HomeMy Public PortalAboutORD11915 F.
BILL NO. 93-36
r SPONSORED BY COUNCILMAN BERNSKOETTE
ORDINANCE NO. 11915
AN ORDINANCE OF THE CITY OF JEFFERSON, MISSOURI, AUTHORIZING
THE MAYOR AND CITY CLERK TO EXECUTE AN AGREEMENT WITH HENLEY
LAND MANAGEMENT INC. FOR THE COMPOST SITE BRUS H
PROJECT.-.
'BE IT ENACTED BY THE COUNCIL OF THE CITY OF JEFFERSON, MISSOURI,
AS FOLLOWS:
F
Section 1. The Mayor and City Clerk are hereby authorized and directed to
execute an agreement with Henley Land Management Inc. for the Compost Site
Brush Grinding Project. The amount expended for the contract shall not exceed
$26,400.00 and the initial amount of the contract shall be $24,000.00.
h_ Section 2_. The City Administrator and Director of Public Works shall be jointly
^ authorized to approve change orders to the contract provided the total contract
amount does not exceed $26,400.00, nor change the general scope of the project.
'.a Section 3. The agreement shall be substantially the same in form and content
as that agreement attached hereto as Exhibit A.
Section 4. This Ordinance shall be in full force and effect from and after the
_ date of its passage and approval.
Passed: / Approved:
4esing 0 r ayor
ATTEST:
City Clerk
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iCA grA6 AMERICAN STATES INSURANCE COMPANY AO�11a
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PIN IAN IS INDIANAPOLIS, INDIANA
AWdUKMNNATir4ALCMP0RW50N COMMERCIAL INSURANCE POLICY n
' NAMEO CITY OF JEFFERSON �— DECLARATIONS
r INSURED 320 E MCCARTY ST
ANh
r �r G JEFFERSON CITY, MO 65101 POLICY NUMBER 01—CD-453890-1
s A, ' .SS RENEWAL OF NEW 06-93
rj AGENT YENNI E & JONES INS AGENCY
ANDE 220 N HWY #7
POLICY PERIOD FROM 06-09-93 TO 06-09-94 12:01 AM ADDRESS PO BOX 60
' STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE. PLEASANT HILL, MO 64080
24-89413 (003) (816) 524-1.350
THIS POLICY IS SUBJECT TO FINAL AUDIT.
TOTAL, ESTIMATED ANNUAL PREMIUM
k' DUE ON EFFECTIVE DATE: $227 .00
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU
TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY.
;t.
COMMERCIAL LIABILITY COVERAGE PART $ 227.00
`+ 227.00
ol
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COUNTERSIGNATURE
(DATE) BY (AUTHORIZED REPRESE T T VE)
9-CC(0887)
COMPANY USE ONLY
KANSAS CITY 87 (96943) AC INSURED COPY PREPARED 06=10-93 AQT: .
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COMMERCIAL LIABILITY COVERAGE PART DECLARATIONS
PAGE CG 1-LAST
POLICY NUMBER: 01-CD-453890-1
' ,:• NAMED INSURED: CITY OF JEFFERSON
FORTS OF BUSINESS: ORGANIZATION OTHER THAN A PARTNERSHIP OR JOINT VENTURE
R 'z"
-------
----------
L I M I T S O F I N S U R A N C E ____________________
-OWNERS AND CONTRACTORS PROTECTIVE LIABILITY
AGGREGATE LIMIT 1,000,000
EACH OCCURRENCE LIMIT 1,000,000
! ------------------------------------------------------------------------------------
--------
4 �? —.----------.------------------'--------------------- --_i—_
---- --_------ EXPOSURE RATE PREMIUM
CODE CLASSIFICATION-PREMIUM BASIS , -----------I ____ ____________
y OWNERS-CONTRACTORS PROTECTIVE LIABILITY
Y�
LOCATION g NA
16291 CONSTRUCTION OPERATION - CONTRACTOR (NOT
RAILROADS) -EXCLUDING OPERATIONS ON BOARD
SHIPS 24,000 .5680 $ 14.00
TOTAL COST (PER $1000) 213.00
TO MEET COVERAGE MINIMUM ------------
COMMERCIAL LIABILITY TOTAL $ 227'00
'Say
!� THE FOLLOWING FORMS CURRENTLY APPLY TO THIS COVERAGE PART:
°M CG7603 0186 - OCP LIABILITY SUPPLEMENTAL DECLARATIONS
IL0021 1185 - NUCLEAR ENERGY EXCL. ENDT. (BROAD FORM)
CG0009 il 188 OCP-COV FOR OP OF DESGNTD CNTRCTR
CG2929 0987 MISSOURI CHGS-OCP LIABILITY COVERAGE
CG2625 0892 - MISSOURI CHANGES-GUARANTY ASSOCIATION
IL7201 0392 - COMPANY COMMON POL CONDITIONS
6-2839 1192 - MO DIVISION CONTACT-KANSAS
1.
9-CC(CG) (0787)KANSAS CITY (96943) PREPARED 06-10-93 CMD40 SEQ.0001
C-AN•10-PRINT001.0176.0001•K
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® AMEEf88f,;l N STATES CG 00 09 1'I 6tl
. INSUlaAMCE OWNERS AND CONTRACTORS PROTECTIVE
•,.nrLINC0tNNA7K)NALC011P0RATI0N LIABILITY COVERAGE F0RM - COMMERCIAL GENERAL LIABILITY ;x
COVERAGE FOR OPERATIONS OF
DESIGNATED CONTRACTOR '
Various provisions of this policy restrict coverage. Read the (2) The "bodily Injury" or "property damage"
entire policy carefully to determinc rights, duties and what occurs during the policy period.
'i is and Is not covered. c. Damages because of "bodily Injury" Include
Throughout this policy the words "you" and "your" refer damages claimed by any person or organization j2
to the Named Insured shown in the Declarations. The words for care, loss of services or death resulting at any
"we," "us" and "our" refer to the Company providing this time from the "bodily Injury.';
insurance. 3.
2. Exclusions.
The word "insured" means any person or organization
g This insurance does not apply to:
qualifying as such under WHO IS AN INSURED (Section II).
Other words and phrases that appear in quotation marks a. Bodily injury or property damage expected
or intended from the standpoint of the insured.
have special meaning. Refer to DEFINITIONS (Section V). ,�
This exclusion does not apply to bodily injury
resulting from the use of reasonable force to
SECTION I - COVERAGES • '�
protect persons or property. ::•
BODILY INJURY AND PROPERTY DAMAGE LIABILITY
b. Bodily injury or property damage for which g„F
r 1. Insuring Agreement. the insured is obligated to pay damages by
a. We will pay those sums that the insured becomes reason of the assumption of liability in a contracts° s
or agreement. This exclusion does not apply t
legally obligated to pay as damages because of °
"bodily iability for
y injury” or "property damage" to which o damages:
this insurance applies. We will have the right and (1) Assumed in a contract or agreement that is
k.r duty to defend any "suit" seeking those an "insured contract" provided the "bodily
damages. We may at our discretion investigate injury" or "property damage" occurs r
subsequent to the execution of the contract
any occurrence and settle any claim or suit subse q
that may result. or agreement; or 7
But: (2) That the insured would have in the absence
of the contract or agreement.
(1) The amount we will pay for damages is
limited as described in LIMITS OF c. "Bodily injury" or "property damage" which
INSURANCE (Section III); and occurs after the earliest of the following times:
(2) Our right and duty to defend end when we (1) When all "work" on the project (other than
service, maintenance or repairs)
have used up the applicable limit of p ) to be
Insurance in the payment of judgments or performed for you by the "contractor" at the
i settlements. site of the covered operations has been
No other obligation or liability to pay sums or completed; or
(2) When that portion of the "contractor's"
perform acts or services is covered unless "work," out of which the injury or damage
explicitly provided for under SUPPLEMENTARY
PAYMENTS. arises, has been put to its Intended use by
any person or organization. This exclusion
b. This insurance applies to "bodily Injury" and
"property damage" only if: does not apply to any contractor or "
subcontractor working directly or indirectly
(1) The "bodily injury" or "property damage" is for the "contractor" or as part of the same
caused by an "occurrence" that takes place project.
In the "coverage territory" and arises out d. "Bodily injury" or "property damage" arising out
of: of your, or your employees', acts of omissions '
(1) Operations performed for you by the other than general supervision of "work"
"contractor" at the location specified In performed for you by the "contractor."
the Declarations; or o. Any obligation of the insured under a workers
(11) Your acts or omissions in connection compensation, disability benefits or
with the general supervision of such unemployment compensation law or any similar
operations; and law.
Copyright, Insurance Services office, Inc., 1984, 1988 Page 1 of 6
C•AN•10•PRINT001'0776.OM-K
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CQ 00 09 11 Be
COMMERCIAL GENERAL LIABILITY
` y injury" to: or for an insured
Y or any person orir
(1) An employee of the insured arising out of organization for whom you may be
.r t
and in the course of his employment by the legally responsible; or ; s
Insured;
Y' �°• (d) At or from any premises, site or
>5, (2) The spouse, child, parent, brother or sister location on which any Insured or any
t{f: of that employee as a consequence of (1) contractors or subcontractors working ^
' above. directly or indirectly on any Insured's } H°
behalf are performing operations: ,
This exclusion applies: `�.
(1) if the pollutants are brought on or ,
(1) Whether the insured may be liable as an •' S
to the premises, site or location in
employer or in any other capacity; and t
connection with such operations ;,
(2) To any obligation to share damages with or
:y repay someone else who must pay damages by such insured, contractor or
subcontractor; or s
because of the injury. (il) if the operations are to test for,
fs This exclusion does not apply to liability assumed monitor,, clean up,,, remove,
.f � by the insured under an insured contract. contain, treat, detbxify or A
U. "Property damage" to: neutralize, or In any way respond
to, or assess the effects of
(1) Property you own, rent, or occupy;
(2) Property loaned to you; pollutants. X71{ t
io (3) Personal property in the care, custody or Subparagraphs a and (d)(1) do not apply to "bodily
'e +
�'` '� P ( ) ( )() Pp Y Y w t
control,of the insured; or injury" or "property damage" arising out of heat, ' '
}; (4) Work performed for you by the
11 smoke or fumes from a hostile fire.
contractor." As used in this exclusion a hostile fire means one
h. "Bodily injury" or "property damage" due to war,
k which becomes uncontrollable or breaks out from
whether or not declared, or any act or condition where it was intended to be.
1 r
incident to war. War includes civil war,
insurrection, rebellion or revolution. This (2) Any loss, cost, or expense arising out of f
.:.: any:
exclusion applies only to liability assumed under:
,� (a) Request, demand or order that any
(1) An insured contract; or Insured or others test for, monitor,
i.:.AV (2) Expenses for first aid. u
clean
^. p, remove, contain, treat,
t .s! i. "Bodily injury" or "property damage" arising out detoxify or neutralize' or in any way
"mobile equipment"of the use of i " in, or while in
respond to, or assess the effects of preparation practice or p prepon for, a prearranged racing,
pollutants; or
speed or demolition contest or In any stunting
Y activity. (b) Claim or suit by or on behalf of a
governmental authority for damages
r F.,
J. (1) "Bodily injury" or "property damage" because of testing for, monitoring,
arising out of 'the"' actual; alleged or cleaning up, removing, containing,
threatened discharge, dispersal, seepage, treating, detoxifying or neutralizing, or
._. ..
migration, release or escape of pollutants in any way responding to or assessing
(a) At or from any premises, site or the effects of pollutants.
location which is or was at any time Pollutants means any solid, liquid, gaseous or
owned or occupied by, or rented or thermal irritant or contaminant, including smoke,
loaned to, any insured;
(b) At or from an vapor, soot, fumes, acids, alkalis, chemicals and
y premises, site or
waste. Waste includes materials to be recycled, ,p
location which is or was at any time reconditioned or reclaimed.
used by or for any insured or other's for
` the handling, storage, disposal, k. Property damage", to impaired property„ or
processing,or treatment of waste; property that has not been physically Injured, ;4
arising out of:
(c) Which are or were at any time
transported, handled, stored, treated, (1) A defect, deficiency, Inadequacy or
. disposed of, or processed as waste by dangerous condition In "work” performed
for you by the "contractor;" or
Copyright, Insurance Services Office, Inc., 1984, 1988 Page 2 of G
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e"7 _ �:..•r r.. .X!'ln.�= .� ! �•�. A !�.„t,r 3h.4:hti'4}�.�,�'�z .t.. ,,r y't�+ ��,5'tTi +, + �f•�t> Ye ,F. .t, 'i.
;�+ .. a.. Au•Y r,fF�= 7...4}u�,.'rit}i...,,.1 k.,h."zcs•
" CG 00 09 111188
' COMMERCIAL GENERAL LIABILITY
(2) A delay or failure by you or anyone acting respect to their duties as your officers or .r� f
. _�
j
on your behalf to perform a contract or directors. Your stockholders are also insureds, ;r3" ..
agreement in accordance with Its terms,
but only with respect to their liability
This exclusion does not apply to the loss of use stockholders.
of other property arising out 'of sudden and 2. Each of the following is also an insured: `,,:<r.•.;;Y 'f'
},
accidental physical Injury to "work" performed ary:, 't's,M '
for you by the "contractor." a. Any person (other than your employee) or any wk'`
organization while acting as your real estate
manager. ;.i.
SUPPLEMENTARY PAYMENTS
b. Any person or organization having
9 proper ,s;h•, ;�: ���;,s;.:;..
We will pay, with respect to any claim or "suit" we temporary custody of your property if you die, but
defend: only: ;}
(1) With respect to liability arising out of the3'° *° ,
1. All expenses we Incur. p y 9
. er
2. Up to $250 for cost of bail bonds required because of maintenance or use of that property; and ,..
accidents or traffic law violations arising out of the use (2) Until your legal representative has been
appointed,
of any vehicle to which this insurance applies. We do
not have to furnish these bonds. t _tq •off
c. Your legal representative if you die, but only with
3. The cost of bonds to release attachments, but only for respect to duties as such. That representative will ° r
bond amounts within the applicable limit of insurance. have all rights
duties
your and es under this
We do not have to furnish these bonds. Coverage Part. ` ,t, �.Y,,,•.::.�:
4. All reasonable expenses incurred by the insured at our
No person or organization is an insured with respect to thet#t }`'','^ =•:y
request to assist us in the investigation or defense of conduct of any current or past partnership or joint venture
the claim or "suit," including actual loss of earnings
g that is not shown as a Named Insured in the Declarations.
up to $100 a day because of time off from work. Ua. •`:: �:'`f
6. All costs taxed against the insured in the "suit." SECTION III - LIMITS OF INSURANCE
6. Prejudgment interest awarded against the insured on
that part of the judgment we pay. If we make an offer 1• The Limits of Insurance shown in the Declarations and
to pay the applicable limit of insurance, we will not pay the rules below fix the most we will pay regardless of
any prejudgment interest based on that period of time the number of: ri
after the offer. a. Insureds;
7. All interest on the full amount of any judgment that b. Claims made or "suits" brought; or
accrues after entry of the judgment and before we c. Persons or organizations making claims or
have paid, offered to pay, or deposited in court the bringing "suits.,,
part of the judgment that Is within the applicable limit 2• The Aggregate Limit is the most we will a for the
of insurance. pay
sum of damages because of all "bodily injury" and
8. Expenses incurred by the insured for first aid to others
property damage."
at the time of an accident, for"bodily injury" to which 3. Subject to 2, above, the Each Occurrence Limit is the
this insurance applies. most we will pay for the sum of damages because of
These payments will not reduce the limits of insurance. "bodily injury" and "property damage" arising out of
SECTION II - WHO IS AN INSURED any one "occurrence."
If you designate more than one project in the Declarations, .
I. If you are designated In the Declarations as: the Aggregate Limit shall apply separately to each project.
a. An individual, you and your spouse are insureds, The limits of this Coverage Part apply separately to each
b. A partnership or joint venture, you are.an insured, consecutive annual period and to any remaining period of
Your members, your partners, and their spouses less than 12 months, starting with the beginning of the
are also insureds, but only with respect to their policy period shown in the Declarations, unless the policy
duties as partners or members of a joint venture. period is extended after issuance for an additional period
C. An organization other than a partnership or joint of less than 12 months. In that case, the additional period
venture, you are an insured. Your executive will be deemed part of the last preceding period for
officers and directors are insureds, but only with purposes of determining the Limits of Insurance.
Copyright,Insurance Services Office,Inc„ 1984, 1988 Page 3 of 6
r1 C•AN•10•PRINTOOI.0776.0011•K
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2• rtFra.
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CG 00 09 11 88
COMMERCIAL GENERAL LIABILITY ,
SECTION IV - CONDITIONS (3) The nature and location of any injury or
damage arising out of the "occurrence."
1. Bankruptcy. b. if a claim is made or "suit" is brought against
Bankruptcy or insolvency of the insured will not relieve any insured, you must:
us of our obligation under this Coverage Part.
(1) Immediately record the specifics of the claim
2. Cancellation.
or "suit" and the date received; and
a. The first Named Insured shown in the (2) Notify us as soon as practicable.
Declarations may cancel this policy by mailing or You must see to it that we receive written noticeM
delivering to us advance written notice of of the claim or "suit" as soon as practicable,
cancellation. tf� 4j
c. You and any other involved Insured must: ' ' ;,;
b. We may cancel this policy by mailing or ,�
` delivering to the first Named Insured and the (1) Immediately send us copies of any
demands, notices, summonses or legal
contractor t, written notice of cancellation at g ya
least: papers received in connection with the claim r
or "suit";
(1) 10 days before the effective date of
cancellation if we cancel for non-payment of (2) Authorize us to obtain records and other A� ? ,,,
Information;
premium; or u "
(2) 30 days before the effective date of (3) Cooperate with us in the Investigation, ;
cancellation if we cancel for any other settlement or defense of the claim or suit;
reason. and
(4) Assist us, upon our request, in the F "7
4 c. We will mail or deliver our notices to the first enforcement of any right against any person
Named Insured's and the "contractor's" last or organization which may be liable to the
mailing address known to us. insured because of injury or damage to
-: d. Notice of cancellation will state the effective date which this insurance may also apply. �{
... f of cancellation. The policy period will end on that
date. d. No insureds will, except at .their own cost,
s voluntarily make a payment, assume any u
e. If this policy is cancelled, we will send the `
"contractor" any premium 'refund due. If we obligation, or incur any expense, without our
-Y cancel, the refund will be pro rata. If the first consent. :µ
z. Named Insured cancels, the refund may be less
ti. Examination Of Your Books And Records.
than pro rata. The cancellation will be effective We may examine and audit your books and records
even if we have not made or offered a refund. as well as the "contractor's" books and records as
s L If notice is mailed, proof of mailing will be they relate to this policy at any time during the policy
sufficient proof of notice. period and up to three years afterward.
4�
V 3. Changes. 6. Inspections And Surveys.
This policy contains all the agreements between you, We have the right but are not obligated to:
the "contractor" and us concerning the Insurance
a. Make inspections and surveys at any time;
afforded. The first Named Insured shown in the y
Declarations and the "contractor" are authorized to b. Give you reports on the conditions we find; and
c. Recommend changes. F
make changes in the terms of this policy with our Any inspections, surveys, reports or recommendations
consent. This policy's terms can be amended or
relate only to insurability and the premiums to be '.
ra�'y�fyE waived only by endorsement issued by us and made ��,,
l apart of this policy. charged. We do not make safety inspections. We do {
4. Duties In The Event Of Occurrence, Claim or Su .
not undertake to perform the duty of any person or
Suit.�k organization to provide for the health or safety of
4 a. You must see to it that we are notified as soon workers or the public. And we do not warrant that
w.y
as practicable of an "occurrence" which may conditions:
result in a claim. To the extent possible, notice ;
a. Are safe or healthful; or
` should include: b. Comply with laws, regulations,. codes or
(1) How, when and where the occurrence standards.
took place; This condition applies not only to us, but also to any
(2) The names and addresses of any Injured rating, advisory, rate service or similar organization
. persons and witnesses; and
,1,.
Copyright, Insurance Services Office, Inc., 1984, 1988 Page 4 bf 6
C-AN•10•PRIN7001.0776.0012•K
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t t 1�xx �'s� 51�.
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.F��,i _ a. I.o}.�« .a!`i` �Y;.�i;��w: yC 4(` .�`'.iE�'isih � nx,.wtyvi::�si.,.,f +:ji...ler'� 7 r„c.36„t liir�) t t`✓#�yC ` C ti'W
" . 4.LILr. .,'Yr.fi . .
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.o
SF'x ca 00 09 1100
COMMERCIAL GENERAL LIABILITY �` r ry=
which makes Insurance inspections, surveys, reports premium for that period. Audit premiums are dues
.� or recommendations. and payable on notice to the "contractor." If the
7. Legal Action Against Us. sum of the advance and audit premiums paid for
No person or organization has a right under this the policy term is greater than the earned
y i premium, we will return the excess to the
Coverage Part: p
a. To join us as a party or otherwise bring us into
c. "contractor." k �f
The "contractor" must keep records of the
a suit asking for damages from an insured; or information we need for
remium computation,
b. To sue us on this Coverage Part unless all of its p
terms have been fully complied with. and send us copies at such times as we may
4� t,
request. G "
{ A person or organization may sue us to recover on an 11. Separation Of Insureds. y'' 3'r'''
agreed settlement or on a final judgment against an �'. ,�
Except with respect to the Limits of insurance, and any t
Insured obtained after an actual trial; but we will not s {' .. 4r .,
rights or duties specifically assigned in this Coverage
be liable for damages that are not payable under the g p y g g
Part to the first Named Insured, this insurance t
• terms of this Coverage Part or that are in excess of the
lies:
t; applicable limit of insurance. An agreed settlement app
means a settlement and release of liability signed by a. As if each Named Insured were the only Named
us, the insured and the claimant or the claimant's legal Insured; and
representative. b. Separately to each insured against whom claim
is made or "suit" is brought.
0. Other Insurance.
The insurance afforded by this Coverage Part is 12. Transfer Of Rights Of Recovery Against Others To
Us. fir:- g7; a i
primary insurance and we will not seek contribution kh, '
from any other insurance available to you unless the If the insured has rights to recover all or part of any
other insurance is provided by a contractor other payment we have made under this Coverage Part44
than the designated contractor„ for the same those rights are transferred to us. The insured must4�A'. �”
` do nothing
operation and job location designated in the g after loss to impair them. At our request,
`e Declarations. Then we will share with that other the insured will bring "suit" or transfer those rights to 4
;
insurance by the method described below. us and help us enforce them.
If all of the other insurance permits contribution by 13. When We Do Not Renew.
equal shares, we will follow this method also. Under If we decide not to renew this Coverage Part, we will
r $
,
this approach, each insurer contributes equal amounts mail o,deliver to the first Named Insured shown in the
until it has paid its applicable limit of insurance or Declarations written notice of the nonrenewal not less
none of the loss remains, whichever comes first. than 30 days before the expiration date.
If any of the other insurance does not permit If notice is mailed, proof of mailing will be sufficient
contribution by equal shares, we will contribute by proof of notice.
limits. Under this method, each insurer's share is
Y:,, based on the ratio of its applicable limit of insurance SECTION V - DEFINITIONS
to the total applicable limits of insurance of all
insurers. 1 "Auto" means a land motor vehicle, trailer or
9. Premiums. semitrailer designed for travel on public roads,
including any attached machinery or a equipment. But
? The "contractor:" �' „auto" does not include mobile equipment.„
t~
a. Is responsible for the payment of all premiums; 2. "Bodily injury” means bodily injury, sickness or
and disease sustained by a person, including death ;L
b. Will be the payee for any return premiums we resulting from any of these at any time.
pay. 3. "Contractor" means the contractor designated In the
f : 10. Premium Audit.
Declarations.
a. We will compute all premiums for this Coverage 4. "Impaired property" means tangible property, other
Part in accordance with our rules and rates. than work performed for you, that cannot be used or
b. Premium shown in this Coverage Part as advance is less useful because:
premium Is a deposit premium only. At the close a• It incorporates work performed for you that is
of each audit period we will compute the earned known or thought to be defective, deficient, 7
Inadequate or dangerous; or
4�
Copyright,Insurance Services Office, Inc., 1984, 1988 Page 5 of 6
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CA 00 09 1188 Y£r yt
COMMERCIAL GENERAL LIABILITY
b. You have failed to fulfill the terms of a contract f. Vehicles not described in a., b., c. or d. above
or agreement; maintained primarily for purposes other than the
If such property can be restored to use by: transportation of persons or cargo. t
vehicles with the
F a, The repair, replacement, adjustment or removal However, self-propelled •
of the work prepared for you; or following types of permanently attached
b. Your fulfilling the terms of the contract or equipment are not "mobile equipment” but will
”
"
be considered autos:
agreement.
5. "Insured contract" means: (1) Equipment designed primarily for: �Y
�.; a. A lease of premises; (a) Snow removal; ,
` b. A sidetrack agreement; (b) Road maintenance, but not
c. Any easement or license agreement, except in construction or resurfaci'n'g;
' connection with construction or demolition (c) Street cleaning; , ;
operations on or within 50 feet of a railroad;
p (2) Cherry pickers and similar devices mounted ; {
d. An obligation, as required by ordinance, to on automobile or truck chassis and used to
Indemnify a municipality, except in connection raise or lower workers; and
with work for a municipality; or (3) Air compressors, pumps and generators, ;3
®. An elevator maintenance agreement. Including spraying, welding, building
{ 6. "Mobile equipment" means any of the following types cleaning, geophysical exploration, lighting
of land vehicles, including any attached machinery or and well servicing equipment.
equipment: 7. "Occurrence" means an accident including continuousr,'}
or repeated exposure to substantial) the
a. Bulldozers, farm machinery, forklifts and other P y e same general
vehicles designed for use principally off public harmful conditions.
M1 roads; 8. "Property damage" means:
yr b. Vehicles maintained for use solely on or next to a. Physical injury to tangible property, including all
premises you own or rent; resulting loss of use of that property. All such
c. Vehicles that travel on crawler treads; loss of use shall be deemed to occur at the time
d. Vehicles, whether self-propelled or not, of the physical injury that caused it; or
t•,;• maintained p rimaril y to
provide mobility to b. Loss of use of tangible property that is not
permanently mounted: physically Injured. All such loss of use shall be =
' deemed to occur at the time of the "occurrence"
(1) Power cranes, shovels, loaders, diggers or,� ,
drills; or that caused it.
. . (2) Road construction or resurfacing equipment 9. "Suit" means a civil proceeding, brought in the United f
such as graders, scrapers or rollers; States of America (including its territories and
e. Vehicles not described in a., b., c. or d. above possessions), Puerto Rico and Canada, in which
that are not self-propelled and are maintained damages because of "bodily injury" or "property r
s• primarily to provide mobility to permanently damage" to which this insurance applies are alleged.
�^ attached equipment of the following types: "Suit" includes:
( p p g a. An arbitration in which such damages are claimed
1) Air compressors, pumps and generators,
including spraying, welding, building and to which you must submit or do submit with
cleaning, geophysical exploration, lighting our consent; or
\' S
and well servicing equipment; or b. Any other alternative dispute resolution process
(2) Cherry pickers and similar devices used to in which such damages are claimed and to which
a3
raise or lower workers; y ou submit with our consent.
k
10. "Work" includes materials, parts or equipment
' furnished in connection with the operations.
Copyright, Insurance services Office. Inc., 1984, 1988 Page 6 of 6
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
On�11111R�A�c a�ESg MISSOURI CHANGES - CO 26 25 00 92
Awo LINCOLN NATIONAL CORPORATION GUARANTY ASSOCIATION
COMMERCIAL GENERAL LIABILITY
F"f
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART `3
LIQUOR LIABILITY COVERAGE PART
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
r
Missouri Property and Casually Insurance Guaranty If the Insured prepares an annual report to
Association Coverage Limitations shareholders, or an annuai'report to management
reflecting net worth, then such report for the
A. Subject to the provisions of the Missouri Property and
1 P P Y fiscal year immediately preceding the date of
Casualty Insurance -Guaranty .Association Act (to be insolvency of the insurer will be used to
referred to as the Act), if we are a member of the determine net worth.
Missouri Property and Casualty Insurance Guaranty .,
Association (to be referred to as the Association), the 2. Payments made by the Association for covered y f _
claims will include only that amount of each claim
Association will pay claims covered under the Act if ,
which is:
we become insolvent. ..
B. The Act contains various exclusions, conditions and a. In excess of$100; and
limitations that govern a claimant's eligibility to collect b. Less than $300,000.
payment from the Association and affect the amount However, the Association will not: ''"
of any payment. The following limitations apply (1) Pay an amount in excess of the applicable
subject to all other provisions of the Act: limit of insurance of the policy from which
1. Claims covered by the Association do not include a claim arises; or
p as claim by or against an insured of an insolvent (2) Return to an insured any unearned premium
insurer, if the insured has a net worth of more in excess of$10,000.
than $25 million on the date the insurer becomes
Insolvent. These limitations have no effect on the coverage we will
provide under this policy.
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;.v Mv THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
>h �(-1
IVR11CAn�aTEs MISSOURI CHANGES - CANCELLATION CO 29 29 09 87
; .,.
v BtI
AMnwIINCOLNNATIQNALCORPOFATION AND NONRENEWAL
This endorsement modifies insurance provided under the following:
r OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
f ; A. Paragraph 2.b of the Cancellation Condition is replaced have materially increased the risk
by the following: assumed;
2. b. We may cancel this policy by mailing or (c) We become Insolvent; or
j- (d) We involuntarily lose reinsurance
delivering to the first Named insured and the
"contractor" written notice of cancellation, for this policy. ';
- r stating the actual reason for cancellation, at (3) 60 days before the effective date of
least: cancellation if we cancel for any other
reason.
(1) p
(1) 10 days before the effective date of
cancellation if we' cancel for B. The following Is added to CONDITIONS:
`=
nonpayment of premium;
p NONRENEWAL
(2) 30 days before the effective date of 1. We may elect not to renew this policy b mailing
j
, 'u„ cancellation If cancellation is for one or p y y g
more of the following reasons: ,
or delivering to the first Named Insured and the ,
contractor, at the last mailing addresses known
(a) Fraud or material to us, written notice of nonrenewal, stating the y`
i•%k = misrepresentation affecting this
actual reason for nonrenewal,
at least sixty days
_ .;,
�Vy policy or a claim filed under this prior to the effective date of the nonrenewal.
�``'° policy or a violation of any of the 2. If notice is mailed, proof of mailing will be
terms or conditions of this policy;
sufficient proof of notice.
(b) Changes in conditions after the
effective date of this policy which
�= Copyright,Insurance Services office,Inc., 1987
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
® T 1CAPJ STATES
�o A eR, MCE NUCLEAR ENERGY LIABILITY IL 00 211186
'a.
A wtw LINCOLN NATIONAL COFiPORATIQN
EXCLUSION ENDORSEMENT s. .
(Broad Form) N
This endorsement modifies Insurance provided under the following:
' r BUSINESSOWNERS POLICY
r COMMERCIAL AUTO COVERAGE PART rye;
COMMERCIAL GENERAL LIABILITY COVERAGE PART
FARM COVERAGE PART
$' PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
7,r POLLUTION LIABILITY COVERAGE PART ;r
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY NEW YORK DEPARTMENT OF TRANSPORTATION
I. The insurance does not apply: tr ;r
(1) The nuclear material (a) is at any nuclear
r,
A. Under any Liability Coverage, to "bodily injury" facility" owned operated by or on
b , or o
' or "property damage:" behalf of an y P
Insured" or (b) has been
(1) With respect to which an "insured" under discharged or dispersed therefrom;
�. the policy is also an insured under a nuclear (2) The "nuclear material is contained in
energy liability y y "spent fuel" or "waste" at any time
9Y Y polic issued b Nuclear
Energy Liability Insurance Association, possessed, handled, used, processed, ::•r; �s��v���'�.
Mutual Atomic Energy Liability Underwriters, stored, transported or disposed of by or on
.Aa
Nuclear Insurance Association of Canada or behalf of an "insured;" or
} any of their successors:, or would be an
-' ` insured under an such policy but for its (3) The "bodily injury" or "property damage"
y P Y arises out of the furnishing by an "Insured"
termination upon exhaustion of its limit of y
t of services, materials, parts or equipment in
u liability; or
connection with the planning, construction,
fi' (2) Resulting from the "hazardous ro erties"
P P maintenance, operation or use of any =
of "nuclear material" and with respect to "nuclear facility," but if such facility is
(a) any g
�:. Y person or organization is located within the United States of America, .
required to maintain financial protection its territories or possessions or Canada, this
' pursuant to the Atomic Energy ct of 1954
9Y exclusion (3) applies only to "property
or any law amendatory thereof, or (b) the damage" to such "nuclear facility" and any
"insured" is, or had this policy not been property thereat.
issued would be, entitled to indemnity from 2. As used in this endorsement:
the United States of America, or any agency
. thereof, under any agreement entered into "Hazardous properties" include radioactive, toxic or
explosive properties;
by the United States of America, or any "Nuclear material" means "source material," "Special
agency thereof, with any person or nuclear material" or "by-product material;"
organization. Source material, "special nuclear material," and
B. Under any Medical Payments coverage, to
expenses Incurred with respect to "bodily injury" "by-product material" have the meanings given them
resulting from the "hazardous ,� in the Atomic Energy Act of 1954 or in any law
properties of amendatory thereof; "Spent fuel" means any fuel
"nuclear materal" and arising out of the operation element or fuel component, solid or liquid, which has
of a "nuclear facility" by any person or
organization. been used or exposed to radiation in a "nuclear
'-'
1 ; C. Under any Liability Coverage, to "bodily injury" reactor;"
or "property damage" resulting from the
"hazardous properties" of "nuclear material," if:
Copyright,Insurance Services office, Inc., 1983, 1984 Pape 1 o(2 1
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Y+' "Waste" means any waste material (a) containing premises where such equipment bir
w} "by-product material" other than the tailings or wastes device is located consists 'of qr
3 produced by the extraction or concentration of contains more than 25 grams of ANIL
k
uranium or thorium from any ore processed primarily plutonium or uranium 233 or any
�
for its source material" content, and (b) resulting combination thereof, or more than 250
from the operation by any person or organization of grams of uranium 235;
f any "nuclear facility" included under the first two (d) Any structure, basin, excavation,
paragraphs of the definition of "nuclear facility." premises or place prepared or used for
"Nuclear facility" means: the storage or disposal of "waste;"
.sh (a) Any "nuclear reactor;" and Includes the site on which any of the
(b) Any equipment or device designed or foregoing is located, all operations conducted on
used for (1) separating the Isotopes of
( such site and all premises used for such
uranium or plutonium, (2) processing operations;
or utilizing • "spent fuel," or (3) "Nuclear reactor" means any apparatus designed
'»r handling, processing or packaging or used to sustain nuclear fission in a
waste; self-supporting chain reaction or to contain a
(c) Any equipment or device'used for the
d' processing, fabricating or alloying of critical mass of fissionable material;
"special nuclear material" if at any time "Property damage" includes all forms of
' the total amount of such material in the radioactive contamination of property.
' custody of the "insured" at the
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Copyright,Insurance Services Office; Inc., 1983, 1984 Page 2 of 2
C•AN-10•PRINT001-0i Ta•01Mk
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"�EAMEFHCAN STATES IL 72 0103 92
]INSURANCE COMPANY COMMON POLICY CONDITIONS
A W.1 UWAXN NATIONAL CORPORATION
This policy consists of:
Common Policy Declarations which include your name and mailing address, the policy period, premium Information and
coverage part(s) Included.
Common Policy Conditions.
Coverage parts consist of one or more of the following:
Commercial Property
Commercial Liability
Commercial Inland Marine
Commercial Crime/Bonds
Commercial Automobile
Businessowners
Boller and Machinery
Workers' Compensation.
Each of the coverage parts consist of:
One or more coverage forms
One or more coverage part conditions
Applicable endorsements.
If you have any questions, please contact your agent listed on the Common Policy Declarations.
In Witness Whereof, the company has caused this policy to be executed and attested, but this policy shall not be valid unless
countersigned by a duly authorized representative of the company.
Secretary President
AMERICAN STATES INSURANCE COMPANIES
500 North Meridian Street
Indianapolis, Indiana 46204-1275
Page I of 1
C-AN-10-PRINT00I-07760021-K
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'`•i rs o Louise Gardner
MAYOR
320 E. McCarty St. 314-634-6300
Jefferson City,Missouri 65101
June 8, 1993
Mr. Ronnie H. Henley
Henley Land Management, Inc.
- Route 5, Box 486
Pleasant Hill, Missouri 65080
RE: City Composting Site Brush Grinding Contract
Dear Mr. Henley:
Enclosed please find three (3) copies of the contract for the above referenced
project. Please execute the contracts, keep one for your record, and return the other two
(2)contracts along with performance and payment bond(s) or cash equivalent, certificate
` of insurance, and Owner's n
a d Contractors Protective Liability Policy Binder by 5:00 p.m.,
June 10, 1993. The certificate of insurance must be issued by the company affording
coverage. Certification from a local agent is not acceptable without necessary
E; documentation empowering and authorizing the .agent to sign the surety's name. In
addition, if an aggregate amount is specified, a statement of the amount of that aggregate
available to date must also be included.
k
By separate letter, the Department of Public Works will issue a Notice to Proceed
on the project. You must submit the above documents in correct form before you begin
work.
Should you require additional information, please contact the Department of Public
Works at 634-6440.
i
Sincerely,
Debbie Cheshire
City Clerk
cc: Director of Public Works
Engineering Supervisor
4
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♦ � t? 3 .�z,t"Fdy P.rf` �� i C�i+�. ,�� it ;,G d �-'� .• ..� { -s a.. ti:.r5 r4r7.}.'- ��£
e -
CONSTRUCTION CONTRACT f
5 Y�
U P^
THIS CONTRACT made and entered into this day of 1993, by
and between Henley Land Management, Inc., hereinafter called' ontractor", and the City � ^
of Jefferson, 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 °•p _,
constructing the following City improvements: CITY COMPOSTING SITE BRUSH
4..
GRINDING CONTRACT.
. ' NOW THEREFORE, the parties to this contract agree to the following: F'
r 1. Manner and time for Completion. The Contractor agrees with the City to
furnish all supervision, labor, tools, equipment, materials and supplies necessary to
Y; perform, and to perform, said work at Contractor's own expense in accordance with the
?f contract documents and any applicable City ordinances and state and federal laws, and
?r shall clear the area to be used by Green Horizons Garden Center as shown on tvtk
Attachment A no later than June 18, 1993, and complete all work by 5:00 p.m., June 30,
1993.
t I t
2. Insurance. Contractor shall'procure and maintain at its own expense
during tt�e ' ..il.
g
life of this contract: ' `{
4 Y • 'P.
(a) Workmen's Compensation Insurance for all of its employees to be engaged
in work under this contract.
(b) Contractor's Public Liability Insurance in an amount not less than$1 ,000,000
r for all claims arising out of a single occurrence and $100,000 for any one person in a 7
:.
single accident or occurrence, except for those claims governed by the provisions oft e
5: 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
single accident or occurrence and $100,000 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
61
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 $100,000 for any one person
t in a single accident or occurrence, except for those claims governed by the provisions of
n' 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.
�y.
(e) Subcontracts - In case any or all of this work is sublet, the Contractorshall
require the Subcontractor to procure and maintain all insurance required in
Subparagraphs (a), (b), and (c) hereof and in like amounts.
Y"
-rt+J:. `D� �r n k r:p .t+' i i nj Y} `�'..fr, rt�Y ct h �R,^•r #.�fii-��`v���� Pl �,`
'� N Y n �t°rj�, 75 r<t�s,t•d f ��F�f't+�'h�'s x�{{ t s a f r b `�S j���+�t �f�`ls�,�,
� a ��
i s ?Y r t iwit v q. s{F } w it`!t Y<rtis i ) ty .1rf{6 tMrat mtrGF
{{ . �yi' J {f 'i t r•t 1 *.� 1, 4 1 is t A r + tt r �tl �` r r a
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LL.t. �s j , � t i� �'�{Yy{i `�j'i��',y'�i v�{� SY;:di.tr" .s•e
iatrrwo. to n�e��11'®n�nu���e�eia�i�tui r��ewriwt�iwrr�E��eos��wmrs^
.' � '. :ar.: 'f'..Y�..�'„;k• t.,.z�.��xl��1�.�a.c?'+�'�:Ft. .._..."... .:�g`.xr?'tM1`���R°`".;}�.r�i. ,.,r•.>tT,.a.r:...��tn 4.3t ,.
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(f) Scope of Insurance and Special Hazard. The insurance required under
and c hereof shall provide adequate protection for the Contractor }'r �.
Sub-paragraphs (b) ( ) P
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 r indirect) employed b it, and also against any special hazards which may be
Y Y Y g
encountered in the performance of this contract.
x., NOTE: Paragraph (f) is construed to require the procurement of Contractor's protective f;
insurance (or contingent public liability and contingent property damage policies) by a
general contractor whose subcontractor has employees working on the project, unless the
Y
general public liability and property damage policy (or rider attached thereto) of the
r. general contractor provides adequate protection against claims arising from operations ;=t
by anyone directly or indirectly employed by the Contractor,
3. Contractor's Resnonsibiiity for Subcontractors. It is further agreed that ,I
i for the acts and omissions of its sr '
Contractor shall be as fully responsible to the City
s` employed b them as :nr;�;�•;<":�����}r
subcontractors, and of persons either directly or indirectly emp y y
P
Y Contractor is for the acts and omissions of persons it directly em ploys. Contractor shall
cause appropriate provisions to be inserted in all subcontracts relating to this work, to i at4 Asf '`
{o:
applicable
bind all subcontractors to Contractor by all the terms herein set forth, insofar as
to the work of subcontractors and to give Contractor the same power regarding
termination of any subcontract as the City exercise over Contractor under any
Y ma
Y ' ? rx
provisions of this contract. Nothing contained in this contract shall create any contractual
ua arx x r ;
relations between any subcontractor and the City or between any subcontractors. Rr;
f. 4. Liquidated Damages. The Director of Public Works may deduct$500.00 from any
a : .
` amount otherwise due under this contract for every day Contractor fails or refuses to
ti prosecute the work, or any separable part thereof, with such diligence as will insure the r
r
completion by the time above specified, or any extension thereof, or fails to complete the
work by such time, as long as the City does not terminate the right of Contractor to
proceed. It is further provided that Contractor shall not be charged with liquidated !
Y, damages because of delays in the completion of the work due to unforeseeable causes
;..
beyond Contractor's control and without fault or negligence on Contractor's part or the
part of its agents.
IN' r
ti
`r 5. Termination. The City reserves the right to terminate this contract by giving at
least five (5) days 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 far the benefit of its creditors, or if a
`.
receiver should be appointed for Contractor or for any of its property, or if Contractor
`
upply enough properly skilled workmen
should persistently or repeatedly refuse or fail to s `
or proper material, or if Contractor should refuse or fail to make prompt payment to any
PP Y 9 arson su I in labor or- materials for the work under the contract, or persistently
p
disregard instructions of the City or fail to observe or perform any provisions of the
contract.
6. City's 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
r,
t,f= City for any costs over the amount of this contract thereby occasioned by the City. In any
t. such case the City may take possession of, and utilize in completing the work, such
t
• u` ,.r;'rm.�yG"4�xa.-•'"..,.t��,F.,...rrr+;-- t n �t ^-,.,.— .V "" ', ,"'""'�”j,5.��,r`r
k ! x'ttr ;,{ rT art rt*"ii YKiii' . 1 ts't•I �
t
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1 �d s�'•,!a r Raj �•��}+,,,± +r�. !!r i r ` t 4 t' ,° yY!f��3`d�
a'• t 7 r ti r�i n ra+ 4 rt: n t l 3 r .' 't r !! t $ � >y
J `r4 US �} �yi t }}W�Y T� t, I f 1 Y!t t t }'t• F.
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�i ` -�.+, ^.xra.i.� _. ,..�'..s- :r., ,L5`�i�i 1�. it.t t�a.n... �t�..���,v�YL.k�... ..SXrC,.1��;�;��LP vt'�`h� ..•.�• ,. "� �, �
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 r
state and federal laws.
7. Indemnity. The Contractor agrees to defend, indemnify, and save the Cityy;
�;•';_;�: 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 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
N
or omission of Contractor, its servants, agents, or subcontractors, or arising out of the a
.:
award of this contract to Contractor.
Payment for Labor and Materials. The Contractor agrees and binds itself to pay
for all labor done, and for all the materials used in the construction of the work to be .r
completed 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.
Milt yF "f`4t`R ejy
;•;;.;;.;' 9. Payment. The City hereby agrees to pay the Contractor the work done pursuantyq
to this contract according to 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 June 3, 1993, which are by reference made a part hereof.
i? No partial payment to the Contractor shall operate as approval or acceptance of work
done or materials furnished hereunder. The total amount of this contract shall not exceed
Twenty-four Thousand Dollars ($24,000.00).
10. Contract Documents. The contract documents shall consist of the following:
Z:
a. This Contract f. General Provisions
b. Addenda g. Special Provisions
•T„y,i.
c. Information for Bidders h. Technical Specifications
f `=� d. Notice to Bidders i. Drawings and/or sketches
e. Signed Copy of Bid
n. This contract and the other documents enumerated in this paragraph, form the
RA Contract between the parties. These documents are as fully a part of the contract as if
fif{
=}` "s attached hereto or repeated herein.
a 11. 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,
F.m sex, religion, handicap, age, or political opinion or affiliation, against any employee of
.. J{y
` Contractor or applicant for employment and shall include a similar provision in all
subcontracts let or awarded hereunder.
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ISSUE DATE(MM/DD/YY)
6^1N^9J
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PRODUCER
E �
YENNIE .JONES INSURANCE CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERT{FICATL. °m i" 6 4.
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
v% fir. +,:
220 N HWY 7 POLICIES BELOW. 'r :' t
gY.
PLEASANT HILL, MO 64080 COMPANIES AFFORDIN a COVERAGE .
_ a � g .
COMPANY A AMERICAN STATES INSURANCE
LETTER
COMPANY B �•�"•`;!'y, »'ajr,
LETTER
INSURED i
CITY OF JEFFERSON COMPANY /
LETTER C
DEPT OF PUBLIC WORKS ,'.
320 E MCCARTY ST F, t.
COMPANY Ys',r
JEFFERSON CITY, MO 65101 LETTER D i:!'' }
z' IN -,
'jSt'rrk�3q r�{� ;F
COMPANY
LETTER '
60-VERAGES.
THIS IS TO CERTIFY THAT THE 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 AN CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 7'.y
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
a
POLICY EFFECTIVE. POLICY EXPIRATION LIMITS
CO,
LTR, TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) ;
GENERAL AGGREGATE $ 1 OOO 000 +
GENERAL LIABILITY . .. .7..
PRODUCTS-COMP/OP AGG. $ ] 7 OOO OOO =
j COMMERCIAL GENERAL LIABILITY r•',';
„ . . ..__. PERSONAL$ADV.INJURY $ ""' .7 ._.... _
CLAIMS MADE OCCUR. -
! OWNER'S&CONTRACTOR'S PROT: O1CD-453890 06-09-93 06-09-94 EACH OCCURRENCE $ 1,000,OOO
FIRE DAMAGE(Any one fire) $ a
, X
Insured:.._ y.Cit of.Jefferson
i...... MED.EXPENSE(Any one person) $
' AUTOMOBILE LIABILITY
COMBINED SINGLE 1 $ .;!
LIMIT �5 It 4
ANY AUTO _......
r
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'ALL OWNED AUTOS BODILY INJURY $
4 (Per person)
i SCHEDULED AUTOS +
HIRED AUTOS BODILY INJURY $ t
(Per accldont)
K i :NON-OWNED AUTOS
% GARAGE LIABILITY
' t� PROPERTY DAMAGE $
i
EXCESS LIABILITY EACH OCCURRENCE $
;
_ S
=' ;UMBRELLA FORM AGGREGATE $
4 ,
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
i ''• WORKER'S COMPENSATION EACH ACCIDENT $ j
_-
. . AND
F� DISEASE--POLICY LIMIT $
/.. ( EMPLOYERS'LIABILITY _ DISEASE—EACH EMPLOYEE $ "
OTHER ._._
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS T'
Wit
-,
. CANCELLATION '� ..,. ...,....._._.....�.....,�. r i�
1"RTIiFICATE HOLDER b.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE s
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO ,u
MAIL Ja-_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 4.
J
LIABILITY OF ANY KIND UPON T MPANY,ITS AGENTS OR REPRESENTATIVESv
r
AUTHORIZED REPRESENTATIVE
r ;
I ACORD 25-S(7/90) ACORD CORPORATION 11390"
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6-10-93
PRODUCER inig c TrUATEITMUED AS A ' CTTIw`R UP 1NF0 fRIfA
YENNIE F, JONES INSURANCE CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND' EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
0 N HWY 7 POLICIES BELOW. '
°x'"LEASAN'T HILL MO 64080
COMPANIES AFFORDING (COVERAGE �¢�
yJ 7-
COMPANY {` EMI
LETTER A
AMERICAN STATES INSURANCE
COMPANY
LETTER
INSURED AMERICAN ECONOMY INSURANCE
RON HENLEY DBA COMPANY {� al�••��,
LETTER O
HENLEY LAND MANAGEMENT, INC
ROUTE 5 BOX 486 COMPANY D
PLEASANT HILL, MO 64080 LETTER _ "'fir t t�1 fi
COMPANY E H �•.,rr.,t;
LETTER fi' J g ait�t I
COVERAGE i fs,�vt{t y.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. t `•:':`'' ;%;i;;;'•:A";
Cot POLICY EFFEC'rIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) ' DATE(MM/DD/YY) , LIMITS %tc`'ii..•
GENERAL LIABILITY GENERAL AGGREGATE $ 000
" .
1, 00,
A! X
COMMERCIAL GENERAL LIABILITY! PROD UCTS•COMP/OP AGG. $ 1.0 000,000 y {
X ;CLAIMS MADE X ,OCCUR,; 01CD 435664 02-21-93 02-21-94
PERSONAL&ADV.INJURY is
.. .500,000 ,,, ..
OWNER'S&CONTRACTOR'S PROT; EACH OCCURRENCE $ 500,QQO .”.
FIRE DAMAGE(Any one(Ire) : $ 50,000
..• _
MED.EXPENSE(Any one person) $
5,000 Y f Jh
'.;��3
r.�
COMBINED SINGLE ? Vf'r'
I AUTOMOBILE LIABILITY _
LIMIT $ sc( i S (
f ANY AUTO �x1 5}�7 :
' 1,000.,000---
ALL OWNED AUTOS
BODILY INJURY
X. ;.tCHEDULEDAUros 02CC514871 06-09-93 06-•09-94 (Per person)
HIRED AUTOS BODILY INJURY
X_.
t. X NON-OWNED AUTOS (Per accident)
GARAGE LIABILITY
PROPERTY DAMAGE $
i
EXCESS LIABILITY EACH OCCURRENCE $ r
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
ri
WORKER'S COMPENSATION ..•_ _- +:.. .. ..:..... . ....:.: _�
EACH ACCIDENT is
AND :-......_.... .. .._..... .... .......
DISEASE—POLICY LIMIT $ ':
EMPLOYERS'LIABILITY "
DISEASE—EACH EMPLOYEE! $
OTHER ` t
ii
n,l DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
No claims made against liability or auto policies. . . . .Therefore aggregate limit woulda,
be $1,000,000 `
' ......�....�E6. E...+...w....�..�.........�.�......�..�.- .�...�..r..-...-...�...-�+...
CI#F#TIFIC�ITE HOLDER CANCELLATION
k
CITY OF JEFFERSON SHOULD ANY OF THE ABOVE' DESCRIBED POLICIES BE CANCELLED BEFORE THE a
DEPT OF PUBLIC WORKS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
•n " 0 E MiCCARTY ST MAIL—10_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
FFERSON CITY, MO 65101 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
y! LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. :
AUT IZED REPRESENTATIVE1
CAr
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