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HomeMy WebLinkAboutRobert E Lee Assoc.AGREEMENT This AGREEMENT, made on the (, � day of 2020, by and between the CITY OF OSHKOSH, party of the first part, hereinafter rred to as CITY, and ROBERT E. LEE & ASSOCIATES, INC. DBA NES ECOLOGICAL SERVICES, 1250 Centennial Centre Boulevard, Hobart, WI 54155, party of the second part, hereinafter referred to as the CONSULTANT, WITNESSETH: The CITY and the CONSULTANT, for the consideration hereinafter named, enter into the following AGREEMENT for SOUTH PARK NATIVE PLANTING PLAN. ARTICLE I. PROTECT MANAGER A. Assignment of Project Manager. The CONSULTANT shall assign the following individual to manage the PROJECT described in this AGREEMENT: James Havel — Division Manager B. Changes in Project Manager. The CITY shall have the right to approve or disapprove of any proposed change from the individual named above as Project Manager. The CITY shall be provided with a resume or other information for any proposed substitute and shall be given the opportunity to interview that person prior to any proposed change. ARTICLE II. CITY REPRESENTATIVE The CITY shall assign the following individual to manage the PROJECT described in this AGREEMENT: Dan Gabrilska — Civil Engineering Supervisor ARTICLE III. SCOPE OF WORK The CONSULTANT shall provide the services described in the CONSULTANT's Proposal. The CITY may make or approve changes within the general Scope of Services in this AGREEMENT. If such changes affect CONSULTANT's cost of or time required for performance of the services, an equitable adjustment will be made through an amendment to this AGREEMENT. 1:\Engineering\2017 CONTRACTS MV 75 Park Basin\ Projectlnfonnation\Contraa Info\Conultant Page 1 of 7 Agreements\NES\NES Agreements Park Planting Plan_1-10-20.d. All reports, drawings, specifications, computer files, field data, notes, and other documents and instruments prepared by the CONSULTANT as instruments of service shall become property of the CITY upon payment for those documents by the CITY to the CONSULTANT, and shall remain the property of the CITY. ARTICLE IV. STANDARD OF CARE The standard of care applicable to CONSULTANT's services will be the degree of skill and diligence normally employed by professional consultants or consultants performing the same or similar services at the' time said services are performed. CONSULTANT will re -perform any services not meeting this standard without additional compensation. ARTICLE V. OPINIONS OF COST FINANCIAL CONSIDERATIONS AND SCHEDULES In providing opinions of cost, financial analyses, economic feasibility projections, and schedules for the PROJECT, CONSULTANT has no control over cost or price of labor and materials; unknown or latent conditions of existing equipment or structures that may affect operation or maintenance costs; competitive bidding procedures and market conditions; time or quality of performance by operating personnel or third parties; and other economic and operational factors that may materially affect the ultimate project cost or schedule. Therefore, it is understood between the parties the CONSULTANT makes no warranty the CITY's actual project costs, financial aspects, economic feasibility, or schedules will not vary from CONSULTANT's opinions, analyses, projections, or estimates. ARTICLE VI. RECORD DRAWINGS Record drawings, if required, will be prepared, in part, on the basis of information compiled and furnished by others. CONSULTANT is not responsible for any errors or omissions in the information from others the CONSULTANT reasonably relied upon and are incorporated into the record drawings. ARTICLE VII. CITY RESPONSIBILITIES The CITY shall furnish, at the CONSULTANT's request, such information as is needed by the CONSULTANT to aid in the progress of the PROJECT, providing it is reasonably obtainable from City records. To prevent any unreasonable delay in the CONSULTANT's work, the CITY will examine all reports and other documents and will make any authorizations necessary to proceed with work within a reasonable time period. 1:\Engir nng\2017 CONTRAMJ]7- SPark Basin\Prujed_Infnrmation\Cnntmat Info\c..Itunt Page2of7 Agreements\NES\NES Ag=mem-S Park Planting Plan_1-10-20.du ARTICLE VIII. ASBESTOS OR HAZARDOUS SUBSTANCES If asbestos or hazardous substances in any form are encountered or suspected, CONSULTANT will stop its own work in the affected portions of the PROJECT to permit testing and evaluation. If asbestos is suspected, CONSULTANT will, if requested, manage the asbestos remediation activities using a qualified subcontractor at an additional fee and contract terms to be negotiated. If hazardous substances other than asbestos are suspected, CONSULTANT will, if requested, conduct tests to determine the extent of the problem and will perform the necessary studies and recommend the necessary remedial measures at an additional fee and contract terms to be negotiated. The CITY recognizes CONSULTANT assumes no risk and/or liability for a waste or hazardous waste site originated by other than the CONSULTANT. ARTICLE IX. CITY'S INSURANCE The CITY will maintain property insurance on all pre-existing physical facilities associated in any way with the PROJECT. The CITY will provide (or have the construction contractor(s) provide) a Builders Risk All Risk insurance policy for the full replacement value of all project work including the value of all onsite CITY -furnished equipment and/or materials associated with CONSULTANT's services. Upon request, the CITY will provide CONSULTANT a copy of such policy. ARTICLE X. TIME OF COMPLETION The work to be performed under this AGREEMENT shall be commenced and the work completed within the time limits as agreed upon in the CONSULTANT's Proposal. The CONSULTANT shall perform the services under this AGREEMENT with reasonable diligence and expediency consistent with sound professional practices. The CITY agrees the CONSULTANT is not responsible for damages arising directly or indirectly from any delays for causes beyond the CONSULTANT's control. For the purposes of this AGREEMENT, such causes include, but are not limited to, strikes or other labor disputes, severe weather disruptions or other natural disasters, failure of performance by the CITY, or discovery of any hazardous substances or differing site conditions. If the 1:\EngincenngkW17C0NTRACTS\l7O SPark Basin\ Pmjed_lnfonwtion\Contract Info\Cansoltont Agreements\NES\NES Agreement-S Pork Planting Plan 1-M2B.dac Page 3 of 7 delays resulting from any such causes increase the time required by the CONSULTANT to perform its services in an orderly and efficient manner, the CONSULTANT shall be entitled to an equitable adjustment in schedule. ARTICLE XI. COMPONENT PARTS OF THE AGREEMENT This AGREEMENT consists of the following component parts, all of which are as fully a part of this AGREEMENT as if herein set out verbatim, or if not attached, as if hereto attached: 1. This Instrument 2. CONSULTANT's Proposal dated January 8, 2020 and attached hereto In the event any provision in any of the above component parts of this AGREEMENT conflicts with any provision in any other of the component parts, the provision in the component part first enumerated above shall govern over any other component part which follows it numerically except as may be otherwise specifically stated. ARTICLE XH. PAYMENT A. The Agreement Sum. The CITY shall pay to the CONSULTANT for the performance of the AGREEMENT the total sum as set forth below, adjusted by any changes hereafter mutually agreed upon in writing by the parties hereto: • Lump Sum Not to Exceed $1,500 (One Thousand Five Hundred Dollars). B. Method of Payment. The CONSULTANT shall submit itemized monthly statements for services. The CITY shall pay the CONSULTANT within thirty (30) calendar days after receipt of such statement. If any statement amount is disputed, the CITY may withhold payment of such amount and shall provide to CONSULTANT a statement as to the reason(s) for withholding payment. C. Additional Costs. Costs for additional services shall be negotiated and set forth in a written amendment to this AGREEMENT executed by both parties prior to proceeding with the work covered under the subject amendment. D. Indirect Costs. Indirect costs such as computer time, printing, copying, cell phone charges, telephone charges, and equipment rental shall be considered overhead and shall not be invoiced separately to the PROJECT. 1:\Engimmnng\2017 CONTRACTS\17-0 S Park Basin \Pmjmt Information\Cuntmat Info\Cunsulbnt Agmements\NES\NES Agreement-S Park Planting Plan_l-10-20.do Page 4 of 7 E. Expenses. Expenses may be billed with up to a maximum of 10% mark-up. All invoices with expenses shall include supporting documentation of the expense. Failure to include the supporting documentation will result in the reduction of payments by the amount of those expense(s) not including documentation. ARTICLE XIII. STANDARD PROVISIONS The CONSULTANT agrees that, in all hiring or employment made possible by or resulting from this AGREEMENT, there will not be any discrimination against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, or national origin. ARTICLE XIV. HOLD HARMLESS The CONSULTANT covenants and agrees to protect and hold the City of Oshkosh harmless against all actions, claims, and demands to the proportionate extent caused by or resulting from the intentionally wrongful or negligent acts of the CONSULTANT, his/her agents or assigns, his/her employees, or his/her subcontractors related to the performance of this AGREEMENT or be caused or result from any violation of any law or administrative regulation, and shall indemnify the CM for all sums including court costs, attorney fees, and damages of any kind which the CITY may be obliged or adjudged to pay on any such claims or demands upon the CTTY's written demand for indemnification or refund for those actions, claim, and demands caused by or resulting from intentional or negligent acts as specified in this paragraph. Subject to any limitations contained in Sec. 893.80 and any similar statute of the Wisconsin Statutes, the CITY further agrees to hold CONSULTANT harmless from any and all liability, including claims, demands, losses, costs, damages, and expenses of every kind and description (including death), or damages to person or property arising out of re -use of the documents without consent where such liability is founded upon or grows out of the acts or omission of any of the officers, employees or agents of the City of Oshkosh while acting within the scope of their employment. ARTICLE XV. INSURANCE The CONSULTANT agrees to abide by the attached City of Oshkosh Insurance Requirements. 1:\Engineering\2017 CONTRACTS\17- 7S Park Basin\Pmjeal Information\Contact Info\Consultant Agreements\NES\NES Agreement-5 Park Planting Plan 1-142U.doa Page 5 of 7 ARTICLE XVI. TERMINATION A. For Cause. If the CONSULTANT shall fail to fulfill in timely and proper manner any of the obligations under this AGREEMENT, the CITY shall have the right to terminate this AGREEMENT by written notice to the CONSULTANT. In this event, the CONSULTANT shall be entitled to compensation for any satisfactory, usable work completed. B. For Convenience. The CITY may terminate this AGREEMENT at any time by giving written notice to the CONSULTANT no later than ten (10) calendar days before the termination date. If the CITY terminates under this paragraph, then the CONSULTANT shall be entitled to compensation for any satisfactory work performed to the date of termination. This document and any specified attachments contain all terms and conditions of the AGREEMENT and any alteration thereto shall be invalid unless made in writing, signed by both parties and incorporated as an amendment to this AGREEMENT. ARTICLE XVII RE -USE OF PROTECT DOCUMENTS All reports, drawings, specifications, documents, and other deliverables of CONSULTANT, whether in hard copy or in electronic form, are instruments of service for this PROJECT, whether the PROJECT is completed or not. The CITY agrees to indemnify CONSULTANT and CONSULTANT's officers, employees, subcontractors, and affiliated corporations from all claims, damages, losses, and costs, including, but not limited to, litigation expenses and attorney's fees arising out of or related to the unauthorized re -use, change, or alteration of these project documents. ARTICLE XVIII. SUSPENSION DELAY OR INTERRUPTION OF WORK The CITY may suspend, delay, or interrupt the services of CONSULTANT for the convenience of the CITY. In such event, CONSULTANT's contract price and schedule shall be equitably adjusted. 1:\Engineering\2017CONTRAC S\17-VS Park Basin\Pmjett 1at.rmation\Con[mct lnfa\Cmmultznt Agreements\NES\NES Agreements Park Planting Plant]-10-20.do Page 6 of 7 ARTICLE XIV. NO THIRD -PARTY BENEFICIARIES This AGREEMENT gives no rights or benefits to anyone other than the CITY and CONSULTANT and has no third -party beneficiaries. In the Presence of: _ Ft� fYl r (Seal of CONSULTAi if a Corporation) (Witness) CONSULTANT (Specify Title) CITY OF of Public Works k\Enginecnng\2017 00NTRACTS\17 JS Park Basin\Projcct_lnfonnatiun\Contmct Infu\Cunx.Iwr,t Agreements\NES\NES ASm nth Park Planting Plan_1-10-20.d. Page 7 of 7 NES ECOLOGICAL SERVICES A Divisim of Robert E. loe 6 Ass ioies, Inc. January 8, 2020 James Rabe, P.E. CITY OF OSHKOSH 215 Church Avenue, Room 301 Oshkosh, W154903 RE: South Park Native Planting Plan Dear W. Rabe: RECEIVED JAN - S 2020 DEPT OF PUBLIC WORKS OSHKOSH, WISCONSIN Green Bay Office 1250 Centennial Centre Blvd. Hobart, WI 54155 920-499-5789 FAX 920-662-9141 E-Mail lhavel(a)releeinc corn NES Ecological Services (NES) is pleased to submit this proposal for the re -design of native plantings within and around a stormwater facility located in South Park in the City of Oshkosh, Winnebago County, WI. The proposed scope of services for the planting plan, cost and schedule are outlined below. SCOPE OF WORK Planting Plan Our ecologists, with assistance from the City of Oshkosh, will establish the proposed native planting areas for the series of basins within the park. The current water elevation will be the deciding factor as to where planting and seeding will be proposed as the levels are above the original design elevations. Once these areas are determined, NES will develop appropriate native seeding and live planting designs and species lists based on the existing site conditions. These designs will be composed of two major zones: 1) an emergent/floating wetland zone, typically the pond's safety shelf and 2) the wet meadow zone, located on the basin's slope from the waterline up roughly one -foot in elevation. Each zone will contain a specific list of species that will be carefully selected based upon their suitability to grow within the current hydrologic, soil, and light conditions. Growth heights and appearance will also be considered when choosing species in an attempt to prevent visual obstructions and increase aesthetics around the stormwater facility within the park setting. Each planting/seeding zone will be incorporated into the construction drawings by NES. Once the plan sheets are completed, we will determine seed and plant quantity requirements based on the chosen planting areas. These quantities along with a list of selected native species and the design drawing will be incorporated into a "Planting Plan" to be submitted to the City of Oshkosh. The plan will also contain language pertaining to project timeline, site preparation, installation and maintenance of the native plantings. January 2020 1 NES City of Oshkosh South Park Native Planting Plan Proposal SCHEDULE Based on our conversation during our meeting at South Park last month, the City would like the planting plan completed by mid -January. Provided NES receives approval to proceed and the current water elevations in the next few days, our ecologists will work to complete a preliminary design in the next week. Task Year 2020 Jan I Feb I Mar IAor Mav _hen _Lil A.o ce. net Nnv Dec Planting Plan COST ESTIMATE Planting Plan Design The work will be billed as a lump sum of $1,500. If you have any questions or there are other items you wish to include, please contact me. Sincerely, NES ECOLOGICAL SERVICES Q ~ paw& James Havel Division Manager ihavel@releeine.com January 2020 2 NES A !•!1 fs f1® CERTIFICATE OF LIABILITY INSURANCE DATE(MNVDDNYYy) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 20 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this Certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Cheri Kline NOVAK AGENCY, INC gECEIVFD PHONE (920)388.2890 FAX N,; (920368-2740 410 MILWAUKEE ST, PO BOX 57 ADDRESS, E ckline novakagenc .com KEWAUNEE,WI54216 OAN1�,2020 INSURE-1AFFORDING COVERAGE NAIC0 INSUREDuRERA: INTEGRITY INSURANCE ROBERT E LEE &ASSOCIAAf F PU WIS$LIC CONS SURER: 1250 CENTENNIAL CENTRE BOSH, INSURERC: HOBART, WI 54155 INSURER D: INSURER E cnvr=RAr:CS INSURER F: KCVI510N NUMBER: 51 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID INSR CLAIMS. EXP LTR TYPE OF INSURANCE LSU POLICY NUMBER MOMIUOp�EFF MNYYYI LDCY DNYYY)LIMITS A X COMMERCIAL GENERAL L ABIL TY Y BP 1223006 06/04/2019 06104/2020 EACH OCCURRENCE $ 1,000,000 CLAMS -MADE NOCCUR PREMISES ao=Map e $ 100,000 MED EXP (Arty one ) $ 5,000 _ PERSONAL&ADVINJURY $ 1000000 GENLALICY, [ AGGREGATE LIMIT APPLES PER GENERAL AGGREGATE $ 2,000,000 POLICY, JECT LOC PRODUCTS -COMP/OPAGG $ 2,000,000 OTHER: S A AUTOMOBILE Y CA1223007 06/04/2019 06/0412020 EMOBNd�INGLELIMIT $ 1000000 X AW AUTOABILIN BODILY INJURY(Perpmsm) S OWNED BODILY INJURY (Per evident) $ AUTOSSCHEDULED AUTOS ONLY AUTOS HIRED X PROPERTY DAMA E Para,= $ AUTOS ONLY X ALTOS O LYY E A X UMBRELLAu a X OCCUR CUP1223004 O6/D4/2018 06/04/2020 EACH OCCURRENCE E 7,000,000 EXCESS UAB CLAMS -MADE AGGREGATE $ 7,000 000 DED RETENTIONS WORRERE COMPENSATIONAAND EMPLOYERS'UABIIJTY WCP1223005 O6I04/2019 06/04I2020 RµOFFICERANY YIN ME BEREEXCUDEO�ECUTIVE FN NIA $ 1,000,000if tl=ryml_nun)tlazOYE E 1 OOO,OOODESCRIPTION nCyUMIT MIT $ 1,000,000 OF OERATIONS bHox DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) FOLLOWING LISTED AS ADDITIONAL INSUREDS ON GENERAL LIABILITY & AUTO; CITY OF OSHKOSH & ITS OFFICERS, COUNCIL MEMBERS, AGENTS, EMPLOYEES k& AUTHORIZED VOLUNTEERS. COVERAGE AFFORDED UNDER THE POLICIES WILL NOT BE CANCELED OR NON RENEWED UNTIL 30 DAY WRITTEN NOTICE GIVEN TO CERTIFICATE HOLDER. CPRTIPICATP uni mvD CITY OF OSHKOSH ATTN: CITY CLERK 215 CHURCH AVE PO BOX 1130 OSHKOSH, W154903 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE rahts -- •-•-�� I lie AUUKu name aria logo are registered marks of ACORD Printed by CMK on January 17, 2020 at 09:16AM -= Page 1 or 2 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/31/2,019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED ATE BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE R(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. 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 ificate holder in lieu of such endorsement(s). PRODUCER _ Willis of Wisconsin, Inc. c/o 26 Century Blvd REC&ID1;+1j _ P.O. Box 305191 Nashville, TN 372305191 USA JAN 1 �a 20�o CONTACT NAME: PHONED Ert., 1-877-945-7378 I FAXNo: 1-888-467-2378 ADDRESS: certi£icateavillis.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: Lloyd I B7874 DeDO INSURED O r'MosD9i Bur asp Robert E. �L_' 6 Associates Inc 6 Northe �� c 1250 Centennial Centre Blvd ' yV'I.SC(1-40 Robert, WI 541558995 N INSURERS: AXIS Surplus Insurance company 26620 INSURERC: .INSURER D: INSURER E: INSURER F: INCVIJIUN NUIVICCK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AD-6-1 UBR LTR TYPE OF INSURANCE POLICYNUMBER MMIDp/YYYY MM/RY/YEYXW LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FKOCCUR EACH OCCURRENCE I$ 2,000,000 PREMISES (Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 EMP19001053-01 06/01/2019 06/01/2020 PERSONAL$ ADV INJURY $ 2,000,000 GEWL X' AGGREGATE LIMIT APPLIES PER: POLICY PRO- ❑ JECT LOG GENERALAGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: $ AUTOMOBILE LIABILITY ANY AUTO SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY NED SINGLE LIMIT tlent $ INJURY (Per person)OWNED FCOE INJURY (Per accident) S RTYDAMAGE RTacogem S ' UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE - EACH OCCURRENCE $ AGGREGATE S DIED I I RETENTIONS WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBEREXCLUDED? El N/A PER OTH- STATUTE ER $ E.L. EACH ACCIDENT 8 (Mandatory in NH) Iyu fes describe nder DESCRIPTION OF OPERATIONS below IEL DISEASE - EA EMPLOYEE•$ L E I. DISEASE -POLICY LIMIT : $ A Professional Liability EI•fP19001053-01 06/01/2019 06/01/20201 Per Claim: I$5, 000,000 . - Aggregate: $5,000,000 ITDeductible: $50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1D1, Additional Remarks Schedufe, maybe attached it more space Is requlmd) SEE ATTACHED ' City Of Oshkosh, Attn: City Clerk 215 Church Avenue PO Box 1130 Oshkosh, WI 54903-1130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1)", 4' Kam« r_T a ; #, At,JKO 25 (2015103) The ACORD name and logo are registered marks of ACORD SR ID: 18040104 BATca: 1222530 All rin Hfc mm...ed AGENCY CUSTOMER ID: LOC#: III.. ® ADDITIONAL REMARKS SCHEDULE Page 2 Of 2 AGENCY NAMED INSURED Willis of Wisconsin, Inc. Robert E. Lee 6 Associates Inc L Northern Ecological Services 1250 Centennial Centre Blvd Hobart, WI 541558995 _.. POLICY NUMBER Be. Page 1 - CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance INSURER AFFORDING COVERAGE: AXIS Surplus Insurance Company NAIC#: 26620 POLICY NUMBER: EMP19001053-01 EFF DATE: 06/01/2019 EXP DATE: 06/01/2020 TYPE OF INSURANCE: Pollution Liability LIMIT DESCRIPTION: Per Claim: Aggregate: Deductible: LIMIT AMOUNT: $5,000,000 $5,000,000 $50,000 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PO Tn. 10n.I n1 nI ol. 1.. 177741// 1—. nT I I S S cl