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R-90-1496 - 8/23/1990x + WHEREAS, the City of Round Rock has duly advertised for bids for demolition services, and WHEREAS, Sunbelt Corporation has submitted the lowest and best bid, and WHEREAS, the City Council wishes to accept the bid of Sunbelt Corporation, Now Therefore BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK, TEXAS, That the bid of Sunbelt Corporation is hereby accepted as the lowest and best bid, and the Mayor is authorized and directed to execute on behalf of the City a contract with Sunbelt Corporation for demolition services, a copy of said contract being attached hereto and incorporated herein for all purposes. RESOLVED this 23rd day of August, 1990. ATTEST: LAND, C- RS08230E RESOLUTION NO. ( -1 q (p C'ty Secretary MIKE ROBINSON, Mayor City of Round Rock, Texas THE CTPY OF ROUND RCCK �O Ii iiiii, PUBLIC NJ8KS DEPM IMImIr ft 221 East Main Street 0 a Round Rock, Texas 78664 " (512) 255 -3612 BID TABULJCII(x1S BIDS EXPENDED AND CHECKED BY: Marion Hastings�I DATE: 8 - - 90 SHEEP 1 OF I CONTRACT Round Rock Demolition - 1990 BIDDERS • BID DATE 8 -7 -90 TIME 2:00 P.M. Sunbelt Corporation Bid Bond? Yes Southwest Const- ruction, Inc. Cashiers Bid Bond? Check Ned Ross Company, Inc. Cashiers' • Bid Bond? Check ' • • IAC3ITION City Council Chambers DESCRIPTION' TTEM UNIT APPROX. QUANTITY UNIT PRICE COST UNIT PRICE COST UNIT PRICE COST UNIT - PRICE COST UNIT PRICE COST #1 1517 Palm Valley Blvd. - $ 9,460.00 $11,460.00 $18,025.00 62 708 Tassey $ 1,475.00 $ 1,800.00 $ 3,100.00 63 1208 Ledbetter $ 880.00 $ 1,400.00 $ 3,100.00 P4 712 East Main $ 1,625.00 $ 3,260.00 $ 4,775.00 5 110 East Anderson $ 1,575,00 2,150.00 $ 3,100.00 6 208 Fannin $ 1,641.00 i 3,350.00 $ 2,030.00 7 210 Fannin 1,641.00 ' 1.200.00 $ 2,030.00 8 212 Fannin 1,860.00 S 3,750.00 $ 2,030.00 TOTAL BID 520.157.00 S2R,970 no $3R 190 no DATE: August 21, 1990 SUBJECT: City Council Meeting, August 23, 1990 Jim Nuse ITEM: 9E. Consider a resolution authorizing the Mayor to enter into a contract for demolition. In accordance with statute, bids were received for the demolition of eight structures. Sunbelt Corporation submitted the lowest and best bid of $ 20,157.00. Please see the attached bid tabs. 1�9�2 Mayor Mike Robinson Mayor Pro Charles Culpepper Council Members Robert Stluka Tash Outman Pete Correa Earl Palmer Jimmy Joseph City Manager Robert L. Bennett, Jr. City Attorney Stephan L. Sheets THE STATE OF TEXAS COUNTY OF WILLIAMSON THE CITY OF ROUND ROCK 221 East Main Street Round Rock, Texas 78664 512- 255 -3612 AGREEMENT KNOW ALL MEN BY THESE PRESENTS That this Agreement made and entered into this /3 day of �TC:7 A.D., 1990, by and between the CITY OF ROUND ROCK, TEXAS, its Mayor, First Party, hereinafter termed the Owner and Sunbelt Demolishers, Inc., City of San Antonio, County of Hexer, State of Texas, Second Party, hereinafter termed Contractor. WITNESSETH: That for and in consideration of the payments and agreements hereinafter mentioned to be made and performed by said First Party (Owner), the said Second Party (CoulxdCtor) hereby agrees with the First Party to commence and complete the demolition of certain structures and cleanup of certain sites at the prices set forth in the Contractor's Proposal dated August 7, 1990 for demolition and clearing described as follows: DEMOLITION 02' UNSAFE STRUCTURES The Contractor shall perform all work described in the Contract and shall meet all requirements of this Agreement, and such Orders and Agreements for Extra Work as may subsequently be entered by the above named parties to this Agreement. The Contractor hereby agrees to commence work under this contract within five (5) consecutive days after the date of the written Notice to Proceed and shall cause work to progress in a manner satisfactory to the Owner. Such work shall be completed in full within sixty (60) ralondar days after the date of the written Notice to Proceed. Time is of the essence to this contract. The Owner agrees to pay the Contractor in current funds, and to make payments on account, for the performance of the work in accordance with the Contract, at the prices set forth in the Contractor's ProposaL AGREEMENT - continued The following documents together with this Agreement, comprise the CotilJ.act, and they are fully a part thereof as if herein repeated in fulL The Notice to Bidders The Instruction to Bidders The Proposal and Bidding Sheets The Certificate of Insurance In WITNESS WHEREOF the Parties to these presents have executed this Agreement in the year and day first above written. demoagre/pg CITY OF ROUND ROCK, TEXAS, OWNER SunhaTt Demolishers, Inc. Contractor By: Doug M. Jones President 1 Y ' PROPOSAL BIDDING SHEET JOB NAME: Demolition of Unsafe Structures JOB LOCATION: Round Rock, Williamson County, Texas DATES: July 1990 Gentlemen: Pursuant to the foregoing Notice to Bidders and Instructions to Bidders the undersigned bidder hereby proposes to do all the work, to furnish all the necessary labor, machinery, equipment, tools, materials, insurance and miscellaneous items, to complete all the work on which the bids as provided by the attached supplemental specifications, and as shown on the plans for the demolition of structures, removal of debris, and clean up of lot and binds himself on acceptance of this proposal tb execute a contract and bond for completing said project within the time stated, for the following prices, to wit: Bid Items: 1. Provide all labor, equipment and demolitio ermits to demolish structures, carry off debris, breakup and in ground pool and fill in hole, cleanup and mow a 3.479 parcel out of P.A. I Holder survey #297 at 1517 Palm Valley Blvd. for Nine Thousand Four dollars and nn cen s. Hundred Sixty $ 9,460.00 2. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow lots N, 10 & 11 8 & M Addition at 708 Tassey for One Thousand Four 'dollars and No cents. Hundred Seventy -Five $ 1,475.00 3. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow a .17 acre parcel out of J.M. Harrell survey #284 located at 1208 Ledbetter for Eight Hundred dollars and no cents. Eighty $ 880.00 08 0 0 0.00 •9,460 • 00 +�_ij 1,475..00+ tI 880•001 1, 625.004 1,575. 00 1,641 •00t •1,641 •00+ 1,860.0 24157.00 4. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow Lot 1, Block 16, R.R.O.P. at 712 East Main for Sixteen Hundred twenty -five dollars and no cents. $ 1,625.00 '5. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow Lot 1— West 1/2, Lot 2— West 1/2 Block 1, Anderson Addition at 110 East Anderson for Fifteen Hundred Seventy -five dollars and no cents. $ 1.575.00 6. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow Lot 3 & 4, Block 11,. Anderson Addition at 208 Fannin for Sixteen Hundred Forty -One dollars and no cents. $ 1,641.00 7. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow Lots 3 & 4, Block 11, Anderson Addition at 210 Fannin for Sixteen Hundred Forty -One dollars and no cents. TOTAL ALL BIDS $20,157.00 $ 1,641.00 8. . Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow Lots 3 &. 4, Block 11, Anderson Addition at 212 Fannin for Eighteen Hundred Sixty dollars and no cents. $ 1,860.00 If this proposal is accepted, the undersigned agrees to execute the contract and provide necessary bonds and insurance certifications as per the Instructions to Bidders and commence work within ten (10) days after written Notice to Proceed. The undersigned further agrees to complete the work in full within sixty (60) days after the date of the written Notice to Proceed. The undersigned certifies that the bi prices contained in the proposal have been carefully checked and are submitted as correct and final. The owner reserves the right to reject any or'all bids and may waive any informalities. Respect Submitted: uthoriod ap ature President Title for: Name of Firm (512) 623 -2300 5070 Old Pearsall Road Telephone Address iP P � Secretary, f Contractor is a Corporation. emobdsht /mh /att SUNBELT DEMOLISHING CORP. San Antonio, Texas 78242 TYPE OF POLICY CERT. EXP. DATE* POLICY NUMBER LIMIT OF LIABILITY ❑ CONTINUOUS ❑ EXTENDED ❑ POLICY TERM WORKERS' COMPENSATION 07/13/91 WC2- 391 - 087288 -020 COVERAGE AFFORDED UNDER W.C. LAW OF THE FOLLOWING STATES: TEXAS COV. B BODILY INJURY BY ACCIDENT $100,000 EA. ACCIDENT BODILY INJURY BY DISEASE 5100,000 EA PERSON BODILY INJURY BY DISEASE $500,000 POLICY LIMIT GENERAL LIABILITY COMPREHENSIVE ❑ FORM ❑ SCHEDULE FORM ❑ PRODUCTSCO PLETED OPERATIONS 0 INDEPENDENT CON- ❑ TRACTORS CONTRAC- TORS PROTECTIVE CONTRACTUAL ID LIABILItt 0 BODILY INJURY PROPERTY DAMAGE EACH $ OCCURRENCE $ AGGREGATE EACH $ OCCURRENCE $ AGGREGATE COMBINED SING E LIMIT BODILY INJURY AND PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE AUTO LIABILITY ❑ OWNED ❑ NON -OWNED ❑ HIRED • $ EACH ACCIDENT- SINGLE LIMIT -B I AND P.D. COMBINED $ EACH PERSON EACH ACCIDENT $ OR OCCURRENCE EACH ACCIDENT $ OR OCCURRENCE 213H1O LOCATION(S) OF OPERATIONS & JOB # (If Applicable) DESCRIPTION OF OPERATIONS This is to Certify that T Name and -- address of Insured. LIBERTY MUTUAL SUNBELT CORPORATION # 5070 PEARSALL ROAD L SAN ANTONIO, TEXAS 78242 J is, at the Issue date of this certificate. Insured by the Company under the policypes) listed below `The Insurance afforded by the listed policy( ies) n subject to all their terns, exclus,ons and conditions and is not altered by any requirement, tern or condition of any contract or other document with respect to which this certificate may be ,.sued • If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date, however, you will not be notified annually of the continuation of coverage. NOTICE OF CANCELLATION: THE COMPANY WILL NOT TERMINATE OR CD THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNLESS DAYS NOTICE OF SUCH TERMINATION OR REDUCTION HAS BEEN 0: CERTIFICATE HOLDER— r CITY OF ROUND ROCK 221 E. MAIN STREET ROUND ROCK, TEXAS 78664 ATTN: MARION HASTINGS L 1 J JOSEPH E. SILL // 4415 PIEDRA DRIVE WEST SAN ANTON• TEXAS 78214 / / / AUTHORIZED REPRESENTATIVE 08/31/90 993 CP DATE ISSUED OFFICE This cenibcate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such Insurance as Is al1orded by Those Companies Liberty Mutual BS 745S R3 Insurance Grou COVERAGE - COMBINED LIMITS OF LIABILITY COVERED COVERED ' LIABILITY ® ❑ Owned - ❑ ® Hired ❑ ® Non -Owned ❑ ❑X Employer's Non - Ownership - Contingent Liability Bodily Injury $ 000 each person 000 each occurrence ,000 each occurrence $ Property Damage $ Single Limit Liability for Coverages checked ® above CSL $ 500 000 eoch occurrence GENERAL LIABILITY M &C - OLT Owners & Contractors ❑ ® Contractual * Elevators ❑ ® Products and /or Completed Operations Bodily Injury $ 000 each person** 000 each occurrence 000 ° of aregate p oducn gg 000 each occurrence 0 ° al aggregate P�� °crs••• $ $ Property Damage $ $ Single Limit Liability for Coverages checked ® above - $ 000 each occurrence 000 a ual aggregare products r $ ❑ ® CARGO $ ,000 eoch vehicle ,000 each occurrence $ ❑X ❑ WORKERS' COMPENSATION iii $1UU,000 Acci dent 0esease BI $500,000 Limit s Statutory MM1rr TRUCK INSURANCE EXCHANGE INTERIM 1 .TIFICATE AS TO EVIDENCE OF INSI NCE THIS IS NOT AN INSURANCE POLICY. THIS IS ONLY A VERIFICATION OF INSURANCE. IT DOES NOT IN ANY WAY AMEND, EXTEND OR ALTER THE COVERAGE PROVIDED BY THE POLICIES LISTED BELOW. Fleet Insurance Carrier Named Sunbelt Corp. Consumers County Mutual Ins, Insured Address 5070 Pearsall Rd. San Antonio, TX 78242 19 -46 -383 Agent Pox : ";8 ITA4 Policy B • Auto Nab. TX Work Comp WCy3mg7288 This is to certify that policies for the above named insured are in force as follows: CIGNA Polity R • Work Comp This Interim Certificate As To Evidence of Insurance shall expire sixty days from 12 :01 A M. - August 27, 1922_, unless cancelled prior to such date by written notice to the named insured. ® 4 Please issue a Permanent Certificate *Includes Goods or Products Warranty, Written Lease of Premises, Easement Agreement, Municipal Ordinance Agreement, Sidetrack Agreement, Elevator or Escalator Maintenance Agreement only, unless accompanied by specific endorsement providing additional Contractual Coverage. b = d © o. " OWNED YEAR, MAKE, TYPE OF BODY, LOAD CAPACITY AUTO- MOBILES, - IF COVERED Umbrella Liability POLICY NUMBER Certificate issued to: Nome City of Round Rock And • Address , Att: Marion Hastings 221 E. Main St. • Round Rock, TX 78664 • • Not Applicable m Texas. * * * In Texas the aggregate also applies to owners and contractors protective, contractual and /or completed operations. 560514 2.90 1051 W/200 01200 imtrrko IN LISA. Q m IDENTIFICATION NUMBER $ 000 retained limit $ each occurrence $ aggregate If this Interim Certificate As To Evidence Of Insurance is to be cancelled prior to the expiration date, we shall provide 10 days advance notice in writing to whom this certificate is issued. or Project: Demolition of Unsafe Structure LAST 3 DIGITS SHOWN Lease /Loon Number Countersigned c /V " e / , I //1 o _& l - W. Lee Linsc"Y;�i€° TS'T2T '493 -3646 B80 11201 TYPE OF POLICY CERT EXP. DATE. POLICY NUMBER LIMIT OF LIABILITY ❑ CONTINUOUS ❑EXTENDED ❑ POLICY TERM WORKERS' COMPENSATION COMPREHENSIVE ❑ FORM SCHEDULE FORM ❑ PRODUCTS M- PLETED OPERA El INDEPENDENT CON - ❑ TORS PR0 ❑ LIAOBILITY CTUAL 07/13/91 WC2- 391 - 087288 -020 COVERAGE AFFORDED UNDER W C LAW OF THE FOLLOWING STATES. TEXAS BODILY INJURY COV B BODILY INJURY BY ACCIDENT $500,000 EA. ACCIDENT BODILY INJURY BY DISEASE $500,000 EA PERSON BODILY $500,000 INJURY BY DISEASE POLICY LIMIT PROPERTY DAMAGE GENERAL LIABILITY $ $ EACH OCCURRENCE AGGREGATE EACH $ OCCURRENCE $ AGGREGATE COMBINED SINGLE LIMIT BODILY INJURY AND PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE AUTO LIABILITY ❑OWNED ❑ NON -OWNED 0 HIRED $ EACH ACCIDENT - SINGLE LIMIT - B I. AND PD COMBINED $ $ EACH PERSON EACH ACCIDENT OR OCCURRENCE EACH ACCIDENT $ OR OCCURRENCE OTHER t RECEIVED SEP if 1999" LOCATION(S) OF OPERATIONS & JOB # (If Applicable) DESCRIPTION OF OPERATIONS Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOF 10 ONLY AND CONFERS NO RIGHTS UPON YOU THE CERT! HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER 1 VERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that Name and -- address of Insured. 1 SUNBELT CORPORATION 5070 PEARSALL .SAN ANTONIO, TEXAS 78242 J Is, at the issue date of Ihls cemhcate, Insured by the Company under the polIcy(Ies) listed below. *The Insurance afforded by the listed policy(les) n subject to all their terms, exclusions and conditions and n not altered by any reymrenlent, term or condition of any contract or other document with respect to which this certificate may be issued If the certificate expiration date is continuous or extended term, you will be notified If coverage is terminated or reduced before the certificate expiration date, however, you will not be notified annually of the continuation of coverage. NOTICE OF CANCELLATION: THE COMPANY WILL NOT TERMINATE OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNLESS DAYS NOTICE OF SUCH TERMINATION OR REDUCTION HAS BEEN MAILED TO 1 CITY OF ROUND ROCK 221 E. MAIN STREET CERTIFICATE HOLDER — ROUND ROCK, TEXAS 78664 L 1 J This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such Insurance as is afforded by Those Companies RC 74RC 81 JOSEPH E. SILL 4415 PIEDRAS DRIVE WEST SAN ANTPDf 0, TEXAS 78 8 AUTHORIZED REPRESENTATIVE 08/30790 CP 993 DATE ISSUED OFFICE LIBERTY MUTUAL. Y Liberty Mutual Insurance Group TYPE OF POLICY CERT. EXP. DATE POLICY NUMBER LIMIT OF LIABILITY ❑ CONTINUOUS ❑ EXTENDED ❑ POLICY TERM WORKERS' COMPENSATION 07/13/91 WC2- 391- 087288 -020 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES TEXAS COV B BODILY INJURY BY ACCIDENT $500,000 EA ACCIDENT BODILY INJURY BY DISEASE $500,000 EA, PERSON BODILY INJURY BY DISEASE S 500, 000 POLICY LIMIT GENERAL LIABILITY COMPRE HENSIVE 0 FORM ❑ SCHEDULE FORM ❑ PRODUCTS COM- PLETED OPERATIONS INDEPENDENT CON - ❑ TOR5 PORCSTE AC ❑ LIAOBILITYCTUAL BODILY INJURY PROPERTY DAMAGE EACH $ OCCURRENCE $ AGGREGATE EACH $ OCCURRENCE $ AGGREGATE COMBINED SINGLE LIMIT BODILY INJURY AND PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE ,UITIBVIl oinv ❑ OWNED ❑ NON -OWNED ❑ HIRED $ EACH ACCIDENT - SINGLE LIMIT -B I AND P D COMBINED $ EACH PERSON EACH ACCIDENT $ OR OCCURRENCE EACH ACCIDENT $ OR OCCURRENCE OTHER RECEIVED SEP 4 193"i LOCATION(S) OF OPERATIONS & JOB # (II Applicable) DESCRIPTION OF OPERATIONS This is to Certify that Certificate of Insurance THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORr .40 ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFIC.. - HOLDER THIS CERTIFICATE 15 NOT AN INSURANCE POLICY AND DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED 85 THE POLICIES LISTED BELOW Name and address of Insured. E SUNBELT CORPORATION 5070 PEARSALL L SAN ANTONIO, TEXAS 78242 J .. at the Issue daleol this certificate. Insured h7 the Compam under the pnheyl 10.1 listed helms `The Insurance afforded hs the listed pohLSI lest lssuhjecl to all their temls, esalu.mns and condition. and Is not altered h) and rcyui Lnamt. lenn or Londmon of a - 1.11111.0 or other document with respell m u his h this L enlloJIC in,L he Issued • If the certificate expiration date Is continuous or extended term, you will be notified 1 coverage Is terminated or reduced before the certificate explratlon date however, you will not be notified annually of the continuation of coverage NOTICE OF CANCELLATION. THE COMPANY WILL NOT TERMINATE OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNLESS DAYS NOTICE OF SUCH TERMINATION OR REDUCTION HAS BEEN MAILED TO CITY OF ROUND ROCK 221 E. MAIN STREET CERTIFICATE ROUND ROCK, TEXAS 78664 HOLDER —. L J This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respacis such Insurance as is atIorded by Those Companies 8574558' JOSEPH E. SILL 4415 PIEDRAS DRIVE WEST SAN ANTS 0, TEXAS 8 LIBERTY MUTUAL. 0x '� AUTHORIZED REPRESENTATIVE 08130f90 CP 993 DATE ISSUED OFFICE Liberty Mutual Insurance Grnon UU..L G( - RUU G V ISE AI ORD. CERTIFICATE ,- INSURANCE _ !. in 08/28/90 PRODUCER CODE INSURED Joe E Si11 & Associates 4415 Piedras Drive West #240 San Antonio, Texas 78228 SUB.CODE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE LETTER A EAGLE INSURANCE WMPANY ETTER B MID- AMQZCCAN INDEMNITY Sunbelt Corporation 5070 Pearsall Road San Antonio, Texas 78242 EETTERNV `. COMPANY D LETTER COMPANY 8 LETTER COVERAGES 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 CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 'POLICY DATE (MM /DD/VY) EXPIRATION DATE (MOONY) ALL LIMIT A GENERAL xx y LIABILITY COMMERCIAL GENERAL LIABILITY '� CLAIMS MADE OCCUR. EICL 51436 - 05/07/90 05/07/91 GENERAL AGGREGATE 1EZ 000,000 000,000 PRODUCTS - COMP /OPS AGGREGATEIS, PERSONAL & ADVERTISING INJURY I E 500, 000 xx i OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE 1E, 000,000 FIRE DAMAGE (Any ono fire) Is 50,000 MEDICAL EXPENSE Any one person) ! AUTOMOBILE - -- LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON .OWNED AUTOS GARAGE LIABILITY L' COMBINED SINGLE S LIMIT BODILY INJURY I S (Per person) BODILY INJURY S (Per accident) PROPERTY 1 S DAMAGE ` J EXCESS g� XX LIABILITY OTHER THAN UMBRELLA FORM MXP 51611 08/10/90 05/07/91 ■ EACH AGGREGATE OCCURRENCE ]$1,000,000 1,000,000 WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY , $ (EACH ACCIDENT) E (DISEASE — POLICY LIMIT) E (DISEASE —EACH EMPLOYEE) OTHER DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /RESTRICTIONS /SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION Cl of Round Rock 221 E. Main St. Rand Rock, Tx. 78664 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPI N DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL _DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE MAIL }. LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPA ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE JOSEPH E. SILL , ACORD25 - (3/88) ©ACORD CORPORATION 1988 NOTICE TO BIDDERS Sealed proposals shall be addressed to the City Secretary, City of Round Rock, 221 East Main Street, Round Rock, Texas 78664 for furnishing all necessary 'labor, machinery, equipment, tm19, materials, insurance and miscellaneous items and providing all work required for performing and completing demolition of structures at eight specific locations in the City of Round Rock. Sealed bids for this project, titled ROUND ROCK DEMOLITION 1990, will be received until Tuesday, August 7, 1990 at 2:00 P.M. and will. then be publicly opened and read aloud in the City Council. Chambers at the same address. Bid envelopes should state date and time of bid and "Round Rock Demolition 1990" on the outside of the sealed envelope. Any hires received after the scheduled bid opening time will be returned unopened. 1 Bids must be submitted on City of Round Rock proposal forms and must be accompanied by an acceptable bid security as outlined in the Instructions to Bidders, payable to the City of Round Rock, Texas, equal to five percent (5 %) of the total bid amount. Proposal. Forms and Instructions to Bidders may be obtained from the Department of Public Works, 300 South Blair, Round Rock, Texas, beginning Monday, July 16, 1990. In case of ambiguity, duplication ar obscurity in the bids, the City of Round Rock reserves the right to construe the meaning thereof. The City of Round Rock further reserves the right to reject any or all bids and waive any informalities and irregularities in the bids received. The successful bidder will be expected to execute the standard contract prepared by the City of Round Rock and to furnish performance and payment bonds as described in the bid documents. Pub. Dates: Austin American Statesman July 20, 1990 July 27, 1990 rrdeml89 /pg Round Rock Leader July 19, 1990 July 26, 1990 Joanne Land City Secretary City of Round Rock PROPOSAL BIDDING SHEET JOB NAME: Demolition of Unsafe Structures JOB LOCATION: Round Rock, Williamson County, Texas DATES: July 1990 Gentlemen: Pursuant to the foregoing Notice to Bidders and Instructions to Bidders the undersigned bidder hereby proposes to do all the work, to furnish all the necessary labor, machinery, equipment, tools, materials, insurance and miscellaneous items, to complete all the work on which the bids as provided by the attached supplemental specifications, and as shown on the plans for the demolition of structures, removal of debris, and clean up of lot and binds himself on acceptance of this proposal to execute a contract and bond for completing said project within the time stated, for the following prices, to wit: Bid Items: 1. Provide all labor, equipment and demolitio permits to demolish structures, carry off debris, breakup in ground pool and fill in hole, cleanup and mow a 3.479 parcel out of P.A. Holder survey 1297 at 1517 Palm Valley Blvd. for Nine Thousand Four dollars and no cents. Hundred Sixty $ 9,450.00 2. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow lots N, 10 & 11 B & M Addition at 708 Tassey for One Thousand Four 'dollars and No cents. Hundred Seventy -hive $ 1,475.00 ', 3. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow a .17 acre parcel out of J.M. Harrell survey 1284 located at 1208 Ledbetter for Eight Hundred dollars and no cents. Eighty $ 880.00 4. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow Lot 1, Block 16, R.R.O.P. at 712 East Main for Sixteen Hundred twenty - five dollars and no cents. 5. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow Lot 1- West 1/2, Lot 2- West 1/2 Block 1, Anderson Addition at 110 East Anderson for Fifteen Hundred Seventy -five dollars and no cents. 6. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow Lot 3 & 4, Block 11,. Anderson Addition at 208 Fannin for Sixteen Hundred Forty -One dollars and no cents. 7. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow Lots 3 & 4, Block 11, Anderson Addition at 210 Fannin for Sixteen Hundred Forty -One dollars and no cents. 8. Provide all labor, equipment and demolition permits to demolish structures, carry off debris, clean up and mow Lots 3 & 4, Block 11, Anderson Addition at 212 Fannin for Eighteen Hundred Sixty dollars and no cents. TOTAL ALL BIOS $20,157.00 $ 1,625.00 $ 1,575.00 $ 1,641.00 $ 1,641.00 $ 1,860.00 If this proposal is accepted, the undersigned agrees to execute the contract and provide necessary bonds and insurance certifications as per the Instructions to Bidders and commence work within ten (10) days after written Notice to Proceed. The undersigned further agrees to complete the work in full within sixty (60) days after the date of the written Notice to Proceed. The undersigned certifies that the bi prices contained in the proposal have been carefully checked and are submitted'as correct and final. The owner reserves the right to reject any or'all bids and may waive any informalities. Respect Submitted: President emobdsht /mh /att SUNBELT DEMOLISHING CORP. Title for: Name of Firm (512) 623 -2300 5070 Old Pearsall Road Telephone Address Secretary, if Contractor is a Corporation. San Antonio, Texas 78242 I 3 3 1 INCH EQUALS 2,000 FEET SCALE IN MILES 0 I-1 f —i F---I ! -1 I--1 1 A90 I : L ` 1 1 E•l t \EE7ilI.1 r3` ` A70 I1 ■ LAW I CT a r� r l r . � O \ MILE 255 , , c 61 Z 45 z „; - z5 44 - ' MAP 3 one c ' 0 CREEKMOIiT 2 f ON `I I L L + , LI 1 ` f � N MS 'Y ' S c�'ll'l rr Ul I T 111A1 IKVfOr111f 1 8 uIMO4RUNn 9 OLC LOW I 0 OAK ItI.n00Y /S 00 I 11 f11 LIIMEADGWS _ 3•tOG < , EFF c ''-'4 V ' CITY O1 4 ` 1. rAIiKNILL CV R(�tt1NIR3a<dI< SUNR.I.* C rV 3.BURL 'r $- 4 SIERRA CV I ll Z � 5 WILLOWBENVD CV / 0-..441111''' 12 SUNOEAM CV � N GREENHILL ������111 pyo m SE!' D ,G L{ Jn N . S• TTLEMENT• \� r • • .LP • 5 pn • ° E '• nl TI IE �{ + Ur :70, r; E13\ 3rs• t 45 ; °2w uE j w UElll 1 K nrn r o tr , MAP • st L . Z I i I(b Va 4 = EI< ' - „� - tYYv TfiE ,,,, WOODS a 1 TP5 N� {r " \11.G m c t SM GE Co o P P TH HER ` 5 Ep5 173 a CE ITAGE i1 M I L � �� it my E V p "v� • •• ® • GGE E ' " t , ® {{{ F• • ' PJE G F H .li . t t � ° IP L) ..' � . �J- • I , c 9R I'� n r H a C' i `fi c ERS �. G a SO R S ET Ba S, III 9 i* p o pEEYI° ` s 9 P = c ��� JP' (' E J n O" •� Ni p • M °J5 f ' P � v ` clTls n . 1 � 1A \s" IAenf o17s E E 0- 0 2 EN I F P q J �� E 1 l (� o EGGEFf c ollt •. ACRES $ VBIGINIA` ” ( KAROLYN J �.1 - . EXAS BAP OAK MI . n UREI { EXAS NS hIOME - " " i L R _ 'ARK 5 ° fY b� • m Z , , 1)Y •ul 20 P51 11,C.� ' AGOws GLE x I I � N 1 11GII\NE'510 :TOW S m y BASS C rP N 9 9� M > l'' a s o or v y °W' I F'IE T fZ j O m , I' m ; „ n OAI<LAND .i - ErPO "e I �S3Y< T 8> �` T 1] ROCKSPRINGCCV t SC O T ANGLE 14 BRGOKSfONE CV CHOOL SCIIOOL D,��a�. I I (I L ' ; pI L I i • Es BRUS s SLOP ? £i x u 3 SHADY 11:3 • ' � VETERANS PM r � B RUSHY ) RAP[Hl Ake PECA. ..V I p1• ¢ /OD 0I1 < q )N-J.ION ; . '` F- r ��: c .R. .. y y��� 6 Nr "UUCES' E . �Ff� IINPI � i i�'� 1~ ;�� I ' I Q�� t l'AI �I< PAtmV C rILr K 1 1 ° i ARE 1 °pj 'lu �CE CV ill OF Si MIUEtI� NEU,;1, ORES] fA II AM t rLIINPAI y f ) 9 Op �', COUNTY [LEN CNISUOLt.L -a` IF1nut E SCI 1001 � °Q • • f P J AN l 5l y ° s T e w o �r &. r Si �� ° •q''IF o w Sr ; P p 9 F � ° „„,c FA WOU V�l q • � I E I,1 • ITAn c' • e , U PY' O a 0 ,� 1 ; y Y --' cr `,' „ q B GI' ND ROCK W G v WEST oK RO UNpR O 1ND ROC �K •`p P' t AF WIL f • l og ? 1 ° a zo / s, 0.0 ,011 4 o CREEK �' %` z AS . s F f Y ` y l •• 4 i� 9 •P ' Q . i •. + GUEI c 2 4 F Q,,PAR I• ° I HOL 1 9 m T IN tALLEY o W wBUFFALO 0 � iy e w DOVE CREEK • OVE 6. . CT GARDENP ° ^ u rti E nsorl o 100 • X1 `[l'{ ir I ° F u ` " • v g i f P IFXo GLCGIEN IAI e * I , I LOGnI! o • T \I EI ME DR 111N V UE c. 11/1111 � � J G, A 10 a \\ \' GnSS' � 't �� MIGHTY MAP (- 0 ,C1f -n O I 3 3 1 INCH EQUALS 2,000 FEET SCALE IN MILES 0 I-1 f —i F---I ! -1 I--1 1 A90 INSTRUCTIONS TO BIDDERS 1. Prior to submitting any proposal, bidders are required to read the plans, specifications, proposal, contract and bond forms! carefully; to inform themselves by their independent research, test and investigation of the difficulties to be encountered and judge for themselves of the accessibility of the work and all attending circumstances affecting the cost of doing the work and the time required for its completion and obtain all information required to make an intelligent proposal 2. Should the bidder find discrepancies in, or omissions from, the plans, spedfications, or other documents, or should he be in doubt as to their meaning, he should notify at once the City of Round Rock and obtain clarlfication or addendum prior to submitting any bid. 3. It shall be the responsibility of the bidder to see that his bid is received at the place and time named in the Notice to Bidders. Bids received after closing time will be returned unopened. 4. Bids shall be submitted in sealed envelopes plainly marked "Sealed Bid" and showing the name of the project, the job number if applicable, and the opening date and time. 5. Bids shall be submitted on proposal forms furnished by the City of Round Rock. 6. All proposals shall be accompanied by a certified cashier's check upon a National ar State bank in an amount. not less than five percent (5%) of the total maximum bid price, payable without recourse to the City of Round Rock, or a bid bond in the same amount from a reliable surety', company, as a guarantee that the bidder will enter into a contract and execute performance and payment bonds, as stipulated by item 11 below, within ten (10) days after notice of award of contract to ,him. Proposal guarantees must be submitted in the same sealed envelope with the proposaL Proposals submitted without check or bid bonds will not be considered. (See items 11 & 12.) 7. All bid securities will be returned to the respective bidders within twenty -five (25) days after bids are opehed, except thri which Elie owner elects to hold until the successful bidder has executed the contract. Thereafter, all remaining securities, including security of the successful bidder, will be returned within sixty (60) days. II 8. Until the award of the contract, the City of Round Rock reserves the right to reject any and all proposals and to waive technicalities; to advertise for new proposals; or to do the work otherwise when the best interest of the City of Round Rock will be thereby promoted. mhinst/ann BD-1 9. In racA of ambiguity or lack of clarity in the statement of prices in the bids, the City of Round Rock reserves the right to consider the matt favorable analysis thereof, or to reject the bid. Unreasonable (cir unbalanced) prices submitted in a bid may result in rejection of such bid or other bids. 10 Award of the contract, if awarded, will be made within sixty (60) days after opening of the proposals, and no bidder may withdraw his proposal within said sixty (60) day period of time unless a prior award is made. 11. Within ten (10) days after written notification of award of the contract, the succor sFul bidder must furnish a performance bond and la payment bond in the amount of one - hundred percent (100%)' of the total contract price. Provided however, if the contract price is less than $50,000.00, the bidder shall have the option of providing a letter of credit in lieu of a performance bond, said letter of credit in a form acceptable to the City of Round Rock. Said performance bond, or letter of credit, if applicable, and payment bond shall be from an approved surety company holding a permit from the State of Texas to act as surety (and acceptable according to the latest list of companies holding certificates of authority from the Security of the Treasury of the United States) or other surety or sureties acceptable to the Owner, with approval prior to bid opening. 12. 1f the total contract price is less than $25,000.00 the performance and payment bond requirement may be waived by the City of Round Rock. Payment will be made following completion of the work. Il 13. Failure to execute the construction contract within ten (10) days, of written notification of award or failure to furnish the performance bond, or letter cif credit if applicable, and payment bond as required by item 11 above, shall be just cause for the annulment of the award. In case of the annulment of the award, the proposal guarantee shall become the property of the City of Round Rock, not as a penalty, but as a liquidated damage. 19. No contract shall be binding upon the City of Round Rock until it has been signed by its Mayor after having been duly authorized to do so by the City council. 15. The Contractor shall not commence work under this contract until he has furnished certification of all insurance required and such has been approved by the City of Round Rock, nor shall the contractor allow any subcontractor to commence work on his subcontract until proof of all similar insurance that is required of the subcontractor has been furnished and approved. mhinst/ann BD-2 16. Any quantities given in any portion cif the contract documents, including the plans, are estimates only, and the actual amount of work required may differ somewhat from the estimates. The basis for the payment shall be the actual amount of work done and/or material furnished. 17. No Texas sales tax shall be included in the prices hid for work under this contract. This contract is issued by an organization which ]s qualified for exemption pursuant to the provisions of Article 10.04 (h) of the Texas Limited Sales, Excise and Use Tax Act. The contractor performing this contract may purchase, rent or leas= all materials, supplies, equipment used or consumed in the performance of this contract by issuing to his supplier an exemption certificate complying with State Compt'roller's ruling 195 -0.07. Any such exemption certifdate issued by the contractor in lieu of the tax shall be sub to the provisions of the State Comptraller's ruling 195 - 0.09 as amended to be effective July 1, 1979. 18. Any asbestos siding or other hazardous materials encountered will be removed, handled and disposed of according to federal regulations. 19. No conditional hi.la will be accepted. I I 20. In selecting the lowest responsible bidder, consideration of the Contractor's competency shall be evaluated by the information submitted on the sheet titled "INFORMATION REQUIRED OF BIDDERS ". (Number 15 on this form is optional) All bid submissions shall contain this completed form. 21. It shall be the responsibility of the bidders to coordinate with any or all utility companies involved. mhinst/ann BD-3 TYPE OF POLICY CERT .EXP DATE POLICY NUMBER LIMITS OF LIABILITY COVERAGE AFFORDED COV. B UNDER W C. LAW OF THE FOLLOWING STATES BODILY INJURY BY ACCIDENT WORKERS' 07/13/91 WC2- 391 - 087288 -020 TX s 100,000 EACH ACCIDENT BODII.Y INJURY BY COMPENSATION DISEASE s 1 00,000 PROJ: DEMOLITION OF UNSAFE EACH PERSON STRUCTURE BODILY DISEASE `JURY BY I S 500,000 - - -- - POLICY LIMIT _ -_ ,_ LOCATION(S) OF OPERATIONS * JOB : (IF APPLICABLE) DESCRIPTION OF OPERATIONS Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that I SUNBELT CORPORATION 5070 PEARSALL SAN ANTONIO, TX 78242 L is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. *The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. NOTICE OF CANCELLATION: THE COMPANY WILL NOT TERMINATE OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNLESS *10 DAYS NOTICE OF SUCH TERMINATION OR REDUCTION HAS BEEN MAILED TO: * EXCEPT IN THE EVENT OF CANCELLATION FOR NON- PAYMENT OF PREMIUM. CITY OF ROUND ROCK 221 E. MAIN STREET ROUND ROCK, TEXAS 78664 ATTN: MARION HASTINGS CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE BS 7455 Ri LIBERTY MUTUAL INSURANCE COMPANY• LIBERTY MUTUAL FIRE INSURANCE COMPANY LIBERTY INSURANCE CORPORATION• BOSTON, MA Producer's Name and Address JOSEPH E. SILL 4415 PIEDRAS DR. WEST SAN ANTONIO, TX 78228 Name and Address of Insured IBERTY MUTUAL. 09/12/90 TYLER cp DATE ISSUED OFFICE This certificate is emcuted by LIBERTY MUTUAL INSURANCE COMPANY as respects such insurance as is anon. by That Company N is enameled by LIBERTY MUTUAL FIRE INSURANCE COMPANY as respects such insurance as is afforded by That Company. rt is emcumd by LIBERTY INSURANCE CORPORATION as respects such insurance as is afforded by That Company - TYPE OF POLICY CERT. EXP DATE. POLICY NUMBER LIMIT OF LIABILITY , ❑ CONTINUOUS ❑ EXTENDED ❑ POLICY TERM WORKERS COMPENSATION 07/13/91 WC2- 391- 087288 -020 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES TEXAS COV B BODILY INJURY BY ACCIDENT $100,000 EA ACCIDENT BODILY INJURY BY DISEASE s100,000 i EA PERSON BODILY INJURY BY TJISEASE $500,000 , POLICY LIMIT w — Z m Q 0 2 COMPREHENSIVE ❑ ❑ SCHEDULE FORM L7 PRODUCTS PLET O EDO OPERATIONS L] INDEPENDENT CON ❑ TRACTORS(CONTRAC TORS PROTECTIVE 0 11 CONTRACTUAL LIABILIT ❑ BODILY INJURY PROPERTY DAMAGE EACH $ OCCURRENCE $ AGGREGATE EACH $ OCCURRENCE $ AGGREGATE COMBINED SINGLE LIMIT BODILY INJURY AND PROPERTY DAMAGE $ 1 EACH OCCURRENCE $ AGGREGATE }} O F 1--4 = m a a ❑ O WNED U NON -OWNED D HIRED $ EACH ACCIDENT- SINGLE LIMIT 8 1 AND PD COMBINED $ EACH PERSON EACH ACCIDENT $ OR OCCURRENCE EACH ACCIDENT $ OR OCCURRENCE ce w 2 F- 0 LOCATION(S) OF OPERATIONS & JOB # (If Apphmble) DESCRIPTION OF OPERATIONS This is to Certify that SUNBELT CORPORATION # 5070 PEARSALL ROAD L SAN ANTONIO, TEXAS 78242 at the wow dale nl Iln. Lent Iidle, , h) the Contpan) tinder the pnlic)(tcs) hu ed helnw. * I he Inwr.uxe:itlurded h) the listed Intl it ylie 1 i..nl.lc.l to all their teno, exclusion. a .nndi non. and I. not alined h) any reyui .nlant, Icon or cnnd,nnn 01 nn) Lontra.l 01 n0lcr docunIcnl ..11h rcwcuI In .. hid. 11 .c,Bh..oe nla) he ',nett • If the certificate expiration date 1s continuous or extended term, you will be notified 1 coverage Is terminated or reduced before the certificate expiration date, however you will not be notified annually of the continuation of coverage. NOTICE OF CANCELLATION: THE COMPANY WILL NOT TERMINATE OR CD QED THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNLESS DAYS NOTICE OF SUCH TERMINATION OR REDUCTION HAS BEEN 0: CERTIFICATE HOLDER+ L CITY OF ROUND ROCK 221 E. MAIN STREET ROUND ROCK, TEXAS 78664 ATTN: MARION HASTINGS 1 J - Name and address of Insured. This cerohca a is exocuted by LIBERTY MUTUAL INSURANCE GROUP as respocts such Insurance as Is allorded by Those Companies BS 745S R3 JOSEPH E. SILL # 4415 PIEDRA DRIVE WEST SAN ANTONW. TEXAS 78214 LIBERIY MUTUAL. DATE ISSUED OFFICE AUTHORIZED REPRESENTATIVE 08/31/90 993 CP 1,111crI 515111111 Insurance Group THIS 15 NOT AN INSURANCE POLICY. THIS IS ONLY A COVERAGE PROVIDED BY THE POLICIES LISTED BELO Named Sunbelt Corp, Insured Aad,,,. 5070 Pearsall Rd, San Antonio, TX 78242 TX Work Comp G1Ct231t j 7288 This is to certify That policies for the above named insured are in force as follows: CIGNA Policy R • Work Comp, This Interim Certificate As To Evidence of Insurance shall expire sixty days from 12:01 A M A»pitst 77, 19.29..-, unless cancelled prior to such date by written notice to the named insured. IxR 4 Please issue a Permanent Certificate OWNED AUTO- MOBILES, IF COVERED *Inc udes Goods or Products Warranty, Written ease of Premises, Easement Agreement, Municipal Ordinance Agreement, Sidetrack Agreement, Elevator or Escalator Maintenance Agreement only, unless accompanied by specific endorsement providing additional Contractual Coverage. ❑ Moo. © ao'i•oa"on INTERIM IFICATE AS TO EVIDENCE OF INSL" 'NCE YEAR, MAKE, TYPE OF BODY, LOAD CAPACITY Umbrella Liability POLICY NUMBER 19 -46 -383 Agent VERIFICATION OF INSURANCE. IT DOES NOT IN ANY , . Y AMEND, EXTEND OR ALTER TUE W. Fleet Insurance Carrier Consumers County Mutual Ins, If This Interim Certificate As To Evidence Of Insurance is to be cancelled prior to the expiration date, we shall provide 10 days advance notice in writing to whom this certificate is Issued. For Project: Demolition of Unsafe Structure Certificate issued lo Name City of Round Rock Address Att: Marion Hastings 221 E. Main St, Round Rock, TX 78664 . Countersigned ( A ) /� ' f,f • /.AMC. 2 71 , - t-t- s * Not Applicable in Texas W. Lee Linsc"Y, P (5TP7 i a i 493 -3646 * * * In Texas the aggregate also applies to owners and contractors protective, contractual and /or completed operations 58-0514 2 1651 W1200 Cl1200 PRINTED IN USA Q n Lease /Loan Number 1V861/4 Polley M - Auto Llab IDENTIFICATION NUMBER ,000 retained limit each occurrence aggregate LAST 3 DIGITS SHOWN 13 90 11201 COVERAGE COMBINED LIMITS OF LIABILITY I COVERED ® ❑ ❑ ❑ COVERED LIABILITY ❑ Owned ® Hired ® Non-Owned O Employer's Non- Ownership Contingent Liability Bodily Injury Property Damage $ 000 each person 000 each occurrence 000 each occurrence $ $ Single Limit Liability for Coverages checked ® above CSL $ 500 000 each occurrence ❑ ❑ © © GENERAL LIABILITY M &C - OLT Owners & Contractors Contractual* Elevators Products and /or Completed Operations Bodily Injury Property Damage $ ,000 each person** ' 000 each occurrence of aggregate 000 pudacis... 000 each occurrence 000 a oducl099 05aie P, $ $ $ Single Limit Liability for Coverages checked ® above $ 000 each occurrence al aggrega 000 P.odvan ... $ ❑ ® CARGO $ ,000 each vehicle ,000 each occurrence $ ❑X ❑ WORKERS' 131 $ 1UU,000 ACC BI $500,000 Limit en lle sea se Statutory y THIS 15 NOT AN INSURANCE POLICY. THIS IS ONLY A COVERAGE PROVIDED BY THE POLICIES LISTED BELO Named Sunbelt Corp, Insured Aad,,,. 5070 Pearsall Rd, San Antonio, TX 78242 TX Work Comp G1Ct231t j 7288 This is to certify That policies for the above named insured are in force as follows: CIGNA Policy R • Work Comp, This Interim Certificate As To Evidence of Insurance shall expire sixty days from 12:01 A M A»pitst 77, 19.29..-, unless cancelled prior to such date by written notice to the named insured. IxR 4 Please issue a Permanent Certificate OWNED AUTO- MOBILES, IF COVERED *Inc udes Goods or Products Warranty, Written ease of Premises, Easement Agreement, Municipal Ordinance Agreement, Sidetrack Agreement, Elevator or Escalator Maintenance Agreement only, unless accompanied by specific endorsement providing additional Contractual Coverage. ❑ Moo. © ao'i•oa"on INTERIM IFICATE AS TO EVIDENCE OF INSL" 'NCE YEAR, MAKE, TYPE OF BODY, LOAD CAPACITY Umbrella Liability POLICY NUMBER 19 -46 -383 Agent VERIFICATION OF INSURANCE. IT DOES NOT IN ANY , . Y AMEND, EXTEND OR ALTER TUE W. Fleet Insurance Carrier Consumers County Mutual Ins, If This Interim Certificate As To Evidence Of Insurance is to be cancelled prior to the expiration date, we shall provide 10 days advance notice in writing to whom this certificate is Issued. For Project: Demolition of Unsafe Structure Certificate issued lo Name City of Round Rock Address Att: Marion Hastings 221 E. Main St, Round Rock, TX 78664 . Countersigned ( A ) /� ' f,f • /.AMC. 2 71 , - t-t- s * Not Applicable in Texas W. Lee Linsc"Y, P (5TP7 i a i 493 -3646 * * * In Texas the aggregate also applies to owners and contractors protective, contractual and /or completed operations 58-0514 2 1651 W1200 Cl1200 PRINTED IN USA Q n Lease /Loan Number 1V861/4 Polley M - Auto Llab IDENTIFICATION NUMBER ,000 retained limit each occurrence aggregate LAST 3 DIGITS SHOWN 13 90 11201