R-13-05-23-I5 - 5/23/2013RESOLUTION NO. R -13-05-23-I5
WHEREAS, the City of Round Rock has duly advertised for bids for the Old Settlers
Boulevard Right Turn Lane (Eastbound) Project, and
WHEREAS, Patin Construction LLC has submitted the lowest responsible bid, and
WHEREAS, the City Council wishes to accept the bid of Patin Construction LLC, Now
Therefore
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK, TEXAS,
That the Mayor is hereby authorized and directed to execute on behalf of the City a contract
with Patin Construction LLC for the Old Settlers Boulevard Right Turn Lane (Eastbound) Project.
The City Council hereby finds and declares that written notice of the date, hour, place and
subject of the meeting at which this Resolution was adopted was posted and that such meeting was
open to the public as required by law at all times during which this Resolution and the subject matter
hereof were discussed, considered and formally acted upon, all as required by the Open Meetings Act,
Chapter 551, Texas Government Code, as amended.
RESOLVED this 23rd day of May, 2013.
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ALAN MCGRAW, Mayor
City of Round Rock, Texas
ATTEST:
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SARA L. WHITE, City Clerk
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City of Round Rock
ROUND ROCI(TIXAS
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Agenda Item Summary
Agenda Number: 1.5
Title: Consider a resolution authorizing the Mayor to execute a contract with
Patin Construction LLC for the Old Settlers Boulevard Right Turn Lane
(Eastbound) Project.
Type: Resolution
Governing Body: City Council
Agenda Date: 5/23/2013
Dept Director: Gary Hudder, Transportation Director
Cost: $208,686.00
Indexes: RR Transportation and Economic Development Corporation (Type B)
Attachments: Resolution, Bid Tab, Award Recommendation, Map
Text of Legislative File 13-305
As a part of the Arterial Improvement Program - Bottleneck Projects, the City has decided to
construct a eastbound right turn lane on Old Settlers Blvd at A.W. Grimes Blvd. This project will help
ease congestion at this intersection by giving those drivers turning right their own dedicated lane
and reducing their wait time.
The bid opening for the construction services contract was held on April 23, 2013 at 2:00 p.m. A total
of three sealed bids were recieved. Patin Construction, LLC submitted a bid of $208,686.00. Aaron
Concrete Contractors, LP submitted a bid of $224,728.10. Smith Contracting Company, Inc
submitted a bid of $258,552.35. The appareent low bidder is Patin Construction, LLC with a bid of
$208,686.00.
After reviewing and certifying the attached bid tabulation, CP&Y and the Trasportation Department
staff recommend that Patin Construction, LLC, with a base bid of $208,686.00, be awarded the
contract for the construction of this project.
Cost. $208,666.00
Source of Funds: Round Rock Transportation and Economic Development Corporation (Type
B)
Staff recommends approval.
City of Round Rock Page 1 Printed on 5/21/2013
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CP&YJ Partners for a Better Quality of life
April 26, 2013
Joe Bledsoe
City of Round Rock
Transportation Department
2008 Enterprise Drive
Round Rock, TX 78664
RE: Old Settlers Blvd at AW Grimes Blvd Right Turn Lane Improvements —
Award Recommendation
The City of Round Rock opened bids for the Old Settlers Blvd at AW Grimes Blvd Right Turn
Lane Improvements project on Tuesday, April 23`d, 2013 at 2:00 PM from the following three
(3) contractors:
1. Patin Construction LLC
2. Smith Contracting Company, Inc.
3. Aaron Concrete Contractors, LP
The low bidder for the project is Patin Construction LLC, at $208,686.00.
If you have any questions regarding the bids or this letter, please let me know.
Sincerely,
CP&Y
TBPE, FIRM REGISTRATION # 1741
Paul Schrader, P.E.
Project Manager
Enclosures:
Bid Tabulation
cc: Gary Hudder
C:\pwworking\pschrader\d0317726\RNDR1102.05-1 Award Recommendation.docx
The Avallon, Building 1
10415 Morado Circle, Suite 200
Austin, Texas 78759
512.349.0700.512.349.0727 fax
www.cpyi.com
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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 theAr-1VII(e day of in the year 20113.
BETWEEN the Owner: City of Round Rock, Texas (hereafter "Owner" or "City")
221 East Main Street
Round Rock, Texas 78664
and the Contractor Patin Construction LLC ("Contractor")
W 2nd Street
Taylor, TX 78634
The Project is described as: Old Settlers Blvd at A.W. Grimes Blvd
Right Turn Lane Improvements (Eastbound)
The Engineer is: CP&Y. Inc.
Paul Schrader, P.E.
10415 Morado Circle, Bldg 1, Ste 200
Austin, Tx 78759
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.
00500 8-2012 Page 1 of 5 Standard Form of Agreement
00196575
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 sixty (60 ) calendar days from issuance by Owner of
Notice to Proceed, and Contractor shall achieve Substantial Completion of the entire Work no later than
sixty (60 ) 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 Hundred - Fifty Dollars
and No/100 Dollars ($ 250.00 ) for each calendar day that Substantial Completion is delayed after the
date(s) specified for Substantial Completion. It is hereby agreed that the liquidated damages to which Owner is
entitled hereunder are a reasonable forecast of just compensation for the harm that would be caused by Contractor's
failure to achieve Substantial Completion of the Work (or any portion thereof) on or before the date(s) specified for
Substantial Completion in the Agreement. It is agreed that the harm that would be caused by such failure, which
includes loss of expected use of the Project areas, provision of alternative storage facilities and rescheduling of
moving and occupancy dates, is one that is incapable or very difficult of accurate estimation. It is hereby agreed that
if Substantial Completion of the Work (or any portion thereof) is not achieved on or before thirty (30) days after the
date(s) specified for Substantial Completion in the Agreement, the Owner shall have the option to either collect
liquidated damages as set forth herein or to thereafter rely on its remedies under the Contract Documents and at law
and in equity, including without limitation, the recovery of actual damages. The date(s) specified for Substantial
Completion of the Work (or any portion thereof) in the Agreement shall be subject to adjustment as provided in the
Contract Documents.
3.6 Contractor shall achieve Final Completion of the entire Work no later than seventy-five
( 75 ) calendar days from issuance by Owner of Notice to Proceed.
ARTICLE 4 CONTRACT SUM
4.1 Owner shall pay Contractor the Contract Sum in current funds for Contractor's performance of the
Contract. The Contract Sum shall be Two Hundred -Eight Thousand Six Hundred -Eight Six Dollars
($ 208,686.00 ), subject to additions and deductions as provided in the Contract Documents.
4.2 The Contract Sum is based upon the following alternates which are described in the Contract Documents
and are hereby accepted by Owner:
N/A
Page 2 of 5
ARTICLE 5 PAYMENTS
5.1 PROGRESS PAYMENTS
5.1.1 Based upon Applications for Payment submitted to Engineer and Owner by Contractor, and Certificates for
Payment issued by Engineer and not disputed by Owner and/or Owner's lender, Owner shall make progress
payments on account of the Contract Sum to Contractor as provided below, in Article 14 of the City of Round Rock
General Conditions, and elsewhere in the Contract Documents.
5.1.2 The period covered by each Application for Payment shall be one calendar month ending on the last day of
the month.
5.1.3 Provided that an Application for Payment is received by Engineer and Owner, and Engineer issues a
Certificate of Payment not later than the tenth (10th) day of a month, Owner shall make payment to Contractor not
later than the tenth (10th) day of the next month. If an Application for Payment is received by Engineer and Owner
after the application date fixed above, payment shall be made by Owner not later than one month after the Engineer
issues a Certificate for Payment.
5.1.4 Each Application for Payment shall be based on the most recent schedule of values submitted by
Contractor in accordance with the Contract Documents. The schedule of values shall allocate the entire Contract
Sum among the various portions of the Work. The schedule of values shall be prepared in such form and supported
by such data to substantiate its accuracy as Engineer and Owner may require. This schedule, unless objected to by
Engineer or Owner, shall be used as a basis for reviewing Contractor's Applications for Payment.
5.1.5 Applications for Payment shall warrant the percentage of completion of each portion of the Work as of the
end of the period covered by the Application for Payment.
5.1.6 Subject to other provisions of the Contract Documents, the amount of each progress payment shall be
computed as provided in Article 14 of the City of Round Rock General Conditions.
5.1.7 Except with Owner's prior written approval, Contractor shall not make advance payments to suppliers for
materials or equipment which have not been delivered and stored at the site.
5.2 FINAL PAYMENT
5.2.1 Final payment, constituting the entire unpaid balance of the Contract Sum, shall be made by Owner to
Contractor when:
.1 Contractor has fully performed the Contract except for Contractor's responsibility to correct
Work, and to satisfy other requirements, if any, which extend beyond final payment; and
.2 a final Certificate for Payment has been issued by Engineer.
5.2.2 Owner's final payment to Contractor shall be made no later than thirty (30) days after the issuance of
Engineer's final Certificate for Payment. In no event shall final payment be required to be made prior to thirty (30)
days after all Work on the Contract has been fully performed. Defects in the Work discovered prior to final payment
shall be treated as non -conforming Work and shall be corrected by Contractor prior to final payment, and shall not
be treated as warranty items.
ARTICLE 6 TERMINATION OR SUSPENSION
6.1 The Contract may be terminated by Owner or Contractor as provided in Article 15 of the City of Round
Rock General Conditions.
Page 3 of 5
6.2 The Work may be suspended by Owner as provided in Article 15 of the City of Round Rock General
Conditions.
ARTICLE 7 ENUMERATION OF CONTRACT DOCUMENTS
7.1 The Contract Documents, except for Modifications issued after execution of this Agreement, are
enumerated as follows:
7.1.1 The Agreement is this executed version of the City of Round Rock, Texas Standard Form of Agreement
between Owner and Contractor, as modified.
7.1.2 The General Conditions are the "City of Round Rock Contract Forms 00700," General Conditions, as
modified.
7.1.3 The Supplementary, Special, and other Conditions of the Contract are those contained in the Project
Manual dated April 2013
7.1.4 The Specifications are those contained in the Project Manual dated April 2013
7.1.5 The Drawings, if any, are those contained in the Project Manual dated April 2013
7.1.6 The Insurance & Construction Bond Forms of the Contract are those contained in the Project Manual dated
April 2013
7.1.7 The Notice to Bidders, Instructions to Bidders, Bid Form, and Addenda, if any, are those contained in the
Project Manual dated April 2013
7.1.8 If this Agreement covers construction involving federal funds, thereby requiring inclusion of mandated
contract clauses, such federally required clauses are those contained in the "City of Round Rock Contract Forms
03000," Federally Required Contract Clauses, as modified.
7.1.9 Other documents, if any, forming part of the Contract Documents are as follows:
N/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: Joe Bledsoe
City of Round Rock
2008 Enterpise Drive
Round Rock, Tx 78664
8.3 Contractor's representative is: Tim Patin
W 2nd Street
Taylor, Tx 78634
8.4 Neither Owner's nor Contractor's representative shall be changed without ten (10) days' written notice to
the other party.
8.5 Waiver of any breach of this Agreement shall not constitute waiver of any subsequent breach.
Page 4 of 5
8.6 0-mier agrees to pay Contractor from available fiends 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 fiords shall render this Agreement null and void to
the extent fiords are not available. This Agreement is a commitment of City of Rotund 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 Agreeiuent 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 Iie 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 faH and faithful performance of the terns and provisions hereof.
This Agreement is entered into as of the day and year fust tYritteii above and is executed in at least three (3)
original copies, of which one is to be delivered to Contractor, one to Engineer for use in the administration of the
Contract, and the remainder to Owner.
OWNER CONTRACTOR
CITY OFR ROCK, TEXAS ','I 4-r,
Printed Name: `� t/y �) �'{/t/� Printed Name:
Title �" 1� S ry ��jt/1�' Title:
Date Signed: b lac' L_; Date Signed:
ATTEST:
City-3eere4ary
■
FOR I , APP OVED S TO FORIM:
City A o ey
Page 5 of 5
11
BOND NO.: 70084284
I j PERFORMANCE BOND
�J THE STATE OF TEXAS §
` § KNOW ALL BY THESE PRESENTS:
COUNTY OF WILLIAMSON §
j� That Patin Construction, LLCc of the City of Taylor County of
J Williamson and State of Texas The Guarantee Company of North
as Principal, and
authorized under the law of the State of Texas to act as surety on bonds or principals, are held
and firmly bound unto THE CITY OF ROUND ROCK, TEXAS, (Owner), in the penal sum of
9 Eighty ( 208,686.00 ) for
� Two Hundred Eight Thousand Six Hundred Ei ht Six Dollars and No Cents Dollars
the payment whereof, well and truly to be made the said Principal and Surety bind themselves,
L} and their heirs, administrators, executors, successors and assigns, jointly and severally, by these
U� presents:
WHEREAS, the Principal has entered into a certain written Agreement with the Owner dated the
J 1!!E 'M— day of 8UM, , 215 to which the Agreement is
hereby referred to and made a part hereof as fully and to the same extent as if copied at length
LI herein consisting o£
Old Settlers Blvd at A.W. Grimes Blvd Right Turn Lane Improvements (Eastbound)
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
Lobserve 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
Udefects 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;
F1'
U� 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
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00090656
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PERFORMANCE BOND (continued) L_I
Surety, for value received, stipulates and agrees that no change, extension of time, alteration or
addition to the term of the Agreement, or to the Work performed thereunder, or the Plans,-�
Specifications, or drawings accompanying the same, shall in anywise affect its obligation on this
bond, and it does hereby waive notice of any such change, extension of time, alteration or J
addition to the terms of the Agreement, or to the work to be performed thereunder. U
IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument Ir
this 23rd day of May 20 13 , L
The Guarantee Company of North America USA
Patin Construction, LLC
Principal , Surety
Kenneth Nitsche
Printed Name Printed Name
By: l - - By:
Title: ✓ Title. ttorney-In-Fact
Address: S'r A cess: 12600 Northborough, Suite 190
/-,4f -�' e -V- ii✓ Houston, TX 77067
Resident Agent of Surety:
Signature
Robert James Nitsche
Printed Name
143 E. Austin
Street Address
Giddings, TX 78942
City, State & Zip Code
J
t
-1
1-1
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00610 7-2009 Performance Bond
00090656 1
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L1 BOND NO.: 70084284
�1
n PAYMENT BOND
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THE STATE OF TEXAS §
§ KNOW ALL MEN BY THESE PRESENTS:
COUNTY OF WILLIAMSON §
lThat Patin Construction, LLC , of the City of Taylor , County of
Williamson ,
and State of Texas as Principal, and T� Guarantee Company of
authorized under the laws of the State of Texas to act as Surety on Bonds for PrincipaTsen a eld
and firmly bound unto THE CITY OF ROUND ROCK, (OWNER), and all subcontractors,
workers, laborers, mechanics and suppliers as their interest may appear, all of whom shall have
the right to sue upon this bond, in the penal sum of
JTwo Hundred Eight Thousand Six Hundred Eighty Six Dollars and No Cents Dollars
($ 20s 686.00 ) for the payment whereof, well and truly be made the
j� said Principal and Surety bind themselves and their heirs, administrators, executors, successors,
U and assigns, jointly and severally, by these presents:
WHEREAS, the Principal has entered into a certain written Agreement with the Owner, dated
the -- day of &jM, , 20 , to which Agreement is
hereby referred to and made a part hereof as fully and to the same extent as if copied at length
herein consisting of:
Old Settlers Blvd at A W Grimes Blvd Right Turn Lane Improvements (Eastbound)
(Name of the Prod e"ct)
J' 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,
f all monies to them owing by said Principals for subcontracts, work, labor, equipment, supplies
L 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
�l effect.
J PROVIDED, HOWEVER, that this bond is executed pursuant to the provisions of Chapter 2253,
rTexas 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.
1
Page 1
00620 7-2009 Payment Bond
00090656
i'
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 it's obligation on this
bond, and it does hereby waive notice of any such change, extension of time, alteration or
addition to the terms of the contract, or to the work to be performed thereunder.
IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this Instrument
this 23rd day of May , 20 13 .
Patin Construction, LLC
Principal
-ciippal
Printed Name
B is
Y:
Title:rP, ., T
Address: 3:o i� �•«! �.
Resident Agent of Surety:
Signature
Robert James Nitsche
Printed Name
143 E. Austin
Street Address
Giddinos. TX 78942
The Guarantee Company of North
America USA
Surety
Kenneth Nitsche
Printed Name
By. �-
Titl . Attorney -in -Fact
A6dr . 12600 Northborough, Su�itel
Houston. TX 77067
Page 2
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00090656
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Client#: 46421
PATINr'nM
ACORD,M CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDNYYY)
6/13/2013
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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Insurance Network of Texas
143 East Austin
Giddings, TX 78942-3299
979 542-3666
CONTACT
NAME:
PHONE 979 542-3666 FAx
WC,
/C No Ext : A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: Cincinnati Insurance Company 10677
INSURED
Patin Construction LLC
3800 W. 2nd Street
INSURER B: Texas Mutual Insurance Company 22945
INSURER C: Cincinnati Insurance Company 10677
MED EXP (Any one person) $10,000
Taylor, TX 76574
INSURER D:
INSURER E:
INSURER F
$
I.V VtKAtatU GtK I II -ILA I t NUMtStK' RFVISInKI NI IMRFR-
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
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
XCLAIMS -MADE I OCCUR
C Ded:2,000
EPP0166349
10/25/2012
10/25/2012
EACH OCCURRENCE $1,000,000
PREMISES E ENTErence $500,000
MED EXP (Any one person) $10,000
PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JE Q LOC
PRODUCTS - COMP/OP AGG $2,000,000
$
C
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
X HIRED AUTOS X NON -OWNED
AUTOS
X rive Oth Car
EBA0166349
10/25/2012
10125/2012
COMBINED SINGLE LIMIT
Ea accident $11,000,000
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTYDAMAGE $
Per accident
$
A
X UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
EPP0166349
10/25/2012
10/25/2013
EACH OCCURRENCE $5,000,000
AGGREGATE s5,000,000
DED I X RETENTION$O
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/ -i
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? �
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
TSF0001212733
6/03/2013
06/03/2014
I OTH-
X T1TW0CRSYTLA1T1U1T
IER
E.L. EACH ACCIDENT $1000000
,,
E.L. DISEASE- EA EMPLOYEE $1,000,000
E.L. DISEASE - POLICY LIMIT 1 $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
As per policy provision, Certificate Holder is listed as additional insured in regard to the auto and
general liability policies as provided by additional insured endorsement.
I;tKIIFIGAI t NULUtK I;ANL;tLLAI IVN
Cit of Round Rock SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
221 E. Main St. ACCORDANCE WITH THE POLICY PROVISIONS.
Round Rock, TX 78664
AUTHORIZED REPRESENTATIVE
Iv P%"%JFcU /All n91115 reserveu.
ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S460266/M458555 066