Loading...
HomeMy WebLinkAboutLetter of Transmittal: Speedy Clean Drain & Sewer (2) CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS 21.5 CHURCH AVENUE,P.O.BOX 1,130, OSHKOSH, W1 54903-1130 PHONE: (920)236-5065 FAX(920)236-5068 LETTER OF TRANSMITTAL To: Bill Peotter Date: December 7,2018 --------------- _Sp�dClean Drain&Sewer bie c t: Executed A Yreement for 2019 CIP 9 1380 Earl Street Sanitary and Storm Sewer Main,and Menasha, Wl 54952 Lateral Televi * Please find: Z Attached F-1 Under Separate Cover ❑ Copy of Letter Z Contracts R Amendment R Report Agenda ❑ Meeting Notes R Photos R Mylars F-1 Change Order Plans ❑ Specifications R Estimates F1 Diskette R Zip Disk F] Other Quantity Descriptioi Executed Agreement ----------- ------------ ---------- ................. .............. These are being transmitted as indicated below: R For Approval Z For Your Use As Requested ❑ For Review&Comment Remarks: Enclosed is the executed agreement for 2019 CIP sanitary and storm sewer main.and lateral televising services. Please reference Contract 2018-43 on all of your invoices, If You have any questions, please contact us, City Clerk's Office-Original cc: File-Original Signed: Tr),cy L i L. aer. ,T" q- (— hEngimering\1&I Woik\Sanitary l,aterals\Ttlevisitig\2019\SpecclyClein LOT"-Executed A grewnent-2019 Sat)&storm Mn&La I Televising-12-7-18,doex f AGREEMENT This AGREEMENT, made on the day of 2018, by and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and SPEEDY CLEAN DRAIN & SEWER, 1380 Earl Street, Menasha, WI 54952, 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 SANITARY AND STORM SEWER MAIN AND LATERAL TELEVISING FOR 2019 CAPITAL IMPROVEMENT PROJECTS. ARTICLE 1. PROJECT MANAGER A. Assignment of Project Manager. The CONSULTANT shall assign the following individual to manage the PROJECT described in this AGREEMENT: Bill Peotter—President 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 11. CITY REPRESENTATIVE The CITY shall assign the following individual to manage the PROJECT described in this AGREEMENT: Justin Gierach,P.E.—Civil,Engineering Supervisor ARTICLE 111. SCOPE OF WORK The CONSULTANT shall provide the services described in the CITY'S Request for 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. l:\Eogo10CTing\1&I Work\Sanitary L,aterals\'ft4ftvisixig\2019\Sl>eedy Clean 2019 Televising Page 1 of 7 Agreement_l-15-18Aocx r , fi, ,� ,�, °�� � , , t 4 ,,9,a. t, ��. � y , �� '� h � ' �J 3 M1 �, .^�"- 3r 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:\1:ngineering\1&I Work\Sanitary Laterals\Televising\2019\Speecly Clean 2019Televising Page 2 of 7 Agrevinent-1 1-15.1 8.docx 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 CITY's Request for 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\1&I Work\Sanitary LateralsVrelevising\2019\Speedy Clean 2019 Televising Page 3 of 7 Agreemen t�_11-15-1 8.docx 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. CITY's Request for Proposal dated October 22,2018 and attached hereto 3. CONSULTANT's Proposal dated November 1, 2018 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: 0 Time and Materials Not to Exceed $121,862.50 (One Hundred Twenty One Thousand Eight Hundred Sixty Two Dollars and Fifty Cents). 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. l:\En&eering\1&I Work\Siinitary Laterals\Televising\2019\Speedy Clean 2019'relevising AgrecmenLl 1-15-18.docx Page 4 of 7 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 XIII. 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 CITY'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 XIV. INSURANCE The CONSULTANT agrees to abide by the attached City of Oshkosh Insurance Requirements. h\Engineering\1&1 Work\,SaWtary LateriLs\Televising\2019\Sp(-edy Clean 2019'Felevising Page 5 of 7 Agreement 11-15-18.docx P ARTICLE XV. 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 XVI. 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 XVII. 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. J:\Engineering\1&I Work\Saintary Lateralq\Te.levi.qing\2019\Speedy Clean 2019 Televising Page 6 of 7 AgreernmL11-15-18Axx ARTICLE XVIII. 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: CONSULTANT By: (Seat of Consultant if a Corporation) (Specify Title) By: (Specify Title) CITY OF OSHKOSH U611A ,C� By: (With 1 Mark A. Rohloff, City Manager And: (Witn4s Pamela R. Ubrig, City Clerk APPROVED: I hereby certify that the necessary provisions have been made to pay the liability which will accrue under this AGREEMENT. J- tttojme,-y y City Comptroller L\J'sngincefirig\l&I Work\Sanitary I.,at(,rals\Tflevising\2019\Spee(ty Clean 20194'elevising Agawment_11-15-18.docx Page 7 of 7 rA City OfV Oshkosh October 22,2018 Mr.Bill Peotter Speedy Clean Drain&Sewer 1380 Earl Street Menasha,WI 54952 E-Mail: info@speedycleaninc.com RE: Request for Proposal for Sanitary and Storm Sewer Main and Lateral Televising for 2019 Capital Improvement Projects Dear Mr. Peotter, The City of Oshkosh is hereby requesting proposals be submitted for sanitary and storm sewer main and lateral televising of its 2019. Capital Improvement Projects. The proposal shall include at a minimum: related project experience and a breakdown.of costs as requested in the enclosed Scope of Services. The proposals will be reviewed for completeness and how well it is demonstrated the needs of the City of Oshkosh can be met. The award of this work will not be based solely on the cost of the proposal. Questions regarding this Request for Proposal shall be e-mailed to me at Jgierach@ci.osl­tkosh.wi.us erach@ci.osl­tkosh.wi.us (with the subject heading of "2019 Sanitary and Storm Sewer Main and Lateral Televising RFP Questions") by 12:00 noon on Monday, October 29, 2018. The questions and appropriate responses will be distributed to all parties receiving this Request for Proposal by 4:30 p.m. on Tuesday, October 30, 2018. Please submit four (4) copies of the proposal to Tracy Taylor no later than 4:00 p.m. on Friday, November 2,2018. It is anticipated the award of this agreement will be made by Wednesday, November 14, 2018. Please ensure you have the proper insurance paperwork,so the award is not delayed. Enclosed with this letter are copies of the Scope of Services, Proposal Cost Breakdown, Site Maps, Sample Standard Engineering Services Agreement, and City of Oshkosh Insurance Requirements. The information contained within these attachments shall become a part of the Agreement with the Consultant selected to perform these services. If you have any questions,please do not hesitate to contact us. Sincer y, stin Gierac Principal Civil Engineer Enclosures cc: James Rabe, P.E., CPESC,Director of Public Works Steven M.Gohde,P.E.,Assistant Director of Public Works 1:\Engineering\1&I Work\Sanitary Laterals\Televising\2p19\RFP\Cover Letters\Speedy Clean Ltr_10-22-18.docx Page 1.of], City Hall,215 Church Avenue P.O. Box 1130 Oshkosh,WI 54903-1 130 http://www.ci.oshkosh.wi.us SCOPE OF SERVICES FOR SANITARY AND STORM SEWER MAIN AND LATERAL TELEVISING 2019 CAPITAL IMPROVEMENT PROJECTS 1. The scope of this agreement consists of furnishing all labor, equipment, materials, electrical power, and traffic control necessary to provide sanitary and storm sewer main and lateral televising as indicated herein. A. Approximately 37,000 feet of sanitary and storm sewer main and 500 sanitary and storm laterals are anticipated for the following 2019 Capital Improvement Program: i. Oregon Street(Sanitary and Storm) a. Oregon Street(West 161h Avenue to West 2111 Avenue). ii. Hazel Street(Sanitary and Storm) a. Hazel Street(Washington Avenue to East Irving Avenue). iii. Plymouth Street,Sheridan Street, Crane Street, and Mitchell Street(Sanitary and Storm) a. Plymouth Street(West Murdock Avenue to Roosevelt Avenue). b. Sheridan Street(West Murdock Avenue to Roosevelt Avenue). c. Crane Street(West Murdock Avenue to Roosevelt Avenue). d. Mitchell Street (West Murdock Avenue to West Linwood Avenue). iv. Other Miscellaneous Projects a. Shorebird Drive/State Highway 45 Crossing b. Easement/C.T.H. Y c. Kentucky Street(West New York Avenue to West Custer Avenue) d. Miscellaneous other locations to be possibly added at a later date. v. Including at least one (1) parcel on all cross streets and ends, which may include more than one (1)main line segment. All laterals in a segment shall be televised. B. Heavy cleaning where approved by the Engineer. C. Bagging and dewatering of the selected storm sewer outfalls. 2. The City of Oshkosh will perform the following tasks: A. Provide an engineering staff member to assist in locating all manholes. i. Engineering Staff will be available Monday through Friday (except recognized City Holidays)from 8:00 a.m. to 4:30 p.m. B. Pre-clean sanitary sewer mains, i. The City will clean the first time. If a second cleaning is required, the Consultant shall be on site to ensure enough cleaning has been completed for the necessary videoing operations (Consultant would assist with videoing while cleaning is being done). a. If it is determined by the Engineer that "Heavy Cleaning" is needed, the City will pay for Heavy Cleaning under that Item. C. Provide initial notification to property owners of televising work that will be taking place. 3. Television Inspection A. The Consultant shall furnish all labor,equipment, and materials necessary to perform closed circuit television inspection of sanitary and storm sewer main line and laterals within designated main line sections. I:\Engineering\1&1 WorMSanitary Laterals\Tele0sing\20l9\RFl1\S0W with main line televising_10-22-18,doex Page 1 of 5 B. Laterals shall be televised as far as,possible. If the lateral camera cannot go further than ten feet (10')beyond the road right-of-way (usually back of sidewalk), then the Consultant shall make arrangements with the property owner to televise the remaining portion of the lateral from inside the building. C. The Consultant shall have access to equipment necessary to perform televising in mains less than thirty six inches (36") in size for the sanitary and thirty eight inches by sixty inches (38" x 60") in size for the storm sewer, D. The view seen by the television camera shall be transmitted to a monitor located inside a mobile TV studio, which has the capabilities to produce a DVD copy. The Consultant's mobile studio shall be large enough to accommodate up to three (3) people for the purpose of viewing the monitor while the inspection is in progress. The City shall have access to view the television screen at all times. E. Televising shall be in compliance with NASSCO's PACP. F. Technicians shall be PACP-certified by NASSCO. Consultant shall submit verification of certification prior to commencing work. G. Provide five(5)working days'notice to the City prior to commencing work. H. Provide three (3) working days' notice to the City if sanitary and storm sewer mains cannot be accessed and need to be cleaned. 4. Display A. The "Work Order" shall consist of the following information and shall be displayed at the beginning and end of the segment, The Work Order shall be displayed for a minimum of fifteen (15) seconds or as long as it takes to say the information at the beginning. This Work Order shall be displayed once again at the end of the segment for a minimum of five (5) seconds. The computerized voice shall not be used for the beginning and ending Work Order information, Work Order Display—Laterals Address: Manhole ID that main line camera is in: Distance from manhole: Sewer Lateral Type: "Sanitary Lateral". Weather: Date: Name of Technician: Work Order Display,=Main Line Tag-ID#: (both manholes ID #'s—date). City: Street Block: Upstream MH: ID #. Downstream NM: ID #. Camera Direction: Sewer Use: Weather: Date: L\Engincering\1 M Work\Sanitary Laterals\Televising\2019\RFP\SoW with main line televising_10-22-I8.docx Page 2 of 5 Name of Technician: Comments: The counter and date shall be displayed for the entire length of the segment. The Consultant shall display all incidents for a minimum of five (5) seconds. The computerized voice also may not be used for incidents. 5. Folder and File Naming A. Files should be organized per street with the Folder titled as follows: "Street Name" (i.e. West 2411,Avenue). B. Within the street name folder, there shall be a manhole segment folder containing the mainline inspection report and each lateral report within a particular segment. C. Each lateral shall be an individual folder within the manhole segment folder and shall be titled as follows: "Building Address — lateral distance at the main from manhole MH manhole#" (i.e.564 W 24ffi Ave—251ftMH0821). D. Each lateral folder shall contain both the lateral report and video footage of the particular Building Address, E. Alternates to this filing system shall be approved by Engineer. 6, Project Deliverables A. Schedule of Project Deliverables i. Oregon Street: December 14,2018 by 4:30 p.m. ii. Hazel Street: January 11, 2019 by 4:30 p.m. iii. Plymouth Street, Sheridan Street, Crane Street, and Mitchell Street: February 8, 2019 by 4:30 p.m. iv. Other Miscellaneous Projects: March 29, 2019 by 4:30 p.m. B. Main Line Inspection Report i, The report shall include information consistent with NASSCO PACP. C. Lateral Inspection Report i. The lateral report shall include the distance from manhole at the main; material type; any transitions or restrictions in the pipe with their respective locations; repairs that have been done to the pipe; locations of dips, cracks, roots, or any other defects; and locations of any taps/connections. The report shall also include any other pertinent information found during televising and information consistent with NASSCO PACP. D. Video i. The video recording shall be in a format viewable via Windows Media Player. ii. See Paragraph 4 for video display requirements. E. The Consultant shall deliver one (1) external hard drive copy by the dates indicated above. The external hard drive will become the property of the City of Oshkosh. The cost of furnishing, producing, programming, copying, and any other miscellaneous costs shall be included in the proposed price for televising. F. The Consultant shall also deliver one (1) bound copy of the reports organized per City area and street. G. Provide lateral locations at the City of Oshkosh right-of-way (typically back of sidewalk). This is to be done with a device capable of tracing the location of the camera head. The lateral location is then to be marked where it crosses the right-of-way with a pink paint lAEnginet.rinS\1&1 Work\Sanftary Laterals\Televising\2019\RMSOW with main tine televising-10-22-18,doex Page 3 of 5 mark on the sidewalk and with a six-inch(6") survey stake pounded flush with the existing ground. A lath shall then be placed behind the stake with the corresponding address written on it. The lath shall also be painted "pink" along with the stake top. Once a block is completed and located, contact the City so GPS shots can be taken. 7. Traffic Control A. All streets are to remain open to traffic. The Consultant will be responsible to furnish all necessary barricades, flares or flashers, flag persons, etc. to provide adequate traffic control and still maintain the accesses as described herein. The signs shall conform to Sections 637 and 643 of the State of Wisconsin Standard Specifications for Highway and Structure Construction. 8. Proposal Cost Breakdown A. Sanitary Sewer Manhole Set-up (each) i. Set-up cost to include any time and expenses required in order to gain entry into the sanitary sewer manhole and travel through the sewer main. ii. Should the Consultant televise multiple segments in a row from one (1) manhole, only one (1) set-up will be considered. Estimated quantities are one (1) set-up per segment. iii. This cost to also include mobilization, daily travel, and traffic control. B. Sanitary Sewer Main Line Televising i. Includes all costs associated with providing sanitary sewer main line television inspection as described above. C. Sanitary Sewer Lateral Launch(each) i. Cost to include effort to launch lateral camera from main line camera into the sanitary sewer lateral. ii. Only one (1)launch per lateral done from the main will be paid. D. Sanitary Sewer Lateral Televising(linear foot) i. Cost to include televising of the sanitary sewer lateral from the main as described above. ii. Cost to provide deliverables as described above. E. Sanitary Sewer Lateral Televising from Inside the Building Set-up (each) i. Set-up cost to include any time and expense required in order to gain entry into the sanitary sewer lateral from inside the building. ii. Only one (1) set-up per sanitary sewer lateral will be considered. Estimated quantities are calculated as twenty-five percent(25%)of the anticipated Lateral Launches. iii. Cost to include coordination with property owners and set-up. F. Sanitary Sewer Lateral Televising from Inside the Building(linear foot) i. Includes all costs necessary to televise the lateral from inside the building with same requirements, including deliverables, as described above, ii. Cost to include coordination with property owners, footage, and deliverables, iii. Estimated quantities are calculated as twenty-five (25%) of the estimated Lateral Footage quantity. G. Storm Sewer Manhole Set-up (each) i. Set-up cost to include any time and expenses required in order to gain entry into the storm sewer manhole and travel through the sewer main. ii. Should the Consultant televise multiple segments in a. row from one (1) manhole, only one (1)set-up will be considered. Estimated quantities are one (1) set-up per segment. lAEngineering\1&1 WOTWanitary Laterals\Televising\2019\RMSOW with main line leievising-10-22-18.docx Page 4 of 5 iii. This cost to also include mobilization, daily travel, and traffic control. H. Storm Sewer Main Line Televising i. Includes all costs associated with providing storm sewer main line television inspection as described above. I. Storm Sewer Lateral Launch(each) i. Cost to include effort to launch lateral camera from main line camera into the storm sewer lateral. ii. Only one (1)launch per lateral done from the main will be paid. J. Storm Sewer Lateral Televising(linear foot) i. Cost to include televising of the storm sewer lateral from the main as described above. ii. Cost to provide deliverables as described above. K. Heavy Cleaning less than thirty-six inches (36") diameter(linear foot) i. Cost to include the mobilization of the necessary equipment, setup, cleaning sanitary or storm sewers, and restoration of the site. L. Heavy Cleaning greater than or equal to thirty-six inches(36") diameter(linear foot) i. Cost to include the mobilization of the necessary equipment, setup, cleaning sanitary or storm sewers, and restoration of the site. M. Outfall bagging and dewatering (each) i. Cost to include the mobilization of the necessary equipment, setup, dewatering, and restoration of the site. ii. Hazel Street has a 43" x 68" storm sewer box culvert outfall crossing East Parkway Avenue, a 36" x 58" outfall crossing Merritt Avenue, and a 60" x 72" storm sewer outfall crossing East Irving Avenue. 9. Additional Information A. This agreement will be per the City of Oshkosh Agreement form only. A sample agreement form is attached to this Request for Proposal. B. All quantities in the cost breakdown are estimated and are not guaranteed. C. The proposals will be reviewed for completeness and how well it is demonstrated the needs of the City of Oshkosh can be met. The award of this work will not be based solely on cost of the proposal. (Alingineering\1&1 Work\Saniniry Laterals\Televising\2019\RFP\SOW with main line televising-10-22-18,docx Page 5 of 5 k k PROPOSAL COST BREAKDOWN FOR SANITARY AND STORM SEWER MAIN AND LATERAL TELEVISING 2019 CAPITAL IMPROVEMENT PROJECTS OREGON STREET ITEM DESCRIPTION UNIT EST. UNIT PRICE TOTAL PRICE QTY. 1. Sanitary Sewer Manhole Set-up Each 30 $ $ Sanitary Sewer Main Line 2. Televising L.F, 5,500 $ $ 3. Sanitary Sewer Lateral.Launch Each 155 $ $ Sanitary Sewer Lateral 4. Televising L.F. 9,300 $ $ Sanitary Sewer Lateral Televising 5, 1 From Inside the Building Set-up Each 31 $ $ Sanitary Sewer Lateral Televising 6. from Inside the Building L.F. 1,240 $ $ 7. Storm Sewer Manhole Set-up Each 36 $ $ Storm Sewer Main Line 8. Televising L.F. 3,700 $ $ 9. Storm Sewer Lateral Launch Each 10 $ $ 10, Storm Sewer Lateral Televising L.F. 450 $ $ Heavy Cleaning less than 36" 11, diameter L.F. 1,500 $ $ Heavy Cleaning greater than or 12. equal to 36"diameter L.F. 11000 $ $ SUBTOTAL; OREGON STREET $ hFngineering\1&1 Work\Sanitary laterals\Televising\2014\RFP\Proposal Cast Breakdown_10-22-18.docx Page X of 5 HAZEL STREET ITEM DESCRIPTION UNIT EST, UNIT PRICE i6TAL PRICE QTY. 1. Sanitary Sewer Manhole Set-up Each 35 $ $ Sanitary Sewer Main Line 2. Televising L.F. 7,500 $ $ 3. Sanitary Sewer Lateral Launch Each 100 $ $ Sanitary Sewer Lateral 4. Televising L.F. 5,500 $ $ Sanitary Sewer Lateral Televising 5. From Inside the Building Set-up Each 1 20 $ $ Sanitary Sewer Lateral Televising 6. from Inside the Building L.F. 500 $ $ 7. Storm Sewer Manhole Set-up Each 40 $ $ Storm Sewer Main Line 8. Televising L,F. 4,700 $ $ 9. Storm Sewer Lateral Launch Each 56 $ $ 10. Storm Sewer Lateral Televising L.F. 2,800 $ $ Heavy Cleaning less than 36" 11. diameter L.F. 1,200 $ $ Heavy Cleaning greater than or 12. equal to 36" diameter L.F. 1,400 $ $ Cluffall Bagging and Dewatering 13. (1—60"x 72") Each 1 $ $ Clutfall Bagging and Dewatering 14. (1—43"x 68") Each 1 $ $ Storm Sewer Dewatering 15. (1—36"x 58" CMP) Each 1 $ $ SUBTOTAL: HAZEL STREET L\Engineering\1&I WoTk\Sani1ary Laterals\Televising\20l9\RF1'\Proposal Cost Breakdown—]0-22-18,doex Page 2 of 5 PLYMOUTH STREET,SHERIDAN STREET,CRANE STREET,AND MITCHELL STREET ITEM DESCRIPTION UNIT EST. UNIT PRICE TOTAL PRICE QTY. 1. Sanitary Sewer Manhole Set-up Each 15 $ $ Sanitary Sewer Main Line 2. Televising L.F. 3,800 $ $ 3, Sanitary Sewer Lateral Launch Each 70 $ $ Sanitary Sewer Lateral 4. Televising L.F. 4,200 $ $ Sanitary Sewer Lateral Televising 5. 1 From Inside the Building Set- p Each 14 $ $ Sanitary Sewer Lateral Televising 6. from Inside the Building L.F. 840 $ $ 7. Storm Sewer Manhole Set-up Each 50 $ $ Storm Sewer Main Line 8. Televising L.F. 4,350 $ $ 9. Storm Sewer Lateral Launch Each 40 $ $ 10. Storm Sewer Lateral Televising L.F. 2,000 $ $ Heavy Cleaning less than 36" 11. diameter L.F. 750 $ $ Heavy Cleaning greater than or 12. equal to 36" diameter L.F. 600 $ $ SUBTOTAL: PLYMOUTH STREET,SHERIDAN STREET, CRANE STREET,AND MITCHELL STREET lAEngineering\l&I Work\Sarritary Laterals\Televising\2019\1IMProposi)Cost Breakdown-10-22-18,docx Page 3 of 5 OTHER MISCELLANEOUS PROJECTS ITEM DESCRIPTION UNIT EST. UNIT PRICE TOTAL PRICE QTY. 1. Sanitary Sewer Manhole Set-up Each 25 $ $ Sanitary Sewer Main Line 2. Televising L.F. 7,200 $ $ 3. Sanitary Sewer Lateral Launch Each 80 $ $ Sanitary Sewer Lateral 4. Televising L.F. 6,000 $ $ Sanitary Sewer Lateral Televising 5, From Inside the Building Set-up Each 15 $ $ Sanitary Sewer Lateral Televising 6. from Inside the Building L.F. 1,000 $ $ Heavy Cleaning less than 36" 7. diameter L.F. 900 $ SUBTOTAL: OTHER MISCELLANEOUS PROJECTS 1AEngineerin&\I&I Work\Sanitnry Literils\Tetevisii)g\2019\RFP\llroposaI Cost Brtakdown-10-22-18.docx Page 4 of 5 Y TOTALS SUBTOTAL: OREGON STREET $ SUBTOTAL: HAZEL STREET $ SUBTOTAL: PLYMOUTH STREET,SHERIDAN STREET, CRANE STREET,AND MITCHELL STREET $ SUBTOTAL: OTHER MISCELLANEOUS PROJECTS $ TOTAL PROPOSAL COST $ 1:\Engineering\I&1 Work\Sanitary 1,aterals\Televising\2019\RFP\Proposal Cost Breakdown_10-22-18.docx Page 5 of 5 a 2 E Lo E 0 a_- 00 4 c -q C '— . .10 43) D ro V) OF in m00 ID -le u (3) U) cq iS NO UO 1 .9-- j. t� . 3: 0) p B- .q T--A V) 'm'Ao. (3) C- 0 ISVIOSaNNIV4 3� c E _0 -f" 0 w.— 'G E 0 F— V) V) Ln (n (D (1) , 0 isvmoi 0 42 Cn IS NVEAHOIN j o (1) -a V 2 o w E F2 2 is OlHo :q 0 0 12 El C) ro Wig,0 g 13 0 m C: 0 Lu .2-0� ,8 Fm 3: Ear t 44 > -1 E o 62. 2 0- z pn -e T �8�.. .S 'OL.4s 4-:9 Eo BE u 5 i: E qz,66 Lo Lo q2,83' CX i Lr) CO U') 00 g g gig 92 83' (o ce) (D C', of co Lr) 92 83' co 00 b (D r 00 50 WZ9 92:83* . 46.09 Dos RP .0,9V 0,96 V90 6i� b ab C\j tq0Z Mz �z oz�z U) oozz Z��z t,L, 902 46,00, 46,83' 'o 0, a 0— 2rA,14' qf,00, 48.00' 48.00' 4&00' LO�Z L4Z 6ZLz LZ�Z ul WOO' 48.0-o' 24.00' 266.40' Wzz 8,r MAO' 500 40' Duo 5,uy 68 2:Ll 2 g o CL �2 15 00 0 -A -I = E ro E 4,1 (::) V) OE 0, IS NOOMO 'Fig 0 In N Z- IS VIOS3 NIN cm 0 04 g:Q V) Ln J) V) 4- Cl"d VO-M za IsvM01 C.G . cy) = IS NVIDIHOIN -1-� I a) (0 a) Is OlHO u 9 9 2 L- Zl 2 13 0 0 U 0) p 0.- .5,m Z E E a) 0 ISVIEMOM ui p -0 to o..0 124 eg� OU Ea COOZ 600Z 960z szoz GM w g4 co 7 X,91 It W 210, 00 to- IN vIii, I,y Yt 9M 900Z VLOz Wz vzM M� OM ZM d OM i 9M ZV6 066 t4966 Z99� 006L Owvl ,21 —L 7 W U6L C96l 9 o ve -at0 6 w -rs �- 14 to 141 9M Zt,66 9176L ZM • 6-M to o ---------- —A 17 A. P55 M Lf ,R61 SM IN Vw o!a IM -A �-2 p.aoo� gar Z5 pg c CO 0 -2 o Raj C) 0 > C4 -g s E vo IS NOD:] E E B B u a) C: 0 w ISVIOSBNNIN BO R. 0 ao F— 0 Isvm011 UM) 11 (1) 4— — -�.9� . Is NVOIHOIN aUW o (1) g IS OlHO lu; P E 0 u 0) P 0 m r_ 0 E 4S 5 M z LLJ OE I0 EFroe E NG o z 4 e 0 am f. F P En ----------- 187,82' Lo 187,39' cs CD co In 187.17' .9 lt?9*99 o,z9 49.17' 46.00' 46.00- 46.00' . C3 0 0 6I 6 72 VZ92 R V06 M� M� OZ6 999 Z98 ,C9 O'L8 48 50' 46.00' 46.00- 46,00, X\ C,l ZVOM Egg U6� Z1 VC W W6� 'o-as 96*Z9 .0 oot .0,09L 10,09 m d m 0� N A E u c gi x V/ Cq0j °G' mE " _0 p vv 2 2 " ac ` Q� N opu = fn E C� Q ;E ro a v a a IJ r1� V-1 Ur)is No�3ao N Q� E !4 ro C g ro A " _" is u w 3 1S V1OS3NNIW p c C N 'S v_ m e a Ln V) UI U7 O L.. O p m 6 n o w N �+:� o f 1,5 FLM41 w a5 Q� V— .i E c!_"N 9 a 4:�! S. 4... ..� > w i rJ O a) ZaZ �o rn w $ vi n� 1S NVOIHOIW"x < d 'y, `4 �. 1S OIHO I I a '� .F-+ C U p> c E y E ,� ./ 3 3 d c p roNw 3 cc N _ ._ 1S VI�Jil03°J � Z m R E o f pl d-i m� m wU �' 4 NE,,, p � En �ro��- ?� bA Y—Eo 12 v d H m,� Ua5 �m�mE�' amp Fc' co E.a p to qMZ co cli co ® G6ut a rnl .-.. •-' 0'9E ;t Iry t -- — �Al :b'S.1 OCv" OCG Ur'.r] WC[C ro sP VAr � � •- �? dS8 . ! a2P 0 ts q'sb p Rs 1 Ib ja dZ686! d6£86 b9686 bZ986 nl 809,Ei ZL86 8696 ZZ96 8Z86 ti£96 9h86 9996 Z996 "60E A N 0'2b Cl(T'o ti t. f - Cr7 ) �. £09L L086 £6Q6 _LO8 1Z86 _LZ86 9€91 I 6£86 L486 €M 6996 p IE zt WE N O'cli 6(A _ DS9 d9C U4:;. W a � �ee- eb zed CN _ O i � p cNv 969E VZ86 Z£96 V)9£86 M 11 l �} L096 n L686 £Z86 6£96~ l£86 £bek 6496 a � t%N N 00 YCOL 4L 8C w N a ._ ..... 1 d 1 N .-_. nI Am a"sn ai'br n'cs I ate I (N 0) Y M 8-0 & 00 0 Z 6 41 C id>< a( "a W 9 C m C) (A .— .x E > 'E" C> fu u ISNODUO Q E E tyu ISVIOS3NNIN ' o 1 E < is vmoi M V) ca (1) 4— cl E a -0 is NVE)lllom t:_� '-5'. . �.' g? 2 IS OlHO x 0 :9 0 -.,- — 1? 6 F E o ( 0 P (D-10 'Fon.0 g 't 0 u C: 0 Is v1mJ039 uj OE 2 8 0 & -9 E E"E S E S E o E E ot Ulm z 0 .-16 El H E e! E E tls Cl PIC, X0 'c5 53VI vel co UM DOLL OW i7W OCLl V£L6 OM ML6 z9a -7 41 60LL CM to cl> V6W C14 If 04 hl lz M, IT tr SZ39 02 CU fV Of C' ZU� 9W I'M RM VW 9CL� nia ZW ........... . M �6 dZL CZL6 LM C6L1 04 ko co 04 2 O Na y T U� v1 O 4!.�u N r. n y ro m 2 v CL 5G O O n O ��i. ' £+ ao `O -X= 5,�,1 rys_• L 7}, CA �>�'&'c �o s.Lay 4 > w@Q°ohs Om mad a7 � � ('� � ° �`i ���ryry �i E �• ` yam„ f'`� 1 © � o zr c� �� y� o�•- � 1S N09380 MS W F ,,_+ ;_• rl l/) c ro m lam"f" io�" °?v sw/ w -y 1S VlOS3NNIWO pC N s�0 i.r C� N .� m - ¢ y o Q = 15 VMOI N t!> Vl GFt H-- 't_ ro 6 E c H w` a O-M a.c.6 -4.1 IS NV`J(HOIW a a a J � O vW a ��� 8 6 0.��R� p V. �¢4 Q� CD IS OIHO w x I o _ U L-^ •,� "Y' ty ❑l/� +✓l AS tl102l030 3 ' 'Y3 $ crW3 iLm on7O � F w x oAf�O w a ,ro?9 8 � R igy I-Uo o Ea VG w W zC�E.o ?`'� �m e„ 7 cod Ohm .02 .9 w O'Ckyyy N•°2!C N'O 0 Lt.._ADo._ ca _.. __ _ _... ..� o u 1 srxc _ g <' �� � { LL9L Lz9� Sz9l (,aE E£9t £49L 1 BY9L i £594- t99L � 'xN No� ai O w— �- Sr lti I r 1 � Iry '. I a• � � i N r 1 i w tt Cr .I N kv, _# N ' ham' —�. ._. C J t .. , ...._ ... .._... -- ara I:.. alv. •.....5'ICt C'�Q M ' r � A r vzzSL N9991 c " o I; 919E 9z91 6£9t 049E V49t ,099t 859E 999t 9L9L zz5L 9z9L., z091 � is =YL9L i C) CO ° n�-:-y A •-- _ .. _._ _,. _.. ... f _ .. _... ., ._.. _.,-. ...., ......�.0 0 s» D0 ...__,- c" '} xr ate, I I r _ r as aw ax tL £z5L Bz9L c t09L ( 609E � 9L9t 6t91 6Z9L, {{� L£9L 6£9t Mh £59L L994 589t LL9� o 54 d£ZSl WON � 101 i Iy I o u �'.N � i ......., a .... N..i v ..srr_.. 4�J 1640 1646 ni 1656 I t a> _. 1614 1620 1626 1634a ,hi., C-1 c.,l x7 i CV ,..•,� N v T� O<D .... CCT` s r+ 1687 1641 � 1649 1666 1629 c..� 1 1616.� 1619, I r p _ r i rrtt�� I � fl � ✓Arrr � Y i rs;r ... ........ .a ry .cis ' i y R 1 9 i QQ tt d C� N E "i. FC1 ws rtrr a E c 0-T is Q Vi ............ S 0 p "0 co 0 2v�, c 41-- Z U) -- -Ft I c (-- IV) 2.9 I. 1 .0 a) = m r-1 R:5-;- c 9 4IJ uj < Z c 0) c) .9,2 Smell > ru W E 0 > 2 0.0y,� > < ON (3) IS N003'dO .2 0 ISVIOMNIN V) lu fift -i V c 0= E 4— Lr> 0 C: 4 13 8 >< is vmo, R-.R (n Ul) C14 4- E�932 0 42 0 (3) -.8-2 t ,- - is NVOIHOIN IS OfHO :� Wu :9 E- 0 0 0,1 , o Q) .-,a E-1.F.Jq 2 .. �,2 V198OD9 z a: m 616 Is 8 LLJ e. �l 9 E2 z -0.0& 00 :E650 -R (S E -6 2 Oro :4;1 E-6 J Ul b�a 9 ZB-020 alm- ,.S �.,F-He u.0£ cli co C; Lo CD Z9 co i 9z9 Z09 01 17, .0,09 CZ9 6Z9 W91 609 vczg V609 Lo 10,09 LO LO .0,09 in & a g q 8., ro -e� Q Em N 10 E'-p LD > 0 00 o v o -lu-) C:) 0 > u §iizvH -E 'E bo bo Js i 4.1 V) VI VS 0 LD WAY 16 a 0 0 ;o3 Koo r r z v. ,E mo aAog m > 'D 8 -61 o s O.E rn 'E HE E. i6 osp 944 j ovv -,Zct, VZV j ozv SVV LCP CTO F LZb j Cet Sc 0 p i O CI O 0 CN ON 8 2 R 1§ E 2 CL -,a 0A., 00 41 c 0 a U) O 'E 'E 0 s2 8 0 C: (n V) 4— L EHLI. o a) o ., 9.2 (1) N > C: 0 -tE g w i>11 C— 0 C 0 L—J!, 0 0 Po uj z 0:: 01 4,,E , I Z. . nu-�. E 1 ENH"2 5 0& z E O'o C10 co 999 69q 699 Egg LVS 09 6eg Mg ses 6t9 12 C, VUS 999 099 999 999 ?tg 9E9 zcq vzq 0Z9 TE" 10 vgzg E69 V9, 699: zc,g 099 899 995 V19 Z951, 019 qzq vo Is Erw%� per„ o� °eiL � • w II� �i 'n a Oi 'EY n z y CL dl ,. L O 1'1' pa d'D SWo g, Y3ao 0 > xO O ` m Ll -C _ IS. VJ in O $ 'r- zImOm 0 mY cro avwo wrov0. d1j'0i M VV = i Cy 4J O Q) Q ��. - S— 1S SNVA3 �1+ W -,...._.. N3M08 i I ._ l7 I d cV © ,..,. .� 47 m c "a m1. t3 ro W ......... o Q m o' ro P T w a U n4 5"ml-m E$ a m:E m V -tl Kw� r 10 of 0 Ch CI,mm C� J t0 CC• C.� I' . Cw I Q- E. =2 it V1 0 U 00 0 o Z w Yj �e a o '�g R t to to V) ina . 0 (1) z 0) r `y 15 SNb•A ( - ro 0 U 0 0 -& co Lij E .'§NO-1 ...................... m'ro .2 5 Ea 2 0. E Bw a 12 Zap E.8 T E pot fx)-- 099 C) 46 le st o 999 09 999 M SL9"9 S99 199 L OV9 M 00 �e9 M 909 OL9 Ogg Ogg 069 999 099 �?9 -D GPI ---------------- - '17 -77 F e E 2 0 0 ,-.G� Cl T 6.9 2 0 00 0 C:) 0 > fu N -Z 0� m E E B B Oo '-Z F- Z.1 cn 0 ix 4- 0a 0 0) ME 03 E o U 0) o E'- #-oaos-1, M LU -�e o R 01 0 . � - . �g & it.-5 ro•aR,.C- 0, 8 5 MZ 0' 0'. o R"5 22 .5 2, -6 186 z 0� + i v t I R H g-2 .9 2 m iE E. CN 14 0 0 o 0�q E'4-a CL 6.?o 12 E'- 0 -0 co -'E C 2 00 0 0 c -I = '— 5:> a S M m E 0 C c: C C: tm 0 f 0- '-.-�E 0 5,,6 0, -11 (a 0 0 SQ ;B. —0.., —9 K - .2 4- L- a -Wl (1) LA Ul) V) to 't E- -2 0- L. _E- -.1-...1- 11 v 4 0 0 8) Q; Z5.2 0, 3�4 �1� 10 8"".'N#�' --p 2 IN C 0 -ov g ji e ci Egm t u r UD 4g J" �v�oe ui o- Ea 6 E C> -E 8EN or o as? Hfi O 69°.- z 1a� d gg 08 0. ;7 z9.Lg 99'6V o 9 6 9 0i LO COL 0) LOco C'i Y 10*M IV 9,9U cv T— 00 06 COd Oi M 1009 10'OU— �O 1-9 i t,t 4-0 R2,2 Vo ;V, o N ;a, SSG (3) ran 0 0_q o 0 'cc 00 0 12V -I = cc 0 -4 (co( C:) 0 V) 'w e rj , ' no. N> oo E it 1H. z E E Lr) (h . E- W V) O 0 EO wa n o a w E 10 0 'w -0- C E U E,L 0 U D) P 0 M 9 .w.0%. :�'V Cf) rt Ts 0 P, 01 ui 'E 9 51 Mi.-. A a 4 8 V g I ii P 0 P! 4w1 AW A�t NI 00 )o cq cu Ln V 9M c. ----------- co 0" 0 _0 AV,, % M L L484 9096 M w co AV. CJ ol 40'3 s)" A If. cl� Aw ge oZ84 j, 9 n OuL 06� 9pet C04 0 zt U Am' SO L"4 4C94 Lzq CM LM4494 co 00 A A N ons aco 410. QO C�I U'A cq a 9c cl vvg O , l (N 0 11 It C" 04 o M 1818 00 oe 4 j 9rRt cq 6M (0 o a.., L!a 922 K do 'a 0 CL & > -6 co 0 U) t- 2.5 • U) F C) o > rL e..R, E N ry E E B B z U. �5 E 4— (2 C) C: a 0 0. = k4.- r Et'9 0 Q) C', BNCmOa—c (U E E H 0 E-Z >, 0d t 0 Cl — 9 ( .D L E U) o �0. -' M5CC-2E E- A0 > 0 c z .5 a. L)-'q I,- E,v Ow El CO 0 ts p T9 11c, b9l 'M .8 jlv�� n o Oz OCU ZM Mt 9M ZLoz 90oz 006� 9M 0 Lm CM U61 CM 6W1 9W1 Lce U0Z 60OZ VEM VU61 LO C) aw ri (13 gen I PM 9091 noz GOOZ u OM ZM 1 9Z61 ZM U% 7- 6M 906 6161 U61 Icel Etoz LOOZ LC6� LZ6 V1M till '0 4.11 IN C2 i U) A C) co M M� vvn gen Moz gm 9 0 ;r--6, Lvn uua A01 LM 6M 6M B6t ; 0) 00 ID arur m Oa, All 40-,- I nos 4o E${o E76 0, "Ro us aH gS g' -_—_ _......_..... _ a o o G tau cu a rmtrr 9 ° •} VJ 0 v}a fu fu Ln E O 0 > .8 vEo u+°O'N. as mac n�j 0 \t lA N to ro (A fn O L © Q ma .a co�'R �m W ry 0 ,� Z N N d .a, C C_ r`r d 3 O 4'> "�' © u �01 tU`- (-Jrso �roui�c� °nor o�,'em E o �$�'�df76 LU OE Qa as � �yi a i,YyC�1, may,Y2'S, .o at 2 2E s H o N 9yCof Gm ayaO O2a N O y CN'Ey'd Pma m3 mFE a «Q 1=C.�a�"�EQ4,,,f Eryya nco O r. 4 4_. co '- b d ' rjSCr qS£1 - f tO ,1.� .SI Y3 fiCfif D fi —0 'cr l I 4V It) � 3 r to - i 3 r~ Oeoz N_` u' 9W noz ' Rooz o 84z oolz I ev I Cti Cl) nhel soua n scf nticf c� `. ai LZOz f LLOZ BOOZ ,f OIOZ - n ? 64 Z g%z o c of �i f o u e, to16 r 4'0 �' ll'45 uUi AbS � I r i r b �- zZ6Zw zOlZ RZOz Ozoz { 96Oz z4Oz 9OOz PPa o try °c f p.VI asrl Jf»sr c y --- ! 1p ot b C'V �I r7a � ' A'R9 f A'04 .tl15S , . �(5�.(� yy U4£u p 1 p.1z1'Q�yy6qqEIM II11�/yy a c- oo o �m i- r,. CV ~ r . ,ntrt.... I 00 b I OUZ i OZOz O4OZ A! It, zNz n fill, VEOz ° cv ° £zOz a 4 6z4z $i`lo g5ef a5cf �p.. .-r S7 £Obz J ? 4} v o AID r AI g v t{ .... ,, .. iW a'.vf tit, j f , a � n r Ifl b 4111 ? I i _-.-.. .. r 0`1 —---—----------- CC) 0 c d e 2 to P.E > G (0 3: E 0 > 0% O-L,- waf-5 r*14 � E �,v-11 t 0 .,g A U E E Ch —.0 fu . a t — 0 vY w V) (n 00 (u �0,V S u, 2 SM, P, 0) rom U C: 0 -S 2 0 E ) uj CO aac E%'5 2 Ez E 0 E tia MElpe .26 cli ZM 0179 9M om gzg 9M 0 Q ot an ML LZ8V-�, LN L LM LM -7, qvn Lo CD A LS 105 9 cs z IS 9cS 009 aq cq A fS A ot, C) cq M LO 9zg L 919V 8c) d., 14(col LM qvn LpqV 9M 6M LZ9 L VM 12 00) 6u, �(o rtt 7110 col aUU atiq ou U9S M(Is c W .tf OS DD5 b co A CN Sb Cl A C*4 9M 906� 9t79L 0179� OM 9M b C 0 cp 6Z8 9M oc Tf M to LO co C3 -sa ge EO 2.0 0-6 roao m E rl > E -Oj u 06 E E N zo�w �5 8 'r,I E c c 0 19 E fu F- 00 0 0) Oz 0 0 (1) ME 8 t E "Bo. 13 U 0) to E�az t2 2 2 12 0 c .- ;E z ui *E 01 a - -9� *§3 0'- 1 VJ -1 *1'S EE-5: 0 E A 0 N n d V. 0 av, *- 014 0179 ZM 9�6L Wz OV64 zc6[ 9M ZM 9ps 6M LM CZ64 LOOZ LM 900Z xL moo .0 oq �2 10001 VOV'64 Mt 9M Oz 900Z ZOOZ p 0"'36 9M 9M ML MI '4 -------------- CT LOOZ 6464 464 LM -6 � 't CD 0 05 2- .009 V061 D DS .494 00 f2 ZZ6� ML OW4 9064 9t79 I OV8 a0z 900Z OV6 SM OM ----------- 41 LZ64 ML 9WI 60OZ LC6 CM I VEM A D9 G9 .0oU All 0 0 E 1�UO 2 - ME 2 a) MO � r 1. Ta M 0 0 0 E > E re > 0 0 > EI , ob o'—o u c: 0 (5 V) (2 0 p E Im SH 4-j 00 Q) 4— E.�2 j 0 (1) 11 8 --2 oe z g 5; Em 0, cm a) 0 Tfl� 0 "r Z5 e L E mc L a) D 0) 0 U) (7) Ta M9 01 !; E P oE 2 Zlz 0 -6 0 1 A P 2- 0 E I 93 f 092 mz mz OU oaz ozoz Z v C11 19" Koz UOZ Woz ot? og'o'> ozoz C> 'T C'1" z "g,2'o z I qq�z C111V SM 90 1 ; , 992 .9goe Looz sooz; Cl VIM 'I.,QL cq CN se-al It C) C) ol to LO C-1) _0 A-o IN U-) U) 4]4 V( z ocoz llzoz ozoz U0Z gooz ZOOZ ol OUZ 9M 4U k-,!- cl�0 0 R lot LOZ L Z T SW 0 12 cc co 0 0 00 619 60z Z6oz 900 Z OVE N 9��z QUIZ 0 OEIDZ 9 CN ILI 6 1 1101 ElOZ 60OZ 9 oz a0z mz 60OZ W o to C> .571 oo--, Irp, 40, of b I47 o � d� � a. °� o .2 �1C^�, CQ Q $ca �c�� ca5 a y, W W _ [ t C �-•-1 C/i o " a o yr E y "'.B—roZy, "Na aroa`;i U . O ° o n t(7 L H ro -aa tfitSYaSiS W l/) V7 (/) (/1 h- � y,4 'L p0x '°A w E c!_" U 0) F c0mc a`,y u�°' °�' 0EL�' LO W Z ro E g r� '�u a.,Q H° U G _ N_..........._.._.. __.____....... d _ d}.N O d m.0 m-° 2g�- W a° °"o°d av E.G y@ 0d U m� E'.aa. s v a d rs£ t OZL.6 �� { � 4064 y 1tib84 Z£84 948E K'W N (N N h cti .... _...o _. _.._. ..,_._. r vun L J 4 4064 N968L L884 �� LE84 6Z84 6484 av 5 - E o i i 4001 4'(!01 00, 0"09 AC01 005 Ob5 i i � 9 N1 4d e-' Ot184 1' 9£84 i�M OZ84 i 9484 Z084' r`� - to ;zn 64 C� b484 n c� C 120 2946 d/t�.•Pt---•-' 6Z h.. �:A � o Got— ££84 LZ84 L48L f — 12, ... A Opt ._....__ ...._-- 121 a �r 91.0 T. ....... .. - _ __. cot oc� our orog ^' N C N CD m 4 ' d w "r q 04 Z06 OveL 9£8L O£8[ 9Z8L OOm9484 4 CV07 064 a� 4 9tr84 4h84 ' L£84 . L£84 LZ84 1 LZ84 L48L In �, 0 LL C: (3) 00 0 C) (3) U) 0 3: E 0 > E j�- E E B B u 8.9 LO -. —0.�nz 6 E Ln 00 0 ?60� 321 'z -C 0 (u g L) 'I Og -2 w w 2 E- C: 10"12 o 0 Ol Uj g Ern ME 8 6 y°cw q F-9-WE iTw I E-19.--� Ed .1 > E-R -6,g Mz OZOZ Z�Oz ZOOZ 0176� ZM 9M %64 OW� PM va u), 9ZOZ SOOZ 9M c� SM L464 M Z064 4064 arml AN A cal T I Got A;Got oN a N 9M ZZ64 M4 9M o) 9W gooz gooz OV6L C�l ----------- G 1�', 66 Q1 q?s t C> LM CM 6, 9M I r!t 60OZ LOOZ 90OZ COOZ i 6W A co cD 400l P CM Am 4as .a'A a T, .0(A 00 ftl C14 ZM 9L6L U6L ZM _6 z Dot '01 Ozo? goz UOZ eM 9Z6 > OLOZ Otl6L C,z AD.- Av, 7 6M U M W LL C L4 LLU L064 oe LOOZ 900Z N. C14 lE GO D Vr. C) 0 0 LO cli CL V/ vy�J1� .W.LLJJ VI N m q e m'aC 4 C yr o W N Ni E m a r7' 00 O (/) '"' on 1_L11�IlLlllll v+y ro ri -� G5 0 g w c .� •- 4, U 3: @ a E O (A .— go�w om roao m A\ �+/�),, O '1 N ' - �Air� Vi ro i0 0 g @ o m °.k4 (j l - 1 ....... W E c c Lfl a'1 2` Ls Axon N _ O O ro �p L 0 /L4�-ry. W V'.I_I \}O 1 ii w/V,,,^ ^' Q (D C1 O O �,.� CTf h C m c 'ro ro_y�r c ro v .e:•r�aS a JJ .. Ujma Eo E�,L ro.. oa UroroyN.� �62 oo �._ N IG o 12 42 y4� c mI�-mH a.rora co T- Q Lo l0'M LO m r; �O'OZ� o ry r. M 4 4 tl C `y co co _ m O LO 0 00 co 0 e E mc Z 0 E Tj c co 0 -2 e C) E, o > (U Um C E Lw , = — 9. -2 q u E E B Lr) U) a) 0, 75 6 PEI 11 -9� 0 �65 �5 'E 'E El 0— z ISA 0 c: 0 0 (1) V) n N 0 .-- 16 a. '2 V) t -" '0M �.9 C: w u p �7 0 0 U 0 f z E �-E o I g 'E� ui 1 0 NE f, 46 S E:E 2 A a H. 3'E I �e ME A C-4 co co a ZZU gul OU ZM au 994 co L9 st C14 C,i I Cry 19 F�41 fT CA 0) w L£Z4 j LGZ4 9ZZ6 64Z4 0 V4qu 0) OW AM 'i Hirer 404, to clq C,l v9zU vzoz t VZCZ om i ZM i79z 99Z ZSU vvu on 9M zinI 986 9M 9944 09 AGREEMENT This AGREEMENT, made on the day of 2018, by and. between the CITY OF OSHKOSH., party of the first part, hereinafter referred to as CITY, and CONSULTANT'S NAME address 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 SANITARY AND STORM SEWER MAIN AND LATERAL TELEVISING FOR 2019 CAPITAL IMPROVEMENT PROJECTS. ARTICLE 1. PROJECT MANAGER A. Assignment of Project Manager. The CONSULTANT shall assign the following individual to manage the PROJECT described in this AGREEMENT: Name—Title 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: Justin Gierach, P.E. —Civil Engineering Supervisor ARTICLE 111. SCOPE OF WORK The CONSULTANT shall provide the services described in the CITY'S Request for 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\1&I Work\Sanitary Laterals\'Televising\2019\RFP\Sample Agreement Form_10.22. Pa e 1.OE 1 S.docx I 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 CONSIDEIZATIONS, 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\1&I Work\Sanitary l,aterals\Televisiiig\2019\RFP\Siniple Agreement FormJ0-22- Page 18.docx 2 of 7 ARTICLE VIIIL. _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 CITY's Request for 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 `\Engineering\I&I Work\Sanitary Laterals\Televising\2019\RFP\Sample Agreement Form 10-22- mdocx 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 and attached hereto 2. CITY's Request for Proposal dated 3. CONSULTANT's Proposal dated 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 llv except as may be otherwise specifically component part which follows it numerica stated. ARTICLE XII. PAYMENT Sum. The CITY shall pay to the CONSULTANT for the A. The Agreement 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 Dollars). Attached fee schedule(s) shall be firm for the duration of this AGREEMENT. The CONSULTANT shall submit itemized m B. Method of Payment. idonthly 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. 1:\Engin,ering\l&I Work\Sanitary Laterals\Televising\2019\RFP\Sa mple Agreement Form-10-22. Page 4 of 7 18,docx 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 XIII. 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 CITY'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 XIV. INSURANCE The CONSULTANT agrees to abide by the attached City of Oshkosh Insurance Requirements. h Engineering\1 do Work\Sanitary Laterals\TeJevismg\2019\RFP\Sample Agreement Form-10-22- 18.docx Page 5 of 7 ARTICLE XV. 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 XVI. 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 XVIL 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. lAEngmecHng\1&I Work\Sanitary Laterals\Televising\2019\RFP\Sample Agreement Form-10-22- 18.docx Page 6 of 7 ARTICLE XVIII. 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: CONSULTANT By: (Seal of Consultant if a Corporation) (Specify Title) By: (Specify Title) CITY OF OSHKOSH By: (Witness) Mark A. Rohloff, City Manager And: (Witness) Pamela R. Ubrig, City Clerk APPROVED: I hereby certify that the necessary provisions have been made to pay the liability which will accrue under this AGREEMENT. City Attorney City Comptroller 1:\Engineering\1&I Work\Sanitary Laterals\'relevising\2b14\RPp\Sample Agreement Form_10.22- 18.docx Page 7 of 7 404M^ CITY OFOSHKOS8 INSURANCE REQUIREMENTS III. PROFESSIONAL SERVICES LIABILITY INSURANCE REQUIREMENTS The Contractor shall not commence work on contract until proof ofinsurance required has been provided to the applicable City department before the contract orpurchase order is considered for approval by the City. It is hereby agreed and understood that the insurance required by the City of Oshkosh is primary coverage and that any insurance or self insurance maintained by the City of Oshkosh, its officers, council members, agents, employees or authorized volunteers will not contribute to a loss. All insurance shall be in full force prior to commencing work and remain in force until the entire job is completed and the length of time that is specified, if any, in the contract or listed below whichever io longer. i. PROFESSIONAL LIABILITY A. Limits (1) $1.000.000 each o|ai[n (2) $1'808.800 annual aggregate B. Must continue coverage for 2years after final acceptance for service/job _ GENERAL LIABILITY COVERAGE A. Commercial {3eDena| Liability (1) $1.000.000 each occurrence limit (2) $1,800,000 personal liability and advertising injury (3) $2.000.000 general aggregate (4) $2.000'000 ppoducts—conlp\eted operations aggregate B. Claims made form of coverage is not acceptable. C. Insurance must include: (1) Premises and Operations Liability /2\ Contractual Liability (3) Personal Injury /4\ Explosion, collapse and underground coverage /5\ Prod ucta/CO0p|etgd Operations must be carried for 2years after acceptance of completed work (0) The general.aggregate must apply separately to this pro'ect/location 3' If this exposure shall exist: A. $1.000.000 combined single limit for Bodily Injury and Property Damage each accident B. Must cover liability for Symbol #1 - "Any Auho"—including (}vvned. N0D-[xmDed and Hired Automobile Liability. |\� - 1 � w14n4 | / 4` EMPLOYERS LIABILITY— i ukedbvVVisoonoin StatuteState _ _or any Workers_. C~..,~."""".. ""=.uues of a different state. ' A. Must carry coverage for Statutory Workers Compensation and an Employers Li8bi|dv limit of: -' i 1 $10O.0D0 Each Accident ! $5OD,0OO Disease Policy (3) %100,OOO Disease—Each Employee 5. If exposure exists, provide coverage at least as broad as theunderlying Commercial General � andErOo�»ereL�bU�/ Vv�hanninhV Liability,^ limit'�--ft---- y '' '~,~"°"^ """"/mu/e �awug/ _'- �,. � � $2,00.00 each occurrence and $2 �0 �0 aggregate, and arOaXnlUnnm��ineuredretenUonof$10.000. ' ' 8. ADDITIONAL PROVISIONS ! A. Acceptability of Insurers - Insurance is to be placed with insurers who have an A.M. Best rating cfnV less than Ar and a Financial Size Cabeooryofnn |eeaUlRnC�oG \4 and vvhoare ou8lor�edmmonadmi�edin ~ ` aU[ano� coDlpany|OthemfateVfVV|sooOsin. B. Additional Insured Requirements — The following must be named as additional | insureds on all Liability Policies for liability arising out of —"p 'eCt work - City of ' Oshkosh, and its officers, council members, agents, employees and authorized volunteers. On the Commercial General Liability Policy, the additional insured coverage must be ISO form CG 20 10 O7D4or�its equivalent tonda|sm inc|udePrmduota — Cmnp|atmd Operations ISO form CG !Q 37 07 04 or its equivalent for � minimum �f � years ���r omo��t�n�e of work. This does not apply toPmofessiona| Liability, Workers Compensation and Employers Liob|���' C. Certificates of Insurance acceptable to the City of Oshkosh shall be submitted prior to � commencement of the work tu the applicable City department, These certificates shall | Contain a provision that coverage afforded under the policies will not be canceled or non renewed until at least 30 days' prior written notice has been given to the City Clerk —QtyofDahkosh. � � � � � U{ - 2 DATE(HIM/DD/YYY) " 'zr' CERTIFICATE OF LIABILITY INSURANCE ( 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 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 endorsements, PRODUCER CONTACT Insurance Agency contact N ' Information,including street AME Insurance Agents PHONE FAX contact information. f address and PO Box lf (A/C_No"„-Ex�: .,_.. IA/c .._I No)' E-MAIL .. .... applicable. ._...._...... ._......_....,..�—_.. ..—.-----_.. ADDRESS: INSURER S AFFORDING COVERAGE NAIC#_,_._,__ INSURER A: ABC Insurance Company _._ NAIC# INSURED Insured's con fact Information, INSURER B: XYZ Insurance Company NAIC# Including name,address and phone number. INSURER c: LMN Insurance Company NAIC# INSURER D: lnsurer1 must have a minimum A.M.Best rating ofA- -- - -- and a Financial Performance Rating of VI or better. - -- INSUREREg ...,._ _._..... -....__. ................_� __ ___ .__. INSURER F: ! COVERAGES CERTIFICATE NUMBER: 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 AMY 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 s ADDL;SUBR - POLICY EFF POLICY EXP LTR E TYPE OF INSURANCE INSR WVO POLICY NUMBER MMIDDIYYY MM/ODIYYY LIMITS GENERAL LIABILITY { i EACH OCCURRENCE ® . ® ! ❑ General - $„1_.,000,0 00 and expirationdet. DAMAGE TO RENTED ...` -__ I Liab/fityPolcyNumber llcY BffecWe _ re $50,000PREMISES( aoccur'COMMERCIAL GENERALLIABILITY -A ❑."CLAIMS-MADE®OCCUR HIED EXP(Any one person) $5,000 �® ISO_FORM CG 2q 9'7 OR EQUIVALENT.. ? I_. INJURY $1,000,000 GENERAL AGGREGATE 0 ._.._.-. � $2,000,000 PRODUCTS-COMP/OP AGG $2 000 000 GEN'L AGGREGATE LIMIl_APPLIES PER: _ �_. t POLICY IPR4-�lLOC , j $ ❑� ®IJECT, (AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT tEaaccident) $1,000,000 ANY AUTO ® ❑ Aulo L1abAity Poficy Number policy offecttve and expiration date. BODILY INJURY(Per person) $ `❑ALL OWNED SCHEDULED ',AUTOS ❑' AUTOS BODILY INJURY(Per accident) $ NON-OWNED iPROPERTYDAMAGE HIRED AUTOS ` �(Peraccident) __.. i $.... ...... ❑ f- UMBRELLA LIAR ® .-. _._ i®I i❑�,OCLAIMS-MADE ❑ �Umbrella L1ab11ityPoticy Numbar 1 Y P EACH.00CURRENCE - � $2,000,000 r Pcllc effect va and ex(ration date AGGREGATE $2,000,0 i 00 A �EXCESS LIAR ( ❑'DED 1® $ RETENTION$10,000 j WORKERS COMPENSATION , WC STATU OTH- C AND EMPLOYERS'LIABILITY ! TORY LIMITS? ER❑ ❑ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? Y/N iE L EACH ACCIDENT $100,000 (Mandatory In NH) Workers Compensation Policy 7 Policy effective and expiration date. ..... .... _. ! E.L.DISEASE_ LL EA EMPLOYEE $100,000 Number i _-_ LLil _ If es,describe under DESCRIPTION OF OPERATIONS below 'r E.L.DISEASE-POLICY LIMIT $500,000 A 'PROFESSIONAL LIABILITY � I I$1,000,000 EACH CLAIM Professional Liability PaNsy Pollcyeffective and exptratton date, $1,000,000 ANNUAL AGGREGATE f Numbar DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101 Additlonal Remarks Schedule,if more space Is required) Additional Insureds per attached endorsements, Certificates of Insurance acceptable to the City of Oshkosh shall be submitted prior to commencement of the work to the applicable City department. These certificates shall contain a provision that coverage afforded under the policies will not be canceled or non renewed until at least 30 days'prior written notice has been given to the City Clerk—City of Oshkosh. CERTIFICATE HOLDER CANCELLATION City of Oshkosh,Attn:City Clerk Insurance Standard 111 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE,THEREOF,NOTICE WILL BE DELIVERED IN 215 Church Avenue SAMPLE CERTIFICATE 21 B 1130 ACCORDANCE WITH THE POLICY PROVISIONS, Oshkosh,WI 54903-1130 Please indicate somewhere on this certificate,the contract or project# AUTHORIZED REPRESENTATIVE this certificate is for. @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 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) Or Or anization s : Locations Of Covered O erations As required by contract Any and all job sites Information required to eom fete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" This insurance does not apply to "bodily injury" or caused, in whole or in part, by: "property damage"occurring after: 1. Your acts or omissions; or 1. All work, including materials, parts or equip- 2. The acts or omissions of those acting on your ment furnished in connection with such work, behalf; on the project(other than service, maintenance or repairs) to be performed by or on behalf of In the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) design- covered operations has been completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. Insurance Standard III SAMPLE CERTIFICATE Please Indicate somewhere on this certificate,the contract or project# this certificate is for. CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: Policy# 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 Org Location And Description pf let�ed.qperatlons As required by contract Any and all job sites Information required to complete this if not,shown above, will be shown.in the Declarations. Section 11 — 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', "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". Insurance Standard III SAMPLE CERTIFICATE Please indicate somewhere on this certificate,the contract or project# _.. this certifficate is for. — CG 20 37 07 04 @ ISO Properties, Inc., 2004 Page 1 of 1 [3 Taylor, Tracy L From: Taylor, Tracy L Sent: Tuesday, October 30, 2018 2:44 PM To: Taylor, Tracy L Cc: Gierach,Justin Subject: Questions re: 2019 CIP Sanitary and Storm Sewer Main and Lateral Televising Request for Proposal There were no questions received. Tracy L.Taylor Department of Public Works City of Qshlcosh 920.236.5195 Follow us:Web I Faceboolc I Twitter Q'j-, I;IV1:,1y SPEED' y CLEANNoy 1!`S M s C()N S I d'4 9:3 ,1, DRAIN & SEWER 1380 Earl Street Menasha, WI 54952 4 920.734.4707 d 800.371.4707 INDUSTRIAL November 1, 2018 9 RESIDENTIAL. City of Oshkosh. 215 Church Ave MUNICIPAL Oshkosh, WI 54903 Thank you for the opportunity to bid on the 2019 Oshkosh Capital COMMERCIAL Improvement project. Speedy Clean has three CCTV trucks equipped with systems less than 5 years old. We have the most up to date equipment including several different cameras specifically designed for inspection of municipal sewer and industrial drain lines. This allows us to schedule multiple crews daily throughout the year. We continue to operate with the latest test ology in main line and lateral launching technology from CUES including Pan& Tilt Lateral. Cameras that limit the need to gain access to private residences to complete inspections. This amount of new equipment, as well as great support and employees, allows Speedy Clean to continually meet deadlines on schedule and on time. Our crews inspect over one million feet annually, including thousands of laterals. We have over 65 years combined experience in the CCTV industry. The qualifications and experience we have allows us to produce an exceptional product. Our CCTV technicians are NASSCO PACP, L,ACP and MRCP certified. All of our jobs are completed under NASSCO guidelines and held digitally for 5 years. We specialize in. working directly with engineers and planners to gather important information specific to each project. Our CCTV operators understand that each project has a purpose and we work diligently to obtain the information the customer is seeking. Brad Winkler--CCTV Manager. Brad is our lead camera operator televising sanitary and storm sewers, lateral launching and line locating. He came to us with background in surveying and a degree in power Engineering. Brad is proficient in all aspects of the televising division, YOUR detail oriented and very knowledgeable in his position. He works FULL SERVICE directly with Bill, President of Speedy Clean, in bidding, schedules jobs working directly with the municipalities, contractors and engineers in DRAIN & SEWER order to best understand the purpose of their particular project. lie is the trainer of new hires for the CCTV department. Brad is NASSCO PACP, PROFESSIONAL LAPC & MACP certified. Paul Ebben—CCTV operator. Paul came to us with a degree in Business & Sports Management from UW-Ripon. He has been a CCTV technician since starting with us and is proficient in all aspects of the televising, lateral launching and line locating. Paul also works directly with contractors and engineers. He is NASSCO PACP, LAPC &MACP certified. Blake Peotter—CCTV operator, CIPP (cured in place pipe patch) installer and Service Technician, Blake is experienced in several areas of the company. Blake started with us part time during his junior and senior year of high school and joined full time after graduation. Blake is proficient in all aspects of the CCTV department. He spent 3 years working exclusively in the camera truck televising, lateral launching and line locating and is experienced in working with the contractors and engineers. He is NASSCO PACP, LAPC & MACP certified. In the past 2 years, lie has become one of our top cured in place pipe (CIPP)repair technicians. Matt Stuckrath—CCTV operator. Matt has been a CCTV technician since starting with us in 2017. He has advanced to the televising and lateral launching part of the operation and is proficient in line locating. Ben Matson—CCTV support staff. Ben has worked in several areas of Speedy Clean and is currrently working the back of the truck. He is proficient in line locating and learning the televising and launching part of the operation. Speedy Clean has secured the contract for Capital Improvement Project for the past 4 years (2015, 2016, 2017 & 2018) with the City of Oshkosh. This is a pre-construction/planning project and consists of televising main line and lateral launching of sanitary and storm sewers. The project starts in December and is completed by the following March/April and consists of launching 200-500 laterals for each contract. We complete similar projects annually for the Village of Little Chute, Village of Combined Locks, Village of Fox Crossing, City of Kaukauna and McMahan Engineering. In 2018, we have completed several storm and sanitary sewer locating projects for underground utility construction for RK Enterprises,Neyers Construction, Michels Corp., M.J. Electric, and InterCon Construction. We also perform acceptance televising for contractors including PTS Construction, Carl Bowers Construction, Don Hietpas & Sons, Feaker & Sons as well as many others. Thank you Brad Winkler CCTV Manager PROPOSAL COST BREAKDOWN FOR SANITARY AND STORM SEWER MAIN AND LATERAL TELEVISING 2019 CAPITAL IMPROVEMENT PROJECTS OREGON STREET ITEM DESCRIPTION UNIT I EST. UNIT PRICE TOTAL PRICE QTY. rr 1. , Sanitary Sewer Manhole Set-up Each 30 $ J C2 6 $ Sanitary Sewer Main Line 2, Televising L.F. 1 5,500 $ 3. Sanitary Sewer Lateral Launch Each 155 $ J00 $ Sanitary Sewer Lateral 4. Televising L.F. 9,300 $ $ Sanitary Sewer Lateral Televising 5, From Inside the Building Set-up Each I 31 $ $ Sanitary Sewer Lateral Televising 6. from Inside the Building L.F. 1,240 $ $ r 7. Storm Sewer Manhole Set-up Each 36 $,` �"5 $ 00' Storm Sewer Main Line 8. Televising L.F. 3,700 $ $ 9. Storm Sewer Lateral Launch Each 10 $ $ 1 io 0 10. Storm Sewer Lateral Televising L.F. 450 $ $ Heavy Cleaning less than 36" 11. diameter L.F. 1,500 $ $ Heavy Cleaning greater than or 12. equal to 36"diameter L.F. 1,000 $ $ SUBTOTAL: OREGON STREET $ 1:\Enginecring\1&I Work\Sanitary Utcrals\Televising\2019\RrP\Proposal Cost Breakdown_10-22-18.docx Page 1 of 5 HAZEL STREET ITEM DESCRIPTION UNIT EST. UNIT PRICE TOTAL PRICE QTY. 1. Sanitary Sewer Manhole Set-up Each 35 $ 415- $ Sanitary Sewer Main Line 2. Televisin L.F. 7,500 $ 3. Sanitary Sewer Lateral Launch Each 100 $ Aou $ Sanitary Sewer Lateral 4. Televising L.F. 5,500 $ $ Sanitary Sewer Lateral Televising 5. From Inside the Building Set-up Each 20 $ $ Sanitary Sewer Lateral Televising 6. from Inside the Building L.F. 500 $ $ 7. Storm Sewer Manhole Set-up Each 40 $ $ xt) Storm Sewer Main Line 8. Televising L.F. 4,700 $ ¢ $ 5- wv 9. Storm Sewer Lateral Launch Each 56 $ $ 600 —10.— Storm Sewer Lateral Televising L.F. 2,800 $ $ Heavy Cleaning less than 36" 11. diameter L.F. 1,200 $ -t9- $ Heavy Cleaning greater than or /5"N 12. equal to 36"diameter L.P. 1,400 $ -t7l"- $ Outfall Bagging and Dewatering 13. (1-60"x 72")_ Eachl 1 $ af $ Outfall Bagging and Dewatering 14. (1-43-x 68") Each 1 $ $ -750' Storm Sewer Dewatering 15. (1-36"x 58"CMP) Each 1 $ f $ 756) U11 SUBTOTAL: HAZEL STREET TA Engineering\1&1 Work\Sardtary Laterals\Televising M19\1U1P\Proposal Cost Breakdovvn_10-22-18.docx Page 2 of 5 PLYMOUTH STREET,SHERIDAN STREET,CRANE STREET,AND MITCHELL STREET ITEM DESCRIPTION UNIT EST. UNIT PRICE TOTAL PRICE QTY. 1, Sanitary Sewer Manhole§"u Each 15 $ Sanitary Sewer Main Line 2. Televising L,F. 3,800 $ $ 0 —3. Sanitary Sewer Lateral Launch Each 70 $ 00 $ "� 000 Sanitary Sewer Lateral 4. Televising L.F. 4,200 $ $ Sanitary Sewer Lateral Televising 5. From Inside the Building Set-up Each —14— $ 44— $ -6 Sanitary Sewer Lateral Televising 6. from Inside the Building L.F. 840 $ $ —7. Storm Sewer Manhole Set-up Each 50 $ cc $ 25C' Storm Sewer Main Line 50 8. Televising L.F. 4,350 $ TS $ - 9. Storm Sewer Lateral Launch Each 1 40 $ zoo $ 40X 10. Storm Sewer Lateral Televising U. 2,000 $ $ Heavy Cleaning less than 36" 11. diameter L.F. 750 $ $ Heavy Cleaning greater than or 12. equal to 36"diameter L.F. 600 $ $ SUBTOTAL: PLYMOUTH STREET,SHERIDAN STREET, CRANE STREET,AND MITCHELL STREET I:\Engineering\1&I Woyk\Sanitary Laterals\Televising\2019\11M Proposal Cost BreakdmyrL10-22-18.docx Page 3 of 5 OTHER MISCELLANEOUS PROJECTS ITEM DESCRIPTION UNIT EST. UNIT PRICE TOTAL PRICE QTY. I. Sanitary Sewer Manhole Set-up Each 25 1 $ $ I ta Sanitary Sewer Main Line 2. Televising L.F. 7,200 $ LA 5 $ 4V; -qo 3. Sanitary Sewer Lateral Launch Each 80 $ $ 9,ood� Sanitary Sewer Lateral 4. Televising L.F. 6,000 $ $ Sanitary Sewer Lateral Televising 5. From Inside the Building Set-up Each 15 $ $ Sanitary Sewer Lateral Televising 6. from Inside the Building L.F. 1,000 $ $ Heavy Cleaning less than 36" 7. diameter L.Fj goo $ $ SUBTOTAL: OTHER MISCELLANEOUS PROJECTS $ h\Engineedng\1&I Work\,'anitary Laterals\Tclevfslng\20l9\RFP\Proposal Cost BreakdowrLIO-22-18.doex Page 4 of 5 TOTALS SUBTOTAL: OREGON STREET SUBTOTAL: HAZEL STREET $ L4 61 015:b SUBTOTAL: PLYMOUTH STREET,SHERIDAN STREET, CRANE STREET,AND MITCHELL STREET $ a g . 't d b SUBTOTAL: OTHER MISCELLANEOUS PROJECTS $ TOTAL PROPOSAL COST 06A, S't ... h\Engincvcring\I&I Work\Sanitary Laterals\Televising\2019\RFP\Proposal Cost Breakdown_10.22-1$.docx Page 5 of 5 x. --yr'-� DATE(MMIODIYYYY) +,••F'f7•.O CERTIFICATE OF LIABILITY INSURANCE 11/16/2018 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 cert'fi ate h0@&i in lieu of such endorsement(s). PRODUCER CONTA T Ashleigh Asleson NAME: Hied Insurance,Ince t f PHONE (920)921-5921 A/c,Na: (920)921-6239 a `)11 1 A/C No Ext 325 Trowbridge Drive t-MAIL ADDRESS, aaslesonla7hierl.cam P.O.BOX 949 C J( (ZIP+ INSURER(S)AFFORDING COVERAGE NAIC# Fond du Lac t ," F'� j w)r5 3v`il INSURER A: Cincinnati Insurance Company 10677 INSURED OIL, INSURER, INSURERB; Society insurance 15261 Speedy Clean,Inc. tJ INSURER C, Capitol Specialty Insurance Corporation 10328 1380 Earl Street INSURER D: INSURER E Menasha WI 54952 INSURER F: COVERAGES CERTIFICATE NUMBER: CL1862901522 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. ILTR TYPE OF INSURANCE AUULISUBRI POLICY FF MIDDIOLICY EXP LIMITS INSD WVD POLICY NUMBER MMIDD/YYYY MMIDDIYWY X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 CLAIMS-MADE I OCCUR PREMISES Ea accunenca $ 500,000 $1,000 PD Deductible MED EXP(Any one parson) $ 10,000 A Y EPPOO81072 06/29/2018 06/29/2019 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY �JEC ❑LOC PRODUCTS-COMP/OP AGO S 2,400,044 JECT OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident IX ANY AUTO BODILY INJURY(Per person) $ AOWNED SCHEDULED Y EPPOO81072 06/29/2018 06/29/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED IXNON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per a.6dsnt $ x UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 6,000,000 A EXCESS LIAB CLAIMS-MADE EPP0081072 06/29/2018 06/29/2019 AGGREGATE $ 6,000,000 DED I X1 RETENTION$ 0 $ WORKERS COMPENSATION X STATUTE ORTH- AND EMPLOYERS'LIABILITY Y/N ""."."'"' ."� .�."�... ...."""'""""..'"."-....". ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 B OFFICER/MEMBER EXCLUDED? NIA WC408703 06/29/2018 06/29/2019 - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,004 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Contractors Pollution Liability C EV20182133-01 06/29/2018 06/29/2019 Aggregate Limit 2,000,000 Each CPL Incident Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 2YEAR CONTRACT 2019 CIP sanitary&storm sewer main&lateral televising City of Oshkosh,and its officers,council members,agents,employees and authorized volunteers are listed as an additional insured with respects to the above named insureds general liability via Form GA472 and automobile liability via Form AA4171,but only as their interest applies. (The GA472 conforms to CG 2010 and or CG 2037)A 30 day cancellation notice applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Oshkosh ACCORDANCE WITH THE POLICY PROVISIONS. 215 Church Avenue AUTHORIZED REPRESENTATIVE PO Box 1130 Oshkosh WI 54903 o�_ @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ D[CAREFULLY. ������������^��� �����U�U����8 A����UK���� ~ ��������U�� ������ CONTRACTORS"~,�~� " ��"��� ADDITIONAL ���~��������� AUTOMATIC~�"°"�� " "^� STATUS ����� �����k���� A� ���U����� ���������� ������U���� ~�" "=�"� "�~�=«~=�"^~�== =~ WRITTEN~��� CONTRACT," � AGREEMENT, r �����U� ��� �UU��������U���U^�� PERMIT ~�"� ��~� " " "�~"~��"� " "��"~ � This endorsement modifies insurance provided under the following: � COMMERCIAL GENERAL LIABILITY COVERAGE PART � A. Additional Insured ' Owners, Lessees Or (1) The Coverage Part to which this / Contractors - Automatic Status For Other endorsement is attached pro- Parties When Required In Wriften Contract videu coverage for"bodily injury" � O,Agreement With You or "property damage" included within the "prod uc\m-comp|etad � 1. Section U - Who Is An Insured is operations hazond^; and amended to include as on additional in- sured any person or organization you (2) The written contract or written have agreed in writing in e contract or agreement requires you to pro- agreement to add as an additional in- vide additional insured coverage eured on this Coverage Pert. Such per- included within the "products- son(s) oropganizotion(n) is on additional completed operations hazard" insured only with respect ka liability for: for that person ororganization. , a. "Bodil injury", "property darriage?' or If the written contractor written'' | and advertising injury" agreement requires you to provide oeuxo4 /n whole or in part, by the additional insured coverage included performance of your ongoing opera- within the ''pmduoia'compleued opep tionm by you oron your beha|f, under oUuno hazard" for m specified length that written contract or written of time for that person or organiza- agreement. Ongoing operationsdoeo Uon. the "bodily injury" or "property not apply to"bodily injury"or"proper- damage" must occur prior to the ex+ tydamage''ocouningefter piradonof that period of time inorder � �x��inaumnoohzupp�� (1) All wmrk, including materials, parts or equipment furnished in If the written contract o/ written connection with such wodh, on agreement requires you to provide the project (other than m*mine, additional insured coverage for m maintenance or repairs) to be person ororganization per ISO addi- . perfbnnodbyoron behalf mfthe tionm| insured endorsement form � additional inoored(a) ot the |oca- number CG2O1D.without specifying � don of the covered npomVona on edition dote. this Paragraph b. � has been completed;or does not apply to that person or nr- � � (2) That portion of"y ganiz��ion� "your � which the injury ordamage aris- 2. If the written contract or written agree- es has been put tuits intended ment described in Paragraph 1. above use hy any person oro/ganiza- specifically requires you to provide addi- tion other than anotherconhoc' Uone| insured coverage tothat person or � tor or subcontractor engaged in organization: performing operations for a prin- cipa| ao a part of the same pro- o. Arising out o/ your ongoing opera' honyorm��/gou�of`yourwmd�''�or ject� and b. "Bodily injury' or '--er` damage" b. By way of an edition of an ISO oddi - cauamtinwhole - in --- by ^� Unna| insured endorsement that in- work!' u�� �� ��� dudes arising out of your ongoing operations or arising out of "yourcm�h��orv��em - i worK' duded in ' operations naoom". but only/c Includes copyrighted material of Insurance $A472O917 Services Office, |nc..with its permission. Page1of3 ' then the phrase caused, in whole or in This insurance does not apply to: pou' Para- graph tb.ebove. whichever applies, ..ea. is �' 4' i � replaced by the phrase arising out of "personal and advertising/ ury' � ^g out of operations performed '`^ | 3. With respect to the insurance afforded to the federal government, state m mu- the udditiona| inmurededemnhbed in Pony' nichpaUity;cx � graph ^4.1.. the following additional exclu- sion app|iea "Bodily Bxdilyirju0/' "property donn�xd' | included within the "products- This � i does completed operations hszord." injur ", "property damagd' or "personal and advertising _ arisirxj out of the C. The insurance afforded to additional insureds rendering of, or the failure to render, described in Paragraphs A.and B.: r~`~s'~~~ =c "=c"'= engineering or 1. Only applies to the extent permittedby surveying services, including: law; and a. The preparing, approving or failing to 2^ Will not be broader than that which you prepare or approve, maps, shop are required by the written contract, writ- drawings, opinions, mporte, oumeya, ten agreement written permit or written field orders, change orders or draw- ' authorization to provide for such addihon- | ingaand apeci0uediunai or al insured; and . b. Supervisory, inspection, architectural 3. Does not apply to any person, o/gon�o- � oreng|nna�nQa�i��em. bon. state, governmental agency or' sub- This exclusion applies even if the claims division nr political subdivision specifically � against any insured allege negligence or named as an additional insured for the other wrongdoing in the aupervioion, hip same project in the schedule of an en' inQ employment, i i itoh of domement added ho this Coverage Part, ^ others by that insured, if the "°'urrence" D. With respect tothe insurance afforded to the which caused the ^bndi|y injury" or"prop- additional insureds described in Pa ho edy damage", dor the offense which 4. and B..the fk ~~~^'~'' following '~ ||| caused the"personal and advertising injv- ~ Limits OfInsurance: ry'', involved the rendering of, or the fail- ure to mndor, any pmk»uainna| amhihso~ The most w_- will pay on behalf of the addi- tural. engineering or surveying services. tiona| insured im the amount o[insurance: 4. This Paragraph A does not addi- 1 Required by �bo written uonkoui written � —"_, A. . � tione| insureds described|nParagraph B. oAmement, written permit or written au- thorization described in Paragraphs A. Additiona| lnmuwed-StoteOrGovenxmanta| �ndB 'ur Agency Or Subdivision Or Political Gubdi- ` vision ~ Automatic Status When Required 2. Available under the applicable Limits of |nWriftnn Permits OrAuthorizations Insurance shown in the Dedorsdiona� . 1. Section || - Who Is An Insured is whichever ialess. amended to include as on additional in- sured any state or governmental agency This endorsement shall not increase the eppU- or subdivision or political subdivision you cable Limits of Insurance shown in the Den|a' have agreed in writing in o contract, rations. � agreement, permit ur authorization toadd E. SacUon |V - Commercial [)enera| Liobi|ity | as an additional insured on this.Coverage Conditions is amended to add the following: | Part. Such state or governmental agency or subdivision or political subdivision iaon Automatic Additional Insured Provision additional insured only with respect to op- erations performed by you or on your be- This insurance applies only if the "bodily inju' � ha|ffor which the state or governmental ry" or "property damage" oocuro, or the "per- agency or subdivision or political eubdivi aonm| and advertising injury" offense is cnm' oionioaued. in writing, aconinant. agree- miUed: memL. permit orauthorization. 1. During the policy period; and 2' With naopa� to the insurance ���r�e� to 2. Subsequent to your execution of the writ- the additiono| inouoadademcribedinPara' QmphB1 V�e�d|cw�nQadd�un� ewdu- henuon1radorwh8onagveemend. ur �ha ' '' issuance ofa written permit ur written eu- sionaapply: thorization, described in Paragraphs A. andB. � Includes copyrighted material ofInsurance Q4472UA17 Services Office, |nc.with its permission. Page 2of3 � F. Except when G below applies,the following is t The additional insured is a Named In- added to Section |V ^ Commercial General oured under such other insurance;and Liability CondUionn, S. Other Insurance, and supersedes any provision hz the contrary: 3^ You have agreed in writing inacontract, ognaement, permit or authorization de- When Other Additional Insured Coverage scribed in Paragraph A^ orB.that this in- Applies OnAn Excess Basis mumnca would ho primary tu any other in- surance available to the additional in- This insurance is primary to other insurance sured. available to the additional insured described|n Paragraphs A.and B.except: As usedi this endorsement, wrap-up insur- ance means any insurance provided by a con- 1. As otherwise provided in Section |V ~ mn|idated (wxap'uN insurance program. Commercial General Liability Condi- dons. 5.Other Insurance, b. Excess In- Primary And Noncontributory Insurance ! surance;or When Required By Written Contxaot, 2. For any other valid and collectible inour- Agreement, Permit OrAuthorization anoa available ho the additional insured oe Except when wrap-up insurance applies to the / an additional insured by attachment ofun claim or "suit' on behalf of the additional in- endorsement to another insurance policy sunad, this insurance is primary to and will not i that|owritten on an excess basis. In such meek contribution from any other insurance, � case, this insurance ia also excess. available to the additional insured described in � G. The following is added to Section IV and D.pmv|ded �at: nn |V - �om' � mercia\ General Liability Cond|duna, 5. 1. The additional insured is a Named |o- ! Uther Insurance, and supersedes any pmvi' nuned under such other insurance; and eionto the contrary: 2. You have agreed in writing in aconirant. Primary Insurance When Required By Writ- egneament, permit or authorization de- . ben Contract, AQneement, Pann|t Or 4u- scribed in Paragraph A. or B.that this in- thorizat|on euranoevvou|d be primary and would not seek contribution from any other inmup Exoeptwhenw insurance applies to the anoe available to the additional insured. claim or "suit' on behalf ofthe additional in- sured, this insurance is primary ho any other An used in this endorsement, wrap-up inmur- inaunancm available to the additional insured encm means any insurance provided byacon- described in Paragraphs A. and B. provided so|ida0ed (*rap'up)insurance program. that: � | � � � � � � � � � � Includes copyrighted material of Insurance G4472O917 Services Office, |nc.with its permission. Page 3of3 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED BY CONTRACT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is indi- cated below. Endorsement Effective: Policy Number: 06-29-2018 ERA nnR 10 72 Named Insured: SPEEDY CLEAN INC ACE DRAIN & SEWER, BDBC, LLC Countersigned by: :Authorized Representative) With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SECTION If - LIABILITY COVERAGE, A. Cover- age, 1. Who is an Insured is amended to include as an insured any person or organization with which you have agreed in a valid written contract to provide insurance as is afforded by this policy. This provision is limited to the scope of the valid written contract. This provision does not apply unless the valid written contract has been executed prior to the "bodily injury"or"property damage". AA 4171 1105 ��/���\� \� � � , �a. \ � \ �.\ /° : , � , \ r� ` ^ \�: \ C\ ��� ^ ��a � � � �� ��\ �. t �� � � \ . \�� \�� . . \ \ . \��/ » , ; p �» \�� © z