Loading...
Contract - Austin Traffic Signal - 3/18/2015 '-1 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 r G AGREEMENT made as of the ( day of in the year 26. BETWEEN the Owner: City of Round Rock,Texas(hereafter"Owner"or"City") 221 East Main Street C� Round Rock,Texas 78664 and the Contractor Austin Traffic Signal Consturction Co.,Inc. ("Contractor") P.O.Box 130 Round Rock,TX 78680 The Project is described as: Signal Improvements at University Boulevard and Vizcaya Parkway The Engineer is: HDR Engineering,Inc. 504 Lavaca Street#1175 Austin,TX 78701 C 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 U 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 C documents listed in this Agreement and Modifications issued after execution of this Agreement; these form the C, 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, 0 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. �( 1 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 ten1( 0 ) 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 N/A ( ) calendar days from issuance by Owner of Notice to Proceed, and Contractor shall achieve Substantial Completion of the entire Work no later than 60 days 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 five hundred and ninety and No/100 Dollars($590.00 )for each calendar day that Substantial Completion is delayed after the date(s) specified for Substantial Completion. It is hereby agreed that the liquidated damages to which Owner is entitled hereunder are a reasonable forecast of just compensation for the harm that would be caused by Contractor's failure to achieve Substantial Completion of the Work(or any portion thereof)on or before the date(s) specified for Substantial Completion in the Agreement. It is agreed that the harm that would be caused by such failure, which includes loss of expected use of the Project areas, provision of alternative storage facilities and rescheduling of moving and occupancy dates,is one that is incapable or very difficult of accurate estimation.It is hereby agreed that if Substantial Completion of the Work(or any portion thereof)is not achieved on or before thirty(30)days after the date(s) specified for Substantial Completion in the Agreement, the Owner shall have the option to either collect liquidated damages as set forth herein or to thereafter rely on its remedies under the Contract Documents and at law and in equity, including without limitation, the recovery of actual damages. The date(s) specified for Substantial Completion of the Work(or any portion thereof) in the Agreement shall be subject to adjustment as provided in the Contract Documents. 3.6 Contractor shall achieve Final Completion of the entire Work no later than ninety 9( )calendar days from issuance by Owner of Notice to Proceed. ARTICLE 4 CONTRACT SUM 4.1 Owner shall pay Contractor the Contract Sum in current funds for Contractor's performance of the Contract.The Contract Sum shall be One hundred ninety-one thousand two hundred twenty one ($ 191,221.00 ),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 N/A Page 2 of 5 � ) ARTICLE 5 PAYMENTS 5.1 PROGRESS PAYMENTS 0 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 Cl payments on account of the Contract Sum to Contractor as provided below,in Article 14 of the City of Round Rock C General Conditions,and elsewhere in the Contract Documents. C� 5.1.2 The period covered by each Application for Payment shall be one calendar month ending on the last day of the month. O 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 0 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. C' 5.1.4 Each Application for Payment shall be based on the most recent schedule of values submitted by C 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 Gby 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. C) 5.1.5 Applications for Payment shall warrant the percentage of completion of each portion of the Work as of the C. end of the period covered by the Application for Payment. C 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. L- 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 C) 5.2.1 Final payment, constituting the entire unpaid balance of the Contract Sum, shall be made by Owner to Contractor when: 0 .1 Contractor has fully performed the Contract except for Contractor's responsibility to correct O Work,and to satisfy other requirements,if any,which extend beyond final payment; and O .2 a final Certificate for Payment has been issued by Engineer. Cry 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 0 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. 0 ARTICLE 6 TERMINATION OR SUSPENSION G 6.1 The Contract may be terminated by Owner or Contractor as provided in Article 15 of the City of Round 0Rock General Conditions. C) U Page 3 of 5 U 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 N/A 7.1.4 The Specifications are those contained in the Project Manual dated November 24,2014 7.1.5 The Drawings,if any,are those contained in the Project Manual dated November 24,2014 7.1.6 The Insurance&Construction Bond Forms of the Contract are those contained in the Project Manual dated November 18,2014 7.1.7 The Notice to Bidders,Instructions to Bidders,Bid Form,and Addenda,if any,are those contained in the Project Manual dated November 24,2014 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: Bill Stablein,P.E. City of Round Rock 2008 Enterprise Drive Round Rock,Texas 78664 8.3 Contractor's representative is: Ed Schroeder Austin Traffic Signal Construction Co.,Inc. P.O.Box 130 Round Rock,TX 78680 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 '1 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. C 8.7 Although this Agreement is drawn by Owner, both parties hereto expressly agree and assert that, in the G event of any dispute over its meaning or application, this Agreement shall be interpreted reasonably and fairly, and C neither more strongly for nor against either party. C 8.8 This Agreement shall be enforceable in Round Rock,Texas, and if legal action is necessary by either party 0 with respect to the enforcement of any or all of the terms or conditions herein, exclusive venue for same shall lie in C 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 Q to this Agreement or a breach thereof shall be decided by an arbitration proceeding, including without limitation, Cl) any proceeding under the Federal Arbitration Act(9 USC Section 1-14)or any applicable state arbitration statute. C 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 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. Gam. OWNER CONTRACTOR �ustln Traffic Si al Construction Co Inc, C Y FRO ROC XASA Q _ �—� C Printed Name: Alan McGraw Printed NT " C City Mayor . C Title Title: ll C Date Signed:` Date Signed: 0 ATTEST: C� O City Clerk FOR IT ,APP OVE AS TO FORM: �? 1 i Atto ey Page 5 of 5 .J J i� ,� ".. n �-� ,� ,^ �,-�. ,. ;. -� -. .,- ,,, �_. �� �� , _ � � t �._�. . . t_, l� L . f` ..�. � �.: ;' . �. ��� �� L L O Z o y � � o y Z O � O � d � O d id No Text CERTIFICATE OF LIABILITY INSURANCE Instruction Sheet 1. CERTIFICATE OF LIABILITY INSURANCE FORM The City of Round Rock's Certificate of Liability Insurance form provided herein or a standard ACORD form. 2. PRODUCER and INSURED - Please list name, address, phone number and e-mail. 3. COMPANIES AFFORDING COVERAGE — TDI number required. The TDI number can be obtained from the Texas Dept of Insurance Website:.http://www.tdi.state.tx.us/.—Company Lookup. Note: Exception to this rule.In certain instances where there is unusual risks involved,Surplus Lines Insurance Carriers can be used.Below are the guidelines: a. Insurance Company does not have to be L°licensed in Texas",but they do have to be"eligible for a Texas license." Please verify with the Texas Dept of Insurance Website: http://www.tdi.state.tx.us/.—Company Lookup b. Policy has to be written by licensed surplus lines Agent. Also verify with the Texas Dept of Insurance Website:http://www.tdi.state.tx.us/-Agent Lookup 4. TYPES OF INSURANCE COVERAGE— CONSTRUCTION CONTRACT: Please double check the General Conditions and the Supplemental General Conditions for the types and amounts of insurance required. The Supplemental General Conditions usually state the following: a. Business Automobile Liability Insurance b. Workers' Compensation and Employers' Liability Insurance C. Commercial General Liability Insurance d. Builders' Risk Insurance— (Generally required for all "vertical" construction. Check with Project Manager for requirements.) FOR ALL OTHER CONTRACTS, PLEASE REFER TO THE INSURANCE SECTION FOR TYPE OF INSURANCE REQUIRED. (For example Engineering Service Contracts usually require "professional liability insurance".) 5. EFFECTIVE DATE & EXPIRATION DATE Please make sure dates are current. 6. City of Round Rock must be listed on the Certificate of Insurance as an additional insured (except Workers Compensation and Builders Risk). 7. Certificate must indicate that the insurance Company must give the City of Round Rock notice of any changes, cancellation , etc. at least thirty (30) days prior to date of change. 8. Make sure Certificate is signed by an Agent Licensed in the State of Texas, this can also be found on the Texas Department of Insurance website—www.tdi.state.tx.us—Agent Lookup. ISSUED IN SEVEN (7) COUNTERPARTS Bond Number: 82381513 PERFORMANCE BOND THE STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF WILLIAMSON § Austin Traffic That Signal Construction Company, Inc. of the City of Pflugerville County of Travis , and State of Texas , as Principal, and Federal 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 One Hundred Ninety One Thousand Two Hundred Twenty One and 00/100 Dollars ($ 191,221.00 ) 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 Principal has entered into a certain written Agreement with the Owner dated the \47A>1 day of , 20 15 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 herein consisting of: Signal Improvements at University Boulevard and Vizcaya Parkway (Name of the 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 7-2009 Performance Bond 00090656 PERFORMANCE BOND (continued) Surety, for value received, stipulates and agrees that no change, extension of time, alteration or addition to the term of the Agreement, or to the Work performed thereunder, or the Plans, Specifications, or drawings accompanying the same, shall in anywise affect its obligation on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Agreement, or to the work to be performed thereunder. IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument this �.J� day of r,6/—y:) , 20 15 . Austin Traffice Signal Construction Company, Inc. Federal Insurance Company Principal Surety Edward G. Schroeder V. DeLene Marshall Printed ame Printed Name By: By: Z:a Title: Vice President Title:zi Attorney-In-Fact v _ Address: P.O. Box 130 Address: 15 Mountain View Road Round Rock, TX 78680 Warren,NJ 07059 esdent en of Surety: S nature Ricar o J. Reyna Printed Name 2711 N. Haskell Ave., Suite 800 Street Address Dallas, TX 75204 City, State & Zip Code Page 2 00610 7-2009 Performance Bond 00090656 ISSUED IN SEVEN (7) COUNTERPARTS Bond Number: 82381513 PAYMENT BOND THE STATE OF TEXAS § § KNOW ALL MEN BY THESE PRESENTS: COUNTY OF WILLIAMSON § Austin Traffic That Signal Construction Company, Inc. of the City of Pflugerville County of Travis , and State of Texas as Principal, and Federal Insurance Compar.••' authorized under the laws of the State of Texas to act as Surety on Bonds for Principals, are held and firmly bound unto THE CITY OF ROUND ROCK, (OWNER), and all subcontractors, 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 One Hundred Ninety One Thousand Two Hundred Twenty One and 00/100 Dollars ($ 191,221.00 ) 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 Principal has entered into a certain written Agreement with the Owner, dated the `o,�f � day of 20 15 , 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- Signal £ Si ng al Improvements at University Boulevard and Vizcaya Parkway (Name of the 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 7-2009 Payment Bond 00090656 '1 '-1 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, C 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 0 addition to the terms of the contract, or to the work to be performed thereunder. O 0 IN WITNF�SS WHEREOF the said Principal and Surety have signed and sealed this Instrument 0 this day of 20 15 . C 0 Austin Traffice Signal Construction Company, Inc. Federal Insurance Company C Principal IT Edward G. Schroeder " (L IKI0 ' !_ Printe Name PkAi ed Name C BLAy: By: V. DeLene Marshall Title: Vice President Title: Attorney-In-Fact Address: P.O. Box 130 Address: 15 Mountain View Road Round Rock, TX 78680 Warren,NJ 07059 cC' R ent A n Surety: C; C) 0 S1 ure Ricardo J. Reyna C\ Printed Name C� 2711 N. Haskell Ave., Suite 800 Street Address Dallas, TX 75204 C� C C O `.J Li-J �J J Page 2 00620 7-2009 Payment Bond 00090656 BONDS AND INSURANCE INSTRUCTIONS Instruction Sheet 1. Insurance Company must be licensed by State of Texas. 2. Agent signing bonds must be licensed in Texas. 3. Agent signing bonds must have Power of Attorney on behalf of insurance company. 4. If Agent signing bonds has Power of Attorney, but not licensed in Texas, then the bond must be counter-signed by Texas local recording agent. ALL THE ABOVE INFORMATION CAN BE FOUND AT Texas Department of Insurance website—www.tdi.state.tx.us 5. Make sure the dollar amount on both Performance and Payment Bonds match the amount of the Agreement & Bid Form Sheet. 6. Both Performance and Payment Bonds should be signed by Authorized Person. If the contractor is a corporation, then it should be signed by the President or the Vice-President. If the contractor is not incorporated, then it may be signed by the Owner. Please state the title of the authorized person. Client#: 148784 AUSTITRA1 DATE(MM/DD/YYYY) ACORD,, CERTIFICATE OF LIABILITY INSURANCE 2/12/2015 C 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 CONTACT NAME: USI Southwest Austin PHONE 512 451-7555 FAX 512 467-0113 7600-B N.Capital of TX Hwy#200E-MAIL Ext : a/c,No ADDRESS: Austin,TX 78731 INSURER(S)AFFORDING COVERAGE NAIC# 512 451-7555 INSURER A:Zurich American Insurance Co. 16535 INSURED INSURER B:American Guarantee&Liability 26247 C Austin Traffic Signal Construction INSURER C Co., Inc.&ATS Drilling, Inc. INSURER D: P.O.Box 130 INSURER E: Round Rock,TX 78680 CINSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ( INSRTYpE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY A GENERAL LIABILITY GL0483972303 3/01/2015 03101/2016 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea RENTED occurrence) $100,000 CLAIMS-MADE I OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 �- POLICYFX]JECT LOC 1 1 $ MNED AUTOMOBILE LIABILITY BAP483972403 3/01/2015 03/01/201 Ea accid.nSINGLELIMIT $1,000,000 ( X ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ CAUTOS AUTOS - X X NON-OWNED Parr accitlenDAMAGE $ HIRED AUTOS AUTOS $ ( B X UMBRELLA LIAB X OCCUR AUC549084903 3/01/2015 03/01/2016 EACH OCCURRENCE s20 000 000 \_ EXCESS LIAB CLAIMS-MADE AGGREGATE S20OOU 000 CDED I I RETENTION$ $ WORKERS COMPENSATION TO Y LIMIT OTH- C A WC483972203 3/01/2015 03/01/201 X o IMlrs E AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? � N/A (� (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI$1,000,000 `. If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Job#1716-Signal Improvements for University Blvd.&Vizcaya Parkway The General Liability and Auto policies include a blanket automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder(and other entities as required by the Prime Contract),only when there is a written contract that requires such status and only with regard to work Cperformed on behalf of the named insured. The General Liability,Auto and Workers Compensation policies C (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Cit of Round Rock,Texas SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: City Manager ACCORDANCE WITH THE POLICY PROVISIONS. C 221 E Main Street Round Rock,TX 78664 AUTHORIZED REPRESENTATIVE �. �.(+�• lid GI;.�� ( ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 2 The ACORD name and logo are registered marks of ACORD U #S14337478/M14335111 CLEH13 r r C' U C-)