HomeMy Public PortalAbout160-2016 - Sanitation - ESG Laboratories - Water TestingAGREEMENT
ORIGI,V44
THIS AGREEMENT made and entered into this 30-'Aday of etembto- , 2016, by and
between the City of Richmond, Indiana, a municipal corporation acting by and through its Board
of Sanitary Commissioners (referred to as the "City"), and ESG Laboratories, 5940 West
Raymond Street, Indianapolis, IN 46241 (hereinafter referred to as the "Contractor").
SECTION 1. STATEMENT AND SUBJECT OF WORK
City hereby retains Contractor for analysis of WWTP, domestic/industrial wastewater, river
sampling and digester analysis, consisting of industrial'domestic wastewater, and the treatment
plant, which shall include all necessary sample bottles plus weekly pickup at 2380 Liberty
Avenue, Richmond, Indiana. All reports will be delivered via e-mail or facsimile transmission to
the address or number provided by City, which may be amended from time to time, within
fourteen (14) working days of receipt of the samples. All final reports will consist of an original
signed copy with chain of custody attached.
A Request for Quotes has been made available for inspection by Contractor, is on file in the
office of the Department of Sanitation for the City of Richmond, consisting of two (2) typewritten
pages, which is attached hereto and incorporated by reference herein as Exhibit "A".
The response of Contractor to said Request for Quotes is attached. hereto and incorporated by
reference herein as Exhibit "B", consisting of eight (8) typewritten pages.
Should any provisions, terms, or conditions contained in any of the documents attached hereto
and incorporated by reference herein as. Exhibits, 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 for the proper
completion of all work specified. Contractor shall submit statements or bills monthly.
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(s) signed by Contractor in accordance with
I.C. § 22-5-1.7-11(a)(2); and
3. A purchase order has been issued by the Purchasing Department.
SECTION 11. STATUS OF CONTRACTOR
Contractor shall be deemed to be an 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 111. COMPENSATION
City shall pay Contractor at the rates indicated in Exhibit "B" in an amount not to exceed Thirty
Three Thousand Nine Hundred Seventy-nine Dollars and 00/100 ($33,979.00) per year.
Contract No. 160-2016
1 I Page
SECTION IV. TERM OF AGREEMENT
This Agreement shall become effective when signed by all of the parties hereto and shall continue
in effect until in effect to an including December 31, 2017. This City shall have the option to
renew this Agreement, for the rates stated above, for the years 2018 and 2019. Should the City
elect to renew this Agreement, it shall notify Contractor of this intent prior to the expiration of the
Agreement, upon which Contractor agrees to execute such a renewal. The scope of services nor
the consideration agreed to herein shall change in any subsequent renewal of this Agreement,
unless otherwise agreed to by the parties in a writing executed with the same formality of this
document.
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 thirty (30) 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 manner
its obligations under this Agreement;
b. submission of a report, other work, product, or advice, whether oral or written, by the
Contractor to lite City that is incorrect, incomplete, or does not meet reasonable
professional standards in any material respect;
c, ineffective or improper use of funds provided under this Agreement;
d. suspension or tennination 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.
This Agreement may also be terminated by either the City or the Contractor, in whole or in part,
by mutual Agreement setting forth the reasons for such termination, the effective date, and in the
case of partial termination, the portion to be terminated.
This Agreement may also be terminated by either the City or the Contractor, without cause, by
giving at least thirty (30) days written notice to the other party.
In the event of termination of this Agreement, the City shall be required to make payment for all
work performed prior to the date this Agreement is terminated, but shall be relieved of any other
responsibility herein.
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
C. Comprehensive General Liability
Section 1. Bodily Injury $1,000,000 each occurrence
$2,000,000 aggregate
Section 2. Property Damage $1,000,000 each occurrence
13. Comprehensive Auto Liability
Section 1. Bodily Injury $1,000,000 each person
$1,000,000 each occurrence
Section 2. Property Damage $ 1.000,000 each occurrence
E. Comprehensive Umbrella Liability $1,000,000 each occurrence
$1,000,000 aggregate
F. Malpractice.. -'Errors R Omissions insurance $1,000,000 each occurrence
$2,000,000 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 slate's worker's compensation law, Contractor may choose to comply with all
provisions of its home slate'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 VII. 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 affulrring 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 die violation. If Contractor fails to
remedy the violation within the thirty (30) day period provided above, the City shall consider
3 1 Page
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 (lye public
interest or public property, the City may allow this Agreement to remain in effect until Ole
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 htdiana Code (IC) 5-22-16.5, Contractor certifies that Contractor is not
engaged in investment activities in Iran. In the event Board determines during the course
of this Agreement that this certification is no longer valid, Board 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 Board
that the Contractor has ceased investment activities in Iran within ninety (90) days after
the written notice is given to the Contractor, the Board may proceed with any remedies it
may have pursuant to IC 5-22-16.5. In the event the Board determines during the course
of this Agreement that this 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 Board 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, terns, 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 action 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 money
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.
4 1 Page
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 OFLIABILITY
Contractor hereby agrees to release and hold harmless the City and all officers, employees, or
agents of the same from all liability which may arise in the course of Contractor's performance of
its obligations pursuant to this Agreement.
SECTION X1. MISCELLANEOUS
This Agreement is personal to the parties licreto and neither party may assign or delegate any of
its rights or obligations hereunder without the prior written consent of the other party. Any such
delegation or assignment, without the prior written consent of the other party, shall be null and
void. This Agreement shall be controlled by and interpreted according to Indiana law and shall
be binding upon the patties, their successors and assigns. This document 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. By executing this Agreement the parties agree that this document supersedes any
previous discussion, negotiation, or conversation relating to the subject matter contained herein.
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 any suit
arising out of this Contract 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. By executing this Agreement, Contractor is estoppel from bringing suit or any other
action in any alternative forum, venue, or in front of any outer tribunal, court, or administrative
body other than the Circuit or Superior Courts of Wayne County, Indiana, regardless of any right
Contractor may have to bring such suit in front of other tribunals or in other venues.
Any person executing this Contract in a representative capacity hereby warrants that he/she 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 in its efforts to enforce this
Agreement, including but not limited to, City's reasonable attorney's fees.
hi the event that an ambiguity, 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.
5 I. Page
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.
6,CIWI
The City of Richmond, Indiana, by and through
its Board o a itary Commissioners .
Sue Miller, President
Dated:
APPROVED:
Dave Snow, Mayor
Dated: I — 16 �'
"CONTRACTOR"
ESG Laboratories.
BY: _
(Printed): i-Ro,, G • 2i, sJo e>
Title: Rio c f 0.r� M owo�
Dated:
6 1 page
CONTRACT REQUEST FORM
1. Date contract needed (Clerk or agenda deadline): 12i31/2016 Date Submitted to Law*: 2016
2. Board/Commission that will approve contract Board of Sanitary Commissioners
3. Has bid been awarded? Yes Date awarded or expected: 11/22/2016
4. Is this a Common Construction Wage Project? NIA
5. Brief description of work to be performed or supplies to be furnished:
Contractor fbr laboratory analysis for the Sanitary District 2017, 2018 and 2M
6. Name and address of Contractor to be retained; 13nvironmentat Service Group
$940 West Raymond Street
Indianapolis. IN 46241
7. What method was used to request bids? (check one)
Request for Proposals (RFP) X Request for Quotes (RFQ)
Bid Specifications State Quantity Purchase Agr. Bid (QPA)
8. What date was the Bid Specification/RFP/RFQ/QPA sent out or requested? October 27.2016
9. Date of Contractor's Response/Proposal/Bid. November 8. 2016
to. Did the Contractor supply you with all necessary certificates of insurance, warranties, etc.? fig;,
11. In what office are the Bid SpecificadonsAW/Bid lists on file with the City? Sanitery District
12. Attach Contractor's response unless longer than ten (10) pages. If longer than ten (10) pages, in what
office is Contractor's response filed? Sam, itigy-.District -
13. Amount to be paid to Contractor 3S 3 979 (lab services for 2017); 533,979 (jab servi��g far 20181•
S333 979 Cab services far 20191
Term of Contract: Ono(]) year contract with oMions for two (2_) addidonal one Year to from siBnim of
contract until December 31.2019
14. Any other relevant information:
15. Submitted By: Tim L. Orrin Department: Sanitation
*Please complete and return, along with all attachments or exhibits, at Ieast one (1) week before the
contract is needed for ifs Agenda deadline.
Much 2009
Exhibit "A"
PRICE REQUEST
CITY OFRYCHMOND
DEPAR'fIIEWOF SANITA110N
sue LIDERTYAYLNUE.RiCtt16MA RUANA47374
p)rw. (j&5) 0l3.7450.FAXI7r<sl 901.760
VEND,
Environtnenta( Service Group
5940 West Raymond Street
Indianapolis, IN 46241
DATE: REPLY MUST DE IN BY:
October 27, 2D10 10:0WA on November 8, 2018
THIS IS NOT AN ORDER
INSTRUCTIONS
This (s a roquest for a pace for Big services of material&
described below. Any addliond epecHIieatbns may be
attached hereto. This is NOT an order and the Clty Waives
the dpht to accept at or part, or daclkA the endro proposd,
p:saso comp!ate your full time and phone number below
with stnstuts; Bambe ON pikes and charges whom
requaslcd; and attach any explanaibn for any substitution to
specifications @Noted. Return In a ceded anvolope, In care of
Richmond sanitary District Bonrd of Commissioners 10
the admldslrailen binding at the address above by the
scodAad data and Ame to be conoldered
PAYMENT TERMS: DELIVERY REQUIRED:
UPON REcel T Op INVOICE DELIVERED
DESCRIPTION
This is a request for quotes for 2017 through 2019 Contract Lob Duties. Please see attached specifications and bid
sheets. Please include a Certificate of insurance (Including Workman's Compensation) with quote.
E-Verify requirements enclosed.
Please return I eat nd the proposal shoot by tho above due date Ina soiled onvolo o to
Rfcitmond Sanitary Disfriel
Deniso joltnson, Cuato3ner Service Wringer
2380 Libetly Avenue
mchmond, IN 47374
Re; 2017-2019 Lubm•atofy
OD
Quoted Price 2017:$-3-aI''
Quoted Price 2019:$ 32, 1-11. --
QUestions7 Cali Tim OfTill at 766-963-7447.
STATE TAX EXEMPTION 0 003121909.001
Richmond S ary District
Quoted Price —
Quoted Valid UnQ1: Zo1'1
NAME OF FIRM QUOTING: AS01041 GAXPI-5014"
J't &.. &aldt0+aeENrr�.� S%2utg 6r up
BY:
• auT::owsto sr sialutuaa
LABoRhToR4 M��-�?- - —
rr
DATE PHONE tIUMBER
I*W
ESG Laboratories
$940Y1e%1RWneud Su4er
Lwsju^ V146241
Peon t311} 290.14r1 FaX (M) 290.1970
11107/2016
Denise Johnson
City of Richmond
Department of Sanliaflon
23a0 Liberty Avenue
Richmond, IN 47374
Subjeeb 2017 2019 Laboratory PrfCA Quotation
ESO Laboralodes Is pleased to provide Ole fovowing quotation for analysis of WWTP,
dornesticlrnduslriel wastewater, river sampling and digester analysis for the 20172019 calendar year.
Pdcklg Includes afl necessary sample bottles plus weekly pickup at 2380 Liberty Avenue,
Richmond, Indiana. Reports will be delivered by a -mall or FAX Atthin 14� ±� tl f cus days of re d1pt of
samples. The final report Will consist of an odgfnal signed copy �Y
. We appreciate the opportunity to provide this pricing to you. if you have any questions or
comments, please contact me at (317) 290-1471 or by e-mail at rb'scha astburlgrouo.oQ1}1
thank you,
Mr. Ray C. Blsche
Laboratory Manager
ESG Laboratories
RCB
Enclosures:
Exhibit "B"
Richmond Coanact Lab Quote Request p.2
laliuen". at EMucult 52 times /year (tivo locations-104 ludividual samples 1104
parameters))
rao ometer
Copper
deleufon limit &, /�i
0.0050
Inlluent&r wary/
SecondwrWeinol Efteah 6 times / year (four locations-24 Individual samples per parantelor 1432
pRrAmeiers)) '
op mmeler
detedton ltM11 LM9
Arsenic
0.0100
Mercury, (245.1)
0.0002
Cadmium
0.0100
Chromium
0.020
Lead
0.0010
Molybdenum
0.020
Nickol
0.020
Zino
0.020
Seknium
0.005
Antimony,
0.010
Beryllium
0•OQ4
Silver
0.005
Thwum
0.010
Hardness (CaCO3)
50.0
TICK
0.100
Nitrate -Nitrite Nitrogen
0.500
Total Dissolved Solids
1.0
COD
10.0
Oil and Meuse
10.0
Amenable Ci4-
<0.004
laftuentll,innl EMU*ntt 2 times / year (two locations-4 ladlvldual samples plus requlrca QC samples (4
paramete�,slL_.._.. '
PPOMM e,
Mercury, ()631 Ray E)
dA/eetiorr Ikaft AgIJ7
0.05.1.0
InHuent/lrlaai g muent! 4 times / year (two locations-8 individual samples per Analytical >tiletbod 124
Anolydcsl;4fc h eomplef4 Was)
remelt
VOCs (Method 624) plus 11Cs+
Acid Exlraeiables/
Base-Veutrai Compounds (Method 625)
drieeNon !unit W
lowest acblevable—must stipulate
glusTiCs• loivcst achtcveble—mwt siipuiata
pcyticide&CBs (Method 608) plus lowest aehieyabk--muststipulate,
TICS*
t Richmond Request for Quota, p3
1 times gene (2518cattaus-75 individual samples per parameter 11425 parameters])
dataritau.11rnlL(tRPa
Arseftic
0.0100
Mmury (245.1)
0.0
0.01000
Cadatium
ChromiumOA20
Copper -
0.0050
0.0010
Lead
0.0p
Molybdenum
0.020
Nckcl
0.010
Zinc
1010
Oil do Ultra
0.0050
Tow Cyanide
0.0050
Total Phenols
0.050
Aluminum
0.005
Selcaium
0.005
Silver
0,10
TitN
Nitrogen as Nitn(a
0.20
Ammonia—N
0.10
1 time I year (20 locations--20 Individual samples per Analytical Method 160 Analytical r"elbod complete
scans)
parameter
yD Wptbod 624)
Acid Etitractabled
gesc-Neutmi Compounds (Method 625)
pesticijemclu (Method 608)
detoCtfon lrmil (pg/f)
low 'pulate
lowest veldevable —must aUpulett
lowest achievable —mum stipulate
Richmond Rcgnest forQaote. p.4
DIVER SAMOA 2 times / year (eleven locntions-22 Individ aei sompEts per perrmeter (440 parameters))
�_�..•... le...0 /.rcR)
Arsenio
0.0100
CBOAS '
2.0
0.0100
Cadmn=
CUD
10.0
10.0 umhoskm
Conductivity
020
Chromium
Copper
0.0050
Total Hardness
SO.II
0.000S
Ma ury (245.1)
0.100
Ammonia—•N
0.0
Nickel
Nltrato•Nitrite
0'50�
00 & Grease
10.0
00010
Lwd
Toll Cyatdde
.00
0050
Total xjcldaht Nitrog-
0.100
Total Phosphorus as P
0.010
Total Suspended Solids
1.00
zloo
0.010
DIGES '> R SAr�4'iltS
6 tie or (S locations approslmately 178 total analysis)
PAromeler
17-021 COMM
Solids. Percent Total
Arsenic
Cedmhun
Copper
Lead
h(crcwy
hiolybdennm
Nickol
Seboh m
Zinc
pol)thtoriaated biphenyls (PCBs)
Total Nbrorert
Ammonia Nitrogen
NierateNitrogea
Phosphorus
Potassium
PAN Caktbdous Anaerobic lad Aerobic (utilize; YK11)
Volatile Acids
AWAY (as CAC03)
4"ay VSR
Yetatile Orpflks plusTICS*
BLmMoubal/Acid Fxtractab)es plus TICS+
Pesdridesdierbicidas phte TICS'
VnCs rafcr to "Teatadvaty identified Compounds'
NOTEt AS results except volatila adds and dllatinitymusl ba reported on vet weight AND drywcight basis
t
1
r'linnf*m RA19
ESGLABOR
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
1/06/2017
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
ONI Risk Partners, Inc.
P.O. Box 80159
CONTACT Christopher Ensm_ inger
PHONE 317-706-9594 FAX 317-706-9794
A/C, No, Ext): (A/C, No): _
E-MAIL ADDRESS: christop g her.ensmin er@onirisk.com _ _..
INSURER(S) AFFORDING COVERAGE
NAIC it
Indianapolis, IN 46280-0159
INSURER A: Cincinnati Insurance Co.
10677
317 575-9999
INSURED
ESG Laboratories
5940 West Raymond Street
Indianapolis, IN 46241-1729
INSURER B : Bridgefield Casualty Insurance
10335
INSURER C Greenwich Ins Co - XL Environme
22322
INSURER D
INSURER E.
INSURER F :
rnvGoer_Gc CERTIFICATE NLIMRER: 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 CONTRACTOR 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
WV
POLICY NUMBER
POLICY EFF
MM/DD
POLICY EXP
MM/DDrrNY
LIMITS
A
GENERAL LIABILITY
EPP0174375
1/01/2017
01/01/2018
EACH OCCURRENCE
$1,000,000
PREMISES Eaoccu ante
$500 0
X COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person)
-
$10 000
CLAIMS -MADE 1:9 OCCUR
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
X POLICY PRM LOC
A
AUTOMOBILE LIABILITY
EPP0174375
1/01/2017
01/01/201
COMBINED SINGLE LIMIT
Ea accident
1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
X
PROPERTY DAMAGE
Per accident
$
X HIRED AUTOS AUTOS
A
X
UMBRELLALIAB
X
OCCUR
EPP0174375
1/01/2017
01/01/201
EACH OCCURRENCE
s2,000,000
AGGREGATE
s2,000,000
EXCESS LWB
CLAIMS�u1ADE
DED I I RETENTION $
$
B
WORKERS COMPENSATION
019642136
1/01/2017
01/01/201
WC OTH-
X TORYLI ITS ER
E.L. EACH ACCIDENT
$500OOO
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
E.L. DISEASE - EA EMPLOYEE
500,000
OFFICER/MEMBER EXCLUDED? �
N / A
(Mandatory in NH)
E.L. DISEASE -POLICY LIMIT
I s500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
C
Professional &
PECO02455109
1/01/2017
01/01/2018
$1,000,000 Per Claim
Contractors Poll
$1,000,000 Aggregate
Legal Liability
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Richmond Sanitary Dist. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
2380 Liberty Avenue ACCORDANCE WITH THE POLICY PROVISIONS.
Richmond, IN 47374-0000
AUTHORIZED REPRESENTATIVE
ll 1voo-4V IV n...vr�u vv.v v.�i+..v... r... .y...... ..............
ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD
##S1394506/M1394479 ICENS