HomeMy WebLinkAboutWestwood Professional Services IncAGREEMENT
This AGREEMENT, made on the � day of �� 2020, by and
between the CITY OF OSHKOSH, party of the first part, hereinafter re rred to as CITY,
and WESTWOOD PROFESSIONAL SERVICES, INC., One Systems Drive, Appleton, WI
54914-1654, 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 2020 — 2022 ILLICIT DISCHARGE DETECTION AND
ELIMINATION OUTFALL SCREENING AND REVISIONS TO THE ONGOING
SCREENING PROGRAM.
ARTICLE I. PROTECT MANAGER
A. Assignment of Project Manager. The CONSULTANT shall assign the following
individual to manage the PROJECT described in this AGREEMENT:
Brian D. Wayner, P.E. — Environmental 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, lazog through an amendmeat ,,
to this AGREEMENT. RECEIVED c"
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CITY CLERK'S OFFICE
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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.
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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,
with the option for up to two (2) additional one (1) year terms.
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
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by the CITY, or discovery of any hazardous substances or differing site conditions. If the
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 November 6, 2019 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 XII. 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:
• Time and Materials Not to Exceed $79,545 (Seventy Nine Thousand Five
Hundred Forty Five Dollars).
• Attached fee schedule(s) shall be firm for the duration of this AGREEMENT.
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.
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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.
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 XIH. 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 CrrY'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.
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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.
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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: CON;
C.i , H,,c �✓ By:
?a6,, es.5 ADs7ti of Sr Pp rot
(Seal of CONSULTANT
if a Corporation)
(Specify Title)
By:
�iJ V 1 Ro N M fiNT�l. i`^ 041;A60e
(Specify Title)
CITY OF OSHKOSH
By: -
(Witness) Mark A. Rohloff, City Manager
(Witness)
And:
Pamela R. Ubrig, City Clerk
I hereby certify that the necessary provisions
have been made to pay the liability which
will accrue under this AGREEMENT.
/FI 4:�2vz -
City Comptroller
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ENGINEERING
ONE SYSTEMS DRIVE
TT�
APPLETON WI5-571-1677
ENVIRONMENTAL
ENVIRONME T
1-800.57'I-6877
920-735-6900
A 5 5 o C i a r E 5
FAX 920-830-6100
a Westwood company
November 6, 2019—
RRCLIVL'O_
Mr. James Rabe, P.E.
Director of Public Works
_
Nov _ 6 C�19
City of Oshkosh
215 Church Ave. PO Box 1130
03AKOgPUBLJC WORKS
H,
Oshkosh, WI54903-1130
WISCONSIN
Re: Proposal for Professional Services Agreement for 2020 -2022 Illicit Discharge Detection and Elimination
Outfall Screening and Revisions to the Ongoing Screening Program
Dear Mr. Rabe:
Thank you for the opportunity to present this proposal for the 2020 — 2022 illicit discharge detection and
elimination outfall screening services and to prepare a revised ongoing screening program for the City of
Oshkosh. This proposal is intended to present a work scope and cost estimate for our services.
OMNNI Associates (OMNNI) proposes to review and evaluate the current ongoing outfall screening program for
the City of Oshkosh that was revised in 2015. Recommendations for revising the ongoing screening program
would consider the City's existing program, experience obtained from previous outfall screening inspections,
and the Illicit Discharge Detection and Elimination (IDDE) Guidance Document prepared by the Wisconsin
Department of Natural Resources (WDNR). Our recommendations would take into account the most current
issuance of the General Permit to Discharge under the Wisconsin Pollutant Discharge Elimination System (MS4
Permit), so the revised ongoing screening program is compliant with any new requirements. We would meet
with the City to discuss our recommendations. Based on the outcome from the discussions with the City, a
revised ongoing outfall screening program would be prepared for submittal to the WDNR.
OMNNI also proposes screening approximately 90 outfalls (of the approximately 426 outfalls) each year in years
2020 - 2022. The outfalls screened would include outfalls identified in the City's ongoing program for the
current year and outfalls identified in the previous year's inspection as requiring re -screening.
Proposed Scope of Services
1. Evaluate changes to the City's current ongoing screening program.
a. Update municipal separate storm water sewer system map.
i. Update outfalls and storm sewer system.
ii. Provide a drainage basin for each outfall.
iii. Indicate flow direction for storm sewer.
b. Evaluate the City's current ongoing screening program to include experience obtained from
previous outfall screening inspections, input from City staff and new permit requirements.
c. Develop a screening matrix to identify the proposed screening frequency for each identified
outfall for the City.
d. Meet with City to discuss the draft revised ongoing screening program recommendations.
2. 2020 - 2022 stormwater outfall screening.
a. Update the illicit discharge GIS applications for the current year screening program.
omnni.com I westwoodps.com
Mr. James Rabe, P.E.
November 6, 2019
Page 2 of 3
b. Conduct approximately 90 outfall inspections each year. Outfall inspections would include
outfalls identified in the City's ongoing program for the current year and outfalls identified in
the previous year's inspection as requiring re -screening.
I. For each outfall screened, the geographic location would be verified; a digital
photograph showing general location and configuration would be taken; a digital
photograph showing flow (or the absence of flow) would be taken; and physical data on
the outfall would be verified.
ii. For inspected outfalls that are flowing 48 or more hours after a runoff -producing rainfall
event, flow characteristics would be documented.
iii. A sample of the stormwater would be collected from outfalls that are flowing 48 or
more hours after a runoff -producing rain event and analyzed using field tests and/or the
Hach kit for stormwater.
iv. Indicator parameters from the stormwater sample (parameters can include: pH,
conductivity, temperature, ammonium, total chlorine, and detergents) would be
measured as outlined in the City of Oshkosh's Ongoing Screening Program.
v. For outfalls that are partially or fully submerged, the stormwater sample would be
collected from the next accessible upstream location.
vi. If a potential illicit discharge is detected, the City would be notified and provided with
the data collected during the screening of the outfall.
c. Produce inspection reports for each outfall inspected that year, including general outfall
characteristics and illicit discharge indicator parameters.
d. Produce a program summary report each year describing the outfall screening procedures that
were followed, along with any potential illicit discharges that were discovered.
e. Produce a summary report each year of outfalls that have observed structural damage,
significant deposition or erosion, or graffiti.
f. Update the outfall map each year showing the locations of the identified outfalls.
g. Present a summary of the outfall screening to the Storm Water Utility Committee each year, if
requested.
3. Submittals/deliverables.
a. Revised ongoing screening program would be provided in hardcopy and PDF format.
b. Outfall reports would be provided in hardcopy and PDF format.
c. Outfall photographs and flow photographs would be provided to Client on a DVD-ROM.
d. Outfall locations and screening results would be provided in ESRI shapefile.
e. One color copy of the draft field screening summary report, including the outfall reports for the
screened outfalls.
f. Two color copies of the final field screening summary report, including the outfall reports for the
screened outfalls
g. Summary presentation of the outfall screenings to the Storm Water Utility Committee, if
requested.
Schedule
The proposed schedule for the work would generally be as follows:
1. Conduct outfall screening during June —October, weather permitting.
2. Evaluate ongoing screening program and present findings to the City by September 15, 2020.
3. Provide outfall summary reports by mid -December.
Mr. James Rabe, P.E.
November 6, 2019
Page 3 of 3
Compensation
Tasks
2020
2021
2022
Project management, correspondence, presentation
$5,040
$5,250
$5,460
Outfall field inspections
$5,835
$6,050
$6,310
Individual outfall reports, summary report
$6,000
$6,250
$6,500
Ongoing screening program revisions
$11,850
$0
$0
Contingency for tracking potential illicit discharges
$5,000
$5,000
$5,000
Estimated cost per year*:
$31725
$22,550
$23,270
Estimated cost 3-year program:
$79,545
*Similar to our current services agreement for IDDE services, we will only charge for the actual time worked on the
project. Our estimate above is based on the previous level of effort we have provided the City. The contingency for
tracking estimate is the same amount we have set aside in the past.
City Support
We recommend that the City provide OMNNI's field staff with identification badges and/or documentation
authorizing our field inspection activities. We also recommend that the relevant city and county departments
(police, fire, street, etc.) are informed of the field screening effort and our field presence.
When screening submerged outfalls, one or more upstream manholes will likely need to be opened to allow for
inspection and sampling. If any of these manhole covers are secured with bolts or locks, the City will be
responsible for providing personnel to assist with opening the manhole for the inspection and securing them
following the inspection. City assistance is not anticipated for manhole covers with no bolts or locks, unless
required by the City. For high traffic areas, we may require City staff to assist with traffic monitoring and/or
temporary diversion while the manholes are accessed.
We have assumed that the City of Oshkosh will continue to provide ESRI shapefiles or CAD data of the storm
sewer pipes and the major and minor outfall locations.
We truly appreciate the opportunity to provide our services to the City and look forward to continue working
with you on the City's stormwater screening. Please contact me at 920-830-6141 or bwayner@omnni.com with
any questions or for clarification of our proposed approach.
Sincerely,
E Brian D. Wayner, p/
Environmental Manager
ACCA?6r CERTIFICATE OF LIABILITY INSURANCE
L�
DATE(MMtOUNYYY)
1 1/21/2020
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(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
Osborne & Associates
420 Gateway Blvd
Burnsville MN 55337 RECEIVED
C NTA T
NAME: Certificates Department
PAIC.HONE , 952-707-8200 VC No:952-890-0535
ADDRESS: certificates kainsurance.com
INSURE S AFFORDING COVERAGE
NAIC#
INSURER A: Continental Casualty Company
20443
INSURED MSTPRO.01
OMNNI Associates, Inc.
Westwood Professional ServiceCM..T OF PUBLIC WORKS
INSURER e:
INSURERC:
12701 Whitewater Drive OSHKOSH, WISCONSIN
Suite 300
Minnetonka MN 55343
NSURER::
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 162400517Q RFVIRION NI IMRFR-
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.
ILTR
TYPEOFINSURANCE
immm ADDLE
B
POLICY NUMBER
MLVDDDPOLICYYYYI
(MMIDONYYYI
LIMITS
COMMERCIAL GENERALLUIBILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
$
PREMISES Ea ocaarerwe
It
MED EXP (Any one person)
$
PERSONAL &ADV INJURY
$
GENL AGGREGATE LIMIT APPLIES PER
POLICY 0 jECT LOC
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGO
$
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OTHER:
ABILITY
COMBINED SINGLELIMIT Ea accidentBODILY
INJURY(Per person)
$
SCHEDULEDBODILY
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( )NON
$
-OWNED
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PROPERTYDAMAGE$OS
Per accident
UMBRELLA LIAB
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EACH OCCURRENCE
$
AGGREGATE
$
EXCESS UAB
CLAIMS -MADE
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$
WORKERS COMPENSATmN
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STATUTE ER
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$
E.L. DISEASE -EA EMPLOYEE
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If yea, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$
A
Professional Liability Including
Pollution Incident Liability
- Claims Made & Reported
AEH591925173
11/29/2019
11/29/2020
Per Clain
Aggregate
$5.000,000
$5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required)
Professional Liability coverage shall be primary and non-contributory for claims arising solely from the Insureds wrongful acts. 30 Day Notice of Cancellation
applies.
City of Oshkosh
Attn: City Clerk
215 Church Avenue
PO Box 1130
Oshkosh WI54903-1130
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
CORPORATION. All rinhts
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
. O * CERTIFICATE OF LIABILITY INSURANCE
DATE22/20 YYYY)
la
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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(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
CSDZ, LLC
225 South Sixth Street, Suite 1900
RECEIVED
Minneapolis MN 55401
P
CONTACT
NAME: Sarah Edwards
24D7 FA
AIX No),
ftnedwards@csdz.com
E-MaIL
aoDREss: sedwards csdz.com
INSURERS AFFORDING COVERAGE
NAICN
S 2020
INSURER A: Travelers Property Casualty
25674
INSURED WESTPROI
OMNNI Associates, Inc. p
Westwood Professional Services, Irk'E F OF PUBLIC WORKS
12701 Whitewater Drive, Suite 300 OSHKOSH, W ISCONSIN
Minnetonka MN 55343
INSURERS: Charter Oak Fire Insurance Company
25615
NsuRERc: Travelers IndemnityCompany
25658
INSURERD:
INSURERS:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 976220994 REVISION NUMBER:
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.
MSR
TYPE OF INSURANCE
ADDL
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POLICY NUMBER
MhWDDDYEFF
MM/OD EXP YrO
UNITS
B
X
COMMERCIAL GENERAL LIABILITY
F
630212196101A
11/1/2019
11/1/2020
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
CLAIMS -MADE I OCCUR
PREMISES Ea o=nrencal
$300,000
X
MED EXP (Any one person)
$10,000
Contr Uab per
X
Pollcy Form/xCU
PERSONAL&ADV INJURY
31.000,000
GEN'LAGGREGATE
LIMIT APPLIES PER:
POLICY [KjE(1 FX]LOC
GENERAL AGGREGATE
$2,000,000
PRODUCTS -CONI AGG
$2,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
810OL610311
11/M019
11/1/2020
OMBIINEL NEe tSINGLIMIT
$1,000.000
BODILY INJURY (Per person)
$
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
IX
BODILY INJURY (Per accident)
S
PROPERTY DAMAGE
Per accident)
$
Hired Auto Phy Damage
$ACV of Vehide
Como: $1.000 X Coll: $1,DD0
C
X
UMBRELLA UAB
X OCCUR
CUP8J545686
11/1/2019
11/1/2020
EACH OCCURRENCE
$5,000,000
AGGREGATE
$5,000.000
EXCESSUAB
CLAIMS -MADE
DED X RETENTION$4n nnn
$
A
WORKERS
COMAND ENSATIOIN YIN
AWPROPRIETOR/PARTNER/EXECIITIVE
OFFICER/MEMBER EXCLUDED? FN
N/A
UB7J515455
11/1/2019
11/1/2020
X STATUTE ER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
(Mandatory in NH)
8 yes, describe under
E.L. DISEASE -POLICY LIMIT
$1,000.000
DESCRIPTION OF OPERATIONS below
A
Stop Gap Liability
UB7J515455
11/1/2019
11/1/2020
Applies to states:
ND, OH, WA WY
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
2020-2022 Illicit Discharge Detection and Elimination Outfall Screening and Revisions to the Ongoing Screening Program
Additional Insured only if required by written contract with respect to General Liability, Automobile Liability and Umbrella/Excess Liability applies on a primary
basis and the Insurance of the Additional Insured shall be Non -Contributory: Certificate Holder, Project Owner and Others as required by written contract.
Waiver of Subrogation only if required by written contract with respect to General Liability, Automobile Liability, Workers Compensation and Umbrella/Excess
Liability applies in favor of: Certificate Holder, Project Owner and Others as required by written contract.
See Attached...
City of Oshkosh
Department of Public Works, Attn: City Clerk
215 Church Avenue, P.O. Box 1130
Oshkosh WI54903-1130
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
2✓. e A
CORPORATION. All nahts reserved.
AUUKU Zb (ZU1b/U3) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: WESTPROI
LOC #:
Acc)j? " ADDITIONAL REMARKS SCHEDULE
Page 1 of 1
AGENCY
NAMED INSURED
CSDZ, LLC
OMNNI Associates, Inc.
Westwood Professional Services, Inc.
12701 Whitewater Drive, Suite 300
POLICY NUMBER
Minnetonka MN 55343
-
CARRIER
NAIC CODE
EFFECTIVE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
�e cancellation wording: Should any of the above described policies be cancelled before the expiration date, 30 Days written
will be delivered to the certificate holder.
CORPORATION. All rinhte
The ACORD name and logo are registered marks of ACORD
CERTIFICATE OF INSURANCE
ants cenmcate is
Date: September 13, 2019
This is to certify to:
To Whom It May Concern
as a maner or mLOrmation only and confers no nglits upon me certiticate addressee.
That the following policy has been issued to:
WESTWOOD PROFESSIONAL SERVICES
12701 WHITEWATER DRIVE
SUITE 300
MINNETONKA, MN 55343
Policy No. 9005275 issued by one or more member companies of Global Aerospace Pool through Global Aerospace, Inc.
Policy Period: from November 1, 2019 to November 1, 2020 Policy Territory: Worldwide
AIRCRAFT AND COMMERCIAL GENERAL AVIATION LIABILITY
Coverages Limits of Liability
Single Limit Bodily Injury and Property Damage $5,000,000 Each Occurrence
(or as set forth in the policy)
Third Party War Liability $5,000,000 Aggregate
AIRCRAFT PHYSICAL DAMAGE
Policy includes Physical Damage Coverage including war risk with insured values as set forth in the policy.
ely as respects an occurrence arising out of the ownership, maintenance or use of an unmanned aircraft insured under this policy and
;ly to the extent required in an agreement with the Named Insured, the following provisions shall apply:
WHO IS AN INSURED section of the policy is amended to include the certificate addressee as an insured, but only as respects
Named Insured's use of the aircraft and only with respect to the certificate addressee's liability because of acts or omissions of the
ned Insured. However, no such person or organization is an Insured if he, she, or it, or any of his, her, or its agents or employees is
aged in the manufacture, maintenance, repair, or sale of aircraft, aircraft engines, components or accessories, or in the operation of
airport, hangar, flying school, flight service, or aircraft or piloting service, as respects any occurrence arising out of such activity.
: insurance, as to the interest of the certificate addressee, shall be primary without right of contribution by any other valid and
lectible insurance available to the certificate addressee.
e waive any right of recovery we may have against the certificate addressee because of payments it makes for physical damage
aircraft described in this certificate, but only to the same extent that the Named Insured has waived its right for recovery for such
ysical damage against the certificate addressee.
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. This certificate does not amend, extend or otherwise alter the coverages afforded by the policies described herein. Limits
may have been reduced by paid claims.
Global Aerospace, Inc.
BY:
GLOBAL AEROSPACE
0
P
l`
Page 1 of I
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - AUTOMATIC STATUS
IF REQUIRED BY WRITTEN CONTRACT (CONTRACTORS)
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
The following is added to SECTION II — WHO IS AN
(a) The Additional Insured — Owners, Les -
INSURED:
sees or Contractors — Scheduled Person
Any person or organization that:
or Organization endorsement CG 20 10
a. You agree in a written contract or agreement to
07 04 or CG 20 10 04 13, the Additional
include as an additional insured on this Coverage
Insured — Owners, Lessees or Contrac-
Part; and
tors — Completed Operations endorse-
ment CG 20 37 07 04 or CG 20 37 04 13,
b. Has not been added as an additional insured for
or both of such endorsements with either
the same project by attachment of an endorse-
of those edition dates; or
ment under this Coverage Part which includes
(b) Either or both of the following: the Addi-
such person or organization in the endorsement's
tional Insured — Owners, Lessees or Con -
schedule;
tractors — Scheduled Person Or Organi-
is an insured, but:
zation endorsement CG 20 10, or the Ad-
a. Only with respect to liability for "bodily injury' or
ditional Insured — Owners, Lessees or
"property damage" that occurs, or for "personal
Contractors — Completed Operations en -
injury" caused by an offense that is committed,
dorsement CG 20 37, without an edition
subsequent to the signing of that contract or
date of such endorsement specified;
agreement and while that part of the contract or
the person or organization is an additional in -
agreement is in effect; and
sured only if the injury or damage is caused,
b. Only as described in Paragraph (1), (2) or (3) be-
in whole or in part, by acts or omissions of
low, whichever applies:
you or your subcontractor in the performance
(1) If the written contract or agreement specifical-
of "your work" to which the written contract or
ly requires you to provide additional insured
agreement applies; or
coverage to that person or organization by (3)
If neither Paragraph (1) nor (2) above applies:
the use of:
(a) The person or organization is an addi-
(a) The Additional Insured — Owners, Les-
tional insured only if, and to the extent
sees or Contractors — (Form B) endorse-
that, the injury or damage is caused by
ment CG 20 10 11 85; or
acts or omissions of you or your subcon-
(b) Either or both of the following: the Addi-
tractor in the performance of "your work"
tional Insured — Owners, Lessees or Con-
to which the written contract or agree -
tractors — Scheduled Person Or Organi-
ment applies; and
zation endorsement CG 20 10 10 01, or
(b) Such person or organization does not
the Additional Insured — Owners, Lessees
qualify as an additional insured with re -
or Contractors — Completed Operations
sped to the independent acts or omis-
endorsement CG 20 37 10 01;
sions of such person or organization.
the person or organization is an additional in- The insurance provided to such additional insured is
sured only if the injury or damage arises out subject to the following provisions:
of "your work" to which the written contract or a. If the Limits of Insurance of this Coverage Part
agreement applies; shown in the Declarations exceed the minimum
(2) If the written contract or agreement specifical- limits required by the written contract or agree-
ly requires you to provide additional insured ment, the insurance provided to the additional in -
coverage to that person or organization by sured will be limited to such minimum required
the use of: limits. For the purposes of determining whether
CG D6 04 02 19 0 2017 The Travelers Indemnity Company. All rights reserved. Page 1 of 2
COMMERCIAL GENERAL LIABILITY
this limitation applies, the minimum limits required
result in a claim. To the extent possible, such
by the written contract or agreement will be con-
notice should include:
sidered to include the minimum limits of any Um-
(a) How, when and where the "occurrence"
brella or Excess liability coverage required for the
or offense took place;
additional insured by that written contract or
(b) The names and addresses of any injured
agreement. This provision will not increase the
persons and witnesses; and
limits of insurance described in Section III— Limits
Of Insurance.
(c) The nature and location of any injury or
b. The insurance provided to such additional insured
damage arising out of the "occurrence" or
does not apply to:
offense.
1 An "bodily injury",
() y y j ry", "property damage" or
(2) If a claim is made or "suit" is brought against
"personal injury" arising out of the providing,
the additional insured:
or failure to provide, any professional archi-
(a) Immediately record the specifics of the
tectural, engineering or surveying services,
claim or "suit" and the date received; and
including:
(b) Notify us as soon as practicable and see
(a) The preparing, approving, or failing to
to it that we receive written notice of the
prepare or approve, maps, shop draw-
claim or "suit" as soon as practicable.
ings, opinions, reports, surveys, field or-
(3) Immediately send us copies of all legal pa-
ders or change orders, or the preparing,
pers received in connection with the claim or
approving, or failing to prepare or ap-
"suit", cooperate with us in the investigation
prove, drawings and specifications; and
or settlement of the claim or defense against
(b) Supervisory, inspection, architectural or
the "suit", and otherwise comply with all policy
engineering activities.
conditions.
(2) Any "bodily injury' or "property damage"
(4) Tender the defense and indemnity of any
caused by "your work" and included in the
claim or "suit" to any provider of other insur-
"products-completed operations hazard" un-
ance which would cover such additional fin-
less the written contract or agreement specify-
sured for a loss we cover. However, this con-
cally requires you to provide such coverage
dition does not affect whether the insurance
for that additional insured during the policy
provided to such additional insured is primary
period.
to other insurance available to such additional
c. The additional insured must comply with the fol-
insured which covers that person or organiza-
lowing duties:
tion as a named insured as described in Par-
(1) Give us written notice as soon as practicable
agraph 4., Other Insurance, of Section IV —
of an "occurrence" or an offense which may
Commercial General Liability Conditions.
Page 2 of 2 0 2017 The Travelers Indemnity Company. All rights reserved. CG D6 04 02 19