CM-2024-072 - 3/8/2024STATE OF TEXAS §
COUNTY OF WILLIAMSON §
SUPPLEMENTAL CONTRACT NO. 3
TO CONTRACT FOR ENGINEERING SERVICES
FIRM: FREESE AND NICHOLS, INC. ("Engineer")
ADDRESS: 10431 Morado Circle, Suite 300, Bldg. 5, Austin, TX 78759
PROJECT: Chisholm Trail South Improvements (Old Town)
This Supplemental Contract No.3 to Contract for Engineering Services is made by and between
the City of Round Rock, Texas, hereinafter called the "City" and Freese and Nichols, Inc.,
hereinafter called the "Engineer".
WHEREAS, the City and Engineer executed a Contract for Engineering Services, hereinafter
called the "Contract," on the 24th day of March, 2022 for the Chisholm Trail South Improvements
(Old Town) Project in the amount of $389,055.00; and
WHEREAS, the City and Engineer executed Supplemental Contract No. I on October, 14, 2022
to amend the Contract to modify the provisions for the scope of services, work schedule, and fee
schedule; and
WHEREAS, the City and Engineer executed Supplemental Contract No. 2 on June 8, 2023 to
amend the scope of services and to increase the compensation by $584,885.00 to a total of
$973,940.00; and
WHEREAS, it has become necessary to amend the Contract to modify the provisions for the scope
of services and to increase the compensation by $49,679.00 to a total of $1,023,619.00;
NOW THEREFORE, premises considered, the City and the Engineer agree that said Contract is
amended as follows:
Article 2 Engineering Services and Exhibit B, Engineering Services shall be amended as set forth
in the attached Addendum to Exhibit B. Exhibit C, Work Schedule shall be amended as set forth
in the attached Addendum to Exhibit C.
Article 4, Compensation and Exhibit D,_ Fee Schedule shall be amended by increasing by
$49,679.00 the lump sum amount payable under the Contract for a total of $1,023,619.00, as shown
by the attached Addendum to Exhibit D.
Supplemental Contract Re%.06 16
0199 202204. 4854-1497-7449 8427
e"! �06�7 ^ t� 147 1
IN "WITNESS WHEREOF, the City and the Engineer have executed this Supplemental Contract
in duplicate.
FREESE AND NICHOLS, INC.
By: P�4�
Andrea Bryant, Associate
2/28/2024
Date
Supplemental Contract Ree.06.16
0199 202204.4854,1497-7449 9427S
CITY OF ROUND ROCK
sy �
Laurie Hadley, City Manage
/3-- y- t3q
Date
Supplemental Contract
4t99 XQ204,4834.1497-7449
APPROVED
AS TO FORM:
`Stephanie L. Sandre, City Attorney
Re%.0G116
84275
Services to be Provided by Consultant —Chisholm Trail South (Old Town) Improvements
ADDENDUM TO EXHIBIT B
Engineering Services
The CITY OF ROUND ROCK ("CITY") is proposing to develop a 0.44 mi segment of Chisholm Trail Road
between Sam Bass Road and RM 620. The work to be performed under this work authorization by FREESE
AND NICHOLS, INC. ("CONSULTANT") will consist of Subsurface Utility Engineering, Field Surveying, and
Illumination Design Services.
The following revisions and/or additional are proposed to the existing approved Exhibit B:
Revision:
130.0 UTILITY COORDINATION & SUBSURFACE UTILITY ENGINEERING (SUE) SERVICES
2. First paragraph from "...ten (10) QL W SUE test holes..." to "...twenty (20) QL W SUE test holes..."
Addition;
150.0 FIELD SURVEYING
The CONSULTANT will obtain the services of a Registered Professional Land Surveyor to perform field surveys
for the Project. All survey services will comply with the latest revision of the Professional Land Surveying Practice
Act of the State of Texas and will be accomplished under the direct supervision of a currently licensed State of
Texas Registered Professional Land Surveyor.
1. Field Surveying services will include the following:
The CONSULTANT will verify previously established control monuments for the site in NAD 83
Texas State Plane Coordinates, Central Zone 4203 US Survey feet and NAVD 88 for vertical
control datums.
The CONSULTANT will generate metes and bounds description with survey plat.
The CONSULTANT will review title commitments provided by the CITY if provided prior to the
signing and sealing of the easement.
Deliverables:
• One (1) metes and bounds description and one (1) sketch per easement, both signed and sealed by
a Registered Professional Land Surveyor prepared in accordance with the rules and regulations of
the Texas Board of Professional Engineers and Land Surveyors in PDF format.
Addition:
163.3 PEDESTRIAN ILLUMINATION DESIGN SERVICES
4. The CONSULTANT will prepare a pedestrian illumination spread footing foundation design to mitigate utility
conflicts:
Page 1 of 2
Services to be provided by Consultant — Chisholm Trail South (Old Town) Improvements
The CONSULTANT will prepare the design and detail for the shallow footing foundation of
proposed illumination poles located at the Post Office mailbox turnout according to requirements of
the International Building Code for the adopted year and applicable amendments. The footings and
pole attachments will not be designed for vehicle impact.
The CONSULTANT will use CITY standards for 15 foot maximum mounting height or similar pole
specified by CITY.
• Standards that require modification will be modified and sealed by a Professional Engineer licensed
by the State of Texas.
* The CONSULTANT will design the footing in proximity to the existing sanitary sewer pipe using
information obtained from survey and SUE. It is anticipated that the top of pipe elevation will allow
the footing to be constructed above the pipe without affecting the finished grade. No other existing
adjacent utilities or structures are anticipated for the design. This scope of work assumes existing
utility is at least 18" below existing ground level.
• The footing design will include optional soil replacement under the footing depending on the existing
soil observed during construction. The finished grade at the locations of the footings has minimal
sloping.
For all other pedestrian illumination poles not using a spread footing foundation, the CONSULTANT will size drill
shaft footings (diameter and drill shaft length) using TxDOT standards.
• The CONSULTANT will use CITY standards for 15 foot maximum mounting height or similar pole
specified by CITY.
Page 2 of 2
ADDENDUM TO EXHIBIT C
Work Schedule
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INLAND GEODETI:S
Land Surveyors
December 13, 2023
Revised: December 15, 2023
Bryan Pham, PE
Transportation Design
Freese and Nichols, Inc.
512-617-3196
bryan.pham@freese.com
RE: Additional Services 3
Locate Test Holes, Easement
Project: Chisholm Trail Improvements
Inland Project No.: FNIC-005
Mr. Pham:
Inland Geodetics is pleased to present our proposal to perform Professional Surveying Services for the above
referenced project. The specific scope of work is developed from email instructions dated December 11, 2023.
Inland understands that the City of Round Rock will secure ROE for surveying activities prior to NTP and provide
Inland copies with any special instructions.
SCOPE OF SERVICES
Project Site
Locate Test Holes
1. Inland will utilize survey control monuments as established from previous work on this project.
2. The coordinate values will be reconciled to NAD 83 Texas State Plane Coordinates, Central Zone 4203, US
Survey feet and NAVD 88 for vertical control datums. These values will be derived from GPS SmartNet
VRS observations at each point that include geographic positions of northing, easting and orthometric
heights.
3. Inland will coordinate with a Subsurface Utility Engineer (SUE) of the Clients choosing and locate a
maximum of ten (10) test holes from said SUE company within the Project limits. There is an additional
ten (10) manholes contracted in April 2023. This task will bring the total amount of test holes to
twenty(20).
1504 Chisholm Trail Road, Suite 103
Round Rock, TX 78681
512 238 1200
TBPELS firm Rug. No. 10059100
December 15, 2023
Page 2 of 2
4. Deliverables will include 2D and 3D Topo (.dgn) processed files in MicroStation V8.11 SS10 with all chains
and points. Shall include within the drawing file: Company name, address, telephone number, surveyor's
name, dates) of survey and survey datum information. A list of benchmarks and project control
coordinates will be included.
Easement Survey (Sidewalk Easement)
1. Inland shall set/recover and verify existing horizontal. The values will be relative to NAD 83 Texas State
Plane Coordinates, Central Zone 4203 (scaled to surface values).
2. Inland will perform sufficient field and office tasks to generate metes and bounds description with survey
plat for up to one (1) easement parcels on the described tracts.
3. This proposal assumes that Temporary Construction Easement will be referenced as adjacent to and
parallel with the described permanent easement.
4. Any TCEs for material laydown or construction activities will proposed on an "as -needed" basis as
additional services to this proposal.
5. Inland will review title commitments provided by Client for each parcel, if the title commitment is provided
prior to the signing/sealing of the easement.
6. Deliverables will be one (1) metes and bounds description and one (1) sketch per easement, both signed
and sealed by a Registered Professional Land Surveyor prepared in accordance with the rules and
regulations of the Texas Board of Professional Engineers and Land Surveyors in PDF format.
The Lump Sum fees for the above services to be:
Locate Test Moles: $5,000.00 (non taxable)
Easement Survey: $6,000.00 (plus applicable tax)
TOTAL: $11,000.00 (plus applicable tax)
NOTE: This proposal understands that Freese and Nichols, Inc will provide a VALID and CURRENT Tax
Exemption/Resale Certificate issued from the City of Round Rock for the purchase of taxable land surveying
services as a component of their deliverables. A copy of this certificate will be forwarded to Inland Geodetics in
lieu of incurring sales tax charges for the boundary surveying portion of this proposal_
Inland will begin work within two (2) weeks of Notice to Proceed and can complete the project within three (3)
weeks thereafter.
The estimated fee proposed above are based on personnel time required to perform the described Scope of
Services. Additional time requirements resulting from project scope changes, site/route changes, plan revisions,
field recovery of or discrepancies of control provided will be considered reasonable cause for us to seek additional
compensation for services not included in these amounts.
INLAND GEODETICS Client:
Miguel A. Escobar, LSLS, RPLS Signature: Date: M
Chief Surveyor Printed Name:
1504 Chisholm Trail Road, Suite 103 Title:
Round Rock, Texas 78681 Company Name:
512-238-1200
P',P,.}po,ils\Frecse and I&chols 1FNIC1\FN1C-00S -Chisholm Trail Add Service 1FN1C-0021 2023-02\Inland Proposal -Chisholm Trail Add Service 5 rev2023. 12 15.docx
Inland Geodetics
1 BPELS Firm No. 10059100
QTHE RIOSGROUP
December 19, 2023
Bryan Pham, P.E.
Freese and Nichols, Inc.
10431 Morado Circle
Building 5, Suite 300
Austin, TX 78759
512-617-3196
bryan.pham@freese.com
RE: Subsurface Utility Engineering Supplemental Test Holes
City of Round Rock - Chisholm Trail Rd., Round Rock, Texas
Dear Ms. Bryant:
The Rios Group, Inc. (TRG) is pleased to submit a supplementary cost proposal for Subsurface
Utility Engineering (SUE). This proposal is based on information provided via email on
December 12, 2023.
Introduction
TRG will perform SUE services for this project in general accordance with the recommended
practices and procedures described in ASCE publication Cl/ASCE 38-02 "Standard Guidelines
for the Collection and Depiction of Existing Subsurface Utility Data." As described in the
publication, four levels have been established to describe and depict the quality of subsurface
utility information. The four quality levels are as follows:
• Quality Level D (QL"D") .- Information obtained from existing utility records.
• Quality Level C (QL"C") Surveyed data depicting visible above -ground features
supplemented with QL"D" information.
• Quality Level B (QL"B") Two-dimensional horizontal information obtained through the
application and interpretation of non-destructive surface geophysical methods. Also
known as "designating," this level incorporates QL"C" information and provides
horizontal positioning of subsurface utilities to within approximately 1.0 foot.
• Quality Level A (QL"A") — Three-dimensional horizontal and vertical information
obtained through non-destructive vacuum excavation equipment to expose utilities at
critical points. Also known as "locating," this level incorporates QL"B" information and
provides horizontal and vertical positioning of subsurface utilities to within approximately
0.05 feet.
Scone of Work
Based on information provided by Freese and Nichols, Inc. (Client), TRG has developed a
proposed supplementary scope for SUE services on this project. This scope may be modified,
with Client and TRG concurrence, during the performance of work if warranted by changing or
unexpected field conditions.
575 Round Rock West Drive, Building K, Suite 4001 Round Rock, TX 786811 Phone: 512.580.5440
Subsurface Utilih. Engineering j Utility Coordination
City of Round Rock - Chisholm Trail Rd. — Supplemental Test Holes
December 19, 2023
Page 2 of 4
The scope of this proposal includes ten (10) QL "A" SUE test holes for the Chisholm Trail Rd.
project in Round Rock, Texas. The project limits are shown in red on Exhibit B-1 to B-3 and the
test hole locations are to be confirmed by the Client before TRG mobilizes. To layout the test
holes, TRG will attempt to designate the target utility 10-feet either side of the test hole.
The survey of SUE field markings and test holes is not included in this scope of work. It is
assumed that the Client's surveyor will provide SUE survey data for use in preparing the final
deliverables.
Any necessary Right -Of -Entry (ROE) permits, including railroad ROE, will be provided by the
Client prior to the start of field work.
TRG Procedures
QL "D " and "C " Records Research and Surface Feature Survey
It is the responsibility ofthe SUE provider to perform due -diligence with regard to records research
and the acquisition of available utility records. The due -diligence provided for this project will
consist of contacting the applicable One Call agency and associated utility owners/municipalities,
visually inspecting the work area for evidence of utilities, and reviewing available utility record
information. Additional utilities not identified through these efforts will be referred to as Unknown
utilities.
QL "B " — Designating
Following a review of the project scope and available utility records with the project manager,
TRG field personnel will begin designating the approximate horizontal position of known
subsurface utilities within the project area. A suite of geophysical equipment that includes
magnetic and electromagnetic induction will be used to designate conductive utilities. Where
access is available, a sonde will be inserted into non-conductive utilities to provide a medium for
transmission which can then be designated using geophysical equipment. Non-conductive utilities
can also be designated using other proven methods, such as rodding and probing. TRG will make
a reasonable attempt to designate Unknown utilities identified during field work; however, no
guarantee is made that all Unknown utilities will be designated. Utilities will be marked and
labeled to distinguish type and ownership. Field data depicting the designated utilities, as well as
relevant surface features, will be produced to ensure accuracy and completeness of subsequent
survey data. The TRG project manager will review the collected survey data, field data, and utility
records for accuracy and completeness.
QL "A " — Locating
TRG will utilize non-destructive vacuum excavation equipment to excavate test holes at the
requested locations. To layout the test holes, TRG will follow the QL"B" — Designating
procedures described above. Once each utility is located, TRG will record the size, type, material,
and depth. Test holes will be uniquely marked. Excavations will be backfilled by mechanical
means with the appropriate material, and the original surface will be restored. If necessary, TRG
575 Round Rock West Drive, Building K, Suite 4001 Round Rock, TX 786811 Phone: 512.580.5440
Subsurface Utility Engineering i Utilit%. Coordination
City of Round Rock - Chisholm Trail Rd. — Supplemental Test Holes
December 19, 2023
Page 3 of 4
can core pavement up to a depth of 12 inches. Asphalt surfaces will be repaired with an asphalt
cold patch, and concrete cores will be epoxied in place, flush with the surrounding surface. TRG
assumes that Plowable fill will not be required when backfilling test holes and that full -section
pavement repair (including sidewalks) will not be required to restore the original pavement
surface. If requested, these services can be provided at an additional cost.
TRG will establish any necessary routine traffic control measures at no additional cost. However,
if non -routine traffic control measures (lane closures, traffic detours, flagpersons, etc.) are
required, this service will be invoiced as a direct expense. Due to the risk of damage, TRG will
not attempt to probe or excavate test holes on AC water lines unless approval is obtained from the
owner in advance. Additionally, excavation in rock, or to a depth greater than 18 feet, is considered
beyond the scope of this proposal.
TRG has made the following assumptions with regard to the test holes on this project:
• All test holes will be accessible to truck -mounted vacuum excavation equipment.
• Right -Of -Way (ROW) permits from the City of Round Rock (CORR) will be required.
TRG will obtain all required City permits and ensure that coordination and compliance
with the City is provided.
• Designed traffic control plans will not be required.
• Non -routine traffic control measures will be required. TRG will acquire the services of a
qualified Maintenance -Of -Traffic (MOT) Subcontractor and ensure that adequate traffic
control is provided.
• The coring of pavement will be required.
Deliverables
TRG will provide the following as a final deliverable to the Client:
• A utility file in CAD format depicting all designated and located utilities. The Client will
provide TRG with any necessary background files for use in completing the final
deliverables.
• A summary sheet of all test hole coordinate data and depth information.
• 8.5" x 1 l" Test Hole Data Forms for all test hole locations completed. These plans will be
signed and sealed by a Professional Engineer and delivered to the Client in electronic PDF
form.
Schedule
TRG can mobilize within three (3) weeks of receiving Notice -To -Proceed (NTP). TRG
estimates that the QL "A" SUE work can be completed in twenty-six (26) working days
following approval of the City ROW permit, broken down as follows:
• QL "A" test hole layout and field work - 6 days
• QL "A" Deliverable preparation 20 days (following receipt of survey data from client)
575 Round Rock West Drive, Building K, Suite 400. Round Rock, TX 786811 Phone: 512.580.5440
Subsurface Wilily Engineering I Utility Coordination
City of Round Rock - Chisholm Trail Rd. Supplemental Test Holes
December 19, 2023
Page 4 of 4
Estimated Fee
The total estimated cost to complete the work described herein is Thirty -Two Thousand Six
Hundred Forty -Nine Dollars and 001100 ($32,649.00). An itemized breakdown of cost is
provided in Exhibit A. Please note that these pricings are based on an assumption of quantities,
and that only actual quantities will be invoiced — up to the total Contract amount.
We look forward to working with you on this project. If there are any questions, please do not
hesitate to call at 512.580.5440.
Respectfully,
The Rios Group, Inc.
Albert Bedia, EIT
Project Manager
575 Round Rock West Drive, Building K, Suite 400 k Round Rock, TX 786811 Phone: 512.580.5440
Subsurface Utility Engineering I Utility Coordination
THE RIOSGROUP
Estimate for Subsurface Utility Engineering
City of Round Rock - Chisholm Trail Rd. -
Supplemental Test Holes
EXHIBIT A
Assumed
Unit of
Hourly Office Labor (SUE)
Rate
Sub -Total
Quantity
Measure
Supervisory Engineer
$
166.06
2
HR
$
332.12
SUE Project Manager
$
151.93
6
HR
$
911.58
Assistant Project Manager
$
105.89
12
HR
$
1,270.68
CARD Technician
$
79.76
12
HR
$
957.12
Engineering Technician
$
66.85
2
HR
$
133.70
Field Manager
$
109.85
8
HR
$
878.80
Administrative Specialist
$
70.80
0
HR
$
-
Sub -Total
$
4,484.00
Assumed
Unit of
Direct Expenses
Rate
Sub -Total
Quantity
Measure
Traffic Control Standard
$
1,500.00
5
DAY
$
7,500.00
Sub -Total
$
7,500.00
QL"13" SUE Designating
Rate
Assumed
Unit of
Sub -Total
Quantity
Measure
One Designating Person (TH Layout)
$
160.00
10
HR
$
1,600.00
Sub -Total
$
1,600.00
QVA" SUE Test Holes
Outside
Assumed
Unit Of
Unit Rate - Depth
Sub -Total
Pavement Rate
Quantity
Measure
0 - 5 feet
$
1,315.00
5
EA
$
6,575.00
5 - 8 feet
$
1,600.00
3
EA
$
4,800.00
8 -13 feet
$
1,995.00
2
EA
$
3,990.00
13 - 20 feet
$
2,575.00
0
EA
$
-
Over 20 feet
$
3,025.00
0
EA
$
-
Pavement Coring
$
370.00
10
EA
$
3,700.00
Test Hole Total
10
Sub -Total
$
19,065.00
Total Estimated Cost
$
32,649.00
676 Round Rock West Drive, Building K, Suite 400 1 Round Rock, TX 786811 Phone: 612.680.5440
Subsurface Utility Engineering I Utility Coordination
FREEAND-02 KSUTT
CERTIFICATE OF LIABILITY INSURANCE DA'�"'� 12023"'
- 1 o12a12o23
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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on
Ns certificate does not confer rights to the certificate holder in lieu of such endorsements .
PRODUCER CONTACT
Ames & Gough NPHHONENO, E,a (703 827-2277 FAX
8300 Greensboro Drive ( )= - )- (Arc, No):(703) 827-2279
Suite 980 Ass, admin@amesgough.com
McLean, VA 22102 INSURER(S) AFFORDING COVERAGE MAC 0
INSURER A. Hartford Underwriters Insurance Company A+ (XV) 30104
INSURED INSURER B :Valley Forge Insurance Company A(XV) 20508
Freese and Nichols, Inc. INSURER C: Continental Insurance Company A^ 35289
801 Cherry Street, Suite 2800 INSURER D.-Travelers Casualty and Surety Company 19038
Fort Worth, TX 76102
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER- REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 ADDLINSO SUER POLICY NUMBER POLICY EFF POLICY EXP
A LIMITS
A X COMMERCUIL GENERAL LIABILITY EACH OCCURRENCE =
1,000,000
CLAIMS -MADE X OCCUR 7063394194 10/2312023 10/23/2024 DAMAGE TO RENTED
PREMISES (Ea ooarrerxe) i
1,000,000
X Contractual Liab.
151000
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
11000,000
GEITL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $
2,000,000
POLICY X je& X LOC PRODUCTS - COMPIOP AGG $
2,000,000
OTHER:
B AUTOMOBILE LIABILITY CO BIBINNEDSINGLE LIMB dclen;
(EaX
1,000,000
ANY AUTO 7063394177 10123/2023 1012312024 BODILY INJURY (Per pea=) $
OWNED
OOPS ONLY AUUT�OSW�IEOp BODILY INJURY(PerecNdeM) $
RTY
AUTOS ONLY ALWO1 ONLY lrK nt E $
C X UMBRELLA LUDO X OCCUR EACH OCCURRENCE $
10,000,000
EXCESS LIAR CLAIMSAWE 7063394180 10123/2023 1012312024 AGGREGATE $
10,000,000
DIED X RETENT40Ni 10,000
C WORKERS COMPENSATION X PER OTH-
AND EMPLOYERS LIABILITY STATUTE ER
7063394213 1012312023 10/2312024
AAN�YPROPRIIEETaOERIPARTNEWExECUTNE YIN E.L. EACH ACCIDENT ;
N NIA
1,000,000
In NHS EXCLUDED?
1,000,000
{Mae5da6F ary E.L. DISEASE - EA EMPLOYEE ;
If describe under
1,000,000
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMB
D Professional Liab. 107930947 1012312023 10/23/2024 Per Claim
5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLESAACORD 101, Addl tonal Remarks Schedule, may be altadwd N more opwo Is required)
PROFESSIONAL LIABILITY AGGREGATE LIMIT. $10,000,000
RE: Chisholm Trail
City of Round Rock Is Included as Additional Insured with respect to General Llabliity, Auto Liability, and Umbrella Liability when required by written contract.
Genera) Liability, Auto Liability and Umbrella Liability are primary and non-contributory over any existing Insurance and limited to liability arlsing out of the
operations of the named Insured and when required by written contract- 30-day Notice of Cancellation will be Issued for the General Liability, Auto Liability,
Umbrella Liability, Workers Compensation and Professional Liability policies In accordance with policy terms and conditions.
City of Round Rock
221 East 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
ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
CNA I CNA PARAMOUNT
Changes - Notice of Cancellation or Material
Restriction Endorsement
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
EMPLOYEE BENEFITS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
STOP GAP LIABILITY COVERAGE PART
TECHNOLOGY ERRORS AND OMISSIONS LIABILITY COVERAGE PART
SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY — NEW YORK DEPARTMENT OF TRANSPORTATION
SCHEDULE
Number of days notice (other than for nonpayment of premium):
030
Number of days notice for nonpayment of premium:
10
Name of person or organization to whom notice will be sent:
PER SCHEDULE ON FILE
Address:
PER SCHEDULE ON FILE
PER SCHEDULE ON FILE
xx 00000
If no entry appears above, the number of days notice for nonpayment of premium will be 10 days.
It is understood and agreed that in the event of cancellation or any material restrictions in coverage during the policy
period, the Insurer also agrees to mail prior written notice of cancellation or material restriction to the person or
organization listed in the above Schedule. Such notice will be sent prior to such cancellation in the manner prescribed in
the above Schedule.
All other terms and conditions of the Policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect
on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and
expires concurrently with said Policy.
CNA74702XX (1-15) Policy No: 7063394194
Page 1 of 1 Endorsement No:
National Fire Insurance of Hartford Effective Date: 10/23/23
Insured Name: Freese S Nichols, Inc.
Copyright CNA All Rights Reserved
Workers Compensation and Employers Liability Insurance
CNA
1
It is understood and agreed that:
Policyholder Notice
If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of
Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of
Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to
such Certificate holders at least 30 days in advance of the date cancellation is effective.
If notice is mailed, then proof of mailing to the last known mailing address of the Certificateholder on file with
the Agent of Record will be sufficient to prove notice.
Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or
impose any liability or obligation upon us or the Agent of Record.
Form No: CNA87315XX I10-20161 Policy No: 7063394213
Policy Effective Date:10123123
Policy Page:
Underwriting Company: The Continental Insurance Company
*Copyright CNA All Rights Reserved.