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RESOLUTION NO. RESOLUTION NO. 2020-78
RESOLUTION NO. 2020-78 RESOLUTION TO APPROVE PAY APPLICATION NO. 5 FROM KLEIMAN CONSTRUCTION, INC. FOR THE 2020 PUMP HOUSE AND SITE IMPROVEMENTS PROJECT WHEREAS, the City Council of Fairfax, Iowa has contracted with Kleiman Construction, Inc. for the 2020 Pump House and Site Improvements project; and WHEREAS,Hall&Hall Engineers has recommended approval of Pay Application No. 5 from Kleiman Construction, Inc. for a current payment due of$281,232.54. NOW,THEREFORE,BE IT RESOLVED,by the City Council of the City of Fairfax, Iowa, to approve Pay Application No. 5 from Kleiman Construction, Inc. for the 2020 Pump House and Site Improvements project and issue a check for $281,232.54. BE IT FURTHER RESOLVED, by the Fairfax City Council of the City of Fairfax, Iowa, that the Mayor and City Clerk/Treasurer are hereby authorized and directed to execute said resolution. Passed and approved this Stn day of September, 2020. AYES: Otto, Daly, Pacha, Volk, and Wainwright NAYS: None Burnell G. 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OD ACO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 9/2/2020 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 have ADDITIONAL INSURED provisions or 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 ACT NAME: TrueNorth Risk Management TrueNorth PO Box 1863 PHc NN 319-366-2723 ac No; 877 810 6374 500 First Street SE E-MAIL certs truenorthcom anies.com Cedar Rapids IA 52406-1863 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:The Cincinnati Insurance C2TRa 10677 INSURED KLEICON-01 INSURER B:The Cincinnati Indemnity Compa 23280 Kleiman Construction Inc 6205 Locust Rd SW INSURER C Cedar Rapids IA 52404- INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:783476353 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 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INS POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y EPP 0518035 1/1/2020 1/1/2021 EACH OCCURRENCE 51,000,000 _ CLAIMS-MADE �OCCUR DAMAGE TO RENTED PREMISES Ea occu«ence $100,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ]PE� 0 LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY Y Y EBA 0518035 1/1/2020 1/1!2021 COMBINED SINGLE LIMIT $1,000,000 Ea accident _ Ix ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED X NON-OWNED PROPERTYDAMAGE S AUTOS ONLY AUTOS ONLY Per accident S A X UMBRELLALIAB X OCCUR Y Y EPP 0518035 1/1/2020 1/1/2021 EACH OCCURRENCE S 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE S 10,000,000 DED X RETENTION S nS B WORKERS COMPENSATION Y EWC 0518030 1/1/2020 1/1/2021 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUT"IVE E.L.EACH ACCIDENT s500,000 OFFICER/M EMBEREXCLUDED7 a N/A (Mandatory,in Nit) E.L.DISEASE-EA EMPLOYEE S 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) If"Y"is indicated above for add'I insd forms Gen Liab#GA472(premises and completed operations),Auto Liab#A288 applies. If"Y"is indicated above for waiver of subrogation forms Gen Liab#GA233,Auto Liab#A288 and WC#WC000313 4-84(IA only)applies. Coverage is extended for work performed under written contract with the above named insured. Kathleen Kleiman-Excluded Project:Hall&Hall Engineers#6950-19-03-City of Fairfax-Pump House&Site Improvements Control/Integration Equipment for the 2020 Pump House&Site Improvements—$107,760 stored at 6205 Locust Rd SW. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fairfax ACCORDANCE WITH THE POLICY PROVISIONS. 300 80th Street Court PO Box 337 Fairfax IA 52228 AUTHORIZED REPRESENTATIVE ,/- .� USA ©1988-2015 ACORD CORPORATION. All rights reserved. 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