HomeMy WebLinkAboutSpeedy Clean Drain & Sewer 1/26/2015 �
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. Bill Peotter Date: January 26, 2015
Speedy Clean Drain & Sewer Sub�ect: Executed Agreement
1380 Earl Street Sanitary and Storm Sewer Main and
Menasha, WI 54952 Lateral Televising for 2015 Capital
Im rovement Pro'ects
Please find: � Attached ❑ Under Separate Cover
❑ Copy of Letter � Contracts ❑ Amendment ❑ Report ❑ Agenda
❑ Meeting Notes ❑ Photos ❑ Mylars ❑ Change Order ❑ Plans
❑ Specifications ❑ Estimates ❑ Diskette ❑ Zip Disk ❑ Other
Quantit Description
1 Executed A reement
These are being transmitted as indicated below:
❑ For Approval � For Your Use ❑ As Requested ❑ For Review 8� Comment
Remarks:
Enclosed is a copy of the executed agreement for the 2015 CIP sanitary and storm sewer main and
lateral televising. Please reference Res. No. 15-13 on all of your invoices.
If you have any questions, please contact us.
City Attorney's Office—Copy
City Clerk's Office —Original
cc: _ File—Original Signed:
Trac . aylor
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AGREEMENT
This AGREEMENT, made on the 2l ST day of -�1�►� , 2015, by
and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as
CITY, and SPEEDY CLEAN DRAIN & SEWER, 1380 Earl Street, Menasha, WI 54952,
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 SANITARY AND STORM SEWER MAIN AND
LATERAL TELEVISING FOR 2015 CAPITAL IMPROVEMENT PROJECTS.
ARTICLE I. PROJECT MANAGER
A. Assignment of Project Manager. The CONSULTANT shall assign the
following individual to manage the PROJECT described in this AGREEMENT:
Bill Peotter-�,r�_Si�,�„�,�-
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:
Justin Gierach, E.I.T. -Civil Engineer
ARTICLE tll. SCOPE OF WORK
The CONSULTANT shall provide the services described in the CITY'S Request
for 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.
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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. 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 reaspnable time period.
ARTICLE VI. 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 CITY's Request for
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, o� discovery of any hazardous substances or differing site
conditions. If the delays resulting from any such causes increase the time �equired 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 VII. 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. CITY's Request for Proposa/ dated December 12, 2014 and attached
hereto
3. CONSULTANT's Proposa/dated January 2, 2015 and attached hereto
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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.
ARTICLE VIII. 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 $93,225 (Ninety-Three Thousand Two
Hundred Twenty-Five Dollars).
• Attached fee schedules shall be firm for the duration of this AGREEMENT.
B. Method of Payment. The CONSULTANT shall submit itemized monthly
statements for services. The CITY shall pay the CONSULTANT within thirty (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.
ARTICLE IX. 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.
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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 X. tNSURANCE
The CONSULTANT agrees to abide by the attached City of Oshkosh /nsurance
Requirements.
ARTICLE XI. 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 tater than ten (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 XII. 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 XIII. SUSPENSION DELAY OR INTERRUPTION OF WORK
CITY may suspend, delay, or interrupt the services of CONSULTANT for the
convenience of CITY. In such event, CONSULTANT's contract price and schedule shall
be equitably adjusted.
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ARTICLE XIV. 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: CONSU NT
�
By:
,
(Seal of Consultant �t
if a Corporation) (Specify Title)
By:
(Specify Title)
CITY OF OSHKOSH
By: �/��—� ��--/�r���" �"°�._._._..
(Witness) Mark A. R loff, City Manager
And:
(Witness) . ' , '
�' �j ect.l� �-��u.�
APPROVED: I hereby certify that the necessary provisions
� have been made to pay the liability which
will accrue under this AGREEMENT.
' A orney
����.�-C�oti�
City Comptroller
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DEPARTMENT OF PUBLIC WORKS
215 Church Avenue �
P.O.Box 1130 �
Oshkosh,Wisconsin 54903-1130
Fax((9 0)236 So6g OlHKOlH
ON THE WATER
December 12, 2014
Bill Peotter
Speedy Clean Drain& Sewer
1380 Earl Street
Menasha, WI 54952
RE: Request for Proposal for Sanitary and Storm Sewer Main and Lateral Televising for 2015 Capital
Improvement Projects
Dear Mr. Peotter:
The City of Oshkosh is hereby requesting proposals be submitted for sanitary and storm sewer main and lateral
televising of its 2015 Capital Improvement projects.
The proposal shall include at a minimum: related project experience and a breakdown of costs as requested in the
attached Scope of Services. The proposals will be reviewed for completeness and how well it is demonstrated
that the needs of the City of Oshkosh can be met. The award of this work will not be based solely on cost of the
proposal.
Questions regarding this request for proposal shall be emailed to me at � ierach cr,ci.oslikosh.wi.us (with the
subject heading of"2015 Sanitary and Storm Sewer Main and Lateral Televising RFP Questions")by 12:00 noon
on Thursday, December 18, 2014. The questions and appropriate responses will be distributed to all parties
receiving this Request for Proposals by 4:30 p.m. on Friday, December 19, 2014. Please submit four (4) copies
of the proposal to my attention no later than 4:30 p.m. on Friday, January 2, 2015. It is anticipated that award of
this agreement will be made by Wednesday, January 14, 2015. Please ensure you have the proper insurance
paperwork, so the award is not delayed.
Attached to this letter are copies of the Scope of Services, Proposal Cost Breakdown, Sample Standard
Engineering Services Agreement, and Insurance Requirements. The information contained within these
attachments shall become a part of the Agreement with the Consultant selected to perform these services.
If you have any questions, please do not hesitate to contact us.
Sincerely,
J stin Gierach, E.I.T.
Civil Engineer
JG/tlt
Enclosures
cc: David C. Patek,P.E.,Director of Public Works
Steven M. Gohde,P.E.,Assistant Director of Public Works
Peter Gulbronson,P.E., C.D.T, Civil Engineer Supervisor
File
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DEPARTMENT OF PUBLIC WORKS
215 Church Avenue �
P.O.Box 1130 �
Oshkosh,Wisconsin 54903-1130
Ph.(920)236-5065 OlHKO1H
Fax(920)236-5068
ON THE WATER
December 16, 2014
RE: Request for Proposal for Sanitary and Storm Sewer Main and Lateral Televising for 2015 Capital
Improvement Projects
Dear Consultant:
The City of Oshkosh is hereby requesting proposals be submitted for sanitary and storm sewer main and lateral
televising of its 2015 Capital Improvement projects.
The proposal shall include at a minimum: related project experience and a breakdown of costs as requested in the
attached Scope of Services. The proposals will be reviewed for completeness and how well it is demonstrated
that the needs of the City of Oshkosh can be met. The award of this work will not be based solely on cost of the
proposal.
Questions regarding this request for proposal shall be emailed to me at jg,ierach cr ci.oshkosh.wi.us (with the
subject heading of"2015 Sanitary and Storm Sewer Main and Lateral Televising RFP Questions")by 12:00 noon
on Thursday, December 18, 2014. The questions and appropriate responses will be distributed to all parties
receiving this Request for Proposals by 4:30 p.m. on Friday, December 19, 2014. Please submit four (4) copies
of the proposal to my attention no later than 4:30 p.m. on Friday, January 2, 2015. It is anticipated that award of
this agreement will be made by Wednesday, January 14, 2015. Please ensure you have the proper insurance
paperwork, so the award is not delayed.
Attached to this letter are copies of the Scope of Services, Proposal Cost Breakdown, Sample Standard
Engineering Services Agreement, and Insurance Requirements. The information contained within these
attachments shall become a part of the Agreement with the Consultant selected to perform these services.
If you have any questions,please do not hesitate to contact us.
Sincerely,
ustin Gierach, E.I.T.
Civil Engineer
JG/tlt
Enclosures
cc: David C. Patek, P.E.,Director of Public Works
Steven M. Gohde,P.E.,Assistant Director of Public Works
Peter Gulbronson, P.E., C.D.T, Civil Engineer Supervisor
File
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SCOPE OF SERVICES FOR SANITARY AND STORM SEWER MAIN AND
LATERAL TELEVISING
2015 CAPITAL IMPROVEMENT PROJECTS
1. The scope of this agreement consists of furnishing all labor, equipment, materials, electrical power, and
traffic control necessary to provide sanitary and storm sewer main and lateral televising as indicated
herein.
A. Approximately 29,000 feet of sanitary and storm sewer main and 375 laterals are anticipated for the
following 2015 Capital Improvement Program:
i. Contract 15-04
a. East Parkway Avenue(North Main Street to Bowen Street)
b. Mount Vernon Street(East Lincoln Avenue to Washington Avenue)
ii. Contract 15-OS
a. West New York Avenue (Spruce Street to Wisconsin Street)
b. East Custer Avenue(Broad Street to Bowen Street)
iii. Contract 15-07
a. West 6��'Avenue(West Mason Street to South Sawyer Street)
b. Fairlawn Street(South Park Avenue to Florida Avenue)
c. West South Park Avenue(Georgia Street to Fairlawn Street)
d. Nebraska Street(West 5`�'Avenue to West 8�'Avenue)
e. West 12`h Avenue(Knapp Street to Rugby Street)
iv. Including at least one (1) parcel on all cross streets and ends, which may include more than one
main line segment. All laterals in a segment shall be televised.
2. The City of Oshkosh will perform the following tasks:
A. Provide an engineering staff inember to assist in locating all manholes.
B. Pre-clean sanitary sewer mains.
i. The City will clean the first time, if a second cleaning is required, the Consultant shall be on site
to ensure enough cleaning has been completed for the necessary videoing operations (Consultant
would assist with videoing while cleaning is being done).
C. Provide initial notification to property owners of televising work that will be taking place.
3. Television Inspection
A. The Consultant shall furnish all labor, equipment, and materials necessary to perform closed circuit
television inspection of sanitary and storm sewer main line and laterals within designated main line
sections.
B. Laterals shall be televised as far as possible. If the lateral camera cannot go further than ten feet(10')
beyond the road right-of-way (usually back of sidewalk), then the Consultant shall make
arrangements with the property owner to televise the remaining portion of the lateral from inside the
building.
C. The Consultant shall have access to the equipment necessary to perform televising in mains less than
twenty-seven inches (27") in size for the sanitary and thirty-six inches (36") in size for the storm
sewer.
D. The view seen by the television camera shall be transmitted to a monitor located inside a mobile TV
studio, which has the capabilities to produce a DVD copy. The Consultant's mobile studio shall be
large enough to accommodate up to three (3)people for the purpose of viewing the monitor while the
inspection is in progress. The City shall have access to view the television screen at all times.
E. Televising shall be in compliance with NASSCO's PACP.
F. Technicians shall be PACP-certified by NASSCO. Consultant shall submit verification of
certification prior to commencing work.
G. Provide five(5)working days notice to the City prior to commencing work.
H. Provide three (3) working days notice to the City if sanitary and storm sewer mains cannot be
accessed and need to be cleaned.
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4. Display
A. The "Work Order" shall consist of the following information and shall be displayed at the beginning
and end of the segment. The Work Order shall be displuyed for a minimum of fifteen (15) seconds or
as long as it takes to say the information at the beginning. This Work Order shall be displayed once
again at the end of the segment for a minimum of five (5) seconds. The computerized voice shall not
be used for the beginning and ending Work Order information.
Work Order Displav—Laterals
Address
Manhole ID that main line camera is in
Distance from manhole
Sewer Lateral Type"Sanitary Lateral"
Weather
Date
Name of Technician
Work Order Displav—Main line
Tag-ID#: (both manholes ID#'s_date)
City:
Street Block:
Upstream MH: ID#
Downstream MH: ID#
Camera Direction:
Sewer Use:
Weather:
Date:
Name of Technician:
Comments:
The counter and date shall be displayed for the entire length of the segment. The Consultant shall display
all incidents for a minimum of five (5) seconds. The computerized voice also may not be used for
incidents.
5. Folder and File Naming
A. Files should be organized per street with the Folder titled as follows: "Street Name" (i.e. West 24`�'
Avenue).
B. Within the street name, there shall be a manhole segment folder containing the mainline inspection
report and each lateral report within a particular segment.
C. Each lateral shall be an individual folder within the manhole segment folder and shall be titled as
follows: "Building Address—lateral distance at the main from manhole MH manhole#" (i.e. 564 W
24`h Ave—251ftMH0821).
D. Each lateral folder shall contain both the lateral report and video footage of the particular Building
Address.
E. Alternates to this filing system shall be approved by Engineer.
6. Project Deliverables
A. Schedule of Project Deliverables
i. Contract 15-04: March 13,2015 by 4:30 p.m.
ii. Contract 15-05: February 13,2015 by 4:30 p.m.
iii. Contract 15-07: April 2, 2015 by 4:30 p.m.
B. Main Line Inspection Report
i. The report shall include information consistent with NASSCO PACP.
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C. Lateral Inspection Report
i. The lateral report shall include the distance from manhole at the main; material type; any
transitions or restrictions in the pipe with their respective locations; repairs that have been done to
the pipe; locations of dips, cracks, roots, or any other defects; and locations of any
taps/connections. The report shall also include any other pertinent information found during
televising and information consistent with NASSCO PACP.
D. Video
i. The video recording shall be in a format viewable via Windows Media Player.
ii. See Paragraph 4 for video display requirements.
E. The Consultant shall deliver two (2) external hard drive copies by the dates indicated above. The
external hard drives will become the property of the City of Oshkosh. The cost of furnishing,
producing, programming, copying, and any other miscellaneous costs shall be included in the
proposed price for televising.
F. The Consultant shall also deliver two (2) bound copies of the reports organized per Contract and
street.
G. Provide lateral locations at the City of Oshkosh Right-of-Way(typically back of sidewalk). This is to
be done with a device capable of tracing the location of the camera head. The lateral location is then
to be marked where it crosses the right-of-way with a pink paint mark on the sidewalk and with a six
inch(6") survey stake pounded flush with the existing ground. A lath shall then be placed behind the
stake with the corresponding address written on it. The lath shall also be painted "pink" along with
the stake top. Once a block is coinpleted and located, contact the City so GPS shots can be taken.
7. Traffic Control
A. All streets are to remain open to traffic. The Consultant will be responsible to furnish all necessary
barricades, flares or flashers, flag persons, etc. to provide adequate traffic control and still maintain
the accesses as described herein. The signs shall conform to Sections 637 and 643 of the State of
Wisconsin Standard Specifications for Highway and Structure Construction.
8. Proposal Cost Breakdown
A. Sanitary Sewer Manhole Set-up(each)
i. Set-up cost to include any time and expenses required in order to gain entry into the sanitary
sewer manhole and travel through the sewer main.
ii. Should the Consultant televise multiple segments in a row from one (1) manhole, only one (1)
set-up will be considered. Estimated quantities are one(1)set-up per segment.
iii. This cost to also include mobilization, daily travel, and traffic control.
B. Sanitary Sewer Main Line Televising
i. Includes all costs associated with providing sanitary sewer main line television inspection as
described above.
C. Sanitary Sewer Lateral Launch(each)
i. Cost to include effort to launch lateral camera from main line camera into the sanitary sewer
lateral.
ii. Only one(1) launch per lateral done from the main will be paid.
D. Sanitary Sewer Lateral Televising(linear foot)
i. Cost to include televising of the sanitary sewer lateral from the main as described above.
ii. Cost to provide deliverables as described above.
E. Sanitary Sewer Lateral Televising from Inside the Building Set-up(each)
i. Set-up cost to include any time and expense required in order to gain entry into the sanitary sewer
lateral from inside the building.
ii. Only one (1) set-up per sanitary sewer lateral will be considered. Estimated quantities are
calculated as twenty-five percent(25%)of the anticipated Lateral Launches.
iii. Cost to include coordination with property owners and set-up.
F. Sanitary Sewer Lateral Televising from Inside the Building(linear foot)
i. Includes all costs necessary to televise the lateral from inside the building with same
requirements, including deliverables, as described above.
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ii. Cost to include coordination with property owners, footage, and deliverables.
iii. Estimated quantities are calculated as twenty-five (25%) of the estimated Lateral Footage
quantity.
G. Storm Sewer Manhole Set-up (each)
i. Set-up cost to include any time and expenses required in order to gain entry into the storm sewer
manhole and travel through the sewer main.
ii. Should the Consultant televise multiple segments in a row from one (1) manhole, only one (1)
set-up will be considered. Estimated quantities are one(1) set-up per segment.
iii. This cost to also include mobilization, daily travel, and traffic control.
H. Storm Sewer Main Line Televising
i. Includes all costs associated with providing storm sewer main line television inspection as
described above.
I. Storm Sewer Lateral Launch(each)
i. Cost to include effort to launch lateral camera from main line camera into the storm sewer lateral.
ii. Only one(1) launch per lateral done from the main will be paid.
J. Storm Sewer Lateral Televising(linear foot)
i. Cost to include televising of the storm sewer lateral from the main as described above.
ii. Cost to provide deliverables as described above.
9. AdditionalInformation
A. This agreement will be per the City of Oshkosh Agreement form only. A sample agreement form is
attached to this RFP.
B. All quantities in the cost breakdown are estimated and are not guaranteed.
C. The proposals will be reviewed for completeness and how well it is demonstrated that the needs of the
City of Oshkosh can be met. The award of this work will not be based solely on cost of the proposal.
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PROPOSAL COST BREAKDOWN FOR SANITARY SEWER LATERAL TELEVISING
2015 CAPITAL IMPROVEMENT PROJECTS
CONTRACT 15-04: EAST PARKWAY AVENUE/MOUNT VERNON STREET
ITEM DESCRIPTION UNIT EST. UNIT PRICE TOTAL PRICE
QTY.
1. Sanitary Sewer Manhole Set-up Each 74 $ $
Sanitary Sewer Main Line
2. Televising L.F. 12,300 $ $
3. Sanitary Sewer Lateral Launch Each 205 $ $
4. Sanitary Sewer Lateral Televising L.F. 8,200 $ $
Sanitary Sewer Lateral Televising ,
5. From Inside the Buildin Set-u Each 50 $ $
Sanitary Sewer Lateral Televising
6. from Inside the Building L.F. 2,050 $ $
7. Storm Sewer Manhole Set-up Each 32 $ $
8. Storm Sewer Main Line Televisin L.F. 6,600 $ $
9. Storm Sewer Lateral Launch Each 25 $ $
10. Storm Sewer Lateral Televising L.F. 900 $ $
SUB-TOTAL CONTRACT 15-04 $
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CONTRACT 15-05: WEST NEW YORK AVENUE/EAST CUSTER AVENUE
ITEM DESCRIPTION UNIT EST. UNIT PRICE TOTAL PRICE
QTY.
1. Sanitary Sewer Manhole Set-up Each 13 $ $
Sanitary Sewer Main Line
2 Televising L.F. 2,600 $ $
3 Sanitary Sewer Lateral Launch Each 75 $ $
4. Sanitary Sewer Lateral Televising L.F. 3,000 $ $
Sanitary Sewer Lateral Televising
5 From Inside the Buildin Set-u Each 15 $ $
Sanitary Sewer Lateral Televising
6. from Inside the Building L.F. 750 $ $
7. Storm Sewer Manhole Set-u Each 16 $ $
S. Storm Sewer Main Line Televisin L.F. 3,400 $ $
9. Storm Sewer Lateral Launch Each 10 $ $
10. Storm Sewer Lateral Televising L.F. 300 $ $
SUB-TOTAL CONTRACT 15-OS $
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CONTRACT 15-07: MISCELLANEOUS SANITARY RELAYS
ITEM DESCRIPTION UNIT EST. UNIT PRICE TOTAL PRICE
QTY.
1. Sanitary Sewer Manhole Set-up Each 22 $ $
Sanitary Sewer Main Line
2. Televising L.F. 4,300 $ $
3. Sanitar Sewer Lateral Launch Each 100 $ $
4. Sanitary Sewer Lateral Televising L.F. 4,400 $ $
Sanitary Sewer Lateral Televising
5. From Inside the Building Set-up Each 25 $ $
Sanitary Sewer Lateral Televising
6. from Inside the Building L.F. 1,100 $ $
SUB-TOTAL CONTRACT 15-07 $
I:�EngineeringU&I Work�Sxnitary Laterals\Teievising�?015\RFP�Proposal Cost Breakdown.doc Page 3 of 4
TOTALS
SUB-TOTAL CONTRACT 15-04 $
SUB-TOTAL CONTRACT 15-OS $
SUB-TOTAL CONTRACT 15-07 $
TOTAL PROPOSAL COST(15-04, 15-05, 15-07) $
I:�EngineeringV&I WorklSanitary La�erals\Televising�20151RFP�Proposal Cost Breakdown.doc Page 4 of 4
A GREEMENT
This AGREEMENT, made on the day of , 2015, by
and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as
CITY, and CONSULTANT'S NAME address , 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 SANITARY AND STORM SEWER MAIN AND
LATERAL TELEVISING FOR 2015 CAPITAL IMPROVEMENT PROJECTS.
ARTICLE I. PROJECT MANAGER
A. Assignment of Project Manager. The CONSULTANT shall assign the
following individual to manage the PROJECT described in this AGREEMENT:
Name —Title
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:
Justin Gierach, E.I.T. — Civil Engineer
ARTICLE lII. SCOPE OF WORK
The CONSULTANT shall provide the services described in the CITY'S Request
for 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.
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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. 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 VI. 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 CITY's Request for
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 VII. 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. CITY's Request for Proposal dated December 12, 2014 and attached
hereto
3. CONSULTANT's Proposal dated and attached hereto
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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.
ARTICLE VIII. 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 $
( Dollars).
• Attached fee schedules shall be firm for the duration of this AGREEMENT.
B. Method of Payment. The CONSULTANT shall submit itemized monthly
statements for services. The CITY shall pay the CONSULTANT within thirty (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.
ARTICLE IX. 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.
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
1:1Engineeringll&I Work\Sanitary LateralslTelevising12015\RFP\Sample Agreement Form_12-11-14.docx Page 3 of 5
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 X. INSURANCE
The CONSULTANT agrees to abide by the attached City of Oshkosh Insurance
Requirements.
ARTICLE XI. 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 ten (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 XII. 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 XIII. SUSPENSION DELAY, OR INTERRUPTION OF WORK
CITY may suspend, delay, or interrupt the services of CONSULTANT for the
convenience of CITY. In such event, CONSULTANT's contract price and schedule shall
be equitably adjusted.
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ARTICLE XIV. 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
By:
(Seal of Consultant
if a Corporation) (Specify Title)
By:
(Specify Title)
CITY OF OSHKOSH
By:
(Witness) Mark A. Rohloff, City Manager
And:
(Witness) Pamela R. Ubrig, City Clerk
APPROVED: I hereby certify that the necessary provisions
have been made to pay the liability which
will accrue under this AGREEMENT.
City Attorney
City Comptroller
I:1Engineering\I 8 I WorklSanitary Laterals\Televising�2015\RFP\Sample Agreement Form_12-11-14.docx Page 5 of 5
4/14/14
CITY OF OSHKOSH
INSURANCE REQUIREMENTS
III. PROFESSIONAL SERVICES LIABILITY 1NSURANCE REQUIREMENTS
The Contractor shall not commence work on contract until proof of insurance required has been
provided to the applicable City department before the contract or purchase order is considered for
approval by the City.
It is hereby agreed and understood that the insurance required by the City of Oshkosh is rip mary
coveraqe and that any insurance or self insurance maintained by the City of Oshkosh, its officers,
council members, agents, employees or authorized volunteers will not contribute to a loss. All
insurance shall be in full force prior to commencing work and remain in force until the entire job is
completed and the length of time that is specified, if any, in the contract or listed below whichever is
longer.
1. PROFESSIONAL LIABILITY
A. Limits
(1) $1,000,000 each claim
(2) $1,000,000 annual aggregate
B. Must continue coverage for 2 years after final acceptance for service/job
2. GENERAL LIABILITY COVERAGE
A. Commercial General Liability
(1) $1,000,000 each occurrence limit
(2) $1,000,000 personal liability and advertising injury
(3) $2,000,000 general aggregate
(4) $2,000,000 products—completed operations aggregate
B. Claims made form of coverage is not acceptable.
C. Insurance must include:
(1) Premises and Operations Liability
(2) Contractual Liability
(3) Personallnjury
(4) Explosion, collapse and underground coverage
(5) Products/Completed Operations must be carried for 2 years after acceptance of
completed work
(6) The qeneral aqqregate must apply separatelV to this proiect/location
3. BUSINESS AUTOMOBILE COVERAGE— If this exposure shall exist:
A. $1,000,000 combined single limit for Bodily Injury and Property Damage each accident
B. Must cover liabi�ity for Symbol #1 -"Any Auto"—including Owned, Non-Owned and
Hired Automobile Liability.
III - 1
4/14/14
4. WORKERS COMPENSATION AND EMPLOYERS LIABILITY— "If" required by Wisconsin
State Statute or any Workers Compensation Statutes of a different state.
A. Must carry coverage for Statutory Workers Compensation and an Employers Liability
limit of:
(1) $100,000 Each Accident
(2) $500,000 Disease Policy Limit
(3) $100,000 Disease— Each Employee
5. UMBRELLA LIABILITY - If exposure exists, provide coverage at least as broad as the
underiying Commercial General Liability, Watercraft Liability (if required), Automobile Liability
and Employers Liability, with a minimum limit of$2,000,000 each occurrence and $2,000,000
aggregate, and a maximum self-insured retention of$10,000.
6. ADDITIONAL PROVISIONS
A. Acceptabilitv of Insurers - Insurance is to be placed with insurers who have an A.M.
Best rating of no less than A- and a Financial Size Category of no less than Ciass VI,
and who are authorized as an admitted insurance company in the state of Wisconsin.
B. Additional Insured Requirements — The following must be named as additional
insureds on all Liability Policies for liability arising out of project work - City of
Oshkosh, and its officers, council members, agents, employees and authorized
volunteers. On the Commercial General Liability Policy, the additional insured
coverage must be ISO form CG 20 10 O7 04 or its equivalent and also include
Products — Completed Operations ISO form CG 20 37 07 04 or its equivalent for
a minimum of 2 years after acceptance of work. This does not apply to
Professional Liability, Workers Compensation and Employers Liability.
C. Certificates of Insurance acceptable to the City of Oshkosh shall be submitted prior to
commencement of the work to the applicable City department. These certificates shall
contain a provision that coverage afforded under the policies will not be canceled or
non renewed until at least 30 days' prior written notice has been given to the City Clerk
—City of Oshkosh.
III - 2
' A`°R°' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/WY)
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
hoider in lieu of such endorsement(s).
PRODUCER CONTACT
Insurance Agency contact NAME:
!n/ormation,induding street PHONE — �nsurance Agent's F�
address and PO Box if contact information. !yC.No:
AIC.No.Ext: ( )_
applicable. �-------��----- -- -� —�---------
E-MAIL
ADDRESS:
INSURER�AFFORDING COVERAGE I _____NAIC#
- --- -- -!- ----�
iNSUReR a: ABC insurance Company � NAIC#
---- -- ------- -..—_..-------- -------------- ----------------
INSURED Insured'scontactin/ormation,
lncluding name,address and INSURER B: XYZ If1SUf8IlC2 C01'TlpBflY____�_ NAIC# __
Pno�e��mna.. iNSUReR c: LMN Insurance Company NAIC#
INSURER D• Insurer(s)must have a minimum A.M.Bestreting ofA-
----------- and a Financial Performance Rating of VI or bettec -�-
INSURER E: �
INSURER F: I
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 AMY 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 j j ADDL;SUBR' j POLICY EFF POLICY EXP
LTR I TYPE OF INSURANCE i INSR ; WVD I POLICY NUMBER ! MM/DD/YYY � MM/DD/YYY � LIMITS
�GENERAL LIABILITY i j I, �EACH OCCURRENCE � $'I,OOO,OOO
I ! i j i � �' ;DAMAGETO RENTED �
i General LiabilR Po/ic Number ; Policy eHective and expiration date. ��
��COMMERCIAL GENERAL LIABILITY � � I ❑ y y • ;PREMISES(Ea occurrence) I $SO,OOO
� � � � � ! I � i
A � ❑��I.CLAIMS-MADE_�.�OCCUR � � I. �MEDEXP(Anyoneperson)_�_$5,��0
� I...------- i —
- — - -- � � -------
I� I50 FORM CG 20 37 OR EQUIVALENT I. i i I '�PERSONAL&ADV INJURY � $1,000,000
�-----...----------._....-------� ------- -- ---. ._._.
i❑�;____ _ _i �i I i i iGENERAIAGGREGATE I $Z,OOO,OOO
IGEN'LAGGREGATELIMITAPPLIESPER: � � I j ��ODUCTS-COMP/OPAGG I $2,000,000
I' �
��;❑iPOLICY�;PE�'��LOC i ! I ' � I I $
'AUTOMOBILE LIABILITY I � I fCOMB�NED SINGLE LIMIT
I-� � � � : j I(Eaaccident_ $1,000,000
I�IANY AUTO ( � ; � i Auto Liability Po/icy Number I Policy effective and expiration date. f BODILY INJURY(Per person) $
�-- - —
� �ALL OWNED SCHEDULED � ; ! � ' I
B �❑�AUTOS ��� AUTOS I i I � I ;�BODILY INJURY(Per accident) � $ _
NON-OWNED PROPERTY DAMAGE —�
�'❑-HIREDAUTOS;.���� � j I I
I i AUTOS ; i (Per accident) $
i ; � I_'---- �-----------
!�❑', '❑' ' ' ' ; ( � $
,
'��UMBRELLA LIAB��;OCCUR � i � � i i �EACH OCCURRENCE $Z,OOO,OOO
- ^ � � � I ,- --- ----- ------
A � CLAIMS-MADE !
i❑� •:❑i �' �Umbre/laLiabilityPol(cyNumber �. PolicyeHectiveandexpirationdate. �'�AGGREGATE $2,000,000
EXCESS LIAB
---� � i�--- ��--- —�—� ---
���,DED ��';,RETENTION5IO,OOO � � �� i � $
�WORKERS COMPENSATION ! ❑ j ❑ i � � ;�j WC STATU-�❑��� OTH-
C �AND EMPLOYERS'LIABILITY � ! � i i ;TORYLIMITS; j ER
iANY PROPRIETOR/PARTNER/EXECUTNE i � I
iOFFICE/MEMBER EXCLUDED? Y/N I � % I E.L.EACH ACCIDENT $�OO,OOO
� ; ,i Workers Compensation Policy , Po/icy eHective and expiration date.
j(Mandatory In NH) N ; ' ''� Number !
jlfyes,descnbeunder ! � ' � i 'E.i L.DISEASE-EAEMPLOYEE $�OO,���
,�DESCRIPTION OF OPERATIONS below ,,. ; � �� ! (E.L.DISEASE-POLICY LIMIT �, $SOO,OOO
A 'PROFESSIONAL LIABILITY � I i �$1,000,000 EACH CLAIM
I � � ' � j Pro�essionalLiabilityPolicy Po/icyeflectiveandexpirationdate. i$1,000,OOOANNUALAGGREGATE
! Numhnr
i
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required)
Additional Insureds per attached endorsements.
Certificates of Insurance acceptable to the City of Oshkosh shall be submitted prior to commencement of the work to the applicable City
department. These certificates shall contain a provision that coverage afforded under the policies will not be canceled or non renewed until at
least 30 days'prior written notice has been given to the City Clerk-City of Oshkosh.
CERTIFICATE HOLDER CANCELLATION
Clty of Oshkosh,Attn:City Clerk Insurance Standard lll SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
215 Church Avenue SAMPLE CERT/FICATE 7HE EXPIRATION DATE,THEREOF,NOTICE WILL BE DELIVERED IN
PO BoX 1130 ACCORDANCE WITH THE POLICY PROVISIONS.
Oshkosh,WI 54903-1130 P�ease indicate somewhere on this
certificate,the contract or project# AUTNORIZED REPRESENTATIVE
this certificate is for.
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional insured Person(s)
Or Or anizatior� s : Location s Of Covered O erations
As required by contract Any and all job sites
Information re uired to com lete this Schedule, if not shown above,will be shown in the Declarations.
A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these
include as an additional insured the person(s) or additional insureds, the following additional exclu-
organization(s) shown in the Schedule, but only sions apply:
with respect to liability for "bodily injury", "property
damage" or "personal and advertising injur�' This insurance does not apply to "bodily injury" or
caused, in whole or in part, by: "property damage"occurring after:
1. Your acts or omissions; or 1. All work, including materials, parts or equip-
2. The acts or omissions of those acting on your ment furnished in connection with such work,
behalf; on the project(other than service, maintenance
or repairs) to be performed by or on behalf of
In the performance of your ongoing operations for the additional insured(s) at the location of the
the additional insured(s) at the Iocation(s) design- covered operations has been completed; or
nated above. 2. That portion of "your work" out of which the
injury or damage arises has been put to its in-
tended use by any person or organization other
than another contractor or subcontractor en-
gaged in performing operations for a principal
as a part of the same project.
Insurance Standard lll
SAMPLE CERTIFICATE
Please indicate somewhere on this
certificate,the contract or project#
this certificate is for.
CG 20 10 07 04 O ISO Properties, Inc., 2004 Page 1 of 1 ❑
POLICY NUMBER: P°�'°y# COMMERCIAL GENERAL LIABILITY
CG 20 37 07 04
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 : Location And Description Of Completed Operations
As required by contract Any and all job sites
Information re uired to com lete this Schedule, if not shown above, will be shown in the Declarations.
Section II — Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with
respect to liability for "bodily injury", "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".
Insurance Standard lll
SAMPLE CERTIFICATE
Please indicate somewhere on this
certificate,the contract or project#
this certificate is for.
CG 20 37 07 04 O ISO Properties, Inc., 2004 Page 1 of 1 ❑
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�ANITARY AND STORM S�W�R MAIN AND
LATCRAL T�LEVISING
FOR THC 2015 CITY OT OSHKaSH
CAPITAL IMPROVEM�NT PROJ�CTS
Request for Proposal - Questions
The following is a list of c�uestions ihat were received regarding tl�e Rec�uest for Proposal
(IZFP) to provide sanitary aild storiii se«�er m�in and lateral televising for the 2015 City
of Oshkosh Capital Improvenieiit Projects.
1. C�n we get tl�e lasl two ye�rs' bid tabs witli the cost bi•eakdowns for the main a�id
later�l televisiiig?
Yes. Attacl�ed is t11e bid tabs Ii•on� tlie Iast twa (2) tclevisil�g�gceeinents.
2. It is stated that the City wJill clean the lines tl�e first fime, Wi11 this be done to
NASSCO standai•ds`? Also, when will tllis Ue done ii� relation to tlie start dates?
Tlie City aild its staff are i�ot/have itot been certitiecl by NASSCO for televising and
eleaning, �Ia���ever, it is the intent of the City to elean ta NASSCO Standards.
Several of tl�e lines tllat are to be televised at•e extreniely oId and n�ight not be able to
�neet 95% of lhe ori.ginal carr}�iu� capacity, The City �uill �vorlc with fhe Cansultauk
to ;et the mains as cleati as possible, lu adc�iti�n, soine of the lines are ii1 such bad
shape, they wiIl not l�e able to be televised. '1'hc Consiiltaiit will work ���iili lhe Cily to
determii�e if lines are unable to be televised.
The City will be working on eleai�iiig tl�e ruai►IS sta7•ting in early Jant�ary, �
3. You state tliat tl�e City will loc�te maiilioles. What is the time line foi• the respo»se
when assistance is needed?
Tlie City has pi•ovicied C1I5 iilaps wiil�i�i tlie RFP of tlle areas .ueeciii7g televisil�o. If
additio�1�11 i�lforinalion/i�iaps are needeci, tlie City wotild rec�uesi one (1) business day
notice to bet the necessary information to�eth�r•, Assistailce in the �eld ���ill he given,
as necessary, if particular �i�anholes/segments c�ui�ot bc found. "I'he City anticipates
tl�at the field assistance woulci be �;iven withiti a couple of hotu•s of the request (given
tl�e tinlefi�ames.ii1 the response to Quest�iou 4).
In addition, attached is a listi�i�; of the sanitary and stonn se�ver main lii�e seginents
tl�at need televisin�, ilicludi�ig tl�eir�pproximate lenbths.
f:�Fnginatring�l h I1York�Sanitap•Iateral5lTciceisiny�1015�RFP�RFPQueiiioits?015_doc P�ge 1 of 2
4. Is there a restriction on«rork lioucs and days?
The Coiisult���t is �Ila���ed to wo�•lc fi•�m 7,00 a.m. to 10;00 p.m.., Monciay through
Saturday. �lssista�ice fron� a�i engi�leerin� staff mcmber will only be �vailable fi•om
8:00 a.�ii. ta �:30 p.r�i,, Vio��d�y t1�,�o���1� r��iday.
5. You state tl�at the Coiisultant will assist «�ith videoing while cleaning is bein� doiie,
Is tliis a pay line?
No.
6. Is this work to be based on prevailing w�ge?
Na This i� considerect professioi�al services.
Additio�ial Infot•matio�i
• Individual lateral reports are required to sho«�the ciistance fi•om the sanitary sewer
main line to the fi•ont of tlie builciing (if present).
]:�Lngine<ringV.C�11Yark�Saniiaq�l.altrals\Trlt�isingt?p�S�K}P�1LFP Qurs�ions 2015.duc� P�ge 2 Of?
GreatLakes N Seal MI-Tech Musson
Cantract Item M Units Est,qty. Unit Cost Total Cost Unit Cost Total Cost Unit Cost Total Cost
1 Each 28 $304,00 $8,512.00 $134.48 $3,765.4q $325,00 $9,100,60
2 Each 186 $30.00 $5,580.00 S88•98 $16,550.28 $225.00 $41,850.00
13-04 3 L.F. 10,100 $1,87 $18,887.00 $1.39 $14,039.00 $5.25 $53,025,00
A L.F. 47 $120,00 $5,640.Ofl $127.12 $5,974,64 $250.00 $SI,750.00
5 L.F. 325 $0,99 $321.75 $0.73 $T37.25 518.00 $5,850.00
6 Each 24 $10.00 $240,00 $144.58 53,464.92 5500.00 $12,000,00
1 Each 43 $304.00 $13,072.00 $134.48 $5,782,64 $300.00 $12,900.00
2 Each 259 $30.00 $7,770.00 $88.48 $23,045.82 $225.00 $58,275.00
13-OS 3 L.F. 15,490 $1.87 $28,9b6,30 $1,39 $21,531.10 54,25 $65,832.50
4 l.F. 67 $12p.00 $8,040,00 $127.12 $8,517.04 $250.00 $16,750.00
5 l.F. 3,839 $0.99 $3,800.61 $0.73 $2,802.47 $14.00 $53,746.00
6 Each 127 $50,00 $1,270.00 $144.58 $18,361,66 $450.00 557,�50.06
1 Each 4 5404.00 $1,616.00 $134.48 $537,92 $3Q0.00 $1,200.00
2 Each 18 $30.00 $540.00 $88.98 $1,601.64 $225.00 $4,050.00
Jackson 3 L.F. 1,660 $1,75 $2,905.00 $1.39 $2,307.40 $5.00 $8,300.00
4 L.F. S $120.00 5600.00 $i27.12 $635,60 $250.00 $1,250.00
S L.F. 425 $0.94 $420.75 $0.73 $3I0,25 $I6.00 $6,800.00
6 Each 2 $10.00 $20,00 $I44.58 $289.16 $500.00 $1,000.00
Total: $1�8,201.41 $124,759.23 $q20,828,50
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Sanitary
Contract Street Size Manhole Manhole Mainline Footage Manhole Set-up
15-04 BOYD ST 8 11-42 04-193 40 1
15-Q4 BROAD ST 12 04-112 04-200 57 1
15-04 E LINCOLN AVE 12 10-54 10-53 35 1
15-04 E I.INCOLN AVE 12 10-55 10-54 110 1
15-04 E PARKWAY AVE 8 04-192 04-191 352 1
15-04 E PARKWAY AVE 8 04-189 04-188 187 1
15-04 E PARKWAY AVE 8 04-184 04-326 252 1
15-04 E PARKWAY AVE 8 04-263 04-190 102 1
15-OA E PARKWAY AVE 8 �4-187 04-326 343 1
15-04 E PARKWAY AVE 8 04-172 04-325 22 1
15-04 E PARKWAY AVE 10 04-181 04-180 32 1
15-Q4 E PARKWAY AVE 10 04-188 04-179 33 1
15-04 E PARKWAY AVE 10 04-191 04-190 365 1
15-Q4 E PARKWAY AVE 12 04-69 04-66 45 1
15-04 E PARKWAY AVE 12 04-190 04-175 36 1
15-04 E PARKWAY AVE 12 04-99 04-190 20 1
15-04 E PARKWAY AVE 15 04-177 04-176 253 1
15-04 E PARKWAY AVE 35 04-179 04-578 33 1
15-04 E PARKWAY AVE 15 04-180 04-179 256 1
15-04 E PARKWAY AVE 15 04-178 04-177 220 1
15-04 E PARKWAY AVE 15 04-173 04-172 368 1
15-04 E PARKWAY AVE 15 04-174 04-200 55 1
15-04 E PARKWAY AVE 15 04-170 04-193 23 1
15-04 E PARKWAY AVE 15 11-384 11-900 231 1
15-04 E PARKWAY AVE 15 04-193 11-384 24 1
15-04 E PARKWAY AVE 15 04-171 04-170 286 1
15-04 E PARKWAY AVE J.5 04-176 0�-175 254 1
15-04 E PARKWAY AVE 15 04-175 04-174 222 1
15-04 E PARKWAY AVE 15 Q4-200 04-173 14 1
15-04 E PARKWAY AVE 24 04-67 04-b6 33 1
15-04 E PARKWAY AVE 24 OA-449 04-67 233 1 �
15-04 FULTON AVE 8 10-614 10-611 2b2 1
15-04 FULTON AVE 8 10-611 10-610 372 1
15-04 GRAND ST 12 04-96 04-97 258 1
25-04 GRAND ST 12 04-100 04-99 298 1
15-04 GRAND ST 18 04-97 04-175 15 i
15-04 HUQSON AVE 10 04-80 04-J.59 295 1
15-04 JEFFERSON ST 10 04-62 04-64 270 1
15-04 JEFFERSON ST 12 04-182 04-65 7 1
15-04 1EFFERSON S7 12 04-70 OQ-69 235 1
15-04 JEFFER50N ST 12 04-64 04-182 265 1
15-04 JEFF�RSON ST 24 04-66 04-65 12 1
15-04 JEFFERSON ST 24 04-65 04-63 458 1
15-04 MERRITf AVE 10 04-76 04-134 133 1
15-04 MERftITf AVE 10 04-133 04-76 218 1
San(tary
Contract Street Size Manhole Manhoie Mainline Footage Manhole Set-up
15-04 MdNROE ST 27 04-326 04-325 34 1
15-04 MOUNT VERNON ST 8 10-613 10-611 42 1
15-04 MT VERNON ST 10 04-�6T 02-141 Z00 1
15-04 MTVERNON ST 10 04-74 04-167 200 1
15-04 MTVERNON ST 10 04-75 04-74 245 1
15-04 M7 VERNON ST 10 04-77 04-76 403 1
15-04 M7 VERNON ST 10 04-77 04-78 210 1
15-04 MT VERNON ST 10 04-78 04-80 37 1
15-04 MT VERNON S7 12 04-83 Q4-178 50 1
15-04 MT VERNON ST 12 04-84 04-83 360 1
15-04 MT VERNON ST 12 04-81 04-17$ 20 1
15-04 MTVERNON ST 12 04-87 04-336 290 1
15-04 MTVERNON ST 12 04-85 04-87 232 1
15-04 MT VERNON ST 12 04-79 04-81 240 1
15-04 MTVERNON S7 12 04-83 04-178 50 1
15-04 MT VERNON ST 12 04-81 Oa-178 20 1
15-Q4 MT VERNON ST 12 04-79 04-81 239 1
15-04 MT VERN4N ST 12x20 10-612 10-709 246 1
25-04 MT VERNON ST 12x20 10-53 10-613 268 1
15-04 OXFORD AVE 8 West 04-163 53 1
15-04 S7ATE S7 10 02-140 02-40 58 1
15-04 STATE ST 15 02-40 02-24A 255 1
15-04 STATE ST 15 04-139 02-40A 59 1
15-04 STATE ST 24 04-138 04-139 58 1
15-04 STATE ST 24 04-139 02-40 58 1
15-04 STATE ST 24 02-40 02-24 255 1
� 15-04 WASHINGTON AVE 12 02-141 04-142 198 1
15-Q4 WASHIfVGTQN AVE 12 02-141 02-140 145 1
15-04 WASHINGTON AVE 15 04-138 04-139A 56 1
15-04 Totals 12,215 74
15-05 CEDAR ST 10 12-68 12-43 168 1
15-05 CEDAR ST 12 ].2-43 05-19 35 1
15-05 ONTARIO ST 8 12-83 12-8 315 1
15-05 ONTARIO ST 10 12-8 05-13 30 1
15-05 W NEW YORK AVE 10 05-17 05-18 32fi 1
15-OS W NEW YORK AVE 10 05-15 05-17 300 1
15-OS W NEW YORKAVE 10 05-13 05-15 270 1
15-05 W NEWYORKAVE 10 05-12 05-13 169 1
15-Q5 W NEW YORK AVE 10 05-1� 05-12 300 1
15-05 W IVEW YORKAVE 12 05-18 05-19 180 1
15-OS W NEWYORKAVE 12x19 05-19 05-20 267 1
15-05 WESTERN ST 12 12-11 05-15 33 1
15-05 WESTERN ST 12 12-80 12-11 192 1
15-05 Totals 2,585 13
Sanitary
Contract Street Size Manhole Manhole Mainline Footage Manhoie Set-up
15-07 FAIRLAWN 5T 8 13-286 13-185 4a 1
15-07 FAIRLAWN ST 8 13-287 13-286 308 1
15-07 FAIRLAWN ST 8 13-288 13-287 300 1
15-07 NEBRASKA ST 24 03-13 03-12 150 1.
15-07 NEBRASKA ST 24 03-1Q 03-13 236 1
15-07 NEBRASKA ST 24 03-15 03-14 213 1
15-07 OREGON ST 10 03-202 03-201 236 1
15-07 OREGON ST 10 03-201 03-20 30 1
15-07 OREGON ST 15 09-292 03-322 8 1
15-07 OREGON ST 15 03-322 03-202 40 1
15-07 RUGBY ST 8 13-146 13-2976 212 1
15-Q7 W 12TH AVE 12 13-298 13-297 285 1
15-07 W 12TH AVE 12 13-297 13-296 305 1
15-07 W 5TH AVE 24 03-12 03-18 425 1
15-07 W 5TH AVE 24 03-19 03-20 92 1
15-07 W 5TH AVE 24 03-18 03-19 50 1
15-07 W 67H AVE 8 06-420 06-421 180 1
15-07 W 6TH AVE 8 06-421 06-422 240 1
15-07 W 6TH AVE 8 09-295 09-292 155 1
15-07 W 6TH AVE 10 03-491 03-21 400 1
15-07 W 6TH AVE 12 03-2J. 03-13 45 1
15-07 W SOUTH PARK AVE 10 13-185 13-2990 250 1
15-07 Totals 4,200 22
Sanitary Totals 19,000 109
Storm
Contract Street Size Manhole Manhole Mainline Footage Manhole Set-up
15-04 BROAD ST 15 04-204 04-114 68 1
15-04 BROAD ST 21 04-438 04-114 162 1
15-04 E IRVING AVE 21 10-891 10-894 168 1
15-04 E LINCaLN AVE 15 10-269 10-268 114 1
15-04 E LINCOLN AVE 15 10-423 10-267 340 � 1
15-04 E LINCOLN AVE 15 10-268 10-423 37 1
15-04 E PARKWAY AVE 21 04-68 04-82 280 1
15-04 E PARKWAY AVE 21 04-82 04-162 368 1
15-04 E PARKWAY AVE 21 04-162 04-98 379 1
15-04 E PARKWAY AVE 21 04-68 04-82 280 1
15-04 E PARKWAY AVE 21 04-82 04-162 366 1
15-04 E PARKWAY AVE 30 04-9$ 04-111 142 1
15-04 E PARKWAY AVE 30 04-111 04-114 112 1
15-04 E PARKWAY AVE 36 04-197 04-195 153 1
15-04 E PARKWAY AVE 36 04-123 04-43 273 1
15-04 E PARKWAY AVE 36 04-195 04-123 47 1
15-04 E PARKWAY AVE 36 04-43 11-861 297 1
15-04 E PARKWAY AVE 36 Q4-114 04-197 223 1
15-04 FULTON AVE 15 10-591 10-588 200 1
15-04 GRAND ST 11x18 04-205 04-98 30 1
15-04 HUDSON AVC• 29x18 04-221 04-220 245 1
15-04 MERRITTAVE 15 OG-244 04-243 275 1
15-OA MERRITTAVE 15 04-245 04-244 287 1
15-04 MONROE ST 15 04-314 04-311 400 1
15-04 MTVERNON ST 10 04-86 04-46� 307 1
15-04 MT VERNON ST 12 04-255 04-254 340 1
15-04 MT VERNON ST 1S O4-254 02-308 52 1
15-04 PARKWAY AVE 38x60 11-861 11-860 38 1
15-04 STATE ST 21 02-300 02-39 275 1
15-04 WASHINGTON AVE 15 02-307 02-300 133 1
15-04 WASHINGTON AVE 15 02-308 02-307 38 1
15-04 WASHINGTON AVE 18 02-303 02-300 92 1
Tota Is 6,571 32
15-05 E CUS7ER AVE 10 15-3053 15-2844 285 1
15-05 GARFIELD ST 12 OS-393 05-392 270 1
15-05 POWfRSST 15 15-2844 15-2845 33 1
15-05 W NEW YORK AVE 8 12-1183 05-273 27 1
15-05 W NEW YORK AVE 12 05-279 05-278 275 1
15-05 W NEW YORK AVE 15 05-278 05-277 42 1
15-05 W NEW YORK AVE 15 05-277 05-27b 225 1
15-OS W NEW YORK AVE 18 05-276 05-275 135 1
15-05 W NEW YORK AVE 21 05-275 05-274 155 1
15-05 W NEW YORK AVE 21 05-274 05-273 333 1
15-05 W NEW YORK AVE 24 05-273 05-272 270 1
Storm
Contract Street Size Manhole Manhale Mainline Footage Manhole Set-up
15-05 W NEW YORK AVE 27 OS-270 05-269 240 1
15-05 W NEW YORK AVE 27 05-272 05-271 280 1
15-05 W NEW YORK AVE 27 05-271 05-270 275 1
15-05 WESTERN ST 12 12-480 OS-274 290 1
15-05 W�SCONSfN S7 12 12-481 05-277 252 1
Totafs 3,388 16
Storm Totals 9,959 48
���:�:�����
PROPOSAL COST BREAI�OWN FOR SANITARY SEWER LATERAL TELEVISIN
2015 CAPITAL IMPROVEMENT PROJECTS JA�I �l �201
GEr'. , " _ '.� :��nKS
C�;, ; r _:'v�' ;iN
CONTRACT 15-04: EAST PARKWAY AVENUE/MOUNT VERNON STREET G, � l '�I�^�/
rJ r���� ( ° �
ITEM DESCRIPTION UNIT EST. I7NIT PRICE TOTAL PRICE
QTY.
� ��
1. Sanitary Sewer Manhole Set-u Each 74 $ 215 $ Zn► ��
pa
Sanitary Sewer Main Line ��
2. Televisin L.F. 12,300 $ •�� $ j �
��A �� ��
3. Sanitary Sewer Lateral Launch Each 205 $ $ `� ���
r� �•� €="�
sa�'�
4. Sanita Sewer Lateral Televising L.F. 8,200 $ • �� $ �� �`�
��
Sanitary Sewer Lateral Televising ,,-� - �`� � � ,�`���
5. From Inside the Buildin Set-u Each 50 $ ���'' $
,°"�,� $ �, ��� ��
Sanitary Sewer Lateral Televising ° ,
6. from Inside the Building L.F. 2,050 $
�r� ��?;'�
7. Storm Sewer Manhole Set-u Each 32 $ ��� $ �i ��
�x�
�'' �i5
8. Storm Sewer Main Line Televisin L.F. 6,600 $ ''� � $ ��+ � �
� > p�.c�
9. Storm Sewer Lateral Launch Each 25 $ ��' �� $ �'�"'�
�F.�,�� $ ��� ��
10. Storm Sewer Laterai Televisin L.F. 900 $
5UB-TOTAL CONTRACT 15-04
$ ��', Co� A � �
I:�Engineeringu&[Worlc�Sendary LateraLs\Tele��sing�20151RFP5Proposal Cost Breakdown.doc Page 1 of 4
CONTRACT 15-05: WEST NEW YORK AVENUE/EAST CUSTER AVENUE
ITEM DESCRIPTION UNIT EST. UNIT PRICE TOTAL PRICE
QTY.
`� �C� ��
1. Sanita Sewer Manhole Set-u Each 13 $ � t� $ �����
Sanitary Sewer Main Line ��
2 Televisin L.F. 2,600 $ +�� $ ( � ���
�n. �a� �a�� a�
3 Sanita Sewer Lateral Launch Each 75 $ �� $ � ¢
�� �� � 2F ���r�
4. Sanita Sewer Lateral Televising L.F. 3,000 $ p
Sanitary Sewer Lateral Televising ��� a� � �3�
5 From Inside the Buildin Set-u Each 15 $ �� $ «•�'� �
Sanitary Sewer Lateral Televising =° f� ;�` �
6. from Inside the Buildin L.F. 750 $ ' f $ ��
�� �;4
7. Storm Sewer Manhole Set-u Each 16 $ ��� $ �l F �
,���' �
€�k;.$
8. Storm Sewer Main Line Televising L.F. 3,400 $ �'�� $ � � '�"'��
� ca� r�. �s,�� �.:��
9. Storm Sewer Laterai Launch Each 10 $ '�° '�' $ �''� r-
���
10. Storm Sewer Lateral Televisin L.F. 300 $ "��*'" $ ���
.:�•.
SUB-TOTAL CONTRACT 15-OS $ ���g ���.� "� ���
I:\Engi�reering\I&I Work\San6ary Latefals\Televising�2015\RFP1Proposai Cost Breakdowadoc Page 2 of 4
CONTRACT 15-07: MISCELLANEOUS SANITARY RELAYS
ITEM DESCRIPTION DNIT EST. UNIT PRICE TOTAL PRICE
QTY.
��
�� �� �
1. Sanita Sewer Manhole Set-u Each 22 $ $ ��O�
��
Sanitary Sewer Main Line ��� $ �4`�,�,�„�
2. Televising L.F. 4,300 $
:�:'�
`;��+ ;,;� �, �,;,,��
3. Sanitary Sewer Lateral Launch Each 100 $ �ae+ $ `
I� � �+�t`�+� s:'s�3
4. Sanita Sewer Lateral Televisin L.F. 4,400 $ $ �3
��� ��
Sanitary Sewer Lateral Televising Y�� �'� $ �
5. From Inside the Buildin Set-u Each 25 $
Sanitary Sewer Lateral Televising �'"'�� $ 's��` �#�
���
6. from Inside the Buildin L.F. 1,100 $
, e�a�
SUB-TOTAL CONTRACT 15-07 � � �� "��
f:�EnginemngU&I Work\SaaitaryLatereLs\Televising�20lSRfPSProposal Cost Bleakdown.doc Page 3 of 4
TOTALS
SUB-TOTAL CONTRACT 15-04 $ �������' ��
SUB-TOTAL CONTRACT 15-05 $ � �� ��� � `���
SUB-TOTAL CONTRACT 15-07 $
1 �► ,��.� -. ��:�
�
TOTAL PROPOSAL COST(15-04,15-05,15-0'7} $ ������ �
1:�EngineeringV&i WorklSanitary Latetals\Telcvising�2015\RFP\Proposal Cost Brealcdown.doc Page 4 of 4
— RECEIVED _
Fee Schedule JAN 2 0 2015
DEPT OF PUBLIC WORKS
OSHKOSH, WISCONSIN
Jet Vac Services...........................................................................$245.00/hr. with a 2 hour minimum
Mini Camera (House/Building to street 2"-6"lines).............$185.00/hr.
Main line camera televising.....................................................$245.00/hr.-2hr. min
The following items are bid out per job:
Lateral launching
Hydro-Excavating
Pipe patching/lateral capping
Manhole grouting
Thawing—water lines, drain lines, roof drains, water towers, hydrants, etc.
,aco� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYI�
� 1�2�2�15
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), AUTHORI2ED
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)'� -_�` ` �t f �`
PRODUCER NAMEACT L13d M11E110Y'� CISR
Hierl Insurance, ZIIC PHONE , (g20)921-5921 F'� (920)921-6239
258 South Main Street ,i;�,� ����'�� ac Ho:
�t�� � '� nooR�ess:lmueller@hierl.com
P. O. BOX 94 9 INSURER S AFfORDING COVERAGE NAIC#
Fond du Lac WI 54935C- �' 'L:� ''v`I; iNSUReRa:Cincinnati Insurance Com an 10677
iHSUReo �_ ��JS --� L��`J�� `iNSUReRe:Societ Insurance
Speedy Clean, IZ1C. INSURER C:
1380 Earl Street INSURERD:
INSURER E:
Menasha WI 54952 INSURER F:
COVERAGES CERTIFICATE NUMBER:CL1462600980 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
INOICATED. 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 POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE POLICY NUMBER MM/DD MM/DD LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1�OOO�OOO
X COMMERCIAL GENERAL LIABILITY AMA��
PREMISES Ea occurrence a 500 r 000
.aa CLAIMS-MADE �OCCUR X PPOOB1072 6/29/2014 6/29/2015 MED EXP(Any one person) $ 10,��0
PERSONAL 8 ADV INJURY $ 1�OOO�OOO
GENERAL AGGREGATE $ 3�OOO�OOO
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG E 2�OOO�OOO
POLICY X PR� LOC $
AUTOMOBILE LIABILITY Ea aBctleD SINGLE LIMIT a 1 OOO OOO
A X ANY AUTO BODILY INJURY(Per person) 3
ALL OWNED SCHEDUIED X PP0081072 6/29/2014 6/29/2015 gODILY INJURY(Per accident) $
AUTOS AUTOS PROPERTY DAMAGE
HIRED AUTOS NON-0WNED $
AUTOS Per accident
Underinsured motorist $ 1 000 000
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE g 6,000�000
A EXCESS LIAB CLAIMS-MADE
AGGREGATE $ 6�000�O00
DED X RETENTION$ X PP0081072 6/29/2014 6/29/2015 $
$ WORKERS COMPENSATION X WC STATU- OTH-
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ lOO OOO
OFFICER/MEMBER EXCLUDED? � N�A
(Mandatory in NH) C408703 6/29/2014 6/29/2015 E.L.DISEASE-EA EMPLOYE E 100 000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT b 500 000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required)
Contract Name: City of Oshkosh 2015 Sanitary Lateral Televising RFP
Additional insured per attached endorsements
CERTIFICATE HOLDER CANCELLATION
pgulbronson@ ci.oshkosh.wi. 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
215 Church Avenue
Oshkosh, w= 54903 AUTHORIZEDREPRESENTATIVE
S Smeaton, CIC, CRM/P �
ACORD 25(2010/OS) O 1988-2010 ACORD CORPORATION. All rights reserved.
INC09S ion�nn��n� r�..,wrnon,,,,,,,,,,,,,,��..,.,,.,..,,�,,...,.a..�...�.....��,.„t wrnon
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON���IVED -
ORGANIZATION - -
JAN 16 2015
This endorsement modifies insurance provided under the following: DEPT OF PUBLIC WORKS
COMMERCIAL GENERAL LIABILITY COVERAGE PART OSH[��>:;,�, WtSCONSIN
SCHEDULE
Name of Additional Insured Person(s)
or Or anization s : Location s of Covered O erations
CITY OF OSHKOSA ANY LOCATION AT WHICH WORK OR
OPERATIONS ARE PERFORMED BY YOU OR
ON YOUR BEHALF
Information required to complete this Schedule, if not shown above,will be shown in the Declarations.
A Section II-Who is an Insured is amended to This insurance does not apply to"bodily injur�/'
include as an additional insured the person(s) or"property damage"occurring after:
or organization(s) shown in the Schedule, but
only with respect to liability for "bodily injury", 1. All work, including materials, parts or
"property damage" or "personal and advertis- equipment furnished in connection with
ing injur�!'caused, in whole or in part, by: such work, on the project(other than ser-
vice, maintenance or repairs) to be per-
1. Your acts or omissions; or formed by or on behalf of the additional
insured(s) at the location of the covered
2. The acts or omissions of those acting on operations has been completed; or
your behalf;
in the erformance of ur on oin o erations 2• That portion of "your work" out of which
p �'O g g p the injury or damage arises has been put
for the additional insured(s) at the location(s) to its intended use by any person or or-
designated above. ganization other than another Contractor
B. With respect to the insuranoe afforded to or subcontractor engaged in pertorming
these additional insureds, the following addi- operations for a principal as a part of the
tional exGusions apply: same project.
CG 20 10 07 04 O ISO Properties, Inc.,2004
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): Location and Description of Completed Opera-
tions
CITY OF OSHKOSH ANY LOCATION AT WHICH WORK OR
OPERATIONS WERE PERFORMED BY YOU OR ON
YOUR BEHALF
Information required to complete this Schedule, if not shown above,will be shown in the Declarations.
Section II -Who is an Insured is amended to in-
clude as an additional insured the person(s) or or-
ganization(s) shown in the Schedule, but only with
respect to liability for "bodily injury' or "property
damage"caused, in whole or in part, by"your work"
at the location designated and described in the
schedule 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