2006-227
ORDINANCE NO. 2,106- 2 2 'i
AN ORDINANCE ACCEPTING COMPETITIVE BIDS AND A WARDING A CONTRACT FOR
THE PURCHASE OF NATATORIUM MEDIUM PRESSURE ULTRAVIOLET LIGHT
DISINFECTION SYSTEM; PROVIDING FOR THE EXPENDITURE OF FUNDS THEREFOR;
AND PROVIDING AN EFFECTIVE DATE (BID 3539-NATATORIUM MEDIUM PRESSURE
ULTRAVIOLET LIGHT DISINFECTION SYSTEM AWARDED TO TEXAS AQUATIC
SUPPLY, INC. IN THE AMOUNT OF $52,700).
WHEREAS, the City has solicited, received and tabulated competitive bids for the purchase
of necessary materials, equipment, supplies or services in accordance with the procedures of State
law and City ordinances; and
WHEREAS, the City Manager or a designated employee has reviewed and recommended that
the herein described bids are the lowest responsible bids for the materials, equipment, supplies or
services as shown in the "Bid Proposals" submitted therefore; 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, THEREFOR,
THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS:
SECTION I. The numbered items 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,
are hereby accepted and approved as being the lowest responsible bids for such items:
BID
NUMBER
VENDOR
AMOUNT
3539
Texas Aquatic Supply, Inc.
$52,700
SECTION 2. By the acceptance and approval of the above numbered items of the submitted
bids, the City accepts the offer of the persons submitting the bids for such items and agrees to pur-
chase 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 3. Should the City and the winning bidder(s) wish to enter into a formal written
agreement as a result of the acceptance, approval, and awarding of the bids, the City Manager or his
designated representative is hereby authorized to execute a written contract in accordance with the
terms, conditions, specifications, standards, quantities and specified sums contained in the Bid
Proposal and related documents and to extend that contract as determined to be advantageous to the
City of Denton.
SECTION 4. 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 5. This ordinance shall become effective immediately upon its passage and
approval.
PASSED AND APPROVED this //;'!fzday of tJ./A' fid , 2006.
~~;~~YoR
ATTEST:
JENNIFER WALTERS, CITY SECRETARY
BY: (jtlJl1 ill t!lJ1tiJJ!t" !Ju;t
APPROVED AS TO LEGAL FORM:
EDWIN M. SNYDER, CITY ATTORNEY
~
BY:
3-0RD-BID 3539
CONTRACT BY AND BETWEEN
CITY OF DENTON, TEXAS AND
BID NO. 3539
THIS CONTRACT is made and entered into by and between DL Smith and Associates.
Inc.. dba Texas Aquatic Supply. Inc. a corporation, whose address is P.O. Box
703567. Dallas. Texas 75370-3507, hereinafter referred to as "Contractor," and the CITY OF
DENTON, TEXAS, a home rule municipal corporation, hereinafter referred to as "City," to be
effective upon approval of the Denton City Council and subsequent execution of this Contract by
the Denton City Manager or his duly authorized designee.
For and in consideration of the covenants and agreements contained herein, and for the
mutual benefits to be obtained hereby, the parties agree as follows:
I.
SCOPE OF SERVICES
Contractor shall provide all labor, supervision, materials and equipment necessary for
Natatorium Medium Pressure Ultraviolet Light Disinfection System. These products and
services shall be provided in accordance with the Specifications for Bid #3539-Natatorium
Medium Pressure Ultraviolet Light Disinfection Svstem, a copy of which is attached hereto and
incorporated herein as Exhibit "A" (or on file in the office of the Purchasing Agent), and the
Contractor's Bid in response thereto, a copy of which is attached hereto and incorporated herein
for all purposes as Exhibit "B". The Contract consists of this written agreement and the
following items which are attached hereto and incorporated herein by reference:
(a) Specifications for Bid #3539 Natatorium Medium Pressure Ultraviolet Light
Disinfection Svstem ;(Exhibit "A" or on file in the office of the Purchasing
Agent).
(b) Contractor's Bid. (Exhibit "B");
(c) Insurance Requirements. (Exhibit "C");
(d) Form crQ - Conflict of Interest Questionnaire (Exhibit "D").
These documents make up the Contract documents and what is called for by one shall be
as binding as if called for by all. In the event of an inconsistency or conflict in any of the
provisions of the Contract documents, the inconsistency or conflict shall be resolved by giving
precedence first to the written agreement then to the contract documents in the order in which
they are listed above. These documents shall be referred to collectively as "Contract
Documents."
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II.
TIME OF COMPLETION
Contractor agrees and covenants that all work hereunder shall be complete within
( ) days following notice to proceed from City.
Or
III.
TERM OF CONTRACT
The initial term of this Contract shall be through completion and acceptance of the project.
IV.
WARRANTY
Contractor warrants and covenants to City that all goods and services provided by
Contractor, Contractor's subcontractors, and agents under the Agreement shall be free of defects
and produced and performed in a skillful and workmanlike manner and shall comply with the
specifications for said goods and services as set forth in this Agreement and the Bid
Specifications attached hereto and incorporated herein as Exhibit "A"(or on file in the office of
the Purchasing Agent). Contractor warrants that the goods and services provided to City under
this Agreement shall be free from defects in material and workmanship, for a period of one (1)
year commencing on the date that City issues final written acceptance of the project.
V.
PAYMENT
Payments hereunder shall be made to Contractor following city's acceptance of the work
and within thirty (30) days of receiving Contractor's invoice for the products and services
delivered. Total compensation under this contract shall not exceed the sum of $52.700.
Contractor recognizes that this Contract shall commence upon the effective date herein
and continue in full force and effect until termination in accordance with its provisions.
Contractor and City herein recognize that the continuation of any contract after the close of any
given fiscal year of the City of Denton, which fiscal year ends on September 30th of each year,
shall be subject to Denton City Council approval. In the event that the Denton City Council does
not approve the appropriation of funds for this contract, the Contract shall terminate at the end of
the fiscal year for which funds were appropriated and the parties shall have no further obligations
hereunder.
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VI.
PROTECTION AGAINST ACCIDENT TO EMPLOYEES AND THE PUBLIC
Contractor shall at all times exercise reasonable precautions for the safety of employees
and others on or near the work and shall comply with all applicable provisions of Federal, State,
and Municipal safety laws. The safety precautions actually taken and the adequacy thereof shall
be the sole responsibility of the Contractor. Contractor shall indemnify City for any and all losses
arising out of or related to a breach of this duty by Contractor pursuant to paragraph VIII.
INDEMNIFICATION and paragraph IX. COMPLIANCE WITH APPLICABLE LAWS set
forth herein.
VII.
LOSSES FROM NATURAL CAUSES
Unless otherwise specified, all loss or damage to Contractor arising out of the nature of
the work to be done, or from the action of the elements, or from any unforeseen circumstances in
the prosecution of the same, or from unusual obstructions or difficulties which may be
encountered in the prosecution of the work, shall be sustained and borne by the Contractor at its
own cost and expense.
VIII.
INDEMNIFICATION
Contractor shall release, defend, indemnify and hold the City, its elected officials, officers
and employees harmless from and against all claims, damages, injuries (including death),
property damages (including loss of use), losses, demands, suits, judgments and costs, including
attorney's fees and expenses, in any way arising out of, related to, or resulting from the services
provided by Contractor under this Agreement or caused by the negligent act or omission or the
intentional act or omission of Contractor, its officers, agents, employees, subcontractors,
licensees, invitees or any other third parties for whom Contractor is legally responsible
(hereinafter "Claims"). Contractor is expressly required to defend City against all such Claims.
In the event the City is a named party to a suit arising out of the subject matter of this
Contract, the City shall have reasonable input into the selection of defense counsel to be retained
by Contractor in fulfilling its obligation hereunder to defend and indemnify City. City reserves
the right to provide a portion or all of its own defense; however, City is under no obligation to do
so. Any such action by City is not to be construed as a waiver of Contractor's obligation to
defend City or as a waiver of Contractor's obligation to indemnify City pursuant to this Contract.
Contractor shall retain defense counsel within seven (7) business days of City's written notice
that City is invoking its right to indemnification under this Contract. If Contractor fails to retain
counsel within such time period, City shall have the right to retain defense counsel on its own
behalf, and Contractor shall be liable for all costs incurred by City.
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IX.
COMPLIANCE WITH APPLICABLE LAWS
Contractor shall at all times observe and comply with all Federal, State and local laws,
ordinances and regulations including all amendments and revisions thereto, which in any manner
affect Contractor or the work, and shall indemnify and save harmless City against any claim
related to or arising from the violation of any snch laws, ordinances and regulations
whether by Contractor, its employees, officers, agents, subcontractors, or representatives.
If Contractor observes that the work is at variance therewith, Contractor shall promptly notify
City in writing.
X.
VENUE
The laws of the State of Texas shall govern the interpretation, validity, performance and
enforcement of this Contract. The parties agree that this Contract is performable in Denton
County, Texas, and that exclusive venue shall lie in Denton County, Texas.
XI.
ASSIGNMENT AND SUBLETTING
Contractor agrees to retain control and to give full attention to the fulfillment of this
Contract, that this Contract shall not be assigned or sublet without the prior written consent of
City, and that no part or feature of the work will be sublet to anyone objectionable to City.
Contractor further agrees that the subletting of any portion or feature of the work, or materials
required in the performance of this Contract, shall not relieve Contractor from its full obligations
to City as provided by this Contract.
XII.
INDEPENDENT CONTRACTOR
Contractor covenants and agrees that Contractor is an independent contractor and not an
officer, agent, servant or employee of City; that Contractor shall have exclusive control of and
exclusive right to control the details of the work performed hereunder and all persons performing
same, and shall be responsible for the acts and omissions of its officers, agents, employees,
contractors, subcontractors and consultants; that the doctrine of respondeat superior shall not
apply as between City and Contractor, its officers, agents, employees, contractors, subcontractors
and consultants, and nothing herein shall be construed as creating a partnership or joint enterprise
between City and Contractor.
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XIII.
INSURANCE AND CERTIFICATES OF INSURANCE
Contractor shall procure and maintain for the duration of the contract insurance coverage
as set forth in the Insurance Requirements marked Exhibit "C" attached hereto and incorporated
herein by reference. Contractor shall provide a signed insurance certificate verifYing that they
have obtained the required insurance coverage prior to the effective date of this Contract.
XIV.
HINDRANCES AND DELAYS
No claims shall be made by Contractor for damages resulting from hindrances or delays
from any cause during the progress of any portion of the work embraced in this Contract.
XV.
AFFIDAVIT OF NO PROHIBITED INTEREST
Contractor acknowledges and represents it is aware of all applicable laws, City Charter,
and City Code of Conduct regarding prohibited interests and that the existence of a prohibited
interest at any time will render the Contract voidable. Contractor has executed the Affidavit of
No Prohibited Interest, attached and incorporated herein as Exhibit "D".
XVI.
SEVERABILITY
The provisions of this Contract are severable. If any paragraph, section, subdivision,
sentence, clause, or phrase of this Contract is for any reason held to be contrary to the law or
contrary to any rule or regulation having the force and effect of the law, such decisions shall not
affect the remaining portions of the Contract. However, upon the occurrence of such event,
either party may terminate this Contract by giving the other party thirty (30) days written notice.
XVII.
TERMINATION
City may, at its option, with or without cause, and without penalty or prejudice to any
other remedy it may be entitled to at law, or in equity or otherwise under this Contract, terminate
further work under this contract, in whole or in part by giving at least thirty (30) days prior
written notice thereof to Contractor with the understanding that all services being terminated
shall cease upon the date such notice is received.
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XVIII.
ENTIRE AGREEMENT
This Contract and its attachments embody the entire agreement between the parties and
may only be modified in writing if executed by both parties.
XIX.
CONTRACT INTERPRETATION
Although this Contract is drafted by City, should any part be in dispute, the parties agree
that the Contract shall not be construed more favorably for either party.
XX.
SUCCESSORS AND ASSIGNS
This Contract shall be binding' upon the parties hereto, their successors, heirs, personal
representatives and assigns.
XXI.
HEADINGS
The headings of this Contract are for the convenience of reference only and shall not
affect in any manner any of the terms and conditions hereof.
IN WITNESS WHEREOF, the parties have executed this Contract by signing below.
~'i-P.S Aq Ua.t\ c. 509P l1-
By: co~
Name: 17A-V 1"0 L - .I fI4,'T/.(
Title: poIUir. ns-,YT- [era
8(rfl0b
Date:
CITY OF DENTON, TEXAS ~
Date:
q!Blo~
By:
i~)
CITY MANAGER
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ATTEST:
JENNIFER WALTERS, CITY SECRETARY
BY: qam t(11/iJ( ;/-Inl.'1 aut
I
BY:
ACKNOWLEDGMENTS
STATE OF TEXAS ~
~
COUNTY OF DENTON ~
This instrument was acknowledged before me on the lf1J'ay of /Jv{Afi S r
2006 by Do... lId L. Sry.;,+n , -lQxll-s, AeJua:n'L. <it
. <) l~' "\ . a :{OIlIlD , corporation, on behalf of said corporation.
Ie
,..~ WWWII I
.cv - w:...
......, It. _ ,
d~~' (;U'\WaYW)
Notary Pic, tate of Texas
STATE OF TEXAS ~
~
COUNTY OF DENTON ~
This instrument was acknowledged before me on the ~ day of ~..-tP .P.." -'-
2006 by fH W/r;r.,O /?'J.4-t 7T~ , City Manager of the CITY OF D NTON, TEXAS,
a home-rule municipal corporation, on behalf of said corporation.
LINDA HOLLEY
Notary Public, State of Texas
My Commission Expires
December 08, 2009
~~o~~
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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 ofthis 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.
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. 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 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.
. All policies shall be endorsed to read:
"SAID POLICY SHALL NOT BE CANCELLED, NONRENEWED OR
MA TERIALL Y CHANGE WITHOUT 30 DA YS ADVANCED WRITTEN NOTICE
BEING GIVEN TO THE OWNER (CITY) EXCEPT WHEN THE POLICY IS BEING
CANCELLED FOR NONPAYMENT OF PREMIUM IN WHICH CASE 10 DAYS
ADVANCE WRITTEN NOTICE IS REQUIRED".
. 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.
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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:
[Xl A. General Liability Insurance:
General Liability insurance with combined single limits of not less than
~500.000 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.
. 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.
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 $300,000 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 in conjunction with this contract.
Satisfaction of the above requirement shall be in the form of a policy endorsement
for:
. any auto, or
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. all owned, hired and non-owned autos.
[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.
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[ ] 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.
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ATTACHMENT 1
[Xl 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 S406.096) -
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.
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E. The contractor shall obtain from each person providing services on
a project, and provide to the governmental entity:
1. a certificate of coverage, prior to that person beginning work on the project,
so the governmental entity will have on file 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.
I. 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;
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4. obtain from each other person with whom it contracts, and provide to the
contractor:
a. 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;
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.
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..
CITY OF DENTON
BID FOR NATATORIUM MEDIUM PRESSURE ULTRAVIOLET LIGHT DISINFECTION SYSTEM
DESCRIPTION
TOTAL AMOUNT
...-.-. ------------ ---------- ----------------------- -------------,----.~
Base Bidlor Natatorium Medium Pressure Ultraviolet Light Disinfection System
$
12- '1" '0. ~
I
Shipment can be made In ~ days from receipt of order.
.Prlces shall be bid F.O.B. Denton
**In case of calculation error, unit pricing shall prevail.
Bidder Is an authorized distributor, by the manufacturer, and is authorized to e N/A
sell to the City of Denton? YES . NO
Date
of Authorized Representative
/)Avf)q L--_ ~
Tq,tff ,4.,~c,AUfIJ;.
Company Name.
1/,1//0b
PAGE 2 OF BID #3539
Bidder's Initi
CITY OF DENTON
BID FOR NATATORIUM MEDIUM PRESSURE ULTRAVIOLET LIGHT DISINFECTION SYSTEM
The undersigned agrees this bid becomes the property of the City of Denton after the official
opening.
The undersigned affirms he has familiarized himself with the local conditions under which the work
is to be performed; satisfied himself of the conditions of delivery, handling and storage of
equipment and all other matters that may be incidental to the work, before SUbmitting a bid.
.' ..,.
The undersigned agrees, if this bid is accepted, to furnish any and all items/services upon which
--'----prices'-are--offered;-at---the-price(~-and-.-t1pon-'the---terms-and-conditions--contain-e-d--in-th-e---------
Specifications. The period for acceptance of this Bid Proposal will be sixty (60) calendar days
unless a different period is noted by the bidder. _
The undersigned affirms that they are duly authorized to_.execute this. contract, that this bid has
not been prepared in collusion with any other Bidder, nor any emplOYee of the City of Denton, and
that the contents of this bid have not been communicated to any other bidder or to any employee
of the City of Denton prior to the official opening of this bid.
Vendor hereby assigns to purchaser any and a,lI claims for overcharges associated with this
contract which arise under the antitrust laws of~he United States, 15 USCA Section 1 et seq., and
which arise under the antitrust laWs of the State of Texas, Tex. Bus. & Com. Code,
Section 15.01, et seq. '
The undersigned' affirms that they have read and do understand the specifications and any
attachments contained in this bid package:---. . -
NAME AND ADDRESS OF COMPANY:
1)1,. ~N ~ ~to~~.:hte.
d6tl r~ ~ [<.r(J(lu/,:J#(;.,
f. (). j$.P'J<. '10) ~ 6 -;-
D~1-rl. rx ?.ri;-o- J$"6q-
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Tel. No. r7z,. - '11'l-- '-tJ 106
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.
Fax No. 11&-- 7J~- gJ,o>
Email.tnas~11/(...T1"e.~...j?f1t.!ti2
Gbc::;~ilo"a /.hU:
Signature
Date
Name
Title
COMPANY IS:
Business included in a Corporate Income Tax Return? X YES
Y Corporation organized & existing under the laws of the State of
Partnership consisting of
Individual trading as
X Principal offices are in the city of
NO
T~4.J
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PAGE 3 OF BID #3539
Bond No. 4354320
PERFORMANCE BOND
STATE OF TEXAS ~
COUNTY OF DENTON ~
DL Smith and Associates, ~ dba Texas
KNOW ALL MEN BY THESE PRESENTS: That Aquatic Supply, Inc. whose
addressis P.O. Box 703567, Dallas, Texas 75370-3507 ;-
hereinafter called Principal, and SureTec Insurance Company"""'" , a corporation organized
and existing under the laws of the State of Texas , and fully authorized to
transact business in the State of Texas, as Surety, are held and firmly bound unto the City of
Denton, a municipal corporation organized and existing undej--the laws of the State of Texas,
hereinafter called Ovmer, in the penal sum of ($ 52,700.00"""---------------------- )
DOLLARS plus 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 OBUGA TION TO PAY SAME is conditioned as follows: Whereas, the Principal
entered into a certain Contract, identified by Ordinance Number 2006-227 with the City of
Denton, the Owner, dated the 15 day of August A.D. 2006,.,:(~opy of which is hereto attached
and made a part hereof, for Bid # 3539 - Natatorium Medium Pressure Ultraviolet Light
Disinfection System./'
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 \\~thin
a period of one (I) year 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
S:\prch\contract-bonds\3539 Nalatorium UV Disinfection System.doc
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 4 copies, each one of
which shall be deemed an original, this the 15th day of August 2006 I/'.
ATTEST:
PRINCIPAL
B
DL Smith and Assoc'ates, Inc., dba
Texas A uatic S Inc.
BY:
PRESI
ATTEST:
SURETY
BY: fk-~~
SureTec Insurance Co~ny
V
BY:'-P~X-C/Y;~
ATTORNEY-IN-FACT
Pauline L. Lesch
The Resident Agent of the Surety in Denton County, Texas for delivery of notice and seivice of
the process is:
NAME:
Becky McKnight
STREET ADDRESS:
510 North IH 35E, Denton, Texas 76205
(NOTE: Date of Performance Bond must be date of Contract. If Resident Agent is not a
corporation, give a person's name.)
PB- 2
S:\prch\contract-bonds\3539 Natatorium UV Disinfection System.doc
d';
"'\~
Bond No. 4354320
PAYMENT BOND
STATE OF TEXAS ~
COUNTY OF DENTON ~
DL Smith and Associates, Inc., 9ba
KNOW ALL MEN BY THESE PRESENTS: That Texas Aquatic Supply, IncV'
whose address is P.O.Box 703567, Dallas, Texal;V 75370-3507 , hereinafter called
Principal, and SureTec Insurance Company V , a corporation organized and
existing under the laws of the State of Texas, and fully authorized to transact business in
the State of Texas, as Surety, are held and firmly bound unto the City of Denton, a municipal
corporation organized and existing under the laws of the State of Texas, hereinafter called
Owner, and unto all persons, firms, and corporations who may furnish materials for, or perform
labor upon, the ilding or improvements hereinafter referred to, in the penal sum of
($ 00.00 - ------------------- DOLLARS 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 NlII))ber 2006-227 with the City of
Denton, the Owner, dated the 15 day of August A.D. 2006,v.! copy of which is hereto attached
and made a part hereo.h for Bid # 3539 - Natatorium Medium Pressure Ultraviolet Light
Disinfection System.\/'"
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.
PB - 3
S:\prch\contract-bonds\3539 Natatorium UV Disinfection System. doc
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. I 9- I
of the Insurance Code, Vernon's Annotated Civil Statutes of the State of Texas.
IN WITNESS WHEREOF, this instrument is executed in ~ copj>:s, each one of which
shall be deemed an original, this the 15th day of August ,2006 V
ATTEST:
BY:
PRINCIPAL
DL Smith and Associates, Inc., dba
Texas Aquatic
BY:
ATTEST:
SURETY
BY:Vk~
SureTec Insurance Cornpa~/
I. J)' --1)V/J
BY:--(~ct~J
ATTORNEY-IN-FACT
Pauline L. Lesch
The Resident Agent of the Surety in Denton County, Texas for delivery of notice and service of
the process is:
NAME:
Becky McKnight
STREET ADDRESS: 510 North IH 35E,Denton, Texas
76205
(NOTE: Date of Payment Bond must be date of Contract. If Resident Agent is not a
corporation, give a person's name.)
PB-4
S:\prch\contract-bonds\3539 Natatorium UV Disinfection System.doc
~\~"
~\ ~r
SureTec Insurance Company
THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION
Statutory Complaint Notice
To obtain information or make a complaint: You may call the Surety's toll free telephone
number for information or to make a complaint at: 1-866.732-0099. You may also write to the
Surety at:
SureTec Insurance Company
9737 Great Hills Trail, Suite 320
Austin, TX 78759
You may contact the Texas Department of Insurance to obtain information on companies,
coverage, rights or complaints at 1-800-252-3439. You may write the Texas Department of
Insurance at
PO Box 149104
Austin, TX 78714-9104
Fax#: 512-475.1771
PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or
about a claim, you should contact the Surety first. If the dispute is not resolved, you may
contact the Texas Department of Insurance.
Terrorism Risks Exclusion
The Bond to which this Rider is attached does not provide coverage for, and the surety shall
not be liable for, losses caused by acts of terrorism, riot, civil insurrection, or acts of war.
Exclusion of Liability for
Mold, Mycotoxins, Fungi & Environmental Hazards
The Bond to which this Rider is attached does not provide coverage for, and the surety
thereon shall not be liable for, molds, living or dead fungi, bacteria, allergens, histamines,
spores, hyphae, or mycotoxins, or their related products or parts, nor for any environmental
hazards, bio-hazards, hazardous materials, environmental spills, contamination, or clEanup,
nor the remediation thereof, nor the consequences to persons, property, or the performance
of the bonded obiigations, of the occurrence, existence, or appearance thereof.
Texas Rider 010106
POA #, 4221029
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMP ANY~ "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its ptincipal office in Houston, Harris County, Texas, does by these presents
make, constitute and appoint
Clem F. Lesch, Pauline L. Lesch~ven W. Lewis, Barry Romito, Patrick C. Locke, Allen Sparks
of Dall", Texas its we and lawful Attomey(s)-in-fact, 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 contracts of suretyship to
include waivers to the conditions of contracts and consents of surety, providing the bond penal~oes not exceed
Five Million and nolI 00 Dollars ($5,000,000.00) /
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate
seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said AttomeY(s)-in-Fact may do in the
premises. Said appointment shall continue in force until June 30. 2007 and is made under and by authority of the following
resolutions of the Board of Directors of the SureTee Insurance Company:
Be it Resolved, that the 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 anyone or more suitable persons as Attomey(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney-In-Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and
deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and docwnents canceling or terminating the Company's liability thereunder, and any such instruments 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.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile, and any power of attorney or certificate bcaring facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 2f1' of April,
1999)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal
to be hereto affixed this 20th day of June, A.D. 2005.
By:
State of Texas
County of Harris
ss:
e Mic:,::nv
* IIale d Tea
My CommIsIton Exp&es
Of Augusl27. 2008
M~ll~N~
My commission expires August 27,2008
I, M. Brent Beaty, Assistant Secretary ofSURETEC INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney, executed by said Company, which is still in full force and effect; and furthermore, the resolutions of the Board of Directors, set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this 15th
/
Any Instrument issued in excess of the penalty stated above Is totally ,,"oid and without any validity.
For verification of the authority of this power you may call (713) 812-0800 any business day between 8:00 am and 5:00 pm CST.
\b~
~\~f
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYYI
'" 08/28/2006
PRODUCER ALUANCE INS AGENCY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
11300 N. CENTRAL EXPWY. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
SUITE 202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
DALLAS TX 75243-6705
(214) 361-9996 ., INSURERS AFFORDING COVERAGE NAIC#
INSURED 1{,\OY INSURER A: I -Eire-Gr-OJJp
Texas Aquatic Supply, Inc./'
~ t,f INSURER B:
P. O. Box 703567 INSURER c:
Dallas TX 75370-3567 INSURER 0:
, IN!':lIRERE:
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.
INSR ."".L POUCY NUMBER ./ POUCY EFFECllVE POUCY EXPIRATION
UMITS
A lJLEHERAL UABlUTYV 0506 009735251/ 08/28/2006 08/28/200~ ~CH OCCURRENCE S "oo.O~ -
X /' ~i TO RENTED '00,000_
~MERCIAL GENERAL LIABIUTY ESjEa..occuren S
CLAIMS MADE [X] OCCUR- MED EXP {Any' one person1- S ",1)00-
- PERSONAL & ADV INJURY L500,O~v -
- GENERAL AGGREGATE s~OOO,OQO_
~'l AGG~En LIMIT APnS PER: PRODUCTS - COMPIOP AGG S ',000,000_
POLICY PRO- LOC
A ~UTOM081LE UABlUTY / 0506 00973525----- 08/28/2006 08/28/2007 COMBINED SINGLE LIMIT S 500,000- -
~ ANY ALTTO (Eaaccident)
~ AlL OWllED AlJTOS BDDIL Y INJURY
(Per petWfl) S
~ SCHEDULED AlJTOS
X HIREOAlJTOS /' /' BDDIL Y INJURY
:x (Per accident) S
NON-DWNED AUTOS
e-- PROPERlY DAMAGE S
(Per accident)
RRAGE UABIUTY AUTO ONLY - EA ACCIDENT S
ANY AUTO OTHER THAN EA ACC S
AUTO ONLY: AGG S
OESSlUMBREUA UA8IUTY EACH OCCURRENCE S
OCCUR 0 CLAIMS MADE AGGREGATE S
R DEDUCTIBLE S
S
S S
RETENTION
WORKERS COMPENSATION AND W1WCSTATU-.1 10TH-
TO ER
EMPLOYERS' liABIlITY
E.l. EACH ACCIDENT S
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICERlMEMBER EXCLUDED? E.L. DISEASE + EA EMPLOYEE S
~X~,~~,~der E.l. DISEA"'E - POLICY LIMIT S
A V
OTHER
DESCRIPTION OF OPERATIONS' LOCATlONS' VEHlCLES' EXCLUstONS ADDED BY ENDORSEMENT I SPECiAL PROVISIONS
PROJECT: CITY OF DENTON NATATORIUM ....--
THE CITY OF DENTON, ITS OFFICIALS, AGENTS, EMPLOYEES AND VOLUNTEERS ARE NAMED ADDmONAL
INSURFn (IN THE GENERAL UABIUTY/AUTOMOBILE UABIUTY POUCYy;(WAIVER OF SUBROGATION IS
INCLUDED IN FAVOR OF CITY OF DENTON. ITS OFFICIALS, AGENTS, EMPLOYEES AND VOLUNTEERS....,-HE
POUCIES USTED ON THIS CERTIFICATE SHALL BE PRIMARY WITH REGARD TO THE INSUREDS OPERATIONS.-
CERTIFICATE HOLDER
CANCELLATION
CITY OF DENTON ~
601 E. HICKORY, SUITE B
DENTON TX 76205-
SHOULD ANY OF THE ABOVE DESCRIBED POUClES BE CANCELLED BEFORE THE EXPIRATION
..........-
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTlRCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBUGA TlON OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
~-
ACORD 25 (2001/08)
@ACORD CORPORATION 1988
THU/SEP/07/2006 09:53 AM
,
MANUAL LUJAN AGENCY
FAX No, 505 255 8140
p, 00 I
PCCLPRC:Ol
CANA
ACORD", CERTIFICATE OF LIABILITY INSURANCE I ,
DATEtMMIDO!YyYY)
, , 9rr12006:
PRODUCER " (505) 266.7771 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO~
Manuel Lujan Insurance,i1nc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ;
4801 Indian School Rd , ' HOLDER. THIS CERTIFICATE DOES NOT AMEND,l:XTl:NP OR: "
PO. Box 3727 :j ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
,
Albuquerque, NM 87190-f2/ ,
INSURERS AFFORDING COVERAGE NAIC# ,
IN~UReD Pool pro LLC :v ~o~ , INSURER" Mountain States Indemnity Company ,
Po. Box 2859 : INSURER ll; New Mexico Mutual Casualty Company ,
Edgewood, N,.... 87015- INSURER c: , ,
I 'i <jf
INSURER D:
i INSUR~R 1:;; ,
COVERAGES
THE POLICIES OF INSURAN(:E LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, N01WITHSTANoING
ANY REQUIREMENT: TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR'
MAY PERTAJN, THE tNSU~C'; AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND,caNOI/IONs OF S~CH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ' ,
~~ '
~ ~ . . i . . I"OUCYNUMDCI\ POUCYI!R"I!CT\ve p~i.~.reXPIRAT10N UMIT&: .
~~RALUA81UlY ; ~CHOCCURR.ENCe.' ~ 1,0.00,000
X COMMERClALGENIERALl.IA9IllTY CP.I0106437 8/1/2606 8/1/2007 I ~ReMlses Ea.,,",,",,} $ lpO,OOI
, , I CLAJMSMI\D~ [!] OCCUR Mro~PIAnvOn8P8f$Onl $ ~O.OOt
. : PERSONAL & ADV JNJURY $ 1,0,00,00t
i GENERAL AGGREGATE $ 2,0,00,00C
PRODUCTS. COMP/OP AGG $ 2JO.~O,OO
A
A
f--
f--
~'AG~RE~ UMfT AP,"'-';S PE"
IPOUa<IXI~ I ILOd
~OMOBlLE UABIUn-:
. ANY AUTO !
f-- I
~ AU. OWNED AUTOt .
~ 3CHEDULEO ^UTQ3
'x '
+. HIR~ AUTOS I
r! NON-DWNEDAUT9s'
I- :
, BAlOl06437
8/1/2008
8/1/2007
COMBlNE:O 3lNGLE UMlT
(Ea acddtmt) .
BoDilY INJURY,
(Per peraallo)
$
I
1,0,00,000
j
$
BODILY INJURY:
(Pcr.ccldcnt)
$
PROPERTY DAMAGE
(Per ~dent)
$
'RGAAA.GE UAOlLITY ,;
N'lYAltrO t
,
. AUTO ONL.Y - 5A ACCIDENT $
EA ACe $
$
$
$
$
OTHER THAN
AUTO ONLY:
mG
B
~I!SSJUMBRELLA UAb1UTY
--.J OCCU~ q ClAIMS MAbE:
, ' ,
RDEOUCT'~ !
'. RETENTION $i /' .
W0RK6t5 COMf'I;;N5ATlON "rD' . "
.l!!MPLOY!Rti' UABtUTY I
~YPR.OPRJi:TORIPARTN~lJ11VE
OFFICgRlMI';MeER EXCLUDED?
"yK.d"etl~l,I(lQef i
SPECIAl PROVISIONS bcltm" j
O'H.O' !
EACH OCCURRENCe
AGGREGA're:
,
f44320 /
.
, .
" V ~IOJ.t'-
, 8/1/2008..... , 8/1/2007./ E,L EACH AcCIDENT $ ,
E,l, DISEASE w EA EMPLOYEE $'
EL DISEAse - POLICY UMIT S
5,00,00
5,00,00
5,00,00 ~
I
i
I
DS$C~IPTION OF OPERATIONS / LOFATIONS IVEHIGJ.li;9 I E);,CLU510NS ADDf:~ BY ENDORSEMENT I SPECIAL PROVISIONS
10 Day Notice of Cancellati10n applies in th~ e'(ent of .Non-payment of P~emium ~
. ,. .
i
CERTIFICATE HOLDER
i " ,
! ,
i , ,
, ,/ " SHOU}.D ANX OF THE A80V~ DE~CRlBED POUCIE~ BE CANCELLED BUORE, THE EXPI~TI~.
' ' CIty of Dentor
Jody Hay.. I ' DAn;: THEREOF; THE lSSU~NO IflSURERWlLL .END~VOR TO MAIL 30 ~AY~ W~ITTEN
801 E. HIckory, Suite B I ' 1\10TIC;~ TO 'nU~, CU.Ut'"IC=AT'e "OI.D~ HAM~D TO TH~ IJ!.PT, aU1' 'AlLlJRl! TO DO SO $i.MI.I...
, I
o.."\on. TX 7\$205- IMPOSE NO OBUGATlON OR UAlllll~ OF A.NY Kl,ND UPON TKE INSURER. ITS AGENTS ~R
I REPRESENTATIVES. . . . ____ ;,:
i AUTHORIZED REPRE~ENTAnVE ~ =' >-",
, i ,,,,--~:;.. ,~"
, 'CANCELLATION
ACORD 25 (2001/08)
,
1....
, @ACORD CORPORATJO~ 1988
THU/SEP/07/2006 09:53 AM MANUAL LUJAN AGENCY
I
FAX No, 505 255 8140
p, 002
POOLPRo-Ol ;CANA
i,
I
IMPORTANT
, , ,
If the ce1ificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement'
on this cl;lrtlficate does not confer rights to the certificate holder in lieu of such endorsement( s).
If 8UBRcpGA TION ,IS WAIV~D, subject t6 the terms ~~d conditions of the policy. certain policies may
require ap endorsement. A statement on this certlfleate d.o~s not confer rights tq the certificate.
holder in ilieu of such endorsement( s).
. ,
i
I
I
i DISCLAIMER
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The ce~ftcate of Insumnce on the reverse side of this form does 'not constitute a contract between
the issuing insurer(s), authorized representative o[ producer. and the certificate holder, nor does it
affirmamiely or negatively amend. extend or alter the coverage afforded by the poliCies listed thereon.
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TEXAS DEPAR.'llolENT OF INS1JRA)ICE. DIVISION OF WORKERS' COMPENSATION
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