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HomeMy WebLinkAboutBen Ganther/Street Dept Roof Repl CO#1 7.30.1977 CHANGE ORDER NO. 1 TO: Ben B. Ganther Company DATED: July 30, 1987 21A Washington Avenue Oshkosh, WI 54901 Your present contract with the City of Oshkosh, Contract No, 87-10 S 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. ) ADD TO CONTRACT - ROOF REPAIR AT CENTRAL GARAGE 4 standard size windows with bronze finish and total dimensions of 9'0" x 3'0", double pane insulating clear glass; replace existing fiberglass wall panels with 6" fiberglass batts and new panels, for the sum of $3,128.00 Reco nded: _ CII`Y OF/];4111.6 \ for of . lic Tfor s 6` City M � 1/.2/J dd/ City C Approved an• -of 41 / ontractor Or I certify that provision has been made to pay the liabiliat will accrue to the City of Oshkosh, Wisconsin, under the n Change Order. Comptroller App • ed as to�orm: i A A M11r.� Nall Ci-y At • - N, THE AMERICAN INSTITUTE OF ARCHITECTS *IMO* Ifao AIA Document A101 Standard Form of Agreement Between Owner and Contractor where the basis of payment is a STIPULATED SUM 1977 EDITION THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION Use only with the 1976 Edition of AIA Document A201, General Conditions of the Contract for Construction. This document has been approved and endorsed by The Associated General Contractors of America. AGREEMENT made as of the Fifth ( 5th) day of June in the year of Nineteen Hundred and Eighty Seven BETWEEN the Owner: THE CITY OF OSHKOSH, WISCONSIN 215 Church Avenue Oshkosh, Wisconsin 54901 and the Contractor: BEN B . GANTHER COMPANY 21A Washington Avenue Oshkosh , Wisconsin 54901 The Project: 1987 METAL ROOF REPLACEMENT STREET DEPARTMENT GARAGE 639 Witzel Avenue Oshkosh , Wisconsin The Architect: ROBERT L . YARBRO , AIA, ARCHITECT Route 1 Box 1057 Wild Rose , Wisconsin 54984 The Owner and the Contractor agree as set forth below. Copyright 1915, 1918, 1925, 1937, 1951, 1958, 1961, 1963, 1967, 1974, © 1977 by the American Institute of Architects, 1735 New York Avenue, N.W., Washington, D. C. 20006. Reproduction of the material herein or substantial quotation of its provisions without permission of the AIA violates the copyright laws of the United States and will be subject to legal prosecution. MA DOCUMENT A101 • OWNER-CONTRACTOR AGREEMENT • ELEVENTH EDITION • JUNE 1977 • AIA ©1977 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1733 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 A101-1977 1 8558B ARTICLE 1 THE CONTRACT DOCUMENTS The Contract Documents consist of this Agreement, the Conditions of the Contract (General, Supplementary and other Conditions), the Drawings, the Specifications, all Addenda issued prior to and all Modifications issued after exe- cution of this Agreement. These form the Contract, and all are as fully a part of the Contract as if attached to this Agreement or repeated herein. An enumeration of the Contract Documents appears in Article 7. ARTICLE 2 THE WORK The Contractor shall perform all the Work required by the Contract Documents for (Here insert the caption descriptive of the Work as used on other Contract Documents.) GENERAL CONSTRUCTION WORK DIVISIONS 2 thru 16 1987 METAL ROOF REPLACEMENT STREET DEPARTMENT GARAGE 639 Witzel Avenue Oshkosh, Wisconsin ARTICLE 3 TIME OF COMMENCEMENT AND SUBSTANTIAL COMPLETION The Work to be performed under this Contract shall be commenced within 10 days after final execution of this Agreement and, subject to authorized adjustments, Substantial Completion shall be achieved not later than 31 July 1987 • (Here insert any special provisions for liquidated damages relating to failure to complete on time.) There are no liquidated damages . AIA DOCUMENT A101 • OWNER-CONTRACTOR AGREEMENT • ELEVENTH EDITION • JUNE 1977 • AIA® 8 57_8•BTHE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 A101-1977 2 ARTICLE 4 CONTRACT SUM The Owner shall pay the Contractor in current funds for the performance of the Work, subject to additions and deductions by Change Order as provided in the Contract Documents, the Contract Sum of TWENTY THREE THOUSAND FIVE HUNDRED FIFTY AND NO/100THS DOLLARS ($23 ,550 . 00) The Contract Sum is determined as follows: (State here the base bid or other lump sum amount,accepted alternates,and unit prices,as applicable.) Contractor ' s Proposal dated May 28 , 1987 $23 , 550 . 00 ARTICLE 5 PROGRESS PAYMENTS Based upon Applications for Payment submitted to the Architect by the Contractor and Certificates for Payment issued by the Architect, the Owner shall make progress payments on account of the Contract Sum to the Contractor as pro- vided in the Contract Documents for the period ending the last day day of the month as follows: Not later than ten ( 10) days following the end of the period covered by the Application for Payment ninetV percent ( g n °in) of the portion of the Contract Sum properly allocable to labor, materials and equipme'f t incorporated in the Work and ninety percent ( 9 0 %) of the portion of the Contract Sum properly allocable to materials and equipment suitably stored at the site or at some other location agreed upon in writing, for the period covered by the Application for Payment, less the aggregate of previous payments made by the Owner; X0 M `O AR kcX X IO'XX XKX1XMIXDOMkti0 NXX Nt M4K '<X XX XXX XX 9 X tk��� 9< 1 � �WR }1t k�XN AIn R)OXIXT�X x YS IY 71 X X X 7�71WN`� •. ,li[1 71�YYS'11iS [�20u0xxZr.C1 (If not covered elsewhere in the Contract Documents, here insert any provision for limiting or reducing the amount retained after the Work reaches a certain stage of completion.) 10% will be retained on the value of the first 50% of the work . There will be no retainage on the balance to completion . Upon determination by the Archtitect that satisfactory progress has been made , payments authorized at time of substantial Tcompletion shall be for total retainage in contract except that an . amount equal to twice the estimated cost-to complete or correct items on a tentative list of umcompleted items shall be retained until final completion . Payments due and unpaid under the Contract Documents shall bear interest from the date payment is due at the rate entered below, or in the absence thereof, at the legal rate prevailing at the place of the Project. (Here insert any rate of interest agreed upon.) (Usury laws and requirements under the federal Truth in Lending Act, similar state and local consumer credit laws and other regulations at the Owner's and Contractor's principal places of business, the location of the Project and elsewhere may affect the validity of this provision. Specific legal advice should be obtained with respect to deletion, modification, or other requirements such as written disclosures or waivers.) MA DOCUMENT A101 • OWNER-CONTRACTOR AGREEMENT • ELEVENTH EDITION • JUNE 1977 • AIA® ©1977 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 A101-1977 3 8558B ARTICLE 6 FINAL PAYMENT Final payment, constituting the entire unpaid balance of the Contract Sum, shall be paid by the Owner to the Contractor when the Work has been completed, the Contract fully performed, and a final Certificate for Payment has been issued by the Architect. ARTICLE 7 MISCELLANEOUS PROVISIONS 7.1 Terms used in this Agreement which are defined in the Conditions of the Contract shall have the meanings designated in those Conditions. 7.2 The Contract Documents,which constitute the entire agreement between the Owner and the Contractor,are listed in Article 1 and, except for Modifications issued after execution of this Agreement, are enumerated as follows: (List below the Agreement,the Conditions of the Contract(General,Supplementary,and other Conditions), the Drawings, the Specifications,and any Addenda and accepted alternates, showing page or sheet numbers in all cases and dates where applicable.) SPECIFICATIONS , FILE NO . 8558B , dated May 14 , 1987 Pages Thru Title Page 1 Page — Table of Contents TC/ 1 DIVISION 1 - CONDITIONS OF THE CONTRACT General Conditions 19 Supplementary Conditions SC/11 General Requirements GR/ 6 DIVISIONS 2 thru 16 - GENERAL CONSTRUCTION Section - Title 02050 Demolition 02050/ 2 07510 Roof Flashing 07510/ 2 13122 Metal Roofing 13122/ 4 15600 Sheet Metal Work 15600/ 2 16000 Electrical Work 16000/ 1 ADDENDUM NO . 1 , dated 21 May 1987 DRAWING NOTES - (Bound in Specification Volume) DN/ 1 DRAWINGS - (Bound in Specification Volume) 1 and :2 ATTACHMENT NO. 1 - INDEMNIFICATION CONTRACTOR' S PROPOSAL , dated May 28 , 1987 Copy Attached • 8558B 4 IN WITNESS WHEREOF , the City of Oshkosh, Wisconsin has caused this Contract to be sealed with its corporate seal and to be subscribed to by its City Manager and City Clerk and countersigned by the Comproller of said City , and the party of the second part hereunto sets it ' s , his or their hand and seal the day and year first above written . In the presence of : CONTRACTOR BEN B . GANTHER COMPANY 1 A�,,� 4W7.....Ii 41_4 4 III., A - III o a Aft ... BY : Aer.., , 2...s. (Specify Title) (Seal of Contractor if a Corporation) OWNER f CITY OF OSH •SH r /�� W 1 lam D. Frueh, City Manager III f? '7/i 1�tt / ,-' 1 f,i/<2'/a%-'T By : , ', , / i' /a1 , donna erwas , it y e:rk I hereby certify that piovisions have been made to pay the liability (Seal of City) that will accrue to the City of Oshkosh under this Contract City Comptroller App oved as to form an. execution : 1 ) , .ity Attorney 8558B 5 8558B C/1 (SUBMIT IN DUPLICATE) BID FORM 1987 METAL ROOF REPLACEMENT STREET DEPARTMENT GARAGE 639 WITZEL AVENUE OSHKOSH, WISCONSIN BIDS CLOSE: 11: 00 A.M. , May 28, 1987 AT: Office of City Clerk City Hall Oshkosh, Wisconsin TO: City Manager City of Oshkosh, Wisconsin faxxkoctimixlmii (A Corporation) WE Ben B. Ganther Company AXM9C3f1R* of 21A Washington Avenue Street Oshkosh WI 54901 414-235-3950 City, State and Zip Telephone Number hereby agree to execute proposed contract and to furnish a satisfactory Surety Bond in the amount specified and to provide all labor and materials required to complete the construction of project designated above, for prices set forth below, in strict accordance with Contract Docu- ments prepared by Yarbro-Kempinger Architects, Inc. , 1488 West South Park Avenue, P.O. Box 2096, Oshkosh, Wisconsin 54903 , File No . 8558B, and dated May 14 , 1987 . BASE BID: All work required to complete the Metal Roof Replacement in accordance with the drawings and specifi- cations, For the sum of Twenty-Three Thousand Five Hundred Fifty Dollars ($ 23.550.00 8558B C/2 ADDENDUM RECEIPT We acknowledge receipt of the following Addendum NUMBER DATE NUMBER DATE NUMBER DATE 1 5/22/87 COMMENCEMENT AND COMPLETION The undersigned agrees if awarded the contract, to commence the contract work on a date to be specified in a written Notice of Contract Award, in accordance with Article 30 of Supplementary Conditions and to substantially complete the work on or before July 31, 1987 . Accompanying this Proposal is bid bond certified check, bid bond, etc. in the amount of Five per cent of b i d ($ 5% ) as called for in the Instructions to Bidders. Ben B. Ganther Company (Name of Corporation, Partnership or Person submitting Bid)4S gn j ure President Title, if any (Seal - if Bid is by Corporation) 5/28/87 Date READ NOTES BELOW BEFORE SIGNING NOTE 1 : This bid will be rejected if the Bid Form has been altered or changed in such a way that it incorporates unsolicited material, either directly or by reference, which would alter any essential provision of the contract • documents or require consideration of unsolicited material in determining the award of the contract. NOTE 2: If this bid is not accompanied by a bid guarantee, it will be considered NO BID and will not be read at the bid opening. ATTACHMENT NO . 1 Agreement dated June 5 , 1987 City of Oshkosh and Ben B. Ganther Co. File 8558B City Contract No . 87-10 EXCERPT FROM SPECIFICATION GENERAL CONDITIONS 4 . 18 INDEMNIFICATION 4 . 18 . 1 To the fullest extent permitted by law, the Contractor shall indemnify and hold harmless the Owner and the Architect and their agents , and employees from and against all claims , damages , losses and espenses , including but not limited to attorneys ' fees , arising out of or result- ing from the performance of the Work , provided that any such claim , damage , loss or expense (1) is attributable to bodily injury, sickness , disease or death, or to injury to or destruction of tangible property (other than the Work itself) including the loss of use resulting there- from, and ( 2) is caused in whole or in part by any negligent act or omission of the Contractor , any Subcontractor , anyone directly of in- directly employed by any of them or anyone for whose acts any of them may be liable , regardless of whether or not it is caused in part by a party indemnified hereunder . Such obligation shall not be construed to ne- gate , abridge , or otherwise reduce any other right or obligation of indemnity which would otherwise exist as to any party or person des- cribed in this Paragraph 4 . 18 . 4 .18 . 2 In any and all claims against the Owner or the Architect or any of their agents or employees by any employee of the Contractor , any Sub- Contractor , anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable , the indemnification obligation under this Paragraph 4 .18 shall not be limited in any way by any limitation on the amount or type of damages , compensation or benefits payable by or for the Contractor or any Subcontractor under Workers ' or workmen' s compensation acts , disability benefit acts or other employee benefit acts . 4 .18 . 3 The obligations of the Contractor under this Paragraph 4 . 18 shall not extend to the liability of the Architect , his agents or employees , arising out of (1) the preparation or approval of maps , drawings , opir.ions , reports , surveys , change orders , designs , or specifications , or (2) the giving of or failure to give directions or instructions by the Architect, his agents or employees provided such giving or failure to give is the primary cause of the injury or damage . - End of Excerpt - 0414 WISCONSIN SOCIETY OF ARCHITECTS �� THE AMERICAN INSTITUTE OF ARCHITECTS 4r:A""'���.�• Vim Olt WIS. A1A DOCUMENT �� JULY 1980 ED. WIS. A312 0s o. PUBLIC IMPROVEMENT PERFORMANCE/LABOR AND MATERIAL PAYMENT BOND d THIS BOND IS TO BE USED ON PUBLIC IMPROVEMENT CONTRACTS PURSUANT Ca' TO SECTION 779.14 WISCONSIN STATUTES. KNOW ALL MEN BY THESE PRESENTS: that (Here insert name and address or legal title of the Contractor, referred to in Sec.779.14 Wisconsin Statutes as the prime contractor) Ben B. Ganther Company, 21A Washington Avenue, Oshkosh, WI 5490i as Principal, hereinafter called Principal, and, (Here insert the legal title and address of Surety) Fidelity and Deposit Company of Maryland duly authorized and licensed to do business in the State of Wisconsin, as Surety, hereinafter called Surety, are held and firmly bound unto (Name and address or legal title of Owner) The City of Oshkosh, 215 Church Avenue, Oshkosh, WI 54901 as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinafter provided in the amount of 1\aenty Three Thousand Five Hundred Fifty and No/100 Dollals ($ 25,550.00), (Here insert a sum at least equal to the contract price) for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, suc- cessors and assigns, jointly and severally, firmly by these presents. WHEREAS, Principal has by written agreement dated -tune 5L1i 19 87 , entered into a contract with Owner for 1987 Metal Roof replacement-Street Department Garage, Oshkosh, Wisconsin in accordance with drawings and specifications prepared by (Here insert full name, title and address) Robert L. Yarbro, Route i Box 1057, Wild Rose WI 54984 which contract is by reference made a part hereof and is required by Section 779.14, Wisconsin Statutes; N in The said written agreement, drawings, specifications and amendments N are hereinafter referred to as the Contract. t- r PUBLIC IMPROVEMENT PERFORMANCE/LABOR-MATERIAL BOND TWO PAGES to WIS. AIA DOC. WIS. A312JULY, 1980ED. PAGE 1 Copr. 1969 Wisconsin Society of Architects/AIA 321 S.Hamilton St. Madison,Wis. 53703 • NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION, as required by Section 779:14, Wisconsin Statutes, is such that, if the Principal shall faithfully perform the said contract and pay every person entitled thereto for all the claims for labor performed and materials furnished under the Contract, to be used or consumed in making the public improvement or performing the public work as provided in the Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect, subject, however, to the following conditions: 1) No assignment, modification or change of the Principal and the Surety upon this bond for the Contract, or change in the work covered thereby, or recovery of any damages he may have sustained by any extension of time for the completion of the Con- reason of the failure of the Principal to comply with tract shall release the sureties on the bond. the Contract or with the Contract between the Prin- cipal and his subcontractors. If the amount realized 2) Not later than one year after the completion of on this bond is insufficient to satisfy all claims of work under the Contract, any party in interest may the parties in full, it shall be distributed among the maintain an action in his own name against the parties pro rata. Signed and sealed this 8th day of June , 19_37 IN THE PRESENCE OF: Ben B. Ganther Company Principal ��� B e ►.if/L�- (Seal) Witneu Fidelity and Deposit Company of Maryland Name of Surety 15? bL,< By: '��� d#A.r ' �f wttaes. Title: Attorn -- In-Fact APPROVED BY* IN THE PRESENCE OF: CITY OF 0 KOSH, WISCONSIN &PALI) own er�j• , By: / 2/ (Seal) Witness Title: 1 y Manager *This bond shall be approved in the case of the state by the state official authorized to enter into such con- tract, of a county by its district attorney, of a city by its mayor, of a village by its president, of a town by its chairman, of a school district by the director or president and of any other public board or body by the presiding officer thereof. PUBLIC IMPROVEMENT PERFORMANCE/LABOR-MATERIAL BOND TWO PAGES WIS.ALA DOC.WIS.A312 JULY 1980 ED. PAGE 2 Power of.Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND HOME OFFICE,BALTIMORE,MD. KNOW ALL MEN BY THESE PRESENTS:That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corporation of the State of Maryland, by C. M. PECOT, JR. , Vice-President,and C. W. ROBBINS Assistant Secretary,in pursuance of authority granted by Article VI,Section 2,of the By-Laws of said Company,which reads as follows: "The Chairman of the Board,or the President,or any Executive Vice-President,or any of the Senior Vice-Presidents or Vice-Presidents specially authorized so to do by the Board of Directors or by the Executive Committee,shall have power,by and with the concurrence of the Secretary or any one of the Assistant Secretaries,to appoint Resident Vice-Presidents,Assistant Vice-Presidents and Attorneys-in-Fact as the business of the Company may require,or to authorize any person or persons to execute on behalf of the Company any bonds,undertakings, recognizances, stipulations,policies,contracts,agreements,deeds,and releases and assignments of judgements,decrees,mortgages and instruments in the nature of mortgages,... and to affix the seal of the Company thereto." does hereby nominate constitute and appoint James A. Temp, Roger G. Ferris, Mark K. Boland, J. Hlinak, Timothy J. McKenna, W. G. Dumper and P. L. Schlauch, all of Green Bay, Wisconsin, EACH - - - -- Its true and lawtul agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings �. An t e execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the Company at its office in Baltimore, Md., in their own proper persons. This power of attorney revokes that issued on behalf of James A. Temp, etal, dated, March 19, 1987. The said Assistant Secretary does hereby certify that the aforegoing is a true copy of Article VI,Section 2,of the By-Laws of said Company,and is now in force. IN WITNESS WHEREOF,the said Vice-President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 1st day of April , A.D. 19 87 eSeo t,r FIDELITY AND DEPOSIT COMPANY OF MARYLA se c t ATTEST: n �e SEAL e 0/�, r ,u, • ;,;• .tr By Assistant Secretary Vice-President STATE OF MARYLAND ; SS; CITY OF BALTIMORE On this 1St day of April ,A.D. 19 87 ,before the subscriber,a Notary Public of the State of Maryland,in and for the City of Baltimore,duly commissioned and qualified,came the above-named Vice-President and Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same,and being by me duly sworn,severally and each for himself deposeth and saith,that they are the said officers of the Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed by Official Seal,at the City of Baltimore,the day and year first above writt n. V!MOt•�Y'�1 •_ — Notary Public Commission July 1 1990 '•,L.•usuy . CERTIFICATE I,the unders' ed,Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the original Power of Attorney of which the foregoing is a full,true and correct copy,is in full force and effect on the date of this certificate;and I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially authorized by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI,Section 2 of the By-Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 16th day of July,1969. RESOLVED:"That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any tower of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed.' IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seal of the said Company,this 8th day of June ,19 87 r. LI428.-cf. –184-3544 Assistant Secrdary FOR YOUR PROTECTION LOOK FOR 'HIE IE F&D i r\. 1 6/8/67 b b 4 '., -.r4s . _ , eP , TMrr , '„ 3, ai-45 '4;,z s� ', a'' .1„.` d ,* 4 z ., , J "9-'3...A F.. X F I'r'r, eA y 4C "` A r ,i fi.SNrOPM .`I G:L•, AND CONFERS .;_ it P N 'E C R ,F.CEA E -C LDER TH i.CERTIFICATE )GES NOT AMEND, Murphy/Alexander & Alexander FzT-.Nf P ;ll-'FR —HE CC,Vik A GE FFOPOF` BY THE PO' ICIF BELON. P 0 Box 1204 Green Bay, WI 54305-1204 COMPANIES AFFORDING COVERAGE COMPANY A Continental Casualty LETTER - _ COMPANY INSURED LETTER B Transcontinental Insurance Ben B. Ganther Company LETTER 1.• C P 0 Box 2386 — — - Oshkosh, WI 54903-2386 LETTER D COMPANY a , LETTER E COVERAGES ' ,< THIS IS TO CERTIFY THAT 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 !x.,: BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS,AND CONDI- 'z y TIONS OF SUCH POLICIES. 4.4 _ T LIABILITY LIMITS IN THOUSANDS CO TYPE OF INSURANCE POLICY NUMBER POLICY Et,ECTPdE j POLiCV EXP'FATIDN Iy LTR DATE IMM,DDfrY') DATE(MM/DDiYY) EACH AGGREGATE OCCURRENCE GENERAL LIABILITY BODILY 500 $ 500 ' COMPREHENSIVE FORM j INJURY lig PREMISES/OPERATIONS PROPERTY EXPLOSIONU &�OLLAPSE HAZARD CCP052076138 9/30/86 9/30/87 DAMAGE $ 500 $ 500 PRODUCTS/COMPLETED OPERATIONS I CONTRACTUAL BI&PD COMBINED $ $ INDEPENDENT CONTRACTORS IBROAD FORM PROPERTY DAMAGE 500 PERSONAL INJURY PERSONAL INJURY $ — - AUTOMOBILE LIABILITY — BODILY NJJRY $ ' ANY AUTO (PER PERSON; ALL OWNED AUTOS(PRIV. PASS.) BODILY OTHEAN)I BUA072076137 9/30/86 9/30/87 INJURY ALL OWNED AUTOS PRIV R PASTHS (PER ACCIDEV) $ HIRED AUTOS PROPERTY NON-OWNED AUTOS DAMAGE $ GARAGE LIABILITY BI&PD 500 COMBINED $ EXCESS LIABILITY UMBRELLA FORM UMB012207409 9/30/86 9/30/87 o&MPDDED $ 2,000 $ 2,000 OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION WC092076136 9/30/86 9/30/87 STATUTORY • AND $ 500 (EACH ACCIDENT) $ 500 (DISEASE-POLICY LIMIT) EMPLOYERS' LIABILITY $ 500 (DISEASI_EACH EMPLOYEE) OTHER 1 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!SPECIAL ITEMS 1987 Metal Roof Replacement-Street Dept. Garage, Oshkosh, WI CERTIFICATE HOLDER CANCELLATION The City of Oshkosh, Wisconsin SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- 215 Church Avenue PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE +•, Oshkosh, WI 54901 LEFT,B A., ILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF A D UPON COMPANY, ITS AGENTS OR REPRESENTATIVES. s • A -- _ -ZED REPR • 1 • E --- °°' rACORD 25(8184) : 1,Y 4 1 • - . Y. Of I CERTIFICATE OF I RAN ISSUE DATE(MMiDD/YYl I� PRODUCER 09/(61/87__.. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MURPHY/ALEXANDER & ALEXANDER, INC. COMPANIES AFFORDING COVERAGE 701 CHERRY STREET — -- — —P. O. BOX 1 204 cOMP.ANY CONT I NENT I AL CASUALTY GREEN BAY, WI 54305-1 204 F LETTER A NSURED COMPANY B T RANSCONT I NENT I AL CASUALTY BEN B. GANTHER COMPANY CONMPANv P. O.. BOX 2386 . LET C OSHKOSH, WO COMPANY — --- LET'ER. COMPANY E - ------_.__-- _---- LETTER COVERAGES THIS IS TO CERTIFY THAT 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 CONDI- TIONS OF SUCH POLICIES. — -- -- r T r ---- CO LTR TYPE OF INSURANCE POLICY NUMBER n D,.', ! ILL LIMITS IN THOUSANDS A GENERAL LIABILITY „CP052076138 r 09/30/87 09/30/8888 F Arr _ $ 1000 COMMERCIAL GENERAL LIABILITY $ 1 X00 A",P'.IADL 1 -,:j1 E, t I K r?' .__' 1000 OA HER S N CONTRAC-ORS PPRRO FCT,'E $ 1000 AUTOMOBILE LIABILITY n-- ANY AUTO BUA07207E137 109/30/87' 09/30/881 1 C X ALL OWNED AUTOS i — �OQ� SCHEDULED AUTOS RrEti c X I--- t X HIRED AUTOS r I BCDiLI' X NON OWNED AUTOS r La cC r DENT.`- --GARAGE -- LABILITY ____j EXCESS LIABILITY eA „ .,c ,REGA-E p I�RRE"l' A X MB012207409 09/30/87109/30/88 $ 2000 2000 OTHER THAN UMBRELLA FORM - --- _ t_ 4 4 1 - FTL .: WORKERS COMPENSATION f--T -- B AND 'JC092076136 09/30/87` 09/30/881 IS 500 E sn.,cLDFN- EMPLOYERS'LIABILITY 500 t I l$ 500 'ISEA E-:„CH MPLO/Er OTHER I ■; - 1 (�,,5∎''',',.. DESCRIPTION OF OPER• tp �`LCOCAT ONS/VE' i RESTY7ICTItNS,SPECIA [,��'�"+��"—”" � �ITEMS ,l ° v U i : s CERTIFICATE HOLDER' CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX I TY OF OSHKOSH PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO CHURCH AVENUE MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE OSHKOSH, WI 54901 LEFT. BUT FAILURE TO MAIL CH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UP HE COMP• ■ ITS AGENTS OR REPRESENTATIVES. AUTHORIZED RE VE / fie, _ ACORO 25-S(11185) 0 tit /l Q...''64LTNr41A 1.T,1. •