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HomeMy WebLinkAboutAmendment No 1- Professional Services Industries, Inc. 2019 Geotechinical Exploration AMENDMENT NO. 1 The CITY OF OSHKOSH, hereinafter referred to as CITY, and PROFESSIONAL SERVICES INDUSTRIES, INC., 3009 Vandenbroek Road, Kaukauna, WI 54130, hereinafter referred to as the CONSULTANT, entered into an agreement for SUBSURFACE EXPLORATION AND GEOTECHNICAL ENGINEERING EVALUATION FOR 2019 CAPITAL IMPROVEMENT PROJECTS on December 12, 2019 Paragraph C in ARTICLE XII. PAYMENT included the provision that 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. THEREFORE, the CITY and the CONSULTANT agree to insert the following paragraph after the first paragraph in ARTICLE III. SCOPE OF WORK. The CONSULTANT shall provide the services described in the CONSULTANT's Proposal dated October 31, 2019 The CITY and the CONSULTANT further agree to insert the following bullet point after the first bullet point in Paragraph A of ARTICLE XII. PAYMENT: • Payment for Amendment No. 1 shall be a Time and Materials Sum not to exceed $20,943.50 (Twenty Thousand Nine Hundred Forty Three Dollars and Fifty Cents). RECEIVED CITY CLERK'S OFFICE I\Engineering\2010 CONTRACTS\PSI 2019 Sub Inv\PSI CA#1-Sub Inv_3 2620 docx Page 1 of 2 All other terms contained within the December 12, 2019 agreement remain unchanged and in effect. In the Presence of: CONSULTANT By. YAAa 37/ (Seal of Consultant fa' -dcb�__, ►ua� if a Corporation (Specify Title) By. (Specify Title) CITY OF OSHKOSH By. (Witness) Mark A. Rohloff, City Manager And: C . f i A C- 0 ) ( L )D l (Witness) Pamela R. Ubrig, City Clerk APPROVED. I hereby certify that the necessary provisions have been made to pay the liability which which will accrue under this Agreement. • ttorney /E7V— > City Comptroller/mil,/ I\Engineering\2019 CONTRACTS\P512019 Sub Inv\PSI CA 01-Sob Inv_320-20 don Page 2 of 2 Intertek PSI Proposal No. PO-0094-290069-R-2 October 31,2019 RECEIVED OCT 312019 Professional Service Industries, Inc. DEPT OF PUBLIC WORKS 3009 Vandenbroek Road OSHKOSH, WISCONSIN Kaukauna,Wisconsin 54130 Phone: (920)-735-1200 Mr Justin Gierach City of Oshkosh Department of Public Works 215 Church Avenue P O Box 1130 Oshkosh, Wisconsin 54903 Re: Proposal for Geotechnical Exploration Proposed West 28th Street Lift Station Oshkosh, Wisconsin Dear Mr Gierach, Thank you for giving Professional Service Industries, Inc. (PSI), an Intertek Company, this opportunity to propose our services. PSI is submitting this proposal to conduct a geotechnical exploration for the proposed West 28th Street Lift Station in Oshkosh, Wisconsin Presented below is a review of furnished project information, along with our proposed scope of services and fee information. PROJECT UNDERSTANDING Based on the information provided, it is understood that two soil borings are being requested along West 28th Avenue for roadway and utility construction, and that two soil borings are being requested adjacent to the existing lift station located along the south side of West 28th Avenue for the construction of a new lift station. Based on the information provided by Jacobs, who is the project engineer, it is understood that bedrock will likely be encountered at a depth of about 10 to 35 feet in the area of the existing lift station. It is understood that the proposed utility line will consist of a force main and be installed beneath the creek crossing along West 28th Avenue by directional drilling, which will have entry and exit bore pits. In addition, open trench/cut installation may be utilized from the proposed lift station to West 28th Avenue No design details for the proposed lift station, or for the proposed utility construction were available at the time of proposal preparation. SCOPE OF SERVICES Lift Station Per your request, PSI proposes to drill a total of two (2) soil test borings until auger refusal depth, which is understood to be at a depth of about 10 feet for OS-2 and about 35 feet for OS- 1 Rock coring has been requested within the two lift station borings. It is understood that approximately 30 feet of rock coring will be required for OS-2 and that 5 feet of rock coring will www.intertek.com/building tel PSI Proposal No. PO-0094-290069-R-2 October 31,2019 Page 2 be required for OS-1 in order to extend the borings to the planned termination depth of 40 feet. If bedrock is not encountered before a depth of 40 feet, PSI will contact Jacobs to determine if additional drilling is required. In total, 45 feet lineal feet of drilling and 35 feet of rock coring is proposed for the lift station borings. Upon completion, a piezometer will be installed at OS-1 It is understood that the borings will be located, and the surface elevations will be provided by the City of Oshkosh As requested, 24-hour delayed groundwater readings will be taken within the two lift station borings. Per your request, after completion of boring OS-1 for the proposed lift station PSI will contact Jacobs prior to setting the screen for the piezometer so Jacobs can confirm the depth that the screen shall be placed at. The proposed piezometer will consist of the installation of one (1) temporary 2-inch diameter Schedule 40 PVC piezometer The bottom of the piezometer will consist ten feet of 0.010 slot screen, sand filter pack and bentonite annular seal. The remaining portion of the piezometer will consist of Schedule 40 PVC riser It is understood that the surface of the piezometer will consist of a pro-top/stickup covers. Delayed groundwater level readings have been requested at approximately 48 hours, 1 week, 2 weeks and 4 weeks after installation. PSI has not been requested to abandon the piezometer following completion of its use and no cost for such is included herein. It is understood that a staff geologist will be required to be on-site during the performance of the borings and piezometer for the Lift Station project. Per the request from Jacobs, laboratory tests will be conducted as shown in the below table for soil and rock samples obtained from the lift station borings: Test Number of Tests Mechanical Sieve Analysis 4 Hydrometer 4 Atterberq Limits 4 Moisture Content 10 Corrosion Suite (pH, Resistivity, Sulfate, Chloride) 3 Rock Unconfined Compressive Strength and Unit We ght _ 4 West 28th Street Per your request, PSI proposes to drill a total of two (2) soil test borings until auger refusal depth, which is understood to be at a depth of about 10 feet, for the roadway and utility construction along West 28th Avenue. Rock coring has been requested in order to extend the borings to the planned termination depth of 20 feet. It is understood that approximately 20 feet of rock coring will be required. If bedrock is encountered before the planned termination depth of 20 feet, PSI will contact the City of Oshkosh to confirm that rock coring shall be performed. In total, up to 20 lineal feet of drilling and 20 feet of rock coring is proposed for the for the roadway and utility construction along West 28th Avenue. It is understood that the borings will be located, and the surface elevations will be provided by the City of Oshkosh It is understood that a staff geologist will be required to be on-site during the www.intertek.com/building PSI Proposal No. PO-0094-290069-R-2 October 31,2019 Page 3 performance of the borings for West 28th Street. Per the request from Jacobs, laboratory tests will be conducted as shown in the below table for soil and rock samples obtained from the West 28th Street borings: Test Number of Tests Mechanical Sieve Analysis 4 Hydrometer 4 Atterberq Limits 4 Moisture Content 10 Corrosion Suite (pH, Resistivity, Sulfate, Chloride) 3 Rock Unconfined Compressive Strength and Unit Weight 4 General Drilling Information If areas of extended fill or other unsuitable soils are encountered during field exploration activities, boring depths may be extended until suitable subsurface soils are found. Where a significant alteration to the scope of work may be warranted, prior authorization from the client will be obtained. It is anticipated that the site is not accessible with standard drilling equipment. Therefore, the soil borings will be performed with an all-terrain (ATV) mounted rig drill rig utilizing continuous flight hollow stem auger to advance the boreholes. Representative soil samples will be obtained at 2'/z-foot intervals. As an exception, soil samples will be continuously sampled from OS-1. The samples will be secured by employing split-barrel sampling procedures in general accordance with ASTM D-1586 Soil samples will be visually classified by a soils engineer in general accordance with the Unified Soil Classification System Borings greater than 10 feet will be backfilled with bentonite upon completion. However, once backfilled and surface patched, it is possible that the backfill within the borehole will settle when surface water or groundwater enters the hole, thus causing the surface patch to fail. PSI cannot be responsible for monitoring the condition of said boreholes; therefore, the condition of the boreholes should be monitored by the property owner once PSI has demobilized from the site. In addition, the soil cuttings generated from the soil borings will be disposed of at a location determined by the City of Oshkosh, which is understood to be a few blocks away from the project site. Representative soil samples obtained during the field exploration program will be returned to the laboratory for classification and a limited number of engineering properties tests. The nature and extent of this laboratory testing program will be dependent up on the subsurface conditions encountered during the field exploration program and may include testing selected samples to evaluate the soils' moisture content, plasticity, grain size, and relative strength characteristics. www.intertek.com/building PSI Proposal No. P0-0094-290069-R-2 October 31,2019 Page 4 IBC SCOPE EVALUATION Please note that the project site is located within a municipality that employs the International Building Code (IBC) 2015 edition. As part of this code, the design of structures must consider dynamic forces resulting from seismic events. These forces are dependent upon the magnitude of the earthquake event as well as the properties of the soils that underlie the site. Part of the IBC code procedure to evaluate seismic forces requires the evaluation of the Seismic Site Class, which categorizes the site based upon the characteristics of the subsurface profile within the upper 100 feet of the ground surface. To define the Seismic Site Class for this project, and in accordance with your requested level of assessment, PSI proposes to interpret the results of our soil test borings drilled within the project site and estimate appropriate soil properties below the base of the borings to a depth of 100 feet, as permitted by Section 1613.5.5 of the code. The estimated soil properties will be based upon data available in published geologic reports as well as PSI's experience with subsurface conditions in the general site area. This proposal is based on the Seismic Design Category for this site being determined by others. However, should the site have a Seismic Design Category C, D, E or F, then the code requires an assessment of slope stability, liquefaction potential, and surface rupture due to faulting or lateral spreading. For certain types of buildings and sites, an evaluation of seismic stresses on retaining and basement walls may also be required. Detailed evaluations of these factors are beyond the scope of this proposal. However, PSI's evaluation of conditions will provide a qualitative assessment of these issues and will provide recommendations for more detailed study if the risk of one or more of these hazards is considered moderate to high. REPORT At the conclusion of PSI's field and laboratory work, a geotechnical exploration report will be prepared The report will include the following: • Soil boring logs containing descriptions of the soil and groundwater conditions at the test boring locations and boring location diagram; • A summary of the laboratory test results, • Evaluation of soil and groundwater conditions, • Guidelines for subgrade preparation for foundations and floor slabs, and for the selection and placement of structural fill in these areas; • Shallow foundation design recommendations including allowable bearing pressures, • Recommendations for design and construction of slabs on grade including subgrade modulus values; • Equivalent fluid pressures for active and at rest earth pressures for below grade walls; • IBC 2015 seismic site classification www.intertek.com/building PSI Proposal No. PO-0094-290069-R-2 October 31,2019 V , Page 5 SPECIAL INSTRUCTIONS Communication of any available site development plans or previous geotechnical investigations to PSI is needed. Upon project start-up, PSI will contact your designated representative regarding this information about project scheduling. Some damage to ground surface may result from the drilling operations near the work areas and along ingress/egress pathways. PSI will attempt to minimize such damage, but no restoration other than backfilling the soil test borings and surface patching is included. PSI will contact Diggers Hotline for public utility clearance prior to the start of drilling activities. However, this service does not mark the locations of privately-owned utilities. PSI's proposal is based on private utility lines and other subsurface appurtenances being located in the field by others prior to our mobilization. The cost of private utility locating is not included in PSI's proposal. If PSI is asked to provide this service, an additional fee will apply FEES It is proposed that the fee for performance of the geotechnical scope of services be charged on a unit rate basis. For the base scope of services outlined above, the total fee for the geotechnical services will be $20,943.50 Boring, sampling, and testing requirements are a function of the subsurface conditions encountered. This fee is based on adequate bearing materials being encountered with the proposed boring depths. Should conditions be encountered which require deepening borings or additional investigation, PSI will notify you to discuss modifying the outlined scope of work. Additional work beyond the lump sum fee will not be performed without your prior authorization. AUTHORIZATION If this proposal is acceptable to you, PSI will perform the work in accordance with the City of Oshkosh Consultant Agreement between Professional Service Industries, Inc. and the City of Oshkosh, dated December 12, 2018 Please sign below as notice to proceed and return on copy of this proposal intact to PSI's office. PSI will proceed with the work upon receipt of authorization. PSI appreciates the opportunity to offer our services to your project and look forward to working with you. Please call with any questions you may have, or if PSI can be of additional service www.intertek.com/building PSI Proposal No. PO-0094-290069-R-2 October 31,2019 Page 6 Respectfully submitted, PROFESSIONAL SERVICE INDUSTRIES, INC. Electronic Copy Electronic Copy Patrick Bray James M. Becco, P.E. Branch Manager Vice President Attachments. Proposal Acceptance Estimate Worksheet Standard Fee Schedule www.intertek.com/building PSI Proposal No. P0-0094-290069-R-2 (� October 31,2019 V 1 Page 7 PROPOSAL ACCEPTANCE: AGREED TO, THIS DAY OF , 2019. BY (please print): TITLE: COMPANY. SIGNATURE: PROJECT INFORMATION: 1 Project Name: 2. Project Location: 3. Your Job No: Purchase Order No. 4 Project Manager Telephone No. 5. Site Contact: Telephone No. 6. Number and Distribution of Reports: ( ) Copies To: ( ) Copies To: Attn: Attn: ( ) Copies To: ( ) Copies To: Attn: Attn. 7 Invoicing Address: Attn: 8. Other Pertinent Information Or Previous Subsurface Information Available: www.intertek.com/building • Inte rtek Professional Service Industries, Inc. 3009 Vandenbroek Road Kaukauna,Wisconsin 54130 Phone: (920)-735-1200 Fax: (920)-735-1840 GEOTECHNICAL EXPLORATION - ESTIMATE WORKSHEET Client Name: Mr.Justin Gierach Date: October31,2019 City of Oshkosh Department of Public Works Project Name: Proposed West 28th Street Lift Station PSI Proposal No. PO-0094-290069-R-2 Project Location: Oshkosh,Wisconsin DESCRIPTION OF SERVICE(S) Quantity Unit Fee Total Boring Layout 1 lump sum $450 00 $450.00 Mobilization/Daily Travel/Traffic Control 1 lump sum $650.00 $650.00 Soil Borings-2.5 foot sampling intervals 30 feet $13.95 $418.50 Soil Borings-Continous sampling intervals 35 feet $15.00 $525.00 Staff Geologist 50 Hours $75.00 $3,750.00 Support Vehicle 5 day $85.00 $425.00 24 Hour Delayed Groundwater Measurement 1 lump sum $250.00 $250.00 Rock Coring Set Up 4 each $350.00 $1,400.00 Rock Coring with NQ2 core barrel diamond bit 0-10'core run 35 feet $75 00 $2,625.00 Rock Coring with NQ2 core barrel diamond bit 10-20'core run 10 feet $100.00 $1,000.00 Rock Coring with NQ2 core barrel diamond bit 20-30'core run 10 feet $125.00 $1,250.00 Piezometer 1 lump sum $1,050.00 $1,050.00 48 Hour Delayed Well Groundwater Measurement 1 lump sum $250.00 $250 00 1 Week Delayed Well Groundwater Measurement 1 lump sum $250.00 $250 00 2 Week Delayed Well Groundwater Measurement 1 lump sum $250.00 $250 00 4 Week Delayed Well Groundwater Measurement 1 lump sum $250.00 $250 00 Sieve Analysis 8 each $65.00 $520.00 Hydrometer 8 each $125.00 $1,000.00 Atterberg Limits 8 each $85.00 $680.00 Moisture Content 20 each $5.00 $100.00 Corrosion Suite:(pH,Resistivity,Sulfate,Chloride) 6 each $250.00 $1,500.00 Rock Unconfined Compressive Strength and Unit Weight 8 each $100.00 $800.00 Geotechnical Engineering Report 1 lump sum $1,550.00 $1,550.00 TOTAL ESTIMATED COST- $20,943.50 Scope: Lift Station -Perform OS-1 to a depth of 35 feet and perform 5 feet of rock coring. Perform 0S-2 to a depth of 10 feet and perform 30 feet of rock coring. A total of 45 feet of drilling and 35 feet of rock coring is proposed. In addition, a piezometer will be installed at OS-1 West 28th Street-Perform two borings to a depth of 10 feet and two 10 foot rock cores. A total of 20 feet of drilling and 20 feet of rock coring is proposed. PROFESSIONAL SERVICE INDUSTRIES, INC. GEOTECHNICAL SERVICES STANDARD FEE SCHEDULE ENGINEERING SERVICES Engineering &Technical services for site reconnaissance, boring locations, field supervision, water level measurements & sampling,engineering evaluation, analysis &consultation. Staff Engineer or Geologist $75.00 Per Hour Sr Engineering Technician $50.00 Per Hour Project Engineer or Geologist $85.00 Per Hour Engineering Technician $40.00 Per Hour Principal Engineer or Geologist $100.00 Per Hour Secretarial Services $25.00 Per Hour Principal of Firm $110.00 Per Hour FIELD SERVICES Mobilization of Drilling Equip. $3.00 Per Mile($450.00 Minimum) Boring Layout $90.00 Per Hour Support Vehicle $0.55 Per Mile(Min. $85.00 Per Day) Standby&Problem Access Time $150.00 Per Hour All-terrain Drill Rig $750 00 Per Day 2-Man Crew Per Diem $200.00 Per Day Soil Drilling with Split-spoon (ASTM D-1586) or Shelby Tube (ASTM D-1587) sampling at 5-foot intervals: Depth Range Unit Charges Per Foot, Unit Charges Per Foot Extra SS or ST Samples 3'A",4'A" l.D Auger 6'A" I.D.Auger Easy Drilling` Hard Drilling" Easy Drilling` Hard Drilling** 0-25 ft. $11.00 $13.00 $14.00 $16.00 $10.50 25-50 $13.00 $15.00 $16.00 $18.00 $14.00 50-75 $16.00 $18.50 $20.00 $22.00 $17.50 75 - 100 $18.00 $22.00 $24.50 $28.00 $22.50 * N-count of 40 blows or less, or Qu or Qp less than 4 tsf ** N-count greater than 40 blows, or Qu or Qp greater than 4 tsf Drilling with 12-114" I.D.Auger will be quoted upon request. Auger Drilling without sampling $9.00 Per Foot Shelby Tubes, 3"diameter $40.00 Each Rock Coring with Diamond Bit $75.00 Per Foot DOT 55-Gallon Drums - Soil Cuttings $60.00 Each Rock Boring with 3" Roller Bit $45.00 Per Foot Drilling mud, as needed $3.00 Per Foot Rock Coring & Boring Set-up Charge $350.00 Per Hole Pavement Cold-Patch at boreholes $25.00 Per Hole LABORATORY TESTING Visual Engineering Classification $4 00 Per Test Unconfined compression tests, Hand Penetrometer Test $4.00 Per Test remac $5.00 Per Test Moisture Content Test $5.00 Per Test without stress-strain curve $30.00 Per Test Organic Content Test $35.00 Per Test with stress-strain curve $45.00 Per Test Density Determination with Moisture Content $30.00 Per Test California Bearing Ratio(CBR) $250 00 Per Test Atterberg Limits Determination $85.00 Per Test Permeability, Rigid Wall $250.00 Per Test Grain Size Analysis, Sieve $65.00 Per Test Permeability, Flexible Wall $300 00 Per Test Grain Size Analysis, Sieve&Hydrometer $95.00 Per Test Shelby Tube sample preparationlremolding $40.00 Per Tube Moisture Density Relationship Standard Method,ASTM D-698 $150.00 Per Test Modified Method,ASTM D-1557 $175.00 Per Test REMARKS Charges for monitoring well installation, analytical testing services, and special equipment or sampling techniques not included herein, will be quoted upon request. Rental equipment & commercial transportation charges will be billed at cost plus 20%. A per diem charge of$100.00/day per person will be billed as applicable. Invoices will be submitted monthly, with payment due within 30 days of invoice date. Interest will be added at a rate of 1%% per month of delinquency Proposal estimates & verbal quotations will remain valid for 60 days, at which time they may be subject to change or withdrawal. Intertek • BUILDING & CONSTRUCTION CENTRAL REGION • ASSURANCE,TESTI\G, INSPECTION,AND CERTIFICATION FOR THE BUILT ENVIRONMENT4 \ \ , . .._ . .s _ , { �,,,___.4„ hf hteRek + Market Access. Risk Mitigation. Total Assurance. Leverage the building, engineering, and construction market leader for all of your building product and construction SITE SELErnON(2.* z w,. and infrastructure projects. As the only IOCAnoN. . firm with the ability to offer a full-suite _ e, _ of product-related testing and certifica- , tion capabilities, and project-related ��� "" /ypLy\ assurance, testing, inspection, and DECOMMISSIDNIN� ' ^ -=�: consulting services, we bring customers &TRANSFER 3, DESIGN PHASk'rA a level of capabilities unparalleled in — Intertek is ..r-� the industry. Intertek is your one the ATIC solution solution for faster and more cost effec- tive access to domestic and internation- for quality and al markets. risk mitigation. Services Throughout the Entire S tr. i project is unique,from its location to the -` ' Every ' Project Lifecycle P J Q BUILDING ;1, BUILDING PRODUCTS t regulatory code it must follow to the methods of MNNTENANecz," &mnsmacnon`w construction it undergoes With services that span MATERws , the entirety of the construction lifecycle,Intertek is your partner from ground breaking to the demolition ball ,-! :: CONSTRUCTION:TIC PROJECT Global company.Local presence with over 100 offices and labs in North America. intertek 0 +1 800 967 5352 c Central ° 0 icenter@intertek.com i 0 intertek.com/building �M1 •in - r__z__=?_.• iliflC l;. I'r�rLL .b '-,: tI,, f �_ C, . ,•_._ #'- __-_.„....._,. . _ --_-„..T......r... ._,..-..,4 0,..,......... ANY iZ. ��yy--++ YI I I `�: ....- _. • rr c _ .= 4 INIA • Our services include: Built on legacy Building Science Solutions-Assessing and rote:tek s Building&Construction d vsion Identifying building system deficiencies and stands on the shou:ders of giants Our history potential problems to assure minimized ptojectrIsk. of innovat,on,growth,and expanded services comes-roc a legacy of leading inoustry From nRion Materials 7esllng&Eduction ing- rl-a eons whose soirit and cult.;e From on-site to in-lab testing of construction continue to once our desire to serve our materials(concrete,sod,asphalt,eta we can _Hunts ever better ensure compliance and material quality. Environmental Services-Assessing and ��- A providing solutions to a variety of regulatory(local 1=J Pat Bray or national environmental needs. Branch Manager Field Testing&Mock Up-Testing products and 920-735-1200 systems in the field or at our labs to ensure their patrick.bray@intertek.com performance before completing the construction w� project IMTGroup Brian Olesen, PE Geotechnical Engineering-Testing sampling, Business Development Manager analyzing,and consulting of a variety of subsur- 920-202-6653 face materials to understand their interaction with /�� brian.olesen@intertek.mm thIndstrialH' ® (IT) {ndustrialHygiene-Surveying,assessing,and ��IT j monitoring the indoor environment to mitigate I ntertek-PSI associated humanhealth issues. Intertek Intertek 3009 Vandenbroek Road Non-Destructive Testing-Leveragecur Kaukauna,WI 54130 expertise to evaluate a material without destroy- +1920-735-1200 mg its usefulness Specialty Testing&Engineering-Regardless of your material,testing or need,we offei a range of _t:;.y-..)se specialty testing and engineering solutions '4��E® CERTIFICATE OF LIABILITY INSURANCE DA9E(MM9D/YYVY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER p c `jEll CONTACT Marsh USA Inc. y-EC V�' PHONE FAX 500 Dallas Street,Suite 1500 INC,No ErtP INC,Not: Houston,TX 77002 Q E-MAIL Attn:Houston.Ceds@Marsh.com R 2 g IL ADDRESS: MA INSURER(S)AFFORDING COVERAGE NAIC fI CN102792561-(4B)-Pror-19-20 CORKS INSURED 0- �CBL1C'� 51� INSURER A.Zurich American Insurance Company 16535 Professional Service Industries,Inc. DEP ii T ,, "11SCO1� INSURER e.Greenwich Insurance Company 22322 3009 Vandenbroek Road oS'c -°5 INSURER C.N/A N/A Kaukauna,WI 54130 INSURER D.XL Specialty Insurance Company 37885 INSURER E.Navigators Insurance Company 42307 INSURER F. COVERAGES CERTIFICATE NUMBER: HOU-003496920-08 REVISION NUMBER: 3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADDL SUER LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER PM/DDWYV POLICY EXP (MMIDD/YYYY7 1MMa)Dmwt LIMITS A X COMMERCIAL GENERAL LIABILITY GL0541569306 10/01/2019 10/01/2020 EACH OCCURRENCE S 5,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 5,000,000 POLICY X JEC [T LOC PRODUCTS-COMP/OP AGO $ 5,000,000 OTHER $ B 1 AUTOMOBILE LABILITY RAD943781303 10/01/2019 10/01/2020 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ X OWNED SCHEDULED BODILY INJURY AUTOS ONLY AUTOS (PeramtlenU $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I RETENTION$ $ D WORKERS COMPENSATION RWD300119303(AOS) 10/01/2019 10/01/2020 X PER I OTH- ANDEMPLOYERS'LIABILITY STATUTE ER D YIN RWR300119403 1,000,000 ANYPROPRIETOR/PARTNER/EXEDUTIVE (WI) 10/01/2019 10/01/2020 E.L.EACH ACCIDENT $ OFFICER In R EXCLUDED? N NIA (Mandatory In NH) E L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 1,000,000 E Excess Liability CH19EXRB547521V 10/012019 10/01/2020 Each Occurrence 4,000,000 Excess of Auto and Employers Llab. General Aggregate 4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) RE.Construction Material Testing Services for the 2019 Capital Improvement Projects • City of Oshkosh,and its officers,council members,agents,employees and authorized volunteers are included as additional insured(except as respects all coverage afforded by the Workers'Compensation policy) as required by wntlen contract. CERTIFICATE HOLDER CANCELLATION City of Oshkosh SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Clerk THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 Church Avenue ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1130 Oshkosh,WI 54903-1130 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. John Shahid? �--- _�-ff ,/L I ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102792561 LOC#• Houston ACORD® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. Professional Service Industnes,Inc 3009 Vandenbroek Road POLICY NUMBER Kaukauna,WI 54130 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Professional Liability. Policy#E00O20692004 Carrier Steadfast Insurance Company-NAIC k26387 Effective Dates'09/30/2019 to 09/30/2020 Limit$5,000,000 Each Claim/Aggregate SIR'$1,000,000 Named Insured Includes: Professional Service Industries,Inc.dba lnlertek-PSI Professional Senaces Industnes,Inc. Professional Service Industries Holdings,Inc Pittsburgh Testing Laboratory,Inc. PSI Acquisitions,Inc. Midwest Engineenng Services,Inc. Wilson Inspection X-Ray Services,Inc. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Endorsement#2 0 Blanket Notification to Others of Cancellation ZURICHr Policy No. Eff.Date of Pol. Exp.Date of Pol. Eff.Date of Producer Add1 Prem. Return Prem. End. Tl00O206920-04 September 30, September 30,2020 September 12012000 — — 2019 30,2019 Named Insured and Mailing Address: Producer: Professional Services Industries Inc. Marsh USA Inc 545 East Algonquin Road 500 Dallas Street, One Allen Center Arlington Heights, IL 60005 Suite 1500,Houston,TX 77002, USA THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: Contractor's Protective Professional Indemnity and Liability Insurance Policy In consideration of the premium already charged, it is agreed that the policy is amended as follows: A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of premium,we will deliver electronic notification that such Coverage Part has been cancelled to each person or organization shown in a Schedule provided to us by the First Named Insured. Such Schedule: 1, Must be initially provided to us within 15 days: a. After the beginning of the policy period shown in the Declarations;or b. After this endorsement has been added to policy; 2. Must contain the names and e-mail addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled; 3. Must be in an electronic format that is acceptable to us;and 4. Must be accurate. Such Schedule may be updated and provided to us by the First Named Insured during the policy period.Such updated Schedule must comply with Paragraphs 2.,3., and 4.above. B. Our delivery of the electronic notification as described in Paragraph A.of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured.Delivery of the notification as described in Paragraph A.of this endorsement will be completed as soon as practicable after the effective date of cancellation to the first Named Insured. C. Proof of emailing the electronic notification will be sufficient proof that we have complied with Paragraphs A. and B. of this endorsement. D. Our delivery of electronic notification described in Paragraphs A. and B.of this endorsement is intended as a courtesy only. Our failure to provide such delivery of electronic notification will not: 1. Extend the Coverage Part cancellation date; 2. Negate the cancellation;or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. STF-CPP-161-A CIA/ (11/10) Page 1 of 2 E. We are not responsible for the accuracy, integrity,timeliness and validity of information contained In the Schedule provided to us as described in Paragraphs A.and B.of this endorsement. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED STF-CPP-161•A CW (11/10) Page 2 of 2 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 57 (Ed. 12/10) ENDORSEMENT# This endorsement, effective 12:01 a.m., 10-01-2019, forms a part of Policy No. RWD3001193-03 issued to Testing Holdings USA Inc. by XL Specialty Insurance Company THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT This endorsement modifies insurance provided under the following: WORKERS'COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY In the event coverage is cancelled for any statutorily permitted reason,other than nonpayment of premium, advanced written notice will be mailed or delivered to person(s)or entity(ies)according to the notification schedule shown below: Number of Days Name of Person(s)or Entiy(ies) Mailing Address: Advanced Notice of Cancellation: Per the most current schedule 30 maintained by Marsh USA Inc.,and furnished to XL Catlin Insurance no less than 45 days prior to the effective date of cancellation. All other terms and conditions of the Policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10-01-2019 Policy No. RWD3001193-03 Endorsement No. Insured Testing Holdings USA Inc. Premium Included Insurance Company XL Specialty Insurance Company Countersigned by %""- WC 99 06 57 Ed. 12/10 ©2010 X.L.America, Inc. All Rights Reserved. May not be copied without permission. 0 • b Blanket Notification to Others of Cancellation ZURICH or Non-Renewal THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY Policy No. GL0541569306 Effective Date: 10/1/2019 This endorsement applies to insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. Such list: 1. Must be provided to us prior to cancellation or non-renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1 Within 10 days of the effective date of the notice of cancellation, if we cancel for non-payment of premium;or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium;or b. Non-renewal, but not including conditional notice of renewal, unless a greater number of days is shown in the Schedule of this endorsement for the mailing or delivering of such notification with respect to Paragraph B.1.or Paragraph B.2.above. C. Our mailing or delivery of notification described in Paragraphs A.and B.of this endorsement is intended as a courtesy only Our failure to provide such mailing or delivery will not: 1 Extend the Coverage Part cancellation or non-renewal date; 2. Negate the cancellation or non-renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. U-GL-1521-19 CW(01/19) Page I of 2 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Confidential\Non Personal Data D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B.of this endorsement. SCHEDULE The total number of days for mailing or delivering with respect to Paragraph B.1.of 10* this endorsement is amended to indicate the following number of days: The total number of days for mailing or delivering with respect to Paragraph B.2.of 30** this endorsement is amended to indicate the following number of days: * If a number is not shown here, 10 days continues to apply. ** If a number is not shown here, 30 days continues to apply All other terms and conditions of this policy remain unchanged. U-GL-1521-8 CW(01/19) Page 2 of 2 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Confidential\Non Personal Data ENDORSEMENT# This endorsement,effective 12:01 a.m., October 1,2019 forms a part of Policy No. RAD943781303 issued to TESTING HOLDINGS USA INC. by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT In the event coverage is cancelled for any statutorily permitted reason,other than nonpayment of premium,advanced written notice will be mailed or delivered to person(s)or entity(ies)according to the notification schedule shown below: Number of Days Name of Person(s) Advanced or Entity(ies) Mailing Address: Notice of Cancellation: Per the most current schedule maintained by Marsh USA Inc., and furnished to XL 30 Catlin Insurance no less than 45 days prior to the effective date of cancellation. All other terms and conditions of the Policy remain unchanged. IXI 405 0910 BRAY 10/16/2017 ©2010 X.L.America, Inc. All Rights Reserved. May not be copied without permission. 0 Additional Insured — Automatic — Owners, Lessees Or ZURICH Contractors THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GL0541569306 Effective Date: 10/1/2019 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II—Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following: 1 If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office(ISO) ISO CG 20 10(10/01 edition); or b. The ISO CG 20 37(10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s),but only to the extent that"bodily injury","property damage"or"personal and advertising injury"arises out of: (1) Your ongoing operations,with respect to Paragraph 1.a.above; or (2) "Your work",with respect to Paragraph 1.b.above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the"bodily injury","property damage"or"personal and advertising injury"offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury'or"property damage" caused by"your work"and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office(ISO) ISO CG 20 10(07/04 edition); or b. The ISO CG 20 37(07/04 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that"bodily injury", "property damage"or"personal and advertising injury"is caused, in whole or in part, by (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, U-GL-2162-A CW(02/19) Page 1 of 4 Includes copyrighted material of Insurance Services Office,Inc.,vnth its permission. INTERNAL USE ONLY in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a.above; or (b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph 2.b.above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (i) Only applies if the"bodily injury", "property damage" or"personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (Ii) Does not apply to"bodily injury"or"property damage"caused by"your work"and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10(04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations(if no form is specified), such person or organization is then an additional insured only to the extent that"bodily injury", "property damage" or"personal and advertising injury"is caused, in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations,which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the"bodily injury","property damage"or"personal and advertising injury"offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2.above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified);or b. With respect to the"products-completed operations hazard" (if no form is specified), such person or organization is then an additional insured only to the extent that"bodily injury"or"property damage" is caused, in whole or in part by"your work"and included in the"products-completed operations hazard",which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the"bodily injury"or"property damage"occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. U-GL-2162-A CW(02/19) Page 2 of 4 Includes copyrighted material of Insurance Services Office,Inc.,with its permission, INTERNAL USE ONLY B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage"or"personal and advertising injury" arising out of the rendering of,or failure to render, any professional architectural, engineering or surveying services including: 1 The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment,training or monitoring of others by that insured, if the"occurrence"which caused the"bodily injury" or"property damage", or the offense which caused the"personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement,the following is added to Paragraph 2.Duties In The Event Of Occurrence,Offense,Claim Or Suit of Section IV—Commercial General Liability Conditions: The additional insured must see to it that: (1) We are notified as soon as practicable of an"occurrence"or offense that may result in a claim; (2) We receive written notice of a claim or"suit"as soon as practicable; and (3) A request for defense and indemnity of the claim or"suit"will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance;and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance,whether primary,excess,contingent or on any other basis,available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or"suit" This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this endorsement,the following is added to Section III—Limits Of Insurance: Additional Insured—Automatic—Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: U-GL-2162-A CW(02/19) Page 3 of 4 Includes copyrighted material of Insurance Services Office,Inc.,with its permission INTERNAL USE ONLY 1. Required by the written contract or written agreement referenced in Section A.of this endorsement;or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. U-GL-2162-A CW(02/19) Page 4 of 4 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. INTERNAL USE ONLY