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RESOLUTION NO. 2016-28
RESOLUTION NO. 2016-28 A RESOLUTION APPROVING AND MAKING AWARD OF CONTRACT FOR THE UV DISINFECTION SYSTEM PROJECT WHEREAS,the City Council of the City of Fairfax,Iowa,did receive bids on Wednesday, April 6, 2016 at 10:00 AM for the UV Disinfection System Project; and WHEREAS, the City Council of the City of Fairfax, Iowa, did approve the plans, specifications, form of contract, and estimated cost for the UV Disinfection System Project on April 12, 2016. WHEREAS, Hall and Hall Engineers, Inc. have reviewed the bids and is recommending the City of Fairfax award the contract Ricklefs Excavating in the amount of$243,500.00. NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of Fairfax, that the quote from Ricklefs Excavating in the amount of$243,500.00 for the UV Disinfection System Project,be and is hereby accepted, as the lowest responsible quote received, and a contract is hereby awarded; and BE IT FURTHER RESOLVED, that the contractor is hereby instructed to promptly execute the construction contract and return the same to the Mayor along with all the supporting documents required therein, including surety bond covering work to be performed and proof of satisfactory insurance coverage; and BE IT FURTHER RESOLVED,that the Mayor,with the assistance of the City Engineer, is thereafter directed to examine the contract for proper execution and all supporting documents, including surety bond and proof of insurance coverage to determine satisfactory compliance with contract specifications. If all documents are in order, the Mayor shall approve the same in writing and place written approval on file in the office of the City Clerk/Treasurer; and BE IT FURTHER RESOLVED, that the Mayor and City Clerk/Treasurer are hereby authorized and directed to execute the contract for and on behalf of the City and upon execution the contract shall be in full force and effect; and BE IT FURTHER RESOLVED, by the City Council of the City of Fairfax, Iowa, that the Mayor and City Clerk/Treasurer are hereby authorized and directed to execute said Resolution. AYES: Beer, Daly, Kell, Volk, and Wainwright NAYS: None Passed and approved this 12th day of April, 2016. Burnell G. Frieden, Mayor ATTEST: „%le,........... rX . Or( cg4&-2 s Cyrhia Stimson, City Clerk/Treasurer C{, ' ' i`', 0 � ,l,�,3 00500 AGREEMENT UV DISINFECTION SYSTEM CONTRACT NO. 6950-15-04 THE CITY OF FAIRFAX THIS AGREEMENT is by and between CITY OF FAIRFAX (hereinafter called OWNER) and RICKLEFS EXCAVATING, LTD. (hereinafter called CONTRACTOR). OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: ARTICLE 1 -THE PROJECT 1.01 The Project for which the Work under the Contract Documents may be the whole or only a part is generally referred to as follows: j UV DISINFECTION SYSTEM ARTICLE 2-WORK 2.01 CONTRACTOR shall complete all Work as specified or indlicated in the Contract Documents. The Work is generally described as follows: The project generally consists of providing and installing UV Disninfection Equipment on existing chamber, provide materials for, and construct a 20' x 30' UV Building, provide electrical service to the new UV Building and UV System, provide and install (as applicable) samplers and Monitors as noted in the plans and specifications, final grade and restore site as specified, ARTICLE 3- ENGINEER 101 The Project will be administered by Hall and Hall Engineers, Inc., who is hereinafter called ENGINEER and who is to act as OWNER's representative, assume all duties and responsibilities„ and have the rights and authority assigned to ENGINEER in the Contract Documents in connection with the completion of the Work in accordance with the Contract Documents, ARTICLE 4- CONTRACT TIMES 4.01 Time of the Essence A. All time limits for Milestones, if any, and completion and readiness for final payment as stated in the Contract Documents are of the essence of the Contract, B. The early start date is May 2, 2016. C. The late start date is May 16, 2016. 4.02 Working Days for Completion and Final Payment A. The Work will be completed and ready for final payment in accordance with paragraph 14.07 of the General Conditions on or before July 22, 2016 (as defined in General Conditions)after the date when the Contract Times commence to run. 005001 November 6, 2014 4.03 Dates for Milestones A. In addition to final completion times, there are Milestones by which certain WORK ITEMS must be completed. See General Conditions for Milestone requirements: MILESTONE 1: Not Used 4.04 Liquidated Damages A. CONTRACTOR and OWNER recognize that time is of the essence of this Agreement and that OWNER will suffer financial loss if the Work is not completed within the times specified in paragraph 4.02 above, plus any extensions thereof allowed in accordance with Article 12 of the General Conditions, The parties also recognize the delays, expense, and difficulties involved in proving in a legal or arbitration proceeding the actual loss suffered by OWNER if the Work is not completed on time. Accordingly, instead of: requiring any such proof, OWNER and CONTRACTOR agree that as liquidated damages, for delay (but not as a penalty), CONTRACTOR shall pay OWNER $1,000 for each working day that expires after the time specified in paragraph 4.02 until the Work is complete and ready for final payment. ARTICLE 5-CONTRACT PRICE 5.01 OWNER shall pay CONTRACTOR for completion of the Work in accordance with the Contract Documents an amount in current funds equal to the sum of the amounts determined pursuant to paragraphs below: A. For all Unit Price Work, an amount equal to the sum of the established unit price for each separately identified item of Unit Price Work times the estimated quantity of that item as indicated in Exhibit 00500-A. B. For all accepted Supplemental Unit Price Work, each item identified separately as indicated in Exhibit 00500-B. ARTICLE 6- PAYMENT PROCEDURES 6,01 Submittal and Processing of Payments A. Quantity cutoff is the 4th Wednesday of the each month. The CONTRACTOR shall sign- off an OWNER generated pay application and, if applicable, change order documents within 14 calendar days of 41h Wednesday of month in accordance with Article 14 of the General Conditions or as per OWNER generated processing schedule. Applications for Payment will be processed by ENGINEER as provided in the General Conditions. 6.02 Progress Payments, Retainage A. OWNER shall make progress payments on account of Work completed on the basis of Owner Inspector generated quantities on or within 14 calendar days of OWNER stated due date for all appropriate documents (or within 21 calendar days of receipt if documents are received subsequent to OWNER stated due date) during performance of the Work as provided in paragraphs 6,02A.1 and 6.02.A.2 below. All such payments will be measured by the schedule of values established in paragraph 2,07.A of the General Conditions (and in the case of Unit Price Work based) on the number of units completed) or, in the event there is no schedule of values, as provided in the General Requirements: 00500-2 November 6, 2014 i ! ' � / 1. Prior to Project Completion, progress payments will bemade |nan amount equal to the percentage indicated below but, In each case, less the aggregate of payments previously made and |eam such amounts as ENGINEER may determine or OWNER may withhold, in accordance with paragraph 14.02 of the General Conditions: a. 95% ofWork completed (with the balance being nehainoga). |fthe Work has been 95% completed as determined by EN(3|NEER, and if the character and pnngrmao ofthe Work have been satisfactory to OWNER � � and, OWNER, nnrecommendation of, may determine that oolong authe � character and progress of the Work remain oc0iofmnhory to them, there will be no retainage on account of Work subsequently completed, in which case the remaining progress payments prior to Final Completion will be in an amount ague| to 100% of the Work completed less the aggregate ofpayments previously made; and b. 1010% ofcost ufmaterials and equipment not incorporated In the Work (with the balance being mdoinage). | 2. OWNER shall pay retainage to CONTRACTOR in oocnndonms with paragraph 14.02.13.5 ofthe General Conditions. 6.03 Final Payment A. Upon final completion and oomapbanua of the Work in accordance with paragraph 14.07 of the General Conditions, OWNER uba|| pay the remainder of the Onrdnatt Price as recommended byENGINEER ogprovided |n said paragraph 14.07. � ARTICLE 7—NOT USED ARTICLE 8- CONTRACTOR'S REPRESENTATIONS ' 8.01 In order to induce OWNER to enter into this Agreement CONTRACTOR makes the following representations: A. CONTRACTOR has examined and carefully studied the Contract Documents and the other related data identified in the Bidding Documents. | | B. CONTRACTOR has visited the Site and become familiar with and is satisfied as to the: general, local, and Site conditions that may affect cost, progress, and performance of the Work. C. CONTRACTOR is familiar with and is satisfied as to all federal, state, and local Laws and Regulations that may affect cost, progress, and performance nfthe Work. D. CONTRACTOR has oopafu||y studied all: (1) reports of explorations and tmeba of subsurface conditions aturcontiguous tothe Site, if any, and all Drawings of physical conditions in or relating to existing surface or subsurface structures at or contiguous to the Site, if any, (except Underground Fmo|||t|eo) which have been identified in the Supplementary Conditions as provided in paragraph 4.02 of the General Conditions and (2) reports and Dravvm8m of Hazardous Environmental Condition, if any, at the Site vvh|uh has been identified in the Supplementary Conditions as provided in paragraph 4,06 of the General Conditions, CONTRACTOR acknowledges that such reports and Drawings are not Contract Documents and may not be complete for C[)NTRACTOF1's, purposes, CONTRACTOR acknowledges that OWNER and ENGINEER do not assume responsibility for the accuracy or completeness of Information and data ahovvm or 00500'3 November O. 2D14 � indicated in the Contract Documents with respect to Underground Facilities at or contiguous hQthe Site. E. CONTRACTOR has obtained and carefully studied (or assumes responsibility for having done so) all such supplementary examinations, investigations, explorations, tests, studies, and data concerning conditions (nurfmce, subsurface and Underground Facilities) at or contiguous to the Site or otherwise which may affect the cost, pro8reon, performance or furnishing of the Work as CONTRACTOR considers necessary for the performance or furnishing of the Work or which na|aha to any aspect of the meono, methods, techniques, � sequences and procedures of construction to be employed by CONTRACTOR and safety precautions and progname incident thereto. | i F. CONTRACTOR does not consider that any further examinations, |nvemt|oatmma^ explorations, hssbm, mtudims, or data are necessary for the performance of the Work at the OVmirao\ Price, within the Contract Times, and in accordance with the other terms and conditions oFthe Contract Documents. G. CONTRACTOR is aware of the general nature of Work to be performed by OWNER and others gtthe Site that relates tothe Work aaindicated inthe Contract Documents. H. CONTRACTOR has correlated the information hmmmmn to CC)NTRACTC>R, information and observations obtained from visits to the Site, reports and Drawings identified in the � Contract Documents, and all odd|t|nno| examinations, investigations, explorations, 0sote, � � studies, and data with the Contract Documents. � |. CONTRACTOR has given ENGINEER written ncd|me of all oomOicts, arrmna. ambiguities, or discrepancies that CONTRACTOR has discovered )mthe Contract Documents, and the written resolution thereof byENGINEER isacceptable h)CONTRACTOR. J. The Contract Documents are generally sufficient 0mindicate and convey understanding of all terms and conditions for performance and furnishing ofthe Work. K. CONTRACTOR is competent and has sufficient equ|pment, personnel and financial | ! resources hoperform Work inaccordance with the Contract Documents, / ! 00500-4 November 6, 2014 ARTICLE 9-CONTRACT DOCUMENTS 9.011 Contents A, The Contract Documents consist of the following items(either bound herein or separately) as marked with an "X". Included 1. This Agreement a. Pages I to 9, inclusive; b. Exhibit 500A Unit Price Work(pages 1 to, 1, inclusive); c. Exhibit 500-13, Supplemental Unit Price Work (pages 1 to inclusive); 2. Notice of Hearing and Letting. ❑ 3. Performance Bond (pages 1 to 4 inclusive); ❑ 4, Payment Bond (pages I to 3 inclusive); 5. Other Bonds (pages [ ]to 1, inclusive), NONE; ❑ a. [ ] (pages[ ] to[ inclusive); ❑ b. [ ](pages[ ] to[ inclusive); ❑ c. [ ] (pages [ ]to [ inclusive); 6. Bid Form Attachments z a. Attachment I — Equal Employment Opportunity/Non- Discrimination Policy Statement b. Attachment 11—Non-Collusion Affidavit ❑ c. Attachment III —Disadvantaged Business Enterprise(DBE) Certification for Non-Rolling Stock Materials or Services ❑ d. Attachment IV—Disadvantaged Business, Enterprise(DBE) List ❑ e. Attachment V—Debarment and Suspension Certification ❑ f. Attachment VI —Certification of Primary Participant Regarding Debarment, Suspension, and Other Responsibility Matters ❑ g, Attachment VII—Part 661 —Buy America Requirements— Surface Transportation Assistance Act of 1982, As Amended ❑ h, Attachment Vill —Certification of Restrictions on Lobbying ❑ j. Attachment IX—Certification of Nonsegreated Facilities ❑ j. Attachment X—Targeted Small Business(TSB) Pre-Bid Contact Information ❑ k. Attachment XI—Licensed Plumber or Pipe Layer Certification ❑ L Attachment X11 —Local Business Certificate ❑ m. Attachment XIII—Affidavit of Drug Free Workplace Compliance ❑ n. Attachment XIV—Schedule of Unit Prices for Traffic Signal Installation o. Attachment XV—Bidder Status Form 7. Cedar Rapids Metropolitan Area Standard Documents; a. Cedar Rapids Metropolitan Area Standard Specifications for Publlic Improvements, current version b. Cedar Rapids Metropolitan Area Standard Details for Public Improvements, current version 8. Supplementary Conditions, Section 00800, (pages 1 to 17, inclusive),; 9. Special Provisions and Specifications as listed in the table of 00500-5 November 6, 2014 contents(fthe Pro�utK�onuo|�' , ! 10, Drawings consisting of a cover sheet and sheets numbered 1 | through 7, inclusive, with each sheet bearing the following general title: UVDISINFECTION SYSTEM Fl 11. Addenda(numbers l to ], inclusive); i 12. Exhibits Wmthis Agreement(enumerated oshdkomm): o. Notice hoProceed (pages [ to ], inclusive), ! b. RhBid Exhibit 003DOA(pages 1to1. ino|uoive); � || o. Documentation submitted byCONTRACTOR prior hoNotice of Award(pages to }. inclusive); | d. Insurance Certificates; 13. The following which may badelivered or issued onorafter the Effective Date ofthe Agreementand are not attached hereto: �l a. Written Amendments; E] b. Work Change Directives; c. ChamgeDrdar(a). B. The documents listed in paragraph 9.01-A are incorporated by reference (except as expressly noted otherwise mbove)� ' � � C. There are noContract Documents other than those listed above in this Article 9. Any attachments within, an appendix not ||nbed in Article 9^ are not part of the Contract � Documents. The CONTRACTOR has limited reliance on these appendinee, in accordance with the General Conditions. Q. The Contract Documents may only he amended, modified, or supplemented as provided � |nparagraph 3.O4of the General Conditions. � ARTICLE 10' MISCELLANEOUS � 110J31 7enno � � A. Terms used in this Agreement will have the meanings indicated in the General Conditions. � 10{0 Assignment ofContract A. No assignment by party hereto of any rights under or interests in the Contract will be binding on another party hereto without the written consent of the party sought to be bound; and, specifically but without limitation, moneys that may become due and moneys that are due may not be assigned without such consent (except hothe extent that the effect of this restriction may be limited by |aw), and un|oan specifically stated to the contrary in any written consent to on assignment, muassignment will na|ooso or discharge the assignor from any duty or responsibility under the Contract Documents. 10'03 Successors and Assigns A. OWNER and CONTRACTOR each binds iteo|t its partners, successors, eaa|Qnn. and legal representatives(othe other party hereto, its partnere, suonosoors, assigns, and legal representatives imrespect tnall covenaMts, agreements, and obligations contained |nthe Contract Documents. 00500-8 November 0. 3O14 � 110.04 Severability A. Any provision or part of the Contract Documents held to be void or unenforceable under any Law or Regulation shall be deemed stricken, and all remaining provisions shalll continue to be valid and binding upon OWNER and CONTRACTOR, who agree that the Contract Documents shall be reformed to replace such stricken provision or part thereof with a valid and enforceable provision that comes as close as possible to expressing the intention of the stricken provision. 10.05 Other Provisions®NOT USED 005007 November 6, 2014 IN WITNESS WHEREOF, OWNER and CONTRACTOR have signed this Agreement in duplicate. One counterpart each has been delivered to OWNER and CONTRACTOR. All portions of the Contract Documents have been signed or identified by OWNER and CONTRACTOR or on their behalf. This Agreement will be effective on the date the Award is approved by the City Council as acting on behalf of the OWNER, er� OWNER: City of Fairfax CONTRACTOR: By: By: .T 4�26C. /(Title) (Title) Date: V.- 0 0 .It 'ORATE SEAL] [CORPORATE SEAL] ZZ rr lot Otto.. Lf Attest Address for(giving notices: Address for giving notices: City of FFairfax City Clerk 525 Vanderbilt Street Fairfax, Iowa 52228 License No. License No. (if OWNER is a corporation, attach evidence of (Where applicable) authority to sign. If OWNER is a public body, attach evidence of authority to sign and resolution Agent for service of process: or other documents authorizing execution of OWNER-CONTRACTOR Agreement.) Designated Representative: Designated Representative: ) / V_ Name: Joel Gross, P.E. Name: -- CLC/ ")----- Title: Project Manager Title: v'C�'�C, IJ Address: Hall and Hall Engineer, Inc. Address: V\cv-' 1860 Boyson Road _\-')-5-'s& �� h�\_ e Hiawatha, IA 52233 Phone: 319-362-9548 Phone: Facsimile: 319-362-7595 Facsimile. qq Email joel@halleng.com Email Address: Address: 00500-8 November 6, 2014 INSTRUCTIONS FOR EXECUTING CONTRACT If the Agreement is to be signed by the Secretary of the corporation, the certificate below should be executed by some other officer of the corporation, under the corporate seal. In lieu of the foregoing certificate, there may be attached to the Agreement copies of so much of the records of the corporation which will show the official character and authority of the officers signing, duly certified by the secretary or assistant secretary under the corporate seal to be true copies. The full name and business address of CONTRACTOR should be inserted and the Agreement should be signed with CONTRACTOR's official signature. Please have the name of the signing party printed under all signatures of the Agreement. If CONTRACTOR is operating as a partnership, each partner should sign the Agreement. If the Agreement is not signed by each partner, there should be attached to the Agreement a duly authenticated power of attorney evidencing the signer's (signers') authority to sign such Agreement for and in behalf of the partnership, If CONTRACTOR is an individual', thetrade name (if CONTRACTOR is operating under a trade name) should be indicated in the Agreement and the Agreement should be signed by such individual. If signed by other than CONTRACTOR, there should be attached to the Agreement a duly authenticated power of attorney evidencing the signer's authority to execute such Agreement for and in behalf of CONTRACTOR. If CONTRACTOR is a corporation,the following certificate should be executed: 1, I-Cyl V1 Q- aa certify that I am the C of the corporation named as CONTRACTOR herein above; that VW C� who signed the foregoing Agreement on behalf of CONTRACTOR was then VjQ,c--------- of said corporation; that said Agreement was duly signed for and in behalf of said Corporation by authority ,of its governing body, and is within the scope of its corporate powers. (Corporate Seal) END OF SECTION 00500 00500-9 November 6, 2014 EXHIBIT 00500-A CONTRACT NO. 6950-15-04 CITY OF FAIRFAX, IOWA BID ITEM UNIT PRICE BID NO. DESCRIPTION QTY UNIT (Numbers) EXTENSION 1 Mobilization 1 LS 39,000.00 $ 39,000.00 2 Temporary Erosion and Sediment Controls 1 LS 500.00 $ 500.00 3 In-Channel, Non-Contact UV Disinfection System 1 ILS $ 120,000.00 $ 120,0010.00 4 Electrical Connection from Blower Building to 1 LS $ 20,000.00 $ 20,000.00 Pro2osed UV Disinfection Building I 5 UV Building 1 LS 36,000.00 $ 36,000.00 , 6 Gravel Resurfacing (Iowa Dot Gradation No. 11) 250 TIN $ 18.00 $ 4,500.00 7 Hach Sigma 950 Sampler 1 LS .19 12000.00 $ 12,00:0.00 ,8 YSI DO and UVT Monitor with Disp a 1 ILS $ 8,000.00 $ 8,000.00 9 Siemens Hydro Ranger 200 with Transducer and 1 ILS 1$ 3,500.00 I $ 3,500.00 50'Cable TOTAL IBID COMPUTED TOTAL BID CONTRACT NO. 6950-15-04 (ITEMS 1 THROUGH 9) Two Hundred Forty Three Thousand Five Hundred Dollars $ 243,500.00 (Words) (Numbers) As provided in paragraph 11.01 of the General Conditions, estimated quantities are not guaranteed, and determinations of actual quantities and classifications are to be made by ENGINEER as provided in paragraph 9.08 of the General Conditions. Unit prices have been computed as provided in paragraph 11.011 of the General Conditions. 00500-A Page 1 of 1 September 25,2009 I 54209114 006110 CONTRACTOR(Name anti Address): SURETY (Narrno and Address of Principal Place of Business): Ricklef's Excavating Ltd United Fire&Casualty Company 12536 Buffalo Road 118 Second Avenue SE PO Box 73909 Anamosa,IA 52205 Cedar Rapids„IA 52:407-3909 OWNER(Name and Address): City of Fairfax 525 Vanderbilt Street Fairfax, Iowa 52228 CONTRACT Date: April 12,2016 Amount: Two Hundred Forty Three Thousand Five Hundred Dollars&WAN ($243,500.00) Description (Name and Location): UV Disinfection System, City of Fairfax Wastewater Treatment Plant BOND Date(Not earlier than Contract Date):April 12,2016 Arnount: Two Hundred Forty Three Thousand Five Hundred Dollars&001100 ($243,500,00) Nfodifications to this Band Form: Surety and CONTRACTOR, Intending to be legally bound hereby, subject to the terms included in this Section 00610, do each cause this Performance Bond to be duly exeouted on its behalf by Its authorized officer, agent, or representative. CONTRACTOR AS PRINCIPAL Seep A SURETY United Fire&Casualty Company CompanyRicklefs Excavating Ltd(Corpe Seal) Company: (Corp. Sea]) i Signature: G l i Signature: j Name and Name and Itle: Jennifer J Freymark Attorney in Fact (Attach Power of Attorney) (Space is provided below for signatures of additional parties, If required,) CONTRACTOR AS PRINCIPAL SURETY Company: (Corp. Seal) Company: (Corp, Seal) Signature: Signature: I Name and Title: Name and Title-, FOR USE BY OWNER ONLY _____--...__.---------...-----------._...._._-_. � REVIEWED BY OWNER Sgnatur 2- _ Date Name and Title_ z .0- 00610-1 April 1, 2000 C The CON F€ A(.'T()R and tho Surety, Jointly and sevci�ally, birld themselves' thell. I leirs, F`Xecutors, administrators, successors and assigns to the OWN(`-'R for the performance of the Contract, which is incorporated herein by reference. 2. If the CONTRACTOR performs the Contract, the Surety and the GONT RACTOR have no obligation under this Bond, except to participate in conferences as provided in paragraph 3.1. 3. If(here is no OWNER Default, the Surety's obligation under this Bond shall arise after, 3.1. The OWNER has, notified the CONTRACTOR and the Surety at the addresses described in paragraph 10 (below, that the OWNER is considering declaring a CONTRACTOR Default and has requested and attempted to arrange a conference with the CONTRACTOR and the Surety to be held not later than fifteen days after receipt of such notice to discuss methods of per-forming the Contract. If the OWNER, the CONTRACTOR and the Surety agree, the CONTRACTOR shall be allowed a reasonable time to perform the Contract, but such an Agreement shall not waive the OWNER's right, if any, subsequently to declare a CONTRACTOR Default;and 3.2. The OWNER has declared a CONTRACTOR Default and formally terminated the CONTRACTOR's right to complete the Contract. Such CONTRACTOR Default shall not be declared earlier than twenty days after the CONTRACTOR and the Surety have received notice as provided In paragraph 3.1; and 33. The OWNER has agreed to pay the Balance of the Contract Price to: 3.3.1. The Surety in accordance with the terms of the Contract; 3.3.2 Another CONTRACTOR selected pursuant to paragraph 4,3 to perform the Contract, 4. When the OWNER has satisfied the conditions of paragraph % the Surety shall promptly and at the Surety's expense take one of the following actions: 4.1. Arrange for the CONTRACTOR, with consent of the OWNER, to perform and complete the Contract;or 4.2. Undertake to perform and complete the Con-tract itself, through its agents or through independent contractors, or 4.3. Obtain bids or negotiated proposals from qualified CONTRACTORS acceptable to the OWNER for a Contract for performance and completion of the Contract, arrange for a Contract to be prepared for execution by the OWNER and the CONTRACTOR selected with the OWNER!s concurrence, to be secured with performance and payment Bonds executed by a qualified surety equivalent to the Bonds Issued on the Contract, and pay to the OWNER the amount of damages as described in paragraph 6 in excess of the Balance of the Contract Price Incurred by the OWNER resulting from the CONTRACTOR Default; or 4.4. Waive its right to perform and complete, arrange for completion, or obtain a new CONTRACTOR and with reasonable promptness under the circumstances,, 4.4.1 After investigation, determine the amount for which it may be liable to the OWNER and, as soon as practicable after the amount is determined, tender payment therefor to the OWNER; or 4.4.2 Deny liability in whole or In part and notify the OWNER citing reasons therefor. 5. If the Surety does not proceed as provided In paragraph 4 with reasonable promptness, the Surety shall be deemed to be in default on this Bond fifteen days after receipt of an additional 00610-2 April 1, 2000 writton llotice from the OWNI-l"k to the SURIty (10111<1nding tlllt 0)0 SM-01ty under (hats Bond, and the OWNI--'R shall I)(,, oritiflod to onforce, any remedy available to tho, OWNER. If the Surety procoods, as provided In paragraph 4.4, and the OWN['-R refuses the payment tendered Or the SUroty has donied pliability, in whole or in part, without further notice the OWNER shall be entitled to enforce any remedy available to (tie OWNER. 6. After the OWNER has terminated the CONTRACTOR's right to complete the Contract, and if the Surety elects to act under paragraph 4.1. 4.2. or 4.3 above, then the responsibilities of the Surety to the OWNER shall not be greater than those of the CONTRACTOR under the Contract, and the responsibilities of the OWNER to THE Surety shall not be greater than those of the OWNER under the Contract. To a limit of the amount of this Bond, but subject to commitment by the OWNER of the Balance of the Contract Price to mitigation of costs and damages on the Contract, the Surety is obligated without duplication for: 6.1. The responsibilities of the CONTRACTOR for correction of defective Work and completion of the Contract; 6.2. Additional legal, design professional and delay costs resulting from the CONTRACTOR's Default, and resulting from the actions or failure to act. of the Surety under paragraph 4; and 6.3. Liquidated damages, or if no liquidated damages are specified in the Contract, actual damages caused by delayed performance or nonperformance of the CONTRACTOR. 7. The Surety shall not be liable to the OWNER or others for obligations of the CONTRACTOR that are unrelated to the Contract, and the Balance of the Contract Price shall not be reduced or set off on account of any such unrelated obligations. No right of action shall accrue On this Bond to any person or entity other than the OWNER or Its heirs, executors, administrators, or successors. 8. The Surety hereby waives notice of any change, including changes of time, to the Contract or to related subcontracts, purchase orders and other obligations, 9. Any proceedings legal or equitable, under this Bond may be instituted in any court of competent jurisdiction In the state of Iowa and shall be instituted within two years after CONTRACTOR Default or within two years after the CONTRACTOR ceased working or within two years after the Surety refuses or fails to perform its obligations under this Bond, whichever occurs first. If the provisions of this paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable, % Notice to the Surety, the OWNER or the CONTRACTOR shall be mailed or delivered to the address shown on the signature page. il. When this Bond has been furnished to comply with a statutory or other legal requirement In the location where the Contract was to be performed, any provision In this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. Tile intent is that this Bond shall be construed as a statutory bond and not as a common law bond. 12, Definitions, 12,11 Balance of the Contract Price- The total amount payable by the OWNER to the CONTRACTOR UNDER THE Contract after all proper adjustments have been made, including allowance to the CONTRACTOR of any amounts received or to be received by the OWNER in settlement of insurance or other Claims for damages to which the CONTRACTOR Is entitled, reduced by all valid and proper payments made to or on behalf of the CONTRACTOR tinder the Contract, 12,2, Contract: The Agreement between the OWNER and the CONTRACTOR identified on the signature page, including all Contract Documents and changes thereto. 00610-3 April 1, 2000 12.3. CONTRACTOR Default: Failuro of the CONTRACTOR, which has neither been rornedied nor waived, to Perform or otheiwise to comply with the terms of the Cont+°act. 12A, OWNER Defarilt: FailUre of the OWNER, which has neither been remedied nor waived, to pay the CONTRACTOR as required by the Contract or to perform and complete or comply with the other terms thereof. i 00610-4 April 1, 2000 UNITED FIRE&CASUALTY COMPANY,CEDAR RAPIDS,TA ufg1mtFNITED FIRE, &INDEMNITY COMPANY,WE BSTER,TX FINANCIAL PACIFIC INSURANCE COMPANY,ROCIOLIN,CA CERTIFIED COPY Of"POWER OF ATTORNEY (original on file at:Home Office of Company—Sav Certification) KNOW ALL PERSONS BY 'THESE PRESENTS,That 1i141'i ED PIXE &CASUALTY COMPANY,a corporation duly organized.and existing under the laws of the State of Iowa-,UNITED FIRE &INDEMNITY COMPANY, a corporation duly organized and existing under the laws of the State of Texas-, and FINANCIAL PACIFIC INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State of California crein collectively called the Companiesandhavir ,�,thpir co orate headquarters in Cedar Rapids State of Iowa does make constitute and mDint CASSANDRA 70 ALLY MOTHY J.GAWMANN,OR KEVIN 3. A3E,OR AWANDRAJ.DALLY, OR JENNIFER J.FR��YMARK,OR tRAC�A. LYONS, U of�,(IBOX3100, UEl)ARKAPIU8, IAb240I5 their true and lawful Attorricy(s)-errPact with power and authority hereby conferred to sign,seal and execute in its behalf at lawfbI bonds,undertakings and other obligatoryinstrurrients ofsimj!aT nature provided that:no single obligation shall exceed$20,000,000-00 and to bind the Companies thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers ofthe Companies and all of the acts of said Attorney, pursuant to the authority hereby given and hereby ratified and oonfirined. The Authority hereby granted shall expire August 18th,2016 unless sooner revoked by UNITED FIRE &CASUALTY COMPANY,UNITED FIRE&INDEMNITY COMPANY,and FINANCIAL PACIFIC INSURANCE COMPANY. rniis Power of Attorney is made and executed parsuaiLL to and.by aullioiily of[lid following bylaw duly adopted on May 15, 2013, by Lhe Boards of Directors of UNITED FIRE & CASUALTY COMPANY, UNITED FIRE & INDEMNITY COMPANY, and FINANCIAL PACIFIC INSURANCE COMPANY. "Article VI—Surely Bonds and Undertakings" Section 2,Appointment of Attorney-in-Fact. "Me President or any Vice President,or any other oflicer of the Comparues may, born tune to time, appoint by written certificates attorneys-iri-fact to act in behalf of the Companies in the execution of policies of insurance, bonds, undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby, and the Corpoiate seal,m.ay be affixed by facsimile to any power of attorney or special,power of attorney or certification of either authorized hereby; such signature and seal, when,so used,being adopted by the Corlipanies as the original signature of such officer and the original seal of the Companies,to be valid and binding upon.the Companies with tine same force and effect as though niantially affixed, Such attomey's-ii.).-fict, Sul"Joct to the limitations set forth in their respective certificates of authority shall have fiAl power to bind the Companies by their signatiu6 and mention ofany such instruments and.to attach the seal of the Companies thereto. The President or any Vice:President,the Board of Directors or any other officer of the Companies may at anytime revoke all power and authority previously given to any attorney-in-fact, IN WITNESS WHEREOF,the COMPANIES have each caused these presents to be signed by its vice president and its corporate seal to be hereto affixed this day ol 201116 WM"flp 91 X. UNITED FIRE&CASUALTY COMPANY CORV "Al CORPOUTE 1= UNITED FIRE&INDEMNITY COMPANY FINANCIAL PACIFIC INSURANCE COMPANY SEAL By Vice President State of Iowa,County of Linn,ss: On thid day of 2fJ16 bcforomepononftllyoamaDc)xit)ioJ.Riol-axicLtm to rue known, Who being by me(lulysworn,di.d depose andsay,that lie resides in Cedar Rapids,State of Iowa;that be is a Vice President of UNITED FIRE &CASUALTY COMPANY,a Vice President of UNITED FIRE &INDEMNITYC'OMPANY,and a VicePresident of FINANCIAL PACIFIC INSURANCE COMPANY the corporations described in and which exec-uted the above instrumont;that he knows the seal of said corporations"that the Seal afrv(ed to ale'said inwunient,i6SUG11 corporate Suall. that it was so affixed pur6udiit to auttiority given by Lhe Board of Directors of said corporations and that he signed his name there-to pursuant to Eke authoiity,and acknowledges same to be the act and deed of said corporations, wx Judith A.Davis Iowa Notarial Seal Commission number 173041 *VIA. My Commission Expires 04/2312018 A UQ Notarypublie My commission expires:04/23/2018 1,David A.Lange,Secretary of UNITED FIRE&CASUALTY COMPANY and Assistant Secretary o?:NITED FIRE&INDEMNITY COMPANY, and Assistant Secretary of FINANCIAL PACIFIC INSURANCE COMPANY,do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Section of the bylaws and resolutions of said Corporations as set forth in said Power of Attorncy,,Adth the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID CORPORATIONS,and that the carne are correct transcripts thereof,and of the whole of the said oripinals,and that the said.Power of Attorney has not been revoked and is now in fall force and effect. In trstirnorn whereof 1,have aersunto subscribed my nanie and affixed the corp oiate seal of the said Corporations. ele Ll this -day AIM, 2016 0",1Mcf4j" 111551111!(!" ,kUioc INSOZ"' =:f�'-77 KP RATE Y, C(1RPt7RATEyULBy. 0: .SEAL Secretary,UFc�,C ........... %0wAssistant Secretary,UF&YFPIC fill %I DPOA0053 0813 Inquiries: Surety Department 118 Second Ave SE Cedar Rapids,TA 52441 54209114 006'20 PAYMENT SOND Any slntguiar re:feronce to CONTRACTOR, Surety, OWNER or other party shall be considered plural where applicable. CONTRACTOR(Name and Address): SURETY (Name and Address of Principal Place of Business); Ricklefs Excavating Ltd United Fire&Casualty Company 12536 Buffalo Road 118 Second Avenue SE PO Box 73909 Anamosa,1A 52205 Cedar Rapids,IA 52407-3909 OWNER(Name and Address): City of Fairfax 525 Vanderbilt Street Fairfax, Iowa 52228 CONTRACT Cate: April 12,2016 Amount; Two Hundred Forty Three Thousand Five Hundred Dollars&00/100 ($243,500.00) Description (Name and Location): iUV Disinfection System, City of Fairfax Wastewater Treatment Plant BOND Date(Not earlier than Contract Date): April 12,2016 Amount:; Two Hundred Forty Three Thousand Five Hundred Dollars&00/1.00 ($243,500.40) Modifications to this Bond Form: i Surety and CONTRACTOR, intending to be legally bound hereby, subject to the terms included in this Section 00620, do each cause this Payment Bond to be duly executed on its behalf by Its authorized' officer, agent, or representative. CONTRACTOR AS PRINCIPAL cls SURETY United Fire&Casualty Company Company:RicklefsExcavating Ltd(Cprp.Seal) Company: (Corp- Seal) Signature: f Signature: e Name and Title.',- -c-V, U,i�,t ��- �, , Name and Tit e: Jennifer J Y mark Attorney Tn Fact (Attach Power of Attorney) (Space is provident below for signatures of additional parties, if required.) CONTRACTOR AS PRINCIPAL SURETY Company: (Corp. Seal) Company: (Corp. Seal) Signature: Signature: Name and Title: Name and Title: ._----------------- --------------------------F{)R USE BY OWNER ONLY -----------------•- ---------------------------- REVIEWED a OWNER Signature ' date r m Name and Title 41 ;:. i -_.. __.. ..... 00620-1 April 1, 2000 1 The,CON1'RAG-I`0R and time sur(,;,ty, jointly nind sovorally, Nrld thonls(",flvas, their a(fini6strators, Successors and a%;>iqns to the OWNC--'R to pay for labor, rylaterials and Oquipment furnished for use In the performance of the Contract, which Is incorporated here ln by reference, 2. With respect to the OWNER, this obliga(lon shall be null and void if the CONTRACTOR: 2,1. Promptly makes payment, directly or indirectly,for all sums due Claimants, and 2,2. Defends, indemnifies and holds harmless the OWNER from all claims, domands, Liens or suits by any person or entity who furnished labor, materials or equipment for use in the performance of the Contract, provided the OWNER has promptly notified the CONTRACTOR and the Surety(at the addresses described in paragraph 12) of any claims, demands, Liens or suits and tendered defense of such claims, demands, Liens or suits to the CONTRACTOR and the Surety, and provided there is no OWNER Default. 3, With respect to Clalmants, this obligation shall be null and void K the CONTRACTOR promptly makes payment, directly or indirectly, for all sums due. 4. The Surety shall have no obligation to Claimants under this Bond until: 4.1. Claimants who are employed by or have a direct Contract with the CONTRACTOR have given notice to the Surety(at the addresses described in paragraph 12) and sent a copy, or notice thereof, to the OWNER, stating that a Claim is being made under this Bond and, with substantial accuracy, the amount of the Claim. 4.2- Claimants who do not have a direct Contract with the CONTRACTOR: 1 Have furnished written notice to the CONTRACTOR and sent a copy, or notice thereof, to the OWNER, within 90 days after having last performed labor or last furnished materials or equipment Included in the Claim stating, with substantial accuracy, the amount of the Claim and the name of the party to whom the materials were furnished or supplied or for whom the labor was done or performed; and Z Have either received a rejection in whole or in part from the CONTRACTOR, or not received within 30 days of furnishing the above notice any communication from the CONTRACTOR by which the CONTRACTOR had Indicated the Claim will be paid directly or Indirectly; and 3. Not having been paid within the above 30 days, have sent a written notice to the Surety and sent a copy, or notice,thereof, to the OWNER, stating that a Claim is being made under this Bond and enclosing a copy of the previous written notice furnished to the CONTRACTOR. 5� If a notice required by paragraph 4 is given by the OWNER to the CONTRACTOR or to the Surety, that Is sufficient compliance. 6. When the Claimant has satisfied the conditions of paragraph 4, the Surety shall promptly and at the Surety's expense take the following actions: 6.1. Send an answer to the Claimant, with a copy to the OWNER, within 45 days after receipt of the Claim, stating the amounts that are undisputed and the basis for challenging any amounts that are disputed. 6.2. Pay or arrange for payment of any undisputed amounts. 7. The Surety's total obligation shall not exceed the amount of this Bond, and the amount of this Bond shall be credited for any payments made in good faith by the Surety. 00620-2 April 1, 2000 8. AniounV, owed by tiro OWNI"R to the (3ONTRA0,TOR under the Contract shall bo L180d for (he performance of the Contract and to satisfy claims, if any, under any Porforrnanoo Bond. By the CONTRAC-l"OR furnishing and the OWNER accepting this Bond, they agree that all funds earnod by the CONTRACTOR in the performance of the Contract are dedicated to satisfy obligations of the CONTRACTOR and the Surety UndOr this Bond, subject to the OWNER's priority to U,30 the funds for the completion of the Work. 9. The Surety shall not be liable to the OWNER. Claimants or others for obligations of the CONTRACTOR that are unrelated to the Contract . The OWNER shall not be liable for payment of any costs or expenses of any Claimant under this Bond, and shall have under this Bond no obllgations to make payments to, give notices on behalf of, or otherwise have obligations to Claimants under this Bond,. M The Surety hereby waives notice of any change, including changes of time, to the Contract or to related Subcontracts,purchase orders and other obligations, 11. No suit or action shall be commenced by a Claimant under this Bond other than In a court of competent jurisdiction in the location In which the Work or part of the Work is located or after the expiration of one year from the date (1) on which the Cialmant gave the notice required by paragraph 4,11 or paragraph 4.2.3, or (2) on which the last labor or service was performed by anyone or the last materials or equipment were furnished by anyone under the Construction Contract, whichever of (1) or (2) first occurs. If the provisions of this paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall Ibe applicable, 12. Notice to the Surety, the, OWNER or the CONTRACTOR shall) be mailed or delivered to the addresses shown on the signature page. Actual receipt of notice by Surety, the OWNER or the CONTRACTOR, however accomplished, shall be sufficient compliance as of the date received at the address shown on the signature page, 13� When this Bond has been furnished to comply with a statutory or other legal requirement in the location where the Contract was to be performed, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom, and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. The intent is, that this Bond shall be construed as a statutory Bond and not as a common law bond. 14. Upon request of any person or entity -appearing to be a potential beneficiary of this Bond, the CONTRACTOR shall promptly furnish a copy of this Bond or shall permit a copy to be made. 115. DEFINITIONS 15AClaimant; An Individual or entity having a direct Contract with the CONTRACTOR or with a Subcontractor of the CONTRACTOR to furnish labor, materials or equipment for use In the performance of the Contract. The Intent of this Bond shall be to Include without limitation in the terms 'labor, materials or equipment/ that part of water, gas, power, light, heat, oil, gasoline, telephone service or rental equipment used in the Contract, architectural and engineering services required for performance of the Work of the CONTRACTOR and the CONTRACTOR's Subcontractors, and all other items for which a mechanic's lien may be asserted in the jurisdiction where the labor, materials or equipment were furnished. 15.2. Contract: The Agreement between the OWNER and'! the CONTRACTOR identified on the signature page, including all Contract Documents and changes thereto. 15.3. OWNER Default: Failure of the OWNER,which has nellther been remedied nor waived, to pay the CONTRACTOR as required by the Contract or to perform and complete or comply with the other terms thereof, 00620-3 April 1, 2000 UNITED FIRE&CASUALTY COMPANY,CEDAR RAPIDS,IA N Efgja UNITED FIRE&INDEMNITY COMPANY,WEBSTER,TX FINANCIAL PAc."1140;INSURANCE COMPANY,ROCK,T,,4N,CA CERTIFIED COPY OF POWER OF AT TORN EY (original on file at Home Office of Company-•-See Certification) KN(.)W ALL PEKSONS B Y 'THESE PRESENTS,That UNITED FIRE &CASUALTY CUMPAN Y,a corporation dtily organized and existing under the laves of the State of Iowa;UNITED FIRE &INDEMNITY COMPANY, a corporation duly organized and existing under the laws of the State of Texas; and FINANCIAL PACIFIC INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State of California (herein collectively called the Companies and liavu their co orate headquarters in Cedar Rapids State of Iowa does make constitute and�a�yappc�aant TIMOTHY J.0AS8MANN,OR KEVIN S. ASE,Old ASSANDRA J. DALEY,OR JENNIFER J.F'RLY MARK,OR tRACI A. LY'ON3,ALL INDI"�riIURLY oft'U NdUX. 100, G'K-)AK RAPIDS, IA b24()lJ their true and lawfitl Attorncy(s)-iriFeet with frown and authority hereby conferred to sign,seal and execute in.its behalf all lawful bonds,undert< Ings arid other obligatory instruments of similar nature provided that no single obligation shall exceed 20,000,000.00 and to bvrid the Companies thereby as filly and to the same extent as if such instruments were signed by the cline authorized officers of the Coinlianies and all of the acts of said Attorney, pursuant to the authority hereby given and hereby ratified and confirmed. The Authority hereby granted shall expire August 18th,2016 unless sooner revoked by UNITED FIRE&CASUALTY COMPANY,UNITED FIRE&INDEMNITY COMPANY,and FINANCIAL PACIFIC INSURANCE COMPANY. Tlds Power of Attorney is made and executed pursuant to and by authority of[lie following bylaw duly adopted on May 15, 2013, by etre Boards of Directors of UNITED FIRE & CASUALTY COMPANY, UNITED FIRE & INDEMNITY COMPANY, and FINANCIAL PACIFIC INSURANCE COMPANY. "Arliicle VI—Surety Bonds and Undertalungs" Section 2,Appointment of Attorney-in-Fact, "I'1re President or any Vice President,or any other ollicer of the Companies may, it=time to fir ne, appoint by written certificates attorneys-in-fact to act in behalf of the Companies in the execution of policies of insurance, bonds, undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby, and the Corporate seal,may be affixed l by facsimile to any power of attorney or special power of attorney or certifrcati n of either authorized hereby, such signature and seal, when so used,being adopted by the Companies as the origural signature of,such officer arid the original seal of the Companies, to'be valid and binding upon,t:he Comparries with the some lbree and effect as thoug.lr.manually affixed. Such attorneys in-fact,subject; to the limitations set. fowl in their respective certificates of authority shall have full power to bind the Companies by their signature and execution. of arty such iinstniments and to attach the seal of the Companies thereto. The President or any Vice President,alae Board of Directors or any other calker of the Companies may at any time revoke all power and authoritypreviously given to any attorneyin-fact. IN WTTNE'SS"WHEREOF,the COMPANIES have each caused these presents to be signed by its vice president and its corporate seal to be hereto affixed this day of 12016 6 x4llld GdIDJY Illlllfill!! \�, �xs r t�iri `rrSSyilnlnl irq l G\Nc1NS14,? UNITED FIRE&CASUALTY COMPANY �F CORP*rani ULv 2� �° UNITED FIRE&INDEMNITY COMPANY s!A& ams FINANCIAL PACIFIC INSURANCE COMPANY `�^�• �� SEAL II1111131i1tti11Y�yy B . Vice President State of Iowa,County of Linn,ss: G Oil chi v day of 2016 'bcfaxnc me peraonally oasrrc Do=6 r.R cl mlain to me known,who being by nie duly sworn,did depose and say;that he resides in Cedar Rapids,State of Iowa;that he is a'Vice President of UNITED FIRE &CASUALTY COMPANY,a'Vice President of'UNITED FIRE&INDEMNFI'Y COMPANY,and a"Vice President ofP"INAN'CIta 1,'PACIFIC INSURANCE COMPANY the corporations described in and which executed the above instrument;diaat Ire knows the seal of said corporations;that the seal ajMxed to the said histr'urnein is suolt corporate seal;(print it was so ufflxed pmarsuasn co auilrority given by the Board of Direotors of said crorpordidons and that he.signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporations. *1411Judith A.Davis Iowa Notarial SealfjCommission number 173041 A My Commission Expires 04123/201 6 Notary Public My commission exTirew 04/23/2018 1, David.A.Lange, Secretary of UNITED FIRE&CASUALTY COMPANY and Assistant Secretary o ITED FIRE&INDEMNITY COMPANY, and Assistarnt Secretary of FINANCIAL PACIFIC INSURANCE COMPANY, do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Section of the bylaws and resolutions of said Corporations as set forth in said Power of Attorney„with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID CORPORATIONS,and that the same are correct transcriptq thereof,and of•the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. In testimony whereof!have herountosubscribed my name and affixed the corporate seal of the said Corporations. this--.1,44-in day ..... rr �.... r 5ytY0l7tlI1 pd7dP!/ 5ri111111111!! yyyV51V1511111Nir,! 1,1111 ,CAShSuq,j fl,J * rrlSutNtrn.tl•y�!'r�A ol,Fa F"WAN e ,. r ,CC}iClG01SO (A7F. 5� w Colli'C1RnTG ° g G i1LY P ` 13 y.. /�`"•` � �» SML a sFnp, _y,� ries ^' A Secretary TJF&C (1Frtsr ' �cir prrarn>4��11s' '!!!lnl�nlnii�i�'°�`` 11„ Yyv+'<a` Assistant Seexe{any,T.7F1$c.I/FPIC pPi114AYi IlpllLLlu BPOA0053 0813 Inquiries: Surety Department 118 Second Ave SE Cedar Rapids,IA 52401 RICKL-4 OP ID:JE � m CERTIFICATEOF LIABILITY INSU (VCE DATE(MMI04120122016016Y) 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: Michael La Fittro MEllhiser Smith Agency,Inc. PHONEFAX 3100 Oakland Road NE Arc No Ex):319-365-8611 Arc No): 319-365-6919 PO Box 3100 E-MAIL ss:Certs mil lhisersmith.com Cedar Rapids,IA 52406-310D Michael L.Fittro INSUiIRER(S)AFFORDING COVERAGE MAIC# INSURERAMestern National Ins Group 15377 INSURED Ricklefs Excavating Ltd. INSURER B•: 12536 Buffalo Rd Anamosa, IA 522057637 tNSURERc INSURER D: �.... ......... ......... ...... ININSURER E: SURER 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 INDIC4TEID,. 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. (LTR TYPE OF INSURANCE IANSD WVD' POLICY NUMBER LISUBR MMIODNYYY i�PNDD1YYYY LIMITS A X. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE OCCUR X C' PREMISES PP1133892 03/1512016 0311612017 DAMAGES( RE 500 000 Ea occurrence $ , MED EXP(Ary one person) 5 10,000 PERSONAL&ADV INJURY 5 1,000,000 GENT AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATr $ 2,000 000 POLICY PRO- JECT I OG PRODUCTS COMNIOP AGG $ 2,000,000 �a OTHER: .,�.A.,.A.,.A.,.A.,.A.,.A,....,�_�..�... $ AUTOMOBILE LIABILITY COMBINED SI U _(Ea 0ucidarlt) - $ 1,000,000 ANY AUTO CPP1133096 0311512016 01311512017 BODILY INJURY(Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NDN-OWNED Z11PERTYDAMAGE $ AUTOS Per accident X. UMIERELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIA8 CLAIMS-MADE UMB1022084 03115/2016 0311512017 AGGREGATE $ 5,000,000 DED I X I RETENTION$ 0 $ WORKERS COMPENSATION X PEROTH- AND EMPLOYERS'LIABILITY STATUTE ER A ANY PROPRIETOR/PARTNERIEXECUTIVE Yr�N NIA A WCVIO17555 03115/2016 0311512017 E.L.EACH ACCIDENT 5 1,000,000 OFFICERIMEMRER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Uea;describe under 56RIPTION OF OPERATIONS below E.L.Df>EASE-PC7L,IC:Y LIMIT 5 1,000,000 A Lease/RentEquipm CPP1133899 0311512016 0311512017 LeastlRen 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 10111,Additional Remarks Schedule,may be attached it more space is required) Re: Fairfax LIV Disinfection System CERTIFICATE HOLDER CANCELLATION FAIRF-4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fairfax,Iowa its ACCORDANCE WITH THE POLICY PROVISIONS. officers 8r employees 525 Vanderbilt Street AUTHORlzeOREPRESENTATUVE PO Box 337 Fairfax IA 52228 ~ ^ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD 04122/2016 08:117:30 AM RICKLEFS EXCAVATING,LTD Page 1 of 1 Subcontractor STE List Vendor Name Address 1 !1 city p Code 1Jfederal 10 Dan's Custom Home Const 1617 Meadow Ridge Ct, Anamosa IA 52205 479-15-2400 Reece Electric 5591 32nd Ave Center Point ]A 52213 47-4559284 Ricklefs Excavating, Ltd. 12536 Buffalo Road Anamosa ]A 52205 42-1521119