Contract - Austin Filter Systems - 6/12/2025 BID COPY/ORIGINAL
CITY OF ROUND ROCK
TRANSPORTATION DEPARTMENT
ROUND ROCK TEXAS
Project Manual For:
SOUTH MAYS STREET
WALL STABILIZATION PROJECT
March 2025
Prepared By:
Aguirre & Fields, LP
PEE OF
APPROVED BY
;1, CITY ATTRN
•
RYAN J. WILLIAMS
Q 3/27/2025
TBPE Firm Registration No F-739
00500 AGREEMENT
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 ZZ� ( 1 day of u / l./ in the year 20 25 .
BETWEEN the Owner: City of Round Rock,Texas(hereaftere "Owner"or"City")
221 East Main Street
Round Rock,Texas 78664
and the Contractor Austin filter Systems ("Contractor")
2812 North Bagdad Road
Leander Texas 78641
The Project is described as: SOUTH MAYS STREET
WALL SIAt31LIZA1ION PKUJEI"1
The Engineer is: Ryan J. Williams,PE
Aguirre S Fields,LP
1270E Riata Vista Circle, Suite A-109
Austin. fX 78727
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 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.
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00443647
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 two hundred tturty ( 230 )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 thirty (230 )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 thousand and No/100
Dollars($2,000 ) 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 and is not a penalty. 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 two hundred sixty
(260 )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 full and complete performance
of the Work and all of Contractor's obligations under this Agreement. The Contract Sum shall be
Two million,forty-six thousand,four hundred sixteen and twenty cents
($2,046,416.20 ),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 X . Yes .If yes,please provide details below:
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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 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 of
amounts approved by the Owner 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. The Owner shall not have any obligation to pay
any amount covered by the Engineer's Certificate for Payment that is disputed by the Owner.
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 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 and approved by the Owner.
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 General Conditions.
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00443647
6.2 The Work may be suspended by Owner as provided in Article 15 of the 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 March 2025
7.1.4 The Specifications are those contained in the Project Manual dated March 2025
7.1.5 The Drawings,if any,are those contained in the Project Manual dated March 2025
7.1.6 The Insurance&Constniction Bond Forms of the Contract are those contained in the Project Manual dated
March 2025
7.1.7 The Notice to Bidders,Instructions to Bidders,Bid Form,and Addenda,if any,are those contained in the
Project Manual dated March 2025
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:
Al I A
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: Greg Ciaccio,PE
Sr Project Manager
City of Round Rock Transportation
(512)218-7017
8.3 Contractor's representative is: Rich Klassen
Operations Manager
Austin Filter Systems Inc.
512-777-9897
8.4 Neither Owner's nor Contractor's representative shall be changed without ten(10)days'written notice to the
other party.
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00443647
8.5 Waiver of any breach of this Agreement shall not constitute waiver of any subsequent breach.
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 two(2)
original copies,of which one is to be delivered to Owner.
OWNER CONT TOR
CITY F ROUN RO K,TEXAS Austin er ems Inc
•
Printed Name: Printed Name: Mark Toungate
Title Title: President
Date Signed: I Z Z 2)z5 Date Signed: 90 d
ATTE
A,
(Qi141)1J
City Clerk
FOR CITY,APPROVED AS 'CORM:
tto ey
00500 4-2020 Page 5 of 5 Standard Form of Agreement
00443647
Bond No. 022241006
PERFORMANCE BOND
THE STATE OF TEXAS §
§ KNOW ALL BY THESE PRESENTS:
COUNTY OF WILLIAMSON §
That Austin Filter Systems,Inc. , of the City of Leander
County of Williamson , and State of Texas , as Principal, and
Liberty Mutual Insurance Company 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 Two Million Forty Six Thousand Four Hundred Sixteen&20/100's
Dollars ($2,046,416.20 ) 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 Pri cipal has entered into a certain written Agreement with the Owner dated the
2 day of ,20 7Zi-o which the Agreement is hereby referred to
and made a part hereof as fully and to th same extent as if copied at length herein consisting of:
SOUTH MAYS STREET
WALL STABILIZATION 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 4-2020 Performance Bond
00443639
PERFORMANCE 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 Agreement, or to the work to be performed thereunder.
If Principal fails to faithfully perform said Agreement, Surety, after receipt of written notice of
Principal's default,shall perform all of Principal's duties and obligations under the Agreement. If,
within ten (10) days after receipt of such notice from Owner, Surety does not commence to
complete the obligations of Principal with a contractor acceptable to Owner and diligently
complete the performance of the Principal's duties and obligations,Owner shall have the right but
not the obligation to have the duties and obligations of Principal performed. In such event, Surety
shall pay to Owner,upon demand,all costs,expenses and damages sustained by Owner as a result
of Principal's failure to perform its duties and obligations under the Agreement up to the
100% sum of this Performance Bond, plus all costs and expenses, including
attorney's fees and expert and consultant fees incurred by Owner to enforce its rights under this
Performance Bond.
IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument
this 20th day of June , 20 25 .
Austin Filter S s s,Inc. Liberty Mutual Insurance Company
Principal Surety
Mark to . — Steven W. Dobson
Printed Na Printed Name
By: By: � ' t' L' f! 2t5_50%‘t2it.
Title: Title: Attorney-in-fact
Address: 2812 N Bagdad Rd Address: 7900 Windrose Ave
Leander, TX 78641 Plano,TX 75024
Resident Agent of
Surety:
Signature
Steven W. Dobson
Printed Name
1405 E. Riverside Dr
Street Address
Austin,TX 78741
City, State &Zip Code
Page 2
00610 4-2020 Performance Bond
00443639
Bond No. 022241006
PAYMENT BOND
THE STATE OF TEXAS §
§ KNOW ALL MEN BY THESE PRESENTS:
COUNTY OF WILLIAMSON §
That Austin Filter Systems, Inc, , of the City of Leander
County of Williamson , and State of Texas , as Principal, and
Liberty Mutual Insurance 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,
TEXAS (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
Two Million Forty Six Thousand Four Hundred Sixteen&20/100's
Dollars($ 2,046,416.20 )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 P incipal has entered into a certain written Agreement with the Owner,dated the
Z day of �L,L1 , 20 o 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:
SOUTH MAYS STREET
WALL S1'A131L1LA'11ON 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 1
00620 04-2020 Payment Bond
00437699
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 20th day of June , 20 25 .
Austin Filter Systems, Inc. Liberty Mutual Insurance Company
Principal Surety
Mark To gate - President Steven W.Dobson
Printed N Printed Name
By: By: L%
Title: Title: Attorney-in-fact
Address:2812 N. Bagdad Rd Address: 7900 Windrose Ave
Leander, OXT 78641 Plano, TX 75024
Resident Agent of Surety:
Signature
Steven W. Dobson
Printed Name
1405 E. Riverside Dr
Street Address
Austin,TX 78741
City, State &Zip Code
Page 2
00620 1-2020 Payment Bond
00090656
ow
rr
'a d. Liberty POWER OF ATTORNEY
r it Mutual® Certificate No: 8213541 -969219
Liberty Mutual Insurance Company
SURETY The Ohio Casualty Insurance Company
West American Insurance Company
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Patricia
Ferguson,Steven W.Dobson
all of the city of Austin state of TX each individually if there be more than one named,its true and lawful attorney-in-fact to make,
execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 28th day of March , 2025 .
Liberty Mutual Insurance Company
P,,,1NSU,p4 ...poi, "Pi
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jG°FPOR4l yC co `°RP°R4?R9y VP'00'POR4r yo West American Insurance Company
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4- = On this 28th day of March , 2025 before me personally appeared Nathan J.Zangerle,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance 0 2a
,_To Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes c=
a)> therein contained by signing on behalf of the corporations by himself as a duly authorized officer. >0
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IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting,Pennsylvania,on the day and year first above written. c- =
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... 4, or 11 r Teresa Pesten.%Notary Public C co
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O I OF My commission expires March 28.2029 By: &/1/144 EO
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tco This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual 3
E•S Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: a M
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ARTICLE IV—OFFICERS:Section 12.Power of Attorney. o 0
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the c CD
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President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety (T3=
� � any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall-a 3
o have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed, such o a)
Z o instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the Q co
provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. ti o.
ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,
bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation—The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Nathan J. Zangerle, Assistant Secretary to appoint such
attorneys-in-fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and
other surety obligations.
Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF,I have nereunto set my hand and affixed the seals of said Companies this 20th day of June 2025
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LMS-12873 LMIC OCIC WAIC Multi Co 02/24
V.4, Liberty
PI' Mutual.
SURETY
Figure: 28 TAC § 1.601(a)(2)(B)
Have a complaint or need help?
If you have a problem with a claim or your premium, call your insurance company or
HMO first. If you can't work out the issue, the Texas Department of Insurance may be
able to help.
Even if you file a complaint with the Texas Department of Insurance, you should also file
a complaint or appeal through your insurance company or HMO. If you don't, you may
lose your right to appeal.
Liberty Mutual Insurance Company
To get information or file a complaint with your insurance company or HMO:
Call: Liberty Mutual Surety Claims at 206-473-6210
Online: www.LibertyMutualSuretyClaims.com
Email: HOSCL@libertymutual.com
Mail: P.O. Box 34526 Seattle, WA 98124
The Texas Department of Insurance
To get help with an insurance question or file a complaint with the state:
Call with a question: 1-800-252-3439
File a complaint: www.tdi.texas.gov
Email: ConsumerProtection@tdi.texas.gov
Mail: MC 111-1A, P.O. Box 149091, Austin, TX 78714-9091
,Tiene una queja o necesita ayuda?
Si tiene, un problema con una reclamacion o con su prima de seguro, Ilame primero a
su compania de seguros o HMO. Si no puede resolver el problema, es posible que el
Departamento de Seguros de Texas (Texas Department of Insurance, por su nombre en
ingles) pueda ayudar.
Aun si usted presenta una queja ante el Deparamento de Seguros de Texas, tambien
debe presentar una queja a traves del proceso de quejas o de apelaciones de su
compania de seguros o HMO. Si no to hace, podria perder su derecho para apelar.
Liberty Mutual Insurance Company
Para obtener informacion o para presentar una queja ante su compania de seguros o
HMO:
LMS-15292e 9/20
Llame a: Liberty Mutual Surety Claims al 206-473-6210
En Iinea: www.LibertyMutualSuretyClaims.com
Correo electronico: HOSCL@Iibertymutual.com
DirecciOn postal:P.O. Box 34526 Seattle, WA 98124
El Departamento de Seguros de Texas
Para obtener ayuda con una pregunta relacionada con los seguros o para presentar
una queja ante el estado:
Llame con sus preguntas al: 1-800-252-3439
Presente una queja en: www.tdi.texas.gov
Correo electrOnico: ConsumerProtection@tdi.texas.gov
Direccion postal: MC 111-1A, P.O. Box 149091, Austin, TX 78714-9091
LMS-15292e 9/20
CERTIFICATE OF LIABILITY INSURANCE Date: 07/08/2025
TDI number required.Please refer to the
PRODUCER: Texas Dept of Insurance website:https://www.tdi.texas.gov/
Arthur J.Gallagher Risk Management Services,LLC
6967 S River Gate Drive,Ste 200
Midvale,UT 84047 COMPANIES AFFORDING COVERAGE TDI
Phone: 801-924-1400 Email: “mqu....a,g,om
A Great American Insurance Company 16691
INSURED:Austin Filter Systems,Inc. B StarStone Specialty Insurance Company 44776
2812 North Bagdad Road C Great American Alliance Insurance Company 26832
Leander,TX 78641
Phone: 512-331-6673 Email: rachel(d)austinfiltersystems.com D Travelers Lloyds Insurance Company 41262
THIS IS TO CERTIFY THAT the Insured named above is insured by the Companies listed above with respect to the business operations
hereinafter described, for the types of insurance and in accordance with the provisions of the standard policies used by the companies,
and further hereinafter described.Exceptions to the policies are noted below.
CO TYPE OF POLICY EFFECTIVE EXPIRATION LIMITS
LTR INSURANCE NUMBER DATE DATE
GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000
A GLP376329506 10/01/2024 10/01/2025 PRODUCTS-COMP/OP AGG. $ 2,000,000
PERSONAL&ADV.INJURY $ 1,000,000
EACH OCCURRENCE $ 1.000,000
FIRE DAMAGE(Any one fire) $ 100,000
MED.EXPENSE(Any one person) $ 15,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1.000,000
A CAP376329406 10/01/2024 10/01/2025 BODILY INJURY(Per person) $
BODILY INJURY(Per accident) $
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000
B CSX00050029P 10/01/2024 10/01/2025 AGGREGATE $ 5,000,000
WORKERS'COMPENSATION STATUTORY LIMITS $
AND EMPLOYERS'LIABILITY EACH ACCIDENT $ 1.000,000
C QX376329606 10/01/2024 10/0I/2025 DISEASE-POLICY LIMIT $ 1,000,000
DISEASE-EACH EMPLOYEE $ 1,000.000
PROFESSIONAL LIABILITY
D BUILDERS'RISK INSURANCE 630-8078X461 10/01/2024 10/01/2025 Installation Floater$100,000
OR INSTALLATION INSURANCE
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS/EXCEPTIONS
The City of Round Rock is named as additional insured with respect to all policies except 'Workers' Compensation and Employers'
Liability' and 'Professional Liability'. Should any of the above described policies be canceled or changed before the expiration date
thereof,the issuing company will mail thirty(30)days written notice to the certificate holder named below.
CERTIFICATE HOLDER: City Manager SIGNATURE OF AGENT LICENSED IN STATE OF TEXAS
City of Round Rock 9 L�,D w
221 E.Main Street
Round Rock,Texas 78664
Typed Name: Joseph Clayburne
License ID: 697701
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00650 10-2010 Certificate of Liability Insurance
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