HomeMy Public PortalAboutORD10252 BILL NO, l� 3
)10 SPONSORED BY COUNCILMAN
ORDINANCE NO.
AN ORDINANCE OF THE CITY OF JEFFERSON, MISSOURI, AUTHORIZING THE MAYOR AND
CITY CLERK TO EXECUTE A CONTRACT WITH IRVINBILT COMPANY FOR THE 1984
SANITARY SEWER PROJECTS, MAIN BRANCH WEARS CREEK. '
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF JEFFERSON, MISSOURI, AS
FOT LOWS:
Section 1. The Mayor and Clerk are hereby authorized and directed to
execute a contract with Irvinbilt Company for the 1984 Sanitary Sewer
Projects, Main Branch Wears Creek for the sum of $633,284.31.
Section 2. The contract shall be substantially the same in form and
content as that contract attached hereto as Exhibit A.
Section 3. This Ordinance shall be in full force and effect from and
after the date of its passage and approval.
Passed '�j - Approved F-23
_j
esiding Offloar Mayor
ATTEST:
J l iP i�u l r�lif
MW
., • UU�'IiUlt�l• I'l)�1 I�111111C i1'l).il\
This Contract is Ando and en tt prod into Lh i s clay or
1914 , by and between the City of Jefferson, MS--;ouri, (City), and
Irvinbilt Ccopany (Contractor).
WHERE-AS, the City Council of the City of Jefferson, Missouri did on the
----bA day of e 1 �� 19 , award to the Contractor
the bid of the improv 'nt of 1984 Sanitary gewer Projects
MAIN BRANCH NEARS CREEK
MW, T11MEORE, for and in consideration of the aw;uding of this contract
and the work thereunder by City to the Contractor, the Contractor does hereby
contract and agree to do and perform said work, above specified and referred to,
for the following prices and to accept in payment therefore:
1. Monies from the treasury of the City, upon nccepuLnec of said work by
the City Council of the City. ,•
The approximate quantities, unit prices, and total .amwits are as shown in
the itemized proposal attached hereto ,s Eixhibit "A". Upon ccXQ,)letion of the
work, readjustments in the contract pricy SIMI] ho mule according to actual
measurements and at the price per unit specified in the contract.
It is'agreed and understood by the p.irties hereto, that this contract is
entered into subject to all existing ordin.uices of the City pertaining to the
work awarded and subject to the pla.►is and specifications and estimates of the
costs for work on file in the office of the City Clerk, and which shall be
considered apart of this contract; that all questions arising :s to the proper
perfozmance of this contract of such work in accordance with the plans and
specifications therefore, and estimates thereof, shall be decided by the
Director of Public WbrTi of the City or Jefferson, Missouri, or by•such com-
petent person appointed by the Mayor and the City CotlnCil of the City of Jefferson
to supervise and superintend said work in the pl;u:e of and instead of such
Director of Public Ubrks; that in the c;Lsc of irqu•oper constrttction, the City
reserves the right at any time to suspend, rclot or order an entire reconstruc-
tion of the work; that Contractor ai;reos to c•omix!nco work on or before a date to
.be.. specified in a IVritten "Notice to Precccxi" :old to fully camplete the' projeet
within One Hundred Fifty (150Z_consecutive c.nlendar days thereafter. Tile City
reserves the right gat nnv time to susi)end, re-let or order an entire reconstruction of the
work awarded and to declare tlae COntract forfeited, but such su_spention, re-
letting or reconstruction or forfeiture shall not affect the right of the City
to recover all damages and penalties accruing or due it by reason of the
Contractor's non-compliance with this contract, Liquidated d:umges of $ 200.00
per day will be assessed against the Contractor for each day the %Mork remains
incomplete following the completion date or extension thereof.
The Contractor agrees to pay all classes and crafts of labor used in the
performance of this contract the prevailing howrly rate of wages as determined
by the Department of Labor and IndiLstrial Relations and Contractor aclmoivledges
that he knows the prevailing hour rate oaf uuges for all the classes and crafts
of labor to be used in the performance of this contract because he has obtained
the prevailing hourly rate of tinges from the contents of Special 1,'aee aatennina-
tion No. 4-026-075 , in which the rate of w,attT,es are set forth.
The Contractor further agrees that he will keep an accurate record showing
the names and occupation of all worlmnen employed by them in connection with the
work to be performed under the" terms of this contract, record shall show the
actual wages paid to said workmen in •connection with the work to be performed
under the terms of this contract. Contractor further agrees that the aforemen-
tioned accurate record shall be available quad open at all reasonable hours
Wr the inspection by the Director of Public Works or ;uay other suthorized
employee of the City. In compliance with the Prevailing Wane Law, as amended
in Sections 290.210 to 290.340 inclusive, Revised Statutes of Missouri, 1969,
effective October 13, 1969, not less that 'the prevailing hourly rate of wages
in the Jefferson City area shall be paid to all w•orlanen performing work under
this contract, Section 290.250. The Contractor shall forfeit to 'the City Ten
Dollars ($10.00) for each workman employed, for each calendar day, or portion
thereof, such workman is paid less that the stipulated rates for any work done
;a
under said contract, by him or any subcontractor under him, Section 290.250.
Contractor agrees to completely inderruify cuad hold har;less the City for
any and all d:umges, injuries, actions, costs, attorney's fees and all other
expenses whatsoever, arising our of tho porforrnuaco of said work whether the
property or persons damaged are the tu►Ll of the Contractor
or third parties, in no m:uincr co>nncutc'd with said work. All inLerlineation:r,
corrections, deletions and changes h�!rvin have: bcun prior to the execution of
this contract.
2
•
Contractor shall procure and maintain during the life of this
contract:
a. Workman'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 Eight Hundred Thousand Dollars ($800,000) for all claims
arising out of a single occurrence and One Hundred Thousand
Dollars ($100,000) for any one person in a single accident or
occurrence, except for those claims governed by the provisions
of the Missouri Workman's Compensation Law, Chapter 287, RSMo,
and Contractor's Property Damage Insurance in an amount not less
than Eight Hundred Thousand Dollars ($800,000) for all claims
arising out of a single occurrence and One Hundred Thousand
Dollars ($100,000) for any one person in a single accident or
occurrence.
c. Automobile Liability Insurance in an amount not less than Eight
Hundred Thousand Dollars ($800,000) for all claims arising out
of a single occurrence and One Hundred Thousand Dollars ($100,000)
for any one person in a single accident or occurrence.
d. City Listed as Additional Insured: The City shall be listed as
an "Additional Insured" on the Contractor's public liability
insurance and automobile liability insurance policies.
e. The Certifications of Insurance furnished to the City showing
proof of compliance with these insurance requirements -shall con
tain a provision that coverage under such policies shall not be
cancelled or materially changed until at least ten (10) days
prior written notice has been given to the City.
IN WITNESS WqERBOF, the parties have hereunto set their hands and
seals this re t ay of 1984.
CITY OF JEFFERSON, MISSOURI
By: J— y
Attests Mayor
City Clerk
Attest:
Contractor
DOCUMENTS QUALITY
TARGETS
THE FOLLOWING
DOCUMENTS
ARE BELOW
STANDARDS FOR
MICROFILMING
MAIN BRANCH WEARS CREEK
INTERCEPTOR EXTENSION
DNR ELIGIBLE
ITEM NO. CLASS I F)CAT I ON UNIT APPROX. UNIT AMOUNT
QUANT. PRICE
1 .0 15" Sanitary Sevier Pipe (in place) L.F: 1669.64
2.0 12" Sanitary Seder Pipe (in place) L.F. 79;8.61
15" S.S. Pipe
3.0 Ditching G Sackfilling (0-69 L.F. 250. 00
3. 1 Ditching C Backfill (6-8') L.F. 1082.03
3 .2 bitching G Backfill (8-10') L.F. ?37.61 / h,� ' c,E►
12" S.S. Pipe
4.0 Ditching G Backf) 11 (0-61) L.F. 2077.77
4. 1 Ditching G Backfill C6-8') L.F. 4937.36 �.
4.2 Ditching G Backf 111 (8-10' ) L.F. 821 .08
4 .3 Ditching G B,,ckf111 (10-12' ) L.F. 1?. SO �� •� /�,`� -. _.
A 4.4 DItching G Er+ckf111 ( ) 2-14 ' ) L.F. 12. 50 _
4 . 5 r)ltchinp L . F .
• S;anword V.or.lr.lr• (0-f,") Ea. :6. 0
f:•^uth F. . : . 5!
I TEM N0. CLASSIFICATION '
LASS 1 F 1 CAT I ON ' , UNIT APPROX. U N l T A14DUNT
QUANT. PRICE
6.1 Concrete Encasement (12" Sewer) L.F. 170 131:>.
7.0 Tie 15" Sewer to Exist. M.H.
Including Rebuilding Invert. L.S. 1 JJe� r
8.0 Additional Cost for Sealed
M!1 Covers Ea. 3
9.0 M4 Stub C Caps Ea. 9
10. 0 Spec i a l Tar;rped Chat Backf i I I
Road Cross Ing T '� Ton 36
11 .0 Asphalt Replacem:nt (4 Tons) L.S. 1 ..:�
12.0 Rock Excavat Ion C.Y. 820 3;
13.0 Seeding L Mulching L.F. 2567.6
14.0 12" PVC G 24" Steel S41
Encasci---�--m Bore L.F. 155 3.7
15.0 Compacted Fill - Line C
Sta. 0+50 to 6+00 Maytay
Interceptor L.S. 1
J
IC. .0 .56" C': ir, pl,-ic& ConpleLe L .F. s0
I? . 0 OD-.n Cut
Sps-c i a l Cur id i t i ons
Sta. 52+ 25 to SLa. 60+50
" a
MAIN BRANCH WEARS CREEK
INTERCEPTOR EXTENSION
Adak
NON-ELIGIBLE
ITEM NO. CLASSIFICATION UNIT APPROX. UNIT AMOUNT
QUANT. PRICE
1 .0 8" Sanitary Sewer Pipe (in place) L.F.. 5648.78
2.0 Ditching S Backfi i 1 ing (0-6') L.F. .2058.43 %`-
2. 1 Ditching & Backfi I I ing (6-8') L.F. • 253$.92
2.3 Ditching E Backfi ) 1 (8-10') L.F. • 1051.43
3.0 Standard Manholes (0-6) Ea. 16
3. 1 Additional Depth Manholes Cover 0-6) L.F. 25.89
4 .0 Concrete Encasement (8" Seder) L.F. 128
o?/ j h!:_�,
5.0 M.H. Stubs L Cap Ea. 5 �D '
6.0 Rock Excavation C.Y. ,460
7. 0 Seeding & Mulching L. F. 630 _
c . 0 Rip-Ran CuYd 1D
707:,;, 11-:=L I G I BLE SUBPA.0
PaCJECT 10TAL COST (E1igihie Dlus 1ne) inible SL&:.Jr,.$)
L�.,r_.�itJ•,rr'I In i it'u Of ILVn 17. L .1:--VC
Sta. 5t• ?; to $La. G: • �.fi S. l
Lf
Duplicate of A 1.A Form A311 Feb. 1970 Edi!ton
Bond No. 5245347
roummrm
DUKRAMCONTAUM
AMk
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
That IRVIMILT 03'ANY, ,
(Here insert full name and address or legal title of Contractor)
_Post Offiae Box 787, Chillicothe, Missouri
as Principal,hereinafter called Contractor,and THE MIERTCAN INSURANCE CUIPANY, 720 Main Street,
(Here insert full name and address or legal title of Surety)
Kansas City, Missouri , as Surety, hereinafter called Surety, are held and firmly bound unto
CITY OF JEMPSON CITY, MISSOURI
(Here insert lull name and address or legal title of Owner)
as Obligee,hereinafter called Owner,in the amount of
SIX HUNDRED ZHIII<I'Y THEEE Zii017SAND T] *90 HI=r) _P.TC41W FOUR F. 311101mollars ($633,9R4-11 ),
for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors and
assidns, jointly and severally, firmly by these presents.
WHEREAS,Contractor has by written agreement dated
entered into a contract with Owner for 1984 Sanitary Sewer Projects Main Bran ch [1TPa r s_�
in accordance with drawings and specifications prepared by—
(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.
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 effect.
The Surety hereby waives notice of any alteration or extension of time made by the Owner.
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
1) Complete the Contract in accordance with its terms and conditions, or
2) Obtain a bid or bids for completing the Contract in accordance with its terms and conditions, and upon determination by Surety
of the lowest responsible bidder, or, if the Owner elects, upon determination by the Owner and the Surety jointly of the lowest respon-
sible bidder, arrange for a contract between such bidder and Owner, 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 amendments
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 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 day of A.D. 19
IRVUBILT COMPANY
(Principal) (Seal)
(wit es ) By
— (Tiller
/ 1 THE AR'IERICNI INSURANCE OOMPATY _-
((J (Surety) (Seal)
VVV yyy
(Witness) .�•-''_
B
r Feaster Attorney-in-Fact
360532-6.70
hut,hrnt• at j, I A 1'�-rm A311 f-,•b I4'0 1'101,11
LABOR & MATERIAL PAYMENT BOND
FDUCKMAI8FM THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND IN FAVOR OF THE
loevnA=flaHMM OWNER CONDITIONED 014 THE FULL AND FAITHFUL PERFORMANCE OF THE CONTRACT
KNOW ALL MEN BY THESE PRESENTS:
'thcrt I1zVINBTLT OC�'IPANl'_ _ _ _ _ _ _
(Here Insert full name and address or legal title of Contractor)
Fast Office_Box_7_a7, Chi 1_1icothe, Missouri
as Principal, hereinafter called Principal, and_._-_ . _THE AIETZICAN Ili 7 n--StL�eet-� .
(Here Insert full name and a dress or legal >ftle of Sure y
KaClsas_C_itV, Missouri _ as Surety, hereinafter called Surety, are held and firmly bound unto
&T_1 OF J_E_FFTiRSSCN CITY.24ISS9M_—_-
(Here insert full name and address or legal title of Owner)
as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinbelow defined, in the amount of
SIX HUNDRED THIIUY THREE THMISPNm _&-31/jOO7ollars ($. 33,2$¢,.31 ),
(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
assigns, jointly and severally, firmly by these presents.
WHEREAS, Principal has by written agreement dated .____._.__
entered into a contract with Owner for-- 19 B4 aariitarl Sewer PsOje.cta_Lain_B=ch [ -a_rs t rek
in accordance with drawings and specifications prepared by--.
(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.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if 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 obli-
gation shall be void; otherwise it shall remain in full force and effect, subject, 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, heal, oil, gasoline, telephone service or rental of equipment directly applicable to the Contract.
2. The above named Principal and Surety hereby jointly and severally agree with the Owner that every claimant as herein 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 by such claimant, may sue on 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 suit.
3. No suit or action shall be commenced hereunder by any claimant:
a) Unless claimant, other than one having a direct contract with the Principal, shall have given written notice to any two of the follow-
ing: 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, staling 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 by mailing the same by registered mail or certified mail, postage prepaid, in an envelope addressed to the Principal,
Owner or Surety, at any place where an office is regularly maintained for the transaction of business, or served in any manner in
which legal process may be served in the state in which the aforesaid project is located, save that such service need not be ;Wade by a
public officer.
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 such 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.
4. The amount of this bond shall be reduced by and to the extent of any payment cr payments made in good faith hereunder, in-
clusive of the payment by Surety of mechanics' liens which may be filed of record against ::aid improvement, whether or not claim
for the amount of such lien be presented under and against this bond.
Signed and sealed this_-- -___.__day of_ __ .. ._. ... _ __..______.__. . ___..__._ —_A.D. 19
IEMMILT COMPANY —
(Principal) (Seal)
ByIWttn,:us -- --- --•—t
- (Title)
WE ArERICAtv.._zr
(surety) (Seal)
(�Vunena)
360533--4.78
Attorney in-Fact
GENERAL
ATTmMRNF% THE AMERICAN INSURANCE COMPANY
KNOW ALL F61EN BY THESE PRESENTS:That THE AMERICAN INSURANCE COMPANY,a Corporation duly organized and existing under the
laws of the State of New Jersey. and having its principal office in the City and County of San Francisco. California. has made, constituted and
appointed.and does by these presents make.constitute and appoint
ROGER FEASTER of Lee's Summit, MO; VERNON M. JONES, BRENDA LINZE both of Kansas City, MO;
and DALE A. GEBAUER of Raymore, MO
jointlyy, or sev @@r��],q
it%true and lawful Attorneys)-in-Fact with full power and authorly hereby conferre�li di its name,place and stead.to execute,seal.acknowledge and
deliver any and all bonds.undertaking�recognizances or other written obligations in the nature thereof --------------------------
and to hind the Corporation thereby as fully and to the same extent as if such bonds were signed by the President.sealed with the corporate seal of the
Corporation and duly attested by its Secretary.hereby ratifying and confirming all that the said Attorneys)-in-Fact may do in the premises.
This power s.t attorney is granted pursuant to Article Viii.Section 30 and 31 of By-laws of THE AMERICAN INSURANCE COMPANY now in full
force and effect.
'.Article Vlll. Appointment and Authority of Resident Assistant Secretaries, and Attorney-in-Fact and Agents to accept Legal Process and
stake Appearances.
Section 30. Appointment. The Chairman of the Board of Directors, the President, any Vice-President or any other person authorized by the
Board of Directors. the Chairman of the Board of Directors, the President or any Vice-President, may, from time to time, appoint Resident
Assistant Secretaries and Attorneys-in-Fact to represent and act for and on behalf of the Corporation and Agents to accept legal process and
make appearances for and on behalf of the Corporation.
Section 31. Authority. The Authority of such Resident Assistant Secretaries, Attorneys-in-Fact, and Agents shall be as prescribed in the
instrument evidencing their appointment, and any such appointment and all authority granted thereby may be revoked at any time by the
Board of Directors or by any person empowered to make such appointment.
This power of attorney is signed and sealed under and by the authority of the following Resolution adopted by the Board of Directors of THE
AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 28th day of September. 1966,and said Resolution has not been
amended or repealed:
"RESOLVED.that the signature of any Vice-President,Assistant Secretary.and Resident Assistant Secretary of this Corporation.and the seal of this
Corporation may be affixed or printed on any power of attorney,on'any revocation of any power of attorney,or on any certificate relating thereto,by
facsimile,and any power of attorney.any revocation of any power of attorney.or certificate hearing such facsimile signature or facsimile seal shall he
valid and binding upon the Corporation.
IN WITNESS WHEREOF.THE AMERICAN INSURANCE COMPANY has caused these presents to be signed by its Vice-President.
and its corporate seal to he hereunto affixed this 2nd day of July . 1984
`"" THE.AMERICAN INSURANCE COMPANY
3,s �'� By 4 I-
Vt,Fk;-Pff—mdcm
STATE.OF CALIFORNIA,
}
CITti'AND CUl'VTY OF SAN FRANCISCO J ss.
On thi?red day of JU-Y 19–A-4 .before me personally came Richard Williams
to me known, who. being by me duly sworn. did depose and say: that he is Vice-President of THE AMERICAN INSURANCE COMPANY. the
Corporation described in and which executed the above instrument:that he knows the seal of said Corporation:that the seal affixed to the said instrument
is such corporate seal:that it was so affixed by order of the Board of Directors of said Corporation and that he signed his name thereto by like order.
IN WITNESS WHEREOF.I have hereunto set my hand and affixed my official seal,the day and year herein first above written.
ZI
neaenueeunnenonneenteeeeaeeuwtetunuuZI
OFFICIAL SEAL
E SUSIE K. GILBERT � �
o NOTARY PUBLIC—CALIFORNIA
CITY b COUNTY OF SAN FRANCISCO ' Nomr>Public
My Commission Expires Nov.17,1984 2_
CERTIFICATE
weeunuuuutuuuuutneuuuouutunauen
STATE OF CALIFORNIA,
CITY AND COUNTY OF SAN FRANCISCO
1, the undersigned, Resident Assistant Secretary, of THE AMERICAN INSURANCE COMPANY, a NEW JERSEY Corporation, DO HEREBY
CERTIFY that the foregoing and attached POWER OF ATTORNEY remains in full force and has not been revoked:and furthermore that Article VIII.
Sections 30 and 31 of the By-laws of the Corporation,and the Resolution of the Board of Directors:set forth in the Power of Attorney,are now in force.
Signed and sealed at the City and County of San Francisco.Dated the day of . 19
s►wv, ,
.i �.
NCI�o
390712 (HO)—TA-2.90
cr-oro
rNAMI A 7 ()1 A(.fN(,Y
NO ADD cf
AI 7I1171
COMPANIES AFFORDING COVERAGES
B ,J C P
Jones Corporation
0 0 x
B.
13647 Mntinental Ins. Me
Kansas City, Missouri 64199
International Ins. Co.
NAMr AND APOPISS (4 INSUNIO
Irvinbilt 0otilipany
4
P.O. Box 787 1( 1,,A? f D
Chillicothe, Mo 64601
COMPANY
IETTff? E
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. 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 of Liability in Thousands(000)
COMPANY TYPE OF PATI EACH AGGREGATE
LF T TFR NSURANCf POLICY NOMBF0 OCCURRENCE
GENERAL LIABILITY
BO
A lid COMPREHENSIVE FORM cBp 419091 7/1/85 BODILY INJURY 500 $ 500
PREMISES—OPERATIONS PROPERTY DAMAGE s500 s 500
EXPLOSION AND COLLAPSE
HAZARD,
UNDERGROUND HAZARD
PRODUCTS/COMPLETED
OPERATIONS HAZARD BODILY INJURY AND
CONTRACTUAL INSURANCE PROPERTY DAMAGE $
BROAD FORM PROPERTY COMBINED
DAMAGE
INDEPENDENT CONTRACTORS
PERSONAL INJURY PERSONAL INJURY s 500
AUTOMOBILE LIABILITY BODILY INJURY
(EACH PERSON)
COMPREHENSIVE FORM CBP 419091 7/1/85 BODILY INJURY
OWNED (EACH ACCIDENT)
HIRE[) PROPERTY DAMAGE
BODILY INJURY AND
NON OWNED PROPERTY DAMAGE s 50
EXCESS LIABILITY COMBINED
130DIL Y INJURY AND
B UMBRELLA FORM 523317698 7/l/85 PROPERTY DAMAGE s 2,000 s 2,000
OTHER THAN UMBRELLA COMBINED
FORM
WORKERS'COMPENSATION STATUTORY
A ind WC2561230 7/l/85
EMPLOYERS'LIABILITY s 100
OTHER
DESCRIPTION OF OIIERATIONS/LGCATIONS/VEJIICI,F.S
Covering: All Operations and 1984 Sanitary Sewer Project Main Branch Wears Creek
It is agreed that the City of Jefferson, Missouri is added as an additional insured
as respects their interest in the above project.
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will &XXAXXiXKXnfail _10. days written notice to the below named certificate holder, tXXXXXW*X0X
NAME AND ADORJ SS Of C1 fifIf ICAT I HOk Of I? ISSUE,..TE qu t 15 , 1984
City of Jefferson, Missouri DA
320 East McCarty Re e s Corporation
Jefferson City, MO 64101 A-1
ALITHORIZID HIPUESINIA11VU
ACORD 25(1.79)
(The Attaching Clause need be completed only when this endorsement is Issued subsequent to preparation of the policy.)
GL 2010(Ed.Ol 73)
.� LIABILITY G 115 L 9451
ISO G115 (Ed.1.73'
ADDITIONAL INSURED
(Owners or lessees)
' This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
COMPREHENSIVE GENERAL LIABILITY INSURANCE
MANUFACTURERS' AND CONTRACTORS' LIABILITY INSURANCE
f
This endorsement, effective August 13, 1984 , forms a part of policy No. CBP419091
(12:01 A.M.,standard time)
issued to Irvinbi It Company
I
by Continental Insurance Company
R.B. J S OPRORATIO
i
.... . ......... .... .. ............... ......... . ....... ... ..
Authorized Representative
i
It is agreed that:
1.The "Persons Insured" provision is amended to include as an insured the person or or nization named below but only with respect to liability arising
out of operations performed for such insured by or on behalf of the named insured.
2.The applicable limit of the company's liability for the insurance afforded under the Contractual liability Insurance Coverage Part forming a part of thu
policy shall be reduced by any amount paid as damages under this endorsement in behalf of the person or organization named below.
Name of Person or Orlanization
# (Additional Insured)
City of Jefferson, Missouri as pertains to 1984 Sanitary Sewer Project
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Main Branch Wears Creek
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