HomeMy Public PortalAboutORD12809 xF f
SILK,. NO. 98-81
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SPONSORED BY COUNCILMAN McDowell
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ORDINANCE NO.
AN ORDINANCE OF THE CITY OF JEFFERSON, MISSOURI, AUTHORIZING THE
MAYOR AND CITY CLERK TO EXECUTE A GRANT AGREEMENT WITH THE
MISSOURI HIGHWAY AND TRANSPORTATION DEP'''ARTMENT FOR AIRPORT
RUNWAY STRENGTHENING AND OVERLAY PROJECT.
+` BE IT ENACTED BY THE COUNCIL OF THE CITY OF JEFFERSON, MISSOURI, AS
FOLLOWS:
Section 1. The Mayor and City Clerk are hereby authorized and directed to execute
a grant agreement with the Missouri Highway and Transportation Department for Runway
Strengthening and Overlay Project at the Jefferson City Memorial Airport.
.5`
Section 22. The agreement shall be substantially the same in form and content as
that agreement attached hereto as Exhibit A.
Section 3. This Ordinance shall be in full force and effect from and after the date of
+ it:: passage and approval.
Passed: Approved: ✓" �p ��
Preticling Officer Ma or
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ATTEST: APPROVED AS TO FORM:
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. qty Counselor
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j 105 West Capitol Avenue
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" Jefferson City,MO 65102
�� � e (573)751-2551
Fax(573)526-4709
of T�l'clCl��f�rtation www rnodot.state.rno.us
Joe Mickes, Director
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September 15, 199$
i` SEP ! r
6 X98 ; .
Mr, Martin Brose
DEPARTMENT OF PUBLIC WORK!
Public Works Director �
320 Bast McCarty Street �
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`Jefferson City, MO X55101
Dear Mr. Brose:
RE: Airport Aid Agreement-'Project No. AIR 982-40B
Pavement Maintenance and Improvement
Enclosed is your copy of the fully executed Airport Aid Agreement for the referenced project. }'
`�'e confirm our verbaal notice to proceed with the project given to Mr. Ronald Craft on
"'J September 11, 1998. We ask that you keep us informed of the project schedule and work r
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progress..
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If you have any questions or concerns, please give us a call at 751=7478. i
Sincerely,
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J `' fxerald.Shipman
' Assistati#Administrator of Aviation
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Copy:
Ronald"re ft, Elirport Division Director
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Approved: 2J94 (Mt.H) Project No. AIR 982-408
Revised: 3/96 (RMH) i
Modified:
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MISSOURI HIGHWAY AND TRANSPORTATION COMMISSION
AIRPORT AID AGREEMENT t
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THIS GRANT AGREEMENT is entered into by the. Missouri Highway aril {
Transportation Commission (hereinafter, "Commission") and the City of Jefferson City
(hereinafter, "Sponsor").
WITNESSETH:
WHEREAS, the Sponsor has applied to the Commission for a, grant of funds
under Section 305.230, RSMo, and
WHEREAS, the Commission has agreed to award funds available under Section i _•:`.
1 305.230, RSMo to the Sponsor with the understanding that such funds will be used for
a project pursuant to this Agreement for the purposes generally described in the
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sponsor's grant application/request dated April 1, 1935, and specifically described as ` ' •
follows:
Repair, overly and mark runway 12/3 a
0 and associated p y y taxiways, reseal 3ornts
3 i and mark runway 9/27, repair and seal taxiways
NOW THEREFORE, in consideration of these mutual covenants, promises, and
q� representations, the parties agree as follows:
(�) F_URPQ.S,G: The purpose of this Agreement is to provide financial
t assistance to the Sponsor under Section 305.230 RSMo Supp. 1993.
(2) QF GRANT: The amount of this grant is $539,200; provided,
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#�r hovj6ver, that in the event state funds available to the Commission under .Section
36a:230, RSMo are reduced so that the Commission is incapable of completely
satf*inn itsc obligations to all the, Sponsors for the current state fiscal year, the
t , rOm ruission may.recompute and reduce this grant.
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`4 (3) AMQUNI OF MATCHING FUNDS: The amount of.local matching funds,
J!r and/or.other resources, to be furnished by the Sponsor is $ 13 ,soo . The Sponsor
varrants to the Commission that it has sufficient cash on deposit, or other readily
avai ablo resources, to provide the local matching funds to complete the project.
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r (4) FEDJ CT TIME PERIOD: The project period shall be from the date of
execution of this Agreement by the Commission to November 30, 1998. The
Commission's representative may, in writing, extend the project time period for good
cause as shown by the Sponsor. The grant funds in paragraph 2 not expended or duly
obligated during the project time period shall be released for use in other projects under
Section 305,230, RSMo.
j
(5) D-L ,UJFS: Any dispute of fact which might develop as a result of this
Agreement shall be decided by the Commission.
' (6) j iN4NiEICATIO : The Sponsor shall be responsible for injury or'
damages as a result of any services and/or goods rendered under the terms and
conditions of this Agreement. In addition to the liability imposed upon the Sponsor on {
the account of personal injury, bodily injury, including death or property damage,
suffered as a result of the Sponsor performance under this Agreement, the Sponsor
assumes the obligation to save harmless the Commission, including its agents,
employees and assigns, and to indemnify the Commission, including its agents, )
employees and assigns, from every expense, liability or payment arising out of such
wrongful or negligent act or omission, including legal fees. The Sponsor also agrees to }
f hold harmless the Commission, including its agents, employees and assigns, from any,
wrongful or negligent act or omission committed by any subcontractor or other person "
employed by or under the supervision of the Sponsor for any purpose under this
Agreement, and to indemnify the Commission, including its agents, employees and
assigns, from every expense, liability or payment arising out of such wrongful or
t negligent act or omission.
(7) LAW OF MISSOURI_TQQ-ZERN: This Agreement shall be construed
according to the laws of the State of Missouri. The Sponsor shall comply,with all local,
stab: and federal laws and regulations relating to the performance of this Agreement.
(8) ISSOU8 NONDISCRIMINATION CLAUSE: The Sponsor shall comply ,
1
with all the provisior7s of Executive Order No. 94-03, issued by the Honorable Mel
Carnahan, Governor of Missouri, on the fourteenth (14th) day of January 19§4, which
executive . order is incorporated herein by reference and is made a part of this
Agreement. This Executive Order promulgates a Code of Fair Practices for, the
Executive Branch of Missouri Government and prohibits discrimination against
recipients of services, and employees or applicants or employment of state contractors
" and subcontractors', on the grounds of race, color, religion, national origin, sex, age,
' disability, or veteran status. The Sponsor.shall also comply with all state and .federal {
t statutes applicable to the Sponsor relating to nondiscrimination, including, but not
lirpltad td, Chapter 213, RSI�Ro; Title V! and Title VII of the Civil Rights Act of 1964 as
amended ( 2 U.S.C. Sections 2000d and 2000e, et seq.); and with any provision of the
''Americans with Disabilities Act' (42 U.S.C. Section 12101 et seq.):
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(8) C�\NCBLj„ATION The Commission may cancel this Agreement at any
,u time :for ,
a' maternal breach of contractual obligations by providing the Sponsor with
P Vritien notice of cancellation. Should the Commission exercise its right to cancel the
con ract for such reasons, cancellation will become effective upon the date specified in
' the notice of cancellation sent to the Sponsor.
00) LACK OF PRQQR SS: Any lack of progress which significantly
endangers substantial performance of the project within the specified time shall be
deemed a violation of the terms of this Agreement. The determination of lack of
Progress shall be solely within the discretion of the Commission. The Commission shall
notify the Sponsor in writing once such a determination is made.
a (11) NOTIFICATION OF CHANCE: The Sponsor shall immediately notify the
Commission of any change in conditions or law which may.significantly affect its ability
to faerform the project in accordance with the provisions of this Agreement.
(12) ON AND CH( �E s;�RaE,�s�: The Sponsor shell
provide and maintain competent and adequate engineering supervision and inspection
f at the project site to insure that the completed work conforms with the project plans and
specifications. The Sponsor shall submit to the Commission, for prior approval,
` changes.that alter the costs of the project, functional layout, or other characteristics of
the plans and specifications.
II (13) �ONSIBILITy FOR Pr� OjEC� c,�PETY:
During the full 'terra of the'
project, the Sponsor shall be responsible for the installation of any signs, markers, or
other devices regUired for the safety of the public. All markers or devices required on
` the airport will conform to Federal Aviation Administration (FAA) regulations or
specifications that may apply. It is also a responsibility f
p ty the Sponsor ponsor to issue, through
the.applicable FAA Flight Service Station, any and all Notices to Airmen (NOTAM's) that
may be required.
► (14) OL OF AIRPORT: The Sponsor agrees to continue to control the
y airport either as owner or as lessee for 10 years following
receipt of last the payment ment from thisgrant. A pp licable a g reement p eriods
are as follows:
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(A) Land interests - 20 years
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(E) Improvements - Useful life as determined by the.Commission
INTERESTS;
When grant funds are used to pay for land or
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a�riation easements, the following requirements apply:
n (R) Acquisition of Land Foe Sirn Title: The Sponsor shall obtain a
gtltfed`attoiney"S title opin!on to assure the Sponsor receivesYee;simple title,,free and
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clear' of'anync`arnbrance that could adversely affect the operation, maintenance or
1 developnent of the airport.
,, 'I The attomey's title opinion shall be furnished by the Sponsor to the
Commission for rraview. The Sponsor shall acquire the property in fee simple absolute
by general warranty deed from the grantors. A copy of the deed shall be furnished to
the Commission for review. The Sponsor shall record the deed in the land records of
the county recorder's office in the county where the airport is located.
I
(S) uisition of Aviation asemenla: The Sponsor shall obtain a t
qualified attorney's title opinion to assure that the Sponsor has obtained the required l
interest in and to the easements to be acquired, free and clear of any encumbrances
that would be incompatible with or would interfere with the exercise and enjoyment by
' the Sponsor of the rights and interests conveyed, and that the grantors of easements '
` constituted all of the owners of the land affected by the easements.
(C) Land Cost RaimburEement lue as Local
l : Since it is the intent of the state of Missouri that funds provided under this
r, Agreement be'used only for aeronautical purposes, the Sponsor hereby covenant and
agrees that it will not request reimbursement from the United States Government'for the
cost'of land acquired with the funds granted under this Agreement; provided, however,.
' that nothing in this paragraph shall be construed to prevent the Sponsor from using ail �3
or any part of the acquisition cost of this land to make up its share, of eligible project
costs incurred under any airport development grant from the United States
Government.
(D) Aeronautica se: If land interests are not used for aeronautical ►
purposes within five years, the Sponsor shall at the request of the Commission return
the.full amount of those grant funds used to purchase the land interests. The Sponsor
( may request an extension of this time period in writing to the Commission.
('lti) ' RT USE: The Sponsor' agrees to operate the airport for the use
" 1 and benefit of the public. The Sponsor further agrees that it will keep the airport open
t® all types, kinds, and classes of aeronautical use on fair and reasonable terms without
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,I discrimination between such types, kinds and classes.
' ('17�,'. E Q+RERATIC�N OF AIRPORT: The Sponsor agrees to operate and
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maintain in a safe and serviceable condition the airport and all connected facilities t
which are necessary to.serve the aeronautical users of the airport other than facilities
oy+ned or controlled by the United,States. The Sponsor,further agrees that it will not
perrnit any, activity on the airport that would interfere with its safe use for airport
` purposes. Nothing,contained herein shall be construed to require 'that the airport be
f e�perated for aeronautical uses during temporary periods when snow, ice, or other
Climatic conditions that interfere with safe operations.
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y^^yjj�YG���(�yJJyMr S: The Sponsor must maintain all records relating to
; ludin but not limited to invoices, payrolls, etc. These records must
this AGN.. ent, ,nc g
be available at all reasonable. times at no charge to the Commission and/or its
d$si Webs or ropre�,entatives during the period of this Agreement and any extension
g from the date of final payment made under this
thereof, and for three (3) y ears
Agreement.
�� u U on request of the Commission, the Sponsor
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shall provide to the Commission a financial summary of the total funds exch the were
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summary must Show the source of funds and the specific items for w Y t
expended. '
�� PAYMIVT: If the Commission determines that the Sponsor was
(20) Qy. t
overpaid, the amount of overpayment shall be remitted to the Commission.
whether by
modification
(�� p,,, �: Any change in this Agreement,
or supplementation, must be accomplished by a formal contract amendment signed and
approved by the duly authorized representative of the Sponsor and the Commission.
22 MQNMJ The Sponsor shall riot assign, transfer or delegate any
_ - interest in this Agreement without the prior written consent of the Commission.
i0�1 �PPRET� IVE: The Commission's chief e ngineer is
(23) x: -- l
designated as the Commission's representative for the purpose �ma administering
} r is Agreement The t,ommiss�on s representative y g
1.. provisions of th g
written notice other persons having the authority to act on behalf of the Commission in
,
furtherance of the performance of this Agreement.
(Z�) y�,�: . It is agreed by the
parties that any action at law, suit in equity, or
other judicial proceeding to enforce or construe this Agreement, or regarding its alleged
breach, shall be Instituted only in the Circuit Court of Cole County, Missouri.
Ail documents, reports, exhibits, etc. produced by the 1
. (25) YV`.aLH P
Son�or at the direction of the Commission and information supplied by the
Coar�rr�tssion ,hail remain the property of the Commission.
proceeding
(�rj jMlK�3UPTC Upon filing for any bankruptcy or insolvency P. g
" voluntarily, or upon the appointment of a receiver, r
I a by or,against�the Sponsor, whether Y
�' frlistee;`or assigrla , for the benefit of creditors, the Commission reserves the right and
sole �scretion to either cancel this Agreement or affirm this Agreement and hold the
sponsor responsible for damages.
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Ill �131`TNESS wy �tn�, the parties have entered into, arad accepted this
A reement on the last date written below.
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aCutedl by the Sponsor this J0-4ay of
f executed by the Commission this day of
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'[ I1PlS CaURI HIGHWAY AND
Ti �1SpoRT'ATION Ct�h+SMISSION CITY OF JEFFERSON f:i�l' i
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By....
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Attest:
Secretary to the Commission
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'�ppraved as to Form:
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Gornmission Counsel
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BILL NO.-LOU ..,
SPONSORED BY COU14CILMAN McDowell -- _
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ORDINANCE NO,
AN ORDINANCE OF THE CITY OF JEFFERSON, MISSOURI, AUTHORIZING THE
MAYOR AND CITY CLERK TO EXECUTE A GRANT AGREEMENT WITH THE
MISSOURI HIGHWAY AND TRANSPORTATION DEPARTMENT FOR AIRPORT
a
RUNWAY STRENGTHENING AND OVERLAY PROJECT.
BE IT ENACTED BY THE COUNCIL OF THE CITY OF JEFFERSON, MISSOURI, AS i
i 1 ,.
FOLLOWS: }
i
Section 1. The Mayor and City Cleric are hereby authorized and directed to execute ?
a grant agreement with the Missouri Highway and Transportation Department for Runway'
Strefigthening and Overlay Project at the Jefferson City Memorial Airport.
" agreement shall be substantial) the same in form and content as
Sec#lop 2. The agr y
that agreement attached hereto as Exhibit A.
Section 3. This Ordinanw shall be in full force and effect from and aver the date of ;
F i its passage and approval.
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',} Passed. Approved: / " /0 i
`3 Presiding OM Mayor
(; ,
11 ATTEST.
APPROVED AS TO FORM:
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Clef
ity Counselor
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STATE,OF MISSOURI )
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COUNTY OF
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,* 1VIA�( LL i'S �Qly % Clerk of the C 1 of F
within and for the County and State aforesaid, do hereby
certify that the foregoing is a full, true and complete copy of ORDINANCE NO.
r AN ORDINANCE AUTHORIZING EXECUTION OF AN AIRPORT AID AGREEMENT
BETWEEN THE STATE HIGHWAY AND TRANSPORTATION COMMISSION OF
MISSOURI AND THE C���� OF � � ����� r
{ recorded in the !,� / of
MISSOURI as same is r R Z �.
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IN WITNESS WHEREOF, I hereunto set my hand, and affix the seal of said j
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F t✓ of SONS , Missouri, in my office in VA L,' l
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this r t. day of 5�E�T /h B , 19A. I
erk a 1
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Etl °�� AT'.'.` O '. :': . .'. .... [ :.. . t�'td?:.....::'... DATE(MMman�
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PRODUCf-R THIS CERTIFICATE IS ISSUED AS A MATTE t3 OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Winter-Brant & Gorrpun�► HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
Box 1046 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
eroon City MO 65102-:1046 COMPANIES AFFORDING COVERAGE
COMPANY
. 22 Fax No_573-636-7500 A Continental Western Insurance
I�ISURF.0 —
COMPANY
COMPANY
Jefferson Anphalt Company, Inc C
P 0 Box 104868 COMPANY
Jefferson City NO 65110-4868 D �, �--f 8
THIS IS TO CFRYIF!THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDr-ATED,NOT:4I7HSTAN31VG ANY REOWREMENT.TERM OR CONDItION OF ANY CONTRACTOR.OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUF.O OR MAY PEraMN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI.lliE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCW POLICIES.LIMITS SHOWN MAY I4AVE BEEI1 REDUCED BY PAID CLAIMS.
l�TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I POLICY CXPIRATIO14
DATE.(MMorm) I OATF.(MMIDOPI)') LIMITS
GENERAL LMILF1 Y GENERAL AGGREGATE $2,000,000.
A Z COMMERCIAL GENERALLIABILFTV 9NA68-Z0 01/01/98 01/01/99 PRODUCTS-COMPIOPAGG 52,000_,000,
CLAMS lL4DE X OCCUR PERSONAL E ADV INJURY S110001000.
OWNERS B CONTCL0.CTOF S PROT EACH OCCURRENCE _ $1,000,000.
_7 Inc1 job a gre at FIRE DAMAGE(Any one fire) S501000.
MF.D EXP(Any one person) I S 5,0 0 0.
AVIOMOBILE LIABILITY —
A X ANYAUTO 9MA63-22 01/01/98 01/01/99 COMBINED SINGLE LIMIT $1,000,000.
ALL OWNED AUTOS 9UD;LY INJURY
SCHEDULED AUTOS !(Per pew n) $
WR`D ALOTOS
BODILY INJURY S
NON-0WNEDAUIOS (Per accident)
PROPERTY DAMAGE S
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN AUTO ONLY;
EACH ACCIDENT S
AGGREGATE S
MESS LIABILITY EACH OCCURRENCE S1,000,000.
e1L X UMBRE:1AFORM 9NA68-23 01/01/98 01101199 AGGREGATE
$1,000,000.
OTHER THAN UMBRELLA FORM Retention $ 10,000.
_
WORNLRS COMPENSATION AND TORY L MUIYS ER :: �T
EMPLOVERS'LIABILITY
EL EACH ACCIDENT _ $1,000,000.
A THE PROPRIETOPJ INCL 9NA68-1,2 01/01/98 01/01/99 EL DISEASE-POLICY LIMIT $1 000,000.
PARTNER&SXECUTNE , _
OFFICERS ARE: FJ(CL EL DISEASE-EA EMPLOYEE S 1,0 0 0,0 0 0.
OTHER
A 9NA68-50 INLAND MA.RYNE 01101198 01/01/99 Special $1,000. Bed
Sch on file
DESCRIPTION OF OPERATI?NVLOCATiOliEJVEHICLES/SPECIAL ITEMS
Project: AIR 382-40B, Jefferson City Memorial Airport
rRTlFiC'Ci" ti��
...--............
�!....MQ... �:' CANT;i=Ll.4T:IfJT2: .�..'..'"'.
JEFFB-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL $
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
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City Of Jefferson BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION CR LIABILITY }
320 Bast McCarty D UPON THE COMPANY.ITS AGE TS OR REPRESENTATIVES.
Jefferson City HO 65101 A THOJZED PR4SEpynrI E�
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..-_N U P,A N C E BINDER OP Ili CH DATE IIwMfGDJYY))
42/98 i
TH INGER IS A TEMPORARY INSURANCE CONTRACT,SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
PiSODUCER ---�� - PHONE COMPANY BINDER p r
L(AJ No.Ext): 573-634-2122 1265 i
573-6361-7500 Continental Western Insurance
EFFECTIVE EXPIRATIOW—-
er-Dent & Company DATE — TIME DATE TIME
k'.0. Box 1046 �( AM x t2:01AM
efferson City NO 65102-1046 09/02/913 12:01 PM 09/02/99 F NOON
THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY
COOc: 0.514 24 —TSUB CODE: PER EXPIRING POLICY x NA-JZFFAS-OCP
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M Io DESCRI7TION OF O'ERATiONSA/EHICIES/FROPEFtTY(PndudLq Location)
CUS4QLR �JJFSP Itr2 5_
INSURED Owner's Contractor's Protective Liability
Policy, Project: AIR 982-40B, Jefferson
City, of �Te�ff.s:coal City Memorial Airport
320 East McCarty
uefferson City MO 55101
COVERAGES LIMITS
_ TVPk OF INSURANCE COVERAGSiFORMS DEDUCTIBLE COINS% AMOUNT
PROPERTY CAUSES OF LOSS—i ---
BASIC BROAD �1:SPEC
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GERFRAt.LIABILITY —�� --� GENERAL AGGREGATE $1000000 I
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AG_G $ _
I CLAIMS MADE i_1 OCCUR PERSONAL&ADV INJURY $
OS';a^lER'S&CONTRACTORS PROT EACH OCCURRENCE $1000000
FIRE DAMAGE(Any one fire) $
jRETRO DATE FOR CLAIMS MADE: MED EXP(Any one person) $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
AUTO BODILY INJURY(Per person) S f
I.OWNED AtITOS BODILY INJURY(Per accident) S i
C14EDULED AUTOS PRCPERTY DAMAGE $
f HIREDAUTOS MEDICAL PAYMENTS $ 1
NON-OWNF_I.1 AUTOS PERSONAL INJURY PROT S `
UNINSURED MOTORIST $
_ $
( AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE
COLLISION: _ -- STATED AMOUNT $
OTHER THAN COL: OTHER t
NYMA
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY: j
,
EACH ACCIDENT S
_ AGGREGATE $
EXCESS LLABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE S
OTHER THAN UMBRELLA FORM RF.TRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION_ $
STATUTORY LIMITS
j =RKEWS OM i NSATION EACH ACCIDENT $
AND
I EMPLOYER'S LIABILITY DISEASE-EACH EMPLOYEE S
DISEASE.-POLICY LIMIT $
��Rp[� Jefferson Asphalt CoMany is responsible for paymut of premius and audit. FEES $
CO�MP�1�D TNJNS/
&&RAGES TAXES $
ESTIMATED TOTAL PREMIUM S
NAME&ADDRESS.�
MORTGAGEE ADDITIONAL INSURED j
LOSS PAYEE £
' LOAN p
AU PRESENTATIVE
ACORU 75 S(7/y7) NOTE:IMPORTANT STATE INFORMATION ON REVERSE SIDE ORD CORPORATION 1993
t;
t CONDITIONS
This Company binds the kinds)of insurance stipulated on the reverse side.The Insurance is subject to the }
! teens,condition,3 and itmitations of the pollcy(les)in current use by the Company.
This minder may be cancelled by the insured by surrender of this binder or by written notice to the Company
stating when cancellation will be effec&o.This binder may be cancelled by the Company by notice to the
' Insured in accordanc*with the policy conditions.This binder Is cancelled when replaced by a policy.If this
binder is not replaced by a policy,the Company is entitled to charge a premium for the binder according to the
' Rule's and Fates In use by the Company.
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Applicable in Caligumia
When this form ls'r�sod to provide insurance in the amount of one million dollars($1,000,000)or more,the fitie
of the form is changed from"Insurance Binder"to"Cover Note". I
3 Applicable in Delaware
•`; l 'The mortgagee or tCsbilgee of any mortgage or other instrument given for the purpose of creating a lien on real I
prroperty shall a=pt as evidence of insurance a written binder issued by an authorized Insurer or its agent If
the under includes or is accompanied by:the name and address of tho Wrrower,the name and address of the
leader as loss payee;a description of the Insured real property;a provision that the binder may not be canceled 1
wittt n the term of the binder unless the lender and the insured borrower receive written notirx�of the cancel- !
lation at least ten(10)days prior to the cancellation;except in the case of a renewal of a policy subsequent to
'1 : the closing of the faan,a paid receipt of the full amount of the applicable premium,and the amount of #
Insurance coverage.
Chapter 21 Title 25 Paragraph 2.119
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Applicable in Nevada f
f
4 Any peraon wilo raifuses to accept a binder which provides coverage of less than$1,000,000.00 when proof is
?, reouired:(A)Shall be fined not more than$500.00,and(B)is liable to the party presenting the binder as,proof
of insurance for actual damages sustained there8om. s
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ACt3RD 75•S(1/07)
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