HomeMy WebLinkAboutVidmar Roofing, Inc/WWTP . ,
. �
CONTRA C TOR A GREEMENT.•
WWTP L/FT STAT/ONS ROOF REPLACEMENTS
THIS AGREEMENT, made on the 27T" day of August, 2014, by and between the
CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and
VIDMAR ROOFING, INC. 6270 S. MARTIN ROAD, NEW BERLIN, WI 53146„
hereinafter referred to as the CONTRACTOR,
WITNESSETH:
That the City and the Contractor, for the consideration hereinafter named, enter
into the following agreement. The Contractor's proposal is attached hereto and
reflects the agreement of the parties except where it conflicts with this agreement, in
which case this agreement shall prevail.
ARTICLE I. PROJECT MANAGER
A, Assignment of Project Manager. The Contractor shall assign the following
individual to manage the project described in this contract:
(Shaun Vidmar, President, Vidmar Roofing Inc.)
B. Changes in Project Manager. The City shall have the right to approve or
disapprove of any proposed change from the individual named above as Project
Manager. The City shall be provided with a resume or other information for any
proposed substitute and shall be given the opportunity to interview that person prior to
any proposed change.
ARTICLE II. CITY REPRESENTATIVE
The City shall assign the following individual to manage the project described in this
contract:
(Steve Brand — Public Works Utility Bureau Manager)
ARTICLE III. SCOPE OF WORK
The Contractor shall provide the services described in the City's July 10, 2014
"Project Manual 2014 Roof Replacement Northside Lift Station & Chemical Building,
Lakeview Lift Station, 28th Avenue Lift Station" bid specifications prepared by SEG
(Project No. 13067) and the Bid Form of the Contractor dated attached as Exhibit A.
If anything in the Bid Form conflicts with the Bid Specifications, the provisions in the
Bid Specifications shall govern.
1
The Contractor may provide additional products and/or services if such
products/services are requested in writing by the Authorized Representative of the
City.
ARTICLE IV. CITY RESPONSIBLITIES
The City shall furnish, at the Contractor's request, such information as is needed
by the Contractor to aid in the progress of the project, providing it is reasonably
obtainable from City records.
To prevent any unreasonable delay in the Contractor's work the City will
examine all reports and other documents and will make any authorizations necessary
to proceed with work within a reasonable time period.
ARTICLE V. TIME OF COMPLETION
The work to be performed under this contract shall be completed by December
31 , 2014.
ARTICLE III. PAYMENT
A. The Contract Sum.
The City shall pay to the Contractor for the performance of the contract the sum of
534,680, adjusted by any changes hereafter mutually agreed upon in writing by the
parties hereto.
Fee schedules shall be firm for the duration of this Agreement.
B. Method of Payment. The Contractor shall submit itemized monthly
statements for services. The City shall pay the Contractor within 30 calendar days
after receipt of such statement. If any statement amount is disputed, the City may
withhold payment of such amount and shall provide to Contractor a statement as to
the reason(s) for withholding payment.
C. Additional Costs. Costs for additional services shall be negotiated and set
forth in a written amendment to this agreement executed by both parties prior to
proceeding with the work covered under the subject amendment.
ARTICLE IV. CONTRACTOR TO HOLD CITY HARMLESS
The Contractor covenants and agrees to protect and hold the City of Oshkosh
harmless against all actions, claims and demands of any kind or character whatsoever
which may in any way be caused by or result from the intentional or negligent acts of
the Contractor, his agents or assigns, his employees or his subcontractors related
however remotely to the performance of this Contract or be caused or result from any
2
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.
ARTICLE V. INSURANCE
The Contractor shall provide insurance for this project that includes the City of
Oshkosh as an additional insured. The specific coverage required for this project are
identified in the City's July 10, 2014 "Project Manual 2014 Roof Replacement
Northside Lift Station & Chemical Building, Lakeview Lift Station, 28th Avenue Lift
Station" bid specifications prepared by SEG {Project No. 13067).
ARTICLE VI. TERMINATION
4
A. For Cause.
If the Contractor shalt fail to fulfill in timely and proper manner any of the obligations
under this Agreement, the City shall have the right to terminate this Agreement by
written notice to the Contractor. In this event, the Contractor shall be entitled to
compensation for any satisfactory, usable work completed.
B. For Convenience.
The City may terminate this contract at any time by giving written notice to the
Contractor no later than 10 calendar days before the termination date. If the City
terminates under this paragraph, then the Contractor 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.
3
In the Presence f: CONTRACTOR /CONSULTANT
� �
By:
{�Y�e S�a�e � �
(Seal of Contractor (Specify Title)
if a Corporation.)
By:
(Specify Title)
CITY OF OSHKOSH
� gy. �.—
C'" l '�� 1 Mark A, ohloff, City Manager
, (Witn s) _ �
� _._.
/ , '. __.
�% / ,'L/ � � � An d.
�_ , _ ���
(Witness) � Pamela R. Ubrig, City Clerk �
APPROVED: I hereby certify that the necess-
ary provisions have been made to
' pay the liability which will accrue
under this contract.
City At
,
��I��4 f�� v�l`.��,��,'���-�
City Comptroller
4
� � � � �X,�i/�� .4
SECTION 004100
BID FORM
THE PROJECT AND THE PARTIES
'1,01 TO:
�ity of Oshkosh
City Manager c/o City Clerk's Office-Room 215
215 Church Avenue
Oshkosh, Wisconsin 54903
i.02 FOr�(�rZf3JECT):
13067 VaROUS Lift Stat�ons Roof Replacement 2014
1.03 BID DUE DATE: THURSDAY,AUGUST 7, 2014 AT 10:OOA.M.
1.04 �UBiVMETTED BY: (6i��EFc TO ENTE�tvk�v'fE rRN�E,DC3rfcE�S}
A. Bidder's Full Name �f�� ��^ 'J\���f �j��- �
1. Address � � �U �- / '��-��`��'! �� �
n � � r � �
2. City, State, Zip %V�`�`� �'-a.`� i'��1 , V" �- � ,' � ���
3. Phone: r.�t,��� ` I � � " � J C�U
4. Fax: � � � �- �� 1 "' U���
,
5. Email: �t° ��l"'���`Ir� C1 � ��' �1 � �`r� EB�a'1
0
1.05 BASE BfD
A. Roof Work on Roof Areas 1 and 2 at Northside and Roof Area 1 at Lakeview and 28th Avenue
Lift Stations.
B. Having examined the Place of The Work and all matters referred to in the instructions to
Bidders and the Contract Documents prepared by the Consultant for the above mentioned
project, we, the undersigned, hereby offer to enter into a Contract to perForm the V'Jork for the
Sum of:
T�'1 I�" �U�( (�" �1r1 u c�( �cc� � i�C �k��I'�'P_,e,�'
) r �, v ...v
� � ���/ I,�� l I�� s �� �� dollars.
($ � �� � v �• � � ), in lawuful money of the United States of America.
C. We have included the required securitydeposit as required by the Instruction to Bidders.
D. All applicable federal taxes are excluded and State of Wisconsin taxes are excluded from the
Bid Sum.
13067/Co0 Various Lift Stations 2014 004100- 1 BID FORM
1.06 ACCEPTANCE
A. This offer shall be open to acceptance and is irrevocable for thirty days from the bid closing
date.
B. If this bid is accepted by Owner within the time period stated above, we wiil:
1. Commence work on or after contract award.
1.07 CONTRACT TIME
A. Complete the Work by Friday, October 31, 2014.
1.08 CHANGES TO THE WORK
A. When the Consultant estabiishes that the method of vaivation for Changes in the Work will be
net cost pl�s a percentage fee in accordance with Genera! Conditions, our percentage fee wil!
be:
1. � � % percent overhead and profit on the net cost of our own Work;
2. $ ! F �'a' Tima (per man hour).
1.09 ADDENDA
A. The following Addenda have been received, The modifications to the Bid Documents noted
below have been considered and all costs are included in the Bid Sum.
1. Addendum# � Dated ��l�' �S ��f�
2. Addendum# Dafed
1.10 BtD FORM SUPPLEMENTS
A. The following information is included with Bid submission:
B. The following Suppiements are attached to this Bid Form and are considered an in�egral pari of
this Bid Form:
1. Document 004336-Subcontractors: Include the names of all Subcontractors and the
portions of the Work they will pertorm.
13067/Co0 Various Lift Stations 2014 004100-2 BID FORM
1.11 BID FORM SIGNATURE(S)
A. The Corporate Seal of
Vidmar Roofing Inc.
6270 S Martin.Rd
New Berlin, WI 53151 ;
(Bidder-print the full name of your firm)
was hereunto affixed in the presence of:
�,��'� �`" � L' f� l�6 �
�-..�., f t'� 5 �t
(Authorized signing officer, Title)
(Seal)
� f
\�R � ` 1
� ���s � � �-/� `�
(Authorized signing officer, Title)
1.12 IF THE BID IS A JOINT VENTURE OR PARTNERSHIP,ADD ADDITIONAL FORMS OF
EXECUTION FOR EACH MEMBER OF THE JOINT VENTURE IN THE APPROPRIATE FORM
OR FGRf�IS AS ABOi/E.
EIVD OF B(D FORM
13067/Co0 Various Lift Stations 2014 004100-3 BID FORM
SECTION 004336
PROPOSED SUBCONTRACTORS FORM
PARTICULARS
1.01 HEREWITH IS T LIST OF�16CONTRACTORS REFERENCED IN THE BID SUBMITTED BY:
1.U2 (BIDDER) �f 1(e�"" �•��G�t' �i c�-
1.03 TO (OWNER) CITY OF OSHKOSH
1.04 THE FOLLOWING WORK WILL BE PERFORMED(OR PROVIDED) BY SUBCONTRACTORS
AND COORDINATED BY US:
LIST OF SUBCONTRACTORS
�.01 WO�K�J�.�ECT...............?...:.�.�..�...��....SJ��JtvT�;C?O� N;�."E
A�DRESS
PHONE Fqy
2.02 W��K SUBJECY...........n'V.�1..�...SU�CC�NTRACTOR NEIfVfE
ADDRESS
PHONE FqX
EN� OF SUP�LEMENT A
13067/Co0 Various Lift Stations 2014 004336- 1 PROPOSED SUBCONTRACTORS FORM
WEST BEND
A MUTUAL INSURANCE COMPANY'
Bond Number z�5ssss
Bid Bond
KNOW ALL BY THESE PRESENTS, That We, Vidmar Roofing,Inc. as Principal,
and WEST BEND MUTUAL INSURANCE COMPANY, a corporation organized under the laws of the Sfate of Wisconsin
and having its principal office in Middleton, Wisconsin, in said State, as Surefy, are held and firmly bound unfo
City of Oshkosh, P.O.Box 1130,Oshkosh,WI 54903 as Owner, in the fufl and just sum of
Five Percent ( 5 %) of amount bid for the payment
whereof said Principal binds its heirs, administrators, and executors and said Surety binds itself, its successors
and assigns firmly by these presents
WHEREAS, said Principal has submitted to said Owner a bid or proposal for
Roof replacement-3155 County Road A; 1601 Menominee Dr; 117 W.28th Ave.
NOW THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH that if within Sixty days hereof and in
accordance with said proposal a contract shall be awarded to said Principal and the said Principal shall enter into a
contract for said work and shall furnish bond with surety as required for its faithful performance then this obligation
shall be void, otherwise remain in fuli force and virtue.
Signed and Sealed this s day of Au9ust , 20 �a
Principal:
Vidmar Roofing�(na �- ; c f-,
E
�� � (SEAL)
; , `- BY: .«����r�
Witness: � -° %���� /� Na e Typed: Shawn Vidmar President
� Title
S u rety:
West Bend Mutuai Insur�ompany
� � B�-G1'�Y/� �(�✓C-/C.�it� (SEAL)
Witness: �%t�v Name T 2d:PEGGY T -� - -
Yp AUSCHER Attorney�n Fdct
Title
Agency Name: MID-STATE INSURANCE
Address: 7105 W MEQUON RD
MEQUON ,WI 53092
Phone Number: (262)241-0550
MICHIGAN ONLY: This poficy is exempt from the filing requirements of Section 2236 of the Insurance Code of 1956,
1956 PA 218 and MCL 500.2236.
NB 0192 02 OS Page 1 of 1
8401 Greenway Blvd. Suite 1100 � Middleton, WI 53562 � Phone: (608)410-3410 � Fax: (877)674-2663 � www.thesilverlining.com
W E S T B E N D 2156655
A MUTUAI WSURANCE COMPANY`-
Power of Attorney
Know all men by these Presents, That West Bend Mutual Insurance Company, a corporation having its principal office in
the City of West Bend, Wisconsin does make, constitute and appoint:
PEGGY TAUSCHER
lawful Attorney(s)-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, undertakings and contracts of suretyship, provided that no bond or undertaking or contract of,suretyship
executed under this authority shall exceed in amount the sum of: Four Hundred Thousand Dollars($400,000)
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following
Resolution adopted by the Board of Directors of West Bend Mutual Insurance Company at a meeting duly called and held
on the 21 st day of December, 1999.
Appointment of Attorney-In-Fact. The president or any vice president, or any other officer of West Bend Mutual Insurance
Company may appoint by written certificate Attorneys-in-Fact fo act on behalf of the company in the execufion of and
attesting of bonds and undertakings and ofher written obligatory instruments of like nature. The signature of any officer
authorized hereby and the corporate seal may be affixed by facsimile to any such power of attorney or to any certificate
relating therefore and any such power of attorney or certificafe bearing such facsimile signatures or facsimile seal shall
be valid and binding upon the company, and any such power so executed and certified by facsimile signatures and
facsimile seal shall be valid and binding upon the company in the future with respect to any bond or undertaking or other
writing obligafory in nature to which it is attached. Any such appointment may be revoked, for cause, or withouf cause,
by any said officer at any time.
In witness whereof, the West Bend Mutual Insurance Company has caused these presents to be signed by its president
undersigned and its corporate al to be hereto duly aftested by its secretary th�s 1 st day of_(Vlarch, 2009.
Attest , J;��p'i"inis�'•••..
/
•��•" '�'�;•.. �,✓�.. � ,__ ,
Ja e J. Pa ����rE���`� Kevin A. Steiner
:���. .�:
Se tary :��; SEAL ��t�; Chief Executive Officer/President
;�`,�, g;g.
'•.?�'••. G.p:•`Y;.
State of Wisconsin . �!'�ror�,.:� .
County of Washington ,,,,,,,,
On the 1st day of March, 2009 before me personally came Kevin A. Steiner, to me known being by duly sworn, did
depose and say that he resides in the County of Washington, State of Wisconsin; that he is the President of West Bend
Mutual Insurance Company, the corporation described in and which executed the above instrument; that he knows the
seal of the said corporation;that the seal affixed fo said instrument is such corporate seal; that is was so affixed by order
of the board of directors of said corporation and that he signed..his name thereto by like order.
:��o?N'E.'.DU��<<: � .
�*;� NOTARY ;*`: John� well �
:.�':. PUBLIC ,�?� Executive Vice President-Chief Legal Officer
���'�F���........ ...::��'���'� Notary Public,Washington Co. WI
''•••�R�y�SG�' My Commission is Permanent
The undersigned, duly elected to the office stated below, now the incumbent in West Bend Mutual Insurance Company, a
Wisconsin corporation authorized to make this certificate, Do Hereby Certify that the foregoing attached Power of
Attorney remains in full force effect and has not been revoked and that the Resolution of the Board of Directors, set forth
in the Power of Attorney is now in force.
Signed and sealed at West Bend, Wisconsin this 6 day of August 2o1a
. J����U`"••.
:�.��:.:..... .�����. �� /�._
GORPORATF'�:�`
� ��:
:►-�.y $F,AT, y:�: Dale J. Kent
`���'•`k ����' Executive Vice President-
,•.'�.'... co:.:•�;.
'••. �����' • Chief Financial Officer
NOTICE:Any questions concerning this Power of Attorney may be directed to the Bond Manager at NSI,a division of West Bend Mutual Insurance Company
8401 Greenway Blvd. Suite 1100 � P.O. Box 620976 � Middleton,WI 53562 � ph (G08) 410-3410 � www.thesilverlining.com
��'� VIQMA-1 OP ID: PT
'`�`�..°R°� CERTIFtCATE QF LIABILITY INSURANCE DATE(MMlDDIYYYY)
08/21/14
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE HOLdER. THIS
CERTIFfCATE OOES NOT AFFtRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER TNE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CON[TRACT BETVYEEN THE IS5UING INSURER(S), AUTHOR{ZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificafe holder is an ADDiTIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVEO,subject to
the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in Ileu of such endorsement s.
PRODUCER 262-241-0550 NpM�ACT
Mid-State Financial Services 262-241-0515 PHONE Fnx
7105 W Mequon Rd,P�Box S50 A/C No Ext: NC No:
Mequon,WI 53492 E•MAIL
Joseph LaBarbera AUORESS:
INSl1RER S AFFORDING COVERAGE NAIC#
�r,suReR a:West Bend Mutua!Insurance Co. 15350
INSURED Vidmar Roofingt II1C. INSURER B:E�[Q IflSUi'$fICE COI'Tlp8f) 26263
At#ention Shawn
6270 S.MarEin Road INSURER C:
New Berlin,WI 53146 INSURER d:
INSURER E:
INSURER F:
COVERAGES CERTtFICATE NIfMBER: REVfSION NUMBER:
THIS IS TO CERTIFY TtiAT THE POLfCIES OF INSUfiANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TNE POLICY PERIOD
lNDICATED. NOTWITHSTANDINCs ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR �THER QOCUMENT WfTH RESPECT 70 WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED NEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMfTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR A�DL U POUGY EFF POLICY EXP
LTR TYPE OF INSURANCE POLICY NUMBER MMlDD/Y Mb1f�DN LIMI75
GENERALLIqBILJTY EACHOCCURRENCE $ 1,000,00
A X COMMERCIAL G£NERAL LL4BILITY X CPV 0637759 01/0'1/'}4 01/03/15 pREM1SES Ea oaurrence S z00,0a
CLAIMS-MADE �OCCUR MED EXP(Any one person) E �O,OQ
PERSONALBADVINJURY 5 1,QOO,00
GEMERAL AGGREGATE $ Z,OOO,OO
GEN'L AGGREGATE LIM1T APPLIES PER: PRpDUCTS-COMPlOP AGG S 2,000,00
POLICY X PR� LOC S
AUTOMOBILE LIABILJTY COMBINED SINGLE lIM1T
Ea accider�t�_ g 1,000,00
B X ANY AUTO X Q08 0630319 08/06/14 08/06/�5 BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODtLY INJURY(Peraccideni $
AUTOS AUTOS )
HIRED AUTOS NON-OWNE� PROPERTY DAMAGE
AUTOS Peracdaent S
5
X UMBRELLA UAB X OCCUR FACH OCCURRENCE 5 2,000,00
A IXCESSLIAB ��y���E CU1/2U58197 01/01114 0'�/0�/�5 qGGREGA7E S Z��0�,00
DED X RETENTIONS Waived S
WORKERS COMPENSATtON WC STATU- OTH-
AN�EMPLOYERS'LIASIL(TY Y f N I
ANY PROPRIETOR/PARTNEWEXECUTIVE
E.L EACHACCIDENT i
OFFICEWMEMBER EXCLUOED? N�a
(Mandatory in NH) E.L DISEASE-EA EMPLOYEE S
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L,DISEASE-POLICY LIMIT S
PESCR1PilON OF OPERAiIONS/LOCAT10N5 7 VEHiCLES (Attach ACORD 101,Atltlitional Remarks Schetlule,H more space Is requlred)
FOR BID PURPOSES OI1LY. RE: 2014 Various Roo£ Replacement Northside Lift
Station, and Chemical Bldg, Lakeview Lift Station, 28th Ave Lift Station.
The City of Oshkosh, and its officers, council members, agents, employees,
and authorized volunteers are named as additional insureds on the General
Liability per forms CG2010Z and CG2037 attached and endorsed on the Auto
CERTIFICATE HOLOER CANCELLATION
OSHKOSN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CI Of OShkOSh '�� EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN
ty ACCORDANCE WITH THE POLICY PRQVISIONS.
Attn:City Clerk
215 Church Avenue AUTHORIZEDREPRESENTATNE
PO Box 1130
Oshkosh,Wt 54903-9130 ��9�/Lf �-�.�.�o��w�v
' 0
�O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
NOTEPAD. HOLDERCOOE OSHKOSH VIDMA-1 PAGEz
INSURED'S NAME Vidmar Roofing,Inc. OP ID:PT OATE 08121/14
Liability A 30 day notice of cancellation appliese except 10 days for
non-payment of premium.Umbrella is following form.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAO lT CAREFULLY.
ADDITiONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATI4N
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Additional Insured Person(s)Or Organization(s):
City of Oshkosh, a.nd its officers, council members, agents,
employees, and authorized volunteers
Location(s)of Covered Operations:
Per contract.
Informat+on required to compiete this Schedufe, if not shown above,will be shown in the Declarations.
A. Section il —Who ts An Insured is amended to a. The preparing, approving, or failing to
include as an additional insured the person(s} or prepare or approve maps, drawings,
organizafion(s) shown in the Schedufe, but only opinions, reports, surveys, cha�ge orders,
with respect to fiabili#y for"bodily injury', "properry designs or specifications;and
damage" or "personal and ad�ertising injury" b. Supervisory, inspection, or engineering
caused,in whole or in part, by: services.
1. Your acts or omissions;or g. W(th respect to fhe insurance afforded to these
2. The acts or omissions of thase ac#ing on your additional insureds, the following additional ex-
behalf; clusion applies:
in the performance of your ongoing operations 7his insurance does not apply to"bodily injury"or
for the additional insured(s) at the focation(s) "proper#y damage"occurring after:
designated above. TE�ere is no coverage for 1, A11 work, including materials, parts or equip-
the additional insured for "bodily injury", ment furnished in connection with such work
"property damage" or "personal and advertis- on the project (other fhan service, mainte�
ing injur�'arising out of the sole neg{igence of nance or repairs) to be performed by or on
the additionai insured or by those acting on behalf of the adciitional insured(s) at the loca-
behalf of the additional insured. tion of the covered operations has been com-
If the name of the person or organization pleted;or
stated above includes any architect, engineer Z, That portion of "your work" out of which the
or surveyor,fhe following appties: injury or damage arises has been put to ifs
The insurance with respect to such archi- intended use by any persan or organization
tects, engineers, or surveyors does not other than another contractor or subcontractor
apply to"bodily injury," "property damage," engaged in performing operations ior a princi-
or"personaf and advertising injury" arising pal as a part of the same project.
out of the rendering of or the failure to
render any professionaf services by or for
you, including:
Contains material copyrighted by ISO,with its permission.
CG 20 10 Z 07 04 West Bend Mutua! Insurance Company Page 1 of'{
West Bend,Wisconsin 53095
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional insured Person{s)Or Organization{s):
City of Oshkosh, and its officers, council members, agents,
employees, and authorized voZunteers
Location And Descrlption Of Completed Operations
Per contract,
Information required to complete this Schedule,if not shown above,wiii be shown in the Declarations.
Section II — Who ts M lnsured is amended to
include as an additional insured the person(s) or
organiza#ion(s) shown in the Schedule, but only with
respect to liability for"bodity injury"�r"property dam-
age" caused, in whole or in part, by "your work" at
the location designated and described in the sched-
ule of this endorsement performed for that additional
insured and included in the "products-completed
operations hazard",
CG 20 37 07 04 O ISO Properties, Inc.,2004 Page 1 of 1
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u Debt Rating 9 100 Erie Insurance Place cosmpan es p�cy ����A
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i Rating: A+(Superior) , O�ce:A.M.Best Company,Oldwick NJ
Regulatory Affairs v Affiliation Code: Pooled �
� P( ) i Senior Financial Analyst:Kenneth E.Tappen
Support 8.Resources „ j Financial Size Category: XV($2 Biliion or greater) I Vice President:Richard Attanasio I
Conferences and Events w � ------ -- ___—I
I Outlook: Stable
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i Effective Date: June 12,2014 I Disclosure Information
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I Action: Affirtned ;
;/Vrew Raling Definitions � ' � Effective Date: June 12,2014 �
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'— u Denotes Under ReviewBesPs Ra6na
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Report Revision Date:6/26l2014(represents the latest significant change).
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• Sinale Companv-five years of financial data specifically on this company.
• Comparison
-side-by-side financial analysis of this company with a peer group of up to five other companies you select.
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-evaluate[his company's financials against a peer group composite.Report displays both the average and total
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BesYs Insurance Reports-Online-P/C.US 8 Canada
BesYs Kev Ratinq 6uide-P/C US 8 Canada
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BesYs Executive Summary ReeoR-Comoosite-Property/Casualtv
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BesYs Statement File-Global
8esfs Requlatorv Center Market Share Reports
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n Best'S Credit Rating5+ AM.8ert M:000964 NAIC N:13S50 FEIN p:790696170
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n Awards and Recognitions �Financial Strength Rating View Defnition � I BesYs Credit Rating Analyst I
News&Analysis ,� Rating: A(Excellent) I Office:A.M.Best Company,Oldwick NJ �
Products 8 Services �� Financial Size X($500 Million to$750 ' Senior Financial Analyst:Adrienne Tortoriello I
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; Category: Million) Assistant Vice President:Jennifer Marshall,CPCU, �
Industry Information , � �
, Outlook: Stable ; ARM
Corporate , j Action: Affirmed j -- ----J
Regulatory Affairs r I Effective Date: May 01,2014
Support&Resources „ i Disclosure In(ormation
� Initial Rating Date: June 30,1922
Conferences and Events m � Vew A.M.BesPs Ratino Disclosure Statement
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�� � Action: Aff�rtned j
�w Advanced Search � Effective Date: May O7,2014 �
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i Initial Rating Date: April 03,2007 �
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� f AMB Credit Report-inGudes BesPs Financial Strength Rating and retionale along with comprehensive analytical
,14'� commentary,detailed business overview and key financial data.
Report Revision Date:6/3l2014(represents the lalest significant change).
". Historical Reports are available in AMB Credit Reoort Archive.
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� BesYs Executive Summary Reports(Financial Overviev�-available in three versions,these presentation style
7'"� reports feature balance sheet,income statement,key financial pertormance tests inGuding profitabiliry,liquidity and
reserve analysis.
Data Status:2014 Best's Statement File-P/C,US Contains data compiled as of 8/20/20t4 o�airty cross cneckea.
• Sinale Companv-five years of financial data specifically on this company.
• COiTIp2f150�
-side-by-side financial analysis of this company with a peer group of up to five other companies you select.
• Comoosite
-evaluate this company's financials against a peer group composite.Report displays both the average and total
composite of your selected peer group.
� BesYs Kev Ratinq Guide Presentation Report-inGudes BesYs Financial Strength Rating and financial data as
.,r provided in the most current edition of BesYs Key Rating Guide produds.�a�aiay cross cnecked�.
Financial and Analytical Products
BesYs Insurance Reports-Online-P/C,US&Canada
BesYs Kev Ratinq Guide-P/C.US 8 Canada
BesPs Statement File-P/C.US
BesPs Executive Summarv Reqort-Composite-Propertv/Casualtv
BesYs Executive Summarv Report-Comparison-Propertv/Casualtv
Besfs Statement File-Global
BesPs Requlatorv Center Market Share Reports
BesYS Stale Line-P/C.US
BesPs Corporate Chanqes and Retirements-P/C.US/CN
BesYs Insurance Expense Exhibit(IEEI-P/C.US
Besfs Schedule P(Loss Reservesl-P/C,US
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