HomeMy Public PortalAboutORD10622 BILL NO.
SPONSORED BY COUNCILMAN —_U
ORDINANCE N0. r04 J2,
AN ORDINANCE OF THE CITY OF JEFFERSON, MISSOURI, AUTHORIZING THE MAYOR AND
CITY CLERK TO EXECUTE A CONTRACT WITH COLUMBIA CURB & GUTTER INC. , FOR THE
DIX ROAD AND INDUSTRIAL DRIVE INTERSECTION IMPROVEMENTS.
BE IT ENACTED 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 Columbia Curb & Gutter Inc., for the Dix Road and
Industrial Drive Intersection Improvements for the sum of $214,318.00.
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 ?'� Approved yl/ep
Pr siding Offic Mayor
ATTEST:
'i
CONSTRUCTION CONTRACT
THIS CONTRACT, made and entered into this /G day of
19 C by and between Columbia Curb and
Gutter, Inc. , 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: Dix Road and Industrial Drive
Intersection and Drainage Improvements _.
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 _.ninety (90) (calendar, wa k3fwg)
days from the date Contractor is ordered to proceed, which order
shall be issued by the Director of Public Works within 10
days after the date of this contract.
2. Prevailing 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 frcxm the contents of Special Wage Determination No.
6-026-083 and all amendments issued thereto ,
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 tkle
terms of this contract. A copy of the record shall be delivered
to the Director of Public Works 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:
WINE
(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) Oaner's Protective Liability Insurance - The Contractor
shall also obtain at its own expense and deliver to the
City an Demer's Protective Liability Insurance Policy
naming the City of Jefferson as the insured, in an
amount not less than $800,000 for all claims arising
out of a single accident or occurrence and $100,000 for
AAVML any one person in a single accident or occurrence,
QP 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
protection against claim arising from operations
Rp by anyone directly or indirectly aiployed 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 eTployed by therm, as
Contractor is for the acts and omissions of persons it directly
e-Tploys. 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 Public Works may, at
his discretion, deduct _ $300.00 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
AMIL 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 dr
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 co pletion, 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
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.
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.
Ask 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 comleted
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 Public Works and in accordance with
the rates and/or amounts stated in the bid , of Contractor
dated March 25, . 19 196 , 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 Docurnents. 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.
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 requixed 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
1000 Tandy Avenue, Suite _5. Columbin Mn 65 201 - 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 interpreted according to the laws and statutes
of the State of Missouri.
16. IN TEST114ONY 1*1ERE0F, the parties have hereunto set
their hands and seals this 1,g -14 day of
CITY OF JEFFERSON, MISSOURI
By d �.
J'YAYOR
ATTEST:
CITY CLERK
CONTRACTOR
By4e
Title: GtiAa/cs `=, zrezA
ATTEST:
SEC
13-,yc-C 0z f
CERTIFICA'T'E OF INSURANCE
® Issued at the request of The CITY OF JETTERSON, MISSOURI
Nmer
Address: CITY HALL, JEFFERSON CITY, MISSOMI
THIS IS TO CEPTIFY that the insured named below is at this date insured
with Maryland Casualty Company and Northern Insurance Co. of New York
as described in the following schedule, and in full cc nplia.nce with the
Contract Docuraents, including all contractual liability coverage.
DESCf'IPT11T SCMULE
Name of Insured: Columbia Curb and Gutter, Inc.
Address of Insured• P.O. Box 495, Columbia, MO. 65205-0495
Locations Covered: State Of Missouri
Description of Work: Dix Road and Industrial Drive Intersection and
Drainage Inmrovements
PERFORMANCE AID ONE Yf:AR GUARANTY,: 13010
KNIDY ALL TUW BE THESE PRESENTS, that we, the undersigned COLUMBIA CURB
AND GUTTER, INC. , P.O. Box 495, Columbia, MO. 65205-0495 _
hereinafter referred -to as
"Contractor" and FIDELI`l Y AND' DEPOSIT COMPANY OF MARYLAND
a Corporation organized under the laws of the State of MARYLAND
and authorized to transact business in the State of MISSOURI
as Surety, are held and firmly bound unto the CITY OF JEFFERSON, MISSOURI.
JEFFERSON CITY. MISSOURI hereinafter referred to as 11(Xner"
in the penal stun of Two Hundred Fourteen Thousand Three Hurldred Ej to nn d
no/100-- DOLLARS ($214,31$.00 ), lawful money of
the United States of 11�merica for the payment of which stmt, well and truly to be
made, we bind ourselves and our heirs, executors, administrators, successors,
and assigns, jointly and severally by these presents.
THE OO.NDITIO`T OF THE FOREGOING OBLIGATION IS SUCH THAT:
`NHER.EAS, the above bounden Contractor has on the day of ,
19 , entered into a written contract with the aforesaid Omer for furnish-
ing all materials, equipment, tools, superintendence, labor, and other facili-
ties and accessories, for the construction of certain improvements as designated,
defined and described in the said Contract and the Conditions thereof, and in
accordance with the specifications and plans therefore; a copy of said Contract
being attached hereto and made a part hereof:
NOW THEREFORE, if the said Contractor shall and will, in all particulars, well,
duly and faithfully observe, perform and abide by each and every covenant,
condition, and part of the said Contract, and the Conditions, Specifications,
Plans, Prevailing Wage Law and other Contract Documents thereto attached or, by
reference, made a part thereof, according to the true intent and meaning in each
case, and if said contractor shall replace all defective parts, material and
workmanship for a period of one year after acceptance by the Omer, then this
Obligation shall be and become null and void; otherwise it shall remain in .full
force and effect.
PROVIDED FURTHER, that if the said Contractor fails to duly pay for any labor. ,
materials, sustenances, provisions, provender, gasoline, lubricating oils, fuel
oils, greases, coal repairs, equipment and tools consumed or used in said work,
groceries and foodstuffs, and all insurance premiums, ccupensation liability,
and otherwise, or any other supplies or materials used or consumed by such
Contractor or his, their, or its subcontractors in performance of the work
contracted to be done, the Surety µz11 pay the same in any amount not exceeding
the amount of this Obligation, together with interest as provided by law:
•Y
PROVIDED FUR'IBER, that the said Surety, for value received, hereby
stipulates and agrees that no change, extension of time, alteration,
or addition to the terms of the contract, or the work to be performed
thereunder, or the specifications accompanying the same, shall in any
wise affect its obligation on this bond and it does hereby %%Dive notice
of any change, extension of time, alteration, or addition to the terms
of the contract, or to the work, or to the specifications:
.PROVIDED FURTIM, that if the said Contractor fails to pay the prevail-
ing hourly rate of wages, as sho%%m in the attached schedule, to any
workman engaged in the construction of the improvements as designated,
defined and described in the said contract, specifications and condi-
tions thereof, the Surety will pay the deficiency and any penalty
provided for by law which the contractor incurs by reason of (his/its)
act or omission, in any amount not exceeding the amount of this obliga-
tion together with interest as provided by law:
INTFSTIMONY IMERDDF, the said Contractor has hereunto set his hand, and
the said Surety has caused these presents to be executed in its name,
and its corporate seal to be hereunto affixed, by it attorney-in-fact
duly authorized thereunto so to do, at Columbia. Missouri _•
on this the 9th day of April
19 86
FIDELITY AND DEPOSIT COMPANY OF MARYLAND COLUMBIA CURB AND GUTTER, INC.
SURETY 0XIPANY WIN=CroR
By Charles W. Digges, Sr. (SEAL) By (SEAL)
By m/ ) ByCIJ • c (SEAL)
Attorney-in-fact,;( (State Rsp entative
(Acccmpany this bond with Attorney-in-fact's authority Pram the Surety
Company certified to include the date of the bond.)
t
. Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
NOME OFFICE,BALTIMORE.MD.
KNOW ALL MEN BY THESE PRESENTS:That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corporation of the
State of Maryland, by C. M. PECOT, JR. , Vice-President,and C. W. ROBBINS
Assistant Secretary,in pursuance of authority granted by Article V1,Section 2,of the By-Laws of said Company,which
reads as follows:
'"Fhe Chairman of the Board,or the President,or any Executive Vice-President,or any of the Senior Vice-Presidents or Vice-Presidents
specially authorized so to do by the Board of Directors or by the Executive Committee,shall have power,by and with the concurrence of the Secretary
or any one of the Assistant Secretaries,to appoint Resident Vice.PresidenIs.Assistant Vice-Presidents and Attorneys-in-Fact as the business of the
Company may require, or to authorize any person or persons to execute on behalf of the Company any bonds, undertakings,recognizences,
stipulations,policies,contracts,agreements,deeds,and releases and assignments of judgements,decrees,mortgages and instruments in the nature of
mortgages,...and to affix the seal of the Company thereto."
does hereby nominate constitute and appoint Charles W. Digges, Sr., Gary Grossnickle, Charles
W. Digges, Jr. , Kathryn Digges, Dorothy D. Durnil and J. D. Trice, all of Columbia,
Missouri, EACH. .
i e a a a� • • s • k d f or ey-in- ac , o make,execute,sea an deliver, or,and behalf�
on its as surety,an as
its act and deed: any and all bonds and undertakings.. . .. . . . . . . .. . . . . . . . . .. . .
n t e execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said
Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the
regularly elected officers of the Company at its office in Baltimore, Md.,in their own proper persons.
This power of attorney revokes that issued on behalf of Louis H. Vandiver, etal,
dated, July 22, 1982 and on behalf of Dorothy D. Durnil and J. D. Trice, dated,
September 12, 1977.
The said Assistant Secretary does hereby certify that the aforegoing is a true copy of Article VI,Section 2,of the By-Laws of said Company,and is
now in force.
IN WITNESS WHEREOF,the said Vice-President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this ........23rd ........day
of.... .........January........................,A.D. 19..13!....
ATTEST:
am ATTEST: AND DEPOSIT COMPANY OF MA RYLA D
SEAL
'o C B T
e
a,�►e y
........................Assistant Secretary........................ ................................................................
Tice-f'reasdms
STATE OF MARYLAND j �;
CITY OF BALTIMORE
On this 23rd day of January ,A.D.1986 ,before the subscriber,a Notary Public of the State of Maryland,in
and for the City of Baltimore,duly commissioned and qualified,came the above-named Vice-President and Assistant Secretary of the FIDELITY AND
DFPOStTCOMPANY OFMARYLAND,to me personally known to be the individuals and officers described in ani who executed the preceding instrument,
and the each acknowledged the execution of the same,and being by me duly sworn,severally and each for himself deposeth and anith,that they are
the said officers of the Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and that the
said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the
said Corporation.
IN TESTIMONY WHEREOF,l have hereunto set my hand and affixed by Official Seal,at the City of Baltimore,the day and year first above;Fri.
...... ..................
MoTSar4'e
--
Notary Public Commissio es.Ju1y,,,1,,,,_„1.90.0.
' `1e CERTIFICATE
.oss c�..
1,the unders�*gned,Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the original Power of
Attorneyof which the foregoing ion full,true and correct copy,is in full forceand effect on thedateof this certificate;and 1 do further certify that the
Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially authorized by the Board of Directors to
appoint any Attorney-in-Fact as provided in Article VI,Section 2 of the By-Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND
DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 16th day of July, 1969.
RESOLVED:'"Met the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company,whether made heretofore or
hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company
with the same force and effect as though manually affixed. pp��.
IN TESTIMONY WHEItEor,I have hereunto subscribed my name and affixed the corporate seal of the said Company,this......,.: ......... day
of. April 19.. 6
Li6tas—Gl.-079-4562 Amara ...
FOR YOUR PROTE'CTIU\ 1,0011, FOR T1IE 1"."'D \t': TE'RMARK
PART B. This Declarations page and Coverage Part(%), OWNERS'AND CONTRACTORS' INSTALLMENTS PAYABLE AS FOLLOWS-Code!Col.48
with "POLICY PROVISIONS—PART A", and PROTECTIVE-DECLARATIONS BILLOATE MO. DAY YR. M0. DAY YR. MO. DAY YR.
endorsements, if any, issued to form a part --►
thereof, completes the below, numbered ISSUED BY COMPANY INDICATED BY IM BELOW MM•
OWNERS','AND CONTRACTORS'PROTEC- RAr
(�TIVE LIABILITY POLICY.
Q Audit Period:Annual,unless otherwise stated,
LC ❑?8® 5 8 Cd 0 1@J NEW ❑ RENEWAL OF
Item 1.Named Insured and Address (No.,Street,Town or City,County,State and ZIP Code):
o � t ,M LIA CHECKED APPROVED Nr wp.r wo m.. LOSS CONTROL WRITTEN
DEPT.
INSP.CARD WRRTEN
DATE.
Item Z.P01icy eno : !
Fromkirn 90 g p.,�,.��
To sa.r. 9s. (gZ) �AR�tAMaCASUALTY
la d21203 AOSIock Connpony
❑ 11:01 A.M.,standard time at the address of the named Ensured as stated herein. (07) NORTHERN INSURANCE CO.of N.Y.
New York.New York 10038 A Stock Company
C.� AGENT: r The named insured is
❑ - fD FGA• ❑)Oro OTHER.J VOUAL ❑f"r ❑ VEENT RE city
BRANCH OFFICE SUSMSS OF INSURIM
Item 3.The insurance afforded is only with respect to such of the following Coverages as are indicated by specific premium charge(s).
The limit of the Company's liability against each such Coverage shall be as stated herein, subject to all the forms of the policy h ving reforence thereto.
LIMITS OF LIABILITY
COVERAGES EACH OCCURRENCE AGGREGATE ADVANCE PREMIUM
BODILY INJURY LIABILITY $IW,OW 2201 r
PROPERTY DAMAGE LIABILITY S=21117M S yOW 2301 _
FORM NUMBERS OF AND PREMIUM FOR ENDORSEMENTS ATTACHED TO POLICY AT ISSUE.
SCHEDULE
DESCRIPTION OF HAZARDS gUg- BODILY INJURY PROP.DAMAGE _ ADVANCE PREMIUM
CODE NUMBER
TERR. LINE PREMIUM
CODE BASES Limit RATE Limit RATE BODILY PROPERTY
Aq ..�k,9,�,.
CODE
�$214,11A.0 Code Cede INJURY DAMAGE
Wi'6l = e 31d s eiJi! 7s
1 r4c4u) -T�tf audim auks
I
����pp������ggpp�g��oo��o((,,jj����������ct as �p In ddyss�:�
IiF�11�ff�111 t� L�IG e l r B.I. — ►.O. TOTAL
Frmr Wx 49 MINIMUM ADVANCE �y
e
r 6 MEMIUMS S � a PREMIUM ' $1j5,00
�
�qc n o Cover r ions � ,W T . �G43
+i�ejj�� �] Check here if the following provision is applicable: r--
fll The person or organization designated above as flip Con-
tractor has undertaken to pay the prenliurr. for this policy (�
and shall be entitled to receive any return premiums, if I_J
any, which may become payable under the terms of this
policy. 00
C.1-I
00
00
C]
I"s
r 3313 ED.&W ►,i^�
U.S.A.
EXTRA COPY
gC
or ISSUE DATE(MMIDDIYY)
mm
R
PRODUCER r THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,
1.ULLINS-VANDIVER-DIGGES , INC. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
0. Box 7407 COMPANIES AFFORDING COVERAGE
olumbia, MO 65205-7407
COMPANY A
LETTER NORTHERN INSURANCE CO. OF NEW YORK
COMPANY LETTER
INSURED MARYLAND CASUALTY COMPANY
COLUMBIA CURB & GUTTER, INC. COMPANY
P. 0. Box 495 LETTER c
Columbia, MO 65205-0495 COMPANY
LETTER
COMPANY E
LETTER
•
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. _
A POLICY EFFECIIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
TYPE OF INSURANCE POLICY NUMBER DATE(MM/OD/W) DATE(MM/DO(M EACH AGGREGATE
OCCURRENCE
GENERAL LIABILITY BODILY
A X COMPREHENSIVE FORM GL27 3h!()/(:1 /-�.-�: /• f E: INJURY $ 500 , $ 500 ,
PREMISESIOPERATIONS PROPERTY
X UNDERGROUND DAMAGE $ 300 , $ 300 ,
PRODUCTSICOMPLETED OPERATIONS
X CONTRACTUAL BIM
COMBINED $ $
X INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
X PERSONAL INJURY PERSONAL INJURY $
AUTOMOBILE LIABILITY bC rtY
A X ANY AUTO WAA80075666 7-1-85 7--1-86 RPERSON) $
ALL OWNED AUTOS(PRIV.PASS.) B004Y 1
OTHER THAN iPER A
ALL OWNED AUTOS pRIV. PASS. HR �� $ _
HIRED AUTOS
PROPERTY
NON•OWNED AUTOS DAMAGE $
GARAGE LIABILITY
BI 8 PD
COMBINED $ 5009
EXCESS LIABILITY
B UMBRELLA FORM UB47639643 7-1-85 7-1-86 COMBINED $ $
OTHER THAN UMBRELLA FORM 25000 , 2 000 9
STATUTORY
IB WORKERS'COMPENSATION CS47551401 7-1-85 7-1-86 $ ,(EACH ACCIDENT)
AND $ JDISEASE-POLICY LIMIT)
EMPLOYERS'LIABILITY $ 10 0 401SEASE•EACH EMPLOYEE)
OTHER
DESCRIPTION OF OPERATIONS ILOCATIONSNEHICLESISPECIAL ITEMS
Job: Dix Road and Industrial Drive Intersection and Drainage Improvements
City of Jefferson, M1SSOUr1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Ex-
Jefferson City, PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDEN NAMED TO THE
Mi SSOUr1 LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMA Y TS A TS OR REPN S NTATIVES _
AUTHORIZED REPRESENTATIVE lw - f .
•\ 1, •� V4.kz
r /
DEPARTMENT OF PUBLIC 'WORKS
qP ENGINEERING DIVISION
320 E. MC AMY STREET
JEFFERSON CITY, MO 65101
Change Order No. / Job No. Date _I ,I, 1 t�ej)
Job & Location / rX a ,j�Oc{iCTRi�eL D��v�= �-
Contractor
It is hereby mutually agreed that when this change order has been signed
by the contracting parties , the following described changes in the
work required by the contract shall be executed by the contractor with-
out changing the terms of the contract except as herein stipulated and
agreed.
Description of Changes : See Attached Sheet
CONTRACTORS PROPOSAL FOR THE ABOVE DESCRIBED CHANGES :
I/We hereby agree to the modifications of the contract as described
above and agree to furnish all materials and labor and perform all
work in connection therewith in accordance with the requirements for
similar work in existing contract except as otherwise stipulated herein,
for the following considerations :
Contract Amount - Add to - or Deduct from — the- Contract -Amount the sum of:
F°ur thausand three hundre thirty-e tght and 75 loo _ DOLLARS (t.4 ,3 3 8 . 7 5 �)
CONTRACTOR�.oLury�irbt Gina ��, TTY 1'.vc• _ _
SIGNATURE (/� .�- K�11.C'if" DATB �J e,�L
Recommended by: Project Supervisor
Signature: A2'. 7 DATE f �
Accepted by:
Owner �DATL•
W Signature ce�l 7 _ I r111
STATEMENT OF CONTRACT AMOUNT:
ORIGINAL CONTRACT AMOUNT. . . . . . . . . . . . ,� ��
PREVIOUS ADDITIONS . . . . _ "ha 0
TOTAL. . . . . . . . . . . . . . . . . . . . '2,rs,SzR_0.0
PREVIOUS DEDUCTIONS . . . . . . . . . . . . ..-`_.,QQ,. AAA..
NET PRIOR TO THIS CHANGE. 9.14,59 0
MOUNT OF THIS CHANGE xx Add Deduct 4.3gR_
CONTRACT AMOUNT TO DATE . . . . . . . . . . . . 27 R s420.75
�n�
DIX AND INDUSTRIAL
CHANGE ORDER NO . 1
DESCRIPTION UNIT UNIT COMPLETED
PRICE VALUE
CRUSHED STONE FOR 43 . 05 TON $15 . 00 $645 . 75
SUBGRADE STABILIZATION
CRUSHED - STONE FOR 26 . 15 TON $10 .00 • $261 . 50
TEMPORARY SURFACING
BLUEGRASS SOD 150 SY $5 . 00 $750.00
4" PVC CONDUIT 276 LF $6 . 00 $1 , 656 .00
EXTRA REMOVALS L. S . ZI)000 . 00 $1 , 000 .00
4" PCC PAD AT CONTROL 1 . 5 $17 . 00 $25. 50
BOX
$4 , 338 . 75