �� Te�as, �r���� °'°'
whose address is P� f�cr� [�� 81 �, f���t '�i+'e����k� 'T� 7� 1�i 1,1���•�irr��t�a� called Principal, and
r��� - ,�,��- �e���„�� _' ��, a corporation organized and existing under the laws of
the State of 7'exas � 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 refer d to, in th penal sum c�� `l"`�vr�_ I�u���irecl fiifit� si� �k��a�i����d� n���e
hundred ninetv DOLLARS� 256 99 �n lawful mo���y� �r�` tt�� �J1�it�.d �at�i��, ic� �e ����ic� ii�
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 ���I.�IG�T��T�1 "T"C) P��"' �AIvI�' i� �t�r�c3i��c�E�e�6 �s [c��laiv�: i�`��e�•e��„ t��e �'��ir�cip�ai
entered into � c��t�iia �:"c�r�tr�ct, id���ti�i��9 l�y� Ci�•dir������� �1�r�L�c�• �() ��-� I"� l,� 'wit�7 ti�� C�t��° cai
Denton, the �w�i��•, ��t�d tl�c �th �i�y ni'� �.�., �{�14, ��ii� f�ic� �� ��4�a7 �1��vl�ill lt���avet���nt�
Structure Demolition. ,/
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 modifcations of said Contract that may hereafter be made, notice of
which modifications to the Surety being hereby expressly waived, then this obligation shall be
void; otherwise it shall remain in full force and effect.
PROVIDED FURTHER, that if any legal action be filed on this Bond, exclusive venue
shall lie in Denton County, Texas.
AND PROVIDED FURTHER, that the said Surety, for value received, hereby stipulates
and agrees that no change, extension of time, alteration or addition to the terms of the Contract,
or to the Work to be performed thereunder, or to the Plans, Specifications, Drawings, etc.,
accompanying the same, shall in anywise affect its obligation on this Bond, and it does hereby
waive notice of any such change, extension of time, alteration or addition to the terms of the
Contract, or to the Work to be performed thereunder, or to the Plans, Specifications, Drawings,
etc.
IFB 5467
This Bond is given pursuant to the provisions of Chapter 2253 of the Texas Government
Code, as amended, and any other applicable statutes of the State of Texas.
The undersigned and designated agent is hereby designated by the Surety herein as the
Resident Agent in Denton County to whom any requisite notices may be delivered and on whonn
service of process may be had in matters arising out of such surety, as provided by Article 7. ��-1
of the Insurance Code, Vernon's Annotated Civil Statutes of the State of Texas.
IN WITNESS WHEREOF, this instrument is executed in three c�r�ie�, each one �f ��vhich
shall be deemed an original, this the 6th day of Mav , 2014 .�� "'�
ATTEST:
• �� .��
BY: .._._...
� LC. ' �TARY
ATTEST:
PRINCIPAL
Midwest Wro�e�kiat� �'a of'1°cx�s�r Inc.
BY:,-�..�..
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SURETY
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� Texas Bonding �`�sn �}�
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`'� ,°� f Marilyn 13�-`°zrac;l� BY: � t �`�' -� `
� ` ��'"1�C�R1�1 =�'�=�`� CT 7eremy Barnett
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The Resident Agent of the Surety in Denton County, Texas for delivery of notice ard service of
the process is:
NAME:
STREET ADDRESS:
K&S Group, Inc. dba K&S Insurance Agency
2925 Country Club Rd. #103 Denton TX 76210
(NOTE: Date of Payment Bond must be date of Contract. If Resident Agent is not a
corporation, give a person's name.)
IFB 5467
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POWF,R OF ATTORNEY
AMERICAN CONTRACTORS IIYDEMIYITY COMPANY TEXAS BOIVDING COMPANY
UIVITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY
KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indernnity Company, a California corporation, Texas
Bonding Company�assumed name of American Contractors Indemnirty Company, United Sta�es Surety Company, a'M aryland
corporation`and`U.S. Specialty insurance Company, a Texas corporation (collecCively, the "Companies"), do by these presents make,
constitute and appoint: �
Johnny Moss, Jay Jordan, Tony IFierro, Jeremy Barnett; �Jade Porter,
Mistie Beck or Robert G. Kanuth of Rockwall, Texas
its true and;lawful'Attomey(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority
hereby conferred in its name, place and stead, to execute, acknowledge and;deliver`any and all bonds, recognizances, undertakings
or other instruments or ��t�i�'n�i's [�l` ;�u�r�t�f�l�i� t[� ir��.tud� wide�rs� €��e����x��ta#�, �nc9 'r:ua��+�itts �r� �u�•�i�, providing the bond
penalty does not exceed ���`�*�1"�n Mi19ic�n***"'�*' ;„x������r� ($ **10,000,000.00** �
This Power of AYYorney shall expire without furthee action on December 8, 2016. This Power of Attomey is grantcd under and by
authority of the following resolutions adopted by the Boards of Directors of the Companies:
Be-i� Resolved, that tfie President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full
power and authority to appoint any one or more suitable persons as At[orney(s)-in-Fact to represent and act For and on behalf of the Company subject to ihe following
provisions
Alforney-in-Fac! may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds,
recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained
percentages and/or final es[imates on engineering and construction contrac[s, and any and all notices and documents canceling or terminating [he Company's liability
Ihereunder, and any such ins[rumenls so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected
by the Corporate Secretary.
Be7t Resolved, that the signature of any authorized officer and seal of� the Company here[ofore or hereafter affixed to any;power of attomey or any certificate relating
thereto 6y facsimile, and any power of attorney or ceruificate bearin� facsimile signature or facsimile seal shall be-valid and binding upon the Company with respect to
any bond or undeRaking to which it is attached.
IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this
lOth day of December, 2012.
AMERICAN CONTRACTORS IIYDEMNITY COMPANY TEXAS BONDING COMPANY
Coiporate Seals UNITED STATES SURETY COMPANY U.S. SPECIALTY INSU�RANCE COMPANY
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��., � � � � �,, r' s Daniel P. Aguilar, Vice Pres� ent
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[aPO{[fl�°--� f �. frld�Er4Ei11 �� t n
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State of California
County of Los Angeles SS:
On i0th day of December, 2012, be£ore me, Vanessa Wright, a notary public, personally appeared Daniel P. Aguilar, Vice President of
American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance
Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument
and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the
person(s), or the enYity upon behalf of which the person(s), acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph;is true and correct.
_ _ � E.� �
WITNESS my hand and official seal, -- -� „.,,,�,�„� ,�
� � com�rd.�wn � teoeai9 �
Signature �i�,'%f�r�° - (Seal) NotuyPWdk-C�or�w
T ,. . _, Lo� 11npNq ��Y
� �Si �}�rntY9. ��r�� � �, �A��& �
1, ,���t�r�i� L��, l�y�i�;dt�r�t Secretary of American Contractors [ndemnity Company, Texas`Bonding Company, United States Surety
�'����s���ay and U.S.' Specialty lnsurance Company, do hereby certify that the above and foregoing is'a true and conect copy of a Power
of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors,
set out in the Power of Attorney are in full force and effect.
; �'"
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In i ne Whereof, I have hereunto s t my hand and affixed tne seals of said Compan'es at Los An les, California this �� ��ay
of� �2.� -� , � U /�
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Corporate Seals � ��;;�cr��, , � ������, � ,��y�r � o- �` dv �s w
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�L�li �' � SEg' s,��' � -'�`` �� �- W `��� ' ` Jeannie Lee sistant Secretary
Bond No ��� �.� �� ` � � �` ``: ' s �• ,
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l�1��i1(;y �Chs ��€��� h �a'ak{�aw�"�`r � �,f,r�*y,��`'� `' �„�d�„i,�i� -aF� �r��,,, ` ''��� �
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d� DATE (MMIDDIYYYY)
���'"�°` CERTIFICATE OF LIABILITY INSURANCE 5�9A���4
_ __ _--
THIS CERTtFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
_ _ _ _
. _ __ _
ih9P�3RTA��": ff the csr�ti�ica€te hr�l�4�r is an t��DITICIR�A��. fN�lJl��[7, t�e policy�I�rs} must !� en+��r��d� if �tJBR�{�AifC�N I� ►I�fA�fV��7, �u�tj,�ct tc�
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such ar�c€ar��rner�f(�}.
_ __ _ _ _ - _
PRODUCER y���E'��� DebT8h ��a�xs�i
. _�
K& S Insurance Agency �'F°'��� .(972)771-4071 F�� �;c9�z)��i-ae9s
2255 Ridge Road, Ste . 333 ��� �� , rich�rz°�rL k�n�s� rs�a . com
P. O. Box 277 �t�su���ts9 ������p�?� �ov�rt����� Nnic a
Rockwall TX 75087 INSl1RERA;SCOtt8C�31Q Insurance Company
.. _..�.�..���,,.,.n,,,. .......� - ,:..._, ..,....a....�. � " .___
iNSUReo �tic��RFRS�United Fire & Casualty Company 13021
����Midwest Wrecking Co. of Texas, Inc. „n.��� �� f���- „, ��r��u����;'��x��� Mutual �n��ra��e �a�. 2945
�,�__.,,
P.O. Box 161819 "°`� ��p inssu���z��T�sr�. atvrs ���i�.l�v �rzs. C�.
•°„ � _ I�
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.,1�, �� INSURER E : ___. _ . _..,...m.,,, —.„..�.....�
Fort Worth T}i %E)ZF)1 IN$URERF: ___
rtinrrca�ihr��c ('FRTIFIf'*6`Y� NII IMRFR• REVISION i'�1�IV�BER:
..,,.....e.,-,......, __. _. .. .m. .. - --------- --
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
_._....._ --
�INSR � DL U-��� �m����� POLICY EFF � F�i)LICY �St� � LIMITS
�TR TYPE OF INSU�p�1GE iucw wvn POLICY NUMBER IMMloolyvvYl �qp�1C3�8JYYYY —
GENERAL LIABILITY °' ' EACH OCCURRENCE $ 1� OOO � OOO ....
DAMA °�c� lOO OOO
}i [;C�MMERt'.��lJ�L GCh1���11 LIA�d{,g�'y , .. �,�:,.�'" ,SaREMISES (Ea occurtencel '.... $ ........_.....,._! ..�..
A 4,'�1�1�•�111�rE ��5t"C�PI� 't CS0030728 � g/16/2013 6/16/2014 � MED EXP (Any one person) S ry5 , OOQ
....,. v��N.. ° .
G2033 7/04, ���.��'� 7/09 PERSONAL&ADVINJURY $ 1,00O,OOU
� � � ___�.
G2404 5/09 GENERAL AGGREGATE S 2, OOO , OOO .,.-�°
w�„ _�.... _ ,� ....
GCfik'I, AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/0P AGG S 2, OOO , OOO
_....�........ ..-._..___ __m._
Y'C�l1GY , � PRt�- LOC 8
�� � AUTOMOBILE LIR9iL1T5`.-''�� ���� ����� ��. COMBINED SINGLE LIMIT
"��.lFaarriAwMl '�.$ 1.�0�.�����'."�,,,•.
E. ���m . m�.,,,.. �.. ..
B' X ANY AUTO ��•" ' �pQILY INJURY (Per person) $
_ _._..e.
ALLOWNED ' SCHEDULED 85317017'-^' 8/16/2013 B/16/2014" BODILYINJURY(Peraccident) $
AUTOS �„_ AUTOS
NON•OWNED A7109 1/06 �'���'E��� ��p'��'�� $
u
� HIRED AUTOS AUTOS i�`"��� � Ir9e�r1ij•,
�.��
I lnlnsured molorist combined $ 1, 000 , 000
__
UMBRELLA LIAB X' OCCUR EACH OCCURRENCE $ 5, 000 , 000
�_
A AGGREGATE $ 5, OOO , O00
_ �.. ____.��.�
}{ EXCESSLIAB CLAIMS-MADE' LS0089781 8/16/2013 /16/2014 $
DED ',. RFTFNTIf1N R . ______ ...____. ', ,.. ..:.
C wa�a�c��scs�w�r�r�s�r��rr ,. ooil�i473 �.°' �/ie/zoi3 /ie/zoia,, X Tw(�1RV I I� ITR �°eR-
AND EMPLOYERS' LIABILITY ' " -"` """—"'"
ANt' pr�C���k�Y��1i�AfiFIti�:Rt����t�71V� � C420304A 1/00 `" F E.L EACHACCIDENT $ 1.00O.00a "
C}FFECGIZ+h7EM�i�Fi EXCLUDED? ... N I A`r � ...�.._...� __r..�.�_ �
����,�����, �� ��� E.L. DISEASE - EA EMPLOYE � $ 1 . OQO . 000 `;,;
If ya5� tYil9Ctkba� u'IY�ar .�........ _. ...0...^m...^^.p... ..
€�E5C1�9F�iIC7�# �3� f"S�'E�fiw3'iC��k� below E,L. DISEASE - POLICY LIMIT $ 1, OOO , OOO
D Pollution Liability '� ! � 013ECP721371NC '" �/16/2013 8/16/2014"" policy llmit-ocGaggregate 5� 000 � 000 M�
D Profeasional Li8b111ty j 013ECP721371NC ��16/2013 �/16/2014 '' policy limlt- occlaggregale 1� 000 � �00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, If more apace la requlred)
Project: 5467 Mayhill Improvements Structure Demo
See above listing of additional insured and waiver of subrogation endoraement forma.•--"
C�Rfi1�ICATE HOLDER
City o£ Denton '..,.v
215 E. MeKinney Street
Denton, TX 76201
GANGELLAT14Ihf
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Daiker-1/DEBBIE
l..c�
ACORD 25 (2010/05) O 1988-2010 ACORD CORPORATION. All rights reserved,
INS025r�n�nn5im Tha Arf1Rl'1 namn anri Innn a�o ronic+ororV mar4c nf Af'(1R1'1