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HomeMy WebLinkAboutOMNNI Associates/Illicit Discharge Detection CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS 215 CHURCH AVENUE, P.O. BOX 1130, OSHKOSH, WI 54903-1130 PHONE: (920)236-5065 FAX (920) 236-5068 LETTER OF TRANSMITTAL To: Mr. Brian Wayner Date: December 12, 2013 OMNNI Associates, Inc. Subject: Executed Agreement One Systems Drive 2014-2017 Illicit Discharge Detection Appleton, WI 54914-1654 & Elimination Outfall Screening & Revisions to the Ongoing Screening Program Please find: ® Attached ❑ Under Separate Cover ❑ Copy of Letter ® Contracts ❑ Amendment ❑ Report ❑ Agenda ❑ Meeting Notes ❑ Photos ❑ Mylars LI Change Order ❑ Plans ❑ Specifications LI Estimates ❑ Diskette ❑ Zip Disk ❑ Other Quantity Description 1 Executed Agreement These are being transmitted as indicated below: ❑ For Approval ® For Your Use ❑ As Requested ❑ For Review& Comment Remarks: Enclosed is a copy of the executed agreement for the 2014-2017 illicit discharge detection and elimination outfall screening. Please reference Res. #13-551 on all of your invoices. If you have any questions, please contact us. City Attorney's Office—Copy City Clerk's Office— Original -- / � lz �� cc: _ File—Original Signed: / Tracy L 1ayror I:1 Engineering\Tracy Taylor\James'Agreements\OMNNI LOT-Executed IDDE Agreemnt_12-12-13.docx AGREEMENT IVA THIS AGREEMENT, made on the ! day of h- • , 2013, by and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and OMNNI ASSOCIATES, INC., One Systems Drive, Appleton, WI 54914-1654, party of the second part, hereinafter referred to as the CONSULTANT, WITNESSETH: That the CITY and the CONSULTANT, for the consideration hereinafter named, enter into the following AGREEMENT for 2014-2017 ILLICIT DISCHARGE DETECTION AND ELIMINATION OUTFALL SCREENING AND REVISIONS TO THE ONGOING SCREENING PROGRAM. ARTICLE I. PROJECT MANAGER A. Assignment of Project Manager. The CONSULTANT shall assign the following individual to manage the PROJECT described in this AGREEMENT: Brian D. Wayner— Environmental Manager B. Changes in Project Manager. The CITY shall have the right to approve or disapprove of any proposed change from the individual named above as Project Manager. The CITY shall be provided with a resume or other information for any proposed substitute and shall be given the opportunity to interview that person prior to any proposed change. ARTICLE II. CITY REPRESENTATIVE The CITY shall assign the following individual to manage the PROJECT described in this AGREEMENT: James Rabe, P.E., CPESC — Civil Engineering Supervisor ARTICLE III. SCOPE OF WORK The CONSULTANT shall provide the services described in the CONSULTANT's Proposal. CITY may make or approve changes within the general Scope of Services in this AGREEMENT. If such changes affect CONSULTANT's cost of or time required for performance of the services, an equitable adjustment will be made through an amendment to this AGREEMENT. All reports, drawings, specifications, computer files, field data, notes, and other documents and instruments prepared by the CONSULTANT as instruments of service shall remain the property of the CITY. I.\Engineering\Tracy Taylor\James'Agreements\OMNNI IDDE Agreemnt_11-27-13.00cx Page 1 of 6 ARTICLE IV. STANDARD OF CARE The standard of care applicable to CONSULTANT's services will be the degree of skill and diligence normally employed by professional consultants or consultants performing the same or similar services at the time said services are performed. CONSULTANT will re- perform any services not meeting this standard without additional compensation. ARTICLE V. OPINIONS OF COST, FINANCIAL CONSIDERATIONS, AND SCHEDULES In providing opinions of cost, financial analyses, economic feasibility projections, and schedules for the PROJECT, CONSULTANT has no control over cost or price of labor and materials; unknown or latent conditions of existing equipment or structures that may affect operation or maintenance costs; competitive bidding procedures and market conditions; time or quality of performance by operating personnel or third parties; and other economic and operational factors that may materially affect the ultimate project cost or schedule. Therefore, it is understood between the parties that the CONSULTANT makes no warranty that the CITY's actual project costs, financial aspects, economic feasibility, or schedules will not vary from CONSULTANT's opinions, analyses, projections, or estimates. ARTICLE VI. RECORD DRAWINGS Record drawings, if required, will be prepared, in part, on the basis of information compiled and furnished by others. CONSULTANT is not responsible for any errors or omissions in the information from others that the CONSULTANT reasonably relied upon and that are incorporated into the record drawings. ARTICLE VII. CITY RESPONSIBILITIES The CITY shall furnish, at the CONSULTANT's request, such information as is needed by the CONSULTANT to aid in the progress of the PROJECT, providing it is reasonably obtainable from City records. To prevent any unreasonable delay in the CONSULTANT's work, the CITY will examine all reports and other documents and will make any authorizations necessary to proceed with work within a reasonable time period. ARTICLE VIII. ASBESTOS OR HAZARDOUS SUBSTANCES If asbestos or hazardous substances in any form are encountered or suspected, CONSULTANT will stop its own work in the affected portions of the PROJECT to permit testing and evaluation. If asbestos is suspected, CONSULTANT will, if requested, manage the asbestos remediation activities using a qualified subcontractor at an additional fee and contract terms to be negotiated. I:1Engineering\Tracy Taylor'James'Agreements\OMNNI IDDE Agreemnt_11-27-13.docx Page 2 of 6 If hazardous substances other than asbestos are suspected, CONSULTANT will, if requested, conduct tests to determine the extent of the problem and will perform the necessary studies and recommend the necessary remedial measures at an additional fee and contract terms to be negotiated. CITY recognizes that CONSULTANT assumes no risk and/or liability for a waste or hazardous waste site originated by other than the CONSULTANT. ARTICLE IX. CITY'S INSURANCE CITY will maintain property insurance on all pre-existing physical facilities associated in any way with the PROJECT. CITY will provide (or have the construction contractor(s) provide) a Builders Risk All Risk insurance policy for the full replacement value of all project work including the value of all onsite CITY-furnished equipment and/or materials associated with CONSULTANT'S services. Upon request, CITY will provide CONSULTANT a copy of such policy. ARTICLE X. TIME OF COMPLETION The work to be performed under this AGREEMENT shall be commenced and the work completed within the time limits as agreed upon in the CONSULTANT'S Proposal. The CONSULTANT shall perform the services under this AGREEMENT with reasonable diligence and expediency consistent with sound professional practices. The CITY agrees that the CONSULTANT is not responsible for damages arising directly or indirectly from any delays for causes beyond the CONSULTANT'S control. For the purposes of this AGREEMENT, such causes include, but are not limited to, strikes or other labor disputes, severe weather disruptions or other natural disasters, failure of performance by the CITY, or discovery of any hazardous substances or differing site conditions. If the delays resulting from any such causes increase the time required by the CONSULTANT to perform its services in an orderly and efficient manner, the CONSULTANT shall be entitled to an equitable adjustment in schedule. ARTICLE Xl. COMPONENT PARTS OF THE AGREEMENT This AGREEMENT consists of the following component parts, all of which are as fully a part of this AGREEMENT as if herein set out verbatim, or if not attached, as if hereto attached: 1. This Instrument 2. CONSULTANT'S Proposal dated November 26, 2013 and attached hereto In the event that any provision in any of the above component parts of this AGREEMENT conflicts with any provision in any other of the component parts, the provision in the component part first enumerated above shall govern over any other component part which follows it numerically except as may be otherwise specifically stated. I'.\Engineering\Tracy Taylor\James'Agreements\OMNNI IDDE Agreemnt_11-27-13.docx Page 3 of 6 ARTICLE XII. PAYMENT A. The Agreement Sum. The CITY shall pay to the CONSULTANT for the performance of the AGREEMENT the total sum as set forth below, adjusted by any changes hereafter mutually agreed upon in writing by the parties hereto: • Time and Materials Not to Exceed $113,352 (One Hundred Thirteen Thousand Three Hundred Fifty-Two Dollars). • Attached fee schedules shall be firm for the first calendar year of this AGREEMENT. Annual adjustments may be made to the attached fee schedules once per calendar year of this AGREEMENT. B. Method of Payment. The CONSULTANT shall submit itemized monthly statements for services. The CITY shall pay the 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 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. D. Indirect Costs. Indirect costs such as computer time, printing, copying, cell phone charges, telephone charges, and equipment rental shall be considered overhead and shall not be invoiced separately to the PROJECT. E. Expenses. Expenses may be billed with up to a maximum of 10% mark-up. All invoices with expenses shall include supporting documentation of the expense. Failure to include the supporting documentation will result in the reduction of payments by the amount of those expense(s) not including documentation. ARTICLE XIII. HOLD HARMLESS The CONSULTANT covenants and agrees to protect and hold the City of Oshkosh harmless against all actions, claims, and demands which may be to the proportionate extent caused by or result from the intentional or negligent acts of the CONSULTANT, his/her agents or assigns, his/her employees, or his/her subcontractors related however remotely to the performance of this AGREEMENT 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 CITY's written demand for indemnification or refund for those actions, claim, and demands caused by or resulting from intentional or negligent acts as specified in this paragraph. I:1Engineedng\Tracy Taylor\James'Agreements\OMNNI IDDE Agreemnt_11-27-13.docx Page 4 of 6 Subject to any limitations contained in Sec. 893.80 and any similar statute, of the Wisconsin Statutes, the CITY further agrees to hold CONSULTANT harmless from any and all liability, including claims, demands, losses, costs, damages, and expenses of every kind and description (including death), or damages to person or property arising out of re-use of the documents without consent where such liability is founded upon or grows out of the acts or omission of any of the officers, employees, or agents of the City of Oshkosh while acting within the scope of their employment. ARTICLE XIV. INSURANCE The CONSULTANT agrees to abide by the attached City of Oshkosh Insurance Requirements. ARTICLE XV. TERMINATION A. For Cause. If the CONSULTANT shall fail to fulfill in timely and proper manner any of the obligations under this AGREEMENT, the CITY shall have the right to terminate this AGREEMENT by written notice to the CONSULTANT. In this event, the CONSULTANT shall be entitled to compensation for any satisfactory, usable work completed. B. For Convenience. The CITY may terminate this AGREEMENT at any time by giving written notice to the CONSULTANT no later than 10 calendar days before the termination date. If the CITY terminates under this paragraph, then the CONSULTANT shall be entitled to compensation for any satisfactory work performed to the date of termination. This document and any specified attachments contain all terms and conditions of the AGREEMENT and any alteration thereto shall be invalid unless made in writing, signed by both parties and incorporated as an amendment to this AGREEMENT. ARTICLE XVI. RE-USE OF PROJECT DOCUMENTS All reports, drawings, specifications, documents, and other deliverables of CONSULTANT, whether in hard copy or in electronic form, are instruments of service for this PROJECT, whether the PROJECT is completed or not. CITY agrees to indemnify CONSULTANT and CONSULTANT's officers, employees, subcontractors, and affiliated corporations from all claims, damages, losses, and costs, including, but not limited to, litigation expenses and attorney's fees arising out of or related to the unauthorized re-use, change, or alteration of these project documents. ARTICLE XVII. SUSPENSION, DELAY, OR INTERRUPTION OF WORK CITY may suspend, delay, or interrupt the services of CONSULTANT for the convenience of the CITY. In such event, CONSULTANT's contract price and schedule shall be equitably adjusted. I:\Engineering\Tracy Taylor\James'Agreements\OMNNI IDDE Agreemnt_11-27-13.docx Page 5 of 6 ARTICLE XVIII. NO THIRD-PARTY BENEFICIARIES This AGREEMENT gives no rights or benefits to anyone other than CITY and CONSULTANT and has no third-party beneficiaries. In the Presence of: CONSULTANT DQ i, It Ark?fLl. By: / 1Y, Glyn (Seal of Consultant (Specify Title) if a Corporation.) By: e-ef-lete 62,01 t��4y7 OLftcc2 (Specify Title) CITY OF OSHKOSH By: �_ �/� (Witness) Mar A. Rohloff, City Manager And: ► r / ) (Witness) Pamela R. Ubrig, City Clerk APP OVED: I hereby certify that the necessary provisions have been made to pay the liability which u which will accrue under this AGREEMENT. ity Attorney 5,Q,LAYeut.0 0 0-, ✓ City Comptroller I1Engineering\Tracy TaylorUames'Agreements\OMNNI IDDE Agreemnt 11-27-13.docx Page 6 of 6 ENGINEERING OMNNI ASSOCIATES,INC. ARCHITECTURE 01"\11 ONE SYSTEMS DRIVE ENVIRONMENTAL APPLETON,WI 54914-1654 ASSOCIATES 1-800-571-6677 920-735-6900 FAX 920-830-6100 November 26, 2013 Mr. James Rabe, P.E. City of Oshkosh Department of Public Works 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1 13 0 Re: Proposal for Professional Services Agreement for 2014 -2017 Illicit Discharge Detection and Elimination Outfall Screening and Revisions to the Ongoing Screening Program Dear Mr. Rabe: Thank you for the opportunity to present this proposal for 2014 - 2017 outfall screening services and to prepare a revised ongoing screening program for the City of Oshkosh. This proposal is intended to present a work scope and cost estimate for our services. PROJECT APPROACH OMNNI Associates (OMNNI) proposes to review and evaluate the current ongoing outfall screening program for the City of Oshkosh that was developed in 2010. Recommendations for revising the ongoing screening program would consider the City's existing program, experience obtained from previous outfall screening inspections, and the Illicit Discharge Detection and Elimination (IDDE) Guidance Document prepared by the Wisconsin Department of Natural Resources (WDNR). Although we do not anticipate significant changes to the IDDE section of the revised General Permit to Discharge under the Wisconsin Pollutant Discharge Elimination System (MS4 Permit), if the revised MS4 Permit is available, our recommendations would take into account the MS4 Permit so the revised ongoing screening program is compliant. We would meet with the City to discuss our recommendations. Based on the outcome from the discussions with the City, a revised ongoing outfall screening program would be prepared for submittal to the WDNR. OMNNI proposes screening approximately 45 outfalls during 2014. The outfalls screened in 2014 would be outfalls that were previously identified as potentially having had an illicit discharge during the past five years of screening. After the outfalls are initially screened, a list of outfalls with concerns would be provided to the City. After the City has had a chance to address the outfalls that we recommend following up on, OMNNI would then Mr. Rabe Page 2 of 6 re-screen the outfalls. The results of the 2014 screening would be incorporated into the revised ongoing screening program. OMNNI also proposes screening approximately 90 outfalls each year in years 2015 - 2017. The outfalls screened would include outfalls identified in the City's ongoing program for the current year and outfalls identified in the previous year's inspection as requiring re- screening. After the outfalls are initially screened for the current year, a list of outfalls with concerns would be provided to the City. After the City has had a chance to address the outfalls that we recommend following up on, OMNNI would then re-screen the outfalls. SCOPE OF SERVICES 1. 2014 stormwater outfall screening. a. Update the illicit discharge GIS applications for the 2014 screening program. b. Conduct approximately 45 outfall inspections. Outfall inspections would include outfalls, which had previously identified potential illicit discharges. i. For each outfall screened, the geographic location would be verified; a digital photograph showing general location and configuration would be taken; a digital photograph and video showing flow or the absence of flow would be taken; and physical data on the outfall would be verified. ii. For inspected outfalls that are flowing 72 or more hours after a runoff. producing rainfall event, flow characteristics would be documented. iii. A sample of the stormwater would be collected from outfalls that are flowing 72 or more hours after a runoff-producing rain event and analyzed using field tests and/or the Hach kit for stormwater. iv. Indicator parameters from the stormwater sample (parameters can include: pH, temperature, ammonium, total chlorine, total copper, total phenol, and detergents) would be measured as outlined in the City of Oshkosh's Ongoing Screening Program. v. For outfalls that are partially or fully submerged, the stormwater sample would be collected from the next accessible upstream location. vi. If a potential illicit discharge is detected, the City would be notified and provided with the data collected during the screening of the outfall. c. Produce inspection reports for each inspected outfall, including general outfall characteristics and illicit discharge indicator parameters. d. Produce a program summary report describing the outfall screening procedures that were followed, along with any potential illicit discharges that were discovered. Mr. Rabe Page 3 of 6 e. Produce a summary report of outfalls that have observed structural damage, significant deposition or erosion, or graffiti. f. Update the outfall map showing the locations of the identified outfalls. g. Enter field screening data into the City's ASIST database application. The information would be entered into ASIST by exporting information from the field screening GIS and supplemented with manual data entry as necessary. h. Present a summary of the 2014 outfall screening to the Storm Water Utility Committee. 2. Evaluate changes to the City's current ongoing screening program. a. Update municipal separate storm water sewer system map. b. Evaluate the City's current ongoing screening program to include experience obtained from previous outfall screening inspections, and the WDNR's IDDE Guidance Document. c. Develop a screening matrix to identify the proposed screening frequency for each identified outfall for the City. d. Produce an ongoing screening map for the City showing the anticipated screening years for each identified outfall. e. Meet with City to discuss the draft revised ongoing screening program recommendations. 3. 2015 -2017 stormwater outfall screening. a. Update the illicit discharge GIS applications for the current year screening program. b. Conduct approximately 90 outfall inspections each year. Outfall inspections would include outfalls identified in the City's ongoing program for the current year and outfalls identified in the previous year's inspection as requiring re-screening. i. For each outfall screened, the geographic location would be verified; a digital photograph showing general location and configuration would be taken; a digital photograph and video showing flow or the absence of flow would be taken; and physical data on the outfall would be verified. ii. For inspected outfalls that are flowing 72 or more hours after a runoff- producing rainfall event, flow characteristics would be documented. iii. A sample of the stormwater would be collected from outfalls that are flowing 72 or more hours after a runoff-producing rain event and analyzed using field tests and/or the Hach kit for stormwater. Mr. Rabe Page 4 of 6 iv. Indicator parameters from the stormwater sample (parameters can include: pH, temperature, ammonium, total chlorine, total copper, total phenol, and detergents) would be measured as outlined in the City of Oshkosh's Ongoing Screening Program. v. For outfalls that are partially or fully submerged, the stormwater sample would be collected from the next accessible upstream location. vi. If a potential illicit discharge is detected, the City would be notified and provided with the data collected during the screening of the outfall. c. Produce inspection reports for each outfall inspected that year, including general outfall characteristics and illicit discharge indicator parameters. d. Produce a program summary report each year describing the outfall screening procedures that were followed, along with any potential illicit discharges that were discovered. e. Produce a summary report each year of outfalls that have observed structural damage, significant deposition or erosion, or graffiti. f. Update the outfall map each year showing the locations of the identified outfalls. g. Enter field screening data into the City's ASIST database application each year. The information would be entered into ASIST by exporting information from the field screening GIS and supplemented with manual data entry as necessary. h. Present a summary of the outfall screening to the Storm Water Utility Committee each year. 4. Submittals/deliverables. a. Revised ongoing screening program would be provided in hardcopy and PDF format. b. Outfall reports would be provided in hardcopy and PDF format. c. Outfall photos and flow videos would be provided to Client on a DVD- ROM. d. Outfall locations and screening results would be provided in ESRI shapefile. e. One color copy of the draft field screening summary report, including the outfall reports for the screened outfalls. f. Two color copies of the final field screening summary report, including the outfall reports for the screened outfalls. g. Updated ASIST field database would be provided to the City on a DVD- ROM. Mr. Rabe Page 5 of 6 h. Summary presentation of the outfall screenings to the Storm Water Utility Committee. SCHEDULE The proposed schedule for the work would generally be as follows: • Conduct outfall screening during June — October, weather permitting. • Evaluate ongoing screening program and present findings to the City by September 15, 2014. • Provide outfall summary reports by mid-December. COMPENSATION Tasks 2014 2015 2016 2017 Project management, correspondence, presentations $4,433 $4,525 $4,572 $4,665 Outfall field inspections $6,841 $10,915 $11,030 $11,247 Individual outfall reports, summary report, ASIST $6,935 $7,566 $7,620 $7,800 Ongoing screening program revisions $5,203 $0 $0 $0 Contingency for tracking potential illicit discharges $5,000 $5,000 $5,000 $5,000 Estimated cost per year*: $28,412 $28,006 $28,222 $28,712 Estimated cost 4-year program: $1 13,352 *Similar to our current services agreement for IDDE services, we will only charge for the actual time worked on the project. Our estimate above is based on the previous level of effort we have provided the City. The contingency for tracking estimate is the same amount we have set aside in the past. CITY SUPPORT We recommend that the City provide OMNNI's field staff with identification badges and/or documentation authorizing our field inspection activities. We also recommend that the relevant city and county departments (police, fire, street, etc.) are informed of the field screening effort and our field presence. When screening submerged outfalls, one or more upstream manholes will likely need to be opened to allow for inspection and sampling. If any of these manhole covers are secured with bolts or locks, the City will be responsible for providing personnel to assist with opening the manhole for the inspection and securing them following the inspection. City assistance is not anticipated for manhole covers with no bolts or locks, unless required by the City. For high traffic areas we may require City staff to assist with traffic monitoring and/or temporary diversion while the manholes are accessed. Mr.Rabe Page 6 of 6 We have assumed that the City of Oshkosh will continue to provide ESRI shapefiles or CAD data of the storm sewer pipes and the major and minor outfall locations and will continue to provide a field copy of the City's ASIST database. We appreciate the opportunity to provide our services to the City, and look forward to continue working with you on the City's stormwater screening. Please contact me at 920- 830-6141 or bwayner @omnni.com with any questions or for clarification of our proposed approach. Sincerely, OMNNI Associates, Inc. Aim Brian D. Wayner, P.E. Environmental Manager AcoR°� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OD/YYYY) 12/02/2013 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). PRODUCER 1-800-527-9049 CONTACT NAME: Holmes Murphy & As Soc - WI - PHONE FAX (A/C,No.Ext): (A/C,No): 10 E. Doty Street, Suite 800 E-MAIL ADDRESS: Madison, WI 53703 INSURER(S)AFFORDING COVERAGE NAIC# Paula Dixon INSURER A: XL SPECIALTY INS CO 37885 INSURED INSURER B: OMNNI Associates, Inc. INSURER C: One Systems Drive INSURER D: _ Appleton, WI 54914 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 37139968 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DDYYY) (MM/DD/YYYYI GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ I� POLICY PRO- JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS AUTOS HIRED AUTOS _ AUTOS (Per(Perraccdent )AMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N I TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N 1 A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ A Professional Liability DPR9703538 02/18/12 02/18/14 Each Claim 2,000,000 Claims Made Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Oshkosh THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Clerk's Office 215 Church Avenue AUTHORIZED REPRESENTATIVE PO Box 1130 Oshkosh, WI 54903-1130 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD lbomaritowi 37139968 _ OP ID: DL ACCPREY CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/02113 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). PRODUCER 920-725-3232 NAME: McClone 920-725-3233 PHONE F X,No): 150 Main Street,Ste 102 (A/c.No,Ext): Menasha,WI 54952-0389 E-MAIL ADDRESS: Brian Reimer PRODUCER OMNNI-1 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED Omnni Associates Inc INSURER A:General Casualty Company 24414 Christine Schulz INSURER B: 1 Systems Drive Appleton,WI 54914-1654 INSURER C: —. INSURER D: 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 I POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER 'IMMIDD/YYYY) (MM/DDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE A X COMMERCIAL GENERAL LIABILITY X CFB078386 02/01/13 02!01!14 PREMISES S( R occurrence)rED occurrence) $ 100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENII AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMP/OP AGG $ 2,000,000 7 POLICY X PF2 LOC Emp Ben. $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 02/01/13 02/01/14 (Ea accident) A X ANY AUTO CBA0790064 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) —7 NON-OOWNED AUTOS $ - I $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE 02!01!13 02/01/14 AGGREGATE $ 5,000,000 $ DEDUCTIBLE 10000 $ X RETENTION $ WC STATU- 0TH- WORKERS COMPENSATION X TORY LIMITS ER AND EMPLOYERS'LIABILITY Y/N CWC0783863 N/A 02!01/13 02/01114 E.L.EACH ACCIDENT $ 100,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 100,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) The City of Oshkosh and its officers, council members, agents, employees and authorized volunteers are included as additional insureds on the General Liability Policy per Blanket Additional Insured Endorsement, Form CS 00 06 (12-06) . CERTIFICATE HOLDER CANCELLATION CITOSHI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Oshkosh Attn: City Clerk 215 Church Ave AUTHORIZED REPRESENTATIVE Brian Reimer P.O. Box 1130 Oshkosh,WI 54903 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD