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Home My Public Portal About076-2022 - White Oak - lawncare for main building AGREEMENT THIS AGREEMENT made and entered into this 16 day of Qt , 2022, by and between the City of Richmond, Indiana, a municipal corporation acting by d through its Board of Sanitary Commissioners(referred to as the"City"),and White Oak Lawn Care and Maintenance, 4880 US 27 South,Richmond,IN 47374(hereinafter referred to as the"Contractor"). SECTION I. STATEMENT AND SUBJECT OF WORK City hereby retains Contractor for work relative to grass cutting and grounds maintenance for the City, for the specific locations of the City Treatment Plant; New Paris Pike Landfill; and any additional areas which may subsequently be agreed upon by the parties herein. Contractor agrees to provide services associated with mowing,trimming,spraying of weeds,debris removal,clearing sidewalks of clippings and keeping front patio cleared off after work. Additional services may be requested,which include,but are not limited to tree and brush trimming. 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, 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". 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 II. 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 III. COMPENSATION City shall pay Contractor at the rates indicated in Exhibit`B",which sets forth that Contractor shall be paid the sum of Two Hundred Dollars and 00/100 ($200.00)per cutting at the City Treatment Plant; Forty-five Dollars ($45.00) per cutting at the New Paris Pike Landfill and Twenty-five Dollars ($25.00) per hour for additional services requested by the City, with said rates being applicable during the entire term of the agreement. Contract No. 76-2022 1 I Page Contract No. 76-2022 SECTION IV. TERM OF AGREEMENT This Agreement shall become effective when signed by all of the parties hereto and shall continue in effect until to an including December 31,2024. 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: XI. 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 the 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 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. 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 2 I Page 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 D. 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 &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 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 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 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 tetntinated under this section, then pursuant to IC 22-5-1.7-13 (c) the Contractor will remain liable to the City for actual damages. 3 I Page 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 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 XI. 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: XI. 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; XI. 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 XI. 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. C. Violation of the teens or conditions of this Agreement relating to discrimination or intimidation shall be considered a material breach of this Agreement. SECTION X. RELEASE OF LIABILITY 4 I Page 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 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. 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 parties, 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 other 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. In 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. 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. [Remainder of this page intentionally left blank. Signatures to follow on page 6] 5 Page "CITY" "CONTRACTOR" The City of Richmond,Indiana,by and White Oak Lawn Care and Maintenance, through its Board of Sanitary LLC Commissioners By r4n -- Sue filler,President Dated: .5//o/a°�-r (Printed): 4) `� Cru.i Title: y C- Am ice resident - Dated: S——/o — 2-022_ Dated: ,j)i(p / 7 2 r St s, Member Dated: S /a - - APPROVED: ILO Allt►�_ '''''Ba. ': now,lf ayor Dated: 01 a( r? 6 I Page • 131'' TC "4 1(.7 It U7ST i 1 1,-1 ---1 , .„...., iA�(��' 5ii-p J\o t, CITY OF RICIEVIOND DEPARTMENT OF SANITATION 2380 LIBERTY AVENUEoRICHMOND,INDIANA47374 THIS IS NOT AN (ORDER PHONE(765)983-7450oFAX(765)962-2669 1 "� -- .____.2::_=:__ VENDOR INSTRUCTIONS This is a request for a price for the services of materials described below. Any additional specifications may be attached hereto. This is NOT an order and the City reserves the right to accept all or part, or decline the entire proposal. Please complete your full name and phone number below with signature; itemize all prices and charges where requested; and attach any explanation for any substitution to specifications,altered. DATE: REPLY MUST BE IN BY: PAYMENT TERMS: DELIVERY REQUIRED: February 28, 2022 March*8..2022 UPON RECEIPT OF INVOICE DELIVERED DESCRIPTION This is a price request for Lawn Care and Landscaping Work the Richmond Sanitary District. The period of Service will be,signing of the contract to December 31,2022 with the option to renew for year two(2023)and year three(2024)ending December 31,2024. Specifications are attached PLEASE ENTER ALL INFORMATION.ON ATTACHED PROPOSAL SHEET. Richmond Sanitary District 2380 Liberty Avenue Richmond, IN 47374 Re: Lawn Care and Landscaping Service Please include Certificate of Insurance with Quote. Quote Valid Until . Questions? Call Darren Duncan at 765-983-7457. Email clduncanQrichmondindiana.yov or Jeff Lohmoeller at 765- 983-7464 . Email ilohmoellernrichmnonclindiana.clov, NAME OF FIRM QUOTING: BY: STATE TAX EXEMPTION#003121909-001 AUTHORIZED BY SIGNATURE //7�/,�/�_Q_ddlet TITLE Richmond Sanitary District DATE PHONE NUMBER 91-1 PAGE _,cF Richmond Sanitary ,District Grass Cutting and Grounds Maintenance Service *Plus special requests that will be outside of the Plant and Landfill Request for Quotes This is a quote for the 2022 Calendar Year with the option to renew contract for year two (year 2023) and again year three(year 2024). For questions and tour of Waste Water Plant call Jeff Lohmoeller at 983-7464. For questions and tour of Landfill area call Darren Duncan at 983-7457. Mow and trim grass for entire Waste Water Treatment Plant at 2380 Liberty Avenue. Mow and Trim front entrance at Landfill and area around New Solid Waste Garage located at the New Paris Pike Landfill, 5242 New Paris Pike,Richmond,IN. Work at each facility includes: 1. Mowing 2. Trimming 3. Spraying of Weeds-every time you spray you need to notify either the Plant Manager(765-983-7464) or the Pretreatment Coordinator (765-983-7447). 4. Removing Debris before Mowing (trash, small limbs...) 5. Clearing Sidewalks of Clippings 6. Keeping the Front Patio cleared off after any work i 7. During Construction Projects at the Sanitary District,you will need to provide your employees PPE (personal protection equipment) to our specifications.This will include hardhats, safety glasses,hi-viz outerwear (tee shirts,vests, etc.) and steel-toed shoes. *From time to time, additional services, such as tree and brush trimming and spraying for weeds will be requested. Please indicate an hourly rate, for each person,to complete such requests. The response time after such a request is made should be no longer than two (2) weeks. This work is not limited to the Treatment Plant or Landfill but will be within the Sanitary District at large.From time to time we will need you to trim trees or brush in alleyways that cause damage to our trash trucks. The Plant Manager, Jeff Lohmoeller, will give you a location,whereupon,you will then charge the District accordingly to the hourly rate listed. Quote evaluation will be based on 24 cuttings and 750 hours additional requested projects/services per year.This does not mean that 24 cuttings and 750 additional hours will be requested. Proposal Sheet 2022 Grass Cutting and Grounds Maintenance Service with Option to Renew for 2023 and 2024 Scope of Work: Grass Cutting and Grounds Maintenance Service NAME OF CONTRACTOR ADDRESS CITY/STATE Year—2022 Cost per Cutting,Treatment Plant $ per cutting Cost per Cutting,New Paris Pike Landfill: $ per cutting Cost for additional request per hour charge: $ per man hour Year—2023 Cost per Cutting,Treatment Plant $ • per cutting Cost per Cutting,New Paris Pike Landfill: $ per cutting Cost for additional request per hour charge: $ per man hour Year—2024 Cost per Cutting,Treatment Plant $ per cutting Cost per Cutting,New Paris Pike Landfill: $ per cutting Cost for additional request per hour charge: $ per man hour o CERTIFICATE OF INSURANCE INCLUDED(must meet the City of Richmond,IN requirements) YES NO o E-VERIFICATION FORM FILLED OUT: YES NO • o IRAN INVESTMENT ACTIVITIES YES NO EXHIBIT PAGE F1JCE REOUEST 0r, y o CITY OF MORMON]) DEPARTMENT OF SANITATION 2380 LIBERTYAVENUBoBICHMOND,INDIANA 47374 THIS IS NOTn N ORDER PHONE(765)983 7450oFAX(765)962-2669 n - - VENDOR 9NSP",UCTOONS This is a request for a price for the services of materials described below. Any additional specifications may be attached hereto. This is NOT an order and the City reserves White Oak Lawn Care and Maintenance the right to accept all or part, or decline the entire proposal. Please complete your full name and phone number below 4880 US 27 South with signature; itemize all prices and charges where requested;and attach any explanation for any substitution to Richmond,IN 47374 specifications altered. Attn:Annette Brandt DATE: REPLY MUST BE IN BY: PAYMENT TERMS: DELIVERY REQUIRED: February 28,2022 March],ZQ22 UPON RECEIPT OF INVOICE DELIVERED DESCRIPTION This is a price request for Lawn Care and Landscaping Work the Richmond Sanitary District. The period of Service will be,signing of the contract to December 31,2022 with the option to renew for year two(2023)and year three(2024)ending December 31, 2024. Specifications are attached PLEASE-ENTER.ALL INFORMATION ON ATTACHED.PROPOSAL SHEET,, Richmond Sanitary District 2380 Liberty Avenue Richmond, IN 47374 Re: Lawn Care and Landscaping Service • Please include Certificate of Insurance with Quote. Quote Valid Until • Questions? Call Darren Duncan at 765-983-7457. Email dduncan@richmonclindiana.cw or Jeff Lohmoeller at 765- 983-7464. Email ilohmoellernrichmnondindiana.gov NAME OF FIRM QUOTING: Cokmf BY:rG,iJit `�M.4s7ci!Z STATE TAX EXEMPTION#003121909-001 (f� AUTHORIZED BY SIGNATURE //'yqq�p ppoo ,C��/�/O��j� ,�77 ��yy TITLE Richmond Sanitary District DATE PHONE NUMBER • 8907_ l`_ PAGEr= Proposal Sheet 2022 Grass Cutting and Grounds Maintenance Service with Option to Renew for 2023 and 2924 Scope of Work: Grass Cutting and Grounds Maintenance Service NAME OF CONTRACTOR )3 In•v-k) 634 Lfi CA ' "h L — ADDRESS LKII0 US -Its`{ n & Lk CITY/STATE �G�nw�r-�c� �9 ��c• '� t-i"tal Year—2022 Cost per Cutting,Treatment Plant $ S- per cutting ' D�s Cost per Cutting,New Paris Pike Landfill: $ per cutting Cost for additional request per hour charge: $ f per man hour Year—2023 4,u • Cost per Cutting,Treatment Plant $ ,206' per cutting • Cost per Cutting,New Paris Pike Landfill: $ D�� per cutting Cost for additional request per hour charge: $ per man hour Year—2024 Cost per Cutting,Treatment Plant $ per cutting Cost per Cutting,New Paris Pike Landfill: $ t• 5` �� pet cutting • Cost for additional request per hour charge: $ S per man hour o CERTIFICATE OF INSURANCE INCLUDED(must mc_st the City of Richmond,IN requirements) YES NO o E-VERIFICATION FORM FILLED OUT: YES i" NO o IRAN INVESTMENT ACTIVITIES YES NO EXHIBIT ____ MOE OF Affidavit of Employment Eligibility Verification (•••L- The Contractor, u.;hfl-{e .A , affirms under the penalties ofperjury that Contractor does not knowingly employ an unauthorized alien. IfContractor is self-employed and does not employ any employees, Contractor verifies he or she is'aUnited States citizen or qualified alien; The Contactor has not knowingly employed or contracted with an-unauthorized alien and shall not retain an employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.Pursuant to Indiana Code 22-5•-1.7, Contractor has enrolled in and verified the work eligibility status of all newly hired employees of the contractor-through the.IndianaE- Verify program, The Contractor has required Conixactor's subcontractors to certify to the Contractor that the subcontractor does not knowingly employ or contract with an unauthorized alien and that the . subcontractor has enrolled and is participating in the E-Verify program. The Contractor, will maintain this certification throughout the duration ofthe terrm of a contract with a subcontractor, I hereby verify under the penalty of perjury that the foregoing statement is inie. • Dated-this g , day of ,20 • • (signature) . -e. - • /). Zoin d ' (printed name) Arc®° CERTIFICATE OFL�UA IILI T Y INSU `� � NCC DATE(MMiDD,YYYY) 03/08/2022 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 CONTACT SEAN BERNS NAME: BERNS FAMILY INSURANCE INCNN ,Exl): 765.547.1500 FAX No); 765 547 1115 1201 MAIN ST AIL ADDRESS: Sean.Berns@BernsFamilylns.com STE 400 INSURER(S)AFFORDING COVERAGE NAIC# BROOKVILLE IN 47012 INSURER A: ERIE INSURANCE EXCHANGE 26271 INSURED INSURER B: WHITE OAK LAWN CARE LLC INSURER C: 4880 ESTEB RD INSURER D: INSURER E: RICHMOND IN 47374-9410 INSURERF: COVERAGES - CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP INSR WVD POLICY NUMBER IMMIDDIYYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 X PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 A Q28-1021927 04/10/2021 04/10/2022 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEM.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 `J POLICY1-1 jECT I LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED -SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ _ AUTOS (Per accident) $ UMBRELLA LIAR _ OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER A ANY E ?PROPRIETOR/PARTNER/EXECUTIVE Yj Y i N/A Q90-0700849 04/10/2021 04/10/2022 EL.EACH ACCIDENT $ 100,000 (Mandatory In NH) I I E.L DISEASE-EA EMPLOYEE $ 100,000 Eyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RICHMOND SANITARY DISTRICT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RE:LAWN CARE&LANDSCAPING SERVICE ACCORDANCE WITH THE POLICY PROVISIONS. / 2380 LIBERTY AVE r r FORT WAYNE IN 46808 AUTHORIZED REPRESENTAT SEAN BERNS - ----_ ACORD 25(2010/05) 40 SIOV )fee ,.- Eky010 Owar, ,.,.ON.6,-M,, riai reserved. The ACORD name and logo are registered mar cs of _ _ -