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Contract - HCS, Inc. - 10/11/2018 I 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 theiVelly40101,1btf O020in the year 2018 BETWEEN the Owner: City of Round Rock,Texas(hereafter"Owner"or"City") 221 East Main Street Round Rock,Texas 78664 and the Contractor HCS,Inc. ("Contractor") 365 Wayside Drive Waco,Texas 76705 The Project is described as: Round Rock Police Department Paint I The Engineer is: No Engineer or Architect of Record I 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, Ieither written or oral.An enumeration of the Contract Documents,other than Modifications,appears in Article 7. 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. I 00500 4-2016 Page 1 of 5 Standard Form of Agreement 00307791 I I I 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 Ninety ( 90 )calendar days from issuance by Owner of Notice to Proceed, and Contractor shall achieve Substantial Completion of the entire Work no later than Ninety ( 90 )calendar days by Owner of Notice to Proceed, subject to adjustments of this Contract Time as provided in the Contractfrom Documents.issuance 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 One Hundred and No/l00 Dollars($ 100.00 ) 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. 3.6ontractor shall achieve Final Completion of the entire Work no later than One Hundred Five C p ( 105 )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 Seventy Thousand Two Hundred and No/100 Dollars($70,200.00) ($70,200.00 ),subject to additions and deductions as provided in the Contract Documents. 4.2 Does the Contract Sum include alternates which are described in the Bid Form? No . Yes X .If yes,please provide details below: ' Alternate#1 -$4,300 for Front Exterior 00500 4-2016 Page 2 of 5 Standard Form of Agreement 00307791 p p I 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 I 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 111 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 otherprovisions of the Contract Documents, the amount of each progress payment shall be P �' p y 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 fmal 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. 00500 4-2016 Page 3 of 5 Standard Form of Agreement 00307791 r I I 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 9/27/18 7.1.4 The Specifications are those contained in the Project Manual dated 9/27/18 7.1.5 The Drawings,if any,are those contained in the Project Manual dated 9/27/18 7.1.6 The Insurance&Construction Bond Forms of the Contract are those contained in the Project Manual dated 9/27/18 7.1.7 The Notice to Bidders,Instructions to Bidders,Bid Form,and Addenda,if any,are those contained in the Project Manual dated 9/27/18 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: Bid Form 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: Matthew Smith Superintendent Building Construction 8.3 Contractor's representative is: Asher Linzer €hic 363 Wayside Drive Waco,Texas 76705 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. 00500 4-2016 Page 4 of 5 Standard Form of Agreement 00307791 I I I8.6 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 I 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 Iof any dispute over its meaning or application,this Agreement shall be interpreted reasonably and fairly,and neither more strongly for nor against either party. I 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. Contractor agrees that it does not and will not boycott Israel during the term of IIthis Agreement in compliance with Chapter 2270 of the Texas Government Code. 8.9 Both parties hereby expressly agree that no claims or disputes between the parties arising out of or Irelating 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. I 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. I 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. CONTRACTOR OWNER ,-1-}SC-44C.— Ftcc 10, CITY OF ROUND ROCK,TE • Sc.., 'de 4tee640:44, • 1 • Craig Morgan Carl Ballerino Printed Name: Printed Name: Title Mayor Title: President 111 Date Signed: l t). /'.(U Date Signed: 10/18/2018 0 ATTEST: £ ,, if City Clerk I IIIFOR C T ,APPROVED • S TO FORM: Ai A40E411. L=.l�i . -gab_ c_...., "7, City Atto '-y Ili 00500 4-2016 Page 5 of 5 Standard Form of Agreement 00307791 I I I Bond No.TXC 610064 PERFORMANCE BOND ITHE STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF WILLIAMSON § I That HCS,Inc.Commercial General Contractor of the City of Waco , County of McLennan , and State of Texas , as Principal, and Merchants Bonding Company(Mutual) I authorized under the Jaw 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 Seventy Thousand two hundred dollars and no cents Dollars. ($ 70,200.00 ) for I 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: I WHEREAS,the Principal has entered into a certain written Agreement with the Owner dated the day of October ,2018 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 Iherein consisting of: Round Rock Police Department Paint INOW, 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 I Agreement,agreed and covenanted by the Principal to be observed and performed,including but not limited to, the repair ofand all defects in said work occasioned by and resulting from p any defects in materials furnished by or workmanship of, the Principal in performing the Work I 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; executedI pursuant to theprovisions of Chapter 2253, PROVIDED,HOWEVER,that this bond is P 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. I Page 1 00610 7-2009 Performance Bond 00090656 ; r, i V L I 111 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 12th day of October ,20 18 HCS,Inc. Commercial General Contractor Merchants Bonding Company(Mutual) Principal Surety ��r t a,fj-eo s'& Shane A. Hum•hrey Printed me Printe• .iie By: (lifjafe&Afr-s Title: •e_$ Title: A ttorne -in-Fact Address: 365 Wayside Dr. Addres P.O.Box 14498 Waco,Texas 76705 Des Moines,IA 50306-3498 Resident • j . of Surety: Air Sha A.Humphrey Prin -d Name 3636 N.Custer Rd, Street Address McKinney,Texas 75071 City,State&Zip Code I • • • • I I Page 2 00610 7-2009 Performance Bond 00090656 I I I I Bond No.TXC 610064 I PAYMENT BOND I THE STATE OF TEXAS § I COUNTY OF WILLIAMSON § • § KNOW ALL MEN BY THESE PRESENTS: That HCS,Inc.Commercial General Contractobf the City of Waco , County of I McLennan , and State of Texas as Principal, and Merchants Bonding Compnay(Mutual) 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, I 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 Seventy two thousand two hundred dollars and no cents---------__ ______________ Dollars ($ 70,200.00 ) for the payment whereof, well and truly be made the Isaid Principal and Surety bind themselves and their heirs, administrators, executors, successors, and assigns,jointly and severally,by these presents:. WHEREAS, the Principal has entered into a certain written Agreement with the Owner, dated I the day of October , 2018 , to which 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: Round Rock Police Department, Paint I 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 I 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. I . 1 • Page 1 00620 7-2009 Payment Bond I00090656 I I p I I PAYMENT BOND(continued) Surety, for value received, stipulates and agrees that no chane extension of time, alteration or YP �' change, 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 it's 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 12th day of October ,20 18 HCS,Inc.Commercial General Contractor Merchants Bonding Company( Mutual) PrincipalSurety Ctir ll i s!/- r i c- Shane A. Humphrey Printed.N. e Printed Name By: By:_ Title: Tit rn y-in-Fact Address: 365 Wayside Dr. Address, P.O.Box 14498 Waco,Texas 76705 Des Moines,IA 50306-3498 Resident Agent of Surety: Sign�� Shan- Humphrey Printe s Name 3636 N.Custer Rd. Street Address McKinney,Texas 75071 1 p Page 2 00620 7-2009 Payment Bond 00090656 I ® ACORUDATE(MM/DD/YYYY) 4.......----- CERTIFICATE OF LIABILITY INSURANCE 10/17/2018 I 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. I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 Janie Smiley NAME: I Bailey Insurance and Risk Management PHONE (254)753 5317 Fax (A/C,No,Ext): (A/C,No): (254)753-1132 1201 Washington Ave. E-MAIL Janie baile insurance.com ADDRESS: @ y P.O.Box 298 INSURER(S)AFFORDING COVERAGE NAIC# Waco TX 76701 INSURERA: Cincinnati Insurance Company 10677 INSURED INSURER B: Central Mutual Insurance Company 20230 HCS Inc.Commercial General Contractor INSURER C: Texas Mutual Insurance Company 22945 365 Wayside Drive INSURER D: INSURER E: Waco TX 76705 INSURER F: COVERAGES CERTIFICATE NUMBER: 2018-19 Master updated 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 I 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS Il X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ DAMAGE TO RENTED 500000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ , MED EXP(Any one person) $ 10,000 A EPP0134978 04/06/2018 04/06/2019 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY X JECTPRO- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 9914381 04/06/2018 04/06/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS _ HIRED NON-OWNED PROPERTY DAMAGE $ I , AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A X EXCESS LIAB CLAIMS MADE EPP0134978 04/06/2018 04/06/2019 AGGREGATE $ 2,000,000 DED RETENTION $ $ WORKERS COMPENSATION E X OTH P4lUTE ER AND EMPLOYERS'LIABILITY Y/N C ANY PROPRIETOR/PARTNER/EXECUTIVE N/A 0001144851 05/26/2018 05/26/2019 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 111 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ IIDESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Round Rock is included as an Additional Insured on the General Liability Policy if required by written contract between the Named Insured and the Additional Insured as per the attached corresponding endorsement and policy language. I ICERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Round Rock ACCORDANCE WITH THE POLICY PROVISIONS. 221 E Main St. AUTHORIZED REPRESENTATIVE III Round Rock TX 78664 ?.,JLA 130,1, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Il --------4, ACORD® DATE(MM/DD/YYYY) �, CERTIFICATE OF LIABILITY INSURANCE 10/17/2018 DD/Y 1 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. I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 Janie Smiley NAME: Bailey Insurance and Risk Management (A/C,No,Ext): (254)753-5317 FAX No): (254)753-1132 1201 Washington Ave. E-MAIL Janie baile insurance.com ADDRESS: @ y P.O.Box 298 INSURER(S)AFFORDING COVERAGE NAIC# Waco TX 76701INSURERA: Cincinnati Insurance Company 10677 I INSURED INSURER B: Central Mutual Insurance Company 20230 HCS Inc.Commercial General Contractor INSURER C: Texas Mutual Insurance Company 22945 365 Wayside Drive INSURER D: INSURER E: Waco TX 76705 INSURER F: COVERAGES CERTIFICATE NUMBER: 2018-19 Master updated 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, 111 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADUL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS I X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 1,000,000 — DAMAGE TO RENTED 500,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A EPP0134978 04/06/2018 04/06/2019 PERSONALBADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY X PRET'LOC 0000 2,00 _ OTHER: $ I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT — (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 9914381 04/06/2018 04/06/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS _ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) $ _ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A X EXCESS LIAB CLAIMS MADE EPP0134978 04/06/2018 04/06/2019 AGGREGATE $ 2,000,000 DED RETENTION$ $ WORKERS COMPENSATION X PPER EATUTE EOTH AND EMPLOYERS'LIABILITY Y/N C ANY PROPRIETOR/PARTNER/EXECUTIVE N/A 0001144851 05/26/2018 05/26/2019 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 PIt DESCRIPTyes, ION OF 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ IIDESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Round Rock is included as an Additional Insured on the General Liability Policy if required by written contract between the Named Insured and the Additional Insured as per the attached corresponding endorsement and policy language. I IICERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Round Rock ACCORDANCE WITH THE POLICY PROVISIONS. 221 E Main St. AUTHORIZED REPRESENTATIVE Round Rock TX 1 �J 786640 n ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD �O sTHE CITY OF ROUND ROCK BIDS EXTENDED AND CHECKED General Services -- 212 Commerce Blvd BY : Matthew Smith Round Rock, Texas 78664 DATE : 9/6/2018 BID TABULATION SHEET: 1 of CONTRACT : Police Department Paint JNA Painting HCS Inc. LOCATION : City Hall Council Chambers Statement of Safety?Yes Statement of Safety?Ye Statement of Safety?Yes Statement of Safety?Yes DATE: 9/6/2018 Addendum(s)-NA Addendum(s)-NA Addendum(s)? Addendum(s)? Bid Bond? Yes Bid Bond? Yes Bid Bond? Yes Bid Bond? Yes APPROX. UNIT UNIT UNIT UNIT ITEM 4 ITEM DESCRIPTION QTY. UNIT PRICE COST PRICE COST PRICE COST PRICE COST I Painting and Alt $90,980.00 $65,900.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL: $90,980.00 $65,900.00 $0.00 $0.00 CERTIFICATE OF INTERESTED PARTIES FORM 1295 10f1 Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2018-399956 HCS Inc. Commercial General Contractor Waco,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 09/05/2018 being filed. City of Round Rock Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the services,goods,or other property to be provided under the contract. Police Department Paint General Construction 4 Nature of interest Name of Interested Party City,State,Country(place of business) (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is Jon Little and my date of birth is 01/02/1964 My address is 365 Wayside Dr. Waco TX 76705 USA (street) (city) (state) (zip code) (country) 1 declare under penalty of perjury that the foregoing is true and correct. Executed in McLennan County, State of Texas on the 5th day of September 2018 (month) (year) (S'ianakA of authoriz gent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2018-399956 HCS Inc.Commercial General Contractor Waco,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 09/05/2018 being filed. City of Round Rock Date Acknowledged: 09/24/2018 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the services,goods,or other property to be provided under the contract. Police Department Paint General Construction 4 Nature of interest Name of Interested Party City,State,Country(place of business (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is and my date of birth is My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of on the day of 20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711