2009-012ORDINANCE NO.
AN ORDINANCE OF THE CITY OF DENTON, TEXAS ACCEPTING COMPETITIVE
SEALED PROPOSALS AND AWARDING A BEST VALUE CONTRACT FOR THE
RENOVATION AND EXPANSION OF THE CITY OF DENTON SENIOR CENTER;
AUTHORIZING THE EXPENDITURE OF FUNDS THEREFOR; AND PROVIDING AN
EFFECTIVE DATE (RFSP 4206-DENTON SENIOR CENTER RENOVATIONS AND
ADDITION AWARDED TO H.C.I. GENERAL CONTRACTORS, INC. IN THE AMOUNT OF
$1,184,300).
WHEREAS, the City has solicited, received, and tabulated competitive best value bids, for
the purchase of necessary materials, equipment, supplies or services in accordance with the
procedures of State law and City ordinances based on the best value as determined by using the
selection criteria set forth in the request for bids; and
WHEREAS, the City's selection committee has reviewed and recommended that the herein
described bids are the best value based on the selection criteria for the materials, equipment,
supplies or services as shown in the "Bid Proposals" submitted; and
WHEREAS, the City's Purchasing Agent has determined that the best value bid process
provides the best value to the City for this procurement; and
WHEREAS, the City Council has provided in the City Budget for the appropriation of funds
to be used for the purchase of the materials, equipment, supplies or services approved and accepted
herein; NOW, THEREFORE,
THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS:
SECTION 1. The findings and conclusions set forth in the preamble of this ordinance are
incorporated within the body of the ordinance.
SECTION 2. The options in the following numbered bids for materials, equipment,
supplies, or services, shown in the "Bid Proposals" on file in the office of the City Purchasing
Agent, is hereby accepted and approved as being the best value based on the selection criteria
contained in the request for bids for such items:
RFSP
NUMBER DESCRIPTION VENDOR AMOUNT
4206 Denton Senior Center H.C.I. General Contractors, Inc. $1,184,300
Renovation and Addition
SECTION 3. By the acceptance and approval of the above items of the submitted bids, the
City accepts the offer of the persons submitting the bids for such items and agrees to purchase the
materials, equipment, supplies or services in accordance with the terms, specifications, standards,
quantities and for the specified sums contained in the Bid Invitations, Bid Proposals, and related
documents.
SECTION 4. The City Manager is hereby authorized to execute any and all necessary
written contracts for the performance of the services in accordance with the bids accepted and
approved herein, provided that such contracts are made in accordance with and relating to the items
specified in Section 1, which written contract(s) shall be attached hereto; provided that the written
contract is in accordance with the above Request to Submit Bids, Bid Proposals, and documents
relating thereto specifying the terms, conditions, plans and specifications, standards, quantities and
specified sums contained therein.
SECTION 5. By the acceptance and approval of the above enumerated bids, the City
Council hereby authorizes the expenditure of funds therefor in the amount and in accordance with
the approved bids.
SECTION 6. This ordinance shall become effective immediately upon its passage and
approval.
PASSED AND APPROVED this day of (A=W2 ,2009.
AYOR
MARK A. BU UG
rll'
ATTEST:
JENNIFER WALTERS, CITY SECRETARY
By:
APPROVED AS TO LEGAL FORM:
ANITA BURGESS, CITY ATTORNEY
BY:
3-OR
D- 42D6
4
CONTRACT AGREEMENT
STATE OF TEXAS
§ COUNTY OF DENTON §
THIS AGREEMENT, made and entered into this 6 day of January A.D., 2009, by and
between City of Denton of the County of Denton and State of Texas, acting through
George C. Campbell thereunto duly authorized so to do, hereinafter termed
"OWNER," and
H C.I. General Contractors, Inc.
703 McKinney Suite 308
Dallas, TX 75202
of the City of Dallas, County of Dallas and State of Texas , hereinafter termed
"CONTRACTOR."
WITNESSETH: That for and in consideration of the payments and agreements hereinafter
mentioned, to be made and performed by OWNER, and under the conditions expressed in the bonds
attached hereto, CONTRACTOR hereby agrees with OWNER to commence and complete
performance of the work specified below:
RFSP 4206- Denton Senior Center Renovation and Addition
in the amount of $1,184,300 and all extra work in connection therewith, under the terms as
stated in the General Conditions of the agreement; and at his (or their) own proper cost and expense
to furnish all materials, supplies, machinery, equipment, tools, superintendence, labor, insurance,
and other accessories and services necessary to complete the work specified above, in accordance
with the conditions and prices stated in the Proposal 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 accordance with all local,
state and federal laws; and plans, which includes all maps, plats, blueprints, and other drawings and
printed or written explanatory matter thereof, and the Specifications therefore, as prepared by:
Brown Remolds Watford Architects Inc.
all of which are referenced herein and made a part hereof and collectively evidence and constitute
the entire contract.
CA-1
K
Independent Status
It is mutually understood and agreed by and between City and Contractor that Contractor is
an independent contractor and shall not be deemed to be or considered an employee of the City of
Denton, Texas, for the purposes of income tax, withholding, social security taxes, vacation or sick
leave benefits, worker's compensation, or any other City employee benefit. City shall not have
supervision and control of Contractor or any employee of Contractor, and it is expressly understood
that Contractor shall perform the services hereunder according to the attached specifications at the
general direction of the City Manager of the City of Denton, Texas, or his designee under this
agreement.
Indemnification
Contractor covenants and agrees to and does hereby indemnify, hold harmless and defend, at
its own expense, Owner, its officers, servants and employees, from and against any and all claims or
suits for property loss or damage and/or personal injury, including death, to any and all persons, of
whatsoever kind or character, whether real or asserted, arising out of the Work and services to be
performed hereunder by Contractor, its officers, agents, employees, subcontractors, licensees or
invitees, whether or not caused, in whole or in part, by the alleged negligence of the officers,
servants, employees, of the Owner. Contractor likewise covenants and agrees to, and does hereby,
indemnify and hold harmless Owner during the performance of any of the terms and conditions of
this Contract, whether arising out of in whole or in part, any and all alleged acts or omissions of
officers, servants, or employees of Owner. The provisions of this paragraph are solely for the
benefit of the parties hereto and not intended to create or grant any rights, contractual or otherwise,
to any other person or entity.
Choice of Law and Venue
This agreement shall be governed by the law of the State of Texas and venue for its
construction and enforcement shall lie in the courts of Denton County, Texas.
The CONTRACTOR hereby agrees to commence work on or after the date established for
the start of work as set forth in written notice to commence work and complete all work within the
time stated in the Proposal, subject to such extensions of time as are provided by the General and
Special Conditions.
The OWNER agrees to pay the CONTRACTOR in current funds the price or prices shown
in the Proposal, which forms a part of this contract, such payments to be subject to the General and
Special Conditions of the Contract.
CA-2
Right to Audit
The OWNER shall have the right to audit and make copies of the books, records and computations
pertaining to this agreement. The CONTRACTOR shall retain such books, 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 unresolved, in which case records shall be
kept until all audit tasks are completed and resolved. These books, 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% or 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 for termination thereof. Each of the
terms "books", "records", "documents" and "other evidence", as used above, shall be construed to
include drafts and electronic files, even if such drafts or electronic files are subsequently used to
generate or prepare a final printed document.
CA-3
IN WITNESS WHEREOF, the parties of these presents have executed this agreement in the
year and day first above written.
ATTEST:
ATTEST:
-7 4-
City of Denton
OWNER
BY:
(SEAL)
H.C.I. General Contractors, Inc.
CONTRACTOR
703 McKinney, Suite 308
Dallas, Texas 75202
MAILING ADDRESS
214-871-9746
PHONE NUMBER
APPROVED AS TO FORM:
r
AN A BURGESS, CITY TTO Y
214-871-974
NU B
BY:
TI LE
Mark S. Nelon - President
PRINTED NAME
(SEAL)
CA-4
STATE OF TEXAS §
COUNTY OF DENTON §
PERFORMANCE BOND
/S""j
/os/y9~sa
KNOW ALL MEN BY THESE PRESENTS: That H.C.I. General Contractors, Inc
whose address is 703 N Kinney Suite 3_Q8 Dallas, TX 75202 hereinafter called Principal, and
~n , a corporation organized and existing under the
laws of the ate of and fully authorized to transact business in the State of
Texas, as Surety, are held and firmly bound unto the City of Denton, a municipal corporation
organized and existing under the laws of the State of Texas, hereinafter called Owner, in the
penal sum of One Million One Hundred Eighty Four Thousand Three Hundred and 0/100
DOLLARS ($1 184 30 lus ten percent of the stated penal sum as an additional sum of money
representing additional court expenses, attorneys' fees, and liquidated damages arising out of or
connected with the below identified Contract, in lawful money of the United States, to be paid in
Denton County, Texas, for the payment of which sum well and truly to be made, we hereby bind
ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally,
firmly by these presents. This Bond shall automatically be increased by the amount of any
Change Order or Supplemental Agreement, which increases the Contract price, but in no event
shall a Change Order or Supplemental Agreement, which reduces the Contract price, decrease
the penal sum of this Bond.
THE OBLIGATION TO PAY SAME is conditioned as follows: Whereas, the Principal
entered into a certain Contract, identified by Ordinance Number 2009-012th the City of
Denton, the Owner, dated the 6th day of January A.D. 2009 RFSP 94206-Denton Senior
Center Renovations and Addition.."",
NOW, THEREFORE, if the Principal shall well, truly and faithfully perform and fulfill
all of the undertakings, covenants, terms, conditions and agreements of said Contract in
accordance with the Plans, Specifications and Contract Documents during the original term
thereof and any extension thereof which may be granted by the Owner, with or without notice to
the Surety, and during the life of any guaranty or warranty required under this Contract, and shall
also well and truly perform and fulfill all the undertakings, covenants, terms, conditions and
agreements of any and all duly authorized modifications of said Contract that may hereafter be
made, notice of which modifications to the Surety being hereby waived; and, if the Principal
shall repair and/or replace all defects due to faulty materials and workmanship that appear within
a period of 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.
PB-1
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, 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.
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 four copies, each one of which
shall be deemed an original, this the -day of-~
ATTEST:
BY:
SECRETARY
PRINCIPAL
BY:
RESIDEN
Ate: SURETY
~Ge a f C~lso "Z,
C1:2.74211 - 7 r /57 /'N/fe/C.9
BY:
BY:
(MFF IN- CT
rEERYY TRENTHAM
The Resident Agent of the Surety in Denton County, Texas for delivery of notice and service of
the process 'is:
NAME:
STREET ADDRESS:D
(NOTE: Date of Performance Bond must be date of Contract. If Resident Agent is not a corporation,
give a person's name.)
PB-2
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STATE OF TEXAS §
COUNTY OF DENTON §
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS: That H.C.I. General Contractors, Inc.✓ ,
whose address is 703 McKinney Suite 308 Dallas, TX 75202, hereinafter called Principal, and
r rl! C nSo~ uJ ~Jti _Sc.PC~ c`C~''a/\
r ,g,~o„~~ 7 a corporation organized and existing under the laws
of the State of `GNa fG , and fully authorized to transact business in the State of
Texas, as Surety, are held and firmly bound unto the City of Denton, a municipal corporation
organized and existing under the laws of the State of Texas, hereinafter called Owner, and unto
all persons, firms, and corporations who may furnish materials for, or perform labor upon, the
building or improvements hereinafter referred to, m e penal sum of One Million One Hundred
Eighty Four Thousand Three Hundred and 0/1009)OLLARS $1 184 30 n lawful money of
the United States, to be paid in Denton, County, Texas, for the payment of which sum well and
truly to be made, we hereby bind ourselves, our heirs, executors, administrators, successors, and
assigns, jointly and severally, firmly by these presents. This Bond shall automatically be
increased by the amount of any Change Order or Supplemental Agreement which increases the
Contract price, but in no event shall a Change Order or Supplemental Agreement which reduces
the Contract price decrease the penal sum of this Bond.
THE OBLIGATION TO PAY SAME is conditioned as follows: Whereas, the Principal
entered into a certain Contract, identified by Ordinance Number 2009- 012 -w"i"th the City of
Denton, the Owner, dated the 6th day of Janu A.D. 2009;-"for RFSP 4206-
Denton Senior Center Renovations and Addition.
NOW, THEREFORE, if the Principal shall well, truly and faithfully perform its duties and make
prompt payment to all persons, firms, subcontractors, corporations and claimants supplying labor
and/or material in the prosecution of the Work provided for in said Contract and any and all duly
authorized modifications of said Contract that may hereafter be made, notice of which
modifications to the Surety being hereby expressly waived, then this obligation shall be void;
otherwise it shall remain in full force and effect.
PROVIDED FURTHER, that if any legal action be filed on this Bond, exclusive venue
shall lie in Denton County, Texas.
AND PROVIDED FURTHER, that the said Surety, for value received, hereby stipulates
and agrees that no change, extension of time, alteration or addition to the terms of the Contract,
or to the Work to be performed thereunder, or to the Plans, Specifications, Drawings, etc.,
accompanying the same, shall in anywise affect its obligation on this Bond, and it does hereby
waive notice of any such change, extension of time, alteration or addition to the terms of the
Contract, or to the Work to be performed thereunder, or to the Plans, Specifications, Drawings,
etc.
, 7 NJ
PB-3
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 surety, 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 four copies, each one of which
shall be deemed an original, this the _4~ day
ATTEST:
BY:
SECRETARY
BY:
PRINCIPAL
BY:
PRESIDE-NY
SURETY ✓
r ; c
BY: _
Y-IN-F CT
JEFFERY L TRENTHAM
The Resident Agent of the Surety in Denton County, Texas for delivery of notice and service of
the process is:
NAME:
L
STREET ADDRESS: eCZS~
41
7sc 77
(NOTE: Date of Payment Bond
must be
date of Contract.
If Resident Agent is not a
corporation, give a person's name.)
PB-4
WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
POWER OF ATTORNEY
TRAVELERS Farmington Casualty Company St. Paul Guardian Insurance Company
Fidelity and Guaranty Insurance Company St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company
Seaboard Surety Company Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
Attorney-In Fact No. 220679
Certificate No. 0 0 2 7 3 5 2 21
KNOW ALL MEN BY THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York, that St. Paul
Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the laws
of the State of Minnesota, that Farmington Casualty Company. Travelers Casualty and Surety Company, and~ravelercre s Casu~ln and Surety C nmoanv of Americe
corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty Company is a corporation duly organized under the
laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and
Guaranty Insurance Underwriters. Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies'), and that
the Companies do hereby make, con titute and appoint
Linda Spratt, Jeffery L. Trentham, Keith Montgomery, Steve Rose, and Michelle Tweddle
of the City of Dallas State of Texas their true and lawful Attomey(s)-in-Fact,
each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances. conditional undertakings and
other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or permitted>in any,actions or-proceedings allowed by law.
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IN WITNESS WHEREOF, the Companies have caused this ins t~>tlbe signed ndttheir)corporate seals to be hereto affixed, this 10th
day of December 2008 ~y~~~~a ~~,tC
Farmington Casualty Company' St. Paul Guardian Insurance Company
\ y Insurance Company
Fidelity and Guaranty Insurance Company, St. Paul Mercury Fidelity and Guaranty Insurance Underwri ers, Inc. Travelers Casualty and Surety Company
Seaboard Surety Company Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
C_noson(~,FE ~ 5t7~rTy F\FE 6 FAN IMSG p~ 1NSVq J~~lv ~y~ ®Rwle .92 7 S.4 _
:,i . f A!N
State of Connecticut
City of Hartford ss.
By:
Georg Thompson, tor 'ice President
On this the 10th day of December 2008, before me personally appeared George W. Thompson, who acknowledged himself
to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company. Fidelity and Guaranty Insurance Underwriters, Inc.,
Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company. St. Paul Mercury Insurance Company, Travelers
Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company. and that he, as such, being
authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
p,TlT
In Witness Whereof, 1 hereunto set my hand and official seal. ~
My Commission expires the 30th day of June, 2011.
p~~~ps
L/
`('n c~vw~► C .
Marie C. Tetreault. Notary Public
58440-5-07 Printed in U.S.A.
WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company. Fidelity
and Guaranty Insurance Company. Fidelity and Guaranty Insurance Underwriters. Inc.. Seaboard Surety Company. St. Paul Fire and Marine Insurance Company,
St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company. Travelers Casualty and Surety Company of
America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice
President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf
of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the
Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any
of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her: and it is
FURTHER RESOLVED, that the Chairman, the President. any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may
delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy
thereof is filed in the office of the Secretary: and it is
FURTHER RESOLVED. that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking
shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the
Company's seal by a Secretary or Assistant Secretary: or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power
prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority: and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President. any Vice President.
any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate
relating thereto appointing Resident Vice Presidents. Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and
undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be
valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the
Company in the future with respect to any bond or understanding to which it is attached.
I, Kori M. Johanson. the undersigned. Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company. Fidelity and Guaranty Insurance
Underwriters. Inc., Seaboard Surety Company. St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company. St. Paul Mercury Insurance
Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company-of,Amenca,\and United States Fidelity and Guaranty Company do hereby
certify that the above and foregoing is a true and correct copy of the Power-of Attorney-executed by satd'Comparties. which is in full force and effect and has not been
revoked.i l ~y\~
A 1Y
IN TESTIMONY WHEREOF. I have hereunto set my hand and affixed theseals of'sid Compan es this day of ^o-7 20 U~
v v
Kori M. Johans Assistant Secretary
GI.SIIq~ ~~p~, SUAEIy t\0.E 6 T0.1~..~NfG Y 1NSUq J'~TY A,yO 1P ~f ON
EASSAL To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney-In-Fact number, the
above-named individuals and the details of the bond to which the power is attached.
WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
IMPORTANT NOTICE
To obtain information or make a complaint
You may call Travelers Casualty and Surety Company of America and its affiliates' toll-
free telephone number for information or to make a complaint at
1-800.328.2189
You may contact the Texas Department of Insurance to obta in information on
companies, coverages, rights or complaints at
1-800.252.3439
You may write the. Texas Department of Insurance:
P. 0. Box 149104
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: httD:/lwww.tdi.state.tx.us
E-mail: ConsumerProtecbon(a)tdi.state.tx.us
RE--MWM-0R-C Dk M-BtSPtf~E~.
Should you have a dispute concerning your premium or about a claim you should
contact your Agent or Travelers first If the dispute is not resolved, you may contact the
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR BOND:
This notice is for information only and does not be come a part or condition of the
attached document and is given to comply with Texas legal and regulatory requirements.
(PN-042-B) Ed. 10.16.07
CITY OF DENTON
INSURANCE REQUIREMENTS FOR CONTRACTORS
Bidder's attention is directed to the insurance requirements below. It is highly recommended
that bidders confer with their respective insurance carriers or brokers to determine in advance
of Bid submission the availability of insurance certificates and endorsements as prescribed
and provided herein. If an apparent low bidder fails to comply strictly with the insurance
requirements, that bidder may be disqualified from award of the contract. Upon bid award, all
insurance requirements shall become contractual obligations, which the successful bidder
shall have a duty to maintain throughout the course of this contract.
STANDARD PROVISIONS:
Without limiting any of the other obligations or liabilities of the Contractor, the Contractor shall
provide and maintain until the contracted work has been completed and accepted by the City of
Denton, Owner, the minimum insurance coverage as indicated hereinafter.
As soon as practicable after notification of bid award, Contractor shall file with the Purchasing
Department satisfactory certificates of insurance, containing the bid number and title of the
project. Contractor may, upon written request to the Purchasing Department, ask for
clarification of any insurance requirements at any time; however, Contractors are strongly
advised to make such requests prior to bid opening, since the insurance requirements may not be
modified or waived after bid opening unless a written exception has been submitted with the bid.
Contractor shall not commence any work or deliver any material until he or she receives
notification that the contract has been accepted, approved, and signed by the City of Denton.
All insurance policies proposed or obtained in satisfaction of these requirements shall comply
with the following general specifications, and shall be maintained in compliance with these
general specifications throughout the duration of the Contract, or longer, if so noted:
• Each policy shall be issued by a company authorized to do business in the State of
Texas with an A.M. Best Company rating of at least A.
• Any deductibles or self-insured retentions shall be declared in the bid proposal. If
requested by the City, the insurer shall reduce or eliminate such deductibles or
self-insured retentions with respect to the City, its officials, agents, employees and
volunteers; or, the contractor shall procure a bond guaranteeing payment of losses and
related investigations, claim administration and defense expenses.
• Liability policies shall be endorsed to provide the following:
• Name as additional insured the City of Denton, its Officials, Agents,
Employees and volunteers.
CI-9
• That such insurance is primary to any other insurance available to the
additional insured with respect to claims covered under the policy and that this
insurance applies separately to each insured against whom claim is made or
suit is brought. The inclusion of more than one insured shall not operate to
increase the insurer's limit of liability.
• Cancellation: The City requires 30 day written notice should any of the
policies described on the certificate be cancelled or materially changed
before the expiration date.
• Should any of the required insurance be provided under a claims-made form,
Contractor shall maintain such coverage continuously throughout the term of
this contract and, without lapse, for a period of three years beyond the contract
expiration, such that occurrences arising during the contract term which give
rise to claims made after expiration of the contract shall be covered.
• Should any of the required insurance be provided under a form of coverage that
includes a general annual aggregate limit providing for claims investigation or
legal defense costs to be included in the general annual aggregate limit, the
Contractor shall either double the occurrence limits or obtain Owners and
Contractors Protective Liability Insurance.
• Should any required insurance lapse during the contract term, requests for
payments originating after such lapse shall not be processed until the City
receives satisfactory evidence of reinstated coverage as required by this contract,
effective as of the lapse date. If insurance is not reinstated, City may, at its sole
option, terminate this agreement effective on the date of the lapse.
CI - 10
SPECIFIC ADDITIONAL INSURANCE REQUIREMENTS:
All insurance policies proposed or obtained in satisfaction of this Contract shall additionally
comply with the following marked specifications, and shall be maintained in compliance with
these additional specifications throughout the duration of the Contract, or longer, if so noted.
[X ] A. General Liability Insurance:
General Liability insurance with combined single limits of not less than
$1,000,000.00shall 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 Property Damage Liability for premises, operations, products
and completed operations, independent contractors and property damage
resulting from explosion, collapse or underground (XCU) exposures.
Broad form contractual liability (preferably by endorsement) covering this
contract, personal injury liability and broad form property damage liability.
[X] Automobile Liability Insurance:
Contractor shall provide Commercial Automobile Liability insurance with Combined Single
Limits (CSL) of not less than $500,000.00 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 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.
CI - 11
[X] Workers Compensation Insurance
Contractor shall purchase and maintain Worker's Compensation insurance which, in addition
to meeting the minimum statutory requirements for issuance of such insurance, has
Employer's Liability limits of at least $100,000 for each accident, $100,000 per each
employee, and a $500,000 policy limit for occupational disease. The City need not be
named as an "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 Worker's 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 combined bodily
injury and property damage per occurrence with a aggregate.
[ ] Fire Damage Legal Liability 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 Liability Insurance
Professional liability insurance with limits not less than per claim with
respect to negligent acts, errors or omissions in connection with professional services is
required under this Agreement.
[ ] 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.
CI - 12
[ ] Commercial Crime
Provides coverage for the theft or disappearance of cash or checks, robbery inside/outside
the premises, burglary of the premises, and employee fidelity. The employee fidelity
portion of this coverage should be written on a "blanket" basis to cover all employees,
including new hires. This type insurance should be required if the contractor has access to
City funds. Limits of not less than each occurrence are required.
[ ] Additional Insurance
Other insurance may be required on an individual basis for extra hazardous contracts and
specific service agreements. If such additional insurance is required for a specific contract,
that requirement will be described in the "Specific Conditions" of the contract specifications.
Cl - 13
ATTACHMENT 1
[X] Worker's Compensation Coverage for Building or Construction Projects for
Governmental Entities
A. Definitions:
Certificate of coverage ("certificate")-A copy of a certificate of insurance, a certificate
of authority to self-insure issued by the commission, or a coverage agreement (TWCC-
81, TWCC-82, TWCC-83, or TWCC-84), showing statutory workers' compensation
insurance coverage for the person's or entity's employees providing services on a
project, for the duration of the project.
Duration of the project - includes the time from the beginning of the work on the project
until the contractor's/person's work on the project has been completed and accepted by
the governmental entity.
Persons providing services on the project ("subcontractor" in §406.096) - includes all
persons or entities performing all or part of the services the contractor has undertaken to
perform on the project, regardless of whether that person contracted directly with the
contractor and regardless of whether that person has employees. This includes, without
limitation, independent contractors, subcontractors, leasing companies, motor carriers,
owner-operators, employees of any such entity, or employees of any entity which
furnishes persons to provide services on the project. "Services" include, without
limitation, providing, hauling, or delivering equipment or materials, or providing labor,
transportation, or other service related to a project. "Services" does not include
activities unrelated to the project, such as food/beverage vendors, office supply
deliveries, and delivery of portable toilets.
B. The contractor shall provide coverage, based on proper reporting of classification codes
and payroll amounts and filing of any overage agreements, which meets the statutory
requirements of Texas Labor Code, Section 401.011(44) for all employees of the
Contractor providing services on the project, for the duration of the project.
C. The Contractor must provide a certificate of coverage to the governmental entity prior to
being awarded the contract.
D. If the coverage period shown on the contractor's current certificate of coverage ends
during the duration of the project, the contractor must, prior to the end of the coverage
period, file a new certificate of coverage with the governmental entity showing that
coverage has been extended.
E. The contractor shall obtain from each person providing services on a project, and
provide to the governmental entity:
Cl - 14
1) a certificate of coverage, prior to that person beginning work on the project, so the
governmental entity will have on file certificates of coverage showing coverage for
all persons providing services on the project; and
2) no later than seven days after receipt by the contractor, a new certificate of coverage
showing extension of coverage, if the coverage period shown on the current
certificate of coverage ends during the duration of the project.
F. The contractor shall retain all required certificates of coverage for the duration of the
project and for one year thereafter.
G. The contractor shall notify the governmental entity in writing by certified mail or
personal delivery, within 10 days after the contractor knew or should have known, of
any change that materially affects the provision of coverage of any person providing
services on the project.
H. The contractor shall post on each project site a notice, in the text, form and manner
prescribed by the Texas Workers' Compensation Commission, informing all persons
providing services on the project that they are required to be covered, and stating how a
person may verify coverage and report lack of coverage.
1. The contractor shall contractually require each person with whom it contracts to provide
services on a project, to:
1) provide coverage, based on proper reporting of classification codes and payroll
amounts and filing of any coverage agreements, which meets the statutory
requirements of Texas Labor Code, Section 401.011(44) for all of its employees
providing services on the project, for the duration of the project;
2) provide to the contractor, prior to that person beginning work on the project, a
certificate of coverage showing that coverage is being provided for all employees of
the person providing services on the project, for the duration of the project;
3) provide the contractor, prior to the end of the coverage period, a new certificate of
coverage showing extension of coverage, if the coverage period shown on the current
certificate of coverage ends during the duration of the project;
4) obtain from each other person with whom it contracts, and provide to the contractor:
a) certificate of coverage, prior to the other person beginning work on the project;
and
b) a new certificate of coverage showing extension of coverage, prior to the end of
the coverage period, if the coverage period shown on the current certificate of
coverage ends during the duration of the project;
CI - 15
5) retain all required certificates of coverage on file for the duration of the project and
for one year thereafter;
6) notify the governmental entity in writing by certified mail or personal delivery,
within 10 days after the person knew or should have known, of any change that
materially affects the provision of coverage of any person providing services on the
project; and
7) contractually require each person with whom it contracts, to perform as required by
paragraphs (1) - (7), with the certificates of coverage to be provided to the person for
whom they are providing services.
J. By signing this contract or providing or causing to be provided a certificate of coverage,
the contractor is representing to the governmental 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 project, that the coverage will be based on
proper reporting of classification codes and payroll amounts, and that all coverage
agreements will be filed with the appropriate insurance carrier or, in the case of a self-
insured, with the commission's Division 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 contractor's failure to comply with any of these provisions is a breach of contract by
the contractor which entitles the governmental entity to declare the contract void if the
contractor does not remedy the breach within ten days after receipt of notice of breach
from the governmental entity.
Cl - 16
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor or other person doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 1491, 80th Leg., Regular Session.
OFFICE USE ONLY
This questionnaire is being filed in accordance with chapter 176 of the Local Government Code by a
Date Received
person doing business with the governmental entity.
By law this questionnaire must be filed with the records administrator of the local government 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 violates Section 176.006, Local Government Code. An
offense under this section is a Class C misdemeanor.
1 Name of person who has a business relationship with local governmental entity
.
Paul Williamson (Brother in law)
940-349-8921 Works for the City of Denton Engineering Dept.
2
❑ Check this box if you are filing an update to a previously filed questionnaire.
(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 questionnaire becomes incomplete or inaccurate.)
ffName of local government officer with whom filer has an employment or business relationship.
Name of Officer
This section, (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?
0 N
Y
es
o
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 this section AND the taxable income is not received from the local governmental entity?
E-] Yes 0 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?
0
Y
es
No
D. Describe each affiliation or business relationship.
4
.4,,AJ1,f J,14
I 9~
Signature of person doing business with the governmental entity Date
CIQ - I
Adopted 06292007
SECTION 00400 - COMPETITIVE SEALED PROPOSAL FORM
PROJECT: CITY OF DENTON SENIOR CENTER
CONTRACTOR: H.C.I. General Contractors, Inc.
The undersigned proposer does hereby declare and stipulate that this proposal is made in good
faith, without collusion or connection with any other person or persons proposing for the same
work, -and that it is made in pursuance of and subject to all the terms and conditions of the
advertisements, proposal requirements; -the proposed construction contract, and the contract
documents, including the plans pertaining to the work to be done, all of which have been
examined by the undersigned. The undersigned hereby declares that he has visited the site, has
had sufficient time to make all tests and investigations to arrive at an intelligent estimate of the
cost of doing the work, and has carefully examined the plans, specifications, and contract
documents relating to the work covered by his proposal, and that he agrees to do. the work, and
that no representation made by the city are in any sense a warranty, but are mere estimates for
guidance of the contractor:
The undersigned further agrees that he will provide all necessary tools and apparatus, do all
work, furnish all materials, and do everything. required to carry out the work covered by this
.proposal, in strict accordance with the contract documents, and the requirements pertaining
thereto, for the sum of sums :set forth.
TIME AND PLACE OF RECEIVING PROPOSALS: Seated-proposals in conformity with
the Proposal Procedures for the project will be received in the City of Denton Purchasing
Department located at'901-B Texas Street, Denton, Texas 76209 unti12:00 P:AL on TUESDAY,
NOVEMBER 25, 2008.
A non-mandatory Pre-Proposal Conference-will occur at 10:.00 AM on November 11, 20.08 at the
Denton Senior Center, 509N. Bell Ave., Denton, Texas 76209 (940)_349-8720.
PROJECT DESCRIPTION: Renovation and expansion of the existing Denton Senior-Center
and associated: sitework as shown in the contract documents.
LOCATION OF PROJECT:
City of Denton Senior Center
509 N. Bell Ave.
Denton, Texas 76209
DENTON SENIOR CENTER - 100% CD 00400 - 1
OCTOBER 23; 2008 27169.00 COMPETITIVE SEALED PROPOSAL FORM
BONDS: Within ten days, the contractor will deliver the Contract and Performance and Payment
Bonds as required in the specifications. The name and address of the corporate surety with
which the proposer proposes to fii nish the specific Performance and Payment bond is as :follows:
Full Surety Company Name: Travelers Casualty and Surety Company of America
Address: One Tower square 3PB, Hartford CT 06183
Name of Representative:. Compass Insurance - Jeff_ Trentham
Telephone:. 972-231-3600
Fax: 972 -231-3306
TEME OF COMPLETION: The issuance of a Notice to Proceed (NTP) requires the
undersigned to commence work under this contract not later than tea (10) days thereafter and to
complete such. work within the overall time and construction phases described in Specification
Section 00100 Summary. The anticipated NTP is approximately January 9, 2008.
Proposer shall indicate if they accept the specified construction duration. or may show below a.
shorter duration period:
Two Hundred and Ninety (290)
Calendar Da
LIQUIDATED DAMAGES: The time of dOmPletion is-the essence of this contract. For each
calendar day that any work shall remain uncompleted after the time specified in the proposal and
the contractor the increased time granted by the owner, or as equitably increased by additional
work or materials ordered after the contract is signed, the sum of $500 per calendar day, unless
otherwise specified in the special provisions;. shall be deducted from the monies due the
Contractor. The. sum of money thus deducted for suchdelay, failure-or nonc:ompletion is not to
be considered as a penalty, but shall be deemed, taken and treated as reasonable liquidated
damages, per calendar day that the Contractor shall be in. default after the time stipulated in the
contract for completing the. work. The said amounts are fixed and agreed upon by and between
Owner and Contractor because of the impracticability - and extreme difficulty of fixing and
ascertaining the actual damages the Owner in such event would sustain; and said amounts are
agreed to be the amount of damages which the Owner would sustain and which shall be retained
from the monies due, or that may become due, the Contractor under this contract;and if said
monies: be insufficient to cover the amount owing, then the Contractor or his surety shall pay any
additional amounts due.
LUMP SUM PROPOSAL: This is a lump sum proposal. The prices in the lump sum proposal
.shall include all labor, equipment, materials, services, transportation, shoring, removal, de-
watering, overhead, profit, insurance, bonding, etc.; to cover the completed work in place.
DENTON SENIOR CENTER - 100%o CD 00400 - 2
OCTOBER 23, 2008 27169.00 COMPETITIVE SEALED PROPOSAL FORM
CONSTRUCTION ALLOWANCE: The construction allowance item shall only be used at the
discretion of the owner. It is intended to provide a means of payment for specific unanticipated
or unforeseen work items for which no pay item is provided. Generally, these items will be
minor in nature, are within the scope of the project, and comply with the intent of the plans. and
contract documents, however no specific pay item exists as a means of compensation to the
contractor. No .portion of the construction .allowance shall be paid to the contractor nor shall any
extra work be performed by the contractor without authorization from the owner. The owner
shall retain all construction allowance monies not used by the owner during the construction of
the project.
BASE PROPOSAL
Base Proposal for the Stipulated Lump Sum of $ D D
Owner's Contingency Allowance ADD $ 50 000.00
Base Proposal + Owner's Contingency Allowance $
One Million
Dollars
PROPOSAL ALTERNATES
For your consideration, we. quote the following Proposal Alternates:
Alternate No. i
Resurface existing asphalt parking lot as shown ADDS
on sheet 1/C1.1 (FULL 6")
45,000.00
Alternate No. -2:
Altemate.No., 3:
Alternate No. 4:
Alternate No. 5.
All painting and other work shown in Phase/ 4. ADD $
Reference sheet A0.1.
23,400.00
Re-tile the existing Restrooms 116 and 117 as ADD $ 11, 500 00
shown on sheet 1/A4.5.
Provide a new public.addi=ess system: throughout ADD $ o;7 DDD, Db
the building.
Exhaust system in Wood Shop as shown on ADDS p D
the MEP drawings
Alternate No. 6: Electrical and pneumatic pull-down cords in ADD $ (p O
Wood Shop as shown on the MEP drawings.
DENTON SENIOR CENTER - 1000/, CD 00400 - 3
OCTOBER 23, 2008 27169.00 COMPETITIVE SEALED PROPOSAL FORM
UNIT PRICES: It is fitter agreed that the quantities of work to be done and materials to be
furnished as described below may increased .or decreased as necessary due to existing site
conditions and. that all quantities of work, whether increased or decreased, shall be performed at
the unit prices set forth below. All labor, materials and equipment required to construct this
portion of the project shall be included in the unit prices.
A. '18" Diameter Piers
ADD
DEDUCT
$ 31.00 /1. Xt.
. LM
'B. 1.8" .Diameter Pier Casings $ 33.00 /Lin.Ft.
C. Parking Lot Asphalt $ 5.00 /Sq, Ft.
Resurfacing
$ 10.00 /Lin.Ft.
$ N/A Ain Ft..
$ 4.00 /Sq. Ft.
ADDENDA: The undersigned hereby acknowledges receipt of the following addenda to the
Drawings and Specifications, all of the provisions and requirements of which.addenda have been
taken into consideration in the preparation of this Proposal.
Addendum No. 1 Dated 11-11-08
Addendum No. . 2 .Dated 11-19-08
Addendum No. Dated
PROPOSAL QUESTIONAIRE: The undersigned shall submit with. this Proposal Form. and
completed Proposal Questionnaire.
DENTON SENIOR CENTER. - 100% CD 00400 - 4
OCTOBER 23, 2008 27169.00 COMPETITIVE SEALED PROPOSAL FORM
Respectfully Submitted,
H.C.I. General Contractors, Inc.
Legal Name of Proposer Firm or Corporation
703 McKinney, SUite 308
Street Address
Dallas, Texas 75202
City, State Zip
214-871 -9746
Telephone
214-871 -9749
Fax
hcigeneral@sbcglobal.net
E-Mail
WITNESS:
Andra Morphew
N Witn (Panted or Typed)'
Signature
703 McKinney Suite 308
Address
Dallas. Texas 75202
Affix Seal of Corporation
(if Proposer is a Corporation)
Texas
State of Incorporation
75-226 174
Tax ID Number
OR
Social Security, Number
Nam of YedorPrinted)
Signature of Officer
President
Title of Officer
11-25-08
Date
City, State Zip
11 -2 5 -0 8
Date
NOTE: Fill in with ink or type and submit complete with attached papers.
END OF SECTION 00400
DENTON SENIOR CENTER - 100% CD
OCTOBER 23; 2008 27169,00 00400-5
COMPETITIVE SEALED PROPOSAL FORM
Client: 1528
HCIGENE
AWRU. CERTIFICATE OF LIABILITY INSURANCE
0113, 09 '
PRODUCER
Ward & Moore Ins. Services LP
Three Forest Plaza
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
12221 Merit Dr., Suite 1010
Dallas, TX 75251
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURERA- Central Insurance Companies
H.C.I. General Contractors, Inc.
INSURER B: Texas Mutual Insurance Company
703 McKinney, Suite 308, LB 112
10
INSURER
C:
Dallas, TX 75202 1
INSURER D:
JJJ
INSURER 1=
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
NSR
TYPE OF INSURAN
POLICY NUMB
POLICY EFFECTIVE
DATE (MMIDDfM
POLICY EXPIRATION
DATE M/DD
LIMITS
A
GENERAL LJABIUTY
CLP7964261
05110108
05110109
EACH OCCURRENCE
S1000000
X
COMMERCIAL GENERAL LIABILITY
D
PRE ISES(Eaoccurremce) AMAGE TO RENTED
S300,000
1 CLAIMS MADE 5~ OCCUR.
MED EXP (Any one person)
s5,000
X
PD Ded:500
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
S2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
PRODUCTS - COMP/OP AGG
s2,000,000
POLICY PC-CT LOC
A
AUTOMOBILE uAB
BAP7964260
05110108
OS170/09
COMBINED SINGLE LIMIT
i
51
000
000
X ANY AUTO
dent)
(Ea acc
,
,
ALL OWNED AUTOS
BODILY FURY
SCHEDULED AUTOS
(Per person)
$
X
HIRED AUTOS
BODILY INJURY
X
NON-OWNED AUTOS
(Per accident)
S
PROPERTY DAMAGE
(Per accident)
S
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
S
AUTO ONLY: AGG
S
A
EXCESSfUMBRELLA LIABILITY
CXS7964262
05/10/08
05110109
EACH OCCURRENCE
S4,000,000
X OCCUR CLAIMS MADE
AGGREGATE
S4,000,000
S
DEDUCTIBLE
5
RETENTION S
$
B
WORKERS COMPENSATION AND
TSF0001116571 ✓
05110108
05110109--'-
X vvc STATU- OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$1,000,000
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE • EA EMPLOYE
$1,000,000
If yes
SPECIAL describe under PROVISIONS beihw
E.L. DISEASE-POLICY LIMIT
51,000,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Re: RFSP#4206 Denton Senior Center Renovations and Addition ✓
Ci of Denton, it Officials, Agents, Employees and Volunteers are named
as Additional insured on a erimary_ basis_otI General & Auto Liability
coverage with r of Subrogation on General Liability, Auto Liability
(See Attached Descriptions)
City of Denton
9016 Texas Street
Denton, TX 76209
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In ~'~AYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER FLAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY IUND UPON THE INSURER, ITS AGENTS OR
AGORD 25 (2001108) 1 of 3 #M31346 TPG O AGURU GURPURATION 195$
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25S (2001108) 2 of 3 #M31346
DESCRIPTIONS (Continued from Page 1)
and Workers Compensation coverage if required by written contract
30 Day Notice of Cancellation except 10 days for nonpayment of premium
AM5 25.3 (2001108) 3 of 3 #M31346
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