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HomeMy WebLinkAboutConvention Center Rooftop/ Summit Designs & Oshkosh f� > Oily{ Gt Oshkosh PROFESSIONAL SERVICES AGREEMENT; OSHKOSH CONVENTION CENTER ROOFTOP 40 TON CHILLER REPLACEMENT THIS AGREEMENT, made on the 1811, day of July, 2016, by and between the CITY of OSHKOSH, hereinafter referred to as CITY, and SUMMIT DESIGNS, W6744 ROGERSVILLE ROAD, FOND DU LAC,WI,54937,hereinafter referred to as the CONSULTANT. WITNESSETH: That the CITY and the CONSULTANT, for the consideration hereinafter named, enter into the following Agreement. 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 Professional Services Proposal dated 7/18/16 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. CITY REPRESENTATIVE The CITY shall assign the following individual to manage this Agreement: Jon Urben, General Services Manager SCOPE OF WORK The CONSULTANT shall provide the services described in the CONSULTANT's attached Professional Services Proposal. CITY may make or approve changes within the general Scope of Services contained within the Professional Services Proposal and in this AGREEMENT. If such changes affect CONSULTANT's cost or time required for performance of the services, an equitable adjustment will be made through an amendment to this AGREEMENT. City Hall,215 Church Avenue P.O.Box 1130 Oshkosh,WI 54903-1130 http://www.cl.oshkosh.wi.us RECORDS AND INSTRUMENTS OF SERVICE All reports, drawings, software, data, computer files, and other materials, documents and instruments prepared by the CONSULTANT as instruments of service shall remain the property of the CITY. Any document related to this agreement, whether in electronic or paper form,is considered a public record and shall be provided to the City upon request. The contractor may provide the City with an explanation of why they believe any document should not be released to the public. The City shall make all final determinations regarding the existence or release of any document related to this agreement. TERM AND TERMINATION A. Term. This Agreement shall commence upon the date indicated above and shall terminate on July 1,2017,unless terminated earlier by one of the parties as provided below. B. Termination. 1. For Cause. If either party shall fail to fulfill in timely and proper manner any of the obligations under this Agreement, the other party shall have the right to terminate this Agreement by written notice. In this event, the CONSULTANT shall be entitled to compensation to the date of delivery of the Notice. 2. For Convenience. The CITY may terminate this Agreement at any time by giving written notice to the CONSULTANT no Iater than 30 calendar days before the termination date. TIME OF COMPLETION 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, or failure of performance by the CITY. 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. 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. ASSIGNMENT Contractor shall not have the right to assign this Agreement without the written prior consent of the City. INDEPENDENT CONTRACTOR CONSULTANT is an independent contractor and is not an employee of the CITY. COOPERATION IN LITIGATION AND AUDITS Contractor shall fully and completely cooperate with the City, the City's insurer, the City's attorneys, the City's Auditors or other representative of the City (collectively, the "City" for purposes of this Article) in connection with (a) any internal or governmental investigation or administrative,regulatory, arbitral or judicial proceeding (collectively "Litigation") or internal or governmental Audit, with respect to matters relating to this Agreement; other than a third party proceeding in which Contractor is a named party and Contractor and the City have not entered into a mutually acceptable joint defense agreement. Such cooperation may include,but shall not be limited to, responding to requests for documents and/or other records, and malting Contractor's employees available to the City (or their respective insurers, attorneys or auditors) upon reasonable notice for; (i) interviews, factual investigations, and providing declarations or affidavits that provide truthful information in connection with any Litigation or Audit; (ii) appearing at the request of the City to give testimony without requiring service of a subpoena or other legal process; (iii) volunteering to the City all pertinent information related to any Litigation or Audit; and (iv) providing information and legal representations to auditors in a form and within a timeframe requested. City shall reimburse Contractor for reasonable direct expenses incurred in connection with providing documents and records required under this paragraph and may require, at the City's sole discretion, such expenses to be documented by receipts or other appropriate documentation. Reasonable direct expenses include costs, such as copying, postage and similar costs;but do not include wages, salaries, benefits and other employee compensation. Contractor shall not be entitled to additional compensation for employee services provided under this paragraph. 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. 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. CONSULTANT may reasonably rely .upon the accuracy, timeliness, and completeness of the information provided by CITY. 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. PAYMENT A. The Agreement Sum. The CITY shall pay to the CONSULTANT for the performance of the Agreement the amount as outline in the Cost portion of the Consultant's Professional Services Proposal for a not-to-exceed fixed fee of$5,000.00. 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 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. 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, its agents or assigns, its employees, or its subcontractors related to the performance of this Agreement or be caused or result from any violation of any Iaw 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 CONTRACTOR harmless from any and all liability, including claims, demands, losses, costs, damages, and expenses of every kind and description (including death), which may be to the proportionate extent caused by or result from the intentional or negligent acts of the CITY, its agents or assigns, its employees, or its subcontractors related to the performance of this Agreement or be caused or result from any violation of any law or administrative regulation, 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. It is the intention of the parties to this Agreement that each party shall be solely responsible for its own actions and activities and the actions and activities of its own officers, employees and agents while acting within the scope of their employment INSURANCE The CONSULTANT agrees to abide by the attached City of Oshkosh .Insurance Requirements for Professional Services. WHOLE AGREEMENT_/.,AMENDMENT 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, NO THIRD-PARTY BENEFICIARIES This AGREEMENT gives no rights or benefits to anyone other than CITY and CONSULTANT and has no third-party beneficiaries. AGREEMENT NOT TO BE CONSTRUED AGAINST ANY PARTY This Agreement is the product of negotiation between the parties hereto and no term, covenant or provision herein or the failure to include a term, covenant or provision shall be construed against any party hereto solely on the basis that one party or the other drafted this Agreement or any term, covenant or condition contained herein. NO WAIVER Failure of either party to insist upon the strict performance of terms and provisions of this agreement, or any of them, shall not constitute or be construed as a waiver or relinquishment of that party's right to thereafter enforce such term or provision, and that term of the provisions shall continue in full force and effect. NON-DISCRIMINATION The Operator agrees not to discriminate in its operations under this Agreement on the basis of race, color, creed, age, and gender, or as otherwise prohibited by law. A breach of this covenant may be regarded as a material breach of this Agreement SEVERABILITY If any term, covenant, condition or provision of this agreement shall be invalid or enforceable, the remainder of this agreement shall not be affected thereby the remainder of the agreement shall be valid and enforceable to the fullest extent permitted by law. CHOICE OF LAW AND VENUE The laws of the State of Wisconsin shall govern the interpretation and construction of this Agreement. Winnebago County shall be the venue for all disputes arising under this Agreement. IN WITNESS WHEREOF, the City of Oshkosh, Wisconsin, has caused this contract to be sealed with its corporate seal and to be subscribed to by its City Manager and City Clerk and countersigned by the Comptroller of said City, and CONSULTANT hereunto set its hand and seal the day and year first above written, In the Presence of: CONTRACTOR Name of Company/Firm By; e-5 (Seal of Contractor (Specify Title) if a Corporation.) CITY OF OSHKOSH By: Mark A. ohloff, City Manager (W s) And: r ._ Wi ess) Pamela R, Ubrig, City Cl 'k APPROVED: I hereby certify that the necessary provisions have been made to pay the liability which will accrue under this contract Ci y At rney City Comptroller PROPOSAL 5ummtt besic n-Ll.0 DATE: 7/18/2016 PROJECT: Oshkosh Convention Center TO: Subject; Mr.,Jon Urben CPPO Replacement of the existing 40 ton chiller General Services Manager and replace it with a new multi-zone unit. 3rd floor City of Oshkosh 215 Church Avenue Oshkosh, Wl 54903-1130 HVAC Desitin & Scope of Work For: • Perform two site visits, one to collect information and one for HC walk through. • Redraw prints to meet existing building conditions and to use as a background. • Layout the piping system to feed three separate AHUs. • Install a chemical pot for adding chemicals. • Come up with a chemical plan to clean existing piping and refill with proper chemical concentrations for long system life. • Install one primary and one backup system pump. Use variable speed pump to feed water flow to the three AHUs • Ensure project complies with local and state codes at the time of the original installation. Also Summit will submit the final drawings in PDF form to the city inspection department for informational and permitting reasons. • Coordinate a Walk Through meeting with local contractors • Oversee Project installation and make sure project is installed per hvac plans. • Consult with contractor as needed during installation. • Make at least 2 site inspections to ensure project is being installed properly. • Perform a final walk through visit at the completion of project and give building owner a punch list of my findings from the final walk through. Work Not Included • Domestic Plumbing Design • Electrical Design. • Design of Sprinkler and Fire Alarm System. • Fees required for State/Local review of plans and fees required for Permits. Initials: a W6744 Rogersville Road, f=ond du Lac,Wi 54937 Phone (920) 979-5452, Emalf SummitDesign@Charter.net City of Oshkosh General Services Department Resinnsibilities • Provide copies of architectural construction drawings and specifications for use by Engineer and the Subcontractor. • Provide all prints, copies, and reproductions required for submittals and bidding. • Give Summit Access to the mechanical rooms for system evaluation, Fees Construction Documents and Construction Administration: The fee to provide HVAC Design Services for the City of Oshkosh and Oshkosh Convention Center as defined above is: OCC HVAC systems layout and project replacement for west&south side offices and corridors. $5,000.00 (Five Thousand Dollars and No Cents). Additional Services: Submittal of drawings to the City will be at no additional cost for this project. Additional work beyond the scope of this agreement must be approved by City of Oshkosh and will be billed at an hourly rate not to exceed$90.00 per hour. Terms: Billing will be issued monthly or at the completion of project phases as outline here. A bill for 95% of the fee will be invoiced after the completion of the hvac design. The 5%balance will be required at the completion of the walk through punch list. Payments are due within 30 days of the invoice date or a finance charge of 1%per month will be charged of the unpaid balance. I appreciate the opportunity to quote you on this project. Respectfully Submitted, 904 Approved By: Joel B. Clary P.E. MBA CGD Jon Urban CPPO General Service Manager SUMMIT DESIGN LLC Page 2 4114114 CITY OF OSHKOSH INSURANCE REQUIREMENTS Iil. PROFESSIONAL SERVICES LIABILITY INSURANCE 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 prima coverage 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. Commerclal 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) Personal Injury (4) Explosion, collapse and underground coverage (5) Products/Completed Operations must be carried for 2 years after acceptance of completed work (6) The general aggregate must apply separately to this project/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 liability for Symbol#1 -"Any Auto"—including Owned, Non-Owned and Hired Automobile Liability. ill - 1 4114194 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 underlying 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. Acceptability of Insurers - Insurance is to be placed with insurers who have an A.hl Best rating of no less than A- and a Financial Size Category of no less than Class 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 07 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. i I f [i 1 111 - 2 CERTIFICATE OF LIABILITY INSURANCE DATE{Mt""°°'"� F11 RTIFICATE !S IS AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 13ETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR ER,AND THE CERTIFICATE HOLDER, NT: If the certificate hGlder (s an ADDITIONAL INSURED, the policy(les) must be endorsed, if SUBROGATION 15 WAIVED, subject to the conditions of the policy,certain policies may require an endorsement. A statement on this celtlficate does not confer rights to the certificate ieu of such endorsement(s). CONTACT lnsurance Agency contact NAtSE: Information,including streat Insurance Agents addressandPOBoxlf PHONE contact Information, ' applicable. A1C.No.Ext: NC.No): EddA1L ADDRESS: WSURER S AFFORDING COVERAGE NAIC# INSUREDINSURERA: ABC Insurance CompanyNAIC# lnsured's contact Information, Including name,address and INSURER B: XYZ insurance Company NAIC# phone number. INSURER c: LMN Insurance Company NAIC# INSURER D: insureds)must have a minlmum A.M.Best rating ofA- INSURER E: and a Financial Performance Rating orw or hotter. COVERAG ESINSURER F: CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEWOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE APAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANb CONDITIONS OF SUCH POLICIES, LIMITS SHOWN 44AY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL LTR SUBR POLICY EFF POLICY EXP TYPE OF INSR WVD POLICYNUMBER MMIDDGENERAL LIABILITY M"SDD I LI"11TS. EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY ® ❑ Generatl-ivbilayPolicyNumber Poleyeffective and eap'vatimdate. DAMMGETORENTEO A ❑cLnlr,ts•rv,DE NOCCUR MIPRESES(Ea occurrence) $50,000 MED EXP(Any one person) $5,000 ISO FORM CG 2{137 OR EQUIVALEt+IT ❑ PERSONAL&ADV INJURY $ 110001000 GENERAI,AGGREGATE $2,000,000 ❑GFN'LAGGREGATE LlfAITAPPLIES PERf PRODUCTS—COf,9P/OPAGG �2,000,000 POLICY O�E�TnLOC AUTOMOBILE LIABILITY $ COMBINED SINGLE L11JIT ® E] Eaaccldenl $1,000,000 ®ANY AUTO AutaLiabd'EtyPolic}'Number PoG:yeiiecliveandeaytrationdam BODILYINJURY(per person) $ B ❑ALLOWNED ❑ SCHEDULED AUTOS AUTOS ❑HIREDAUTOS NON-O`NNED BODILY INJURY(Per accident) $ AUTOSPROPERTY DAtdAGE ❑ ❑ {PeracddenS) �^ ®UMBRELLA LIAR ®OCCUR ® ❑ $ FACH OCCURRENCE $2,000,000 A ❑EXCESS LIAR ❑ CLAIMS-MADE ❑ DUmbrefla 11abilky Poky Number Polcy eff'octive and eapbatioa date. AGGREGATE $2,000,000>=O ®RETEtQ-riON 510,000 C WORKERS COMPENSATIONAND EMPLOYERS'LlAII $ WC STATU- AIN PROPRIETORIPARTNERIEXECUTiVE 1:1 ❑ ®TORY LIM S❑ ETR OFFICE/MEMBEREXCWDED7 YIN (Mandatory in NH) N Workers Compensation Policy PO4Y effective and expaa:ioe date. E.L.EACH ACCIDENT $100,000 Ityas,describe Under Number DESCRIPTION OF OPERATIONS below E.L..DISEASE—EA EMPLOYEE $1001000 A 1PROFESSIONALL IABILITY � El I E.L.DISEASE-�POLICY LIMIT $500,000 Professional $1,000,000 EACH CLAIM l,iabi;iy Policy Pobcy eSeeln'e and expiral}on N�,mer date, $1,000,000 ANNUAL AGGREGATE DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Rematks 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 poIICIDs 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 City of Oshkosh,Attn:Clty Clerk Insurance Standard III SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i Church Avenue PO BoX 1130 SAMPLE CERTIFICATE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Os f ) Oshkosh,WI 54903.1'130 Please indicate somewhere on this ACCORDANCE WITH THE POLICY PROVISIONS. certificate,the contract or project# AUTHORIZED REPRESENTATIVE this certificate is for. ©1988.2010 ACORD CORPORATION. All rights reserved, I 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 Organization s): Locations Of Covered Operations As required by contract Any and all job sites Information required to complete this Schedule, if not shown above, will be shown in the declarations. A. Section Il — 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 Injury' 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 location(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, E Standard III ERTIFICATE somewhere on this ontract or project# icate is for- CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 p i f r POLICY NUMBER; rouoru 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 required to com Iete 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". c f Insurance Standard[// SAMPLE CERTIFICATE Please indicate somewhere on this I certificate,the contract or project# this certificate is for. CG 20 37 07 04 ©ISO Properties, Inc.,2004 Page 1 of 1 ❑