HomeMy Public PortalAboutORD10438 DILL N0.
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SPONSORED BY COUNCILMAN
ORDINANCE NO.
AN ORDINANCE OF THE CITY OF JEFFERSON, MISSOURI , AUTHORIZING THE
MAYOR AND CITY CLERK TO EXECUTE A CONTRACT WITH J. C. INDUSTRIES,
INC. FOR CONSTRUCTION OF AN APRON STRENGTHENING OVERLAY AT THE
JEFFERSON CITY MEMORIAL AIRPORT.
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF JEFFERSON,
MISSOURI, AS FOLLOWS:
Section 1. The Mayor and Clerk are hereby authorized and
directed to execute a contract with J.C. Industries , Inc. for the
construction of a Portland Cement Concrete Apron Overlay project
at the Jefferson City Memorial Airport for the sum of
$313,902.50.
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 approvaal.
Passed S Approved-- Y- 9- 55
Pres Wh g Officer 1a or
ATTEST:
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11S.DE'Wtment Cnnhal Ha lon 601 G. 12th street
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Federil AVkdkM
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Mr. Martin A. Brose, P. E.
Director, Department of Transportation
320 E. McCarty Street
Jefferson City, Missouri 65101
. Dear Mr. Brobe.
Jefferson City Memorial Airport
Jefferson City, Missouri
AIP Project 3-29-0036-03
Apron Overlay
We are returning three approved copies of Change Order No. 1 to the
J. C. Industries, Inc. contract. Since the Change Order contains
work that is ineligible for Federal. participation ($7,800),, there
will be a net deduction of $5,135.85 to the construction contract.
Sincerely,
G.. Alan Wimpey, P.E.
State Airport Engineer (MO)
Enclosures
b'r:FT. Gi ,,,ANSPORTATTON
CHANGE ORDER
UL.G U 9 11985
-^"ITY OF JEFFERSON
PROJECT: Jefferson City Memorial Airport CHANGE ORDER NUMBER: 1
Jefferson City, Missouri
INITIATION DATE: December 6, 1985
TO (Contractor): J. C. Industries, Inc. ENGINEER'S PROJECT NO. : E-2623
P. 0. Box 1264
Jefferson City, MO 65102
CONTRACT FOR Apron Rehabilitation
AIP #3-29-0036-03
CONTRACT DATE:
You are directed to make the following changes in this Contract:
Quantity reconciliation changes as follows:
Item #2 - 6" Crushed Aggregate - Add 17.9 s.y. @ $5.00 $ 89.50
Item #3 - Bit. Surf. Course - Delete 35.8 tons @ $55.00 (1 ,969.00)
Item #4 - Asphalt Cement - Delete 4.2 tons @ $55.00 (231 .00)
Item #5 - 9" Portland Cement Concrete - Add 17.9 s.y. @ $23.50 420.65
Item #6 - 6" PCC Overlay - Delete 150 s.y. @ $21 .25 (3,187.50)
Item #7 - Bit. Tack Coat - Delete 145 gals. @ $2.00 (290.00),
Item #8 - Apron Painting - Add 21 s.f. @ $1 .50 31 .50
FAA Non-Eligible Apron Approach - Add L•.S. $7,800.00 7,800.00
TOTAL ADDITION $2,664.15
The original Contract Sum was $ 313,902.50
Net change by previously authorized Change Orders $ 0
The Contract Sum will be (increased) 3XWMd;X .
JRK%hnNgR#j by this Change Order $ 2,664.15
The new Contract Sum, including this Change Order,
will be $ 316,566.65
The Contract Time will be (increased) (decreased)
(unchanged) by ( 0) Days.
The duration of this Contract is therefore: ( 90 Days.
Authorized:
Booker Associates, Inc. J. C. Industries, Inc. City of Jefferson
Engineer Contractor ner"
1139 Olive Street P. 0. Box 1264 320 East McCarty Street
Aa r-ess� w Address ffiress MO 65101
St. Louis, MO 63101 Jefferson City,- MO 65102 ferson City,
By l c By By //',
Date _ lzr'�/'� Date S pate / J�
FEDERAL. AVIATION ADMINISTRATION
B.Y . J, Date 12- o- - ?S
CONSTRUCTION CONTRACT
THIS CONTRACT, made and entered into this day of
June 19 85 ;, by and between j. -c._.Industries .,
sn # hereinafter called
"Contractor" , 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 constructing the
following City improvements : construction of Airport Improvements
as set out in the Specifications and Plans No. E-2492 .
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, 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 90 Calendar
days from the date -Contractor is ordered to proceed, which order
shall be issued by the Director of Transportation within
days after the date of this contract.
2. Prevailinc Wages . All labor utilized in the construction
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 the
Department of Labor and Industrial Relations of the State of
Missouri, and as established by the Federal Employment Standards
of the Department of Labor. Contractor acknowledges . that
Contractor knows the prevailing hourly .rate of wages for this
project because Contractor has obtained the prevailing hourly
rate of wages from the contents of Special Wage Determination No. T
3-014-020 and Decision No. N082-4041 ,
in which the rate of wages is set forth. The Contractor further
agrees that Contractor will keep an accurate record showing the
names and occupations of all workmen employed by Contractor in
connection with the work to be performed under the terms of this
contract. The record shall show the actual wages paid to the
workmen in connection with the work to be performed under the
terms of this contract. A copy of the record shall be delivered
to the Director of Transportation each week. In accordance with
Section 290 .250 RSMo, Contractor shall forfeit to the City Ten
Dollars ( $10., 00 ) 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.
3. Insurance. Contractor shall procure and maintain at its
own expense during the life of this contract:
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(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$800, 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
$800,000 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 $800, 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
ar�tiount not less than $800, 000 for all claims arising
out of a single accident or occurrence and $100k000 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. No policy will be accepted which excludes
liability for damage to underground structures or by
reason of blasting, explosion or collapse.
(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 Sub-
paragraphs (a) , (b) and (c) hereof and in like amounts .
(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
any special hazards which may be encountered in the
performance of this contract.
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
whose subcontractor has employees working on the
project, unless the general public liability and
property damage policy (or rider attached thereto)
of the general contractor provides adequate
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protection against claims arising from operations
by anyone directly or indirectly employed by the
Contractor.
4 . Contractor's Responsibility for Subcontractors. It is
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 set forth,
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 any
provisions of this contract. Nothing contained in this contract
shall create any contractual relations between any subcontractor
and the City or between any subcontractors .
5. Liquidated Damages. The Director of Transportation may,
at his discretion, deduct $100.00 from any amount
otherwise due 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 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 damages because
of delays in the completion of the work due to unforseeable
causes beyond Contractor's control and without fault or
negligence on Contractor's part or the part of its agents.
6. 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 for
the benefit of its creditors, or if a receiver should be
appointed for Contractor or for any of its property, or if
Contractor should 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 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. 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
City for any costs over the amount of this contract thereby
occasioned by the City. In any such case the City may take
possession of, and utilize in completing the work, such
materials, applicances and structures as may be on the work site
and are necessary for completion of the work. The foregoing
-3-
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.
t
8. Guards and Lights. The Contractor agrees to defend,
indemnify, 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 property, by Contractor, its servants, agents
or subcontractors, or arising out of the award of this contract
to Contractor.
9. Indemnity. The Contractor agrees to defend, indemnify,
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
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.
10, 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 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.
11. Payment. The City hereby agrees to pay the Contractor
the work done pursuant to this contract according to the payment
schedule set forth in the Contract Documents upon acceptance of
said work by the Director of Transportation and in accordance
with the rates and/or amounts stated in the proposal of
Contractor dated May 23 19 85 0 which are by
reference made a part hereof, No partial payment to .-the. ... .
Contractor shall operate as approval or acceptance of work done "
or materials furnished hereunder.
12. Contract Documents. The contract documents shall consist
of the following:
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
paragraph,- form the Contract between the parties . These documents
are as fully a part of the contract as if attached hereto or
repeated herein.
-4-
13. 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,
religion, handicap, age, or political opinion or affiliation,
against , any employee of Contractor or applicant for employment,
and shall include a similar provision in all subcontracts let or'
awarded hereunder.
14 . Notices . All notices required to be in writing may be
given by first class mail, address to the City of Jefferson, 320
E. McCarty, Jefferson City, Missouri 65101, and Contractor at
1907 William, Jefferson City, Missouri 65101 The date of
delivery of any notice shall be the second full day after the day
of its mailing.
15. Jurisdiction. This agreement and every question arising
hereunder shall be the second full day after the day of its
mailing.
16. IN TESTIMONY WHEREOF, the parties have hereunto set
their hands and seals this 190' day of June ,
19 85
CITY OF JEFFERSON, MISSOURI
By
MAYOR
ATTEST:
CITY CLERK
J. C. INDUSTRIE INC.
ey
RESIDENT
ATTEST:
SECRETARY
-5-
at
#2623
aifferson City Airport Commission 1!
Jp1•Non City, Ni ssour 1 1
The oWersigned hereby certifies that he has examined the form of contract,
plans amd specifications for apron overlay project at Jefferson City Municipal
Airper$, AIP Project No. 3-29-0036-03 and has examined the site of the work
is familiar with local conditions pertaining to the work.
The w4ersigned, in compliance with your Instructions to Bidders dated
4/25/85 , hereby proposes to do the work called for in said contract and
f
spe i'catTons and shown on said plans, and to furnish all materials, tools,
labor and all appliances and appurtenances necessary for the said work-'at the
following rates and prices:
Item No. Description Quantity Unit Price Extension
1. P-101-5.1 PCC Pavement Removal 688 SY $.S. 5 /SY
)/®®LLARS/ $ 3 784
UNI-rMMTTEN OUT EXTEN51ON
P-209-5.1 601 Crushed Aggregate Base, 1756 SY $_I °`/SY
,0. 0! 7U CEat� )/DOLLARS/ $ p
T-PRTCE-MUTER OUT EXTENSION
3. P-401-6.1 Bituminous Surface Course, _292 TON $5-5 1TON '
4144 '/4 Cent-)/DOLLARS/ /�' !
4. P-401-6.2 Asphalt Cement, 18 TON S 55-,'°/TON
( ILA(4 Zk (e�)/DOLLARS
S. P-501-5.1 91 Portland Cement Concrete, 1756 SY $, �SY
( -426a < )/DOLLARS 4&0&
NIT PRICE ITTEN OUT EXTENSION
(8101)
` ' ` E ,,� �• PCC Overlay 9606 SY 5,, SY
qu_l i ct iot an,l g. -)/DOLLARS/
NIT PRIG WRITTEN OUT EXTENSIUN
Bituminous Tack Coat, 4_Z0 GAL
``/GAL
ttr9' � a czvtOt !(�` �Qic'ta- )/DOLLARS/ = RyO 00
OUT EXTENSOR
8. P.620-5.1 Apron Painting, 850 SF $ /, �" /SF
i
ApCjcu "a )/DOLLARS/
UNI PRICE WRITTEN OUT
9. 0_701-5.1 12" R.C.P. Class IV 890 tF $ ,l_( `_/LF 3, 10,
EXTtNSIUN
113. tIa751-5.1 Inlet 4 EA $1,7511.%EA $ (P;.��0
11. 0-751-5.2 Manhole 3 EA $1,95t-'AA $ ; 5-50 "
E('IEN
12. L-110-5.1 (2) 2" PVC Electric
Duct - concrete encased 105 LF $ I /LF
�P t��EN�O �a )/DOLLARS/ $EXTENSION
TOTALS 31 3
ALTERNATE BID ITEM NO. I
In lieu of a 60 PCC overlay using Item P-501-5.2, the following P-501-5.3
3-1/201 PCC fully bonded overlay may be accepted if considered to be in the
best interest of the City.
Itam P-501-5.3 3-1/2" Fully Bonded Portland 0�
Cement Concrete Overlay 9606 Sy $ S�_
00tPaA'Q' c141 a •sic C,tira )/DOLLARS/ S `f g0 3�o• °�
UUNIT PKICE WRITTEN OUT
Note: Acceptance of Item P-501-5.3 will require the Contractor to adhere to
the applicable P-501 specifications for fully bonded concrete overlays
8112)
f1^•1
In the modifications to the standard FAA technical
YD MUM N0.
',of the stormdrain system using items D-701-5.1, D-751-5.1 and
Ao the following 0-751-5.3 dry wells may be accepted if considered to
ft but interest of the City.
Ito+ 2-751-6.3 Dryrel1 complete 2 EA 06). 3 CDe
UNIT PRICE TEN OUT EX
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t
(BP-3)
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POWER OF SAFECO INSURANCE COMPANY OF AMERICA
ATTORNEY SEATTLE,OFFICE: SArECO PLAZA
SEATTLE, WASHINGTON 98185
Pda.
5462
KNOW ALL BY THERE PRESENTS:
That SAFECO INSURANCE COMPANY OF AMERICA, a Washington corporation, does hereby appoint
----------JAMES J. LANDWEHR; GLENDA A. FRY, Jefferson City, Missouri---------
its true and lawful attorney(s)-in-fact, with full authority to execute on behalf of the company fidelity and surety bonds or
undertakings and other documents of a similar character issued by the company in the course of its business,and to bind
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
this 3rd day of February . 19 84
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
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 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
(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."
1,W.D. Hammersla,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.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of said corporation
CC ro\ \�
�p�1Urt,_aR dye this �� day o 19%f:�k .
5.1300 R4 S/Sl PRINTED IN U.S.A.
Binder No.
NAME AND ADURESS OF AGENCY COMPANY
Winter-bent & Co. United Sates Fidelity & Guaranty
P.O. Box 1046 Efte^tivTD ' m _..__ _--.._ �-� t9
Jefferson City, MO 65102 Expires R-3 12:01 air _F._; Noon 7-1 1986
This binder is issued to extend coverage in the above named
company par expiring policy H ___
Ie,.Copt a�s.n pr
TI-0 d below
NAME AND MAILING ADDRESS OF INSURED Description of Opera tion/Vehiclos/Property
_
City of Jefferson
820 E. McCarty
Jefferson City, MO 65101 Apron Strengthening Overlay
Type and Location of Property Coverage/Perlis/Forms Amt of Insurance Ded. coins.
P
R
0
P
E
R
T
Y
Typo of Insurance Coverage/Forms Limits of Liability
_ _ _ Each Occurrence Aggregate
[] Scheduled Form ❑i Comprehensive Form Bodily Injury $ $
❑ Premises/Operations
Products/Completed Operations Property Damage $ $
L Bodily Injury t�
T ❑
Contractual
Other(specify below) Otuner's Contractor's & otective Liabi ' erty Damage $ 800, 000 $ 800, 000
Y Combined
❑ Med.Pay. $ pet $ Pet
El Person A cadent_Personal Injury �A ❑ B C Personal Injury $
Limits of Liability
U ❑ Liability U Non-owned U Hired Bodily Injury(Each Person) $
T ❑ Comprehe;.)sive-Deductible $ Bodily injury(Each Accident) $
0 ❑ CoI11sIOn•DeductIble $
0 rJ Medical Payments $ Property Damage $
of ❑ Uninaurea Motorist $
L No Fault (specify): Bodily Injury & Property Damage
E
L1 Other (specify): Combined $
❑ WORKERS' COMPENSATION — Statutory Limits (specify states below) LJ EMPLOYERS' LIABILITY — Limit $
SPECIAL CONDITIONSIOTHE.R COVERAGES
J.C. Industries , Inc. will be responsible for premium and audit
JOB:
Jefferson City Memorial Airport
NAMF.AND ADDRESS OF ! J MORTGAGEE t_J LOSS PAYEE ❑ ADD L INSURED
LOAN NUfAbrR
Signature of Authorized Representative Date
ACORD 75(11/77-C)
or 171,SSUE DATE(MMIDD/YY)
_-_i-85_
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Winter-Dent & Co. NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 1046
Jefferson City, 140 65102 COMPANIES AFFORDING COVERAGE
COMPANY A United States Fidelity & Guaranty
COMPANY
INSURED^—� J�— LETTER
J.C: Industries, Inc. LETTER
EANY �v ----
P.O. Box 1264 ---_
Jefferson City, MO 65102 COMPANY D
LETTER
COMPANY
LETTER
101 BONES=
•
THIS IS TO CERTIFY THAT 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 CONDI-
TIONS OF SUCH POLICIES.
CO POLICY EPL-TIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDUW) DATE(MMNDNY) EACH
_ OCCURRENCE AGGREGATE
GENERAL LIABILITY
BODILY
COMPREHENSIVE FORM INJURY $ $
PREMISES/OPERATIONS PROPERTY
UNDERGROUND DAMAGE $ $
EXPLOSION 8 COLLAPSE HAZARD
A PRODUCTWOMPLETED OPERATIONS S MP 055770737 7-1-8 5 7-1-86
CONTRACTUAL 81&PID ED $5001 $ 5 0 0,
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY I PERSONAL INJURY $
AUTOMOBILE LIABILITY BODLY
INJURY
:C ANY AUTO (PER PFRSft $
X ALL OWNED AUTOS IPRIV. PASS) BODILY
A X ALL OWNED AUTOS OTHER THAN) BAP 047520210 7-1-85 7-1-86 I pRA(xIDENi) $
PRIV. PASS
X HIRED AUTOS
PROPERTY
X
NON-OWNED AUTOS DAMAGE $
GARAGE LIABILITY
BI 8 PD
—__ COMBINED $500,
EXCESS LIABILITY
A x UMBRELLA FORM CEP 059499814 7-1-85 7-1-86 COMBINED $510001$5, 000,
OTHER THAN UMBRELLA FORM
STATUTORY
WORKERS'COMPENSATION
A AND 700369841 7-1-$5 7-1-$6 $ 10 0_j (EACH ACCIDENT)
EMPLOYERS'LIABILITY $5 Q Q (DISEASE-POLICY LIMIT)
$10 Q (DISEASE-EACH EMPLOYEE)
OTHER
DESCRIPTION OF OPERATIONS ILOCATIONSNEHICLESISPECIAL ITEMS
Cat of Jefferson SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
City PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
320 E. McCarty MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Jefferson City, MU 6 5101 LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
y OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHO IZ' PRF RESENT TIVEi ,/J