Sewer lining along Fairview Dr1 I
THIS CONTRACT AND AGREEMENT made and entered into this 4th day of March,
2014 by and between the City of Blair, Nebraska, hereinafter referred to as "Owner ", and
Midlands Contracting, Inc., hereinafter referred to as the "Contractor"
WITNESSETH:
Contractor, for and in consideration of the sum of $130,435 based on the
quantities shown in the bid form 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 25 day of February 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 for each unit installed 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 4 th day of March 2014.
CITY OF BLAIR
J es Realph, Mayor
CONTRACTOR
V'C.6 :W PresOent
Attest:
Brenda R. Wheeler
City Clerk
Secretary
Bid Item Unit Unit Price Extended Price
Mobilization 1 LS $ v 0 $ d° U
J
Traffic Control 1 LS $ a . d'a $ ✓ O d . 00
Install 30" CIPP Sewer Liner 815 LF $ ® 0 $
Total Bid: $ V �D t L 13S.00
Each proposal shall be accompanied by a certified check, bid bond by a surety company
registered to do work in the State of Nebraska, or a certified share draft on a credit union in
Nebraska or Chartered under the laws of the United States in the amount bf five percent (5 %) of
the total bid price and made payable to the City of Blair.
No bidder may withdraw their proposal within 30 days after the bid opening.
The City of Blair reserves the right to reject or accept any or all bids waived any irregularities in
the interest of the City.
an
Comp y
Address:
Phone Number:
Email Address:
C ® DATE (MM /DD/YYYY)
3/11/2014
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 TA T
NAME:
The Harry A. Koch Co PHONE, Ext :402 -8 1 -70 a c No
P.O. Box 45279 E -MAIL
Omaha NE 68145.0279 ADDRESS:
INSURER (S) AFFORDING COVERAGE NAIL #
INSURER A:Bittimi not is, (;ASIIAItV (nrnnrAtlnn nngs
INSURED
Midlands Contracting, Inc.
PO Box 1065
Kearney, NE 68848
� 11
INSURER C:
INSURER D:
INSURER E:
COVERAGES CERTIFICATE NUMBER 11 nA9A7Qn� 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
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM /DD/YYYY
POLICY EXP
MM /DD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE , OCCUR
5 V
CLP3594121
10/1/2013
0/1/2014
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$100,000
MED EXP (Any one person)
$5,000
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO- X LOC
PRODUCTS - COMP /OPAGG
$2,000,000
$
A
AUTOMOBILE
X
X
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
CAP3594122
10/1/2013
0/1/2014
Ea accident
$1
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
CUP2804381
10/1/2013
0/1/2014
EACH OCCURRENCE
$5,000,000
AGGREGATE
$5,000,000
DED X I RETENTION $10,000
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR /PARTNER /EXECUTIVE
OFFICER /MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
WC3594120
10/1/2013
0/1/2014
X WC S LA T T OER
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 / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedu le, if more space is required)
1'FRTIF1rnTF 1-1(11 r1FR t`AKUf Cl 1 ATIr%K1
U 1UblJ -ZU1U AGORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) 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
City of Blair
ACCORDANCE WITH THE POLICY PROVISIONS.
218 South 16th Street
Blair NE 68008
AUTHORIZED REPRESENTATIVE
5 V
U 1UblJ -ZU1U AGORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD