Loading...
R-12-06-28-G5 - 6/28/2012 RESOLUTION NO. R-12-06-28-G5 WHEREAS, the City of Round Rock has duly advertised for bids for the Rockin J Road and Harrell Parkway Water/ Wastewater Extension Project, and WHEREAS, Santa Clara Construction, Ltd. has submitted the lowest responsible bid, and WHEREAS, the City Council wishes to accept the bid of Santa Clara Construction, Ltd., Now 1 Therefore BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK, TEXAS, That the Mayor is hereby authorized and directed to execute on behalf of the City a contract with Santa Clara Construction, Ltd. for the Rockin J Road and Harrell Parkway Water / Wastewater 4 Extension Project. The City Council hereby finds and declares that written notice of the date, hour, place and q` subject of the meeting at which this Resolution was adopted was posted and that such meeting was 4 open to the public as required by law at all times during which this Resolution and the subject matter #a` f hereof were discussed, considered and formally acted upon, all as required by the Open Meetings Act, Chapter 551, Texas Government Code, as amended. 4 s t i RESOLVED this 28th day of June, 2012. 4 S ALAN MCGRAW, Mayor r City of Round Rock, Texas ATTEST: r SARA L. WHITE, City Clerk i Y, f' 0:\wdox\SCC1nts\0112\1204\MOMCIPAL\00252543.DOC/rmc s' a ROUND ROCK, City Council Agenda Summary Sheet PURPOSE.PASSION.PROSPERITY. Agenda Item No. G5. Consider a resolution authorizing the Mayor to execute a contract with Santa Clara Construction, Ltd., for the Rockin J Road and Harrell Parkway Water/Wastewater Agenda Caption: Extension Project. Meeting Date: June 28, 2012 Department: Utilities and Environmental Services Staff Person making presentation: Michael Thane Utilities and Environmental Services Director Item Summary: On May 14, 2009, the City Council approved the involuntary annexation of property along Rocking J Road and along Old Settlers Boulevard adjacent to the Old Settlers Boulevard/Harrell Parkway intersection. When the City involuntarily annexes property, the City is then required to ensure that water and wastewater lines are extended to the properties within two and half years of when the properties were annexed. E` This project will provide for the extension of water and wastewater mains to the Rocking J Road area as well as construct a wastewater main in order to provide service to six residential properties that are located along Old 4 Settlers Boulevard adjacent to the Old Settlers Boulevard/Harrell Parkway intersection. On May 22, 2012, seven bids were received and publicly opened and read aloud. The bid amounts ranged from $373,779 to $627,361. The low bidder was Santa Clara Construction, Ltd. of Austin, Texas. City Utility staff as well as the engineering consultant for this project, Cedillos & Wilson, LLC, recommend Santa Clara Construction, Ltd. be awarded the construction contract in the amount of $373,779, which is below the engineer's estimate of $410,614.04. Cost: $373,779 Source of Funds: Self-Financed Wastewater Construction Date of Public Hearing(if required): N/A Recommended Action: Approval L EXECUTED ORIGINAL DOCUMENT �' FOLLOW City of Round Rock,Texas Contract Forms Standard Form of Agreement: Section 00500 City of Round Rock, Texas Standard Form of Agreement between Owner and Contractor AGREEMENT made as of the gilt Oday of_A&* in the year 20IZ- BETWEEN the Owner: City of Round Rock,Texas(hereafter"Owner"or"City") 221 East Main Street Round Rock,Texas 78664 and the Contractor Santa Clara Construction,LTD. ("Contractor") 9811 Anderson Mill Road-Suite 201 Austin,Texas 78750 The Project is described as: Rocking J Road and Harrell Parkway Water/Wastewater Extensions Project The Engineer is: Cedillos&Wilson,LLC Richard Wilson,P.E. 1101 Capital of Texas Highway South-Bld.H-St.100 Austin,TX 78746 For and in consideration of the mutual terms, conditions and covenants of this Agreement and all accompanying documents between Owner and Contractor, the receipt and sufficiency of which are hereby acknowledged,Owner and Contractor agree as follows: ARTICLE I THE CONTRACT DOCUMENTS The Contract Documents consist of this Agreement, Conditions of the Contract (General, Supplementary and other Conditions), Drawings, Specifications, Addenda issued prior to execution of this Agreement, other documents listed in this Agreement and Modifications issued after execution of this Agreement; these form the Contract, and are as fully a part of the Contract as if attached to this Agreement or repeated herein. The Contract represents the entire and integrated agreement between the parties hereto and supersedes prior negotiations, representations or agreements, either written or oral. An enumeration of the Contract Documents, other than Modifications,appears in Article 8. ARTICLE 2 THE WORK OF THIS CONTRACT Contractor shall fully execute the Work described in the Contract Documents, except to the extent specifically indicated in the Contract Documents to be the responsibility of others. 00500 7-2010 Pagel of 5 Standard Form of Agreement 00196575 ARTICLE 3 DATE OF COMMENCEMENT;DATE OF SUBSTANTIAL COMPLETION;DATE OF FINAL COMPLETION 3.1 The date of commencement of the Work shall be the date of this Agreement unless a different date is stated below or provision is made for the date to be fixed in a Notice to Proceed issued by Owner. 3.2 The Contract Time shall be measured from the date delineated in the Notice to Proceed. 33 Contractor shall commence Work within ten ( 10 ) calendar days from the date delineated in the Notice to Proceed. 3.4 Contractor shall achieve Substantial Completion of the items of Work listed on Attachment A to this Agreement no later than one hundred-eighty ( 180 )calendar days from issuance by Owner of Notice to Proceed, and Contractor shall achieve Substantial Completion of the entire Work no later than one hundred-eighty ( 180 )calendar days from issuance by Owner of Notice to Proceed, subject to adjustments of this Contract Time as provided in the Contract Documents. 3.5 If Contractor fails to achieve Substantial Completion of the Work(or any portion thereof)on or before the date(s) specified for Substantial Completion in the Agreement, Contractor shall pay to Owner, as liquidated damages,the sum of Two Hundred-Fifty Dollars and No/100 Dollars($ 250.00 )for each calendar day that Substantial Completion is delayed after the date(s) specified for Substantial Completion. It is hereby agreed that the liquidated damages to which Owner is entitled hereunder are a reasonable forecast of just compensation for the harm that would be caused by Contractor's failure to achieve Substantial Completion of the Work(or any portion thereof)on or before the date(s)specified for Substantial Completion in the Agreement. It is agreed that the harm that would be caused by such failure, which includes loss of expected use of the Project areas, provision of alternative storage facilities and rescheduling of moving and occupancy dates,is one that is incapable or very difficult of accurate estimation.It is hereby agreed that if Substantial Completion of the Work(or any portion thereof)is not achieved on or before thirty(30)days after the date(s) specified for Substantial Completion in the Agreement, the Owner shall have the option to either collect liquidated damages as set forth herein or to ther6after rely on its remedies under the Contract Documents and at law and in equity, including without limitation, the recovery of actual damages. The date(s) specified for Substantial Completion of the Work(or any portion thereof)in the Agreement shall be subject to adjustment as provided in the Contract Documents. 3.6 Contractor shall achieve Final Completion of the entire Work no later than two hundred-ten ( 210 )calendar days from issuance by Owner of Notice to Proceed. ARTICLE 4 CONTRACT SUM 4.1 Owner shall pay Contractor the Contract Sum in current funds for Contractor's performance of the Contract.The Contract Sum shall be three hundred-seventy-three thousand seven hundred-seventy-nine dollars ($373,779.00 ),subject to additions and deductions as provided in the Contract Documents. 4.2 The Contract Sum is based upon the following alternates which are described in the Contract Documents and are hereby accepted by Owner: Page 2 of 5 ARTICLE 5 PAYMENTS 5.1 PROGRESS PAYMENTS 5.1.1 Based upon Applications for Payment submitted to Engineer and Owner by Contractor,and Certificates for Payment issued by Engineer and not disputed by Owner and/or Owner's lender, Owner shall make progress payments on account of the Contract Sum to Contractor as provided below,in Article 14 of the City of Round Rock General Conditions,and elsewhere in the Contract Documents. 5.1.2 The period covered by each Application for Payment shall be one calendar month ending on the last day of the month. 5.1.3 Provided that an Application for Payment is received by Engineer and Owner, and Engineer issues a Certificate of Payment not later than the tenth(10th)day of a month,Owner shall make payment to Contractor not later than the tenth(10th)day of the next month. If an Application for Payment is received by Engineer and Owner after the application date fixed above,payment shall be made by Owner not later than one month after the Engineer issues a Certificate for Payment. 5.1.4 Each Application for Payment shall be based on the most recent schedule of values submitted by Contractor in accordance with the Contract Documents. The schedule of values shall allocate the entire Contract Sum among the various portions of the Work. The schedule of values shall be prepared in such form and supported by such data to substantiate its accuracy as Engineer and Owner may require. This schedule,unless objected to by Engineer or Owner,shall be used as a basis for reviewing Contractor's Applications for Payment. 5.1.5 Applications for Payment shall warrant the percentage of completion of each portion of the Work as of the end of the period covered by the Application for Payment. 5.1.6 Subject to other provisions of the Contract Documents, the amount of each progress payment shall be computed as provided in Article 14 of the City of Round Rock General Conditions. 5.1.7 Except with Owner's prior written approiral, Contractor shall not make advance payments to suppliers for materials or equipment which have not been delivered and stored at the site. 5.2 FINAL PAYMENT 5.2.1 Final payment, constituting the entire unpaid balance of the Contract Sum, shall be made by Owner to Contractor when: .1 Contractor has fully performed the Contract except for Contractor's responsibility to correct Work,and to satisfy other requirements,if any,which extend beyond final payment;and .2 a final Certificate for Payment has been issued by Engineer. 5.2.2 Owner's final payment to Contractor shall be made no later than thirty (30) days after the issuance of Engineer's final Certificate for Payment. In no event shall final payment be required to be made prior to thirty(30) days after all Work on the Contract has been fully performed.Defects in the Work discovered prior to final payment shall be treated as non-conforming Work and shall be corrected by Contractor prior to final payment, and shall not be treated as warranty items. ARTICLE 6 TERMINATION OR SUSPENSION 6.1 The Contract may be terminated by Owner or Contractor as provided in Article 15 of the City of Round Rock General Conditions. Page 3 of 5 6.2 The Work may be suspended by Owner as provided in Article 15 of the City of Round Rock General Conditions. ARTICLE 7 ENUMERATION OF CONTRACT DOCUMENTS 7.1 The Contract Documents, except for Modifications issued after execution of this Agreement, are enumerated as follows: 7.1.1 The Agreement is this executed version of the City of Round Rock, Texas Standard Form of Agreement between Owner and Contractor,as modified. 7.1.2 The General Conditions are the "City of Round Rock Contract Forms 00700," General Conditions, as modified. 7.1.3 The Supplementary, Special, and other Conditions of the Contract are those contained in the Project Manual dated May 2012 7.1.4 The Specifications are those contained in the Project Manual dated May 2012 7.1.5 The Drawings,if any,are those contained in the Project Manual dated May 2012 7.1.6 The Insurance&Construction Bond Forms of the Contract are those contained in the Project Manual dated May 2012 7.1.7 The Notice to Bidders,Instructions to Bidders,Bid Form,and Addenda,if any,are those contained in the Project Manual dated May 2012 7.1.8 If this Agreement covers construction involving federal funds, thereby requiring inclusion of mandated contract clauses, such federally required clauses are those contained in the "City of Round Rock Contract Forms 03000,"Federally Required Contract Clauses,as modified. 7.1.9 Other documents,if any,forming part of the Contract Documents are as follows: ARTICLE 8 MISCELLANEOUS PROVISIONS 8.1 Where reference is made in this Agreement to a provision of any document, the reference refers to that provision as amended or supplemented by other provisions of the Contract Documents. 8.2 Owner's representative is: Eddie Zapata-Project Manager City of Round Rock 2008 Enterprise Drive Round Rock,TX 78664 83 Contractor's representative is: Mr.Bob Schmidt Santa Clara Construction,LTD. 9811 Anderson Mill Road-Suite 201 Austin,TX 78750 8.4 Neither Owner's nor Contractor's representative shall be changed without ten (10) days' written notice to the other party. 8.5 Waiver of any breach of this Agreement shall not constitute waiver of any subsequent breach. Page 4 of 5 8.6 Owner agrees to pay Contractor from available fluids for satisfactory performance of this Agreement in accordance with the bid or proposal submitted therefor,subject to proper additions and deductions,all as provided in the General Conditions, Supplemental Conditions,and Special Conditions of this Agreement, and Owner agrees to make.payments on account thereof as provided therein. Lack of funds shall render this Agreement null and void to the extent fiends are not available. This Agreement is a commitment of City of Round Rock's current revenues only. 8.7 Although this Agreement is drawn by Owner, both parties hereto expressly agree and assert that, in the event of any dispute over its meaning or application,this Agreement shall be interpreted reasonably and fairly,and neither more strongly for nor against either party. 8.8 This Agreement shall be enforceable in Round Rock,Texas,and if legal action is necessary by either party with respect to the enforcement of any or all of the teras or conditions herein,exclusive venue for same shall lie in Williamson County, Texas. This Agreement shall be governed by and construed in accordance with the laws and court decisions of the State of Texas. i 89 Both parties hereby expressly agree that no claims or disputes between the parties arising out of or relating - to this Agreement or a breach thereof shall be decided by an arbitration proceeding, including without limitation, any proceeding under the Federal Arbitration Act(9 USC Section 1-14)or any applicable state arbitration statute. 8.10 The parties, by execution of this Agreement, bind themselves, their heirs, successors, assigns, and legal representatives for the full and faithful performance of the terms and provisions hereof. This Agreement is entered into as of the day and year first written above and is executed in at least three(3) original copies,of which one is to be delivered to Contractor, one to Engineer for use in the administration of the Contract,and the remainder to Owner. IOWNER CONTRACTOR CITY OUND R/ K,TEXAS Santa Cla Con ucto t �� J Printed Name: £' pr;ntedNaa,e; Michael S. eyl 1 President of Santa Clara Const. Mgmt.,LLC, Title Title: General Partner of Santa Clara Const., Ltd. Date Signed: Date Signed: July 10,2012 ATTEST: citys .,�, FOR PR AS TO FORM: A4 A mey ' Page 5 of 5 Bond No. 1000929757 PERFORMANCE BOND THE STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF WILLIAMSON § That Santa Clara Construction, Ltd. of the City of Austin County of Travis , and State of Texas as principal, and Texas Bonding Company authorized under the law of the State of Texas to act as surety on bonds for principals, are held and finely bound unto THE CITY OF ROUND ROCK,TEXAS,(Owner),in the penal sum of Three Hundred Seventy Three Thousand Seven Hundred Seventy Nine Dollars ($ 373,779.00 ) for the payment whereof, well and truly to be made the said Principal and Surety bind themselves, and their heirs, administrators, executors, successors and assigns,jointly and severally, by these presents: WHEREA the Principal has entered in a certain written Agreement with the Owner dated the �, day of , 2022 to which the.Agreement is hereby referred to and made a part hereo as fully and to the same extent as if copied at length herein consisting of: Rocking J Road and Harrell Parkway Water/Wastewater Extensions Project (Name of the Project) NOW, THEREFORE, THE CONDITIONS OF THIS OBLIGATION IS SUCH, that if the said Principal shall faithfully perform said Agreement and shall, in all respects, duly and faithfully observe and perform all and singular the covenants, conditions and agreements in and by said Agreement, agreed and covenanted by the Principal to be observed and performed, including but not limited to, the repair of any and all defects in said work occasioned by and resulting from defects in materials furnished by or workmanship of, the Principal in performing the Work covered by said Agreement and occurring within a period of twelve (12)months from the date of Final Completion and all other covenants and conditions, according to the true intent and meaning of said Agreement and the Plans and Specifications hereto annexed,then this obligation shall be void; otherwise to remain in full force and effect; PROVIDED,HOWEVER,that this bond is executed pursuant to the provisions of Chapter 2253, Texas Government code, as amended, and all liabilities on this bond shall be determined in accordance with the provisions of said Chapter 2253 to the same extent as if it were copied at length herein. Page 1 00610 7-2009 Performance Bona 00090656 PERFORMANCE BOND (continued) Surety, for value received, stipulates and agrees that no change, extension of time, alteration or addition to the term of the Agreement, or to the Work performed thereunder, or the Plans, Specifications, or drawings accompanying the same, shall in anywise affect its obligation on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Agreement, or to the work to be performed thereunder. IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument this 6th day of July , 2012 Santa Clara Construction, Ltd. Texas Bonding Company Principal Surety W.&,a*� S.feu David S. Ballew Printed Name Printed Name By By: "" 0J, �J Title:-Vt s.cgSg4qUqroAC,6--n-k'364 Title: Attorney-In-Fact Address:9811 Anderson Mill Road, Ste. 201 Address:601 South Figueroa Street, 16th Floor Austin, Texas 78750 Los Angeles, CA 90017 Resident Agent of Surety: Signature David S. Ballew Ballew Insurance Agency,lnc. Printed Name 8140 N. Mopac Expy, Bldg. 1, Suite 100 Street Address Austin, Texas 78759 City, State&Zip Code Page 2 00610 7-2009 Performance Bond 00090656 PAYMENT BOND Bond No. 1000929757 THE STATE OF TEXAS § § KNOW ALL MEN BY THESE PRESENTS: COUNTY OF WILLIAMSON § That Santa Clara Construction, Ltd. of the City of Austin County of Travis , and State of Texas as Principal, and Texas Bonding Company authorized under the laws of the State of Texas to act as Surety on Bonds for Principals, are held and firmly bound unto THE CITY OF ROUND ROCK, (OWNER), and all subcontractors, workers, laborers, mechanics and suppliers as their interest may appear, all of whom shall have the right to sue upon this bond, in the penal sum of Three Hundred Seventy Three Thousand Seven Hundred Seventy Nine and 00/100's Dollars ($ 373,779.00 ) for the payment whereof, well and truly be made the said Principal and Surety bind themselves and their heirs, administrators, executors, successors, and assigns,jointly and severally,by these presents: WHEREAS, the Principal has enteredmto,a certain written Agreement with the Owner, dated AIL—the i 41 ' — day of 14—� , 2012 , to which Agreement is hereby refereed to and made a part hereof as fully and to the same extent as if copied at length herein consisting of. _Rocking J Road and Harrell Parkway Water/Wastewater Extension Project (Name of the Project) NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said Principal shall well and truly pay all subcontractors, workers, laborers,mechanics, and suppliers, all monies to them owing by said Principals for subcontracts, work, labor, equipment, supplies and materials done and furnished for the construction of the improvements of said Agreement, then this obligation shall be and become null and void; otherwise to remain in full force and effect. PROVIDED, HOWEVER, that this bond is executed pursuant to the provisions of Chapter 2253, Texas Government code, as amended, and all liabilities on this bond shall be determined in accordance with the provisions of said Chapter 2253 to the same extent as if it were copied at length herein. Page 2 00620 7-2009 Payment Bond 00090656 PAYMENT BOND(continued) Surety, for value received, stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Agreement, or to the Work performed thereunder, or the plans, specifications or drawings accompanying the same shall in anywise affect its obligation on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract, or to the work to be performed thereunder. IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this Instrument this 6th day of July ,2012 Santa Clara Construction, Ltd. Texas Bonding Company Principal Surety Macy'" \ '3•\fie u David S. Ballew Printed Name Printed Name By: By: Title: � r l.IC,Gen%rl• Title: Attorney-In-Fact Address: 9811 Anderson Mill Road, 9te. 201 Address:601 South Figueroa Street, 16th Floor Austin, Texas 78750 Los Angeles, CA 90017 Resident Agent of Surety: S Signature David S. Ballew Ballew Insurance Agency, Inc. Printed Name 8140 N. Mopac Expy Bldg 1, Suite 100 Street Address Austin, Texas 78759 City, State&Zip Code Page 2 00620 7-2049 Payment Bona 00090656 ® DATE(MMIDDIYYYY) A�v CERTIFICATE OF LIABILITY INSURANCE 7/5/2012 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(les)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 CONTACT Cheryl Bounds )Z & S Insurance Agency PHONE (9 2)771-4071 IX .(972)771-4695 2255 Ridge Road, Ste. 333 AE-MAIL pplRESS. P. O. Box 277 INSURER(S) AFFORDING COVERAGE NAIC# Rockwall TX 75087 INSURERA.United Fire & Casualty Company 13021 INSURED INSURERB:Texas Mutual Insurance Co. 22945 Santa Clara Construction, Ltd. INSURERC: 9811 Anderson Mill Road INSURER D: Suite 201 INSURER E: Austin TX 78750 INSURER F: COVERAGES CERTIFICATE NUMBER:12/13 Std 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. tLTR TYPE OF INSURANCE POLICY NUMBER MMIDDY EFF MPMID I EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTEU X COMMERCIAL GENERAL LIABILITY PREMISES(E occurrence $ 300,000 A CLAIMS-MADE OCCUR 85317001 /7/2012 /7/2013 MED EXP(Any one person) $ 5,000 Additional Insured's PERSONAL&ADV INJURY $ 11000,000 G7096 11/03, CG2033 7/04 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: CG2037 7/04 PRODUCTS-COMP/OPAGG $ 2,000,000 ri POLICY X PRO- LOC G7152 6/11 - 9rOs $ JFCT AUTOMOBILE LIABILITY EaMac dennt SINGLE LI IT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED 5317001 /7/2012 /7/2013 BODILY INJURY(Per accident) $ X AUTOS AUTOSX NON-OWNED 7109 1/06`AI & NOS peOrP.ERent DAMAGE $ HIRED AUTOS AUTOS Uninsured motorist combined $ 1 1 000,000 X UMBRELLA LIABOCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB HCLAIMS-MADE AGGREGATE $ 1,000,000 DED I X I RETENTION$ 10,00C 85317001 /7/2012 /7/2013 $ $ WORKERS COMPENSATION C420304A - 1r05 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ NIA E.L.EACH ACCIDENT $ 11000,000 OFFICERIMEMBER EXCLUDED? 001234750 /7/2012 /7/2013 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If ye,describe under E.L.DISEASE-POLICY LIMIT $ 11000,000 DESsCRIPTION OF OPERATIONS below A Rented/Leased Equipment 5317001 /7/2012 /7/2013 $100,000 w/$1000 Ded Scheduled Equipment $1,642,000 w/$1 000 Ded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule, N mom space is required General liability and auto policies include blanket additional insured includes written contract requirements) per endorsement forms listed above. General liability, auto and workers compensation policies include blanket waiver of subrogation (includes written contract requirement) per endorsement forms listed above. General Liability additional insured endorsement includes primary and non-contributory provisions and applies to ongoing and completed operations (includes written contract requirements) . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Round Rock Utilities and Environmental Services Dept AUTHORIZED REPRESENTATIVE ATTN:Eddie Zapata 2008 Enterprise Drive _ Round Rock, TX 78664 Johnny moss/CHERYL ----��--�� ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS0251gn1nas m Tho A(`()Rrl name and Inn^aro roniatororl ma►Ira of Ar:(1Rn