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R-13-12-19-G8 - 12/19/2013RESOLUTION NO. R -13-12-19-G8 WHEREAS, the City of Round Rock has duly advertised for bids for the Treated Water Transmission Line — Segment 3 Project, and WHEREAS, Layne Heavy Civil has submitted the lowest responsible bid, and WHEREAS, the City Council wishes to accept the bid of Layne Heavy Civil, Now 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 Layne Heavy Civil for the Treated Water Transmission Line — Segment 3 Project. The City Council hereby finds and declares that written notice of the date, hour, place and subject of the meeting at which this Resolution was adopted was posted and that such meeting was open to the public as required by law at all times during which this Resolution and the subject matter hereof were discussed, considered and formally acted upon, all as required by the Open Meetings Act, Chapter 551, Texas Government Code, as amended. RESOLVED this 19th day of December, 2013. ALAN MCGRAW, Mayor City of Round Rock, Texas ATTEST: SARA L. WHITE, City Clerk 0112.1304. 00288362 ROUND ROCK TEXAS MUM w61on r1osvvm City of Round Rock Agenda Item Summary Agenda Number: G.8 Title: Consider a resolution authorizing the Mayor to execute a contract with Layne Heavy Civil for the Treated Water Transmission Line - Segment 3 Project. Type: Resolution Governing Body: City Council Agenda Date: 12/19/2013 Dept Director: Michael Thane, Director of Utilities and Environmental Services Cost: $5,725,720.25 Indexes: Self -Financed Water Construction Attachments: Resolution, Bid Tab, Recommendation Letter, Map Department: Utilities and Environmental Services Text of Legislative File 13-1011 The Round Rock Treated Transmission Line Segment 3 is the final segment required to deliver BCRUA treated water to the City's transmission system from Lake Travis. Segment 3 consists of approximately 12,000 linear feet of 48 -inch waterline. The horizontal alignment of Segment 3 generally follows the future extension of New Hope Drive from Ronald Reagan Blvd. to C.R. 175 north of RM 1431. The waterline will connect to the east end of Treated Waterline Segment 2C at Ronald Reagan Blvd. and terminate at an existing 48 -inch stub -out at the northwest corner of the RM 1431 and C.R. 175 intersection and will be constructed within a City of Round Rock Waterline Easement. On November 19th, nine bids were received and publicly opened. The Base Bid for Ductile Iron Pipe ranged from $6,207,742 to $9,064,752 with Lewis Contractors, Inc. presenting the lowest bid. The alternate bid for Steel Pipe ranged from $5,725,720.25 to $8,704,182, with Layne Heavy Civil presenting the lowest bid. The Utility Engineering staff recommends selecting the Steel Pipe alternate bid and awarding this contract to Layne Heavy Civil for the amount of $5,725,720.25 which is well under the City's original budget for this project. The goal is to have this waterline constructed and in service by late autumn of 2014. Cost: $5,725,720.25 Source of Funds: Self -financed Water Construction City of Round Rock Page 1 Printed on 12/17/2013 Agenda Item Summary Continued (13-1011) Staff recommends approval. City of Round Rock Page 2 Printed on 12/17/2013 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 the4Werritrth/LA gt day of Vl Vl BETWEEN the Owner: and the Contractor The Project is described as: in the year 204. City of Round Rock, Texas (hereafter "Owner" or "City") 221 East Main Street Round Rock, Texas 78664 Layne Heavy Civil, Inc. 300 E. Broad Street Fairburn, GA 30213 ("Contractor") City of Round Rock Treated Water Transmission Main - Segment 3 (TM -3) The Engineer is: Jacobs Engineering Group, Inc. 2705 Bee Cave Road, Suite 300 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 00196575 Page 1 of 5 Standard Form of Agreement 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. 3.3 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 N / A (N / A ) calendar days from issuance by Owner of Notice to Proceed, and Contractor shall achieve Substantial Completion of the entire Work no later than Two hundred eighty two ( 282 ) 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 Five hundred and No/100 Dollars ($ 500.00 ) 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 thereafter 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 three hundred forty two ( 342 ) 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 Five million seven hundred twenty five thousand seven hundred twenty and 25/100 dollars. ($ 5,725,720.25 ), 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: Alternate A 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 approval, 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 October 2013 7.1.4 The Specifications are those contained in the Project Manual dated October 2013 7.1.5 The Drawings, if any, are those contained in the Project Manual dated October 2013 7.1.6 The Insurance & Construction Bond Forms of the Contract are those contained in the Project Manual dated October 2013 7.1.7 The Notice to Bidders, Instructions to Bidders, Bid Form, and Addenda, if any, are those contained in the Project Manual dated October 2013 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: Note: Project Manual consists of Volume I and Volume II (City of Round Rock Standard Specifications). 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: 8.3 Contractor's representative is: Jeff Bell 2008 Enterprise Drive Round Rock, TX 78664 Telephone: (512) 801-4461 Jeff Klebowski, Chief Estimator 300 East Broad Street Fairburn, GA 30213 Telephone: (770) 969-4040 / Fax: (770) 969-4363 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 funds 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 funds 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 terms 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. 8.9 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. OWNER CIT OUND CK, TEXAS Printed Name: *V? MJ Title NMI/ OYr Date Signed: l ' 2 ( ' ATTEST: 6176 - City ,76 -City SeetetaPj- 64 -WK. CONTRACTOR LAYNE HEAVY CIVIL, INC. Printed Name: 1,t0Vl ?.,Yv1S- CO‘1:JEI Title: V� Date Signed: 1Z -12-0`V3 Page 5 of 5 BOND NO.: 106003479 THE STATE OF TEXAS COUNTY OF WILLIAMSON PERFORMANCE BOND § KNOW ALL BY THESE PRESENTS: § That Layne Heavy Civil, Inc. of the City of Fairburn, County of Fulton , and State of Georgia , as Principal, and Travelers Casualty and Surety Comm; authorized under the law of the State of Texas to act as surety on bonds for principals, are held and firmly bound unto THE CITY OF ROUND ROCK, TEXAS, (Owner), in the penal sum of Five Million, Seven Hundred Twenty -Five Thousand, Seven Hundred Twenty Dollars and Twenty -Five Cents -- Dollars ($ 5, 725, 720.25 . ) 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: WHEREAS, the Principal has entered int a certain written Agreement with the Owner dated the 2 l day of (11.4.4t1/4 , 20 (4* to which the Agreement is hereby referred to and made a part hereof as fully and to the same extent as if copied at length herein consisting of: city of Round Rock Treated Water Transmission Main Segment 3 (TM -3) (Name.oftie` 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. 006107-2009 00090656 Page 1 PertormanKe Bond BOND NO.: 106003479 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 day of , 20 Layne Heavy Civil, Inc. Principal Russ McConnell Printed By: Title: Address: 300 B. Broad Street Fairburn, GA 30213 Vice President Residen Agent of Surety: Signature 7 6 Travelers Casualty and Surety Company Surety Steven M. Garrett Printed Name By: Title: Attorney -in -Fact License No. 852295 Address: Garrett-Stotz Company 1601 Alliant Avenue Louisville, KY 40299-6338 David R. Groppell Printed Name Elsey and Associates Surety/Insurance Agency, Inc. 21755 TW -45 North. Bldg. #8. Street Address Spring, TX 77388 City, State & Zip Code Page 2 006107-2009 00090656 Performance Bond BOND NO.: 106003479 PAYMENT BOND THE STATE OF TEXAS § COUNTY OF WILLIAMSON KNOW ALL MEN BY THESE PRESENTS: That Layne Heavy Civil, Inc. , of the City of Fairburn County of Fulton , and State of Georgia as Principal, and FIfig 1 p Casualty and Y �aDY 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 01? 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 Five Million, Seven Hundred Twenty -Five Thousand, Seven Hundred Twenty Dollars and Twenty -Five fora. ($5,725,720.25 ) 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 entered Ina certain written Agreet with the Owner, dated the - day of diOi .a a 201 to which Agreement is hereby referred to and made a part hereof as fully the same extent as if copied at length herein consisting of City of Round Rock Treated Water Transmission Main Segment 3 (TM -3) (Maine of the Prtject) 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. 00620 7-2.009 00090656 Page 2 Payment Bond BOND NO.: 106003479 PAYMENT BOND (continued) Surety, for value received, stipulates and agrees that no change, extension of time, alteration or addition to the terrias of the Agreement, or to the Work performed thereunder, or the plans, specifications or drawings accompanying the same shall in anywise affect Ws 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 day of , 20_ Layne Heavy Civil, Inc. Principal Russ McConnell Address: 300 E. Broad Street Fairburn, GA 30213 Resident Agent of Surety: • ignature David R. Groppell Printed Nene E sey an Associates Surety/Insurance 21755 IH -45 North, Bldg. #8 Street Address Spring, TX 77388 City, State & Zip Code 00620 7-2009 00090656 Travelers Casualty and Surety Company Surety Steven M. Garrett Printed Name By: Title: •tttorney-in-Fact Licensa No. 852295 Address: Garrett-Stotz Company 1601 Alliant Avenue Louisville, KY 40299-6338 Agency, Inc. Page 2 Payment Bond ACORD,„ CERTIFICATE OF LIABILITY INSURANCE5/1/2014 DATE A E(MM/ 2OD ITHIS 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 POL CIES 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 teens 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 Lockton Companies, LLC -1 Kansas City 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONTACT Pi FAX No, Ext): (Arc, No): E -M ADDRESS: INSURERISI AFFORDING COVERAGE NAIC A INSURER A : Zurich American Insurance Company 16535 INSURED LAYNE HEAVY CIVIL, INC. 426 300 E. BROAD STREET FAIRBURN GA 30213 INSURER B: N INSURER C 5/1/2013 INSURER D : EACH OCCURRENCE INSURER E : D PREMISES (EaEoNccurrrence) INSURER F : COVERAGES CE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AWL INSR SUER YND POLICY NUMBER POLICY EFF )MMIDD/YYYYIIMM/DD/YYYYI POLICY EXP LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY y N GLO 5817438-00 5/1/2013 5/1/2014 EACH OCCURRENCE $ 2,000,000 D PREMISES (EaEoNccurrrence) $ 500,000 I CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 X CONTRACTUAL PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 5,000,000 X X,C,UCOVERAGE GEN'L AGGREGATE LIMIT APPLIES PER: TIPOLICYI 1 JEC 1I LOC PRODUCTS - COMP/OP AGG $ 5,000,000 $ A AUTOMOBILE X X X — LIABILITY ANY AUTO AUTOS NED HIRED AUTOS X X AUTOSULED AUTOOOSWNEO IT N BAP 5817437-00 5/1/2013 5/1/2014 COMBINED SINGLE LIMIT CO BIKED $ 5,000,000 BODILY INJURY (Per person) $ XXXX XX BODILY INJURY (Per accident S XXX) XX (Per acEcidT ntDAMAGE $ )CXXXXXX $ XXXXXXX UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXX (XX AGGREGATE $ XXXX)CXX DED I RETENTION $ $ A A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) DESCRIPTION OF OPERATIONS below Y / N N N/A N WC 5817439-00 (AOS) WC 5817440-00 (WI) STOPGAP(ND,OH,WA,WY) 5/1/2013 5/1/2013 5/1/2014 5/1/2014 WC STATU- OTH- X TORY LIMITS FR EL EACH ACCIDENT $ 5,000,000 EL DISEASE - EA EMPLOYEE $ 5,000,000 E.L. DISEASE .• POLICY LIMIT 5 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, AddlUonal Remarks Schedule, It more space Is required) RE: TREATED WATER TRANSMISSION LINE — SEGMENT C — ROUND ROCK, TEXAS; CITY OF ROUND ROCK AND JACOBS ENGINEERING ARE INCLUDED AS ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTOMOBILE LIABILITY IF REQUIRED BY SIGNED, WRITTEN CONTRACT. 30 DAYS NOTICE OF CANCELLATION APPLIES. CERTIFICATE HOLDER CANCELLATION 12715345 CITY OF ROUND ROCK 211 E. MAIN STREET ROUND ROCK TX 78664 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ronald J. Lockton ACORD 25 (2010/05) 41"V‘.. ©9 5-2010 AC ORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD