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HomeMy WebLinkAboutPW CNT 89-20 CHANGE CEDER NO. 1 TO: JEM MECHANICAL SERVICES, INC. DATED: June 29, 1989 4500 W. Mitchell Street P.O. Box 14547 West Milwaukee, WI 53214 Your present contract with the City of Oshkosh, Contract No. 89-20 , is hereby amended and changed as follows: ( insert here work and/or materials to be added or eliminated and the unit and/or lump sum price to be added to or deducted from the contract. ) Due to required extended notice time and additional information required by Department of Natural Resources extend contract completion time by two (2) weeks to August 3, 1989. Reco/, de. CIT OF OSHKOSH - P recto .f Pub i Works City Manager // / ) C),1-7:, lini ( I i . j1;114W-,2l City Clerk Ap17oved and accepted : Contractor f I certify that provision has been made to pay the liability that will accrue to the City of Oshkosh, Wisconsin, under the within Change Order. ? r; } j Comptroller App •ved as to form ....0 1 li ._. _ 11 km,...._.■ ity Attorney CONSTRUCTION CONTRACT THIS AGREEMENT, made on the 16th day of June, 1989, by and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as the CITY, and JEM MECHANICAL SERVICES, INC. of 4500 W. Mitchell St. , P.O. Box 14547 , West Milwaukee, WI 53214, party of the second part, hereinafter referred to as the CONTRACTOR, WITNESSETH: That the City and the Contractor, for the consid- eration hereinafter named, agree as follows: ARTICLE I . SCOPE OF WORK The Contractor hereby agrees to furnish all of the materials and all of the equipment and labor necessary, and to perform all of the work shown on the plans and described in the specifications for the project entitled or described as follows: Public Works Contract No. 89-20 for removal of asbestos from 111 Otter Avenue , pursuant to Resolution #146 adopted by the Common Council of the City of Oshkosh on 15th day of June, 1989„ all in accordance and in strict compliance with the Contractor's proposal and the other contract documents referred to in ARTICLE V of this contract. ARTICLE II. TIME OF COMPLETION The work to be performed under this contract shall be commenced and the work completed within the time limits specified in the General Conditions and/or Contractor's proposal . ARTICLE III. PAYMENT (a) The Contract Sum. The City shall pay to the Contractor for the performance of the con- tract the sum of $4, 670. 00, adjusted by any changes as provided in the General Conditions, or any changes hereafter mutually agreed upon in 1 writing by the parties hereto, provided, however, in the event the proposal and contract documents are on a "Unit Price" basis, the above mentioned figure is an estimated figure, and the City shall, in such cases, pay to the Contractor for the performance of the contract the amounts determined for the total number of each of the units of work as set forth in the Contractor's proposal ; the number of units therein contained is approximate only, and the final payment shall be made for the actual number of units that are incorporated in or made necessary by the work covered by the contract. (b) Progress Payments. In the event the time necessary to complete this Contract is such that progress payments are required, they shall be made according to the provisions set forth in the General Conditions. 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 the negligent digging up of streets, alleys or public grounds or which may result from the faulty, carelessness or neglect of said Contractor, his agents, employees or workmen in the performance of said work or caused by the violation of any City ordinance, and shall refund to the City all sums which it may be obliged or adjudged to pay on any such claims or demands within a reasonable time after demand thereof. ARTICLE V. COMPONENT PARTS OF THE CONTRACT This contract consists of the following component parts, all of which are as fully a part of this contract as if herein set out verbatim, or if not attached, as if hereto attached: 1. General Conditions 2 . Advertisement for Bids 3 . Instructions to Bidders 4 . Specifications, including any addenda 5. Plans 6. Contractor's Proposal 7 . This Instrument In the event that any provision in any of the above component parts of this contract conflicts with any provision in any other of the component parts, the provision in the component part first enumer- ated above shall govern over any other component part which follows it numerically except as may be otherwise specifically stated. IT IS HEREBY DECLARED, UNDERSTOOD AND AGREED that the word "Con- tractor" wherever used in this contract means the party of the second part and its/his/their legal representatives, successors and assigns. IN WITNESS WHEREOF, the City of Oshkosh, Wisconsin, has caused 2 this contract to be sealed with its corporate seal and to be sub- scribed to by its City Manager and City Clerk and countersigned by the Comptroller of said City, and the party of the second part hereunto set its, his or their hand and seal the day and year first above written. In the Presence of: CONTRACTOR / JEM MECHANICAL SERVICES, INC.��/ (Seal of Contractor (Specify iyitle) if Corporation. ) /`7Y gy: / " += (Specify Title) CITY OF OSHKOS - A• AA. j;`_ . William D. Frueh, City Manager (�}� ( itne - . �...Jatitid- ( aid , And: X11 .�//? 1�' U Witness) Donna C. Serwa , City Clerk APPROVED: I hereby certify that the necessary pro- visions have been made to pay the lia- bility which will accrue under this con- tract. City t y C CI City Comptroller 3 BOND NO. NB26972 RIDER TO BOND INVOLVING TOXIC MATERIAL This bond is being issued subject to the following express conditions which shall survive the release and discharge of Surety from any further liability of its performance and payment obligations required under its bond: FIRST: The bond issued by Surety shall not be considered to be a substitute for or in any other way satisfy the requirement for any type of insurance that may be contained in the contract documents between the Principal, Obligee and/or Owner. SECOND: No suit shall be commenced against the Principal or Surety for any default in performance or for labor performed or material supplied, after two years from the date of the contract between the Principal and Obligee, or one year after substantial completion, whichever occurs last. THIRD: No right of action against Surety shall inure to the benefit of any person, firm or corporation other than the Obligee, or for the use or benefit of the Obligee. FOURTH: Notwithstanding any provision contained to the contrary in the contract documents between the Principal, Obligee and/or Owner, Surety shall not be held liable or in any other respect be responsible to the Obligee or to any other person, firm or corporation for any act(s) of negligence by the Principal, its agents, servants or employees or by any contractor employed by Surety to complete the contract in the event of the Prin- cipal's default, while performing the contract, which results in personal injuries or property damage. National American Insurance Company SURETY (` A torney-in -ct Lesli - H. Mac (Seal) Page 1 of 5 Bond NO. NB26972 THE AMERICAN INSTITUTE OF ARCHITECTS a' err c<yl AIA Document A311 Performance Bond KNOW ALL MEN BY THESE PRESENTS: that OEM Mechanical Services, Inc. 4500 W. Mitchell (Here insert full name and address or legal title of Contractor) West Milwaukee, Wisconsin 53214 as Principal, hereinafter called Contractor, and, National Ameri can Insurance Company 5550 W. Touhy Avenue (Here insert full name and address or legal title of Surety) Skokie, Illinois 60077 as Surety, hereinafter called Surety, are held and firmly bound unto City of Oshkosh 926 Dempsey Trail , (Here insert full name and address or legal title of Owner) Oshkosh, Wisconsin 54901 • as Obligee, hereinafter called Owner, in the amount of • Four Thousand Six Hundred Seventy and no/100 Dollars ($ 4,670.00*********), for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, Contractor has by written agreement dated 6/16 1989 , entered into a contract with Owner for (Here insert full name,address and description of project) Asbestos Abatement at 111 Otter Street in accordance with Drawings and Specifications prepared by (Here insert full name and address or legal title of Architect) which contract is by reference made a part hereof, and is hereinafter referred to as the Contract. AIA DOCUMENT A311 • PERFORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND • AIA FEBRUARY 1970 ED.•THE AMERICAN INSTITUTE OF ARCHITECTS, 1715 N.Y.AVE., N.W.,WASHINGTON, D. C. 20006 1 PERFORMANCE BOND NOW, THEREFORE, THE CONDITION OF THIS ORUGATION is such that, if Contractor shall promptly and faithfully perform said Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect. The Surety hereby waives notice of any alteration or defaults under the contract or contracts of completion extension of time made by the Owner. arranged under this paragraph) sufficient funds to pay the Whenever Contractor shall be, and declared b y Owner cost of completion less the balance of the contract price; but not exceeding, including other costs and damages to be in default under the Contract, the Owner having for which the Surety may be liable hereunder, the amount performed Owner's obligations thereunder, the Surety set forth in the first paragraph hereof. The term "balance may promptly remedy the default, or shall promptly of the contract price," as used in this paragraph, shall 1) Complete the Contract in accordance with its terms mean the total amount payable by Owner to Contractor and conditions, or under the Contract and any amendments thereto, less the amount properly paid by Owner to Contractor. 2) Obtain a bid or bids for completing the Contract in Ariy suit under this bond must be instituted before accordance with its terms and conditions, and upon de- the expiration of two (2) years from the date on which termination by Surety of the lowest responsible bidder, final payment under the Contract falls due. or, if the Owner elects, upon determination by the Owner and the Surety jointly of the lowest responsible No right of action shall accrue on this bond to or for bidder, arrange for a contract between such bidder and the use of any person or corporation other than the Owner, and make available as Work progresses (even Owner named herein or the heirs, executors, adrninis- though there should be a default or a succession of trators or successors of the Owner. Signed and sealed this 23rd day of June 19 89 OEM Mechanical Services, Inc. (Principal) ISeall ,lia4,< 1 /1;1' 7. ia:/.../24-, /--) . (wllne,sJ *--c-i dames E. McGlenn rTitle) President National American Insurance Company (Surely) 15ealr, 61ark hl'')i I-' (Witt). >) i , / f I _ Lesl i H. Mack ()it("9 Attorney-in-Fact MA DOCUMENT All1 • PERFORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND • AIA PO FERRUARY 1970 EI).•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.,WASHINGTON,O. C.20006 2 NATIONAL AMERICAN INSURANCE COMPANY POWER OF ATTORNEY OMAHA, NEBRASKA ,PRINCIPAL Jtii iiechanical Services, Inc. EFFECTIVE DATE June 23, 1989 4500 W. i ii tcnel 1 West i•li l Waukee Wisconsin 53214 (STREET ADDRESS) (CITY) (STATE) (ZIP CODE) CONTRACT AMOUNT 4,670.00 AMOUNT OF BOND$ 4,670.00 POWER NO. NB 26972 KNOW ALL MEN BY THESE PRESENTS: That the National American Insurance Company,a corporation duly organized under the laws of the State of Nebraska,having its principal office in the city of Chandler,Oklahoma, pursuant to the following resolution,adopted by the Board of Directors of the said Company on the 8th day of July, 1987, to wit: "Resolved, that ally officer of the Company shall have authority to make, execute and deliver a Power of Attorney constituting as Attorney-in-Fact, such persons, firms, or corporations as may be selected from time to time. Be It Further Resolved,that the signature of any officer F nd the Seal of the Company may be affixed to any such Power of Attorney or any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such powers so executed and certified by facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached." National American Insurance Company does hereby make,constitute and appoint Leslie H. f-iack State of Illinois its true and lawful attorney(s)-in-fact, with full power and authority hereby conferred in its name, place and stead, to sign, execute, acknowledge and deliver in its behalf, and its act and deed, as follows: The obligation of the Company shall not exceed one million ($1,000,000.00) dollars. And to bind National American Insurance Company thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officer of the National American Insurance Company, and all the acts of said Attorney(s) pursuant to the authority herein given, are hereby ratified and confirmed. IN WITNESS WHEREOF, the National American Insurance Company has caused these presents to be signed by any officer of the Company and its Corporate Seal to be hereto affixed. NATIONAL AMERICAN/ INSURANCE COMPANY ,0104 N QlVP COpPORq lF 4Z't^ �� , SEAL`�+,�� C+ a W.Brent LaGere,Chairman&Chief Executive Officer M NE aD OAHA BRASKP STATE OF OKLAHOMA ) COUNTY OF LINCOLN ) SS: On this 8th day of July,A.D.1987,before me personally came W.Brent LaGere,to me known,who being by me duly sworn,did depose and say; that he resides in the County of Lincoln, State of Oklahoma; that he is the Chairman and Chief Executive Officer of the National American Insurance Company, the corporation described in and which executed the above instrument; that he knows the seal of said cor- poration;that the seal affixed to the said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation and that he signed his name, thereto by like order. (2/— %+Z- ENO A iwit 0TA,9 g Notary Public PUBLIC My Commission Expires August 30,1991 IN AND FOR STATE OF 414110' .(k HOOLN COO'' STATE OF OKLAHOMA ) COUNTY OF LINCOLN ) SS: 1, the undersigned, Assistant Secretary of the National American Insurance Company, a Nebraska Corporation, DO HEREBY CER- TIFY that the foregoing and attached POWER OF ATTORNEY remains in full force. Signed and Sealed at the City of Chandler. Dated the 23rd day of June ,1989 \GAN p GO APO Rq 1'�1 F��++,�T nred E.Mendenhall,Assistant Secretary O \ dD Y6�\ NEBNA iKA NB(1)0787 STATE OF ILLINOIS ) COUNTY OF COOK ) I, Annette Shetler , a Notary Public of Cook County, State of Illinois, do hereby certify that Leslie H. Mack Attorney-in-Fact of National American Insurance Company who is personally known to me to be the same person whose name is subscribed to the foregoing instrument, appeared before me this day in person and acknowledged that he/she signed, sealed and delivered said instrument for and on behalf of National American Insurance Company for the uses and puposes therein set forth. Given under my hand and notarial seal at my office at Lincolnwood, Illinois in said county, this 23rd day of June , 1989 , A.D. My commission expires 5/15/90 ", �, �� d4 A ♦rte x .S . L. NOTA "', BL "J" ((E { BOND NO. NR26 72 RIDER TO BOND INVOLVING TOXIC MATERIAL This bond is being issued subject to the following express conditions which shall survive the release and discharge of Surety from any further liability of its performance and payment obligations required under its bond: FIRST: The bond issued by Surety shall not be considered to be a substitute for or in any other way satisfy the requirement for any type of insurance that may be contained in the contract documents between the Principal, Obligee and/or Owner. SECOND: No suit shall be commenced against the Principal or Surety for any default in performance or for labor performed or material supplied, after two years from the date of the contract between the Principal and Obligee, or one year after substantial completion, whichever occurs last. THIRD: No right of action against Surety shall inure to the benefit of any person, firm or corporation other than the Obligee, or for the use or benefit of the Obligee. FOURTH: Notwithstanding any provision contained to the contrary in the contract documents between the Principal, Obligee and/or Owner, Surety shall not be held liable or in any other respect be responsible to the Obligee or to any other person, firm or corporation for any act(s) of negligence by the Principal, its agents, servants or employees or by any contractor employed by Surety to complete the contract in the event of the Prin- cipal's default, while performing the contract, which results in personal injuries or property damage. National American Insurance Company SURETY er Attorney-i.4 ac Leslie H. Mack (Seal) Page 1 of 4 • Bond No. NB26972 THE AMERICAN INSTITUTE OF ARCHITECTS tOrlAtie r....r AIA Document A311 Labor and Material Payment Bond THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND IN FAVOR OF THE OWNER CONDITIONED ON THE FULL AND FAITHFUL PERFORMANCE OF THE CONTRACT KNOW ALL MEN BY THESE PRESENTS: that JEM Mechanical Services, Inc. 4500 W. Mitchell (Here insert full name and address or legal tale of Contra(tor) West Milwaukee, Wisconsin 53214 as Principal, hereinafter called Principal, and, National American Insurance Company 5550 W. Touhy Avenue (Here insert full name and address or legal title of surety) Skokie, Illinois 60077 as Surety, hereinafter called Surety, are held and firmly bound unto City Of Oshkosh 926 Dempsey Trail (Here insert full name and address or legal title of Oweer) Oshkosh, Wisconsin 54901 as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinbelow defined, in the amount of Four Thousand Six Hundred Seventy and no/100 (Here insert a sum equal to at least one-half of the contract price) Dollars ($4,670.00**********), for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, Principal has by written agreement dated 6/16 19 89 , entered into a contract with Owner for (Here insert full name, address and description of project) Asbestos Abatement at 111 Otter Street in accordance with Drawings and Specifications prepared by (Here insert full name and address or legal title of Architect) which contract is by reference made a part hereof, and is hereinafter referred to as the Contract. AtA DOCUMENT A311 • PERFORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND • MA OO FEBRUARY 1970 ED.• THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE., N.W.,WASHINGTON, D. C. 20006 3 . LABOR AND MATERIAL PAYMENT BOND NOW, THEREFORE, THE CONDITION or THIS OBLIGATION is such that, if Principal shall promptly make payment to all claimants as hereinafter defined,for all labor and material used or reasonably required for use in the performance of the Contract, then this obligation shall be void; otherwise it shall remain in full force and effect,subject,however, to the fol- lowing conditions: 1. A claimant is defined as one having a direct con- accuracy the amount claimed and the name of the party tract with the Principal or with a Subcontractor of the to whom the materials were furnished, or for whom Principal for labor, material, or both, used or reasonably the work or labor was done or performed. Such notice required for use in the performance of the Contract, shall be served by mailing the same by registered mail labor and material being construed to include that part of or certified mail, postage prepaid, in an envelope ad- water, gas, power, light, heat, oil, gasoline, telephone dressed to the Principal, Owner or Surety, at any place service or rental of equipment directly applicable to the where an office is regularly maintained for the trans- Contract, action of business, or served in any manner in which legal process may be served in the state in which the 2. The above named Principal and Surety hereby aforesaid project is located, save that such service need jointly and severally agree with the Owner that every not be made by a public officer. claimant as herein defined, who has not been paid in b) After the expiration of one (1) year following the full before the expiration of a period of ninety (90) date on which Principal ceased Work on said Contract, days after the date on which the last of such claimant's it being understood, however, that if any limitation em- work or labor was done or performed, or materials were bodied in this bond is prohibited by any law controlling furnished by such claimant, may sue on this bond for the construction hereof such limitation shall be deemed the use of such claimant, prosecute the suit to final to be amended so as to be equal to the minimum period judgment for such sum or sums as may be justly due of limitation permitted by such law. claimant, and have execution thereon. The Owner shall not be liable for the payment of any costs or expenses c) Other than in a state court of competent jurisdiction of any such suit. in and for the county or other political subdivision of the state in which the Project, or any part thereof, is 3. No suit or action shall be commenced hereunder situated, or in the United States District Court for the by any claimant: district in which the Project, or any part thereof, is sit- uated, and not elsewhere. a) Unless claimant, other than one having a direct contract with the Principal, shall have given written 4. The amount of this bond shall be reduced by and notice to any two of the following: the Principal, the to the extent of any payment or payments made in good Owner, or the Surety above named, within ninety (90) faith hereunder, inclusive of the payment by Surety of days after such claimant did or performed the last of mechanics' liens which may be filed of record against the work or labor, or furnished the last of the materials said improvement, whether or not claim for the amount for which said claim is made, stating with substantial of such lien be presented under and against this bond. Signed and sealed this 23rd day of June 19 89 JEM Mechanical Services, Inc.2-) je,..0.../e/A-1 -,/1 1 ■ /7, (Principal) 6e.14(Witness) '• ,e1,..,.„...._,2_..., . /7 /lames E. McGlenn moo President ,/ � National American Inance Company aZ t!� if� (SGre1Vt) Vsr.q (�(` % tries) Y"---' - lie H Mack (Tirlr') Attorney-in-Fact MA DOCUMENT A311 • PERFORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND • AIA FEBRUARY 1970 ED.•THE AMERICAN INSTITUTE OF ARCHITECTS,1715 N.Y.AVE.,N.W.,WASHINGTON,D.C.20006 4 NATIONAL AMERICAN INSURANCE COMPANY POWER OF ATTORNEY, - ' OMAHA, NEBRASKA PRINCIPAL JEri, ilechani cal Services, Inc. EFFECTIVE DATE . June 23, 1989 .4 0.500 W. iiitcnell West Hi 1 waukee Wi sconsi n 53214 , (STREET ADDRESS) (CITY) (STATE) , (ZIP CODE), , 1. CONTRACT AMOUNT 4,670.00 AMOUNT OF BOND$ 4,670,00 ' POWER NO. NB 26972 , KNOW ALL MEN BY THESE PRESENTS:That the National American Insurance Company,a corporation duly Organized under the = laws of the State of Nebraska,having its principal office in the city of Chandler,Oklahoma,pursuant to the following resolution,adopted by, . the Board of Directors of the said Company on the 8th day of July, 1987, to wit: , , "Resolved, that any officer of the Company shall have authority to make, execute and deliver a Power of Attorney constituting as, Attorney-in-Fact, such persons, firms, or corporations as may be selected from time to time. ' ; Be It Further Resolved,that the signature of any officer and the Seal of the Company may be affixed to any such Power of Attorney or ; any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal ,shall be valid and binding upon the Company and any such powers so executed and certified by facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached." National American Insurance Company does hereby make,constitute and appoint Leslie H. Hack state of Illinois ' its true and lawful attorney(s)-in-fact, with full power and authority hereby conferred in its name, place and stead, to sign, execute, , acknowledge and deliver in its behalf, and its act and deed, as follows: , " The obligation of the Company shall not exceed one million ($1,000,000.00)dollars. = And to bind National American Insurance Company thereby as fully and to the same extent as if such bond or undertaking was signed by ' the duly authorized officer of the Natianal American Insurance Company, and all the acts of said Attorney(s) pursuant to the authority" 11 , herein given, are hereby ratified and confirmed. IN WITNESS WHEREOF, the National American Insurance Company has caused these presents to be signed by any officer of the '•' t Company and its Corporate Seal to be hereto affixed. • " ' NATIONAL AMERICAN INSURANCE COMPANY INS0,,, 1:1 ceP 0114 ),/K SEAL 2 W.Brent LaGere,Chairman&thief Executive Officer . 4, v. ouAut,„ veaR,svv " STATE OF OKLAHOMA ) COUNTY OF LINCOLN ) SS. On this 8th day of July,A.D.1987,before me personally came W.Brent LaGere,to me known,who being by me duly sworn,did depose and say; that he resides in the County of Lincoln, State of Oklahoma;that he is the Chairman and Chief Executive Officer of the National American Insurance Company, the corporation described in and which executed the above instrument; that he knows the seal of said cor- • poration;that the seal affixed to the said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation and that he signed his name, thereto by like order. esY":0ATAAt4.14‘ Notary Public • PUBLIC My Commission Expires August 30,1991 1, IN ANO FON STATE Of e.,241400* 'reotN cos3‘ STATE OF OKLAHOMA ) Ss. COUNTY OF LINCOLN ) ' 1, the undersigned, Assistant Secretary of the National American Insurance Company,a Nebraska Corporation, DO HEREBY CER- TIFY that the foregoing and attached POWER OF ATTORNEY remains in full force. ' Signed and Sealed at the City of Chandler. Dated the 23rd, day of June 0989 „---comiNc„ 1+ ( Winifred E.Mendenhall,Assistant Secretary SFAL) I N...., NB(1)0717 A1:OI:11. CERTIFICATE OF INSURANCE ISSUE DD�E 1M/M//D�D/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, THE BREHMER AGENCY, INC. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 12800 W. Silver Spring Drive COMPANIES AFFORDING COVERAGE Butler, WI 53007 COMPANY A LETTER ^ THE HARTFORD INSURANCE COMPANY CODE SUB-CODE COMPANY INSURED LETTER B FIDELITY ENVIRONMENTAL INSURANCE CO. COMPANY `. JEM MECHANICAL SERVICES, INC. LETTER -uo ,- P.O. Box 14547 y n COMPANY , West Milwaukee, WI 53214 LETTER COMPANY k 8 ! f� LETTER ( �! UN 2 8 I98•:' COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I - '-,. I A • i :O ,FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT QQQQ TTa�ii+• •- = T ,�III PESPECT O WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES`�ORiBaP 7 - . .. TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED :'' •A CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMEER ALL LIMITS;N THOUSANDS LTR DAIS(MM/DD/YY) DATE(MM,DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 1 ,000. COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $ incl. B X CLAIMS MADE OCCUR. PERSONAL&ADVERTISING INJURY $ ARC895000244 5-28-89 5-28-90 Incl. OWNER'S&CONTRAC EACH ACH OCCURRENCE FIRE DAMAGE(Any one fire) $ Excl. MEDICAL EXPENSE(Any one oerson) $ 5. AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH AGGREGATE OCCURRENCE $ $ OTHER THAN UMBRELLA FORM STATUTORY WORKER'S COMPENSATION A $ 100. (EACH ACCIDENT) AND 83WZVN6244 5-28-89 5-28-90 (DISEASE—POLICY LIMIT) $ 500. EMPLOYERS'LIABILITY $ 100. (DISEASE—EACH EMPLOYEE) OTHER Additional Insured: City of Oshkosh, Wisconsin (Owner) Company B only. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS II Asbestos abatement operations" performed by the above named insured for the City of Oshkosh at 111 Otter Avenue, Oshkosh, Wisconsin. Public Works Contract No. 89-20. Removal of asbestos from 111 Otter Avenue, Oshkosh, Wisconsin. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 3E CANCELLED BEFORE THE CITY OF OSHKOSH EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 926 Dempsey Trail MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Oshkosh, WI 54901 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R TENTATIVE c'rr 1 , ACORD 25-S (3/88) ©ACORD CORPORATION 1988 I ISSUE DATE(MM/DD/YY) Al.00R I . CERTIFICATE OF INSURANCE 6-22-89 id PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS WAIP NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, LAWRENCE A. MICHAEL EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 12800 W. SILVER SPRING DR COMPANIES AFFORDING COVERAGE BUTLER, WI 53007 L ETMTER Y A FIREMAN'S FUND OF WISCONSIN CODE SUB-CODE COMPANY LETTER B t �I INSURED r C ( l G J.E.M. MECHANICAL SERVICES INC. ETTERNY 4500 W. MITCHELL ST I{.'IN.2_91989 .. COMPANY D WEST MILWAUKEE, WI 53214 LETTER COMPANY E i i ti C ° ( r LETTER COVERAGES 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. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER ALL LIMITS IN THOUSANDS LTR DATE(MM/DD/YY) DATE(MM/DD/YY)GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $ CLAIMS MADE. OCCUR. - PERSONAL&ADVERTISING INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MEDICAL EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED 1 000 SINGLE $ s ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY _- $ A X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY X NON-OWNED AUTOS - 2 98 JUW 475 00 95 3-15-89 3-15-90 INJURY $ (Per accident) GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY EACH AGGREGATE OCCURRENCE $ $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY AND $ (EACH ACCIDENT) $ (DISEASE—POLICY LIMIT) EMPLOYERS'LIABILITY $ (DISEASE—EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION CITY OF OSHKOSH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 926 DEMPSY TRAIL EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO OSHKOSH, WI 54901 MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE CONTRACT #89-20 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UP THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTA 7174,040041I ACORD 25-S(3/88) ©ACORD CORPORATION 1988