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HomeMy Public PortalAbout006-2016 - Fire - Wallace Heating & Air - MaintenanceAGREEMENT THIS AGREEMENT made and entered into this _9day of � �1,41400016, and referred to as Contract No. 6-2016 by and between the City of Richmond, Indiana, a municipal corporation acting by and through its Board of Public Works and Safety (hereinafter referred to as the "City") and Wallace Heating and Air, Inc., 11 I Melody Lane, P.O. Box 3, New Paris, Ohio, 45347 (hereinafter referred to as the "Contractor"). SECTION I. STATEMENT AND SUBJECT OF WORK City hereby retains Contractor to provide necessary maintenance for the heating and air conditioning (HVAC) systems located at Richmond Fire Stations 1, 2, 3, 4, 5, and 6. Requests for quotes dated October 9, 2015, have been made available for inspection by Contractor, are on file in the offices of the Chief of the Richmond Fire Department for the City of Richmond, and are hereby incorporated by reference and made a part of this Agreement. Contractor agrees to abide by the same. The response of Contractor to said request for quotes is attached hereto as Exhibit A, which Exhibit is dated October 15, 2015, consists of ten (10) pages, and is also hereby incorporated by reference and made a part of this Agreement. Contractor agrees to abide by the same. Should any provisions, terms, or conditions contained in any of the documents attached hereto as Exhibits, or in any of the documents incorporated by reference herein, conflict with any of the provisions, terms, or conditions of this Agreement, this Agreement shall be controlling. The Contractor shall furnish all labor, material, equipment, and services necessary which are incidental to the proper completion of all work specified. No performance of services shall commence until the following has been met: 1. The City is in receipt of any required certificates of insurance and/or warranties; 2. The City is in receipt of any required affidavit signed by Contractor in accordance with Indiana Code 22-5-1.7-11(a)(2);and 3. A purchase order has been issued by the Purchasing Department. SECTION II. STATUS OF CONTRACTOR Contractor shall be deemed to bean independent contractor and is not an employee or agent of the City of Richmond. The Contractor shall provide, at its own expense, competent supervision of the work. SECTION III. COMPENSATION City shall pay Contractor a sum not to exceed Three Thousand Six Hundred Fifty-five Dollars and Zero Cents ($3,655.00) for complete and satisfactory performance of the work required hereunder. Contract No. 6-2016 Page 1 of 5 SECTION IV. TERM OF AGREEMENT This Agreement shall become effective January 1, 2016, and shall continue in effect until December 31, 2016. Both parties expressly agree that two (2) options to renew this Agreement for a second and third year shall be retained by the City upon the same rates, terms, and conditions of this Agreement for the calendar years 2017 and 2018. Notwithstanding the term of this Agreement, City may terminate this Agreement in whole or in part, for cause, at any time by giving at least five (5) working days written notice specifying the effective date and the reasons for termination which shall include but not be limited to the following: a. failure, for any reason of the Contractor to fulfill in a timely and proper manner its obligations under this Agreement; b. submission by the Contractor to the City of reports that are incorrect or incomplete in any material respect; c. ineffective or improper use of funds provided under this Agreement; d. suspension or termination of the grant funding to the City under which this Agreement is made; or e. unavailability of sufficient funds to make payment on this Agreement. In the event of such termination, the City shall be required to make payment for all work performed prior to the effective date by Contractor, but shall be relieved of any other responsibility herein. This Agreement may also be terminated, in whole or in part, by mutual Agreement of the parties by setting forth the reasons for such termination, the effective date, and in the case of partial termination, the portion to be terminated. SECTION V. INDEMNIFICATION AND INSURANCE Contractor agrees to obtain insurance and to indemnify the City for any damage or injury to person or property or any other claims which may arise from the Contractor's conduct or performance of this Agreement, either intentionally or negligently; provided, however, that nothing contained in this Agreement shall be construed as rendering the Contractor liable for acts of the City, its officers, agents, or employees. Contractor shall as a prerequisite to this Agreement, purchase and thereafter maintain such insurance as will protect it from the claims set forth below which may arise out of or result from the Contractor's operations under this Agreement, whether such operations by the Contractor or by any sub- contractors or by anyone directly or indirectly employed by any of them, or by anyone for whose acts the Contractor may be held responsible. Coverage Limits A. Worker's Compensation & Statutory Disability Requirements B. Employer's Liability $100,000 Page 2 of 5 C. Comprehensive General Liability Section 1. Bodily Injury Section 2. Property Damage D. Comprehensive Auto Liability Section 1. Bodily Injury Section 2. Property Damage $1,000,000 each occurrence $2,000,000 aggregate $1,000,000 each occurrence $1,000,000 each person $1,000,000 each occurrence $1,000,000 each occurrence E. Comprehensive Umbrella Liability $1,000,000 each occurrence $2,000,000 each aggregate SECTION VI. COMPLIANCE WITH WORKER'S COMPENSATION LAW Contractor shall comply with all provisions of the Indiana Worker's Compensation law, and shall, before commencing work under this Agreement, provide the City a certificate of insurance, or a certificate from the industrial board showing that the Contractor has complied with Indiana Code Sections 22-3-2-5, 22-3- 5-1 and 22-3-5-2. If Contractor is an out of state employer and therefore subject to another state's worker's compensation law, Contractor may choose to comply with all provisions of its home state's worker's compensation law and provide the City proof of such compliance in lieu of complying with the provisions of the Indiana Worker's Compensation Law. SECTION VIL COMPLIANCE WITH INDIANA E-VERIFY PROGRAM REQUIREMENTS Pursuant to Indiana Code 22-5-1.7, Contractor is required to enroll in and verify the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program. Contractor is not required to verify the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program if the Indiana E-Verify program no longer exists. Prior to the performance of this Agreement, Contractor shall provide to the City its signed Affidavit affirming that Contractor does not knowingly employ an unauthorized alien in accordance with IC 22-5-1.7-11 (a) (2). In the event Contractor violates IC 22-5-1.7 the Contractor shall be required to remedy the violation not later than thirty (30) days after the City notifies the Contractor of the violation. If Contractor fails to remedy the violation within the thirty (30) day period provided above, the City shall consider the Contractor to be in breach of this Agreement and this Agreement will be terminated. If the City determines that terminating this Agreement would be detrimental to the public interest or public property, the City may allow this Agreement to remain in effect until the City procures a new contractor. If this Agreement is terminated under this section, then pursuant to IC 22-5-1.7-13 (c) the Contractor will remain liable to the City for actual damages. SECTION VIII. IRAN INVESTMENT ACTIVITIES Pursuant to Indiana Code (IC) 5-22-16.5, Contractor certifies that Contractor is not engaged in investment activities in Iran. In the event City determines during the course of this Agreement that this certification is no longer valid, City shall notify Contractor in writing of said determination and shall give contractor ninety (90) days within which to respond to the written notice. In the event Contractor fails to demonstrate to the City that the Contractor has ceased investment activities in Iran within ninety (90) days after the written notice is given to the Contractor, the City may proceed with any remedies it may have pursuant to IC 5-22-16.5. In the event the City determines during the course of this Agreement that this Page 3 of 5 certification is no longer valid and said determination is not refuted by Contractor in the manner set forth in IC 5-22-16.5, the City reserves the right to consider the Contractor to be in breach of this Agreement and terminate the agreement upon the expiration of the ninety (90) day period set forth above. SECTION IX. PROHIBITION AGAINST DISCRIMINATION A. Pursuant to Indiana Code 22-9-1-10, Contractor, any sub -contractor, or any person acting on behalf of Contractor or any sub -contractor shall not discriminate against any employee or applicant for employment to be employed in the performance of this Agreement, with respect to hire, tenure, terms, conditions or privileges of employment or any matter directly or indirectly related to employment, because of race, religion, color, sex, disability, national origin, or ancestry. B. Pursuant to Indiana Code 5-16-6-1, the Contractor agrees: 1. That in the hiring of employees for the performance of work under this Agreement of any subcontract hereunder, Contractor, any subcontractor, or any person acting on behalf of Contractor or any sub -contractor, shall not discriminate by reason of race, religion, color, sex, national origin or ancestry against any citizen of the State of Indiana who is qualified and available to perform the work to which the employment relates; 2. That Contractor, any sub -contractor, or any person acting on behalf of Contractor or any sub -contractor shall in no manner discriminate against or intimidate any employee hired for the performance of work under this Agreement on account of race, religion, color, sex, national origin or ancestry; 3. That there may be deducted from the amount payable to Contractor by the City under this Agreement, a penalty of five dollars ($5.00) for each person for each calendar day during which such person was discriminated against or intimidated in violation of the provisions of the Agreement; and 4. That this Agreement may be canceled or terminated by the City and all monies due or to become due hereunder may be forfeited, for a second or any subsequent violation of the terms or conditions of this section of the Agreement. C. Violation of the terms or conditions of this Agreement relating to discrimination or intimidation shall be considered a material breach of this Agreement. SECTION X. RELEASE OF LIABILITY Contractor hereby agrees to release and hold harmless the City and all officers, employees, or agents of the same from all liability for negligence which may arise in the course of Contractor's performance of its obligations pursuant to this Agreement. SECTION XI. MISCELLANEOUS This Agreement is personal to the parties hereto and neither party may assign or delegate any of its rights or obligations hereunder without the prior written consent of the other party. It shall be controlled by Indiana law and shall be binding upon the parties, their successors and assigns. It constitutes the entire Agreement between the parties, although it may be altered or amended in whole or in part at any time by filing with the Agreement a written instrument setting forth such changes signed by both parties. Page 4 of 5 This Agreement may be simultaneously executed in several counterparts, each of which shall be an original and all of which shall constitute but one and the same instrument. The parties hereto submit to jurisdiction of the courts of Wayne County, Indiana, and suit arising under this Contract, if any, must be filed in said courts. The parties specifically agree that no arbitration or mediation shall be required prior to the commencement of legal proceedings in said Courts. Any person executing this Contract in a representative capacity hereby warrants that he has been duly authorized by his or her principal to execute this Contract. In the event of any breach of this Agreement by Contractor, and in addition to any other damages or remedies, Contractor shall be liable for all costs incurred by City due to the enforcement of this Agreement, including but not limited to City's reasonable attorney's fees, whether or not suit is filed. In the event that an ambiguity or question of intent or a need for interpretation of this Agreement arises, this Agreement shall be construed as if drafted jointly by the parties, and no presumption or burden of proof shall arise favoring or disfavoring any party by virtue of the authorship of any of the provisions of this Agreement. IN WITNESS WHEREOF, the parties have executed this Agreement at Richmond, Indiana, as of the day and year first written above, although signatures may be affixed on different dates. "CITY" THE CITY OF RICHMOND, INDIANA by and through its Board of Public Works and Safety By:q I Vicki Robinson, President RON LON Foore, Member Anthony Vprgfer, II, Member APPROVED: D Snow r Date: t `— �L _ ( "CONTRACTOR" WALLACE HEATING AND AIR, INC. I I I Melody Lane, P.O. Box 3 New Paris, OH 45347 By: Printed: Date: 3 /1- l u Page 5 of 5 W-� 1/V:�t 1 UN't +G 0 McATIMC3 8� AIR °'" OHIO LICENSE =18565 I 1 I MELODY LANE * P.O BOX 3 * NEW PARIS. OH 45347 Phone (937) 43 7-111 1 * Fax (937) 437-1516 WALLACEHEATING!a EMBAROMAIL.COM WWW.WALLACE HEATING I .CO vl Wallace Heating and Air is pleased to submit the following bids for service of the heating and air conditioning equipment at the Richmond Fire Department station houses. As always, Wallace is a drug free company that seeks to provide the best service at great price to achieve customer satisfaction. Thank you for the opportunity to bid. Tom Wallace President, Wallace Heating & .Air ��J V EXHIBIT PAGE _ _ � _0F 1� 'tl CITY OF RICHMOND FIRE DEPARTMENT 101 SOUTH FIFTH STREET-RICHMOND, IN-DIANA 47374 PHONE (765) 983-7266 -- FAX (765) 962-1808 E-mail: j urcellnrichmondindiana.sov E-mail: tbrown; rrichmondindiana.eov PRICE REQUEST THIS IS NOT AN ORDER DATE: Friday, October 09, 2015 REPLY MUST BE IN: Friday, October 16, 2015 SALLY L. HUTTON Mayor JERKY L. PURCELL Fire Chief TIMOTHY R. BROWN Assistant Fire Chief This is a request for a price or quote for the services or materials described below. Any additional specifications may be attached hereto. This is not an order and the Richmond Fire Department reserves the right to accept all or part, or decline the entire proposal. Please complete your full name, address, and phone number below with signature; itemize all prices and charges where requested; and attach explanation for any substitution to specifications altered. Please note: If any repairs are to be made are in excess of $100.00 during the duration of a contract, an additional request for bid may be made. Bid must be submitted to the Richmond Fire Department, 101 South 5t11 Street, Richmond, IN by Friday, October 16, 201.5 by 4:00 p.m, YOU MUST INCLUDE A CERTIFICATE OF INSURANCE AND WORKERS COMP. WITH YOUR BID ALONG WITH AN AFFIDAVIT OF EMPOYMENT ELIGIBILITY VERIFICATION This is a quote for General Maintenance of Heating and Air Conditioning Repairs for the Year 2016. Blanket Purchase Order will be issued for 2016 to the most responsive bidder. EXHIfaIT PAGE _OF 10 Please quote for an annual service/maintenance agreement for basic maintenance of the heating and air system for Richmond Fire Station #1, located at 101 South 5th Street, Richmond, IN. Bid must include material and labor for service and maintenance for the entire service period of one year. Bids must specify the total cost related to specified spring & fall startup as well as general maintenance labor cost. Please quote for basic service based on the following: SPECIFICATION FOR ANNUAL MAINTENANCE OF THE MECHANICAL SYSTEM The mechanical System is a Hot Water Heat/Chilled Water Cooling system consisting of two Triad gas -fired boilers and a new TRANE Chiller. Each spring and fall the system must be changed over from heating to cooling or vice versa. Following is the Maintenance Schedule for the Annual Service. SPRING - Change all filters and remove and clean all valve screens in Fan/Coil units. (April - June Per Chief s Request) Vacuum Fan/Coll units as required. Vacuum and clean coils, De -Foam & Treat Chillers with Anti -Fungicide TRANE — Start up chillers and lubricate all pump and fan/coil motors. FALL - Change all filters and remove and clean all valve screens in Fan/Coil units. (Sept. — Oct. Per Chief s Request) Vacuum Fan/Coil units as required. Lubricate all pump and fan/coil motors. Clean fire -side and water -side of Boilers. (Found in Section 6, Page 1 of the TRIAD Operating and Maintenance Manual) Clean/adjust burners for peak efficiency. Drain Chillers and prepare for winter. Regular Work Hours 2. Hourly rate 1st Hour Each additional hour Minimum Charge 3. Overtime rate or specialty rates Daily Saturday rate Sunday rate 1EXHBBITA PAGE 3 QF tD Holiday rate 4. Material Cost Mark up Time frame of response time This quote will cover work at the number one fire station at the following address: Station #1 101 South 5�' Street Contact Tim Brown, Assistant Fire Chief at 765-983-7265 to review the work areas or to discuss work requested. The Richmond Fire Department reserves the right to reject any and all bids, parts of bids, or re - solicit bids for the same and to waive informalities or errors in bidding. This bid, if awarded, could result in the option of renewing a contract for an additional 2"d and/or 3rd year. By: @..& NAME OF FIRM QUOTING Brenda Dingwerth Executive Secretary Wallace Heating & Air 111 Melody Lane, New Paris OH 45347 Address (937) 437-1111 Phone Number By: Tom WallAce Authorized by President Title Date: 10-16-15 EXHIBIT _A—PrAGE__q__OF IQ Wallace Heating & Air, Inc. P.O, Box 3 . 111 Melody Lane New Paris, OH 45347 765-962-1111 Voice: 937-437-1111 Fax: 937-437-1516 RICHMOND FIRE DEPARTMENT 101 S 5TH STREET RICHMOND, IN 47374 QUOTATION Quote Number. 10179 Quote Date: Oct 16, 2015 Page: 1 RICHMOND FIRE DEPARTMENT 101 S 5TH STREET RICHMOND, IN 47374 RICFIR 11/15/15 I Quantity `pescription .., .. .- Unit Fnce :. <;° Amoint 1.00 SERVICE CHILLER UNIT IN SPRING PER FIRE DEPARTMENT 950.00 + 950.00 , MAINTENANCE SPECIFICATION. CHANGEOVER FROM HEATING TO I I COOLING OPERATION. 1.00 SERVICE TRIAD BOILERS PER FIRE DEPARTMENT MAINTENANCE 950.00 950.00 SPECIFICATIONS. DRAIN CHILLER AND CHANGEOVER FROM COOLING TO HEATING. 1.00 REGULAR WORK HOURS ARE MONDAY - FRIDAY, 8AM-4:30 PM i 1.00 HOURLY RATE- FIRST HOUR $69, EACH ADDITIONAL HOUR IS $1\ BILLED IN 15 MINUTE INCREMENTS. MINIMUM CHARGE 1S i IMINUTE $69 1.00 OVERTIME RATE IS $103 FIRST HOUR AND $1.50 MINUTE BILLED IN j 15 MINUTE INCREMENTS THEREAFTER. THIS RATE IS THE SAME (AFTER HOURS DAILY, WEEKENDS, AND HOLIDAYS. 1.00 MATERIAL COST MARKUP IS 2.5 TIMES ON AVERAGE 1.00 I i I REPLACE FILTERS INCLUDED IN SERVICE PRICE I I I i f E i Subtotal 1,900.00 Sales Tax 'gip A_ 't;9�0`Otl I_XHIEIT _ PAGE �OF ) 0 Wallace Heating & Air, Inc. P.O. Box 3 111 Melody Lane New Paris, OH 45347 765-962-1111. Voice: 937-437-1111 Fax: 937-437-1516 RICHMOND FIRE DEPARTMENT 101 S 5TH STREET RICHMOND, IN 47374 QUOTATION Quote Number 10209 Quote Date. Nov 18, 2015 Page: 1 RICHMOND FIRE DEPARTMENT 101 S 5TH STREET RICHMOND, IN 47374 i . Customer 10 Good Tliiu 3 :', Payment Terms P RICFIR '; 12/18/15 j STATION HOUSE #2 QiiantiEy' Descript�an Unit Puce. 5_pmount _ 1.00 SERVICE GAS FURNACE FOR HEATING SEASON 69.00 69.00 2.00 SERVICE HANGING HEATERS FOR HEATING SEASON 69.00 138.00 1.00 SERVICE AIR CONDITIONING FOR COOLING SEASON 69.00 , 69.00 t 2.00 REPLACE FURNACE FILTER AT HEATING AND AIR CONDITIONING 9.00 18.00 I I i SERVICE I I i I i I E f EXHIEIT - IMAGE -ja--GF-LQ Wallace Heating & Air, Inc. P.O. Box 3 111 Melody Lane New Paris, OH 45347 765-962-1111 Voice: 937-437-1111 Fax: 937-437-1516 RICHMOND FIRE DEPARTMENT 101 S 5TH STREET RICHMOND, IN 47374 QUOTATION Quote Number. 10210 Quote Date: Nov 18, 2015 Page: 1 RICHMOND FIRE DEPARTMENT 101 S 5TH STREET RICHMOND, IN 47374 <Custoii�er ID " :� �'" GoodThru Paymen# TeLrcts ;= Safes Rep RICFIR 12/18/15 STATION HOUSE #3 Quantity Description :, _` .:� UttiiPncer,Amoun# 1.00 I SERVICE GAS FURNACE FOR HEATING SEASON 69.001 69.00 2.00 i SERVICE HANGING HEATERS FOR HEATING SEASON 69.00 138.00 1.00 i SERVICE AIR CONDITIONER FOR COOLING SEASON 69.00 69,00 2.00 REPLACE FURNACE FILTERS AT HEATING AND AIR CONDITIONING 9.00 18.00 I i ! i SERVICE � i I I i ( i - ;j 1 1 E I a i X H IV,[T A PAGE 7 -OF I n Wallace Heating & Air, Inc. P.O. Box 3 111 Melody Lane New Paris, OH 45347 765-962-1111 Voice: 937-437-1111 Fax: 937-437-1516 RICHMOND FIRE DEPARTMENT 101 S 5TH STREET RICHMOND, IN 47374 QUOTATION Quote Number. 10212 Quote Date: Nov 18, 2015 Page: 1 RICHMOND FIRE DEPARTMENT 101 S 5TH STREET RICHMOND, IN 47374 il 7,11,11 Cusfotner 1D Gaod_Thru <. �. Payinen Terms �:--.- r,r,r,r1 411/40/1C QTATInKI W)l ISF *A i 0 W: �XH181T P,Q 'Wallace Heating & Air, Inc. P.O. Box 3 111 Melody Lane New Paris, OH 45347 765-962-1111 Voice: 937-437-1111 Fax: 937-437-1516 RICHMOND FIRE DEPARTMENT 101 S 5TH STREET RICHMOND, IN 47374 QUOTATION Quote Number. 10213 Quote Date: Nov 18, 2015 Page: 1 RICHMOND FIRE DEPARTMENT 101 S 5TH STREET RICHMOND, IN 47374 Customer ID: ;" Good Thrit� x Payment Te`rins f'Y s _ales Rep RICFIR 12118/15 STATION HOUSE #5 Quantity ._ Descrpfion ;45ir [Hitt Price 'Amount 2.00 SERVICE FURNACES FOR HEATING SEASON 69.00 138.00 i 3.00 SERVICE HANGING HEATERS FOR HEATING SEASON 69.00 207.00 2.00 SERVICE AIR CONDITIONERS FOR COOLING SEASON I 69.00 138.00 f 4.00 REPLACE FURNACE FILTERS AT AIR CONDITIONING AND HEATING 1 9.00 36.00 SERVICE I I I 1i I i f _I f I I � Subtotal �— 519.01 Sales Tax lfl �?CHIC'IT PAGE O Wallace Heating & Air, Inc. P.O. Box 3 111 Melody Lane New Paris, OH 45347 765-962-1111 Voice937-437-1111 Fax: 937-437-1516 RICHMOND FIRE DEPARTMENT 101 S 5TH STREET RICHMOND, IN 47374 Quote Number. 10211 Quote Date: Nov 18, 2015 Page: 1 RICHMOND FIRE DEPARTMENT 101 S 5TH STREET RICHMOND, IN 47374 RICFIR 1 12/18/15 1 STATION HOUSE #6 I I Quantity .. ': J escnptaon x. r _ Amouni , 1.00 SERVICE FURNACE FOR HEATING SEASON 69.00 69.00 2.00 SERVICE HANGING HEATERS FOR HEATING SEASON 69.00 138.00 1.00 SERVICE AIR CONDITIONER FOR COOLING SEASON 69.00 69.00 2.00 r i i i i REPLACE FILTER AT AIR CONDITIONING AND HEATING SERVICE 9.00 18.00 1. i i I I AFFIDAVIT Employment Eligibility Verification Required by Indiana Code § 22-5-1.7-11 1. Contractor affirms that Contractor does not knowingly employ an unauthorized alien. 2. Contractor affirms under the penalties of perjury that it has enrolled and is participating in the E-Verify program. Contractor is not required to participate should the E-Verify program cease to exist. 3. Contractor agrees to provide documentation demonstrating that Contractor has enrolled and is participating in the E-Verify program. 4. HHC may terminate for default if Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified. I affirm, under the penalties for perjury, that the foregoing representations are true. actor R resentative Signature OI'Glt if Company Name (please print) 341 c-Q Date ACORO® CERTIFICATE OF LIABILITY INSURANCE `� DATE(MMIDDNYYY) r 03/02/2016 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 endomement(s). PRODUCER VanVleet Insurance Agency 1 Glen Miller Parkway CONTACT NAME: NAME: 765 g35-5655 FAx ( ) A/C No : 765)935-6164 E-MAIL ADDRESS: marcias@VanVleetlnsurance.COm INSURERS AFFORDING COVERAGE NAIC 0 Richmond, IN 47374 INSURER A: Erie Insurance Group INSURED Wallace Heating and Air, Inc. PO Box 3 INSURER 8 INSURERC: INSURER D : 111 Melody Lane INSURER E New Paris, OH 45347 INSURER F : COVERAGES CERTIFICATE NIIMRFR- RFVlclnu kill laancc• 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 iNqn SUBR wyn POLICY NUMBER POLICY EFF POLICY EXP MM/DD M M/DD/YYYYJ LIMITS X COMMERCIAL GENERALLIABWTY CLAIMS -MADE F. I OCCUR Q340521000 1 1 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEDPREMI E Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X� JET LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS X AUTOS NON -OWNED HIRED AUTOS X AUTOS Q10 5540014 10/OS/2015 10/OS/2016 Eo aSIINI�ED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Q340521000 10/05/2015 10/05/2016 EACHOCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DIED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A EMPLOYER LIABILITY ONLY Q34 0521000 - - - 10/05/2015 10/05/2016 PTATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Richmond - Fire Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 50 N 5th St ACCORDANCE WITH THE POLICY PROVISIONS. Richmond IN 47374 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD .:Lo N a= m+CO � _ O �0 O C O ? U S (� u- CMC > O > p O c p 0y y., 0 0 Q v� I�1 C/) c E i1 0 W n 3 4W MM> CL 0) ps�v y m m aw (DE>� r O Q m m m cU U d n of 0aaD 0 >CL V p }' o O� 3 N a v 0 cu m a r o +� = Q co ENE �o�� 0 0L��� z `t � 3 Q C14 m W �- > ca ;,= a) 'C*4 p � � =per Q 0 0� 'p N W J qC L Vi f0 d N in (i W Q C to LA 3.2 C p E v-qO 3 V-4 _j J —i rq :m cr W oo c M EL rl Li1 _a -0 m O N d