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HomeMy WebLinkAboutAgreement/ Sr. Center Dumpster Enclosure, TR Karrels & Assoc Feb 2016 1 I 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. Tom Karrels Date: February 29, 2016 T.R. Karrels &Associates Subject: Executed Agreement 1934 Algoma Boulevard Design and Construction Services for Oshkosh, WI 54901 New Seniors Center Dumpster Enclosure 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 Quantity Description 1 Executed Agreement These are being transmitted as indicated below: ❑ For Approval ® For Your Use ❑ As Requested ❑ For Review& Comment Remarks: Enclosed is a copy of the executed agreement for the design and construction services for the new Seniors Center Dumpster Enclosure. A City of Oshkosh Purchase Order will follow shortly. Please reference this Purchase Order number on all of your invoices. If you have any questions, please contact us. Jim Collins—Copy City Clerk's Office--Original cc: File —Original Signed: Tracy . T aylo () 1:TngineeringlTracy TaylorVames'AgreementslKerrelsLKarrels LOT-Executed Agreement-pas&Caul ServSen Ctr Dumpster End_2-28-16.doc AGREEMENT This AGREEMENT made on the 1'da of L , 201 b and � v v between the CITY OF OSHKOSH, party of the first part, hereinafte referred to as CITY, and T. R. KARRELS & ASSOCIATES, 1934 Algoma Boulevard, Oshkosh, WI 54901 , 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 DESIGN AND CONSTRUCTION SERVICES FOR NEW SENIORS CENTER DUMPSTER ENCLOSURE. ARTICLE I. PROJECT MANAGER A. Assignment of Project Manager. The CONSULTANT shall assign the following individual to manage the PROJECT described in this AGREEMENT: Tom Karrels — Owner/Engineer 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 Il, CITY REPRESENTATIVE The CITY shall assign the following individual to manage the PROJECT described in this AGREEMENT: Jim Collins— Director of Transportation ARTICLE Ill. SCOPE OF WORK The CONSULTANT shall provide the services described in the CONSULTANT's Proposal. CITY may make or approve changes within the general Scope of Services in this AGREEMENT. If such changes affect CONSULTANT's cost of or time required for performance of the services, an equitable adjustment will be made through an amendment to this AGREEMENT. All reports, drawings, specifications, computer files, field data, notes, and other documents and instruments prepared by the CONSULTANT as instruments of service shall remain the property of the CITY. 1:1Engineedng1Tracy Taylo ames'AgreemenlsVnrrels Des&Const Sery-Sen Ctr Dempster Encl_14-2- Page 1 of 6 15.docx ARTICLE IV. STANDARD OF CARE The standard of care applicable to CONSULTANT's services will be the degree of skill and diligence normally employed by professional consultants or consultants performing the same or similar services at the time said services are performed. CONSULTANT will re- perform any services not meeting this standard without additional compensation. ARTICLE V. OPINIONS OF COST FINANCIAL CONSIDERATIONS AND SCHEDULES In providing opinions of cost, financial analyses, economic feasibility projections, and schedules for the PROJECT, CONSULTANT has no control over cost or price of labor and materials; unknown or latent conditions of existing equipment or structures that may affect operation or maintenance costs; competitive bidding procedures and market conditions; time or quality of performance by operating personnel or third parties; and other economic and operational factors that may materially affect the ultimate project cost or schedule. Therefore, it is understood between the parties that the CONSULTANT makes no warranty that the CITY's actual project costs, financial aspects, economic feasibility, or schedules will not vary from CONSULTANT's opinions, analyses, projections, or estimates. ARTICLE VI. RECORD DRAW NGS Record drawings, if required, will be prepared, in part, on the basis of information compiled and furnished by others, CONSULTANT is not responsible for any errors or omissions in the information from others that the CONSULTANT reasonably relied upon and that are incorporated into the record drawings, ARTICLE VII. CITY RESPONSIBILITIES The CITY shall furnish, at the CONSULTANT's request, such information as is needed by the CONSULTANT to aid in the progress of the PROJECT, providing it is reasonably obtainable from City records. To prevent any unreasonable delay in the CONSULTANT's work, the CITY will examine all reports and other documents and will make any authorizations necessary to proceed with work within a reasonable time period. ARTICLE VIII. ASBESTOS OR HAZARDOUS SUBSTANCES If asbestos or hazardous substances in any form are encountered or suspected, CONSULTANT will stop its own work in the affected portions of the PROJECT to permit testing and evaluation. If asbestos is suspected, CONSULTANT will, if requested, manage the asbestos remediation activities using a qualified subcontractor at an additional fee and contract terms to be negotiated. IlEnginendngUracy TayloNames'AgreemeninlKarrets Des&Const Sery-Sen Ctr Dumpster Eno_10-2- Page 2 of 6 15,docx If hazardous substances other than asbestos are suspected, CONSULTANT will, if requested, conduct tests to determine the extent of the problem and will perform the necessary studies and recommend the necessary remedial measures at an additional fee and contract terms to be negotiated. CITY recognizes that CONSULTANT assumes no risk and/or liability for a waste or hazardous waste site originated by other than the CONSULTANT. ARTICLE IX. CITY'S INSURANCE CITY will maintain property insurance on all pre-existing physical facilities associated in anyway with the PROJECT. CITY will provide (or have the construction contractor(s) provide) a Builders Risk All Risk insurance policy for the full replacement value of all project work including the value of all onsite CITY-furnished equipment and/or materials associated with CONSULTANT's services. Upon request, CITY will provide CONSULTANT a copy of such policy. ARTICLE X. TIME OF COMPLETION The work to be performed under this AGREEMENT shall be commenced and the work completed within the time limits as agreed upon in the CONSULTANT's Proposal. The CONSULTANT shall perform the services under this AGREEMENT with reasonable diligence and expediency consistent with sound professional practices, The CITY agrees that the CONSULTANT is not responsible for damages arising directly or indirectly from any delays for causes beyond the CONSULTANT's control. For the purposes of this AGREEMENT, such causes include, but are not limited to, strikes or other labor disputes, severe weather disruptions or other natural disasters, failure of performance by the CITY, or discovery of any hazardous substances or differing site conditions. If the delays resulting from any such causes increase the time required by the CONSULTANT to perform its services'in an orderly and efficient manner, the CONSULTANT shall be entitled to an equitable adjustment in schedule. ARTICLE XI. COMPONENT PARTS OF THE AGREEMENT This AGREEMENT consists of the following component parts, all of which are as fully a part of this AGREEMENT as if herein set out verbatim, or if not attached, as if hereto attached: 1. This Instrument 2. CONSULTANT's Proposal dated October 1, 2015 and attached hereto In the event that any provision in any of the above component parts of this AGREEMENT conflicts with any provision in any other of the component parts, the provision in the component part first enumerated above shall govern over any other component part which follows it numerically except as may be otherwise specifically stated. VXEngineerrrtgkTracy 7ayloMames'AgreementslKarrets pas&Const Sery-Sen Ctr Dempster End 10-2- 15.doex page 3 Of 6 ARTICLE XII. PAYMENT A. The Agreement Sum. The CITY shall pay to the CONSULTANT for the performance of the AGREEMENT the total sum as set forth below, adjusted by any changes hereafter mutually agreed upon in writing by the parties hereto: • Lump Sum Not to Exceed $7,084.25 (Seven Thousand Eighty Four Dollars and Twenty Five Cents). 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. D. Indirect Costs. Indirect costs such as computer time, printing, copying, cell phone charges, telephone charges, and equipment rental shall be considered overhead and shall not be invoiced separately to the PROJECT. E. Expenses. Expenses may be billed with up to a maximum of 10% mark-up. All invoices with expenses shall include supporting documentation of the expense. Failure to include the supporting documentation will result in the reduction of payments by the amount of those expense(s) not including documentation. ARTICLE XIII. HOLD HARMLESS The CONSULTANT covenants and agrees to protect and hold the City of Oshkosh harmless against all actions, claims, and demands which may be to the proportionate extent caused by or result from the intentional or negligent acts of the CONSULTANT, his/her agents or assigns, his/her employees, or his/her subcontractors related however remotely to the performance of this AGREEMENT or be caused or result from any violation of any law or administrative regulation, and shall indemnify or refund to the CITY all sums including court costs, attorney fees, and punitive damages which the CITY may be obliged or adjudged to pay on any such claims or demands within thirty (30) days of the date of the CITY's written demand for indemnification or refund for those actions, claim, and demands caused by or resulting from intentional or negligent acts as specified in this paragraph. 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. I1EngineeringUracy 7aylo James'AgreemenfsWarrels Des&Const SeN-Sen CU Dumpsler Errcl_10.2- Page 4 of 6 Mdou ARTICLE XIV. INSURANCE The CONSULTANT agrees to abide by the attached City of Oshkosh Insurance Requirements. ARTICLE XV. TERMINATION A. For Cause. if the CONSULTANT shall fail to fulfill in timely and proper manner any of the obligations under this AGREEMENT, the CITY shall have the right to terminate this AGREEMENT by written notice to the CONSULTANT. In this event, the CONSULTANT shall be entitled to compensation for any satisfactory, usable work completed. B. For Convenience. The CITY may terminate this AGREEMENT at any time by giving written notice to the CONSULTANT no later than 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 XVI. RE-USE OF PROJECT DOCUMENTS All reports, drawings, specifications, documents, and other deliverables of CONSULTANT, whether in hard copy or in electronic form, are instruments of service for this PROJECT, whether the PROJECT is completed or not. CITY agrees to indemnify CONSULTANT and CONSULTANT's officers, employees, subcontractors, and affiliated corporations from all claims, damages, losses, and costs, including, but not limited to, litigation expenses and attorney's fees arising out of or related to the unauthorized re-use, change, or alteratior) of these project documents. ARTICLE XVII. SUSPENSION DELAY OR INTERRUPTION OF WORK CITY may suspend, delay, or interrupt the services of CONSULTANT for the convenience of CITY. In such event, CONSULTANT's contract price and schedule shall be equitably adjusted. 1.Tngineehng1Tracy TaylorUames'AgreemantsWarrels Das 8 Const Sery-Seri CV Dempster Erd 10-2- 1s. Page 5 of 6 ARTICLE XVIII. NO THIRD-PARTY BENEFICIARIES This AGREEMENT gives no rights or benefits to anyone other than CITY and CONSULTANT and has no third-party beneficiaries. In the Presence of: CONSULTANT By: (Seal of Consultant (Specify Title) if a Corporation) By: (Specify Title) CITY OF OSHKOSH By: �- (Witness) Mark A. Rohloff, City Manager E And. (Witness) Pamela R. Ubrig, City Cl k APP OVED: I hereby certify that the necessary provisions have been made to pay the liability which will accrue under this AGREEMENT. Cit t o e City Comptroller I kENjnegdngMacy TaylorUames Agreements%Warrels Des 8 Const SeruSen Ctr Nmpsler End-10-2- Page 8 of 6 15.docx RECEIV1;U engineers II : associates so OCT -1241 a r c 1, i t o c t s j)7 7] FpuL3rxWORKS{y C OSt•1KOSH, MSCONSIN Proposal to design and provide services as-required thru construction for a now Dum star Enclosure at the Senior Center Oshkosh Wl I see our services including the following: PHASE 1 i Attend start up meeting Meet on site with AECOM Work with AECOM and City on size ,location and construction type • Provide options on enclosures to be discussed at meetings • Cad Draft , Detail and Design the structure Revise as required by meetings Proposed fee for Phase 1 ------------------------------------------------------------------------- $4950.25 PHASE 2 Attend preconstruction meeting -2 hr. • Review shop drawings and return with comments: rebar-1.5 hr., steel gates-3.0 hrs, PVC Trim, metal siding, Hardle siding 3.0 hrs. Site visits during construction 2 times at 1.25 = 2.5 hrs. Attend construction meetings —estimate 4 at 1.0 =4.0 hrs. Final Closeout visit 1 hr Assume some of above shop drawings require second submittal and discussion 3.0 hrs. Contractor calls during construction 2.0 hrs. Proposed fee for Phase 2, as indicated above (22 hrs. at 97.00) ------------------ $2134.00 Total —Phase 1 and 2 $7084.25 1934 Algoma Blvd I Oshkosh Wl 54901 1 P 920.426.4470 1 F 920.426.8847 TRKARRE-01 KBOEVERS DATE(M MIDDPYYYY) �►C�'t2o' CERTIFICATE OF LIABILITY INSURANCE 211112016 THI�TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY RS NO ALTER RIGHTS UPON THE C UPRATE CEORIFIC E OLDERQLTHI S CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR 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 poiicypesi 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 endorsoment(s). CONTACT PRODUCER _- NAME: Kristin Boevers TRICOR,Inc.-Oshkosh A1C No xt:PHONE (g2fl)426-2431 (AIC Na:(FAX, 920)426-4514 ?�lV � E 40 W 6th Avenue E oRless:kboevers@tricorinsurance.com Oshkosh,WI 54902 NAIC a INSURERS AFFORDING COVERAGE 2016 INSURERA:QBE Insurance C010eneral Casualty INSUREDn INSURERB: 7 'l'i UI" PUt3L,iC 111Ui�iCJ INSURERC: TRKarrels&Associates�Ci�, li)�t7S1� WISCONSIN 1934 Algoma Blvd INSURER4: Oshkosh,WI 54901 INSURER r=: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS POLICY EFF POLICY EXP ILTR TYPE OF INSURANCE' INSD VJVD POLICY NUMBER MMIDDIYYY MMIDDIYY EACH OCCURRENCE $ 1,0DO,O00 A X COMMERCIAL GENERAL LIABILITY 300,000 FV1OCCUR X CFB07914D3 01113!2016 01113/2017 DREMISES Ea occurrence $ CLAIMS-tAADE 5,000 MED EXP(Any one person) $ PERSONAL&ADV IN JURY S GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER' PRODUCTS-COMPIOP AGO $ 2,000,000 X POLICY❑dEC �LOC $ OTHER: COPA81NE0 SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITY Ea acddenf A ANY AUTO CFB0791403 01/1312016 01/1312017 BODILY INJURY(per person) $ ALL OWNED SCHEDULED BODILYINJURY(Per accldent) S AUTOS AUTOS NON OWNED PROPERTY DAMAGE y XPer sccrdenl HIRED AUTOS X AUTOS $ EACH OCCURRENCE $ 1,000,000 X UMBRELLA LIAB X OCCUR 1,000,000 A EXCESS LA L CLAIMS h1ADE CCU0791403 01/1312016 01113/2017 AGGREGATE $ DEC) X RETENTION$ 0s WORKERS COMPENSATION STATUTE ERH AND EMPLOYERS,LIAB€LITY YIN E.L.EACH ACCIDENT S ANY OFFICERIP E€MBEREXCLUO D7 ECUTIVE ❑ N!A E.L.DISEASE-EA EMPLOYE $ (Mandatary In NH) If yyes describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERAT€ONS beinrr DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Project:Dumpster Enclosure at Senior Center The City of Oshkosh is an additional insured on the general liability. 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,Attn:City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. 216 Church Ave PO Box 1130 AUTHORIZED REPRESENTATIVE Oshkosh,WI 54903 ©19$8-201.4 ACORD CORPORATION. All rights reserved. AnnRn 21112014/011 The ACORD name and logo are registered marks of ACORD BUSINESSOWNERS BP 70 84 11 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - WHEN REQUIRED BY WRITTEN AGREEMENT RECEIVED — This endorsement modifies insurance provided under the following: RIB 19, 2016 BUSINESSOWNERS COVERAGE FORM DEPT OF PUBLIC WORKS OSHKOSH, WISCONSIN Paragraph C. Who is an insured in Section II -- B. The limits of insurance applicable to the additional Liability Insured are those specified in the Declarations of A. Is amended to include as an additional insured any this Policy or in the written contract, whichever is person or organization when you and such person lower. These limits of insurance are inclusive of or organization have agreed in writing in a contract and not in addition to the limits of insurance or agreement that such person or organization be shown in the Declarations. added as an additional insured on your policy. C. Any coverage provided hereunder shall be excess Such person or organization is an additional in- over any other valid and collectible insurance sured only with respect to liability for"bodily injury', available to the additional insured whether that in- "property damage" or "personal and advertising in- surance is primary, excess, contingent or on any jury' caused, in whole or in part, by your acts or other basis, unless you and the additional insure omissions or the acts or omissions or the acts or have specifically agreed in a written contract or omissions of those acting on your behalf: written agreement that this insurance be primary. 1. in the performance of your ongoing opera- When coverage is provided on a primary basis we tions; or will not seek contribution from any other insurance 2. In connection with your premises owned or available to the additional insured if a written con- rented to you. tract or written agreement requires that this insur- ance be noncontributory. D, All other terms and conditions of this policy remain unchanged. Includes copyrighted material of Insurance Services office, Inc., 1313 70 84 11 09 with its permission. Page 1 of 1 FI=13-18-2016 04:13 From: To:2365068 Paae:2, 2 I CERTIFICATE OF LIABILITY INSURANCE American Family Insurance Company ❑ Amer!=Famlly Mutual insurance Company if selection box is not cheoked. 6000 American pky Madison,Wisconsin 53780-0001 Insured's Mame and Address Agent's Name,Address and Phone Number(Agi-011st.) Curt L Stat TR Karrels&Associates SC 9920 S Washburn St 1934 Algoma Blvd- Oshkosh,WI 54904 Oshkosh,Wl 54901 (920)235-1776 (102!015) This certificate is issued as a matter of information only and olonfers no rights upon the Certifioate Holder- ` - orded h olic'es listed below. - - ifiCaEe d amen ter the coverage off by E e p ,,, k ._� - : 008 of d,extend or al c, - - 4. _ x,. 3 ,..: ., x This cert n _.,...�y �:�^`--� }� - �-�a._ - 'cr�ti�'""_�"a;crmr.=:a_•.:1�'�-7'=�= 5 7rr r c 1 TM is to ceTft]hat porn ez,or certfic5temsy ba i°sued maY pertain,the,naurerrea arforded y the parr�aa desrn2e herein re WgOCt to egll 'bon of he�r•.oxcS�iBions,and aprLdlaona p(burh poi t4s a'sr da mtent++dth reaped to POLICY DATE LIMITS OF LIABILITY TYPE OF INSURANCE POLICY NUMBER FeCY, r ��yy((PININN r o tla LF.14,DaY.Yr Alia Property Damage rtodiPy Inyury ,000 Homeowners/ -- — Eacnoxurrence Mobilehomeownem Liability - B04y Injury oftd PrnporV Dema90 Boatownero Liability RFC TVBD - Ea rocarrrence $ ,000 - godly lry'Wy snd Progeny Dama9B ,000 Personal Umbrella Liability FEB EarhOocutrence � Farm Ligb4ity&Personal uabilily 000 OF PUISLIC WORT'S Eooh0=1flenea $ D FPT ' Farm/RanchLiability OSHKOSIt, ,�ijSCONSII l FWMEmploWs L.iabit Y 000 Such Occurwce ' sssna�v 500,000 Fach Aoddent Workers compensation and 48-X90054.99 02/27./2015 02122f2016 Dtsaaae.E3cnE—MVAe $ 500,000 Employers Liability t Oi;ease•Poky Lirnil $ 500,000 $ ,000 Gerwal AggrR9 ,040 Goneral Liability prodUo$.CompletedOPerZMARaggFe9s;a $ 000 ❑ Commercial General Personal-andAd+renisrngI*W $ Liability(occurrence) Esch0DrrMrIW $ 1000 ❑ Damage Lv PMM469 Renled to YOV $ 1000 ❑ hiadfoal E=xpense(Any Ono Pereon) $ ;000 E00hOW21Mcett $ 1000 Aggrg9aLott $ 000 Bueinassowners Liability ;000 Common Causo limn, $ I�gr4gnte Lives $ ,400 Liquor Liability ,000 . Body tro�r-Each Farson S Automobile Liability 000 El Any Auto Body IdLmy-EachAcclaent $ ❑All Owned Autos Property Dames $ ,000 ❑ Scheduled Autos ❑ Hired Auto godry Lnjary and Property Damage Cornbinsd $ .000 ❑ Nonowned Aulos F-xcess Liability $ ,000 EgUF OcpaagncelAygrOgaLa 0 Commercial Blanket F-Xcess Other(Miscellaneous Coverages) # ;�iytdual or pvtnera ❑Here DESCRIPTION OF OPErt4Y10NS I LOGATION5)A1116LHs I RESTRICTIONS 1 SPECLAL tTEht8 ilhown ea in:Wred 410aed to Nave not Dumpster Enclosure at the Senior Center be corered under Os Po cY- "Produde-COrriValed OperAlona 00yegato rs oWal to oath ocaunence runit and is ;ncludad In pelloY aggr49�• _ „fir. w " lS,ux?i n. s3 51'11i,11111111 T151 f _ ` _. �' j � 't x Should any of the Obova described polkiea GB =celled before the 00VAL:an date days)vnitien notice to the Cetiricate City of Oshkosh, Attn: Ctty Cleric LhsrsOf,the company vyid endeavor to mag't Y ) Holder named,taut fawre to mail sucat notica ahedl LmDp da &unless different number or days upon the comPaM B9 419ents or representatives;.' Y 215 Church Ave shy, POBOX 1130 X This wrorG ooverage on die uddet elrterm&and by the aMaofth ponees are PO subject to csncetlatbn Fn co,�Formdy Oshkosh, WI.54903-1130 DAT12ISSUED A RepRES T IV 02/17/2016 Stock No.0560 Rev.7102 DATE(Mf,UDD1YYYY) A D CERTIFICATE OF LIABILITY INSURANCE 02/19/2016 THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu Of such endorsement(s). PRODUCER 1-800-527-9049 CONTACT —: NAME: Holmes Murphy & Assoc - WI — PHONE FAX -- - - RFC£IVED - E-MAIL Ext: AIC No l. 10 E. Doty Street, Suite 800 _ ADDRESS: INSURER(S)AFFORDING COVERAGE MAIC k Madison, WI 53703 3[1 1NSURERA: 13EAZLEY INS CO INC 37540 INSURED - INSURER B T.R. Karrela & AssOciatear S.C. DUTOFPtJki"C wC RKS INSURER C 1934 Algoma Boulevard OSiJK0SH, INSURER D: INSURER E. Oshkosh, WS 54901 INSURER F: COVERAGES CERTIFICATE NUMBER: 46107105 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 TYPE OF INSURANCE ADD S BR POLICY NUMBER 1M0ILDICDY EFF POLMM1��Y EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREM SES GE ToF,,occurrrence $ MED EXP(Anyone person) S PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY L] PRC ❑LOC PRODUCTS-COMPIOP AGG S PRO- OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 13001 LY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accidant $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIh9S-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATIfrE OR ANY PROPRIETOWPARTNERIEXECUTNE ❑ NIA E.L.EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? (Mandatory In NH) E,L,DISEASE-EA EMPLOYEE $ ifes,describe under ❑fYSCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liability VISJN7140601 12/24/14 12/24/16 Each Claim 11000,000 Claims Made Aggregate 110001000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project: Dumpster Enclosure at Senior Center 30- Day Notice of Cancellation to the certificate holder is included in the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Oshkosh THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: City Clerk 215 Church Avenue AUTHORIZED REPRESENTATIVE PO Box 1130 Oshkosh, WI 54903-1134 � � USA ©1988.2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD SMartinwi