HomeMy WebLinkAboutAquatic Biologists, Inc 2/6/2015 PROFESS/ONAL SERV/CES AGREEMENT,•
AQUAT/C PLANT MANAGEMENT SERV/CES- AQUAT/C B/OLOG/STS /NC.
THIS AGREEMENT, made on the stn day of February, 2015, by and between the
CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and
AQUATIC BIOLOGISTS, INC, N 4828 US HWY 45, Fond du Lac, Wisconsin, 54937
hereinafter referred to as the CONSULTANT,
WITNESSETH:
That the City and the Consultant, for the consideration hereinafter named, enter
into the following agreement. The Consultant'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 Consultant shall assign the following
individual to manage the project described in this contract:
(Robb Langjahr, Territory Manager, Aquatic Biologists, 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:
(Bill Sturm, City of Oshkosh Parks Department)
ARTICLE III. SCOPE OF WORK
The Consultant shall provide the engineering services described in the
Consultant's "Millers Bay Projected Treatment/Aeration Estimate for 2015 Budgeting"
estimate/proposal dated 1/20/15 and attached as Exhibit A. If anything in the
Consultant's proposal conflicts with this agreement, the provisions in this agreement
shall govern.
1
The Consultant 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 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 V. TIME OF COMPLETION
The work to be performed under this contract shall commence immediately and
work will be completed no later than November 1, 2015 unless both parties agree to
extend the completion date in writing.
ARTICLE III. PAYMENT
A. The Contract Sum.
The City shall pay to the Consultant for the performance of the contract for aquatic
plant management treatment applications as needed throughout the term of this
contract but not to exceed the estimate of 527,687.20, 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 Consultant shall submit itemized monthly
statements for services. The City shall pay the Consultant within 30 calendar days
after receipt of such statement. If any statement amount is disputed, the City may
withhold payment of such amount and shall provide to Consultant a statement as to
the reason(s) for withholding payment.
C. Additional Costs. Costs for any additional services are to 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. CONSULTANT TO HOLD CITY HARMLESS
The Consultant 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 Consultant, his agents or assigns, his employees or his subcontractors related
2
however remotely to the performance of this Contract 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.
ARTICLE V. INSURANCE
The Consultant shall provide insurance for this project that includes the City of
Oshkosh as an additional insured. The specific coverage required for this project is
attached as Exhibit B.
ARTICLE VI. 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 contract at any time by giving written notice to the
Consultant no later than 10 calendar days before .the termination date. If the City
terminates under this paragraph, then the Consultant shall be entitled to compensation
for any satisfactory work performed to the date of termination.
This document and any specified attachments contain all terms and conditions
of the Agreement and any alteration thereto shall be invalid unless made in writing,
signed by both parties and incorporated as an amendment to this Agreement.
3
In the Presence of: CONSULTANT
By:
��
(Seal of Consultant u�� �'�� ��s f
(Speci y Title)
if a Corporation.)
By:
(Specify Title)
CITY OF OSHKOSH
� � �
•,,' � , ' By: /'�---
r L < � � 2,. Mark A. ohloff, City Manager
`� � (W tness) \
/ � �..
� .. �
, � -
,!��.� And: �, , _� � � Z�
(Witness) Pamela R. Ubrig, City Clerk
APPROVED: I hereby certify that the necess-
"'1 � ary provisions have been made to
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`��� pay the liability which will accrue
( --- under this contract.
� _,-- City A �oF y ,
�����rY-,
Finance Director
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N4828 Highway 45 S.,Fond du Lac, WI 54937 Es t i m a te
(920J 921-6827 800-442-6648
Fax:(920)921-1690 DATE ESTIMATE#
� N u/• Specialists in Lake&Pond Management,Services,&Supplies
1/20/2015 1111
BILL TO NAME/ADDRESS SHIP TO/WORK SITE
Attn:Ray Maurer&Bill Shum Miller's Bay,Lagoon,Boat Launches
City of Oshkosh-Parks Dept.
P.O.Box 1130
Oshkosh,WI 54903-1130
PROJECT Estimate Valid Until ABI PROJECT REP PAYMENT TERMS
12/31/2015 RWL Net 30 1 1/2%Month
Q�' DESCRIPTION PRICE EACH UM TOTAL
Millers Bay Projected TreahnenbAeration Estimate for 0.00
2015 Budgeting
1 Millers Bay Spring Eurasian Watermilfoil inspection 150.00 I50.00
1 Millers Bay Early Summer Eurasian Watermilfoil 150.00 150.00
inspection(if needed)
9 lst Treatrnent,Granular Systemic Herbicide for EWM 985.00 8,865.00
(3ppm based on 36 acre feet)
9 2nd Treatment,Liquid Contact Herbicide 845.00 7,605.00
Zoo Pond and Lagoon 0.00
6.4 lst Treatment,Liquid Systemic Herbicide for EWM 563.00 3,603.20
3 2nd Treatment,Liquid Contact Herbicide-Spot 953.00 2,859.00
24th Ave and Fugelburg Boat Launch 0.00
1 1 st Treatrnent-Early Season-24th Ave 975.00 975.00
1 2nd Treatment-if needed-24th Ave 825.00 825.00
2 lst and 2nd Treatments-if needed-Fugelburg 815.00 1,630.00
4 Mileage/Travel will vary depending on project ranging 50.00 200.00
from$35.00-$75.00 per visit(assuming 4)
We will also provide Free site visits as in the past.
1 Lagoon Spring Aeration Maintenance Estimated 825.00 825.00
0%down with rehun of this contract 0.00
Balance due net 30 days from invoice date.
Material is guazanteed to be as speci5ed.All work to be completed in a substantial workmarilike manner accord'vig to speci5cations
submitted,per stendard practices.'Ihis is an estimate-not a bid My alteration or deviation from above speci5cations inwlving e�ctra costs
will be ezeeuted only upon written orders,and will incurr eutra charges over and above the estimate. All agreements contingent upon S U BTO TAL
strikes,accide¢ts or delays beyond our conCaL Owner to cury 5rq tomado and other necessary insurance,Our workers are fiilly covered by $27�6g7.2�
Worl-men's Compensation Insurance.
Finance charga(1%%per month)will be charged on all unpaid balances wN paid in fiil1 Payments and 5nance c6arges not received within
90 days w71 be placed for collections plus collection fea.My legal and/or murt fees incuered by Aquatic Biologists,Inc,in thev attempt to SALES TAX(0.0%� $�.��
collect vepaid balanca will be the responsibility of client. �
Acceptance ofProposal:The above prices,specifications and conditions are are herby accepted per the client signature
below.Aquatic Biologistc,Inc.authorized to do the work as specified.A downpayment I�as beea submitted and TOTA L $2�'68�.2�
remainder ofpayment will be made according to the TERMS. ,
CLIENT SIGNATURE ,f/
� �J � DATE r� /1�/ �_S
�-!,l'i N 4828 US Hwy 45 South
Fond du Lac,Wisconsin 54937
�LC���c/�� Your Specialists in Lake&Pond Management, Phone 920-921-6827
� (./Z!'i Services,Consulting&Supplies since 1977 Fax 920-921-1690
www.aquaticbiologists.com
City of Oshkosh Parks Department
AQUATIC PLANT MANAGEMENT& MAINTENANCE SERVICES AGREEMENT
This agreement is made between Aquatic Biologists Inc., located at N 4828 US Hwy'45, Fond du Lac, WI. 54937 (Hereinafter calied "ABI") and
ATTN: Rav Maurer or Bill Sturm, Citv of Oshkosh Parks Department 215 Church Ave Oshkosh WI 54901 (Hereinafter cailed
Customer),for and in consideration of the mutuai covenants herein contained,the parties hereto agree as follows:
1. AGREEMENT: ABI hereby agrees to provide"Aquatic Plant Management&Pond Maintenance Services"for the benefit of the Customer,and the
Customer herby accepts such services in the water area described as: Miller's Bav Menominee Park Zoo Laaoons 24th Ave& FuQelburq Boat
launches Winnebapo CounN Wisconsin Aquatic Plant Management Services as used herein shall mean the application of chemicals
(treatments)to control and reduce the excessive growth of water weeds and/or algae in the water areas herein described. Pond Maintenance
Services shall consist of providing but not limited to, pond maintenance supplies such as dyes and bacteria as weil as regular maintenance for
fountains and aeration equipment. ABI also agrees to act as the AGENT for the customer, in said waters, in working with the Wisconsin
Department of Natural Resources(DNR).
2. TERM OF AGREEMENT: Shall start when the contract is signed and continue until the November 1,2015.
3. SERVICES PROVIDE: ABI shall supply all necessary labor, materials, equipment, and technical advice in providing °Aquatic Plant Management
Services"for the customers water. This inciudes the regular use of aquatic aigaecides and herbicides at the customers discretion to maintain the
beauty of the water. In addition ABI shall supply all necessary labor,materials,equipment and technical advise in providing"Maintenance Services"for
the Customers Water. The Customer shall provide a suitable boat launching site or sites and pay any applicable launching fees necessary to provide
"Aquatic Plant Management Services"in said water area.The Customer will also provide a representative to be present during application and to assist
with the posting of warning signs.
4. COST AND TERMS OF PAYMENT: Please refer to estimate 1111 for specific pricing on products, materials, and labor. (application will
be as follows according to estimate) The cost per visit to the customer for labor relating to Aquatic Plant Management Services will be based
on a sliding fee schedule of$260.00 for areas up to one acre,$240.00 for the second acre,$220.00 for the third acre, ...and$80.00/acre for additional
acreage above six acres and taxes. Chemical costs will depend on the type of weed and/or algae that is being treated and may range from$450.00/
acre to$1120.00/acre and taxes.The cost of Pond Maintenance Services wili include a break down of services provided,($90.00/hr for one person
$130.00/hr for two oersons on site and$45 001hr for one oerson and$65 00/hr for two oersons travel timel ciearnnq of difFusers will be$35 00 each
plus labor oarts matenals and taxes. Terms are net 30 days, 5% after 30 days, 1.5% per month, 18% annualfy on invoices 30 days past due.
Payment and finance charges not received within 90 days will be placed for coilection plus a 30%collection fee.Any legal and/or court fees incurred by
ABI in their attempt to collect unpaid balances will be the clients responsibility. A mileage charge of$35.00-$75.00 will be invoiced for each visit.
Every effort will be made to combine site visits with otherjobs in the immediate area to reduce travel expenses.
5. PERMIT: It is understood between the parties that certain state and/or local permits or registrations shall be necessary prior to the use of
herbicides, and the provisions of this agreement are subject to all the terms and conditions of such permits and applicable state and/or local laws or
regulations. The customer is responsible for all permits and or registrations and any necessary fees therein, and ABI will cooperate and assist the
customer in completing such applications and obtaining such permits,and submit them to the Wisconsin DNR or DATCP,if necessary.
6. LIABILITY: It is specifically understood that ABI shall not be liable for any personal injury and/or property damage resulting from exposure or use,
either by drinking, spraying or otherwise of chemically treated water, provided all applications are undertaken in compliance with manufacturer
directions,Wisconsin DNR rules and approvals, and any other applicable governmental regulations. It is further understood that although precautions
are taken to prevent the loss of fish life,that some fish loss may occur and that ABI is not liable. Lastly, it is understood that ABI is not resposible for
damage to the lawn or shoreline caused by boats,trucks or boat trailers where a boat launch is not availalbe.ABI is responsible for iYs own personnel
on the water during the Term ofAgreement.
7. WARNING SIGNS: ABI wiil assist with the posting of the required warning signs for chemical treated water.
8. CUSTOMER AUTHORIZATION: The customer represe�ts and warrants that this agreement has been duly authorized by the customer, and that
the person executing this agreement have the authority to execute this agreement on the customers behaif.
9. PROFESSIONAL EXPECTATIONS, CONSIDER,4TIONS, AND WARRANTY: ABI is fully aware and appraised of all rules and laws that are
applicable to the storage,transportation, handling, applications, and disposal of aquatic herbicides. ABI is expected to perform all work in compliance
with all rules, laws, and directives provided by the state and federal registered labels attached to the herbicides used to complete this work.
Furthermore,ABI shall be required to meet or exceed the requirements of all applicable laws, rules,permits,and labels. Failure to meet any of these
minimum requirements shall be considered as non-performance of the stated work. All persons involved in the handiing and application of the
herbicides used to complete this work shall have been trained, licensed, certified, and insured in the proper use and handling of these compounds.
Furthermore, they shall comply with the requirements of the pesticide label relative to the wearing of protective clothing and devices. No other
warranties or guarantees are given or implied.
10. MISCELLANEOUS: This agreement shall be construed under and in the courts of the State of Wisconsin. This agreement constitute the entire
understanding between the parties,and it may be amended only in writing by the properiy authorized representatives, successors, and assigns. This
agreement shall work for the benefit of and be binding upon the parties hereto,their respective personal representatives,successors, and assigns.
In witness whereof, the parties hereunto accept the terms and conditions of the above, signe is � day of '�2015.
� ` �1�
For A u ' iologists, Inc.
� � ���'
For City of shkosh Parks Dept.
,aco� CERTIFICATE OF LIABILITY INS DATE(MMIDD/YYYY)
� URANCE 2/6/2015
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 ADDITfONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER NAMEACT PeRI11E Hildebrandt,CIC,CISR
Hierl Insurance, Inc PHONE , (g20)921-5921 q�C No:�9z0)921-6239
258 South Main Street E-MAi� .phildebran@hierl.com
P. O. BOX 94 9 INSURER 5 AFFORDING COVERAGE NAIC#
Fond du Lac WI 54935 INSURERA:H11dSOS1 S ecialt Insurance Co.
INSURED INSURER B:
Aquatic Biologists INSURERC:
N4828 US Hwy 4S INSURERD:
INSURER E:
Fond du Lac WI 54935 INSURERF:
COVERAGES CERTiFICATE NUMBER:CL1431800951 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LiSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
�LTR TXPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
POLICYNUMBER MM/DDM'YY MM/DDlYYYY LIMITS
GENERAL LIABILITY EACH OCCURRENCE y 2�OOO�OOO
X COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED
PREMISES Ea occurrence S 50�000
A CLAIMS-MADE �OCCUR SS 2013-12-14-05 3/19/2014 3/19/2015 MED EXP(My one person) $ 5�000
X Comp & Ongoing Ops PERSONALBADVINJURY $ 2,000,000
(form CG 20 37) GENERALAGGREGATE y 4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4�OOO�OOO
POLICY X PR� LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident
ANY AUTO BODILY INJURY(Per person) $
ALL ONMED SCHEDULED
AUTOS AUTOS BODILY INJURY(Peraccident) $
HIRED AUTOS q�pg�E� PROPERTY DAMAGE $
Per accident
$
X UMBRELLA LIAB pCCUR EACH OCCURRENCE $ 2�OOO�OOO
A EXCESS LIAB CLAIMS-MADE � AGGREGATE $ 2�OOO�OOO
DED RETENTION3 58 2013-20-14-03 /19/2014 3/19/2015 a
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS'LIABILITY Y�N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED� ❑ N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
A Environmental Professionl SB 2013-12-14-05 3/19/2014 /19/2015 Limit 2,000,000
A Contractors Pollution 58 2013-12-14-OS 3/19/2014 3/19/2015 Limit 2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (AHach ACORD 101,Additional Remarks Schedule,ff more space is required)
City of Oshkosh, and its officers, council members, agents employees and authorized volunteers are listed
as an additional insured with respects to the above named insureds general liability. Coverage is
provided on a primary and non contributory basis. but only as their interest applies.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City o£ OShkOSh ACCORDANCE WITH THE POLICY PROVISIONS.
City Clerk
215 Church Avenue AUTHORIZED REPRESENTATIVE
P.O. Box 1130
Oshkosh, WI 54903 ��
J Diefenbach/PLK
ACORD 25(2010/05) O 1988-2010 ACORD CORPORATION. All rights reserved.
INCA)�'.i�n�nnc�n� T1... Al�AOI1..............�1........�..........a..�...�......1.....i A!`llon
�`�°RO� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYW)
2/6/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER NAMEACT Pennie Hildebrandt,CIC,CISR �
Hierl Insurance, Inc PHONE . (g20)921-5921 F^x
AIC No: (920)921-6239
325 Trowbridge Drive E•M'41L ,phildebran@hierl.com
P. O. BOX 94 9 INSURER S AFFORDING COVERAGE NAIC#
Fond du Lac WI 54937 INSURERA:SOClEt Insurance
INSURED INSURER B:
Aquatic Biologists INSURERC:
N4828 US Hwy 45 INSURERD:
INSURER E:
Fond du Lac WI 54935 INSURERF:
COVERAGES CERTIFICATE NUMBER:CL1511301033 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR
�7R TYPEOFINSURANCE POLICYNUMBER MM/DDY� MMI DY� LIMITS
GENERAL LIABILITY
EACH OCCURRENCE g
DAMA E TO RENTED
COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence S
CLAIMS-MADE �OCCUR � MED EXP(Any one person) $
PERSONAL$ADV INJURY S
GENERALAGGREGATE $
GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $
POLICY PR� LOC $
AUTOMOBILE LIABILITY E�a aBatleDtSINGLE LIMIT 1 OOO OOO
A X ANY AUTO BODILY INJURY(Per person) $
ALLOWNED SCHEDULED AP 959711 1/1/2015 1/1/2016 BODILYINJURY(Peracddent $
AUTOS AUTOS )
X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE
AUTOS Per accident $
Uninsuredmotoristcombined a 1 000 000
UMBRELLA LIAB pCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
j� WORKERS COMPENSATION X WC STATU- OTH-
ANDEMPLOYERS'LIABILITY Y/N �
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACHACCIDENT $ 1 OOO OOO
OFFICER/MEMBER EXCLUDED7 a N/A
(MandatorylnNH) C 459712 1/1/2015 1/1/2016 E.L.DISEASE-EAEMPLOYE $ 1 000 000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 OOO OOO
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Oshkosh ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: City Clerk
Z I J� Church Avenue AUTHORIZED REPRESENTATIVE
Oshkosh, WI 54903
C Christensen,CIC,CRM
ACORD 25(2010/05) O 1988-2010 ACORD CORPORATION. All rights reserved.
IIdC(17r.I�n�nncl n� TI... Al�AOI'1........�n...l 1.....�.....�n�....{......1.v....L..�.i AP`AOII
HUDSON SPECIALTY INSURANCE C�MPANY
(A New York Domiciled Corporation)
ECD-PAK
Additional Insured Owners, Lessees or Contractors
Automatic Assignment Endorsement
In consideration of the premium paid,it is herebp understood and agreed that the following shall
apply to:
Policy Number: ESB 2013 12-14-05
Effective Date: March 19,2014
This endorsement modifizs insurance provided under the applicable Policy coverage part(s)
SCHEDULE
Name of Person or Organization:
Any person(s) or organization(s) whom the NAMED INSURED agrees, in a written contract, to
name as an additional insured, shall be deemed a.n INSURED. However, this status exists only for
the project specified in that contract Uut only with respect to that person's or organization's
vicarious liability arising out of ongoing operations performed for that additional insured.
This endorsement does not apply to the Environmental Professional Liability coverage part.
All otherpolicy terms and eonoli'tions shall remair2 the same.
1 /{• V J�.^� R
A ORIZED RESENTATNE
ESB-COM-1108-279 Page 1 of 1
HUDSON SPECIALTY INSURANCE COMPANY
(A New York Doiniciled Corporation)
EC(J-PAK
Additional Insured Owners, Lessees or Contractors
Completed Operations Endorsernent
In consideration of the premium paid, it is hereby understaod and agreed that the following shall
apply to:
Policy Number: ESB201312-14-05
Effective Date: March 19,2014
This endorsetnent modifies insurance provided under the following:
COMMERCIAL GENERAI.LIABILITY COVERAGE PART
SCHEDULE
Name of Additional Location of Completed Operations Date Added Date Removed
Insured Person(s) or to Schedule to Schedule
Organization(s):
Any person(s) or organization(s) whom the NAMED INSURED performs work for and agrees, in a
written project specific contract, to name as an additional insured. This status e�sts only for the
person or organization specified in the project specific contract and onlp with respect to that person
or organization's liability arising from operations performed by the NAMED INSURED for that
person or organization.
This endorsement will not respond to CLAINIS bp any any General Contractor or Sub-contractor
without proof of prunary coverage held by that entity. Coverage provided by this endorsement shall
apply on an cxcess basis wherr. applicable.
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 liaUility for BODILY INJURY or
PROPERTY DAMAGE caused,in whole or in part, by YOUR WORK at the location designated
and descriUed in the schedule of this endorsement performed for that additional insured and
included in the PRODUCTS-COMPLETED OPERATIONS HAZARD.
All otherpolicy terms and conditrons shaDremair2 the same.
l /).�CX� aC
A ORIZ�D RESENTATNE
CG 20 37 07 04- Page 1 of 1