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BILL NO. 89-178
§ +UMW ,
}' SPONSORED BY COUNCILMAN MASON
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ORDINANCE NO. I.3
AN ORDINANCE OF THE CITY OF JEFFERSON, MISSOURI, AUTHORIZING THE
MAYOR AND CITY CLERK TO EXECUTE AN AGREEMENT FOR THE CONSTRUCTION t
OF A SANITARY SEWER PUMP STATION.
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 an agreement with J. C. Industries, Inc. , for
the construction of a sanitary sewer pump station. The amount of r
the contract shall not exceed $191, 530.85.
Section 2 . The agreement shall be substantially the same in
form and content as that agreement attached hereto as Exhibit A. r;
Section 3 . This Ordinance shall be in full force and effect
from and after the date of its passage and approval. '`
Passed �� a Approved
residin Officer yor '
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ATTEST:
City Clerk
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CITY OF JEFFERSON '
CONSTRUCTION CO4TRt `T,
THIS CONTRACT, made and entered into this _C26 day of .,. f,
19 and between J.C. Industries, Inc. gin.
hereinafte called t0 Contractor
", and the City of Jefferson, '•,r.
Missouri, a municipal corporation, hereinafter called "City".
,.;. WITNESSETH: That Whereas, the Contractor has become the lowest
responsible bidder for furnishing the supervision, labor, tools,
equipment, materials and supplies and for constructing the
following City improvements: B11990 Cedar City For Main and Pump
i , Force
Station Relocation'
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NOW THEREFORE, the parties to this contract agree to the following:
1. Manner and time for Completion. The Contractor agrees
with the City to furnish all supervision, labor, tools, equipment,
;�'A.:
materials and supplies necessary to perform, and to perform said
work at Contractor's own expense in accordance with the contract
documents and any applicable City ordinances and state and federal
laws, within seventy five ) y
y (75 calendar days from the date
Contractor is ordered to proceed, which order shall be issued b
the Director of Public Works within ten (10) days after the date
of this contract.
•tr.44��',N�It
2. prevailing wages. All labor utilized in the construction ,aYis ',,
of the aforementioned improvements shall be paid a wage of no less
than the "prevailing hourly rate of wages for work of a similar
character in this locality, as established by Department of Labor
and Industrial Relations of the State of Missouri and as
.. 9
established by the Federal Employment Standards of the Departmentt; = ^a;.
of Labor. Contractor acknowledges that Contractor knows the
,gam•,'#:r;; ;• ,
prevailing hourly rate of wages for this project because Contractor +C�'� : �• ,
has obtained the prevailing hourly rate of wages from the contentsV.,.
of Special Wage Determination No. 90-014-0006 in which the rate of a^'���sy�"•�.
wages is set forth. The Contractor further agrees that Contractor
will keep an accurate record showing the names and occupations of
all workmen employed in connection with the work to be performed
under the terms of this contract. The record shall show the actual '
f' wages paid to the workmen in connection with the work to be
performed under the terms of this contract. A copy of the record r's ,
shall be delivered to the Director of Public Works each week. In
accordance with Section 290.250 RSMo, Contractor shall forfeit to the City en
Y Dollars ($10.0o) for each workman employed, for each
calendar day or portion thereof that the workman is paid less than
the stipulated rates for any work done under this contract, by the
Contractor or any subcontractor under the Contractor. .�
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3. Insurance. Contractor shall procure and maintain at its ?.
own expense during the life of this contract: `
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(a) Workmen a Compensation Insurance for all of its employees
to be engaged in work under this contract. ,,`,
:.,•. f (b) Contractor's Public Liability Insurance in an amount not
less than $1,000, 000 for all claims arising out of a single ;
occurrence and $100, 000 for any one person in a single accident or
occurrence, except for those claims governed by the provisions of
the Missouri Workmen's Compensation Law, Chapter 287, RSMo. , and
Contractor's Property Damage Insurance in an amount not less than
$1,000,000 for all claims arising out of a s ingle accident or
'+ occurrence and $3.00, 000 for any one person in a single accident or
occurrence.
(c) Automobile Liability Insurance in an amount not less than
$1,000,000 for all claims arising out of a single accident or
occurrence and $100, 000 for any one person in a single accident or
occurrence.
d Owner's Protective Liability Insurance The Contractor
shall also obtain at its own expense and deliver to the City an
Owner's Protective Liability Insurance Policy naming the City of
Jefferson as the insured in an amount not less than $1,000,000 for
all claims arising out of a single accident or occurrence and x �
$100,000 for any one person in a single accident or occurrence, �'d'
except for those claims governed by the provisions of the Missouri ; . ' .�
Workmen's Compensation Law, Chapter 287, RSMo. No policy will be
�. accepted which excludes liability for damage to underground.
structures or by reason of blasting, explosion or collapse.
2M1, r)a•''
e Subcontracts - In case any or all of this work is sublet ` ' ' �'+
the Contractor shall require the Subcontractor to procure and
maintain all insurance required in Subparagraphs (a) , (b) , and (c) T
hereof and in like amounts. s'r•
(f) Scope of Insurance and Special Hazard. The insurance . ;
required under Sub-paragraphs (b) and (c) hereof shall provide
' adequate protection for the Contractor and its subcontractors,respectively, against damage claims which may arise from operations
under this contract, whether such operations be by the insured or
by anyone directly or indirectly employed by it, and also against `
=4'< any special hazards which may be encountered in the performance of
ti"j”,•
this contract.
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NOTE: Paragraph (f) is construed to require the procurement of
Contractor's protective insurance (or contingent public liability
and contingent property damage policies) by a general contractor
4 f` whose subcontractor has employees working on the project, unless ,f
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a, the general public liability and property damage policy (or rider
attached thereto) of the general contractor provides adequate ^
protection against claims arising from operations by anyone
,z directly or indirectly employed by the Contractor. t
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4. Contractores Responsibility for Subcontractors. it is 4
further agreed that Contractor shall be as fully responsible to >;
the City for the acts and omissions of its subcontractors, and of
persons either directly or indirectly employed by them, as
Contractor is for the acts and omissions of persons it directly
employs. Contractor shall cause appropriate provisions to be
inserted in all subcontracts relating to this work, to bind all
`` subcontractors to Contractor by all the terms herein setforth, y1`,
insofar as applicable to the work of subcontractors and to give
.,
Contractor the same power regarding termination of any subcontract
as the City may exercise over Contractor under an
Y Y y provisions of
this contract. Nothing contained in this contract shall create any ' a.
contractual relations between an subcontractor `..4, x.
y and the City or
between any subcontractors. 9
5. Liquidated Damages. The Director of Public Works may ,,
4 at his discretion, deduct $200. 00 from any amount otherwise due s;TC„r,: ;.rl •+,
under this contract for every day Contractor fails or refuses to
prosecute the work, or any separable part thereof, with such
' diligence as will insure the completion by the time above
,
specified, or any extension thereof, or fails to complete the work '
< t.
y, by such time, as long as the City does not terminate the right of
,. Contractor to proceed. It is further
. p provided that Contractor
shall not be charged with liquidated damages because of delays in
the completion of the work due to unforeseeable causes beyondrnrr..'
? Contractor's control and without fault or negligence one ' '"�
Contractor's part or the part of its agents.
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6. Termination. OK:',
The City reserves the right to terminate
this contract b giving at least five 5 days �'
Y g g ( ) y prior written notice �`• '�� ,���,.
to the Contractor, without
,. , prejudice to any other rights or
remedies of the City should the Contractor be adjudged a bankrupt,
or if Contractor should make a general assignment for the benefit ' b'
of its creditors or if a receiver should be appointed for �.
Contractor or for any of its property, or if Contractor should kr`°
k persistently or repeatedly refuse or fail to supply enough properly
skilled workmen or proper material, or if Contractor should refuse
or fail to make prompt payment to any person supplying labor or
tr,
materials for the work under the contract, or persistently ;
disregard instructions of the City or fail to observe or perform
any provisions of the contract. `
7. Cityls Right to Proceed. In the event this contract is
terminated pursuant to Paragraph 6, then the City may take over
the work and prosecute the same to completion, by contract or
otherwise, and Contractor and its sureties shall be liable to the
City for any costs over the amount of this contract thereby
occasioned by the City. In any such case the City may take x
possession of, and utilize in completing the work, such materials,
appliances and structures as may be on the work site and are
necessary for completion of the work. The foregoing provisions are
in addition to, and not in limitation of, the rights of the City
under any other provisions of the contract, city ordinances, and
state and federal laws.
��� {fT rS 1.i,rx,x,,..1�_ ✓} hf t i 4'tr �. �. t i .:p t yt. t{. 'tit,atii t 5 yir( � `1r
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8. Yndemnity. The Contractor agrees to defend, indemnify, 's
and save the City harmless from and against all claims, suits and
actions of every description, brought against the City and from
all damage and costs by reason or on account of any injuries or
damages received or sustained by any person or persons, or their k •: '
' property, by Contractor, its servants, agents or subcontractors in
the construction of said work or by any negligence or carelessness ' ")
' in the performance of the same, or on account of any act or
omission of Contractor, its servants, agents, or subcontractors, `
or arising out of the award of this contract to Contractor.
9. Payment for Labor and Materials, The Contractor agrees
g
and binds itself to pay for all labor done, and for all the r
materials used in the construction of the work to be completed5 �� . ,
pursuant to this contract. Contractor shall furnish to the City �'' ' ''; ,�
a bond to insure the payment of all materials and labor used in
the performance of this contract.
F4�'ir7e�n 4r
10. Payment. The City hereby agrees to pay the Contractor
r s
t; the work done pursuant to this contract according to the payment
schedule setforth in the Contract Documents upon acceptance of said
work by the Director of Public Works and in accordance with the
rates and/or amounts stated in the bid of Contractor dated January
19, 1990 which are by reference made a art hereof. No
r p partial
payment to the Contractor shall operate as approval or acceptance
s of work done or materials furnished hereunder. `
11. Contract Documents. The contract documents shall consist
r: of the following: r
a. This Contract e. General Conditions
b. Addenda f. special Provisions `'
c. Notice to Contractors g. Technical specifications
d. signed Copy of Bid h. Drawings and/or sketches
This contract and the other documents enumerated in this
S " paragraph, form the Contract between the parties. These documents Y
are as fully a part of the contract as if attached hereto or
repeated herein.
12. Nondiscrimination. The Contractor " agrees in the
` - performance of this contract not to discriminate on the ground or
because of race, creed, color, national origin or ancestry, sex,
r ! religion, handicap, age, or political opinion or affiliation,
against any employee of Contractor or applicant for employment and a
shall include a similar provision in all subcontracts let or
awarded hereunder.
13. Notices. All notices required to be in writing may be '.
given by first class mail addressed to the City of -Jefferson,, 320
East McCarty, Jefferson City, Missouri 65101 and Contractor at
Y� y, ,
P.O. Box 104567, Jefferson City, Missouri 65110. The date of
t .: delivery of any notice shall be the second full day after the day
Of its mailing. :>
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_.k SAFECO INSURANCE COMPANY OF AMERICA ??: ej
GENERAL INSURANCE COMPANY OF AMERICA
FIRST NATIONAL INSURANCE COMPANY'
OF AMERICA
S MCC HOME OFFICE:SAFECO PLAZA
SEATTLE WASHINGTON 98186
f"~ Bond No.
5615011
a r=
PERFORMANCE BONDht�
Approved by The American Institute of Architects =3 t
A.I.A.Document No.A-311 February, 1970 Edition •"
la
y
J. C. Industries , Inc .
. ' KNOW ALL BY THESE PRESENTS, That we,
Here insert the name and address or legal title of Contractor
as Principal, hereinafter called Contractor,and SAFECO INSURANCE COMPANY OF AMERICA,a Washington Corpora-
!'is
t tion of Seattle,Washington,as Surety,hereinafter called Surety,are held and firmly bound unto
City of Jefferson City, Missouri
it 'r
t�
AF ;" (Here insert the name and address or legal title of Owner) t'
as Obligee,hereinafter called Owner,in the amount of One Hundred Ninety Thousand Five
Hundred Thirty Dollars and Eighty Five Cents----Dollars($ 191, 530. 85 )�
for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors and
assigns jointly and severally, firmly by these presents.
WHEREAS, Contractor has by written agreement dated February 6 19 90entered into a Contract
*.R with Owner for 1990 Cedar City Force Main and Pump Station Relocation
.x'
Iyf}� Jefferson City, Missouri
is in accordance with Drawings and Specifications prepared by N/A
' (Here insert full name and address or legal title of Architect) '
which Contract is by reference made a part hereof,and is hereinafter referred to as the Contract. r
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That, if Contractor shall promptly and
faithfully perform said Contract, then this obligation shall be null and void; otherwise it shall remain in full force and
r. effect.
r
The Surety hereby waives notice of any alteration or extension of time made by the Owner.
(continued on reverse side)
S-1219 RI 8/77 PRINTED IN U.S.A.
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Whenever Contractor shall be and declared by Owner to be in default under the Contract the Owner having performed
` Owner's obligations thereunder,the Surety may promptly remedy the default, or shall promptly v P
1. Complete the Contract in accordance with its terms and conditions,orryk
2. Obtain a bid or bids for submission to Owner for completing the Contract in accordance with its terms and conditions, tz
and upon determination by Surety of the lowest responsible bidder, or, if the Owner elects, upon determination by
` Owner and the Surety jointly of the lowest responsible bidder,arrange for a contract between such bidder and Owner,
Fu:t
' and make available as Work progresses (even though there should be a default or a succession of defaults under the
contract or contracts of completion arranged under this paragraph)sufficient funds to pay the cost of completion less
` the balance of the contract price, but not exceeding, including other costs and damages for which the Surety may be
liable hereunder.,the amount set forth in the first paragraph hereof. The term"balance of the contract price,"as used
in this paragraph, shall mean the total amount payable by Owner to Contractor under the Contract and any amend-
ments thereto,less the amount properly paid by Owner to Contractor. '
Any suit under this bond must be instituted before the expiration of two(2)years from the date on which final payment
t under the contract falls due.
No right of action shall accrue on this bond to or for the use of any person or corporation other than the Owner named
herein or the heirs,executors,administrators or successors of Owner.
Signed and sealed this 6th day of February ,19 90
J. C. Industries , Inc.
(Seal)
Principal
(Witness)
E`
Title s.
SAFECO INSURANCE COMPANY O MERICA
�II ;
(Witness) L � !
By
Kris Bennett Attorney-in act
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ACKNOWLEDGMENT BY SURETY
Missouri
STATE OF
Cole — ss
' County of —
� February �-- , before me personally
�'.:...,1 6th day of
On this Kris L. Bennett , known to me to be the Attorney-in-Fact of
appeared
SAFECO INSURANCE COMPANY OF AMERICA, GENERAL INSURANCE COMPANY, OF AMERICA, FIRST
corporation that executed l N the I ,
INSURANCE COMPANY OF AMERICA or SAFECO NATIONAL INSURANCE i
within instrument, and acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, at my office in t e aforesaid County,
the day and year in this certificate first above written.
Notary Public in the State of �O 1 Y LE TY, D. NOTARY
OF MISSOURI
(Seal) County of Cole MY COMMISSION EXPIRES 77/27 4121)IN U.S.A.
S•230 R4 6/78
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SAFECO INSURANCE COMPANY OF AMERICA
POWER
HOME OFFICE: SAFECO PLAZA OF ATTORNEY
SEATTLE;WASHINGTON 98185
• ;�'i, 9�pr i
SAFEC® tat, :'
KNOW ALL BY THESE PRESENTS: '���taz•''
That SAFECO INSURANCE COMPANY OF AMERICA, a Washington corporation,does hereby appoint
r.
-------JAMES J. LANDWEHR; WILLIAM R. TWEEDIE; CARL E. REYNOLDS; KRIS L. BENNETT,
=L�fl Jefferson City, Missouri-------
RAW
t: its true and lawful attorneys)-in-fact,with full authority to execute on behalf of the company fidelity and surety bonds or
f }9 r. ' tj
undertakings and other documents of a similar character issued by the company in the course of its business, and to bind :qtr
SAFECO INSURANCE COMPANY OF AMERICA thereby as fully as if such instruments had been duly executed by its
regularly elected officers at its home office. 4.'
tf1S v..y�
IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA has executed and attested these presents
this 24th day of July 19 89
tii �"��:tir��t•„
''= '��r.�J...�.�..c.�c..�c_•t.-• l ,� ��it�'L-LVfit-�___� >�1��`:��#"1 �� ti.
Boll A. Dickey,Secretory .1.W.Cannon,President
l b��tt�.;••t;ty;';`.
CERTIFICATE
Extract from the By-Laws of SAFECO INSURANCE COMPANY OF AMERICA:
"Article V, Section 13. — FIDELITY AND SURETY BONDS . . . the President, any Vice President, the Secretary, and any {
Assistant Vice President appointed for that purpose by the officer in charge of surety operations,shall each have authority `s
to appoint individuals as attorneys-in-fact or under other appropriate titles with authority to execute on behalf of the
�r8tidis'
company fidelity and surety bonds and other documents of similar character issued by the company in the course of its ,{
business. ..On any instrument making or evidencing such appointment,the signatures may be affixed by facsimile.On any
instrument conferring such authority or on any bond or undertaking of the company,the seal,or a facsimile thereof,may be
impressed or affixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the
validity of any such instrument or undertaking."
Extract from a Resolution of the Board of Directors of
' SAFECO INSURANCE COMPANY OF AMERICA adopted July 28, 1970.
"On any certificate executed by the Secretary or an assistant secretary of the Company setting out, '
(i) The provisions of Article V, Section 13 of the By-Laws, and }
s: (ii) A copy of the power-of-attorney appointment, executed pursuant thereto, and
(iii) Certifying that said power-of-attorney appointment is in full force and effect,
! the signature of the certifying officer may be by facsimile, and the seal of the Company may be a facsimile thereof."
t
1, Boh A. Dicke Secretary of SAFECO INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing
r�+< Y, Y Y Y 9
extracts of the By-Laws and of a Resolution of the Board of Directors of this corporation, and of a Power of Attorney issued
pursuant thereto,are true and correct,and that both the By-Laws,the Resolution and the Power of Attorney are still in full
force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of said corporation x
`? 6th February 90
COR/1), this day of 19
N' X50�nP.p()
' 9
S E A L h -�`•-
✓� L- Boll A. Dickey,Secretary
b{.
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Jfai� ;3`ON'
S•1300 R6 3/80 PRINTED IN U.S.A.
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LABOR AND MATERIAL SAFECO INSURANCE COMPANY OF AME131CA
• GENERAL INSURANCE COMPANY OF AMERICA '
PAYMENT BOND
r FIRST NATIONAL INSURANCE COMPANY
• OF AMERICA
SEC
HOME OFFICE: SAFECO PLAZA
SEATTLE,WASHINGTON 98185 'uia�
Bond No. 565,011' =
Approved by The American Institute of Architects ,�bftt
A.I.A. Document No. A-311 February, 1970 Edition
Note: This bond is issued simultaneously with a Performance Bond in favor of the Owner conditioned for the full and _.ts
faithful performance of the'Contract.
KNOW ALL BY THESEPIZESENTS, That we,
J C Industries Inc.
(Here insert the name and address or legal title of Contractor)
Washington d
as Principal, hereinafter called Principal, and SAFECO INSURANCE COMPANY OF AMERICA, a Cor Corpora-
as
�.
tion of Seattle,Washington,as Surety,hereinafter called Surety,are held and firmly bound unto
' City of Jefferson City, Missouri
(Here insert the name and address or legal title of Owner)
`? e and benefit of Claimants as hereinbelow defined, in the amount of
as Obligee, hereinafter called Owner, for the us
One Hundred Ninety Thousand Five Hundred 191, 530. 85 `' a
Thirt Dollars and Eighty-Five Cents --------- Dollars
($
(Here insert a sum equal to at least one-half of the contract price) ;
for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and
i
assigns,jointly and severally,firnily by these presents.
..'A WHEREAS,Principal has by written agreement dated February 6� 19 90 entered into a contract with Owner for
1990 Cedar City Force Main and Pump Station Relocation, Jefferson City,
t ' Missouri
in accordance with Drawings and Specifications prepared by N/A
(Here insert full name and ad ress or lega Ht le o rc tect n
w` which contract is by reference made a part hereof,and is hereinafter referred to as the Contract.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the Principal shall promptly make
payment to all Claimants as hereinafter defined, for all labor and material used or reasonably required for use in the
"_" performance of the Contract, then this obligation shall be void; otherwise it shall remain in full force and effect,subject,
Y.
f„ however,to the following conditions:
:} 1. A Claimant is defined as one having a direct Contract with the Principal or with a Subcontractor of the Principal for
labor, material, or both, used or reasonably required for use in the performance of the Contract,labor and material being
construed to include that part of water, gas, power, light, Heat, oil, gasoline, telephone service or rental of equipment t
+. directly applicable to the Contract.
(continued on reverse side)
5•1220 R1 10/72 PRINTED IN U.S.A.
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J � �+t.,.t�'1� � t . . ,'' `".•„ '!' ..,..�......... y�l �i;.i�`C .� �F;, }' �r��,+ '"4 i,{�.��}kl.�i
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2. The above named Principal and Surety hereby jointly and severally agree with the Owner that every Claimant as herein f
defined, who has not been paid in full before the expiration of a period of ninety (90) days after the date on which the '; . ..:.•
last of such Claimant's work or labor was done or performed, or materials were furnished b such Claimant,may sue on
p Y • Y •�� ���;~~;tin,
this bond for the use of such Claimant, prosecute the suit to final judgment for such sum or sums as may be justly due
Claimant, and have execution thereon.The Owner shall not be liable for the payment of any costs or expenses of any such
's suit.
'.` 3.No suit or action shall be commenced hereunder by any Claimant, a
`+ ' a Unless Claimant, other than one having a direct Contract with the Principal, shall have given written notice to an �5 ,
l ) g P g Y .
two of the following: The Principal, the Owner, or the Surety above named, within ninety 90 days after such Claimant
did or performed the last of the work or labor, or furnished the last of the materials for which said claim is made,stating
with substantial accuracy the amount claimed and the name of the party to whom the materials were furnished, or for
whom the work or labor was done or performed. Such notice shall be served b mailing the same b registered mail or '
1? Y f5 Y �
certified mail, postage prepaid, in an envelope addressed to the Principal,Owner or Surety,at any place where an office is y,w k •{
t r j regularly maintained for the transaction of business, or served in any manner in which legal process may be served in theft . .,.
"` 1 state in which the aforesaid project is located,save that such service need not be made by a public officer.
f <' b)After the expiration of one (1) year following the date on which Principal ceased work on said Contract, it being
understood, however, that if any limitation embodied in this bond is prohibited by any law controlling the construction
hereof such limitation shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by ,,ly'MI.
!w; SUCII law.
c) Other than in a state court of competent jurisdiction in and for the county or other political subdivision of the state
in which the Project, or any part thereof, is situated, or in the United States District Court for the district in which the
Project,or any part thereof,is situated,and not elsewhere.
r 4. The amount of this bond shall be reduced by and to the extent of any payment or payments made in good faith
hereunder, inclusive of the payment by Surety of mechanics' liens which may be filed of record against said improve-
ment, whether or not claim for the amount of such lien be presented under and against this bond. k;
6th February 90
Signed and sealed this day of
f' �5
J C Industries , Inc (Seal)
p Principal
V.`
}' F; Witness
h 7¢
, Title
SAFECO INSURANCE COMPANY OF AMERICA ;
tr
' Witness
By
a�" orne iri-Fact
Kris Bennett Atty
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ACKNOWLEDGMENT BY SURETY
Missouri
STATE OF
Cole ss
County of
Fahrt� 19�) before me personally
On this nth— day of —
appeared Kris L Bennett known to me to be the Attorney-in-Fact of
SAFECO INSURANCE COMPANY OF AMERICA, GENERAL INSURANCE COMPANY OF AMERICA, FIRST NATIONAL '
INSURANCE COMPANY OF AMERICA or SAFECO NATIONAL INSURANCE COMPANY, the corporation that executed the t
within instrument, and acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, at my office i aforesaid County,
the day and year in this certificate first above written.
r r .s '•
Notary Public in the State of EMILY EON p. NOTARY PUBLIC
Count of COLE UN TA 7E OF MISSOURI `''"����'" `''
(Seal) Y
Cole MY COM SSION EXPIRES 77/27/9@NTED IN U.S.A.
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POWER SAFECO INSURANCE COMPANY OF AMERICA
Lf
•' ,' HOME OFFICE: SAFECO PLAZAj;., r,"
OF ATTORNEY SEATTLE;WASHINGTON 981852
SAFECO
y No.
KNOW ALL BY THESE PRESENTS: r•r,
That SAFECO INSURANCE COMPANY OF AMERICA, a Washington corporation, does hereby appoint
-------JAMES J. LANDWEHR; WILLIAM R. TWEEDIE; CART E. REYNOLDS; KRIS L. BENNETT,
z v` Jefferson City, Missouri---------------- n
its true and lawful attorney(s)-in-fact, with full authority to execute on behalf of the company fidelity and surely bonds or
undertakings and other documents of a similar character issued by the company in the course of its business,and to bind ; rya,{ ..,:.,;.r
.y x
t SAFECO INSURANCE COMPANY OF AMERICA thereby as fully as if such instruments had been duly executed by its
regularly elected officers at its home office.
IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA has executed and attested these presents
k this 24th day of July _ 19 $9
tS
�r•3��.rF
i.'. l3oh A. Dickey,Sr,r,n:t:riy 1.W.Cannon,President
`.
CERTIFICATE y Z
Extract from the By-Laws of SAFECO INSURANCE COMPANY OF AMERICA:
"Article V, Section 13. — FIDELITY AND SURETY BONDS . . . the President, any Vice President, the Secretary, and any
Assistant Vice President appointed for that purpose by the officer in charge of surety operations, shall each have authorityI
' ? to appoint individuals as attorneys-in-fact or under other appropriate titles with authority to execute on behalf of the
company fidelity and surety bonds and other documents of similar character issued by the company in the course of itsY
.. ;'. business. . .On any instrument making or evidencing such appointment,the signatures may be affixed by facsimile.On any
j instrument conferring such authority or on any bond or undertaking of the company,the seal,or a facsimile thereof, may be s;
impressed or affixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the
z
validity of any such instrument or undertaking." i•'
Extract f+om a Resolution of the Board of Directors of "t
y i SAFECO INSURANCE COMPANY OF AMERICA adopted July 28, 1970.
"On any certificate executed by the Secretary or an assistant secretary of the Company setting out,
(i) The provisions of Article V,Section 13 of the By-Laws, and
(ii) A copy of the power-of-attorney appointment,executed pursuant thereto,and
(iii) Certifying that said power-of-attorney appointment is in full force and effect,
the signature of the certifying officer may be by facsimile, and the seal of the Company may be a facsimile thereof."
I, Boh A. Dickey, Secretary of SAFECO INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing
extracts of the By-Laws and of a Resolution of the Board of Directors of this corporation, and of a Power of Attorney issued
pursuant thereto,are true and correct,and that both the By-Laws,the Resolution and the Power of Attorney are still in full
force and effect.
rr•
4tta`•�'�
tr'
` y IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of said corporation
C ,Y
6th February 90
�`�� COLIpdy this day of , 19
A A
N
tolA. Dickey,Secretory
)..
1953
f
0 f'
S.1300 R5 3/88 PRINTED IN U.S A.
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ISSUE DATE (MM/DD/YY) `''
ACORD CERTIFICATE OF INSURANCE 02/16/90
........................ ............. ..... . .......... F � •
t ......................................................................... �...
RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERSs`
] NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, u . ,.
- EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Winter-Dent & Company
---------------------------------------------
""""""""--- -'----
------------ - - -- -----•--
101 East McCarty St. COMPANIES AFFORDING COVERAGE
P.O. Box 10�ib
--------------------------- ----------------- ------------.............................
Jefferson City, MO 65102 COMPANY
314-634-2122 LETTER A UNITED STATES FIDELITY & GUARANTY
------------------------•------------..........................................
--------- -----------------....... ..
-____
COMPANY
:, .'. ...----•-- -------------------•---- LETTER B EMPLOYERS OF WAUSAU---------------------------------------------------
Y•
INSURED
F;. COMPANY
J.C. INDUSTRIES, INC. LETTER C
--------- - - - ----
P.O. BOX 104567 ----------------------...------------------ ----------- - }j
t -
COMPANY z
JEFFERSON CITY, MO LETTER D
_
#`
65110 ----------------------- - -- b
COMPANY
LETTER E '� "` t
----------------------------- p ;^'
--------•---.--•--------------------•-----.•_-•-------------------•------------- 1'C?.7V"^.tisat'3r
COVERAGES _ _ ----------------------------------•-
;.. THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED.TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ;:z,,•t,,zwgrm?,r
lt. REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, { x3
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HER
IS SUBJECT TO ALL THE
r
TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
si ^si:„i
CO POLICY EFFECTIVE POLICY EXPIRATION `
LTR) TYPE OF INSURANCE I POLICY NUMBER I DATE (MM/DD/YY)I DATE (MM/DD/YY) I ALL LIMITS IN THOUSANDS �t'
.._ .•. _-_+-_•------------------------------+---------•--------+------_--•----•-+-,-•_-------------+----•-------------
A GENERAL LIABILITY 1MP110646833 07/01/89 07/01/90 GENERAL AGGREGATE $750, 5{Vi=n;'
3 [X] COMMERCIAL GENERAL LIABILITY „
PROD COMP/OPS AGGR $750, ��t,��•.
[XI[ ] CLAIMS MADE [X] OCCURRENCE PERSONAL & ADV INJURY $750, Xy"
EACH OCCURRENCE $750
z;•;.',„ [ ] OWNER'S & CONTRACTORS PROTECT '
[ ] FIRE DAMAGE(ONE FIRE) $ 50, .
[ ]
MEDICAL ICAL EXP(1 PERSON) $ 5,
-
AUTOMOBILE LIABILITY 1AB112605251 07/01/89 07/01/90 CSL ' $t
$1,00 ,
[X] ANY AUTO a
(K] ALL OWNED AUTOS BODILY INJURY '
$
[X] SCHEDULED AUTOS (PER PERSON)
BODILY INJURY
[X] HIRED AUTOS ';:
[X] NON-OWNED AUTOS (PER ACCIDENT) $
`' ;i;•
[ ] GARAGE LIABILITY PROPERTY 'S
[ ] DAMAGE $ .. '.- • fia
---+-----------•---------------------+------------------+----------------+------------
A EXCESS LIABILITY ULC112605240 07/01/89 07/01/90 I EACH OCCURRENCE I AGGREGATE '
$ 5,000, $ 5,000,
3
[ ] OTHER THAN UMBRELLA FORM
STATUTORY
B WORKERS' COMPENSATION 071000054635 07/01/89 07/01/90 $100, (EACH ACCIDENT)
-i AND
$500, (DISEASE POL)
EMPLOYERS' LIABILITY
$100 (DISEASE EACH EMP)
---+--------------------------•-------+------------------+----------------+-----------------+----------------------------•---- it
OTHER
i�«•ail;?,'. ',:a
A
x`r .......................
DESCRIPTION OFOPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS +
44',I.•S
y) RE: 1990 CEDAR CITY FORCE MAIN AND PUMP STATION RELOCATION
;5
. -
..............................................................• .a. 2> .................................................................•--
j CERTIFICATE .OLDER CANCELLATION
t, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
' THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR
'- CITY OF JEFFERSON CITY TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER HAIRED
TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO
320 EAST MCCARTY
JEFFERSON CITY, MO 65101 OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS
e
K AGENTS OR REPRESENTATIVES. r
it AUTHORIZ REPRES TATIVE
' ACORD 25-S (11/85) -{��
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.t;;.`t 4hE:kfi• •: ', Li.
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nn ,
{��j�Y ,t•.r.,;,� r
ACORD INSURANCE BINDER ISSUE DATE (MM/DD/YY) Y`
02/16/90
---........-•---------•-------•----------•-------------------•----------------•----•----------•-...-----•-----------.......--- ads,
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
.. ...
PRODUCER COMPANY UNITED STATES FIDELITY & GUARANTY BINDER N0. -
[ ] ----•----------------------------------------------•----------.........._....
•:` Winter-Dent & Company EFFECTIVE EXPIRATION
101 East McCarty St. DATE TIME I DATE TIME *2Fyu�r
P.O. Box 1046 -----------------------------------------+---------------•--------------------
r.
Jefferson City, MO 65102 12.01 [X] AM [X] 12.01 AM
314-634-2122 02/15/90 I................... 02/15/91 I •-----.
] PM [ ] Noon w
CODESLID-CODE -------------------------------•----------------------..................•---.. a.,
THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED
;. ' ------------------------•------------•-------- COMPANY PER EXPIRING POLICY NO.: ;.. 'y.'
- --- ...
INSURED
-DESCRIPTION OF OPERATION/VEHICLES/PROPERTY (INCLUDING LOCATION)
CITY OF JEFFERSON CITY MO
320 EAST MCCARTY OWNERS PROTECTIVE LIABILITYs*': #'
ri6e `'r'^ 4t j
JEFFERSON CITY, MO 65101
Y�reh, S
COVERAGES ---ALL LIABILITY LIMITS IN THOUSANDS
----•----•--------------------•----------•---------- --------- ------------------------•---•-
TYPE OF INSURANCE COVERAGES/FORMS AMOUNT DEDUCTIBLE COINSURANCE ? M,
PROPERTY CAUSES OF LOSS
[ ] BASIC [ ] BROAD [ ] SPECIAL
' •---------------------- ______+____----__----------------`--------__-_-__-----------+--------------•-----•-----+----------
GENERAL LIABILITY GENERAL AGGREGATE $1,000,-
[ ] COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGG. $
[ ] [ ] CLAIMS MADE [ ] OCCURRENCE PERSONAL & AD. INJURY $
<<!°; [X] OWNERS & CONTRACTORS PROTECT. EACH OCCURRENCE $1,000; ° .
[ ] FIRE DAMAGE(ANY ONE FIRE) $
[ ] RETRO DATE FOR CLAIMS MADE: MEDICAL EXP(ANY ONE PER.) $
UTOMOBILE [ ] ALL VEHICLES [ ] SCHEDULED VEHICLES CSL $
!+ ] LIABILITY BI PERS/ACCID $
[ ] NON/OWNED PD $ *'
[ ] HIRED MED. PAY $
[ ] GARAGE PIP $
[ ] UM $
---------------------------------+--------------------------------•-----------------•--+------------------------------------- ,d
AUTO PHYSICAL DAMAGE [ ] ALL VEHICLES [ ] SCHEDULED VEHICLES [ ] ACV
[ ] COLLISION DED: I ( [ ]I STATED HERD AMOUNT I$
[ ] OTC DED: T
-----------•--------------------+-----------------------------------------------------+---------•---------------------------
j' EXCESS LIABILITY EACH AGGREGATE SELF-INSURED '-
i+ [ ] OTHER THAN
UMBRELLA OUMBRELLA FORM I RETRO DATE FOR CLAIMS MADE: I OCCURRENCE I I RETENTION
=s. -----•-----•------•----------•--+---------•----------------•--------------------------+-----------------------------•-------
' ` STATUTORY ,q•
« ? WORKERS' COMPENSATION $ (EACH ACCIDENT)
AND $ (DISEASE POLICY LIMIT)
. EMPLOYERS LIABILITY $ (DISEASE EACH EMPL.)
:i
r..4v -SPECIAL CONDITIONS/RESTRICTIONS/OTHER COVERAGES
JOB: 1990 CEDAR CITY FORCE MAIN AND PUMP STATION RELOCATION
J.C. INDUSTRIES, INC., P.O. BOX 104567, JEFFERSON CITY, MO 65110 IS RESPONSIBLE FOR PREMIUM AND AUDIT.
t
-----------•------------
NAME & ADDRESS
! [ ] MORTGAGEE [ ] ADDITIONAL INSURED
] LOSS PAYEE [ ]
y ...............................................................
LOAN # ;
p ...............................................................
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AUTHORIZED REPRE NTATIVE
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16CORD 75-5.(11/85) rl
•----...,,--------.........................-...............................
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�t ��� ,��`x ��'� .t f'er'�m,�,St1 '.,'' ,df 'i 1� ...}� !' +•f,i�. .,,:••' .,( 3d ,. Kl.'1. �; 5�f 1<. t..v '',�iar'Y,+S°l�tr�'�'?��'}•� ��� d�tr,t. ����i
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CONDITIONS
THIS COMPANY BINDS THE KINDS) OF INSURANCE STIPULATED ON THE
REVERSE SIDE. THIS INSURANCE IS SUBJECT TO THE TERMS,
CONDITIONS AND LIMITATIONS OF THE POLICY(IES) IN CURRENT USE
BY THE COMPANY.
THIS BINDER MAY BE CANCELLED BY THE INSURED BY SURRENDER OF
THIS BINDER OR BY WRITTEN NOTICE TO THE COMPANY STATING WHEN
CANCELLATION WILL BE EFFECTIVE. THIS BINDER MAY BE CANCELLED
BY THE COMPANY BY NOTICE TO THE INSURED IN ACCORDANCE 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 RULES AND RATES IN USE BY THE
COMPANY.
VIA
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#mot Pt�t,(t} J.S�q� ����1}}y�Y���h�� a22��J � il L t ;: t 5 :' .,4.;. .A., i{ • /' 7 i
����'�•r:';•�'' rjrt'ttr�,'a �$'7�,7� s .fr 1-ra (+,t S^ t i - •':��. '+ d
/i}';'.�. .�•ga} ii i�, y��Jirr i(
.��� rt�Jf��l+
>i Y t�` +'A�}� 4• iT: i�F, , �[{Ht'i.V .S . � �I
� vv
lrk_ April 10, 1990
%$k.``• Jack Kramer 1
f,�•, r.t ,r,4�
320 East MoCartY.
,. . Jefferson city, Mo 65101
J Industries,
J. C. Ir>,dustr / Inc
Dear Mr. Kramer:
Enclosed glease fired the owner protective liability policy which you
Inc. We have
..j r� for the job being performed by J.C. Industries
/
ey,a'i ti
also enclosed a certificate of insurance• a�
` e
We apologize for the delay in providing this. If you have any questions.
please feel free to contact us.
Sincerely/ a
Gv Ai',
'. " /ell
Y1 TLS ,.
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Winter-Dent & Co.
J.
` Insurance & Bonds
�.'
P.O. Box 1046 Jefferson City,MO 65102
?,•, 314-634-2122 Fax,314-636-7500
Established 1912
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FY.�
ISSUE DATE (MM/DD/YY)
ACORD CERTIFICATE OF INSURANCE 04/10/90
-----------•------------------------------ ---------.....
....._.........---------•-•-----
y4
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
PRODUCER h`
] NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DUES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Winter-Dent & Cortwany -------------------
COMPANIES--------------•----------------------------
{Fs-
+4 101 East McCarty St. ._----•-_--COMPANIES-AFFORDING.COVERAGE..............................
P.O. Box 1046
Jefferson City, MO 65102 COMPANY etas
314-634-2122 LETTER A UNITED STATES FIDELITY-&-GUARANTY
---------------•_---------.-_.-- �
•', COMPANY---------------------
LETTER B EMPLOYERS OF WAUSAU ( �a
---•---..... ------
-INSURED ----------
COMPANY
Cry { Orb
J.C. INDUSTRIES, INC. LETTER C ----------------------------- -------•------•
P.O. BOX 104567 ------------------------------
' COMPANY - t
JEFFERSON CITY, 140 LETTER D
-------........................................................
---------...------...... •-----... •-----....
-----------------65110
COMPANY }•{.f;;
LETTER E
1- ---------------------------------------------------
ES
COVERAG `
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THIS IS TO-----------------------------------
CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
°y INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TIIIS Fey •'
•?' CERTIFICATE MAY DE 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.
POLICY EFFECTIVE POLICY EXPIRATION ;
a:
s="'
LTR TYPE OF INSURANCE I POLICY NUMBER I DATE (MM/DD/YY)I DATE (MM/DD YY) ALL LIMITS IN THOUSANDS
ab ,
+------------------+----------------+-----------------+----------------------------------
tat• �t'
-f A GENERAL LIABILITY - - 1MP110646833 07/01/89 07/01/90 GENERAL AGGREGATE $750, 'x.
[X] COMMERCIAL GENERAL LIABILITY PROD COMP/OPS AGGR $750 '
[X][ ] CLAIMS WE [X] OCCURRENCE PERSONAL & ADV INJURY $750, 4 ;
OWNER'S & CONTRACTORS PROTECT EACH OCCURRENCE $750,
[ ]
~•~ : FIRE DAMAGE(ONE FIRE) S 50, I' f
MEDICAL EXP(1 PERSON) $ 5,
[ ] _+-- ----+----------------+-----------------+-- ------------------------ a
•--t- ----- ------------ -
AUTOMOBILE LIABILITY IAB112605251 07/01/89 07/01/90 CSL d•.'t
? [X] ANY AUTO $1,000,
DODILY INJURY
[X] ALL OWNED AUTOS (PER PERSON) $
[X] SCHEDULED AUTOS
[X] HIRED AUTOS BODILY INJURY ' '
''•.;(:` (PER ACCIDENT) 5 '
fs [X] NON-OWNED AUTOS
[ ] GARAGE LIABILITY PROPERTY x
s; DAMAGE
[ ] -------S-------
+;
-- -
A EXCESS LIABILITY ULC112605240 07/01/89 07/01/90 EACH OCCURRENCE I AGGREGATE
F' S 5,000, S 5,000
I[X] OTHER THAN UMBRELLA FORM -- ---- --------- ------------- ---- --- ------
--+---------------------------------+--------------- -+- -+- + STATUTORY
B WORKERS' COMPENSATION 071000054635 07/01/89 07/01/90 $100, (EACH ACCIDENT)
?x AND $500, (DISEASE POL)
EMPLOYERS' LIABILITY I --------------- -S100 _(DISEASE_EACH-EMP) '
-+- --------------------------+------------------+----------------+- -+-
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
9t�F
JOB: 1990 CEDAR CITY FORCE MAIN AND PUMP STATION RELOCATION
..............................................................................................................................
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� CERTIFICATE HOLDER CANCELLATION
4f. -------------------------------------------------------------.I_..-•-----------------------------------------------------------
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�;,. '• SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR
gin.;fit;
CITY OF JEFFERSON CITY TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED
}fx�
ATTN: JACK KRAMER
TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO
'• 320 EAST MCCARTY OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS f�
+' AGENTS OR REPRESENTATIVES.
"'•.eFFERSON CITY, !IQ 65101 ------------------------------- -------•---•----- •-•------•-• �
AUTHOR ED REPR NTATIVE t
ACORD 25-S (11/85) ............
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This policy includes the following:
1. Jacket containing the Common Policy Conditions; �r
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2. Common Policy Declarations;
3. One or more Coverage Parts consisting of ,
a. Declarations for the form of coverage provided, and
b, Coverage Form, Endorsements and any additional
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Conditions or Provisions.
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The Company has caused this policy to be signed by its President and its Secretary and countersigned by a duly
authorized representative.
UNITED STATES FIDELITY AND GUARANTY COMPANY
FIDELITY AND GUARANTY INSURANCE UNDERWRITERS INC.
FIDELITY AND GUARANTY INSURANCE COMPANY
CaL(
Secreta ry President
REINSURANCE AGREEMENT , �:n• �'' � ;
If coverage under this policy is provided by either Fidelity and Guaranty Insurance Underwriters, Inc.or Fidelity and'
Guaranty Insurance Company, as indicated on the Common General Declarations attached,the following applies
The entire liability under this policy is reinsured by United States Fidelity and Guaranty Company,Baltimore,Maryland, ;,rw + `I'r4
s y,RUi
and the insured is hereby given and granted the same rights of recovery against United States Fidelity and Guaranty '} {
Company as the insured has against the issuing company providing this policy. It is hereby agreed and acknowledged.
that the liability created hereunder is a joint and/or several obligation.
UNITED STATES FIDELITY AND GUARANTY COMPANY
t:.
Secretary
President �� ?t t t}z
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k i • ry�.
.lr•' i.:,. ,.,,..._,r..:<;-t.J:�?t.y r.�,,. .._..,.... '"r.'a';'�.,..),.,d..:«."_:..e,tct�ta� "` 'l:
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• ® U P®LACY CO ®ITI®N
Coverag6 Part(s) included in this policy are subject to the following conditions.
A. CANCELLATION D. INSPECTIONS AND SURVEYS
1. The first Named Insured shown in the Declarations We have the right but are not obligated to:
may cancel this policy by mailing or delivering to
us advance written notice of cancellation. 1. Make inspections and surveys at any time;
2. Give you reports on the conditions we find; and t°
2. We maycancel this policy by mailing or delivering to
{ the first Named Insured written notice of cancella 3• Recommend changes.
tion at least: Any inspections,surveys,reports or recommendations
a. 10 days before the effective date of cancellation if relate only to insurability and the premiums to be
we cancel for nonpayment of premium; or charged. We do not make safebj inspections. We do
b. 30 days before the effective date of cancellation not undertake to perform the duty of any person or °
if we cancel for any other reason. organization to provide for the health or safety of
workers or the public. And we do not warrant that
3. We will mail or deliver our notice to the first Named conditions:
Insured's last mailing address known to us. 1. Are safe or healthful; or
4. Notice of cancellation will state the effective date of 2. Comply with laws, regulations,codes or standards.
cancellation.The policy period will end on that date.
This condition applies not only to us, but also to any
5. If this policy is cancelled, we will send the first rating, advisory, rate service or similar organization
Named Insured any premium refund due. If we which makes insurance inspections, surveys, reports
cancel,the refund will be pro rata.If the first Named or recommendations. ?=i
Insured cancels, the refund may be less than pro
E. PREMIUMS
rata. The cancellation will be effective even if we ; }
have not made or offered a refund. The first Named Insured shown in the Declarations: `A '
1 Is responsible for the payment of all i
6. If notice is mailed,proof of mailing will be sufficient premiums;
and ::a
proof of notice.
2. Will be the payee for any return premiums we pay. y.
B. CHANGES
F. TRANSFER OF YOUR RIGHTS AND DUTIES UNDER ;
This policy contains all the agreements between you THIS POLICY .;
and us concerning the insurance afforded. The first
Named Insured shown in the Declarations is authorized Your rights and duties under this policy may not be
AD,
transferred without our written consent except in the s
to make changes in the terms of this policy with our ; 13A
consent. This policy's terms can be amended or case of death of an individual Named insured. x
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waived only by endorsement issued by us and made If you die,your rights and duties will be transferred to .i
a part of this policy. f
your legal representative but only while acting within
the scope of duties as y al re our le g representative. Until
C. EXAMINATION OF YOUR BOOKS AND RECORDS e
your legal representative is appointed,anyone having
We may examine and audit your books and records proper temporary custody of your property will have +;.
asthey relatetothis policy at anytime duringthe policy your rights and duties but only with respect to that
period and up to three years afterward. property. a
(ISO-IL 00 17 11 85) r,:
1.
(" permission.
This policy includes copyrighted material of Insurance Services Office, Inc. with its x $ti'
Copyright, Insurance Services Office, Inc., 1983, 1984. X ,:;,'
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ON
COMMERCIAL.INSURANCE POLICY - COMMON POLICY DECLARATIONS Inl�yi�IAAIUC� u;
r, 12 0 0 4 5 0 2 400 Renewal of
. Policy No. .00P � . New
1. NAMED INSURED AND MAILING ADDRESS: Q United States Fidelity and Guaranty Company z'
(No., Street, City, State, Zip Code) Fidelity and Guaranty Insurance Underwriters,Inc.
City of Jefferson City, MO
320 East McCarty ❑ Fidelity and Guaranty Insuranco Company
Jefferson City, MO 65101x4:.
k. (Each a Stock Insurance Company) X'j
The issuing company is designated above by
the letter X.
2. POLICY PERIOD: Branch Office: St. Louis, MO
Agent: Winter-Dent & Company '
From 2_-1.5-90 -..to2-15--9 1,-,... .__,,.,,-_ Address: Jefferson City, MO #1`
12:01 A.M. standard time at your mailing address b' �
shown above.
Agent's Code: 70-9093
3. BUSINESS DESCRIPTION: ' Countersigned By: , }.
04
r 4. In return for the payment of the premium, and subject to all the terms o t is policy, we agree with you to provide
the insurance as stated in this policy. This policy consists of the following Coverage Part(s) for which a premium
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is indicated. This premium may be subject to adjustment.
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Coverage Part(s) Premium
4'
�,. _.-Owner.s_&-_.C.ontractor._Protective . -Liability $
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Total Policy Premium $... __..25.6...._._. .__
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Premium is payable: At Inception $_. _ -... . ___.-.-----_
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i 5. FORMS AND ENDORSEMENTS APPLICABLE TO ALL COVERAGE PARTS:COIL 108 03 89
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CL/IL 108(1-88) IL 0017(11-85) ,.
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(ISO iLoo1s>>est
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USE
QUICK REFERENCE ;
INSURANCE
MW OWNERS AND CONTRAC'T'ORS PROTECTIVE LIABILITY COVERAGE PARS'
7'(. READ YOUR POLICY CAREFULLY `
fy - DECLARATIONS
a:>
" ? Named Insured and Mailing Address t
Policy Period
Description and Form of Business
Limits of Insurance
Name and Mailing Address of Contractor
4> Location of Operations
Premium Schedule
r '
Audit Period
Forms Applicable
Beginning
1§ - COVERAGES On Page
Bodily Injury and Property Insuring Agreement....................................... 1
Damage Liability Exclusions................................................. 1
Supplementary Payments .................................................................... 2 ..
WHO
IS AN INSURED............. ... ........
3
LIMITS OF INSURANCE ............................................. 3
� CONDITIONS
7�rp 'F Bankruptcy.
��.< Cancellation................................................................................... 3
Changes....................................................................................... 4 t
;..: Duties in the Event of Occurrence, Claim, or Suit.......................................... 4
Examination of Your Books and Records .................................................... 4
Inspection and Surveys............ ............................................... 4
ry Legal Action Against Us...................................................................... 4
` Other Insurance...................................................................... ...... 4
Premiums ..... 5
Premium Audit......... ... ...... ..... ..
Separation of Insureds .............. 5
7 Transfer of Rights of Recovery Against Others to Us........................................ 5
DEFINITIONS............ .................................................. ..
ENDORSEMENTS
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OWNERS AND CONTRACTORS PROTECTIVE LIABILITY
COVERAGE PART -- DECLARATIONS
INSURANCE
Policy No. 4C 12004502400
LIMITS OF INSURANCE:
Aggregate Limit
Each Occurrence Limit
FORM OF BUSINESS:
Individual ❑ Partnership ❑ Joint Venture '
❑ Corporation
Other
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NAME AND MAILING ADDRESS OF CONTRACTOR: -5r
J.C. Industries, Inc.
P.O. Box 104567
JeffersonCity, MO 651110
LOCATION OF COVERED OPERATIONS:,
1990 Cedar city - Force main and pump station relocation
PREMIUM SCHEDULE:
Premium Advance i
Classification Code No. Basis Rate Premium
Construction 16292 Total Cost Per$1000 of
<,•.
k Total Cost
C)191,531. .794 256.00
I
�f: Prem./Op MP $256.
_....._.....-.... _ - -.-"..___... _._.. _.......i. ..__..... .........__..._.-_i..__------
.... .- ' ..._.._..__...___... _._._..
TOTAL ADVANCE PREMIUM FOR THIS COVERAGE PART: $ 256.00
t AUDIT PERIOD: 0 Annually ❑ Semi-annually ❑ Quarterly [] Monthly
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FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART: CUIL 00 21 02 88, CL/CG 99 01 01 86 . �
CL/IL 221(3-88) , CG 0009(11-85) , CG 0041(5-86), CL/IL 0274(9-89)
PREMIUM BASIS: The Premium m Basis is the total comet of all work let or sublet in connection with each specific project
't} including:
1.The cost of all labor, materials and equipment furnished, used or delivered for use in the execution of the work,
i and
2.All fees,bonuses or commissions made,paid or due.
CUIL 22103 88
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COMMERCIAL GENERAL LIABILITY '''' `"°"�'
• ' • dp'r�ir¢'V�.t��tif.vi��,
t. OWNERS AND CORII°RACT®RS PROTECTIVE :z51t1
LIABOILITY COVERAGE FORM. COVERAGE
FOR OPERATIONS OF DESIGNATED CONTRACTOR
Various provisions of this policy restrict coverage. b. Damages because of "bodily injury" include
Read the entire policy carefully to determine rights, damages claimed by any person or organization
duties and what is and is not covered. for care, loss of services or death resulting at any
Throughout this policy the words "you" and "your" time from the "bodily injury."
refer to the Named Insured shown in the Declara- c. "Property damage"that is loss of use of tangible
tions. The words "we", "us" and "our" refer to the property that is not physically injured shall be
Company providing this insurance. deemed to occur at the time of the "occurrence" `
The word "insured" means any person or organize- that caused it.
tion qualifying as such under SECTION II - WHO IS 2. Exclusions.
AN INSURED. This insurance does not apply to:
Other words and phrases that appear in quotation a. "Bodily injury" or "property damage expected
marks have special meaning. Refer to SECTION V - or intended from the standpoint of the insured. "
DEFINITIONS.
This exclusion does not.apply to "bodily injury"
SECTION 1.- COVERAGES resulting from the use of reasonable force to
BODILY INJURY AND: PROPERTY DAMAGE protect persons or property.
LIABILITY
b. "Bodily injury" or "property damage" for which 'j-`•�a.,°°�`
1. Insuring Agreement. the insured is obligated to pay damages by rea- 4rt
a. We will pay those sums that the insured be- son of the assumption of liability in a contract
or agreement. This exclusion does not apply to
comes legally obligated to pay as damages be-
liability for damages:
cause of "bodily injury" or"property damage" to
which this insurance applies. No other obli- (1) Assumed in a contract or agreement that is
gation or liability to pay sums or perform acts or an insured contract; or
services is covered unless explicitly provided for
P Y P (2) That the insured would have in the absence
under SUPPLEMENTARY PAYMENTS. This in- of the contract or agreement.
onwhly
occurs during the c. "Bodily injury" or "property damage" which €'t?±` }
policy period. The "bodily injury" or "property occurs after the earliest of the following times:
damage must be caused by an occurrence (1) When all work on the project (other than
and arise out of: service,
maintenance. or repairs) to be per- r;F;;���•,:.".
1 Operations performed for you b the "con- formed for you by the contractor at the site
( ) P P y y of the covered operations has been com- �m Fs, •
tractor at the location specified in the Decfa- u
leted; or
rations; or P +h
(2) When that portion of the "contractor's"
(2) Your acts or omissions in connection with
the general supervision of such o P orations. work , out of which the injury or damage
arises, has been put to its intended use by any
We will have the right and duty to defend an
!1 Y Y person or organization. This exclusion does
suit seeking those damages. But: not apply to any contractor or subcontractor
working directly or indirectly for the "con-
tractor"(1) The amount we will pay for damages is lim- tractor" or as art of the same project.
ited as described in SECTION III - LIMITS OF P p ject. "4 .
'..
INSURANCE. n n
., d. Bodily injury or property damage I, arising out
(2) We may investigate and settle any claim or of your, or your employees', acts or omissions
"suit" at our discretion and other than general supervision of "work" per-
l�y •.. yxtL •.tM 3'
,:.. formed for you by the contractor. �;.�� •, ",
(3) Our right and duty to defend end when we
„r .. . have used up the applicable limit of insurance e. Any obligation of the insured under a workersr y ,
in the payment of judgments or settlements. compensation, disability benefits or unemploy-
ment
p Y 1
compensation law or any similar law.
CG 00 09 11 85 Copyright,
Insurance Services Qffice, Inc., 1984 of 6 ❑ :,.'ir ' ss•
Fai. Pk 'tfn (A
1, sf ?t ti Ji' ,Hy: -t'�.�` ':,�� r � ' tt4 ,✓."•-*..e . r: "'✓: r s •7Q r., .t.„r .y,. r ` �3`'�
t k• � 7�y y � SLR r” e � r �`�,r, �r
/ e
.t.,; \'�`j{� Ft ` � r x•' .. ! ` r' 3 �' .£z ,} �ivY'y7r5 t wir. �,;s3t`.�i°,<i:�} ,
3Frs {
a J r
t , ,.y....»»....—..., «......,...�..«.................._._.,,. .. ......,.,.. _, .._._....,.....,...».....«,.«.......o-N..,..enwr i. ".nt d,,k Nfi„�,s bi.N`+c�.,;.!?,B'0`XYrca r t �•' z .v
h rt itrt
COMMERCIAL GENERAL LIABILITY
• � fi r
"Bodily incur "`o: i if the pollutants r o or
f. o y l .y t O are brought n to
(1) An employee of the insured arising out of the site or location in connection with ,
and in the course of his employment by the such operations; or
insured; (ii) if the operations are to test for, mon-
(2) The spouse, child, parent, brother or sister itor, clean up, remove, contain, treat, '
of that employee as a consequence of (1) detoxify or neutralize the pollutants.
above. (2) Any loss, cost, or expense arising out of any
This exclusion applies: governmental direction or request that you
(1) Whether the insured may be liable as an test for, monitor, clean up, remove,
employer or in any other capacity; and treat, detoxify or neutralize the pollutants. ,
Pollutants means any solid liquid gaseous or '
(2) To any obligation to share damages with or
repay someone else who must pay damages thermal irritant or contaminant, including smoke, �,� 7
vapor, soot, fumes, acids, alkalis, chemicals and
because of the injury, i
waste. Waste includes materials to be recycled, ..,
This exclusion does not apply to liability as- reconditioned or reclaimed.
sumed by the insured under an "insured con-
tract".
k. "Property damage" to "impaired property” or
property that has not been physically injured,
g. "Property damage" to: arising out of:
(1) Property you own, rent, or occupy; (1) A defect, deficiency, inadequacy or danger- "
'l (2) Property loaned to you; ous condition in "work" performed for you by, r
(3) Personal property in your care, custody or the "contractor," or
control; or' (2) A delay or failure by you or anyone acting
(4) "Work" performed for you by the'"contrac- on your behalf to perform a contract or
tor." agreement in accordance with its terms.
] h. "Bodily injury' or "property damage" due to to the loss of use
This exclusion does not apply
war, whether o•r not declared or any act or of other property arising out of sudden and ac-
condition incident to war. War includes civil. cidental physical injury to "work" performed for
r
war, insurrection, rebellion or revolution. This you by the "contractor." hux�; ,
exclusion applies only to liability assumed un SUPPLEMENTARY PAYMENTS
der: We will pay, with'.res ect to any claim or "suit" we
(1)1 An insured contract or
defend: r A
k� i r
tp ;'
(2) Expanses for first aid. 1. All expenses we incur. �¢j • :;
n ri Jr,Nj � L.
i. Bodily injury��",or property damage" arising out 2. Up to $250 for cost of bail bonds required because
of the use of mobile equipment in, or while in q +.j •_ `
practice or re aration'for, a prearranged racing, of accidents or.traffic law violations arising out of _ � s
P P P P g the use of any vehicle'to which this insurance ap-
speed or demolition contest or in any stunting plies. We do not have to furnish these bonds:.
activity . '. t,
' j. (1) "Bodily n u �" or " 3. The cost of bonds to release attachments, but only
y f property damage" arising
out of the actual, alleged or threatened dis- for bond amounts within the applicable limit of
insurance. We do not have to furnish th Ise bonds.
charge,dispersal,release or escape of pollutants:
4. All reasonable expenses incurred by the insured
r; ('a) At or from premises you own, rent or oc- at our request to assist us' in the investigation or "
cupy' defense of the claim or "suit," including actual loss
:..: (b) At or from any site,or location used by or of earnings up to $100 a day because+of time off
for you or others for handling, storage, dis- ,.
'F`"`<• 9. 9 from work.. t'
posal, processing or treatment of waste;
5. All costs taxed against.the insured in the suit.. _.
(c) Which are at any time transported, han- '`
6. Pre-judgment interest awarded against the insured
�F�#5 died, stored, treated, disposed of, or pros-
r- essed as waste by or for you or any parson on that part of the judgment;we pay. If we make
or organization.for whom you may be,le-,
an offer to pay the applicable limit of insurance, +:>
all res we will not a an r
�y. g y ponsible; or pay y.pre-judgment interest based ,r
z,.
on that period of,time(d) At, or from any site or.location on which
after the offer.
you, or any contractors or subcontractors
working directly or indirectly on your behalf
are performing operations:
Page 2 of 6 Copyright, Insurance Services Qffice, Inc., 1984 CG 00 09 1.1 85, 0
� XJIZ�';
,..z•,fj�5y
.ti.;7 ILl,•'' � ye d.7� i� F rr s `y r 4 t`i .:
.i �t ..YAA�`;�,,' !J � or��}. {5. 4 t Y �, , , i . r S � ^X�,�.y�n•.R�4�..
A' �:41, 1. iS �"t� .*t.�r!t^ ! 1. J tC, , i 7 ��• �. t 'q 5 S d •td _
..,•i.`X`;���Y'Y ,�d d{a�,{�,�i}L tv
`.'.k,+.{h7��� t''(())t It3�Y y'� ! I 1 r 4 L .•,j ASF fk�f'���1j
}�•L��`
tr 4 t t S i V
a, i71 a t f. q.• „ ��1 S+ S e. .t;yr,� 3prLd��M�1a ,IQ6 ?"
.rr...w r'•-^ ^..o......� .err...—rrr—M��..r—. .-----..-w.-..,.-..-...s.,...-.7777, 'r,..'^ .n sh,iU�•,'I� ,
�{16. ��1Y+M1 !{•��_.;{ -.atr,•oinr•a,-.x.«............•.....•w.n..,+.,.-•...•<.., _. vn f z+:. , '.,, �� k
COMMERCIAL GENERAL LIABILITYnf -` r.
Jy$ 1
7. All interest on the full amount of any judgment 2. The Aggregate Limit is the most we will pay for , z
that accrues after entry of the judgment and before the sum of damages because of all "bodily injury" '
we have paid, offered to pay, or deposited in court and "property damage."
the part of the judgment that is within the appli-
3. Subject to 2. above,,the Each Occurrence Limit is
cable limit of insurance. the most we will pay for the sum of damages be-
8. Expenses incurred by the insured for first aid to cause of "bodily injury" and "property damage"
others at the time of an accident, for "bodily in- arising out of any one occurrence.
jury" to which this insurance applies, y p Dec-
These
1 p If you designate more than one project in the
payments will not reduce the limits of insur- larations, the Aggregate Limit shall apply separately
ance. to each project.
SECTION 11 - WHO IS AN INSURED The limits of this Coverage Part apply separately to
1. If you are designated in the Declarations as: each consecutive annual period and to any remain-
a. An individual, you and your spouse are in-
ing period of less than 12 months, starting with the
sureds. beginning of the policy period shown in the Decla-
rations, unless the policy period is extended after ism
b. A partnership or joint venture, you are an in- suance for an additional period of less than 12
sured. Your members, your partners, and their months. In that case, the additional period will be
spouses are also insureds, but only with respect deemed part of the last preceding period for pur-
to their duties as partners or members of a joint poses of determining the Limits of Insurance.
venture. SECTION IV - CONDITIONS
C. An organization other than a partnership or joint 1. Bankruptcy.
venture, you are an insured. Your executive of-
ficers and directors are insureds, but only with Bankruptcy or insolvency of the insured will not re-
respect to their duties as your officers or direc- lieve us of our obligation under this Coverage Part. r, '
tors. Your stockholders are also insureds, but
} only with respect to their liability as stockhold- 2• Cancellation. ),
a. The first Named Insured shown in the Declara- ,� l
ers. tions may cancel this policy by mailing or deliv-
2. Each of the following is also an insured: erin9 to us advance written 'notice . of
.F., 's'•�:,.
a. Any person (other than your employee) or any cancellation.
organization while acting as your real estate
manager. b. We may cancel this policy by mailing or deliv-
ering to the first Named Insured and the "con- �;.. ;
b. An person or organization having proper tem- " Y ssrff;`
Any p g tractor written notice of cancellation at least: �fi° '-�':•;,r,;,
porary custody of your property if you die, but
(1) 10 days before the effective'date of cancel- n
only: ;,:,;
lation if we cancel for non-payment of ,pre-
(1) With respect to liability arising out of the mium; or vad` K '
maintenance or use of that property; and (2) 30 days before the effective date of cancel- fi ',
er''y;ii, r
(2) Until your legal representative has been ap- lation if we cancel for any other reason.
pointed. `
c. Your legal representative if you die, but onl C. We will mail or deliver our notices to the first
y y Named Insureds and the "contractor's" -last 7 r�,r
with respect to duties as such. That represen-
tative will have all our rights and duties under mailing address known to us• t s
y d. Notice of cancellation will state the effective
this Coverage Part. r. ; tSt
No person or or is an insured with respect date of cancellation. The policy period will end
on that date.
to the conduct of any current or past partnership or = 1
joint venture that is not shown as a Named Insured e. If this policy is cancelled, we will send the
in the Declarations. "contractor" any premium refund due.. "if we
SECTION III - LIMITS OF INSURANCE cancel, the refund will be pro rata. If the first ,:,, };..
. Named Insured or the "contractor" cancels, the
1.The Limits of Insurance shown in the Declarations refund.may be less than pro rata. The canceila- �f`'
and the rules below fix the most we will pay, re- tion will be effective even if we have riot made ±,?
gardless of the number of:
"��:����•' or offered a refund.
a. Insureds; f. If notice is mailed, proof of mailing Will'be suf-
b. Claims made or "suits" brought; or ficient roof of notice. <<`
c. Persons or organizations making claims or °cr
bringing "suits."
1 {�,, ,1i�t inM�r• �
{ CG 00 09 11 85 Copyright, Insurance Services Office Inc. 1984 Page 3 of 6 C] yry.
r k
����'� �=If •���,��
1( � 1 {`., t ' r? �ST�'��J�,�`•.i�'1d .:.i3u t}ft,, ,� {p.�1'`,r
./f
^', i l,/ ! .. i", {� •f!i1„9t ��.4 �r�k'r?;�5e �n� .
4S I
d r ....•._... .. .. . ..t .,.. ,.. �,. .. ...__.....»..................<.....�...-.... .. . '.. .. .. ._...-..,._.........,r r...,n nynu.•rmr S. .a.,rvm's. oMtlwn•,nw�'u..N',�1�'a � {�J'}
• n
. ' COMMERCIAL GENERAL LIABILITY ?
3. Changan. Any inspections, surveys, reports or recommen-
dations relate only to insurability and the preml- r r>
This policy contains all the agreements between ums to be charged, We do not make safety
you, the "contractor" and us concerning the in- "
surance afforded. The first Named Insured shown inspections. We do not undertake to perform the
duty of any person or organization to provide for P
in the Declarations and the "contractor" are au-
the health or safety of workers or the public. And
f thorized to make changes in the terms of this pol-
we do not warrant that conditions:
icy with our consent, This policy's terms can be
amended or waived only by endorsement issued a. Are safe or healthful; or
by us and made a part of this policy. b. Comply with laws, regulations, codes or stand-
F° 1.
4. Duties In The Event Of Occurrence, Claim ards.
or Suit. This condition applies not only to us, but also to
fxr.;
a. You must see to it that we are notified promptly any rating, advisory, rate service or similar organ-
of an occurrence which may result in a claim.
ization which makes insurance inspections, sur-
Notice should include:
veys, reports or recommendations.
(1) How, when and where the occurrence
7. Legal Action Against Us. ;
took place; and No person or organization has a right under this
(2) The names and addresses of any injured ' G
Coverage Part: f �`
persons and witnesses. a. To join us as a party or otherwise bring us into
b. If a claim is made or suit is brought against
a "suit" asking for damages from an insured; or
any insured, you must see to it that we receive b. To sue us on this Coverage Part unless all of its
prompt written notice of the claim or "suit terms have been fully complied with.
A person or organization may sue us to recover on '{
j c. You and any other involved insured must: ,
an agreed settlement or on a final judgment
(1) Immediately send us copies of any demands, against an insured obtained after an actual trial;
;j notices, summonses or legal papers received but we will riot be liable for damages that are not
1 in connection with the claim or "suit";
; payable under the terms of this Coverage Part or
(2) Authorize us to.obtain records and other in- that are in excess of the applicable limit,of incur
s { ance. An agreed settlement means a settlement
formation;
and release of liability signed by us, the insured rrkk '
(3) Cooperate . with us in the investigation, _;:
and the claimant or the claimant's legal represen-
settlement or defense of the claim or suit,
j and tative.
8. Other Insurance.
(4) Assist us, upon our request, in the enforce- t.f Y
m nt of any right against any person or or- The insurance afforded by this Coverage Part is
ganization which may be liable to the insured primary insurance and we will not seek contrib• :.";k, >
because of injury or damage to which this in- ution from any other insurance available,to you 1 i t fr
surance may also apply. unless the other insurance is provided by a con-
tractor other than the designated "contractor" for
1''•i'.tN
d. No insureds will, except at their own cost, vol- the same operation and job location designated in
e an obligation,
sum With that
untarily make a payment, as Y g the Declarations. Then we will share w t
or incur any'expense, without our consent. other insurance by the method described below.
6. Examination of Your Books And Records. If all of the other insurance permits contribution
" We'ma examine and audit your books and records by equal shares, we will follow this method also. f „!
as well as the "contractor's” books and records as Under this approach, each insurer contributes 'r
they relate to this policy at any time during the equal amounts until it has.paid its applicable limit ff.
policy eriod and up to three years afterward. of insurance or none of the loss remains, which-
P Y'P ever comes first.
6. Inspections and Surveys.
If any of the other insurance does not permit con- q
We have the right but are not obligated to: tribution by equal shares, we will contribute by,
N zeti.u.,
?u 4 a. Make inspections and surveys at any time; limits. Under this method, each insurer's share is
based on the the ratio of its applicable limit of in-..
b. Give you reports on the conditions we find; and surance to the total applicable limits of insurance '
y:. c. Recommend changes. of all insurers. ;S
Page 4 of 6 Copyright, Insurance Services Office, Inc., 1984 CG 00 09 11 85 ❑ a•„
9
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'.}TF Y.1 r�Y�t� -{eft �Cr t..,1 Y {• +. !s'`. '= ti,{ f p Y�J;y�v"�a t `" s'�t.
;�i, ,
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os sxSs•�.rr,{ :}'�tt �1�
4�i11, ( l5 ,r.4 i i
� .ki f..Yi}1} .{,i� � �' Ci�t �. IF a " .l r yy x>t yi,���'t..r+'�[•tg• fr �
.tti T.Y3 V. J `" M.. t� 1 R (51. 1 7fJ�„4f/4'„„r{{{!..}},l,S�Jt �JM1•y�^
. { .. }.+. } �. F T.Y♦ ' 1«f � F it4+t'i.'.',� ,'�.{'t s r' ate
J.�'
99 �:.
�s
tai`#Pt:N��� 1
jrJtx$r)tiRJ+?P`,rk " � .
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Vs e >xTr.cy c� t15'P."..lr}1 )�.... t. .. .4,kr i,
COMMERCIAL GENERAL LIABILITY
Jy py ✓
a. It incorporates work performed for you that is
9. Premiums.
known or thought to be defective, deficieM ire-"
The "contractor"
adequate or dangerous; or
a. Is responsible for the payment of all premiums; b♦ You have failed. to fulfill the terms of+a.contract
and stiti�k=�yt�
+ .
or agreement;
b. Will be the payee fdr any return premiums we if such property can be restored to usp by:. ••; :� r� "
pay c a
a. The repair, replacement, adjustment or removal ,° P, ,';,
10. Premium Audit. cr;
of the work prepared for you or • . t;xrr �„t'4 ,,
a. We will compute all premiums for this Coverage ;; : g; s"`;k ,
b. Your fulfilling the terms. of the .contract. or h,;•;♦ x..,
Part in,accordance.with.our rules and rates. •„-T: ,;;:;
agreement.
b. Premium shown in this Coverage Part as ad-
vance premium is a deposit premium only. At the 6• "Insured contract” means:
close'of each audit period we will compute the a. A lease of premises;
earned premium for that period. Audit premiums b. A sidetrack agreement;
are due'and payable on notice to the "contrac- ;t
for". If the sum of the advance and audit pre- c. An easement or license agreement in cqn-
miums paid for the policy term is greater than nection with vehicle or pedestrian private rail- '
the earned premium, we will return the excess road crossings at gradd; t
to the "contractor
:• d. Any other easement agreement, except in con-
c. The "contractor" must keep records of the in- nection with construction or, demolition Qper-
formation we need for premium computation, ations on or within 50 feet of a''railroad;
and send us copies at such times as we may re- e. An indemnification of a municipality as required `3
quest. by ordinance, except in connection with work
11. Separation Of Insureds. for a municipality; or '+ f
Except with respect to the Limits of Insurance, and f. An elevator maintenance agreement.
any rights or duties specifically assigned in this
t 6. Mobile equipment means any of the following
...,� Coverage Part to the first Named Insured, this insur- types of land vehicles, including any attachedr5
ance applies: k r F +
machinery or equipment: 7
� vFa salt '
a. As if each Named Insured were the only Named
Insured; and a. Bulldozers, farm machinery, forklifts and other
vehicles designed for use principally off public
b. Separately to each insured against whom claim roads; x
is made or "suit" is brought.
b. Vehicles maintained for use solely on or next to h
12. Transfer Of Rights Of Recovery Against ��� �h:
premises you own or rent;
Others To Us.
c. Vehicles that travel on crawler treads; y ;
If the insured has rights to recover all or part of any .-.
a ment we have made under this Coverage Part d. Vehicles, whether self-propelled or not, main-
tained Y g tained rimarii to provide mobility to erma-
those rights are transferred to us. The insured must
primarily P P � ' .' ,
` do nothing after loss to impair them. At our request, nently mounted:
the insured will bring "suit” or transfer those rights (1) Power cranes, shovels, loaders, diggers or
to us and help us enforce them. drills; or * ,
' k � ,
SECTION V - DEFINITIONS (2) Road construction or resurfacing equipment , Y
" such as radars, scrapers or rollers;
1. Auto means a land motor vehicle, trailer or 9 P to .
semitrailer designed for travel on public roads, in- _.
P e. Vehicles not described in a., b=, c. or d. above
cluding any attached machinery or equipment. that are not self-propelled and are maintained
But"auto" does not include "mobile equipment."
primarily to provide mobility to permanently at-
°` 2. "Bodily injury" means bodily injury, sickness or tached equipment of the following types: r fr=y
disease sustained by a person, including death re- "'J
(1) Air compressors, pumps and generators, in;
suiting from any of these at any time, i
`r ���'''�' • cluding spraying, welding, building cleaning,
3. "Contractor" means the contractor designated in geophysical exploration, lighting and well
the Declarations. servicing equipment; or
`.= 4. "Impaired property" means tangible property, (2) Cherry pickers and similar devices used to
,,,,,,{:t;:•:>,: .. other than work performed for you, that cannot be raise or lower workers;
used or is less useful because:
CG 00 09 11 85 Copyright, Insurancp Services Qffice, Inc., 1984 i' Page 5 pf;6
is �.}l:'�:.. ,{;.', �•�.
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} � ' ` r t i s ��it.,�t����1�,i'���'r`�f���, ,��tm,�s, ,,,�a.{a��;?sir.;�,�' S�� ;,t,r �,.y��J'� ., )�•yt f' d.. �}
.P+
1 i' r
i�
r •+ {£ '. x 1 .. . ,S, r r, . 9 jr�rt}�; PJy#'tSsx t� r }�Ls��,����'
'Let - .. '. iii ti .-.St.���F,l�S�I�1�2:,�ai�r•y,��Sy,yt+.
a
�y r z t '.:t�.SrG y✓.,,+•itV.P'.^tr.,`"a r.�'sJgW y,�t S i*�r(t4'�"f r'7 N j
g r11'�it''�ks'4r�ti'P r r t,S y tl Sr Sjs7;r}
1.
t x s yJ� xl�t7;rtk ? i t}�tl r ;
3�i{{�h'°r*x i�tf I �e s�,h'4 •�� r�L� iN
�7 84 t `i•. } qtr! )A i
�'
COMMERCIAL GENERAL LIABILITY.
:•,: f, Vehicles not described in a., b., c, or d. above 7. "Occurrence" means an accident including con-
,. maintained primarily for purposes other than the tinuous or repeated exposure to substantially the,
transportation of persons•or cargo. same general harmful conditions.
However, self-propelledvehioles with the fol- 8. "Property damage" means: 1 t
I4S`'iL lowing types of permanently attached equip- a. Physical injury to tangible property, including
�J ment are not "mdbile equipment" but will be all resulting loss of use of that property; or
lit; � r•�,' : .
`r _�r:�'>•.�•'; .,considered "autos".:. b, Loss of use of tangible property -that- is not
,
(1) Equipment designed primarily for: ' '
physically injured. ;
(a)'Snow removal; 9. "Suit" means a civil proceeding, brought•in the a`,
^ (b) Road maintenance, but not construction United States of America (including its territories
,.•
or resurfacing; and possessions), Puerto Rico and .Canada, in s
,.
which damages,,because of "bodily injury" or
(c) Street cleaning;
it damage".to which this insurance applies
,..
;.: 2) Cherry. pickers and similar devices.mounted
( are alleged. "Suit" includes an arbitration pro- �' ^
on automobile or truck chassis and used to A
ceeding alleging such damages to which you must
;2 F; raise'or'lower workers; and submit or submit with our consent:
Air compressors, pumps and ,generators, in-
10. "Work" includes materials, parts or equipment °
cluding:spraying, welding, building cleaning, furnished in connection with the operations. '
"geophysical exploration, lighting and .well
:'seivicing`equipriient. `';`
S [[
bra 14{yi5m�: r.. t., .a , , t' "t' •/{ i1" , .,. , :I! . '.`{
t;fvi
u .S"2L�j�i ,iii t •, , ')'. .. , , ., i.
rut "ri�:rit '�s': is :" .. fi ., ? •�
;tsar Yif'. .. .. ' . . .• .:l.;
E`1�l' tFa•fat ^,):r' ...s} � : .. . .s '.7, ,. " ... {; (• 'Ir its .. `•�j
�•-'+ r•1� . , .i .,11'. J!• ...t, „ ,''' , .: ... ri t` .,7{i 1tf .,`.
h,
Page 6 of'6 Copyright, Insurance Services Office, Inc.,'1984
CG E 00.09(l 1:86 0,
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THIS 5NDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NUCLEAR ENERGY LIABILITY EXCLUSION
(Broad Form)
1
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE PART
COMMERCIAL GENERAL LIABILITY COVRAGE PART
COMMERCIAL UMBRELLA LIABILITY COVERAGE PART - COVERAGE B
FARM COVERAGE PART
GARAGE COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
TRUCKERS COVERAGE PART
SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY NEW YORK DEPARTMENT OF TRANSPORTA-
TION.
1. The insurance does not apply: B. Under any Medical Payments coverage, to ex-
penses incurred with respect to"bodily injury"
A. Under any Liability Coverage, to "bodily in- resulting from the "hazardous properties" of
jury" or "property damage:" nuclear material" and arising out of the op
eration of a "nuclear facility" by any person
(1) With respect to which an "insured" under or organization.
the policy is also an insured under a nu- C. Under any Liability Coverage, to "bodily in-
'' s
clear energy liability policy issued by Nu- jury" or"property damage" resulting from the
"hazardous properties"of"nuclear material,"
clear Energy Liability Insurance if:
k, Association, Mutual Atomic Energy Lia-
(1) The "nuclear material" (a) is at any "nu-
n: bility Underwriters, Nuclear Insurance As- clear facility"owned by, or operated by or
sociation of Canada or any o
nf their
, on behalf of, an "insured" or(b) has been
successors, or would be an insured under
discharged or dispersed therefrom;
any such policy but for its termination upon
(2) The "nuclear material" is contained in
exhaustion of its limit of liability; or 14
spent fuel" or It at any time pos-
(2) Resulting from the "hazardous proper- sessed, handled, used, processed,stored,
ties" of "nuclear material" and with re- transported or disposed of by or on behalf
of an "insured;" or
spect to which (a) any person or
(3) The "bodily injury" or"property damage"
organization is required to maintain finan- arises out of the furnishing by an "in
cial protection pursuant to the Atomic En-
sured" of services, materials, parts or
ergy Act of 1954, or any law amendatory equipment in connection with the plan-
''~ thereof, or (b) the "insured" is, or had
ning, construction, maintenance, opera
this policy not been issued would be, en-
tion or use of any "nuclear facility," but
titled to indemnity from the United States if such facility is located within the United
of America, or any agency thereof, under States of America, its territories or pos-
any agreement entered into by the United sessions or Canada, this exclusion (3)ap-
States of America, or any agency thereof, plies only to "property damage to such
with any person or organization. "nuclear facility"and any property thereat.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Copyright, Insurance Services Office, Inc., 1983, 1984
COIL 00 2102 88 (ISO IL 00 21 11 85) Page 1 of 2
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2. As used in this endorsement: ,
(1) separating the isotopes of"uranium or plu- �
"Hazardous properties" include radioactive, toxic or tonium, (2) processing or utilizing"spent fuel," i !.
explosive properties; or(3)handling, processing or packaging"waste;"
fl` ° "Nuclear material" means "source material," "Spe- (c) Any equipment or device used for the process- s
cial nuclear material" or "by-product material;" ing, fabricating or alloying of "special nuclear
"Source material," "special nuclear material," and material" if at any time the total amount of such
"by-product material" have the meanings given them material in the custody of the "insured" at the
qty`; in the Atomic Energy Art of 1954 or in any law premises where such equipment or devise is lo-
amendatory thereof; cated consists of or contains more than 25 grams
"Spent fuel" means any fuel element or fuel com- of plutonium or uranium 233 or an comb'
.,r y oration
ponent, solid or liquid,,which has been used or ex- thereof, or more than 250 grams of uranium f
posed to radiation in a nuclear reactor;" 235; ++
"Waste" means any waste material (a) containing
t "by-product material" other than the tailings or (d) Any structure, basin, excavation, premises or {f
wastes produced by the extraction or concentration place prepared or used for the storage or disposal
of uranium or thorium from any ore processed pri- of waste,
marity for its source material content, and (b) re-
and includes the site on which any of the foregoing '
sulting from the operation b an is located, all operations conducted on such site and
y y person er all premises used for such operations;
organization of any nuclearfacility included under
,F.. the first two paragraphs of the definition of"nuclear "Nuclear reactor" means any apparatus designed or
facility." used to sustain nuclear fission in a self-supporting ,
"Nuclear facility" means: chain reaction or to contain a critical mass of fis-
x (a) Any "nuclear reactor," sionable material;
7 Property damage" includes all forms of radioactive
(b) Any equipment or device designed or used for contamination of property.
a
r�h
J,
V
Includes
copyrighted material of Insurance Services Office, Inc. with its permission.
CUIL 00 2102 88 Copyright, Insurance Services Office, Inc., 1983, 1984
(ISO IL 00 21 11 85) Page 2 of 2
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It�ral '�t !y:7 Vi/ Y � E .. P :(t ,'rst IY"� f s a�:. ��ai"`}^E� t` as i� r},k � 7� y 1 f:�s �• / '.� � �.
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---77
COMMERCIAL GENERAL LIABILITY`,,
f.
THIS ENDORSEMENT CHANGES
THE POLICY. PLEASE READ IT CAREFULLY.
AMENDMENT OF POLLUTION EXCLUSION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
&A following is added to exclusion f. of COVERAGE A (Section 1):
i The
Subparagraphs (a) and (d)(1) of paragraph (1) of this exclusion do not apply to "bodily injury" or "property
damage" caused by heat, smoke or fumes from a hostile fire. As used in this exclusion, a hostile fire means one
1W"A which,becomes uncontrollable or breaks out from where it was intended to be.
J
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CG 00 41 0586 Copyright Insurance Services office, Inc.,.1986 13;`r hi
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-THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
t
®
MISSOURI CHANCES
CANCELLATION AND NONRENEWAL x `
This endorsement modifies insurance provided under the following:
BOILER AND MACHINERY COVERAGE PART
i COMMERCIAL CRIME COVERAGE PART — EXCEPT COVERAGE FORMS A, B, 0 AND P
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL UMBRELLA LIABILITY COVERAGE PART
•I
EMPLOYEE BENEFITS LIABILITY COVERAGE PART <
FARM LIABILITY COVERAGE FORM
LIQUOR LIABILITY COVERAGE PART
PASTORAL PROFESSIONAL LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
STOP PAYMENT OR DISHONOR LIABILITY COVERAGE PART r
A. Paragraph 2 of the CANCELLATION Common Policy materially increased the risk as-
's replaced j�
Condition
t� i by the following: sumed; {
`. 2. We may cancel this policy by mailing or deliv- (3) We become insolvent; or
x< ering to the first Named Insured written notice
of cancellation, stating the reasons for can- (4) We involuntarily lose reinsurance for
;.
cellation, at least: this policy.
a. 10 days before the effective date of can- c. 60 days before the effective date of can-
i'
cellation if we cancel for nonpayment of cellation if we cancel for any other reason.
premium; or B. The following is added and supersedes any provi-
`'
b. 30 days before the effective date of can-
Sion to the contrary:
t' cellation if cancellation is for one or more NONRENEWAL
of the following reasons:
1. We may elect not to renew this policy by mailing
r ' (1) Fraud or material misrepresentation or delivering to the first Named Insured, at the
affecting this policy or a claim filed last mailing address knnown to us, written po-
under this policy or a violation of any tice of nonrenewal, stating the actual reason
of the terms or conditions of this pol- for nonrenewal, at least sixty days prior to the
icy; effectivedate of the nonrenewal.
(2) Changes in conditions after the ef- 2. If notice is mailed, proof of mailing will be
fective date of this policy which have sufficient proof of notice.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Copyright, Insurance Services Office, Inc., 1987, 1989
COIL 02 74 09 89 (ISO IL 02 74 06 89)
A
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