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HomeMy WebLinkAboutR.A. SmithAGREEMENT —114 This AGREEMENT, made on the 2� day of 2020, by and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and R. A. SMITH, INC.,100 West Lawrence Street, Suite 412, Appleton, WI 54911-5754, 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 PERMI TRACK ESC SUPPORT SERVICES. ARTICLE I. PROTECT MANAGER A. Assignment of Project Manager. The CONSULTANT shall assign the following individual to manage the PROJECT described in this AGREEMENT: Jeff Mazanec, P.E. — Senior Consultant 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 M. 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. I:\Engineering\Storm Wa[ Infoma6on\PermiTnck\PermiirackESC Agreement\RA Smith Page 1 of 7 Agreement -Pe 7ra&6 Support Sere_ W.doa g 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:\Engineering\Storm Water Im mtatlon\Pe Track\Fm TmckPSC Agreement\RA Smith AgPage 2 of 7 reement-PemdlYack Support sere X- M.dmx 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:\ Engineering\Stonn Water INormation\PemdTrack\PermiTmckESC Agreement\RA Smith Page 3 of 7 Agreement-Ne Tmckp Support Se 3-20.W.d.a 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. CONSULTANrs Proposal dated March 12, 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 XIL 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. h\Engineering\Storm Water 1Normation\Pemffrack\P iTmck6SC Agaement\RA Smith P4of7 Agr tmmt-PermdTmck Support Sere_i20Page ge 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 CITY 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 C1TY'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. M Engiceering\Storm Water lNonnafion\P r ffmck\pe UmckFSC Agreement\EA Smith Page 5 of 7 Agreement -Fe TmckESC Svppon Sere-}20.W.doa� 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 XVHL 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. I:\Engin ng\Storm WamrlNmm fim\PermiTmck\PermlTmckE Agre rmmt\MSmith Page 6 of 7 Agr .I-PmmiTre&k 5npport Sery 20.Xd. g 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: �_t_-P �kC'Cce��VCi t�cer (Seal of CONSULTANT if a Corporation) 1=1 r..r SEAL (Witness) CONSULTANT vri2� By. JJ&f� P.E. r. Consultant (Specify Title) By: (Specify Title) CITY OF In Rabe, P.E., Director of Public Works JAEnginearing\Storm Water Jmmmamm\PemdTmCk\PermiTrarkE Agreement\RA Smith Page 7 of 7 Agraement-Pa.TrarkESC Soppmt Ser2X ,3-2() .d. g CREATIVITY tEYG»o ENGINEERING ggCFVBD March 12, 2020 MAR 1 g ZZ D�yT OOSH, WISCONSIN Mr. Justin Gierach, PE OSVM Engineering Division Manager City of Oshkosh 215 Church Avenue Oshkosh, WI 54901 Re: Proposal for PermiTrackESC Support Services Dear Mr. Gierach: R.A. Smith, Inc. 100 West Lawrence Street, Suite 412 Appleton, WI 54911-5754 (920) 7313499 1 rasmith.com R.A. Smith, Inc. appreciates the opportunity to work with the City of Oshkosh to provide PermiTrackESC Support Services. As your trusted advisor, we are committed to understanding your challenges and providing cost-effective and timely solutions. Scope of Services R.A. Smith, Inc.'s services, as an Authorized PermiTrack Business Partner, are offered in two phases for this project: A. Setup Phase — R.A. Smith, Inc. will establish City information and primary users for PermiTrackESC in the PermiTrack database, and populate the PermiTrackESC application with content speck to the City of Oshkosh to support user training, development and implementation. We will establish two PermiTrackESC user accounts for the City, one for inspection of active construction projects and a second for inspection of post -construction stormiwater management facilities. Each will be populated with appropriate project types and a relevant BMP library, supporting graphics and other information specific to your use. Information used for this task will be based on PermiTrack content established by similar users and is intended for your review and revision to best fit your practice: • Project Types — Standard base types for each account • BMPs/ Inspection Items — PermiTrackESC BMP libraries for active construction site and post - construction facility inspections, for User editing as appropriate • Map Banner Graphics —Developed with available graphics for direct use or updating by your staff. • Default late inspection reminders and certification statements. B. Training Phase — R.A. Smith, Inc. will conduct a User Training Workshop for your stormwater management team in person at your offices in Oshkosh, WI, or at another local location designated by you. The training will be conducted using your customized application setup, and we will tailor the training agenda to meet the needs of your individual participants throughout the training period. The workshop will address administration, customization and ongoing use of the PermiTrackESC application. Brookfield, WI I Milwaukee, WI I Appleton, WI ( Madison, WI I Cedarburg, WI ( Mount Pleasant, WI Naperville, IL I Irvine, CA ra mith Mr. Justin Gierach, PE Page 2 / March 17, 2020 We encourage your workshop participants to have online computer access in the training workshop to facilitate the training, and if possible, be prepared to create a real project for inspection in the application for example purposes. R.A. Smith, Inc. will also provide in -person support for one V party inspector training workshop to demonstrate use of the PermTrackESC for contractors and other involved parties, including a live demonstration, user guidance and inspection guide handouts and discussion. Completion Schedule We will complete application setup in advance of the user training workshop, which has been scheduled for Tuesday, March 17"', unless postponed at the request of the City. We understand that the 31" party contractor training workshop may be held at a later date and will work with City staff to schedule that accordingly. Professional Fees The above services will be provided for a lump sum fee of $1,500. Services will be billed each month based on the work completed. Usual and customary expenses such as mileage, printing, delivery and postage are included in the lump sum fee. Client Responsibilities/Assumptions The terms and conditions set forth herein are valid for 30 days from the date of this proposal and are conditioned upon our completion of all services within 60 days. R.A. Smith, Inc. offers an array of supplemental services that are available at your request. The services proposed herein do not include creation of new active construction projects within the PermiTrackESC application or reporting of inspections by R.A. Smith, Inc. We sincerely appreciate this opportunity to offer our professional services for this project and look forward to working with you. Sincerely, R.A. Smith, Inc. n sultearcnt t ri No. 1200277 RASMITH-01 BHENDRIE �i CERTIFICATE OF LIABILITY INSURANCE DAT11912020 ) 3/19/2020 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 BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 p, such endorsement(s). PRODUCER RECEIVED - CONEACT Mary Jo Nowak, AU, CIC, ARM, RPLU Johnson Insurance Milwaukee - PNONE Ia/c, No, Eat): (608) 2033893 (Fk No): 877 264-8586 1103 Hunter Dr Ste 100 ALAI , mnowakto ohnsonfinaneialgroup.com Mount Pleasant, WI 53406 2020 MAR 19 INSURER 5 AFFORDING COVERAGE NAICM INSURERA:RLI Insurance Corn an 13056 INSURED WISCONSIN OSHKOSH, R.A. Smith, Inc INSURER B: INSURERC: 16745 W Bluemound Rd Ste 200 INSURER D: INSURER E: Brookfield, WI 53006-6938 INSURER F COVERAGES CERTII•ICA It NUmUMIK: •--••—•------------ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW RAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOPWTHSTANDING 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 SK �:N-NrY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICYNUMBER POUCVEFF POUCYEXP LIMITS EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED S MED EXP An we rwn PERSONAL B ADVINJURY GENERALAGGREGATE GENLAGGREGATE LIMIT APPLIES PER: POLICY jECT LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED 030NLY SAICHHOESULED p�� ���� EFpp ALTOS ONLY AUTOSICV PRODl1CT5-COMP/OP AGG E COMBINED SINGLE LIMIT BODILY INJURY Per own)E E S BODILY INJURY Peracrident R�E�R�Ynt MAUL Pe S E A A UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NIA RPDO036797 RPDO036797 711/2019 711/2019 7/112020 7/112020 EACH OCCURRENCE S AGGREGATE PER OTH- DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIIETgDERR/PARTNER/FXECUTNE ❑ W.F.ISatgry In NN)�LUDEO? "I U yes,'eacdbe uMer DESCRIPTION OF OPERATIONS WIDW Professional Liab Professional Liab E.L. EACH ACCIDENT $ E.L DISEASE-EAEMPLOYE E E.L. DISEASE OMIT Per Claim Aggregate E 2,000,000 2,000,000 DESCRIPTION OF OPERATIONS I WCAnONS I VEHICLES (ACORD 101, Additional Remarks Schedule, hey M.,eched V more space Is required) 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 ACORD 26 (2016103) ...... """"""' -- The ACORD name and logo are registered marks of ACORD /ate TH CERTIFICATE OF LIABILITY INSURANCE DATE(MNVDDrrYYY) 311912020 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS COVERAGE HE POLICIES CERTIFICATE DOES NOT Y AMEND, EXTEND OR OR OTCONSTITUTEALTER BETWEEN THE IISSUING SURE (S)TAUTHORIZED CERTIFICATEF INSURANCE SURANCE DOES NIRMATIVELY CONSTTUTE A CONTRACTN BELOW. THIS REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. IMPORTANT: 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 _—" � 7o&sas-3000 FAX The Horton Group — RECEiVEA Na: _ 10320 Orland Parkway ADDRESS, cert ficates thehorton rou .com Orland Park IL 60467 INSURE S AFFORDING COVERAGE NAICN 9 2020 MAR 1 : Sent Transportation Ins. 24988 !?! INSURED ITH-01:R.A. OF PUWIC ORW:16745 Smith, Inc. pEPT #200 D:E:NSURF: W. Bluemound Road OSHKOSH,NSIN Brookfield WI 53005 o GVl Slrlyd MIIMRFR: COVERAGES CERTIFICATE NUMBER: bbauuoi ba •--••---"--"---- BEEN ISSUED TO THE INSURED NAMED ABOVE FOR HE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTNAHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL HE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I�TRR POD SUBR POLICY EFF POUCYEXP LIMITS E TYPOFINSURANCE POUCYNUMBER MMA) Mw q X COMMER NALGENERALUABIUTY A0130739005 7/112019 7/1/2020 EACHOOCURRENCE $1,000,000 E PREMISES Eaucwr,MMS $500.000 CLAIMS -MADE FTI OCCUR MED EXP (Arty arts Person) E 10.000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE E3,D00,000 GENL AGGREGATE LIMIT APPLIES PER FLOC PRODUCTS-COMP/OP AGG E2,000,000 POLICV�jEa E OTHER: 7/1/2019 7/1/2020 Ea (Eaaca ent) LE LIMIT $1.000,000 A0130739001 A AUTONIOBILELJABIUTY BODILLYYINJURY (Per person) E X ANY ALTO OWNED SCHEDULED GODLY INJURY (Per accident) E AUTOS ONLY AUTOS PR PERTY DAMAGE E X HIRED X NON-OMED per accident AUTOS ONLY AUTOS ONLY E A X UMBRELLA UAS X OCCUR A0130739007 7/1/2019 7/1/2020 EACHOCCURRENCE $10,000,000 AGGREGATE E10,000,000 EXCESS LJAB CWMS4IADE E DED X RETENTIONS WORKERS COMPENSATION q A0130739006 7/1/2019 7/1/2020 X STATl1TE ERH E.L. EACH ACCIDENT $1,000,000 AND EMPLOYERS UABIUTY YIN ANYPROPRIETOR/PARTNERAJ(ECUTIVE I OFFICERIMEMBEREXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $1,000.000 E.L. DISEASE - POLICY LIMIT $1,000,000 (Mandatory In NH) If yes, tleaaibe under OF OPERATIONS ONav A DESCRIPTION LeasedlRented Equipment A0130739002 7/1/2019 7/1/2020 Lind E725,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space Is required) liability and auto liability only when required by written Contract. Waiver of Additional insured on a primary and noncontributory basis with respect to general in favor of the stated additional Insureds only when required by written contract. subrogation applies to general liability, auto liability and workers, compensation Umbrella follows form. Additional insured: City of Oshkosh, and its officers, Council members,agents, employees, and authorized volunteers City Of Oshkosh 215 Church Avenue Oshkosh VA 54903 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 REPRESENTATME (11ORR-9ni5 rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: A0130739005 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) ions Or Organization(s): Location(s) Of Covered Operat FLoss dditional Insured when SPECIFICALLY All WISCONSIN Jobsites red By Written act or Written Agreement Executed Prior To Work Performed By Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for 'bodily injury', "property damage" or "personal and advertising injury" caused, in whole or In part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. CG 20 10 07 04 A0130739 Middlesex Insurance Company 1 00ee1 OOOOOOOeeO 19212 0 N B. With respect io me Irlswau�c auvwv� ... •••...... additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. ® ISO Properties, Inc., 2004 a77deab7d2ce492c4198d-3s, da461 c5 0027o20O44351335916053005593650 Page 1 of 1 07/31/2019 POLICY NUMBER: A0130739005 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Any Additional Insured when SPECIFICALLY All WISCONSIN Jobsites/Work Performed By Named Required By Written Insured Contract or Written Agreement Executed Prior To Loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG 20 37 07 04 A0130739 Middlesex Insurance Company 1 00001 0000000000 19212 0 N © ISO Properties, Inc., 2004 02985eeb-Ob87Ad25-b2c4cb759e31i854 D027020044351335816053005593850 Page 1 of 1 07/31 /2019