HomeMy WebLinkAboutG&K Services 2015��fl��l�i�� �
CONTRACTOR AGREEMENT- RENTAL OF UNIFORMS, COVERALLS, MATS,
TOWELS AND LAUNDRY SERVICE
THIS AGREEMENT, made on the 14THT" DAY OF OCTOBER, 2015, by and between the
CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and G& K
SERVICES, PO BOX 10446, GREEN BAY WI 54307-0446 hereinafter referred to as the
CONTRACTOR,
WITNESSETH:
That the City and the Contractor, for the consideration hereinafter named, enter into
the following Agreement. The CITY'S Bid Specifications and Insurance requirements are
attached hereto and incorporated into this Agreement. The Contractor's proposal is also
attached hereto and reflects the agreement of the parties except where it conflicts with the
CITY'S terms within this agreement, in which case the CITY'S Bid Specifications,
Insurance requirements, and other terms of this agreement shall prevail.
ARTICLE I. PROJECT MANAGER
A. Assignment of Project Manager. The Contractor shall assign the following
individual to manage the project described in this contract:
(TODD EVERARD, ROUTE MANAGER, G&K SERVICES)
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 REPRESENTATIV
The City shall assign the following individual to manage the project described in this
contract:
(HOLLY MAGRADY, SENIOR BUYER)
ARTICLE III. SCOPE OF WORK
The Contractor shall provide services described in the proposal dated AUGUST 17,
2015 (THIS ATTACHED AS EXHIBIT A) The Contractor may provide additional
products and/or services if such products/services are requested in writing by the
Authorized Representative of the City.
1
ARTICLE IV. CITY RESPONSIBLITIES
The City shall furnish, at the Contractor's request, such information as is needed
by the Contractor to aid in the progress of the project, providing it is reasonably
obtainable from City records.
To prevent any unreasonable delay in the Contractor's work the City will
examine all reports and other documents and will make any authorizations necessary
to proceed with work within a reasonable time period.
ARTICLE V. TIME OF COMPLETION
The work to be performed under this contract shall be commenced by October
2015 — October 2018
ARTICLE VI. PAYMENT
A. The Contract Sum.
The City shall pay to the Contractor for the performance of the contract the sum of
PER PRICING OF ATTACHED BID adjusted by any changes hereafter mutually agreed
upon in writing by the parties hereto.
Fee schedules shall be firm for the duration of this Agreement.
B. Method of Payment. The Contractor shall submit itemized monthly
statements for services. The City shall pay the Contractor within 30 calendar days
after receipt of such statement. If any statement amount is disputed, the City may
withhold payment of such amount and shall provide to Contractor a statement as to
the reasonls) for withholding payment.
C. Additional Costs. Costs for additional services 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 VII. CONTRACTOR TO HOLD CITY HARMLESS
The Contractor covenants and agrees to protect and hold the City of Oshkosh
harmless against all actions, claims and demands of any kind or character whatsoever
which may in any way be caused by or result from the intentional or negligent acts of
the Contractor, his agents or assigns, his employees or his subcontractors related
however remotely to the performance of this Contract or be caused or result from any
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 VIII. INSURANCE
2
The Contractor shall provide insurance for this project that includes the City of Oshkosh
as an additional insured. (THIS ATTACHED AS EXHIBIT B) If applicable, the
Contractor is responsible for meeting all insurance requirements. The CITY does not
waive this requirement due to its inaction or delayed action in the event that the
Contractor's actual insurance coverage varies from the Insurance required.
ARTICLE IX. TERMINATION
A. For Cause.
If the Contractor 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 Contractor. In this event, the Contractor shall be entitled to
compensation for any satisfactory, usable work completed.
B. For Convenience.
The City may terminate this contract at any time by giving written notice to the
Contractor no later than 10 calendar days before the termination date. If the City
terminates under this paragraph, then the Contractor shall be entitled to compensation
for any satisfactory work performed to the date of termination.
This document and any specified attachments contain all terms and conditions
of the Agreement and any alteration thereto shall be invalid unless made in writing,
signed by both parties and incorporated as an amendment to this Agreement.
3
In th re ence of:
�iZ�.�cd l Y/d,n.iralciZ
(Seal of Contractor
if a Corporation.)
f' �
;
�' �ti - ���
(Witness)
�� ' - ,�-,�z
,L
�( itness)
APPROVED:
/ r
�
City At n
CONTRACTOR /CONSULTANT
: �� �, � � ���
�.- C� v�-� �t�, Ct ��1 Q, e� C' rr
(Specify Title)
By:
�� �� ���
(Specify Title)
CITY OF OSHKOSH
Bv: ., ��.---,c��-�-�- l
Ma �k A. Rohloff, City Manager
f
_ _ �i
And� � ��� L � � ��� I ���'��
Pamela R. Ubrig, City lerk �
I hereby certify that the necessary
provisions have been made to
pay the liability which will accrue
under this contract.
.����� t� � ����
City Comptroller
EXHIBIT A
���
�, �, ��
���
�_�
�s�
���
�
�,
� (1
��
� '�
O
�
ID
cQ
m
J
0
�
c� m a�.�
-�!n � �
m��'� •
o�,�oo
� � �
� o @ � d
1 � �
�
� � � 0 �
� c �
� � � � �
� � �
� � �
�' � �
�j' � N
D
��
N
i
�
O�
ci
��'
a
'D
m
�
Z
N
�
�
a
Te � �
0
�o
��
��
� e �'
1 �
� �
3
G�
� �
� � '
_ ,�
� �
�
�
�.
; -�
� �
�
�.
�-
��d0000�
� � � � � � D � m m m
zzzcc�c���
���mmm������
000�����-�-fmmm
������ ���
�On"Od
D D < D D
z�3�Z�
�����
m m
�8������
�i �� � c'��I\
E�h, b� �..�j
-�
�
z
�
�
�
�
m
r Z
�D
r
z�
n� �
m n
-� � -� -� -� -� -� -� -� -� -� --i -� -► --� n �
���������������
z'^z'^z'AzzzI^z'^zzzzzz zz � ;
V/ Vl V! � � VJ V/ � � � � � � � �
� � � � � � � � � � � "'3 .� "'{ � O Z
cD O -n
rni0
�
°o�
� ��
N �
� p D
� � � �
m
� O `nC
m
m��
� � �
(ny0
(((��� Z %Tn
1 � � yy
Q � �F% 0 N �i �1 J �..1 1 J � � � �"1 �j 0
n�p(nDD�=oorrn(n w w C
GDD=��DDDOOD�XX z
�3Z�O�n-nG�zG�nC�oo-] -' � _�
����x�x�tnmcnmmz--i �� � m �
°�rOcmi�z��D��-�t� � � orn
r
c =� �zcnt��m m �T'
mmom�°mo00pr �n �
�Uj?S���r�f j, �
�����X Dr �•m
w � �T. � � m
'n
�
��������������� ��
m c„
p �
�
� m
_ �, �
�� .�,�� �G�' - � � �
����i��������
���
ii u ii
W��
�0
� m
m ? �-
�� �
�
�
�"'
D
Z
�
� ��
C �
�
� '`�
� �
z_,
� n
0o ro
v
�
�
m
N
0
�
N
� �
;m
. Z
'D
� �
�O
�
>n
•O
im
►�
�r
�r
��
� C
iZ
i�
:O
�
i�
I�
I�
ID
�rn
O�c
�m
m�
��
z0
x�
v �o
��
C
Z
�
�
-<
�
m
�
<
n
m
�
m
v
�
�
0
�
cn
�
m
�
�
N
O
�
�
�
m
�
fD
W
O
�
W �
II II
� �
� o
fD ,��+-
lD �'
X� ,
�
Z
D
�
m
O��
n �.
O
��
�
oCO �
� �
� "1
z
��
o �
� �
�
�- c
-II �
� v
� �
z�
w
3
m
�
�'
N
Z
�
N �
m
r Z
� �
.,� D
z �
n� O
� �
m n
� �1 �1 W � �
c7t�c��� �'
z
���� � �
mmm3 p �
����� c
zzzm = z
000=�
���o � p
=�=a? �
o c�
D D
� �m
z �p
m
cn m ,_�,.�
��
p z�
� o�
NN-� D�
A C1� W C
:+ Z
xxx � o
°'NO � �
D�� p -<
��� �, �
v C
.. —
o' n
= m
��� �
� m
� �
rn `�
fJ o
J
�
= V/
. � m
� � rn �
o c� � N
�- O
�
�
� � � �
� Q � �'
o Q � -
�o
�
cfl
m
�A
0
N
���
u » u
���
�o �
m � m
m a- �
x� �
�
z
�
m�
O�
�
��
O
�
D
� �
� �
W�
��
� n
= R
�.
� �
� �n
o a c�
� v �
�
� �.
�����
� � m m �
ro����'-
o�.�oo�
� � �
��
� o � � v
0
�-wNO�
'0 n < y
fE7 � a� N
c
� � �
<a �. o
Q. �' �
� N �
m �
'm
N
m
G)
c
n�
q
.
,
�
.
.
� e
.
.
������
DDDDDD
zzzzzz
-=t -_� =i -_� _-� -_�
DDDDDD
-� --i _t � _I —1
000000
zzzzzz
-1 -� N W
OO�D
rov��
x-n�z
� Z�o�
cn°mco
C m w• ? r
G�CIG
�
W
�
Z
v
m �
m
r
z
N D
r
Z 0
n� �
m n
n0
_-� m
�
<° p �
��O
cao = �
— O (n
� � �
D D
��rn
Z��
rn
�m�
crn -n
O
pz�
�om
� �
C
� Z
3 �
0
�
� �
�m
�' <v
� �i
m
�
m
��
m
fJ o
J
�
1
� �
�' m
m �
m -�
n� �
� o
� �
�
�
o�
�a
m
�
0
N
W��
u �� i� .
��
�o �
a c�
m � x-
�� �
�
m
0
,�
n ^
� �\
D
z
�
C�
��
� �
z � .
� �.
� �
� �
a' � n
o Q- m
a: n� �
m
� �.
�����
� � � � �
�����.
o�.�oo
m �
No��v
�o �
�� � v �
��m
� � � � �
I� 5�•�
� � �
�D � o
a N �3 O a�i
m
�D a � c
7' �
� a
y -O
(D
Z
N
m
c� Q
� �
r
�i
rt
" �e
0
�
�
Z
n�
�
rn
r �7
�' m
�z
aZi D
� r
� O
������� nn
DDDDDDD ��
�������
mmmmrnrnrn
������� o�
�������
rrr=��r�NOr
-I -I -I -i -i -I -i cn U3 r
� � � � � � � v � �
�-i-1-i-I-l-I�'OC
OOOOOOON�z
zzzzzzzo ?�o
`° m�
�
���
�
'� D
mc�i��
��p
� �C
m
m�
�
p�0
�z�
...�. � n� -,. .t� rn w � v�
��pcnw�w p
OOCXX�� �
� � � ri o � � z
D��DD—Di� o�
Z
� ° m c m `�° cn
c� mc,,z � �,�
� �� � <
� n
S � � nl
N (n
p tT!
N 'U
������� �
-n N
� O
m c;
� �
�
m
� �9-� - �.
� ��°°�.`n `�° o0
�����1� �Isl�
�
�
�
n
�
�
N
��
� ��
��
��
�'
�
� '�
� �
��
�
�
�
�
� 3
� �
i N.
� �
;�
�, a
ro m
a
`n (�
�
�
O
D
r
a
�
m
�
a
�
w
H
w
�
D
�
O
�
�
ro
N
2
�I
C�
N
�p �
�
o _
c� �
l p
9 �
c ¢'
� �
� �
� �
_--_ �
c
� `v
�
-, e
..: � .
�
--r-
o�
�
REQUES7 FOR BID
- �,,,
M_�''" G�- Ic SP �v `� es
B_���
Nhl•1E OF GON' ANY SV&MRTING 8!D
Page 7 0! 12 .
o8�'tlna� i7'�zvMetni- F�o'l e�t:d1
P r�y; �:��1 ��� a�� vs erS
W��
II II II
� � C
O C
t�D � N
fD �' 7�'
�� �
�
� �
m .�,.
O �-
�
��
�
C '"
W r�
� �
� �
�
v
�
m
00
0
-�,
�
N
z
0
�
�
0
n
0
c
�
�
N
��
�
fD
tD
�
�
�
fD
�
�
�
m
�
m
0
a
7�3
fl'F
z
D
r
O
�
n
,O
m
�
r
�
c
Z
�
�
�
�
�
I � �
a �i
�m
m�
r- �
��
z�
o�
��
C
Z
�
�
-C
CA
m
�
<
n
m
�
m
v
-�
N
O
.�.
!li
�
m
-D
�
N
O
�
�
w
cQ
N
c0
0
N
���
n u n
��
o �
� � m
(p S 7�
� �G �G
�
� -�
m
O f�
�
n �
O
D �
� � 3 rn
�� � ��
� �, o s m
� v v
� �,. � �
� � � �,
�
Z� � �� �
(,� � � vQi w
U0 ���to
C7 0 �, � a
� �
�
� O ^' (D
� O � �
� � � O
(�7 — (�p
� � N �
� > >
�D �' o
� � 3
� N m
m �
a'
�
�
��
s �
� �
,�
U Q
T
7
Y
�
z
n�
'�
(D
r�
� �
3 r
� O
���� c�0
C C C C � �
cn cn cn cn m
mmmrn
cccc p�
���� �tr
O �
wz�
C
D O .Z—n
� _�
�m°c�n
n' � D
� ��m
�O�C
���
m�
��
�Z%n
� � W
O � � W � O
� � � � Z
�'U`0� D
� zy'�� 3 �
<° �c ���� ��
Gic•� rmC v, �
c � � mn,z � <
Q � � �' '� � (�
�
w o m
mn?i�x � �m
� � �
ni � � '"'�
� � � � � � �
rn�
p '
�
m
� ��.
� ,°u CN� o
J `n N O�
� ���'��������.����
�
v
ca
m
0
�
N
���
t� n n
���
0
m � �-
�� �
�
z
�
m
O ��
� � � � n
0
� � m °' �
� � �
��
� n � � u°'i n�i �
� �
00 (� � � � � �.
v o�.�oo
� � �
�
N � -' � �
3� �a-�
��N��
_ �
� s 5 �
� 3 �
�. � 3
� � �
N �
c°.
�
� ^
T Q
�
�
���
�
�
v
�
n
m
�
�
m
Z
0
�
�
y ° cu C
T�' c c�p m
�
m � �
1 1 �
��pm
m
�
� ��
-� -, °
c -
A �" $'
—n �
^ + -�
` s �
� �
�
� � 3
�� O 2�
l`.J 5
F fi
�
� * ����-�T.T.-i--I
z��00c�occrnrn
moozz-«����
� �
�
�
0000r=r��U3(nv�a�(n(n �
DDOOcct�n=z�� rm
��mn' ���'�_= N D
�Nmm
mm�� °' �
�7 � � -n
C�c�(�(�nC�c�C3c�C�C�c�(�c�i� �O
��������������� �m
==sSZ22=xx�==sz
DDDDDDDDDDDDDDD �r
rrrrrrrrrrrrrrr T�r
rrrrrrrrrr-rrrrr OCA
Nfn�
i =
t.fl � Z
�
� O �
n ' �
�D D D
��rn
Z o �`c�
�m�
��
0
pz�
� 0 �
� � �f ...i .-]. � � �.1 j .-a � � w � � Q
� �.] � � �l 1 .�. �1 � � 1 .� rt+ � N
"vC��(��UC��C�"DC�vC���o �
D=DSD2D2D=DzppC Z
-zi���-zi����A-z{��-v� '�o
-t --I � -! -1 -1 = � � .-��
�
i Z� O � m
�t71C � C
m�� � C)
� � m
�
rn m
���������c�2��000� -�
� N
� o
�
m cn
£� �
�
m
-� �
_ e . � �. --i
�w������^����� �� �
� S .d 11 � 13 � -� ..O
C�i 00
�
- - ._. _ - � • ,�
� �+ w�:,� w L' }�� �`� W �,� � � 4�
_J
W � �
!I Il 11
W��
0
m � c�u
c� � �
���
O�
� �
n
O
WI�
� �i
z
G� „ ,
W�
o�
�
�
�
0
-ti,
N
� n
a m
v v
:Q �
� j.
m
����
a�,�o
� � �
� o � �
�o ��
m ��•rn
� � �
' � �
n� v� �, a3i
-�
� O � � c
� �� �,�
�
N � c
m � v
� � �
� ,
fD '
C' r
1 e
T �
�
Y I C
'n
C) C? �
� � �
DD �
��
C C N �
rn
m m � D
� r
� O
�
��� ��� n O
c�n u�i t�i� t�n c�i� t�i� � m
O �
�
O �
� � �
0 2 -
cn T� C
�O Z
� ? O
D m �
�D D �
� D
rn �m
� o �c
�rn
m�
r '�
��
� Z�
� o�
NN--• O O� Ja ��
zZai— Du��w
� � � D � � � � x z
c>n�mo ��D� � �
00� � � � �
D<rcv� m0-tD �
--�m�y �m � o �
z�0� �r � <
O�-<� rnao �• (�
� cn x ,.,. m
J
Cll
� O•. V!
00 � m
v
--�
N
CA fl7 LA W W �
� �
.(i
m �
p �
m
�
�J -° �
n� N
� � � . � O
� C� C � �
�
�O o�G -z - i
a c , -
'o
�
cQ
m
N
O
-y.
N
W � �
II II 11
WC � C
O
< � (D
N � �
� `< `G
�
O
�
n
O
~�
��
C
�
�
� .
�n
..
Z
0
.-.
n
0
<
c�
su
�
v
�
m
z
<
�
�
�
D
z
�
�
C].
fi � �
Q o O
-� .ry -�o
n {
p � o
� �
N "� �i-
iC c �
� � �
V' "i T
� �
� �
I�
m
z
-�
D
r
O
�
n
O
<
rn
�
r
1 (/j �
{ � �
ioc
�rn
i � �
��
,zO
�
I � �
��
C
Z
fl
;i1
-�
CA
m
�
<
c>
m
�
�m
-o
-�
N
O
�1
�
VJ
m
�
N
0
�
�
PROPOSAL PAGE CONTINUED
RENTAL OF COVERALLS, UNIFORIvIS, MATS, TOWELS AND LAUNDRY SERVICE
Please indicate your poiicy on conducting inventory \�� ���, �}����t{a �� p��L'��l'�, seGo��-��� �'���
c ` �o Wl`i-5
�liti�df}1'15.�ne��Vid�Ua���ze� �a� Cec��L c� �u��� �11�crp� Fcece �{-resc�r�. c{y c�eS;Vpi;F�� �'�xtt�C�T r'`�� a
Please indicate bz•and names of sliii�ts, pants and caveralts your company uses in your ren#al
program (�, i-� serv;'ce�e.kt�s , Nlrue�c, fe� �,ec� �aC , CG�nPc��fon�
Indicate if your coinpany has dedicated representatives for a rental agreement our size and
response time when emailed requests or quality control questions
V Ps .i, a�+ac� ��k Sec'v.�.e C�rqaAi2a��� Ci�a�� �� �eS�cnSe -+in�es sh��f� h� n�de w���� ��ht
v� ��} ����s r��+�r���. w�;�tt��n 15 m�n��es�
Indicate if your company offers a web-based portal far customers to access their account to view
invoices.
Yes No
Periodically City departments wilI have out-righ# purchases of uniform trousei•s, shii�ts, jackets,
and coveralls. Vendor is to list what lines of apparel they earry, Please indicate if the pricing for
out- rigl�f purchase is firin for the tYuee-year contract. �
- Yes No
Please indicate brand names of shirts, pants, coveralls your company uses for out right
purchases(���-ha�'1--4- �;c�-cPc v��vo�IL I��i{<e (�a �a r��,� �a.�l_r �� or}_f�vt�of;��,
S�c(�� -��fek , 0;� r;c�-� Re� Novse ; Nat�es . Cs� I�,Qti1� ��eCz�e,sT, Mv;-E- c� �I-4,,e. t.w,t�
SUBMITTED BY:
� 2o�s
DATE
C��-<< Serv�ce s
NAME OF COMPANY
� Udc�- �Ve�r�� c�
NAME OF INDIVIDUAL SUBMITTING BID �
�rS�� �s���[( S-f- � Greec� � w�, ��'� 5�{30�
ADDRESS CITY STATE ZIP
( ��) ��7 l25aa
TELEPHONE NUMBER
�t- U e� ce ��. � k-s e(� v' <<PS , Cc� r�
EMAIL OF CONTACT PER ON
13
EXH�B�T g
0
212 345-5000 9/18/2015 10:01:19 AM PAGE 2/003
Fax Server
�- h�b�
DATE (NiJ4DaYYYY)
ACURO� CERTIFICATE OF LIABILITY INSURANCE os�,�zo,5
��-.
THIS CERTIFICATE IS ISSUED AS A MA7TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE HOLDER. THIS
CERTIFlCATE DOES NOT AFFlRMATIVELY 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 CERl1FICATE HOLDER.
IMPORTAHT: If the cert'rficate 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).
PROOUCER NAfdE:
Marsh USA Inc. ��E �
333 South 71h Slreel, Suile 14D0 � E� � ��
Minneapolis, MN 554 02-24 0 0 ��
Aftn: Minneapolis.CertRequesl�marsh.com Fa�c212-948-�114 �RESS:
11
I�SURm
G&K Services, Inc. and its Suhsidiaries
5995 Opus Parkway, Suile 500
Minnelonka, MN 55343
COVERAGES
CERTIFICATE NUMBER
IrSURERA: Zurich American Insurance Company
ItSIJRER B : N/A
INSURER C: American Zurich Insurance Company
It�LSIJRER D; Great Amencan E&5 Insurance Company
1►SURER E :
CHI-oo6428673-01 REVISION NUMBER:Z
6535
0142
7532
THIS IS TO CERTIFY THAT Tl-IE POLICIES OF INSURANCE LJSTED BELOW HAVE BEEN ISSUED TO THE INSURED �IAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOl1MTHSTANDItJG ANY REQUIREMENT, "fERM OR CONDfTION OF ANY OOM-RACT OR OTHER DOCUMENT WIiH RESPECT TO WHICH THIS
CERl1FICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB,IECT TO ALL lNE TERMS,
IXCLUSI ONS AND CONDITIONS OF SUCH POLICI ES. LI MTS SHOWN MAY HAVE BEEN REDUCED BY PAI D CLAI MS.
�L7R TYPE OF 115URANCE POUCY MUMBER NMUOD� � M�NUDD,Y � LJM75
A X COMMERqALGBJERALLIABILIIY GL0585230302 12/01l2014 12/01/2D15 �HODCURRENCE $ 1,OOD,000
Cf�Jfv1�MADE � OCCUR PREMISES EaosurenrE $ 1,000,DDO
MED D� (PrN me persm) $ 10,000
PER9�lAL8ADVIr1JURY $ 1,�00,000
GEf�lLAGGREGATE IJMITAPPLIES PEFt: GENERALAGGREGAIE $ 2,000,000
POJCY��� � LOC PF'07DLK.TS-CCMP/OPAGG $ 2,00O,OOD
X OTHER: Polic General Aa re ate POLICY GENERAL AGG $ 15,000,000
P, AUTdNJBILELIABILfTY 6AP5652304D2 12/01/2014 12/O1l2D15 ��ad� $ 3,O�O,D00
X qr.�yq�p �DILYIf�1JURY(Perpersm) $
AL�O�� ���� @�DILYIIWURY(Peracddent) $
FOREDHUrQS �� � Paacddert $
$
UMBR0.LA LIAB �� EACH OGLURRENCE $
IXCESS L1AB CLAINIS�MDE AGGREGATE $
DED RETEN710N$ $
C ��ERS C�NPtT6AT10N WC585230102 (AOS except TX, ND, OH, 12/D1/2D14 12/D1/2D15 X�AME R
AhD BJPLOYERS LJABIIJ'TY
ANY PROPRIEfOR�PAF�NEP✓EXECU'fIVE Y/N WA & WY) EL EACHAOCIDE�ff $ 1,0OO,ODD
A OFFICEP✓M=MBER IXCLUDED7 � N�A
(AA��boryinNl-n WC5852302D2(MA,WI) 12/01/2014 12/01/2015 ELDISEASE-EABvIPLOY $ 1,0OO,OD�
If yes desviheurzier Workers Com is not rovided in TX 1,000,00�
DESL'RIP7I�IJ OFOPERATIO�LS beJow P P EL DISEASE- POLICY LJMIT $
D TexasEmployersExcess ECA3719729 12/Ot/2014 12/01/2015 PerPersonLimit: 5,D00,000
Indemnity SIR: $25�,00o Per Occurrence Limit: 25,OD0,000
DESCFaPT10N OF OPERAllOr6 / LOCATIOf�lS/ VE}iCLES (AOOF� �01, Additior�l F�errorla Schedule, rtsy be atmched if more spere is required)
CE
City ol Oshkosh
Attn: Holly Magrady
215 Church Ave
Oshkosh, WI 54901
ACORD 25 (2014/01)
CANCELLATION
SHOULD ANY OFT1iE ABOVE DESCRIBED POLIqES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE VNLL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTFiORIZm REPR6EMAl1VE
olMarsh USA Ine.
Manashi MiJcherjee .,3kC.s�ti,c��.; .�x,��_e_
O 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
212 345-5000
'O OR �
AGE7JCY
�rslt L)SA IrC.
POLICY MIaVIBER
CARF�ER
9/18/2015 10:01;19 AM PAGE 3/003 Fax Server
AGENCY CUSTOMER ID: 103-185-392
LOC#: Minneapolis
ADDITIONAL REMARKS SCHEDULE
��AMm I�SURm
G&K Servica, Inc. arxi its SLbsidaries
59� C�us Pa Sute 500
Nirrietmlca MV�3
NAIC CODE
EFFECTIVE DATE:
Page 2 of 2
Ac�r�u i ui �zuuniui� O 2008 ACORD CORPORATION. Atl rights reserved.
The ACORD name and logo are registered marks of ACORD