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RESOLUTION NO. 2016-47
RESOLUTION NO. 2016-47 A RESOLUTION APPROVING AND MAKING AWARD OF CONTRACT FOR THE 2016 SANITARY SEWER INTERCEPTOR MAIN EXTENSION PROJECT WHEREAS, the City Council of the City of Fairfax, Iowa, did receive bids on Thursday, May 12, 2016 at 10:00 AM for the 2016 Sanitary Sewer Interceptor Main Extension Project; and WHEREAS, the City Council of the City of Fairfax, Iowa, did hold a hearing about and approve the plans, specifications, form of contract, and estimated cost for the 2016 Sanitary Sewer Interceptor Main Extension Project on May 10, 2016. WHEREAS, Hall and Hall Engineers, Inc. have reviewed the bids and is recommending the City of Fairfax award the contract Cornerstone Excavating, Inc. in the amount of$902,615.30. NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of Fairfax, that the quote from Cornerstone Excavating, Inc. in the amount of $902,615.30 for the 2016 Sanitary Sewer Interceptor Main Extension Project, be and is hereby accepted, as the lowest responsible quote received, and a contract is hereby awarded; and BE IT FURTHER RESOLVED, that the contractor is hereby instructed to promptly execute the construction contract and return the same to the Mayor along with all the supporting documents required therein, including surety bond covering work to be performed and proof of satisfactory insurance coverage; and BE IT FURTHER RESOLVED,that the Mayor, with the assistance of the City Engineer, is thereafter directed to examine the contract for proper execution and all supporting documents, including surety bond and proof of insurance coverage to determine satisfactory compliance with contract specifications. If all documents are in order, the Mayor shall approve the same in writing and place written approval on file in the office of the City Clerk/Treasurer; and BE IT FURTHER RESOLVED, that the Mayor and City Clerk/Treasurer are hereby authorized and directed to execute the contract for and on behalf of the City and upon execution the contract shall be in full force and effect; and BE IT FURTHER RESOLVED, by the City Council of the City of Fairfax, Iowa, that the Mayor Pro Tempore and City Clerk/Treasurer are hereby authorized and directed to execute said Resolution. AYES: Beer, Daly, Kell, Volk, and Wainwright , NAYS: None P� s$„ ®R 4X Passed and approved this 31 st day of May, 20 1b, y' cy �( eelOeelN01i11!!/, Marianne Wainwright, Ma& Pro Tempore ATTEST::/ Cy thia Stimson, City Clerk/Treasurer OAK ar'Ar HALL & HALL ENGINEERS, INC. NOTICE OF AWARD Date: June 1, 2016 To: Cornerstone Excavating, Inc. 1320 West Main Street P.O. Box 928 Washington, Iowa 52353 Project: 2016 Sanitary Sewer Interceptor Main Extension HHE Project No. 6950-15-06DS Thank you for your bid dated May 12, 2016 for the aforementioned project. You have been awarded the Contract at the May 31, 2016 Fairfax City Council meeting for the work generally described as follows: The project generally consists of installing approximately 3,200LF of 24" diameter sanitary sewer main along a creek in Fairfax, and boring and jacking approximately 190LF of 36' diameter steel casing pipe with a 24" diameter sanitary sewer carrier pipe under Highway 151. The effective date of the Contract is May 31, 2016, which shall also be the effective date on the Performance and Payment Bonds. The Contract Price of your Contract is Nine Hundred Two Thousand Six Hundred Fifteen Dollars and Thirty Cents ($902,615.30) based upon Article 5 of the proposed Agreement, and exclusive of any incentive/disincentive payment based upon Section 00800. Three (3) copies of the proposed Agreement accompany this Notice of Award. Additional Project Manuals and Drawings will be distributed at the preconstruction conference. You must comply with the following conditions precedent within fifteen days of the date of this Notice of Award which is June 1, 2016. 1. Deliver to the OWNER three (3) fully executed counterparts of Contract Documents. [Each of the Contracts documents must bear your original signature on pages 00500-08 and 00500-09]. 2. Deliver with the executed Contract Documents three (3) fully executed Contract Security (Performance and Payment Bonds) as specified in the Instructions to Bidders (Article 21), and General Conditions (paragraph 5.01). 3. Deliver to the OWNER insurance certificates in accordance with Article 5 of the General Conditions. Insurance values should be as specified in paragraph SC-5.04 of the Supplementary Conditions, 4. Deliver to the OWNER a list of Contractors/ Subcontractors/Suppliers including Federal Identification Numbers for Sales Tax Exemption Certificates. 5. Schedule a Pre-Construction Meeting and provide a detailed Construction Schedule to the OWNER. 0"; t t .. t . w 6. OWNER's address for returning required documents: Hall and Hall Engineers, Inc Fairfax City Engineer 1860 Boyson Road Hiawatha, IA 52233 Failure to comply with these conditions within the time specified will entitle OWNER to consider your Bid in default, to annul this Notice of Award and to declare your Bid security forfeited. Within ten days after you comply with the above conditions, OWNER will return to you one fully executed counterpart of the Contract Documents. This Notice of Award shall not be deemed a Notice to Proceed. Joel Gross, P.E., LEED AP ND Project Manager Enc cc: Shane R. Wicks, P.E., Fairfax City Engineer Cynthia Stimson, City of Fairfax Clerk/Treasurer (Use Certified Mail, Return Receipt Requested) ^fr i z 00500 AGREEMENT 2016 SANITARY SEWER INTERCEPTOR MAIN EXTENSION CONTRACT NO. 6950-15-06DS THE CITY OF FAIRFAX THIS AGREEMENT is by and between CITY OF FAIRFAX (hereinafter called OWNER) and Cornerstone Excavating, Inc. (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: 2016 SANITARY SEWER INTERCEPTOR MAIN EXTENSION ARTICLE 2-WORK 2.01 CONTRACTOR shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: install approximately 3,200LF of 24" diameter sanitary sewer main along a creek in Fairfax, and boring and jacking approximately 190LF of 36' diameter steel casing pipe with a 24" diameter sanitary sewer carrier pipe under Highway 151. ARTICLE 3- ENGINEER 3.01 The Project will be administered by Hall & 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 June 6, 2016. C. The late start date is July 11, 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 within 65 Working Days (as defined in General Conditions)after the date when the Contract Times commence to run. 00500-1 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: Completion of all work and testing, except for the 30-day mandrel October 31, 2016 test 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 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 on OWNER generated pay application and, if applicable, change order documents within 14 calendar days of 4th 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 1. Prior to Project Completion, progress payments will be made in an amount equal to the percentage indicated below but, in each case, less the aggregate of payments previously made and less such amounts as ENGINEER may determine or OWNER may withhold, in accordance with paragraph 14.02 of the General Conditions: a. 95% of Work completed (with the balance being retainage). If the Work has been 95% completed as determined by ENGINEER, and if the character and progress of the Work have been satisfactory to OWNER and, OWNER, on recommendation of, may determine that as long as the character and progress of the Work remain satisfactory 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 equal to 100% of the Work completed less the aggregate of payments previously made; and b. 100% of cost of materials and equipment not incorporated in the Work (with the balance being retainage). 2. OWNER shall pay retainage to CONTRACTOR in accordance with paragraph 14.02.13.5 of the General Conditions. 6.03 Final Payment A. Upon final completion and acceptance of the Work in accordance with paragraph 14.07 of the General Conditions, OWNER shall pay the remainder of the Contract Price as recommended by ENGINEER as provided in 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 of the Work. D. CONTRACTOR has carefully studied all: (1) reports of explorations and tests of subsurface conditions at or contiguous to the 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 Facilities) which have been identified in the Supplementary Conditions as provided in paragraph 4.02 of the General Conditions and (2) reports and Drawings of a Hazardous Environmental Condition, if any, at the Site which 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 CONTRACTOR's purposes. CONTRACTOR acknowledges that OWNER and ENGINEER do not assume responsibility for the accuracy or completeness of information and data shown or 00500-3 November 6, 2014 indicated in the Contract Documents with respect to Underground Facilities at or contiguous to the 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 (surface, subsurface and Underground Facilities) at or contiguous to the Site or otherwise which may affect the cost, progress, performance or furnishing of the Work as CONTRACTOR considers necessary for the performance or furnishing of the Work or which relate to any aspect of the means, methods, techniques, sequences and procedures of construction to be employed by CONTRACTOR and safety precautions and programs incident thereto. F. CONTRACTOR does not consider that any further examinations, investigations, explorations, tests, studies, or data are necessary for the performance of the Work at the Contract Price, within the Contract Times, and in accordance with the other terms and conditions of the Contract Documents. G. CONTRACTOR is aware of the general nature of Work to be performed by OWNER and others at the Site that relates to the Work as indicated in the Contract Documents. H. CONTRACTOR has correlated the information known to CONTRACTOR, information and observations obtained from visits to the Site, reports and Drawings identified in the Contract Documents, and all additional examinations, investigations, explorations, tests, studies, and data with the Contract Documents. I. CONTRACTOR has given ENGINEER written notice of all conflicts, errors, ambiguities, or discrepancies that CONTRACTOR has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is acceptable to CONTRACTOR. J. The Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for performance and furnishing of the Work. K. CONTRACTOR is competent and has sufficient equipment, personnel and financial resources to perform Work in accordance with the Contract Documents. 00500-4 November 6, 2014 ARTICLE 9-CONTRACT DOCUMENTS 9.01 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 1 to 9, inclusive; ® b. Exhibit 500-A, Unit Price Work(pages 1 to 2, 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 1 to 3 inclusive); 5. Other Bonds (pages [ ]to [ ], inclusive), (name of bond); ❑ a. [ ] (pages [ ] to [ ], inclusive); ❑ b. [ ] (pages [ ] to[ ], inclusive); ❑ c. [ ] (pages [ ]to [ ], inclusive); 6. Bid Form Attachments ® a. Attachment I— Equal Employment Opportunity/Non- Discrimination Policy Statement ® b. Attachment II —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 VIII—Certification of Restrictions on Lobbying ❑ i. 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 ❑ I. Attachment XII—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 Public Improvements, current version b. Cedar Rapids Metropolitan Area Standard Details for Public Improvements, current version ® 8. Supplementary Conditions, Section 00800, (pages 1 to 18, inclusive); ® 9. Special Provisions and Specifications as listed in the table of 00500-5 November 6, 2014 contents of the Project Manual; ® 10. Drawings consisting of a cover sheet and sheets numbered A.01 through J.01, inclusive, with each sheet bearing the following general title: 2016 SANITARY SEWER INTERCEPTOR MAIN EXTENSION ® 11. Addenda(numbers 1 to 1, inclusive); 12. Exhibits to this Agreement(enumerated as follows): ❑ a. Notice to Proceed (pages [ ]to [ ], inclusive); ® b. CONTRACTOR's Bid Exhibit 00300A(pages 1 to 2, inclusive); ❑ c. Documentation submitted by CONTRACTOR prior to Notice of Award (pages [ ]to[ ], inclusive); ® d. Insurance Certificates; ❑ e. [FIELD FOR"OTHER EXHIBITS"]; 13. The following which may be delivered or issued on or after the Effective Date of the Agreement and are not attached hereto: ❑ a. Written Amendments; ❑ b. Work Change Directives; ® c. Change Order(s). B. The documents listed in paragraph 9.01.A are incorporated by reference (except as expressly noted otherwise above). C. There are no Contract Documents other than those listed above in this Article 9. Any attachments within an appendix not listed in Article 9, are not part of the Contract Documents. The CONTRACTOR has limited reliance on these appendices, in accordance with the General Conditions. D. The Contract Documents may only be amended, modified, or supplemented as provided in paragraph 3.04 of the General Conditions. ARTICLE 10- MISCELLANEOUS 10.01 Terms A. Terms used in this Agreement will have the meanings indicated in the General Conditions. 10.02 Assignment of Contract A. No assignment by a 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 to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. 10.03 Successors and Assigns A. OWNER and CONTRACTOR each binds itself, its partners, successors, assigns, and legal representatives to the other party hereto, its partners, successors, assigns, and legal representatives in respect to all covenants, agreements, and obligations contained in the Contract Documents. 00500-6 November 6, 2014 10.04 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 shall 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 00500-7 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. OWNER: City of Fairfax CONTRACTOR: Mwb (Skl .jck'%n� Cd s 't By: By: (Title) ( ' le) Date: ,/ --/� Date: �b [CORPORATE SEAL] [CORPORATE SEAL] n Attest -. Attest Address for giving notices: Address for giving notices: City of Fairfax CiOCANg ! Q„ �klG•m)e�.'�`���1 City Clerk 1-2,2o we,-7h- ;n 15k _Eox aR 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.) M-A Designated Representative: Designated Representative: Name: Shane Wicks, P.E. Name: Title: Project Manager Title: Address: Hall & Hall Engineers, Inc. Address: PO &x qz$ 1860 Boyson Road Hiawatha, Iowa 52233 °®r1A � Phone: (319) 362-9548 Phone: � Facsimile: (319) 362-7595 Facsimile: IPA 5 o r? Email Email Address: shane@halleng.com Address: A ,o llx� i&w M 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, the trade 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: certify that I am the wv„&„1'- of the corpora Von named as CONTRACTOR herein above; that �% , who signed the foregoing Agreement on behalf of CONTRACTOR was then V'cv- cn-ly 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. 71 (Corporate Seal) END OF SECTION 00500 00500-9 November 6, 2014 EXHIBIT 00500-A UNIT PRICE WORK 2016 SANITARY SEWER INTERCEPTOR MAIN EXTENSION CONTRACT NO.6950-15-06DS CITY OF FAIRFAX,IOWA BID STD ITEM ITEM UNIT PRICE BID NO. NO. DESCRIPTION QTY UNIT (Numbers) EXTENSION 1 01100-01 Mobilization 1 LS $ 43,500.00 $ 43,500.00 2 01110-01 Trench Compaction Testing 1 LS $ 2,500.00 $ 2,500.00 3 01200-01 Traffic Control 2 LS $ 875.00 $ 1,750.00 4 01200-41 Install Temporary Walkways(10'Wide Temp.Trail) 174 LF $ 116.00 $ 20,184.00 5 01300-01 Temporary Erosion and Sediment Controls 1 LS $ 1,500.00 $ 1,500.00 6 01300-10 Silt Fence 3,200 LF $ 1.70 $ 5,440.00 7 01300-12 Filter Socks at Storm Sewer Structures 50 LF $ 50.00 $ 2,500.00 8 01300-15 Temporary Seeding and Mulching(Contingency Bid Item) 0.70 ACRE $ 1,500.00 $ 1,050.00 9 01400-01 Clearing and Grubbing 1 LS $ 5,000.00 $ 5,000.00 Removal of Existing Seal Coat Street Pavement(West 10 01400-10 Cemetery Road)and part of Granular Driveway to 220 SY $ 4.00 $ 880.00 CMF&S Investments 11 01400-11 Removal of Existing Sidewalk(Existing Trail and 370 SY $ 4.00 $ 1,480.00 Temporary Trail) 12 01400-40 Removal of Existing Storm Sewer Structures 1 EA $ 2,000.00 $ 2,000.00 (Contingency Bid Item) 13 01400-41 Removal of Existing Storm Sewer and Culvert Pipe 80 LF $ 10.00 $ 800.00 (Includes F.E.S.) All Pipe is 24"Dia.or Smaller 14 01400-53 Removal of Existing Field Fence located between the 124 LF $ 2.50 $ 310.00 Arp's Field Property,and the City's Trail Property 15 02000-02 Strip and Respread Topsoil 1 LS $ 4,900.00 $ 4,900.00 16 02100-50 Granular Subbase, 10"Thick(Under W.Cemetery Road) 186 SY $ 8.80 $ 1,636.80 17 02100-50 Granular Subbase,6"Thick(Under the Trail Paving) 210 SY $ 5.25 $ 1,102.50 18 02200-10 Trench Stabilization(Contingency Bid Item) 600 CY $ 25.00 $ 15,000.00 19 02200-20 Granular Backfill(Contingency Bid Item) 550 CY $ 22.20 $ 12,210.00 20 02250-01 Casing Pipe-Boring and Jacking 190 LF $ 430.00 $ 81,700.00 21 02250-10 Carrier Pipe inside Casing Pipe 231 LF $ 57.50 $ 13,282.50 22 02300-01 Sanitary Sewer Gravity Main(24"Dia.) 3,190 LF $ 81.00 $ 258,390.00 23 02300-03 De-Watering for the Sanitary Sewer Gravity Main Trench 3,190 LF $ 94.50 $ 301,455.00 24 02300-05 Sanitary Sewer Stub,(10"Dia.Sanitary Sewer 3 EA $ 255.00 $ 765.00 Connection to MH 4&MH 12,Plug Ends) 00500-A September 25,2009 EXHIBIT 00500-A BID STD ITEM ITEM UNIT PRICE BID NO. NO. DESCRIPTION QTY UNIT (Numbers) EXTENSION 25 02300-06 Sanitary Sewer Stub,(15"Dia.Sanitary Sewer 1 EA $ 435.00 $ 435.00 Connection to MH 12,Plug End) 26 02300-07 Sanitary Sewer Stub,(18"Dia.Sanitary Sewer 1 EA $ 565.00 Connection to MH 12,Plug End) $ 565.00 27 02300-10 Sanitary Sewer Services(CFM&S Investments) 1 EA $ 5,025.00 $ 5,025.00 28 02300-10 Sanitary Sewer Services(TJ Rental) 1 EA $ 1,925.00 $ 1,925.00 29 02300-10 Sanitary Sewer Services(Karle Cross&Deb Doty) 3 EA $ 1,925.00 $ 5,775.00 30 02300-20 Sanitary Sewer Manhole(4'Dia.) 10 EA $ 4,750.00 $ 47,500.00 31 02300-20 Sanitary Sewer Manhole(5'Dia.) 1 EA $ 7,575.00 $ 7,575.00 32 02300-20 Sanitary Sewer Manhole(6'Dia.) 1 EA $ 9,175.00 $ 9,175.00 33 02300-50 Connection to Existing Sanitary Sewer Manhole 1 EA $ 1,000.00 $ 1,000.00 34 02400-01 Storm Sewer Main,RCP Class 111(18"Dia.) 35 LF $ 44.00 $ 1,540.00 35 02400-01 Storm Sewer Main,RCP Class III(24"Dia.) 37 LF $ 56.00 $ 2,072.00 36 02400-20 Culvert Pipe,CMP(12"Dia.) 8 LF $ 30.00 $ 240.00 37 02400-50 Storm Sewer Intake Al (Contingency Bid Item) 1 EA $ 3,000.00 $ 3,000.00 38 02600-30 Drain Tile/Agricultural Field Tile 80 LF $ 22.75 $ 1,820.00 39 Reinforced, Class C,4,000 psi Concrete,6-inch 176 SY $ 70.00 $ 12,320.00 02700-01 Thick(Trail) 40 65 SY $ 7.50 $ 487.50 02800-40 Aggregate Surfacing for Driveways 41 Bituminous Seal Coat, Cover Aggregate, Including 155 SY $ 11.00 $ 1,705.00 02800-61 Binder Bitumen(Contingency Bid Item) 42 600 CY $ 21.50 $ 12,900.00 02900-01 Imported Topsoil Contingency Bid Item) 43 Hydroseeding with Liquid Mulch Binder(Type 1A 1.5 ACRE $ 3,800.00 $ 5,700.00 02900-12 Seed Mix and Type 6, Rural Areas) 44 02950-01 Replace Field Fencing 124 LF $ 17.50 $ 2,170.00 45 16570-95 Traffic Signs,Type III Barricades,for Temporary Trail 2 EA $ 175.00 $ 350.00 Closure TOTAL BASE BID COMPUTED TOTAL BID (ITEMS 1 THROUGH 45) Nine Hundred Two Thousand Six Hundred Fifteen Dollars and Thirty Cents $ 902,615.30 (Words) (Numbers) 00500-A September 25,2009 ` ' Bond No. y\C585820 0Q$18 PERFORMANCE BOND CONTRACTOR(Name and Address): SURETY(Name and Address of Principal Place of Cornerstone Excavating, Inc. Merchants Bonding Company (Mutual) 1320 West Main Street, P.O. Box 928 6700 Westown Parkway Washington, Iowa, 52353 West Des Moines, IA 50266 OWNER(Name and Address): City of Fairfax 525 Vanderbilt Street Fairfax, Iowa 52228 CONTRACT Date: May 31, 2016 Amount: Nine Hundred Two Thousand Six Hundred Fifteen and 30/100 Dollars ($902,615.30) Description (Name and Location): 2016 Sanitary Sewer Interceptor Main Extension, Fairfax, IA Date(Not earlier than Contract Date):June 3, 2016 Amount: Nine Hundred Two Thousand Six Hundred Fifteen and 30/100 Dollars ($902,615.30) Modifications to this Bond Form: None urety 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 executed on its behalf by its authorized officer, agent, orrepresentative, CONTRACTOR ASPRINCIPAL SURETY C (C Seal) Compan (Corp. Seal) Signature: Signa N�meundTi�e~~� ~ ��y��� NameandTiUe� Anne Crowna� A�ornay_in'Faot (Attach Power ofAttorney) (Space is provided below for signatures of additional parties, if required.) CONTRACTOR ASPRINCIPAL SURETY Company: (Corp. Seal) Company: (Corp. Seal) Signature: Signature: Name and Title: Name and Title: ----------- -----------------F[��--E�8YOVVN—---LY -------------- -------- REVIEWEDER BY OWNER Date X6 Name and Title OOG10'1 1. The CONTRACTOR and the Surety,jointly and severally, bind themselves, their heirs. Executors, administrators, successors and assigns to the OWNER for the performance of the Conbuo\. which isincorporated herein byreference. 2. If the CONTRACTOR performs the Cnniroo\' the Surety and the CONTRACTOR have no obligation under this Bond, except to participate in conferences as provided in paragraph 3.1 3. If there 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 bo|ow, 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 performing the Contract. If the (}VVNER. the CONTRACTOR and the Surety agree, the CONTRACTOR shall be allowed a reasonable (inne to perform the Contract, but such an Agreement shall not waive the OVVNER'e right ifany, subsequently todeclare aCONTRACTOR Default; and 12. The {}VVNEFl has declared o CONTRACTOR Default and formally terminated the CC}NTRACTOFCaright hacomplete the Contract. Such CONTRACTOR Default shall not be declared earlier than twenty days after the CONTRACTOR and the Surety have received notice amprovided inparagraph 3.1; and 3.3. The OWNER has agreed tnpay the Balance ofthe Contract Price to: 3.3.1. The Surety inaccordance with the terms ofthe Contract; 8.3.2 Another CONTRACTOR aa|ached pursuant to paragraph 4.3 to perform the Contract. 4� When the OWNER has satisfied the conditions of paragraph 3, the Surety shall promptly and at the Surety's expense take one ofthe following actions: 4.1. Arrange for the CONTRACTOR, with consent of the OVVNER, to perform and nomp|*h* the Contract; or 4.2. Undertake to perform and complete the Contract ibsa|f, through its agents or through independent contractors; or 4.3. Obtain bids or negotiated proposals from qualified CONTRACTORS anoop\eh|e to the OWNER for a Contract for performance and completion of the Cnntraot, arrange for o Contract tobeprepared for execution bythe OWNER and the CONTRACTOR selected with the OYVNER'oconourrenco' 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 G in excess of the Balance ofthe Contract Price incurred bythe OWNER resulting from the CONTRACTOR Ootuu|i'. 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 tho OWNER and, as soon as practicable after the amount in determined, tender payment therefor hothe OWNER; nr 4A.2 Deny liability inwhole orinpart and notify the OWNER citing reasons therefor. 5. If the Surety does not proceed as provided in paragraph 4with reasonable promptness, the Surety shall be deemed to be in default on this Bond fifteen days after receipt ofzn additional UOG10-2 April 1. 2000 written notice from the OWNER to the Surety demanding that the Surety perform its obligations under this Bond, and the OWNER shall be entitled to enforce any remedy available to the OWNER. If the Surety proceeds as provided in paragraph 4.4, and the OWNER refuses the payment tendered or the Surety has denied pliability, in whole or in part, without further notice the OWNER shall be entitled to enforce any remedy available to the 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. 10. Notice to the Surety, the OWNER or the CONTRACTOR shall be mailed or delivered to the address shown on the signature page. 11. 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. The intent is that this Bond shall be construed as a statutory bond and not as a common law bond. 12. Definitions. 12.1 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 under 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: Failure of the CONTRACTOR, which has neither been remedied nor waived, to perform or otherwise to comply with the terms of the Contract. 12.x. OWNER Default: 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. 00610-4 April 1, 2000 Bond No. IAC585829 00620 PAYMENT 13OND Any singular reference 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): Cornerstone Excavating, Inc. Merchants Bonding Company (Mutual) 1320 West Main Street, P.O. Box 928 6700 Westown Parkway Washington, Iowa, 52353 West Des Moines, IA 50266 ..__.......... _. OWNER(Name and Address); City of Fairfax 525 Vanderbilt Street Fairfax, Iowa 52228 CONTRACT Date: May 31, 2016 Amount: Nine Hundred Two Thousand Six Hundred Fifteen and 30/100 Dollars ($902,615.30) Description (Name and Location): 2016 Sanitary Sewer Interceptor Main Extension, Fairfax, IA BOND Date(Not earlier than Contract Date): June 3, 2016 Amount:: Nine Hundred Two Thousand Six Hundred Fifteen and 30/100 Dollars ($902,615.30) Modifications to this Bond Form: None 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 SURETY Merc n Bonding C pany(Mutual) ACompany' Cornerstone E cavating Ina(Corp. Seal) Company: (Corp. Seal) Signature: Signator Name and Title: a® �•�`QC� t Name and Title: Anne Crowner, 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: Name and Title: Name and Title: -----------.._.__-............_.__.__._-_-_------------._--.-------------._-----------------------------------------_._._.. FOR USE BY OWNER ONLY REVIEWED BY OWNER c� ems. Signature ..� -;� _._�.M. Date -- Name and Title 00620-1 April 1, 2000 1. The CONTRACTOR and the Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to the OWNER to pay for labor, materials and equipment furnished for use in the performance of the Contract, which is incorporated herein by reference. 2. With respect to the OWNER, this obligation 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, demands, 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 Claimants, this obligation shall be null and void if 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 2. 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, staffing 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. 0. 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. 1. The ;surety's total obligation shall not exceed the amount of this Bond, and the amount of this Fond shall be credited for any payments made in good faith by the Surety. 00620-2 April 1, 2000 8. Amounts owed by the OWNER to the CONTRACTOR under the Contract shall be used for the performance cfthe Contract and tosatisfy claims, if any, under any Performance Bond. By the CONTRACTOR furnishing and the OWNER accepting this Bond, they agree that all funds earned by the CONTRACTOR in the performance of the Contract are dedicated to satisfy obligations of the CONTRACTOR and the Surety under this Bond, subject to the OVVNER'a priority to use the funds for the completion ofthe Work. U. The Surety ohoU 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 ofany costs or expenses of any Claimant under this Bond, and ahoU have under this Bond no obligations to make payments to, give notices on behalf of, or otherwise have obligations to Claimants under this Bond. 10. The Surety hereby waives notice of any change, including changes of time, to the Contractor to related Subcontracts, purchase orders and other obligations. 11. No suit oraction shall be commenced by Claimant under this Bond other than in a court of competent jurisdiction in the location in which the Work or part ofthe Work is located or n0ar the expiration of one year from the date (1) on which the Claimant gave the notice required by paragraph 4.1 or paragraph 4.2.3, or (2) on which the last labor orservice was performed by anyone or the |oat 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 |avv, the minimum period of limitation available to sureties as m defense in the jurisdiction ofthe suit shall b*applicable. 12. Notice to the Sum*b& 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 orthe CONTRACTOR, however accomplished, shall besufficient compliance aorfthe date received at the address shown nnthe signature page. 13. When this Bond has been furnished to comply with o statutory or other legal requirement in the location where the Contract was to be performed, any provision in this Bond conflicting with said statutory orlegal 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 ofany 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. 15. DEFINITIONS 15.1. Claimant: An individual or entity having e direct Contract with the CONTRACTOR orwith a Subcontractor of the CONTRACTOR to furnish labor, materials orequipment for use in the performance of the Contract. The intent of this Bond aheU be to include without limitation in the terms 'labor, mmbariu|o or equipment' that part of water, gas, power, light, heed. oil, AoaoUne. telephone service or nanba| equipment used in the Contrnct, architectural and engineering services required for performance of the VVnMh 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 |abor, materials or equipment were furnished. 152. 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 neither been remedied nor waived, to pay the CONTRACTOR as required by the Contract or to perform and oomp|aio or comply with the other terms thereof, O062O-3 April 1, 2V0O MERCHANT7SN_k BONDING COMPANY,,, POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.,both being corporations duly organized under the laws of the State of Iowa(herein collectively called the"Companies"), and that the Companies do hereby make,constitute and appoint,individually, Anne Crowner; Brian M Deimerly; Cindy Bennett; Craig E Hansen; Dione R Young; Jay D Freiermuth; Jody Decker; Kathleen Brewer; Kevin J Knutson; Lacey Cramblit; Michelle R Gruis; Shirley S Bartenhagen; Stacy Venn; Tim McCulloh of Des Moines and State of Iowa their true and lawful Attorney-in-Fact,with full power and authority hereby conferred in their name, place and stead,to sign, execute, acknowledge and deliver in their behalf as surety any and all bonds, undertakings, recognizances or other written obligations in the nature thereof, subject to the limitation that any such instrument shall not exceed the amount of: TWENTY MILLION($20,000,000.00)DOLLARS and to bind the Companies thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officers of the Companies,and all the acts of said Attorney-in-Fact, pursuant to the authority herein given,are hereby ratified and confirmed. This Power-of-Attorney is made and executed pursuant to and by authority of the following By-Laws adopted by the Board of Directors of the Merchants Bonding Company(Mutual)on April 23,2011 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 24,2011. "The President,Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact,and to authorize them to execute on behalf of the Company,and attach the seal of the Company thereto, bonds and undertakings, recognizances,contracts of indemnity and other writings obligatory in the nature thereof. The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 8th day of April , 2015. y,rrrrrr,4R,rrys�� •.•---•.• I ..... % • •�O�... .... •° MERCHANTS BONDING COMPANY(MUTUAL) �,r �I�Ot¢ '`.Q0 c,�'p�P0 9y; MERCHANTS NATIONAL BONDING,INC. CID ;J. � 6: 1933 'ti: • y By •• STATE OF IOWA ems`"-•, • , •. +++.+` ••�Y . COUNTY OF POLK ss. '�rrrrr,rr"�r4 •••°•• President On this 8th day of April 2015,before me appeared Larry Taylor,to me personally known,who being by me duly sworn did say that he is President of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.;and that the seals affixed to the foregoing instrument is the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. In Testimony Whereof, I have hereunto set my hand and affixed my Official Seal at the City of Des Moines, Iowa,the day and year first above written. � YY'IA461 WENDY WOODY Commission Number 784654 z ' My Commission Expires � wA June 20, 2017 Notary Public,Polk County,Iowa STATE OF IOWA COUNTY OF POLK ss. I, William Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 3rd day of June 12016 0"� . . 4( •��.• PO .*A°•• may' ;`= •Q' 1933 Secretary s • POA 0014 (7/14) a •=.....•�:w} <<,a .•�Y \•. ACO DR 06/07/20® CERTIFICATE OF LIABILITY INSURANCE DATE 7/20/Y6 /- 16 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(les) 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 1-800-247-7756 CONTACT NAME: Holmes Murphy & Assoc - WDM PHONE FAX AA/C No,,Ext): _ _ A/C No); PO Box 9207 E-MAIL ADDRESS: Des Moines, IA 50306-9207 INSURER(S)AFFORDING COVERAGE — NAIC# Jake Robertson INSURER A: UNITED FIRE & CAS CO 13021 INSURED INSURER B: Cornerstone Excavating, Inc. INSURER C: 1320 West Main Street INSURER D: Washington, IA 52353 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 47058041 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR N WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY 60459447 03/26/1 03/26/17 EACH OCCURRENCE $1,000,000 _ X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100,000 CLAIMS-MADE IX I OCCUR MED EXP(Any one person) $5,000 _ PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY X PRO- X LOC $ A AUTOMOBILE LIABILITY 60459447 03/26/1 03/26/17 COMBINED SINGLE LIMIT Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident -- $ A X UMBRELLA LIAB X OCCUR 60459447 03/26/1 03/26/17 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION 60459447 03/26/1 03/26/17 X TWOCRY LIMITS I I FIR AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? ❑ N/A -- -- (Mandatory in NH) E.L.DISEASE-EA E_M_P_LOYE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Hall and Hall Engineers, Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fairfax City Engineer ACCORDANCE WITH THE POLICY PROVISIONS. 1860 Boyson Rd AUTHORIZED REPRESENTATIVE Hiawatha, IA 52233 A„ 4 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD sstanleywdsm 47058041