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Pool Painting Contract-2014-PearsonTHIS CONTRACT AND AGREEMENT made and entered into this 12 day of March, 2014 by and between the City of Blair, Nebraska, hereinafter referred to as "Owner ", and Pearson Painting, hereinafter referred to as the "Contractor" WITNESSETH: Contractor, for and in consideration of the sum of $18,000 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 11th day of March, 2014, as follows: Being items numbered one (1) through three (3) as shown in the schedule of prices 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, from 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 % day of kLL 2014. CITY OF BLAIR CONTRACTOR Jam ;Realph, Mayor Attest: Brenda R. Wheeler - JJW President Secretary City Clerk PEARS -1 OP 1D: AM DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1 03/24/2014 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 NAME: CONTACT Amy Mason Quinn Insurance, Inc. PHONE 402- 891 -1234 F N 402 -891 -1252 11815 M Street, Suite #200 A/C No Ext Omaha, NE 68137 -2232 E -MAIL amason uinninsurance.com Jason J. Quinn ADDRESS: @q INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Le Mars Insurance Company 114389 INSURED Pearson Painting Inc 2113 Washington St Blair, NE 68008 INSURER B: TYPE OF INSURANCE INSURER c UBR WVD INSURER D: POLICY EFF MM /DD/ INSURER E: LIMITS INSURER F: A nnvCO A ncc+ r •0O'r11=1r+A-rC wn IRROC®- RFVICI0M MI IMRFR- 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 LTR TYPE OF INSURANCE DDL IN R UBR WVD POLICY NUMBER POLICY EFF MM /DD/ POLICY EXP MMIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR LCP838608 01/19/2014 01/19/2015 EACH OCCURRENCE $ 1,000,00 DAAGE TO PREMISES Ea occurr REED $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED X HIRED AUTOS X AUTOS AUTOS BA838608 01/19/2014 01/19/2015 COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PER ACCIDENT) $ RTY A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ULP838608 01/19/2014 01/19/2015 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,000 DED I X I RETENTION $ 10000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WCL838608 01/19/2014 01/19/2015 WC STATU- OTH- X TORY LIMITS ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD