Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
McKinstry
AGREEMENT THIS AGREEMENT, made on the 22 day of August, 2011, by and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and McKinstry, hereinafter referred to as the CONTRACTOR/CONSULTANT, WITNESSETH: That the City and the Contractor/Consultant, for the consideration hereinafter named, agree as follows: (Note: If anything in the Proposal conflicts with the Request for Proposals or this document, the provisions in the Request for Proposals and this document shall govern.) ARTICLE I. PROJECT MANAGER A. Assignment of Project Manager. The Contractor/Consultant shall assign the following individual to manage the project described in this contract: Ryan Dickerson, Program Manager Ken Abbot, Technology Solutions Engineer Paul Gustafson, Project Development Manager Mayur Patel, Senior Energy Engineer 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 contract: (Jon Urben, General Services Director) ARTICLE III. SCOPE OF WORK The Contractor/Consultant shall provide the services described in the City's Request for Proposals and Proposal of the Contractor/Consultant. The Contractor/Consultant proposal is attached as Exhibit A, and is incorporated into this agreement to the extent it does not conflict with the City's Request for Proposals, or this agreement. The Contractor/Consultant shall provide the services described in its proposal attached hereto and incorporated herein by reference. 1 The Contractor/Consultant may provide additional products and/or services if such products/services are requested in writing by the Authorized Representative of the City. ARTICLE IV. CITY RESPONSIBLITIES The City shall furnish, at the Contractor/Consultant's request, such information as is needed by the Contractor/Consultant to aid in the progress of the project, providing it is reasonably obtainable from City records. To prevent any unreasonable delay in the Contractor's/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. ARTICLE V. TIME OF COMPLETION All work to be performed under this contract shall be completed on or before October 15, 2011, unless the parties in writing agree to extend this date. ARTICLE Ill. PAYMENT A. The Contract Sum. The City shall pay to the Contractor for the performance of the contract the not to exceed total sum of$36,720 for the HVAC assessment survey for the attached building inventory list, adjusted by any changes as provided in the proposal, or any changes hereafter mutually agreed upon in writing by the parties hereto. B. Method of Payment. The Contractor/Consultant shall submit itemized monthly statements for services. The City shall pay the Contractor/Consultant within 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 Contractor/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. ARTICLE IV. CONTRACTOR TO HOLD CITY HARMLESS The Contractor covenants and agrees to protect and hold the City of Oshkosh harmless against all actions, claims and demands of any kind or character whatsoever which may in any way be caused by or result from the intentional or negligent acts of the Contractor, his agents or assigns, his employees or his subcontractors related however remotely to the performance of this Contract or be caused or result from any violation of any law or administrative regulation, and shall indemnify or refund to the City all sums including court costs, attorney fees and punitive damages which the City may be obliged or adjudged to pay on any such claims or demands within thirty (30) days of the date of the 2 City's written demand for indemnification or refund. ARTICLE V. INSURANCE The Contractor/Consultant agrees to abide by the attached City of Oshkosh Insurance Requirements. ARTICLE VI. TERMINATION A. For Cause. If the Contractor/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 Contractor/Consultant. In this event, the Contractor/Consultant shall be entitled to compensation for any satisfactory, usable work completed. B. For Convenience. The City may terminate this contract at any time by giving written notice to the Contractor/Consultant no later than 10 calendar days before the termination date. If the City terminates under this paragraph, then the Contractor/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. In the Presence of: CONTRACTOR /CONSULTANT i - — By: C (-g--------)(41-- -----, Joseph Hagar, Director of Finance (Seal of Contractor (Specify Title) if a Corporation.) By: (Specify Title) CITY OF OSHKOSH i /- ii, B (.6__ /ems-4/ZC/ (//:" l i ,,'(1 ' \. ; /(�(/'�'( Mark A, Rohloff, City Manager � 3 (Witness) -z-Z � And: i Ai f_I_l� ► I (W' ess) •_ = : -. :,. '. 4 ity Clerk uJ- J-beetl, ► - APPROVED: I hereby certify that the necess- ary provisions have been made to {, pay the liability which will accrue -. IL I, `��'tk-41,1,. under this contract. ity Atto 2,, City Comp ruler 4 Capital Asset Plan Consolidation & System Verification • Please see the graphic below as a representation of our overall plan development process. Plan Cie\eloprnent 11[71� �d� '� „M' I i -_ •g �III�kIg. ` GOAL DEFT flIOFK 3 DA"1';A ° , ANAL.lf�k CON�SE SUS w* +1 '' ,5 -t:,i 1 '"1 "i ,uin f •r x -r3 r� '�' 7 v' x ,"' 4 * t rNl 7.is s' r # { ,. t,.i a'i�` r r k$ .'' wt �I m o a 'it errs orl�. }j :441 ', r @ T, l y }, sect o l `' �s r �s >4 ��I II'l g PU A I qutr� lu Fi�`I.. �n'�,m ss 4i NP Ft r ::4�5 a f.,, ,r t �d * t :Iryl ,�'Gui '.. v � � �. � I rf t� 4 a� 'q e-e �11R11�����,r,(�d�- t �r,.� f_11nG����'��tr�y%�� k x i 3�..�!'s:' '"'Pt:II Ili' �.tt ��l a� �+214 �i,�,�' IIIIIx�. ' -;,:V rr-� a.;i.-' �- 77 ru' �'t -'�:� E €s enti 7 h,4�, I;M 7 # - P 1� !r. I s ,�II.,,II a `m'i. i .w y t:+ III I .y� ' t1*•f a 'u y IF lu15.- B A: C B ��I � IF� 4 I �f A A t". � It � ,wj '1 r'�. 7 A i t q �3i�py µ Ili .,,,v,A,' 9..'I I� 1' �E't iir 1� 3� 5 i j: CI po 4�� ,ii�}il 1 r.:,?•wiik,iiii-rd.6-•,;'/f$r" 4 1e KI -.' 8r! , 'S r rlc. l 4 1�1 u ! .) w.,,.- . r k.� `["' I,;, arr: f'r,7ty1 �Op .,4,"r F� °'1� 4t k "",�r 3 t '. r I Qn sa ell , ,a. *v'I .: � +�.- r'I••,.. I•.., �rl1i _ Ta f�+ #' *ir" 4 { t: 1 C" 1. li4 1{I 4', _", t ` :tom •�'3, ta. � .t Ail� ,y III lalx w. yi I it '. k :C :�� wp t L-�.� a �« yy I I U ,I -. �' i i�i III StyllY�t €s. t {. 3 a�`ey� ,, _�} �. r4s10$ ti- m }I?i, t�' I� r ,t{ t "i. III k y e!: tx 11! s ,,i5 p F +� u 42,1$$ S� 4t �' �' 3�"` I. �.. �t.,,tom, w tP.'III'I - x.f>* -t rl�l,� r J- , „ '4" c 4. i �' g' I � � 'i,"�'M "�M P'-±4 Z9�Ya ®f�"xl ryl y. ��R � , Ii,S` . t,l L jlYy nor..-�9"' 'ss' ,�y: ` �Ll Q1i.e ' } c,. r 4 y,_ 8 •a' ,.y,.: s ,--, A. r °` g 'k 'i'sled°1f�P�gi+ui'n.,41,1c �a,� °an �. ' A _'ii��k t ,*" 1V ' .s Y it < "iI Its' #e4 �'3`''r' rti Imo' rtrx^, ' }i �r`"`,�a' �-.. 3 , �ys.,t - '4- rt g h k a. Sq C'a I �.' s2 i $ �,F t E ti x ! r -, ar}1 w_..,z 4- ",it ' ;; „ t -i�a '•+z`� y -S�111v I: L ii igl 1 t -j' r t It,,,,t ESN �,-C •.t h t F, "i jar ., gillri , xw'>" :ITN x *r k ��,kl s,. k. '' �sr m�: - ' '� i%'∎-,` 't r' d ti p �y >.i kF ,, 1 ..�.. t - L1 DERS'PNDINt� OF • STAKEHOLDER PIUOR1TEZZEa FACTS CHALLEN iES AGREEMENT ON GOALS COMPILED AND ASSET PLAN POTENTIAL ACTIONS STEP 1: GOAL DEFINITION The McKinstry process focuses on the initial step of defining goals toi align the City's program and project requirements, which results in maximizing the value and quality of information generated in the facility assessment. We will pull together stakeholders to define the overarching goals and intent of these surveys and to also determine the building mechanical systems and components to perform site assessments and verifications. We will review and consolidate existing plans to ensure that the facility assessment report is consistent with existing documentation, reviews critical areas of interest, and establishes key performance indicators to measure success. Bringing together stakeholders at this step also gives the project team the opportunity to set up a detailed work plan to achieve these goals within a defined schedule and budget. STEP 2: DATA COLLECTION To fully understand the facility condition, McKinstry will collect data on the individual facilities within the City's portfolio. Data collection may include focused information gathering such as utility bills and maintenance logs, interviews, surveys, reviews of previously completed facility condition assessments or other research. Data collection elements include reviews of the facility's condition during a physical audit and review of mechanical systems. This will include an evaluation of grievances related to comfort, ventilation, or health & safety, reactive work orders, equipment and system preventative maintenance reports, vendor services, commissioning and Testing and Balancing Reports, and utility charges. Performance reviews will include system overrides, schedules and set points, as well as equipment performance. c nStrY IITY OF OSHKOSH /� for M n.Of rowermmng Capital Asset Plan Consolidation & System Verification STEP 3: ANALYSIS McKinstry will analyze the data collected to summarize a comprehensive picture of the facility conditions. Utilizing the Key Performance Indicators (KPI) defined in Step 1: Goal Definition, the team will analyze project costs, life cycle assessments, code implications, and synergies between facility needs and a capital improvement plan. Our analysis will give the City the complete picture that will allow informed decisions when prioritizing projects and designing an implementation schedule to effectively meet goals. Additionally, the analysis will include an estimation of available incentives (i.e.- Focus on Energy) and energy savings attributed to the capital improvement projects. STEP 4: CONSENSUS Our final report will be a complete compilation of all facility assessment information, prioritizing identified physical or operational deficiencies, replacement costs, funding opportunities, suggested implementation schedules, . Our team will deliver an information-focused presentation to stakeholders within the City, inviting them to comment on and review the findings. This is critical to ensure involved decision makers understand the results so that they are prepared to give direction to the actions that will need to be implemented as future capital improvement projects. Consensus around the final report findings will help the City prepare a pragmatic plan outlining project implementation that aligns with the City's goals, needs, and vision. RESOURCES McKinstry personnel assigned to this project will include Ryan Dickerson, Jennifer Creighton, Paul Gustafson, Mayur Patel, Brittany Pfaff and Mario Millonzi. BUILDINGS WITHIN SCOPE Please see the attached building inventory. Square footage approximately 918,000. FEE The fee for performing these services is Not to Exceed $36,720 (or $.04 per square feet). Any additional square footage requested for assessing will be billed at a rate of$.06 per square feet. Proposal Accepted by: Proposal Accepted by: City of Oshkosh McKinstry Mc i stry CITY Of OSHKOSH /Nl,o,lb l If Your&Wisp Year Address Sq Ft Built I /11//16 CITY HALL �, j �p3 lEA ] �`�`�F `f. l��.Gd:.' 'dl rt 3. ��a� ;s. l?6'f'� n�:F INEM'"'l!!:.7.:.i7'� 'Jt�ntd7 014A a`�`}I"iu� 7 n / (. CITY HALL HEATING PLANT 215 CHURCH AVENUE 8621 1915 ✓ = /4 eX PUBLIC LIBRARY L<J/,<J 4�. FIRE DEPARTMENT FIRE STATION#14 2050 KNAPP STREET 6474 1970 ^ff iER i 7 �7 ; a �i i � ii l ✓J/ FIRE STATION#17 1813 ALGOMA BLVD 9800 1998 L" ?IT ':, 'i VIE NIVE WOU:.eweJii& c il51°n FIRE STATION#19 1000 WEST SNELL ROAD 9800 1999 ✓ POLICE DENT ,��. .:.4' T.> v'' �'ry7�'INFtp N:Y EEP _ POLICE STORAGE-BLDG A 640 W 3RD AVENUE 2000 1940 POt�gLICE BIKE STORAGE.E- BLDG B 640 W 3R DAyVENUE 1260 1940 g ✓ CONVENTION CENTER iCE1aVQ: d rilq"^at.F^a `Dy,'..'7��M. �." � �r :��5ka �,C,p�•�� > ,i,:F`Sa2 ;'��2af .omt,� CENTRE PARKING RAMP 2 N, MAIN STREET 54534 1985 PUBLIC MUSE M 1 Twamt u?K.--_.,� .kmr ;.a° s'e'e wr n , ey , 7 j 1 1331ALGOMA BIND... 16697 908 gil'.ytuDQj° r' 19tH arag- s £.M.KE MUSEUM-CARRIAGE HOUSE 1242 HIGH AVENUE 3465 1908 `- GRAND OPERA HOUSE '(toys iti �,IS .�F i .a:; '°•a ' - .,:O.A£A M41.7:01—PV FFW�3 3 PES era �h43�� {3 � :a•r e m cam_ _r 3a, ' SENIOR CENT ER { lmsit,m ) ,fin 7' .. 11/F :s . a xr r; p• 't y��� �.v.� � f?14� SENIOR ACTIVITY NORTH 234 N CAMPBELL RD 27965 1984 59' /5")ao0 ecr of A.o)1-T of 714-e4 GOLF COURSE GOLF IRRIGATION PUMP HOUSE#2 1775 PUNHOQUA ST 85 1935 DP &�i �� za e a r:11 -f 4K'1.n G,r GOLF COURSE CLUBHq��OUS!!E 2175 PUNHOQUA ST 5690 1978 'Address Sq Ft BYear uilt 1 PARKS DEPARTMENT MENO A EE PARK _ � n r a ' 1 n. Wriff ",h . '„ - f it 5!r,,} REETZ PRESS BOX#2 HAZEL STREET 49 1990 MENOMINEE PARK MAINT. GARAGE 729 SIEW_ERTTRAIL 1748 19_70 ZOO MAINTENANCE BUILDING 595 PRAT T TRAIL 1960 1970 gq2 YR NIMb _ i` " �y �.3f r ` d 1� W� t4v�• y�#P ZOO UTILITY STORAGE y MENOMINEE PARK nazi 1F980 MENOMINEE PARK BATH HOUSE 1390 MERRITT AVENUE 3000 19_50 SOUTH PARK SOUTH PARK SMALL SHELTER#2 1210 GEORGIA STREET 704 1974 i SOUTH PARK COMFORT STATION 1200 GEORGIA STREET 675 1983 •UARRY PARK RAINBOW PARK p,Nq yl�{y��rya G�°�''�{1"p�. W��4}., f�4.c�,1•�'4C W�%B Yi���dA4IlC �h�0.!!A.•e�. SOUTHSIDE LIGHTED iP g�,r-*�a dr ups �]{� '79-�•"�. �-'r ¢,Ali y,y{,--a �k7' .aPTMVA. _'^L l"�iili . -.n4�LC�!Ie�1. Ct ti MAIN BLDG-RESTROOM &CONCESS SAWYER STREET 1178 1989 24TH ST. BOATLA�UNCH 'iY r:s1:, y F ,L/ " a+At'ELI ni�! F,Jk s k3,,y �fiA.�IIE`( �� g9 p�.. 3. �' � cW} .3 ��L}.�1'h:L � &+���316�s+• L�Y.�-e�ari�"�L:l �•I E. HGi: RED ARROW PARK V i2 T n N� aa sk t mu/L i sEcI :,,, WESTHAVEN CIRCLE PARK y :T ` XE EMP I• C iY ispgc° 31MI TINI tAli t TEICHMILLER PARK liWAMMIKIMIatoRTAINDMIliriglaVRI LEACH AMPHITHEATER Agog" f a wn t.it w lid,e s egmai ntuag 1° STAGE ROOF 303 CEAPE AVENUE 4800 2005 E;E.1 erf ai ��s �it '4Y f J"V`t'4' /PEALTAMEIRREIMR1 CONCESSION N.E, 356 CEAPE AVENUE 1600 2005 p' IKIEr ...€ 'Li a` aMERVA . I'q al/0-k] RESTROOM S.W. 275 CEAPE AVENUE 2000 2005 9D p °" , G t r i f s i NrJ F f i° nk:4)43 Yf!of FUGELBERG BOAT LAUN H fingifilM4MEEMILAINMETRIPPEIMEM4MOGORIERMUM 0004464z ROCKLIN PARK POLLOCK POOL EQUIPMENT BUILDING 1560 TAFT AVENUE 1188 2006 Year 'Address Sq Ft I Built FORESTRY/CEMETERY FORESTRY COLD STORAGE BUILDING 805 WITZEL AVENUE 1920 1970 Milkst w+ d rr LFe ii!I. § �"� € r lr "K U 1'• Rs� �...�,s �.. � : �; 1ta r �1P --V S zaf l t,,f.,. j PARKS STORAGE 815 DEMPSEY TRAIL 480 1996 ✓ CEMETERY AFT 1k4 ;:,11 r€c+ a ATAME CYRI f :EI. c . t i RIVERSIDE CEMETERY GARAGE 1901 ALGOMA BLVD 2356 1920 STREET DIVISION _ E E J ' f �fffnB`g 'T ' 1 fi ,;l EY j € i ; f"Y?;o, ',as Am0 Sur 571(al> STREET DIVISION AREA SHED 639 WITZEL AVENUE 8400 1985 01111 RAENETT +� }HAMS E nik 10 i 9 ,. STREET DIVISION TIN SHED SOUTH 639 WITZEL AVENUE 2000 1940 STREET DIVISION POLE SHED 639 WITZEL AVENUE 5500 1960 _t MAJ �4 C ,'€ 5��'..`,°-:ti.D..Z�i;;�r 7 `:}.nf,FOFTaIs c,r: ak„s((���. ��iji MUM SANITATION DIVISION PINi fFh FiY Er fa: , R y gESTi„ iE ✓ TRANSIT/ELECTRIC/SIGN _ .� e � .� ,,�,,. .,w.. �.���3 'i - k. � 415.7.Y,6..n„atMEEfNI4 ELECTRICAL STORAGE BUILDING 926 A DEMPSEY TRAIL 5600 1996 WASTEWATER TREATMENT PLANT im�g`- �}��1;q�,�'� F�7{,�. ""�n• P® r y� 'may 'F� �Y�V" °r 7�'t^- '�3 'uti a' � a t 'Nx'M1'+rni4'4f[a y€.AN 64 S' .i�:_ ..� .. 4 c� ,h�'�!„ gr_ia4gARY �fas�_ El�.�v� F. i::.f°. n TAN WWTP-ADMINISTRATION BUILDING 233 CAMPBELL ROAD 4054 1970 a , _ ,a aT , . ti t _ WWTP-PRIMARY CLARIFIER 2 233 CAMPBELL ROAD 7085 1970 PP. 041P �`� . mm M .51 K.- 0.. t..i yT44 ■M� WWTP PRIMARY CLARIFIER 4 233 CAMPBELL ROAD 7085 1970. r 4 € 'T''i M 4u `�`� f_ / `-1 3"" 4i.fir;p- ✓ WWTP-AERATION TANKS 1 & 2 233 . CAMPBELL ROAD 34969 1970 FA g 4ilat ffra MrM ( .S A ) Ol M a IDEV W a WWTP-�p�gF,�yyINN�AL CLARIFIER 2 ,[ 233 CAMPBELL ROAD �� 11304 x^1`970 ., i`k;+'„wi:ffiJ�':?SM, 0. A."+.'. i-z�S t..._._n liai tstinL6 , .RRZ'�wk�5u j"k.1�ellr�ila RE1 WWTP- FINAL CLARIFIER 4 233 CAMPBELL ROAD 11304 1970 WWTP- GENERATOR BUILDING 233 CAMPBELL ROAD 4200 2004 V to 'ENEKE'Z EM b L 3t 4 <_,2 a 1 :inf kf,. w .i ' S IE ,. 9 ' ","A ��yyWWTP-DIGESTERS 3{/CONTROL jBLDG y X233 CAMPBELL ROAD 6580 ({1996 ViRai % }L '+ f i 4 �. �'"�fl. i �P:.z�.F'�L 4 4 �:iF®,:.�.l�,r R tll i:: RA✓ WWTP-SLUDGE STO R:AG E BUILDING 64 0}0 CO UNTYr TRUNK K IF 50 4001994 M �° gilq v' MAIN STREET LIFT STATION 1670 S. MAIN STREET 3025 1970 app'��( T rpJi;c :f�' 0 'Sd {,�y�,0ti v0 I13h hY f I ✓ -4It^����,�r�°--'�� ?' �t�SGz�r'FSI,'+e. �d.,.,':;�u,Ss'1�� ����A .d'„������a �...,n. a��.€+� t.�z:.l4sx� � MURDOCK LIFT STATION 1802 BOWEN STREET 576 1950 y� r` 'Y � H� L +' y� f r 9rmyF C't" y GJ'�y .1��. r.4:yin _ k=:U .?.I. . ETC: .-t �. 21E .�k�Aj trJ 7t�1�„ he r d EFl is d '`' �:.r��l�w WI.-- WWTP DEWATERING BLDG 1ST FLOOR 233 CAMPBELL ROAD 40944 1996 lrr_ S_ ' .GI` .,0,1! 28TH AVENUE LIFT STATION 117 W 28TH AVENUE 650 1970 Year Address I Sq Ft I Built • WATER FILTRATION oa r'a;} Fa 0' '.e s p ffim i-' am §4 a m e y m 'f sr u 3 a me;'}dd ✓ MAIN BLDG-MAIN LEVEL ] 425 LAKESHORE DRIVE 8918 1999 • • MAIN BLDG-�L�pEyVEL 3 3 § 425 LAKESHORE DRIVE pg 8918 1999 tin rMir 1 .�,E o`c i. r ¢31"16+ . .'.i. ' t'r. End Jm �J. dk.` . fir J uil9 a ;I©' €° t}#�'; ✓ PUMPHOUSE 1380 WASHINGTON AVE 465 2009 • WATER CHEMICAL FEED. STATION 570 PRATT TRAIL 704 1963 ✓ • WATER DISTRIBUTION p q 6 y HIGH PRESSURE PUMP STATION 2051 S.WASHBURN ST 1750 1991 .- qi0/7 $ , . • • • • • • • • • • • 1/14/11 CITY OF OSHKOSH INSURANCE REQUIREMENTS IV. PROFESSIONAL SERVICES LIABILITY INSURANCE REQUIREMENTS, The Contractor shall not commence work on subcontract until proof of insurance required of the Subcontractor has been provided to the applicable City department before the contract or purchase 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 is longer. 1. PROFESSIONAL LIABILITY A. Limits (1) $1,000,000 each claim (2) $1,000,000 annual aggregate B. Must continue coverage for 2 years after final acceptance for service/job 2. GENERAL LIABILITY COVERAGE A. Commercial General Liability (1) $1,000,000 each occurrence limit (2) $1,000,000 personal liability and advertising injury (3) $2,000,000 general aggregate (4) $2,000,000 products—completed 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) Products/Completed Operations must be carried for 2 years after acceptance of completed work (6) The general aggregate must apply separately to this project/location 3. BUSINESS AUTOMOBILE COVERAGE A. $1,000,000 combined single limit for Bodily Injury and Property Damage each accident B. Must cover liability for Symbol#1 -"Any Auto"— including Owned, Non-Owned and Hired Automobile Liability. IV- 1 1/14/11 4. WORKERS COMPENSATION AND EMPLOYERS LIABILITY— "If" required by Wisconsin State Statute or any Workers Compensation Statutes of a different state. A. Must carry coverage for Statutory Workers Compensation and an Employers Liability limit of: (1) $100,000 Each Accident (2) $500,000 Disease Policy Limit (3) $100,000 Disease—Each Employee 5. ADDITIONAL PROVISIONS A. Acceptability of Insurers - Insurance is to be placed with insurers who have an A.M. Best rating of no less than A- and a Financial Size Category of no less than Class VI, and who are authorized as an admitted insurance company in the state of Wisconsin. B. Additional Insured Requirements — The following must be named as additional insureds on the General Liability and Business Automobile Liability coverage arising out of project 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 Include Products — Completed Operations equivalent to ISO form CG 20 37 for a minimum of 2 years after acceptance of the work. This does not apply to Professional Liability, Workers Compensation and Employers Liability. C. 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. IV- 2 OP ID: MA A DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 08/23/11 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 endorsement(s). CONTACT PRODUCER 425-489-4500 NAME: Fax (A/C,No): Hub International Northwest 425-489-4501 PHONE HONE.Eat): P.O.Box 3018 (A/C, DDRESS: Bothell,WA 98041-3018 PRODUCER MCKIN-1 CUSTOMER ID Y: Dale G.Ahrens INSURER(S)AFFORDING COVERAGE NAIC# INSURED McKinstry Essention,Inc. INSURER A:Zurich American Insurance Co. 16535 PO Box 24567 INSURER B:Steadfast Insurance Comapny Seattle,WA 98124-0567 INSURER C: INSURER 0: INSURER E: 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 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 SUBR POLICY EFF POLICY EXP UNITS LTR TYPE OF INSURANCE -MISR WVD POLICY NUMBER (MMIDDIYYYY)4MM/DD/YYYY) GENERAL LABILITY EACH OCCURRENCE S 2,000,000 01/31/11 01/31/12 DAMAGE TO RENTED 300,000 A X COMMERCIAL GENERAL LIABILITY X GLA-3999903 PREMISES(Ea ocwnence3 S CLAIMS-MADE X OCCUR MED EXP(Any one person) S 10,000 PERSONAL&ADV INJURY S 2,000,000 GENERAL AGGREGATE S 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S 4,000,000 —1 POLICY[ 781, LOC S AUTOMOBILE LIABILITY X COMBINED SINGLE LIMIT S 1,000,000 01/31111 01/31112 (Ea accident) A X ANY AUTO GLA-3999903 BODILY INJURY(Per person) S ALL OWNED AUTOS BODILY INJURY(Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE S (Per accident) HIRED AUTOS S NON-OWNED AUTOS $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE -AGGREGATE _S DEDUCTIBLE S S RETENTION S WC STATU- OTH- WORKERS COMPENSATION X TORY LIMITS ER AND EMPLOYERS'LABILITY 10/01/10 10/01/11 E.L.EACH ACCIDENT S 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N A WC3999907 OFFICER/MEMBER(Mandatory in NH)EXCLUDED? N/A TO ADD INSURED E.L.DISEASE-EA EMPLOYEE S 1,000,000 (Mandatory in NH) If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT a 1,000,000 B PROF/POLL EOC-5347541-03 01/31/11 01/31/12 1,000,000 EACH CLAIM LIABILITY 'N/A TO ADD INSURED 1,000,000 AGG DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 Additional Remarks Schedule,If more space Is required) D( ADDITIONAL INSURES AS REQUIRED BY WRITTEN CONTRACT SUBJECT TO POLICY TERMS,CONDITIONS,LIMITATIONS AND ATTACHED ENDORSEMENT(GUAUTO): CITY OF OSHKOSH AND ITS OFFICERS COUNCIL MEMBERS,AGENTS,EMPLOYEES&AUTHORIZED VOLUNTEERS. COVERAGE AFFORDED IS PRIMARY. RE: CITY OF OSHKOSH MECHANICAL ASSESSMENT.MCK T10339. CERTIFICATE HOLDER CANCELLATION CITYOFO 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 STREET OSHKOSH,WI 54903 AUTHORIZED REPRESENTATIVE I . ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD • POLICY NUMBER: GLA 3 9 9 9 9 0 3 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are Insureds"under the Who Is An Insured Provision of the Coverage Form.This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: Countersigned By: Named Insured: (Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED, THROUGH WRITTEN CONTRACT, AGREEMENT OR PERMIT, . EXECUTED PRIOR TO THE LOSS, TO PROVIDE ADDITIONAL INSURED COVERAGE. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an insured"for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 0 Agent Copy Additional Insured — Automatic — Owners, Lessees Or ZURICH Contractors Policy No. ` Exp. Date of Pol. Eff. Date of End. Agency No. Addl. Prern. Return Prem. GLA-i9 99&3 01/31/2012 01/31/2011 . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Address(including ZIP Code): This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section —Who Is An Insured is amended to include as an insured any person or organization who you are re- quired to add as an additional insured on this policy under a written contract or written agreement. B. The insurance provided to the additional insured person or organization applies only to"bodily injury',"property damage" or"personal and advertising injury' covered under SECTION I - Coverage A- Bodily Injury And Property Damage Liability and Section I- Coverage B - Personal And Advertising Injury Liability, but only with respect to liability for "bodily injury', "property damage"or "personal and advertising injury' caused,in whole or in part,by I. Your acts or omission's; or 2. The acts or omissions of those acting on your behalf and resulting directly from: a. Your ongoing operations performed for the additional.insured,which is the subject of the written con- tract or written agreement;or b. "Your world' completed as included in the"products-completed operations hazard",performed for the additional insured,which is the subject of the written contract or written agreement. C. However,regardless of the provisions of paragraphs A. and B.above: 1. We will not extend any insurance coverage to any additional insured person or organization; a. That is not provided to you in this policy; or b. That is any broader coverage than you are required to provide to the additional insured person or or- ganization in the written contract or written agreement;and 2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of a. The Limits of Insurance provided to you in this policy;or b. The Limits of Insurance you are required to provide in the written contract or written agreement. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. U-CL-1175-B CW(3/2007) Pagel of 2 Agent Copy • • D. The insurance provided to the additional insured.person or organization does not apply to: "Bodily injury", "property damage"or"personal and advertising injury' arising out of the rendering 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; and 2. Supervisory,inspection,architectural or engineering activities. E. 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. F. For the coverage provided by this endorsement: I. The following paragraph is added to Paragraph 4.a. of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is primary insurance as respects our coverage to the additional insured person or organiza- tion, where the written contract or written agreement requires that this insurance be primary and non- contributory. In that event,we will not seek contribution from any other insurance policy available to the additional insured on which the additional:insured person or organization is a Named insured. 2. The following paragraph is added to Paragraph 4.b.of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary,excess,contingent or onany other basis, available to an addi- tional insured,in which the additional insured on our policy is also covered as an additional insured by at- tachment of an endorsement to another policy providing coverage for the same"occurrence", 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 written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. G. This endorsement does not apply to an additional insured which has been added to this policy by an endorse- ment showing the additional insured in a Schedule of additional insureds, and which endorsement applies spe- cifically to that identified additional insured. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as written. Includes copyrighted material of Insurance Services Office,Inc_,with its permission. U-GL-I175 B CW(3:2007) Page 2of2 Agent Copy