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2018-Demolition of Old Water Treatment PlantContract THIS CONTRACT AND AGREEMENT made and entered this 20th day of February, 2018 by and between the City of Blair, Blair, Nebraska, hereinafter referred to as "Owner", and Anderson Excavation, hereinafter referred to as the "Contractor" WITNESSETH: Contractor, for and in consideration of the sum of $72,635 payable as set forth in this contract, hereby agrees to perform, in accordance with the specifications, the various items of work awarded said contractor on the 13th day of February, 2018, as follows: Being the Lump Sum Bid in the attached proposal which is a part of this contract. That it is mutually understood and agreed by parties hereto that the Contractor's Bond, the proposal Project Specifications, Special Provisions and all supplemental agreements are a part of this contract. The Contractor expressly warrants that they have no third party to solicit or obtain this contract in their behalf or to cause or procure the same to be obtained upon compensation in any way contingent in whole or in part, upon such procurement, and that they has nor paid or promised or agreed to pay to any third person in consideration of such procurement or in compensation for service in connection herewith, any brokerage, commission, or percentage upon the amount to be received by them hereunder, and that they have not, in estimating the contract price determined by them, included any sum by reason of any such brokerage, commission or percentage; and that all monies payable to the Contractor hereunder are free from obligation of any other person for services rendered or supposed to have been rendered in the procurement of this contract. Contractor further agrees that any breach of this warrant shall constitute adequate cause or the annulment of this contract by the Owner, and that the said Owner may retain for its own use, fiom any sums due or to become due hereunder, an amount equal to any brokerage, commission or percentage so paid or agreed to be paid. All work required in carrying out this contract shall be performed under direct supervision of the Owner or its representative in compliance with the laws of the State of Nebraska. Contractor also states that they will comply with Fair Labor Standards in the performance of this contract. That the Contractor further agrees to supply and pay all just claims for materials, supplies, tools, fuels, lubricants, equipment, rental, machinery insurance premiums and services used or consumed in the construction of the work by them or any of their subcontractors in carrying out the provisions of this contract, and further agrees that the Contractor's Bond shall be held to cover all such claims. That in consideration of the foregoing, the Owner hereby agrees to pay the Contractor promptly the amounts set forth herein subject to the conditions set forth in this contract or any part thereof as herein described. It is further understood and agreed that the Contractor shall not do any work or furnish any materials not covered and authorized by this contract unless ordered in writing by the Owner. Any such work which may be done or any such materials which may be furnished by the Contractor with out such written order first being given shall be at their own risk, cost and expense; and the Contractor hereby convents and agrees that they shall make no claim for compensation for any work so done or any materials so furnished. IN WITNESS WEREOF, the parties hereto have set their hands for the purpose herein expressed to this instrument this z:of L-\ 2018. CITY OF BLAIR ��� - (J" \ f Attest: Brenda R. Wheeler City Clerk CONTRACTOR c� Bid Form Demolition of Old Water Treatment Plant Lump Sum $ No bidder may withdraw their proposal within 30 days after the bid The City of Blair reserves the right to reject or accept any or all bids the interest of the City. Company:&SJtx:S0& -4—xCP'J4" Address: M 0 Rocca S CQvy1.a.yq , nig Phone Number:No2) 3qs- 8800 Email Address: q r1 c(e-rsan . ex Ca V a7 rL any irregularities in Submitted, MI 3/15/2018 14:34 Remote ID Remote ID D 2/2 CERTIFICATE OF LIABILITY INSURANCE °03/15/2018 Y' 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(ias) 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 1-866-220-4625 Holmes Murphy and Associates - Omaha CONTACT NAME: PHONE FAX A1C Na Ext): A1C No): ADDRESS: 13810 FNB Parkway INSURERS} AFFORDING COVERAGE NAIC # Suite 300 Omaha, NE 68154 INSURERA: AN$RICAN INTERSTATE INS CO 31895 INSURED INSURER B : Anderson Excavating Company INSURER C INSURER D: 2566 Leavenworth St. INSURER E Omaha, NE 68105 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWIJED HIRED AUTOS AUTOS INSURER F AP�i,�onA GL• WFVEti11 Im NI ImmiF , 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, LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMTfS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FI OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWIJED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per amidenl) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIA13ILFFY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMHER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A AVWCNE2654662018 01/01/18 01/01/19 WOCS13YLATTJINAIS OETH- E.L. EACH ACCIDENT $ 1, 000 , 000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER UANU1=1LLAI JUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Blair THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Mark 218 So. 16th St AUTHORIZED REPRESENTATIVE Blair, NE 68008 USA `` "�Qyl,(ttQQ���� µ— ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD sgarrelsne 52295719 03-14-2018 10:36 AM Fax > Mark D 1 ACQR© CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 3!14/201$ 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($), 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 The Harry A. Koch Co. P.O. Box 45279 Omaha PTE 68145-0279 CONTACT NAME: PHONE FA AIC No Ext : 402-861-7000 A1C No): ADDRIESS: INSURERS AFFORDING COVERAGE NAIC # - INSURERA: Burlington Insurance Co 23620 EACH OCCURRENCE $1,000,000 INSURED AND20833 INSURER B: Evanston Insurance CID 35378 Anderson Excavating Co 1920 Dorcas St. INSURER C: Travelers Casualty Co of Connecticut 36170 GENERAL AGGREGATE $2,000,090 Omaha NE 68108 INSURERD: INSURER E: C INSURER F: rnuGt?Ar_cc CERTIFICATE NUMBER- 1874405042 REVISION NUMBER: vTHIS 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. I % LTR TYPE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN POLICY NUMBER MMI�D(YYYY MM/DDnYYY LIMITS A GENERAL LIABILITY XCOMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR X 5909 0891i:RP0012!J.M' 1/11'1018 1/112019 EACH OCCURRENCE $1,000,000 Ea occur ante $190,090 PREM SES('a., MED EXP (Any one person) $ 5,000 PERSONAL&ADV INJURY $1,000,090 GENERAL AGGREGATE $2,000,090 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY [_X] PRO- LOC PRODUCTS -COMPIOPAGG $2,000,090 $ C AUTOMOBILE LIABILITY X ANY AUTD ALL OWNED SCHEDULED X HIIREDSAUTOS AUTOS X NON OWNED AUTOS BA%3357E41801,19 1/1u2010 1/1/2019 COMBINED SINGLE LIMIT Ea acddent $ 1 000 090 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PPe�accdenDAMAGE $ BNUMBRELLA LIAR EXCESS LIAB rl OCCUR CLAIMS -MADE MKLV3EUL100231 12/28/2017 11112019 EACH OCCURRENCE $ 5,000,090 AGGREGATE $ 5,000,090 DED I I RETENTION$ $ WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN ANY OFFICERIMEMBER EXCLUDED? (Mandatory In NH) fyyes describe under DESCRIPTION OF OPERATIONS below NIA QRSUATUs ER E.L. EACH ACODENT $ E.L. DISEASE -EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS 1 LOCATIONS i VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Project: Water plant ram-nmrATG un1 npp CANCELLATION O 1988-2010 ACORD CORPORA TION. AU rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Blair 218 So. 16th St. AUTHOBIZED REPRESENTATIV Blair NE 68008 r O 1988-2010 ACORD CORPORA TION. AU rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD