HomeMy Public PortalAboutORD10708 BILL NO.
SPONSORED BY COUNCILMAN r
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ORDINANCE NO. 2��l1'
AN ORDINANCE OF THE CITY OF JEFFERSON, MISSOURI, AUTHORIZING THE MAYOR
AND CITY CLERK TO EXECUTE A CONTRACT WITH TWEHOUS EXCAVATING COMPANY,
INC. , FOR THE 1986 STORMWATER DRAINAGE PROJECT, PHASE II.
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 Twehous Excavating Company, Inc. ,
for the 1986 Stormwater Drainage Project, Phase II, for the sum of
$207,780.00.
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 -� ` s"G.c��1_ l h� / '6' Approved (�_f-ee
Pvhsiding Office Mayor
ATTEST:
City Clerk
CONSTRUCTION CONTRACT
Ask THIS CONTRACT, made and entered into this r.,Z, day of
19 P4 by and between *ahn»a Fxnnuat-4
Cnmpan »_ Tn _ , 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 furnishdng the supervision, labor,
tools, equipment, materials and supplies and for constructing the
following City improvements: 1986 Storm Water Drainage Projects_
Phase II
NOW, THEREFORE, 'the parties to this contract agree to the
following:
1. Manner and time for Cmpletion. 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 sixty-five (65)(#JM# working)
days from the date Contractor is ordered to proceed, which order
shall be issued by the Director of Public Works within ten (101
days after the date of this contract.
2„ Prevailing Wages. All labor utilized in: the construction
of the aforementioned i.mpravements 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.
6-026-148 XKKRI)oMwft XXXXXXXXXXXXXXXXXXXXXXXXX$X
in which the rate of wanes 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 acrtual wages paid to the
workmen in connection with the work to be performed under the
terns of this contract. A copy of try 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:
of the general contractor provides adequate
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 Public Works may, at
his discretion, deduct: SS1100.00 from any amount
otherwise due under this cont- act 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 mice 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 property skilled workmen or proper material, or if
Contractor should refuse or fail to make prat payment to any
person supplying labor or mter.ial`g for the work under the
contract, or persistently disregard instructions of the City ca
fail to observe or perform any provisions of the contract.
7. City's Rim 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. xn any such case the City may take
possession of, and utilize i.n campleting the work, such
materials, applicances and structures as may be on the work site
N
(a) Workmen's Compensation Insurance for all of its
ezployees 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
cnnpensation lacy, 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
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,
ARL except for those claims governed by the provisions of
the Missouri worlatidn's coupensation-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 wise from operations under this contract,
whether such operations be by the insured or by anyone
directly or indirectly ezployed by it, and also against
any special hazards which may be encountered in UW
performance of this contract.
NOTE: Paragraph (f) is construed to requixe 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)
j
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 frcxn 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 Public Works and in accordance with
the rates and/or amounts stated in the bid . of Contractor
dated u7 y_lo_ , 19 ak_, 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.
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13. Nondiscrimination. The Contractor agrees in the
performance of this contract not to discriminate on the ground or
because of rags, deed, 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
Rn»�tii-any-notice n„ City- Mn 65141. The date of
delivery of s 1 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 TESTIMONY WHEREOF, the parties have hereunto set
their hands and seals this day of
19 '�
CITY OF JEFFERSON, MISSOURI
By MAYOR
ATTEST:
4;7 47
CITY CLERIC
CONTRACTOR
Title:
A'I'I=s
AW
SECRETARY
nsr!
Wausau Any correspondence in relation to
' ®�V this bond should be directed to:
- ��5�ra��� Bonding lnsurance Companies
r Box 150
p����� Wausau,Wisconsin 54401
�+
Bond Number0750-51-048202-C
Duplicate of A.I.A. Document A312 December 1984 Edition
Performance Bond
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
CONTRACTOR (Name and Address): SURETY (Name and Principal Place of Business):
Twehous Excavating Company, Inc. EMPLOYERS INSURANCE OF WAUSAU A Mutual Company
Route #3, Highway 50 East 2000 Westwood Drive
Jefferson City, Missouri 65101 Wausau, Wisconsin 54401
OWNER (Name and Address):
AML City of Jefferson
320 E. McCarty
Jefferson City, NO 65101
CONSTRUCTION CONTRACT
Date: August 18, 1986
Amount: $207,780.00
Description (Name and Location): 1986 Storm Water Drainage Projects Phase II
BOND
Date (Not earlier than Construction Contract Date): August18, 1986
Amount: Two Hundred Seven ThouaaandSeven Hundred Eighty and No Cents
Modifications to this Bond: I:A None O See Page 3
CONTRACTOR AS PRINCIPAL SURETY
Company: (Corporate Seal) Company: (Corporate Seal)
Twehous Exc ating Company, Inc. EMPLOYERS INS WAUSAU A M ua Company
Signat Signature:
Name an6 Title: Name and Title: Bonnie S. Caruthers
Attorney-in-Fact
(Any additional signatures appear on page 3)
(FOR INFORMATION ONLY—Name, Address and Telephone)
AGENT or BROKER: OWNER'S REPRESENTATIVE (Architect, Engineer or
other party):
815-4421 285
' tl� firY
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No, 207.027- ' 00250
EMP1101YERS IMURANCE OF WAUM A Mutual Company
120WEM 010 A'I"I ORNEY
KNOW ALL MEN BY TIIESE PRESENTS:
That the EMPLOYERS iNSURANCE OF WAUSAU A Mutual Company,a corporation duly organized and existing under
the laws of the Stale of Wisconsin, and having its principal office in the City of Wausau, County of Marathon,State of
Wisconsin,has made,constituted and appointed,and does by these present-make,constitute and appoint
Bonnie S. Caruthers
its true and lawful attorney-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute,
seal, acknowledge and deliver ANY OR ALI, BONDS, UNDERTAKINGS, RECOGNI7,ANCES OR OTHER WRITTEN
OBLIGATIONS IN THE NATURE THEREOF . NOT TO EXCEED THE PENAL SUM OF TWO MILLION
Ile
FIVE HUNDRED THOUSAND DOLLARS ($2r50(1i0o1LL,,.
Z
0 ttff€le to corpornt ion thereby as fully and to the same extent its if ouch bonds were signed by the President,sealed with
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the corporate seal of the corporation and duly attested by its secretary hereby ratifying and confirming all that the said
Z attorney-in-fact may do in the premises.
This power of attorney is Nranted pursuant to the following resolution adopted by the Board of Directors of said Company at a
a meeting duly called and held on the 18th day of May, 1973,which resolution is still in effect:
"RESOLVED,that the President and any Vice President—elective or appointive—of EMPLOYERS INSURANCE OF
d WAUSAU A Mutual Company be,and that each of them hereby is,authorized to execute powers of attorney qualifying
Q the attorney named in the given power of attorney to execute on behalf of EMPLOYERS INSURANCE OF WAUSAU A
i" Mutual Company bonds,undertakings and all contracts of suretyship;and that any secretary or assistant secretary be,
O and that each or any of them hereby is,authorized to attest the execution of any such power of attorney,and to attach
Z thereto the seal of EMPLOYERS INSURANCE OF WAUSAU A Mutual Company:'
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"FURTHER RESOLVED,that the signatures of such officers and the seal of EMPLOYERS INSURANCE OF WAUSAU
O A Mutual Company may be affixed to any such power of attorney or to any certificate relating thereto by facsimile,and
any such power of attorney or certificate bearing such facsimile signatures and facsimile seal shall be valid and binding
upon the EMPLOYERS INSURANCE OF WAUSAU A Mutual Company when so affixed and in the future with respect
Z to any bond, undertaking or contract of suretyship to which it is attached:'
Uj IN WITNESS WHEREOF,EMPLOYERS INSURANCE OF WAUSAU A Mutual Company has caused these presents to be
W signed by the vice president and attested by its assistant secretary,and its corporate seal to be hereto affixed this 1st day
(.9 < of November ' 19 81
Z ". EMPLOYERS INSURANCE OF WAUSAU A Mutual Company
f „,}
1,9EAl B
L y
R.D.Farnswort Vice President
ZAttest:
Z f�—
QO D.J.Sorrell — 'Assistant Secretary
STATE OF WISCONS )
LL )88.
O COUNTY OF MARATHON )
EOn this.-12-L —_day of_ _ November _ 19 81 ,before me personally came
R.D.Farnsworth ^_ to me known,who being by me duly sworn,did depose
0 and say that he is a vice president of the EMPLOYERS INSURANCE OF WAUSAU A Mutual Company,the corporation
0 described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to said
J instrument is such corporate seal and that it was so affixed by order of the Board of Directors of said corporation and that he
Q signed his name thereto by like order.
Q IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year herein first above
i— written.
O
Z _
U) Donna Lutzow Notary Public
U) NOTARY PUBLIC
z STATE OF WISCONSIN
MY COMMISSION IS PERMANENT
S'L'ATE OF WISCONSIN ) CERTIFICATE:
CITY OF WAUSAU
COUNTY OF MARATHON )
I, the undersigned, assistant secretary of EMPLOYERS INSURANCE OF WAUSAU A Mutual Company, a Wisconsin
corporation, do hereby certify that the foregoing and attached power of attorney, WHICH MUST CONTAIN A
VALIDATING STATEMENT PRINTED IN THE MARGIN THEREOF IN RED INK,remains in full force and has
not been revoked;and furthermore that the resolution of the Board of Directors set forth in the power of attorney is still in force.
Signed and sealed in the City of Wausau,Marathon County State of Wisconsin,this I$rh day
of 86
E SEA } D.J.Borrell Assistant Secretary
NOTE: IF YOU HAVE ANY QUESTIONS REGARDING THE VALIDITY OR WORDING OF THIS POWER OF
ATTORNEY,CALL,TOLL FREE(800)826.1661.(IN WISCONSIN,CALL(800)472.0041).
All11IiIill!111111 i1i �Jllil
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1 The Contractor and the Surety, jointly and severally, which it may be liable to the Owner and, as
bind themselves, their heirs, executors, administrators, boon as prat usable at the amount is deter-
successors and assigns to the Owner for the performance mined, tender payment therefor to the
of the Construction Contract,which is incorporated herein Owner; or
by reference.
.2 Deny liability in whole or in part and notify the
2 If the Contractor performs the Construction Contract, Owner citing reasons therefor.
the Surety and the Contractor shall have no obligation
under this Bond, except to participate in conferences as 5 N the Surt,ty dues not proceed as provided!n Paragraph
provided in Subparagraph 3.1. 4 with reasonable promptness, the Surety shall be deemed
to be in default on this Bond fifteen days after receipt of an
3 If there is no Owner Default, the Surety's obligation additional written notice from the Owner to the Surety
under this Bond shall arise after: demanding that the Surety perform its obligations under
3.1 The Owner has notified the Contractor and the this Bond, and the Owner shall be entitled to enforce any
Surety at its address described in Paragraph 10 bt,low remedy available to the Owner. If the Surety proceeds as
provided in Subparagraph 4.4, and the Owner refuses the
that the Owner is considering declaring a Contractor
o
Default and has requested and attempted to arranarrange a whole e tendered or the Surety has denied liability, !n
conference with the Contractor and the Surety to be or in part,without further notice the Owner shall be
held not later than fifteen days after receipt of such entitled to enforce any remedy available to the Owner.
notice to discuss methods of performing the Construe- 6 After the Owner has terminated the Contractor's right
tion Contract. if the Owner, the Contractor and tilt, to complete the Construction Contract, and if the Surety
Surety agree,the Contractor shall be allowed a reason- elects to act under Subparagraph 4.1, 4.2, or 4.3 above,
able time to perform the Construction Contract, but then the responsibilities of the Surety to the Owner shall
such an agreement shall not waive the Owner's right,if not be greater than those of the Contractor under the
any,subsequently to declare a Contractor Defaull; and Construction Contract, and the responsibilities of the
3.2 The Owner has declared a Contractor Default and Owner to the Surety shall not be greater than those of the
formally terminated de Contractor's right to complete Owner under the Construction Contract.To the limit of the
the contract. Such Contractor th Contractor's
Default shall not be complete amount of this Bond, but subject to commitment by the
Owner of the Balance of the Contract Price to mitigation of
clared earlier than twenty days after the Contractor and
the Surety have received notice as provided in Suh- casts and damag n es o the Construction Contract,the Sure-
paragraph 3.1; and ty is obligated without duplication for:
3.3 The Owner has agreed to pay the Balance of the 6.1 The responsibilities of the Contractor for correc-
Contract Price to the Surety in accordance with the tion of defective work and completion of the Construc-
terms of the Construction Contract or to a contractor tion Contract;
selected to perform the Construction Contract in accor- 6.2 Additional legal, design professional and delay
dance with the terms of the contract with the (honer. costs resulting from the Contractor's Default, and re-
sulting from the actions or failure to act of the Surety
4 When the Owner has satisfied the conditions of Para- under Paragraph 4; and
graph 3, the Surety shall promptly and at the Surety's ex-
pense take one of the following actions: 6.3 Liquidated damages, or if no liquidated damages
4.1 Arrange for the Contractor, with consent of the• are specified in the Construction Contract,actual dam-
Owner, to perform and complete the Construction ages caused by delayed performance or non-perfor-
Contract; or manse of the Contractor.
4.2 7 The Surety shall not be liable to the Owner or others for
do Undertake tract fel perform and complete the Construe- obligations of the Contractor that are unrelated to the Con-
pen Contract itself,through its agents or through indc'" struction Contract, and the Balance of the Contract Price
Con-
pendent contractors; or shall not be reduced or set off on account of any such
4.3 Obtain bids or negotiated proposals from unrelated obligations, No right of action shall accrue on
qualified contractors acceptable to the Owner for a this Bond to any person or entity other than the Owner or
contract for performance and completion of the Con- its heirs, executors, administrators or successors.
struction Contract, arrange for a contract to be pre.- g The Surety hereby waives notice of any change, includ-
pared for execution by the Owner and the contractor ing changes of time, to the Construction Contract or to
selected with the Owner's concurrence, to be secured related subcontracts, purchase orders and other obllga-
with performance and payment bonds executed by a
qualified surety equivalent to the bonds issued on the burrs.
Construction Contract, and pay to the Owner the q Any proceeding, legal or equitable, under this Bond
amount of damages as described in Paragraph h in ox- may be instituted in any court of competent jurisdiction in
cess of the Balance of the Contract Price incurred by the the location in which the work or part of the work is located
Owner resulting from the Contractor's default; or and shall be instituted within two years after Contractor
4.4 Waive its right to perform and complete, arrange Default or within two years after the Contractor ceased
for completion, or obtain a new contractor and with working or within two years after the Surety refuses or fails
reasonable promptness under the clrcumslance•,;: to perform its obligations under this Bond, whichever oc-
curs first. If the provisions of this Paragraph are void or
.1 After investigation,determine 11111P,1171011.1111 for prohibited by law, the minimum period of limitation avail-
2
able to sureties as a defense in the jurisdiction of the suit tractor of any amounts received or to be received by
Amok Shall be applicable. the Owner in settlement of insurance or other(Win%
totheSurrty,the(honerurt heContracaorshall for damages to which the Contractor is entitled, rv-
10
be Notice or delivered to the address shown on the h duced by all valid and proper payments made to or on
ill
Con-
nature page.+e behalf of the Contractor under the Construction C:on-
p tract.
11 When this Bond has been furnished to comply with a 12,2 Construction Contract:The agreement between
statutory or other legal requirement in the Iocalion where the Owner and the Contractor identified on the sig-
the construction was to be performed,any provision in this nature page, including; all Contract Documents and
Bond conflicting with said statutory or legal requirement changes,thereto.
shall be deemed deleted herefrom and provisions con-
forming to such statutory or other legal requirement shall 12.3 Contractor Default: Failure of the Contractor,
be deemed incorporated herein. The intent is that this which has neither been remedied nor waived, to per-
Bond shall be construed as a statutory bond and riot as a form or otherwise to comply with the terms of the
common law bond. Construction Contract.
12 DEFINITIONS 12.4 Owner Default: Failure of the Owner,which has
12.1 Balance of the Contract Price: The total amount neither been remedied nor waived, to pay the Con-
payable b the Owner to the Contractor under the tractor as required by the Construction Contract or to
y perform and complete or comply with the other terms
Construction Contract after all proper adjustments thereof.
have been made, including allowance to the Con-
MODIFICATIONS TO THIS BOND ARE AS FOLLOWS:
(Space is provided below for additional signatures of added parties, other than those appearing on the cover page.)
CONTRACTOR AS PRINCIPAL. SUR1aY
Company: (Corporate Seal) Company: (Corporate Seal)
Sig;nature. -� - _�.�1� Signature: —
Name an( itle: Name and Titie:
Address: Address:
3
•. Wausau Any correspondence in relation to
this bond should be directed to:
�
insurance B d nglnsurance Companies
1 0 Box 150
116*
l�atl9es Wausau,Wisconsin 54401
Bond Number 0750-51-048202-C
Duplicate of A.I.A. Document A312 December 1984 Edition
Payment Bond
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
CONTRACTOR (Name and Address): SURETY (Name and Principal Place of Business):
Twehous Excavating Company, Inc. EMPLOYERS INSURANCE OF WAUSAU A Mutual Company
Route #3, highway 50 East 2000 Westwood Drive
Jefferson City, Missouri 65101 Wausau, Wisconsin 54401
OWNER (Name and Address):
City of Jefferson
320 E. McCarty
Jefferson City, MO 65101
CONSTRUCTION CONTRACT
Date: August 18, 1986
Amount: $207,780.00
Description (Name and Location): 1986 Storm Water Drainage Projects Phase IT
BOND
Date (Not earlier than Construction Contract Date): August 18, 1986
Amount: Two Hundred Seven Thousand Seven Hundred Eighty and No Cents
Modifications to this Bond: X] None El See Page 6
CONTRACTOR AS PRINCIPAL SURETY
Company: (Corporate Seal) Company: (Corporate Seal)
Twehous Exc ating Company, Inc. EMPLOYERS INSURANCE 0 WAUSAU A Mu ua Company
Signatur ���G Signature:
Name and Title: Name and Title: Bonnie S. Caruthers
Attorney-in-Fact
(Any additional signatures appear on page 6)
(FOR INFORMATION ONLY—Name, Address and Telephone)
AGENT or BROKER: OWNER'S REPRESENTATIVE (Architect, Engineer or
other party):
815-"21 285 4
No. 207-027- ' 00251
EJ1AKMRS INSURANCE OF WAUSNJ A Mutual Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That the EMPLOYERS INSURANCE:OF WAUSAU A Mutual Company,a corporation duly organized and existing under
the laws of the State of Wisconsin, and having its principal office in the City of Wausau,County of Marathon,State of
Wisconsin,has made,constituted and appointed,and does by these presents make,constitute and appoint
Bonnie S. Caruthers _
its true and lawful attorney-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute,
seal, acknowledge and deliver ANY OR ALL BONDS, UNDERTAKINGS, RECOGNIZANCES OR OTHER WRITTEN
OBLIGATIONS IN THE NATURE THEREOF . NOT TO EXCEED THE PENAL SUM OF TWO MILLION
Y FIVE HUNDRED THOUSAND DOLLARS ($2,500�,Q „o,
_Z
p e corporation thereby as fully and to the Fame extent as if such bonds were signed by the President,sealed with
W the corporate seal of the corporation and duly attested by its secretary hereby ratifying and confirming all that the said
tX attorney-in-fact may do in the premises.
Z This power of attorney is granted pursuant to the following resolution adopted by the Board of Directors of said Company at a
tz meeting duly called and held on the lath day of May, 1973,which resolution is still in effect:
"RESOLVED,that the President and any Vice President—elective or appointive—of EMPLOYERS INSURANCE OF
aWAUSAU A Mutual Company be.,and that each of them hereby is,authorized to execute powers of attorney qualifying
Qthe attorney named in the given power of attorney to execute on behalf of EMPLOYERS INSURANCE OF WAUSAU A
< Mutual Company bonds,undertakings and all contracts of suretyship;and that any secretary or assistant secretary be,
O and that each or any of them hereby is,authorized to attest the execution of any such power of attorney,and to attach
Z thereto the seal of EMPLOYERS INSURANCE OF WAUSAU A Mutual Company:'
U) "FURTHER RESOLVED,that the signatures of such officers and the seal of EMPLOYERS INSURANCE OF WAUSAU
w A Mutual Company may be affixed to any such power of attorney or to any certificate relating thereto by facsimile,and
0 any such power of attorney or certificate bearing such facsimile signatures and facsimile seal shall be valid and binding
upon the EMPLOYERS INSURANCE OF WAUSAU A Mutual Company when so affixed and in the future with respect
r to any bond, undertaking or contract of suretyship to which it is attached."
Z IN WITNESS WHEREOF,EMPLOYERS INSURANCE OF WAUSAU A Mutual Company has caused these presents to be
wsigned by the vice president and attested by its a:•.sistant secretary,and its corporate seal to be hereto affixed this ist day
of November^!— lg 81
Z rA :''' EMPLOYERS INSURANCE OF WAUSAU A Mutual Company
U) co.•oY,q t
B
U- R.D.Farnswort Vice President
►j Attest:
Z
O D.J.Borrell Assistant Secretary
qSTATE OF W'ISCONSI )
LL )ss.
O COUNTY OF MARATHON )
W On this_ qt day of. _ _—_ November 19 81 ,before me personally came
R.1).Farnsworth to me known,who being by me duly sworn,did depose
Oand say that he is it vice president of the EMPLOYERS INSURANCE OF WAUSAU A Mutual Company,the corporation
described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to said
instrument is such corporate seal and that it was so affixed by order of the Board of Directors of said corporation and that he
Q 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.
I—
O
Z --- —
C/) Donna Lutzow Notary Public
— NOTARY PUBLIC
STATE OF'WISCONSIN
? MY COMMISSION IS PERMANENT
STATE OF WISCONSIN ) CERTIFICATE
CITY OF WAUSAU )ss.
COUNTY OF MARATHON ►
I, the undersigned, assistant secretary of EMPLOYERS INSURANCE OF WAUSAU A Mutual Company, it Wisconsin
corporation, do hereby certify that the foregoing and attached power of attorney, WHICH MUST CONTAIN A
VALIDATING STATEMENT PRINTED IN THE MARGIN THEREOF iN RED iNK,remains in full force and has
Amok not been revoked;and furthermore that the resolution of the Board of Directors set forth in the powerof attorney isstill in force.
Signed and sealed in the City of Wausau,Marathon County State of Wisconsin,this —. 18th — day
of—AL1gus.t-- n)_86.
%,SEAL D.J.Rowell Assistant Secretary
NOTE: IF YOU HAVE ANY QUESTIONS REGARDING THE VALIDITY OR WORDING OF THIS POWER OF
ATTORNEY,CALL TOLL,FREE:(Hot))926.1661.(IN WiSCONSIN,CALL(800)472.0041).
• 1 'The Contractor and the Surety, jointly and severally, 6 When the Claimant has satisfied the conditions of Para-
bind themselves, their heirs, executors, administrators, graph 4, the Surety shall promptly and at the Surety's ex-
successors and assigns to the Owner to pay for labor, pense take the following actions:
materials and equipment furnished for use in the perfor- 6.1 Send an answer to the Claimant,with a copy to the
mance of the Construction Contract,which is incorporated Owner,within 45 days after receipt of the claim,stating
herein by reference. the amounts that are undisputed and the basis for chal-
2 With respect to the Owner,this obligation shall be null lenging any amounts that are disputed.
and void if the Contractor: 6.2 Pay or arrange for payment of any undisputed
2.1 Promptly makes payment, directly or indirectly, amounts.
for all sums due Claimants, and 7 The Surety's total obligation shall not exceed the
2.2 Defends, indemnifies and holds harmless the amount of this Bond,and the amount of this Bond shall be
Owner from all claims, demands, liens or suits by any credited fur any payments made in good faith by the Surety.
person or entity who furnished labor, materials or B Amounts owed b the Owner to the Contractor under
equipment for use in the performance of the Construc-
tion Contract, provided the Owner has promptly noti_ the Construction Contract shall be used for the perfor-
fied the Contractor and the Surety (at the address de- mance of the Construction Contract and to satisfy claims,if
scribed in Paragraph '12) of any claims, demands, liens any, under any Construction Performance Bond. By the
or suits and tendered defense of such claims,demands, Contractor furnishing and the Owner accepting this Bond,
liens or suits to the Contractor and the Surety, and they agree that all funds earned by the Contractor in the
provided there is no Owner Default. performance of the Construction Contract are dedicated to
satisfy obligations of the Contractor and the Surety under
3 With respect to Claimants, this obligation shall be null This Bond,subject to the Owner's priority to use the funds
and void if the Contractor promptly makes payment, di- for the completion of the work.
rectly or indirectly, for all sums due. 9 The Surety shall not be liable to the Owner, Claimants
4 The Surety shall have no obligation to Claimants under or others for obligations of the Contractor that are unrelat-
this Bond until: ed to the Construction Contract. The Owner shall not be
4.1 Claimants who are employed by or have a direct liable for payment of any costs or expenses of any Claimant
contract with the Contractor have given notice to the under this Bond,and shall have under this Bond no obliga-
Surety (at the address described in Paragraph 12) and tions to make payments to, give notices on behalf of, or
sent a copy,or notice thereof,to the Owner,stating that otherwise have obligations to Claimants under this Bond.
a claim is being made under this Bond and, with sub- 10 The Surety hereby waives notice of any change,includ-
stantial accuracy, the amount of the claim. ing changes of time, to the Construction Contract or to
4.2 Claimants who do not have a direct contract with related subcontracts, purchase orders and other obliga-
the Contractor:
tions.
.1 Have furnished written notice to the Con- 11 ..No suit or action shall be commenced by a Claimant
tractor and sent a copy, or notice thereof, to under this Bond other than in a court of competent jurisdic-
the Owner, within 90 days after having last tion in the location in which the work or part of the work is
performed labor or last furnished materials or located or after the expiration of one year from the date(1)
equipment included in the claim stating.with on which the Claimant gave the notice required by Sub-
substantial accuracy, the amount of the claim paragraph 4.1 or Clause 4.2 (iii), or (2) on which the last
and the name of the party to whom the mate- labor or service was performed by anyone or the last mate-
rials were furnished or supplied or for whom rials or equipment were furnished by anyone under the
the labor was done or performed; and Construction Contract,whichever of(1)or(2) first occurs.
If the provisions of this Paragraph are void or prohibited by
.2 Have either received a rejection in whole or in law,the minimum period of limitation available to sureties
part from the Contractor,or not received with- as a defense in the jurisdiction of the suit shall be applica-
in 30 days of furnishing the above notice any ble.
communication from the Contractor by which 12 Notice to the Surety,the Owner or the Contractor shall
the Contractor has indicated the claim will be be mailed or delivered to the address shown on the sig-
paid directly or indirectly; and nature page.Actual receipt of notice by Surety,the Owner
.3 Not having been paid within the above 30 days, or the Contractor, however accomplished, shall be suffi-
have sent a written notice to the Surety(at the cient compliance as of the date received at the address
address described in Paragraph 12)and sent a shown on the signature page.
cop,claim is thereof,made under eh S Owner, stating 13 When this Bond has been furnished to comply with a
enclosing a is being the previous written notice statutory or other legal requirement in the location where
furnished to the f the the construction was to be performed,any provision in this
Bond conflicting with said statutory or legal requirement
5 If a notice required by Paragraph 4 is given by the Owner shall be deemed deleted herefrom and provisions con-
to the Contractor or to the Surety,that is sufficient compy- forming to such statutory or other legal requirement shall
ante. be deemed incorporated herein. The intent is that this
5
t
Bond shall be construed as a statutory hunt) and not as a f: 111411111 111111 C:onllac I, +trl 1111m III rill and engineering
common law band, slorvi(es requlrrAl her perfomiatwe of the work of the
14 Upon request by any person orrntlty ap{I/41rIrIg IU hN,t c nlitat'IYlr and Ilse C onlnu to0i%uhcontractors, and
potential beneficiary of this Bond, the Contractor shall aril other Il the (or which a here the l s r, may be
promptly furnish a copy of this Bond or shall permll a copy or vril+d 111 tiro furls fu thin Where the labor, materials
to be made. or 1+qulpnu+nt wl+te (urnlshed,
15 DEFINITIONS 13.2 Ca►nslru(I1on Contract: 'the agreement between
the Oweer and the Contractor Identified on the sig-
15.1 Claimant: An individual or enllly having a dire t I nature IM Iv, ln(ludhig all Contract Documents and
contract with the Contractor orwith a subconlraclor(it changes 1 tereln.
the Contractor to furnish labor, materials or equip- 15,3 Owner Default: failure of the Owner,which has
ment for use in the performance of the Coniracl. the 1ielther been remedied nor waived, to pay the Con-
intent of this Bond shall be to include without IlnUla- tractor as required by the Construction Contract or to
(ion in the terms"labor,materials or e(luipmvill"that perlorn►and complete or comply with the other terms
part of water, gas, power, light, lival, nil, gasolhr(+, thereof.
'telephone service or rental vquipmenl 41, -11 In the
MODIFICATIONS TO THIS BOND ARE AS FOLLOWSr
k'
(Space is provided below for addillonal signatures of added parties, other than those appearing on the cover page.)
CONTRACTOR AS PRINCIPAI, SURETY
Company: ((corporate Seal) Company: (Corporate Seal)
Signature: _
Name Ble: Name and Title:
Address: Address:
6
Certificate of Insurance
THIS CERTIFICATE m ISSUED AS A IYtATTER OF HIFORMATION ONLY AND CONFERC NO RIOMTS U*ON YOU THE CERTIFICATE MOLDER.THIS CERTIFICATE IS NOT AN INSURANCE
POLICY AND DOES NOT AMEND,EXTEND,OR ALTER THE COYERAOE AFFORDED SY THE I►OLWAn LSSTED ORLOW.
This is to Certify that
(— LIBERTY
Name and
Twehous Excavating Company, Inc. « address of A/IZ,TFI'Z,T1�.I� �.
Insured. terrn ew eew c~ -t OTT W%a 0011 W eea oeerer
Route 3, Highway 50 East ,■pr%au"M MI orrp.IM
Jefferson City, MO 65101
L
Is,or the Issue date of this certificate, Insured by the Company under the pohcy(les)listed below, *The insurance afforded by the listed policy(los)is subject to oll
their terms,exclusions and conditions and is not altered by any raquiremonl,term or condition of any contract or other document with respect to which this certificate
may be it wed.
TYPE OF PCs.=CERT. EXP. DATE POLICY NUMBER LIMITS OF LIABILITY
COVERAGE AFFORDED UNDER W.C. COV. B
LAW OF THE FOLLOWING STATES: BODILY INJURY BY ACCIDENT
WORKERS' 10/1/87 WC2-141-046504-086 MO $ 100,000
EA. ACCIDENT
BODILY INJURY BY DISEASE
COMPENSATION $ 100,000
EA. PERSON
BODILY INJURY BY DISEASE
$ 500,000 POLICY LIMIT
® C MHENSIVE 10/1/87 LG1-141-046504-096 BODILY INJURY PROPERTY DAMAGE
❑ SCHEDULE FORM EACH$ 1,000,000 OCCURRENCE $ 500,000 OCCURRENCE
PRODUCTS COM•
Q LIFTED OPERATIONS $ 1,000,000 AGGREGATE $ 500,000 AGGREGATE
w-
Z 4 INDEPENDENT CON. COMBINED SINGLE LIMIT
® TRACTORS/CONTRAC•
TORS PROTECTIVE BODILY INJURY AND PROPERTY DAMAGE
$ EACH OCCURRENCE
CONTRACTUAL
® LLIABILITY $ AGGREGATE
OWNED 10/1/87 AS1-141-046504-016 $ 1,000,000 EACH ACCIDENT-SINGLE LIMIT.B.I. AND P.D. COMBINED
J
m E NON-OWNED $ EACH PERSON
Q`t ] EACH ACCIDENT EACH ACCIDENT
HIRED
$ OR OCCURRENCE $ OR OCCURRENCE
W Umbrella 10/1/87 LET-141-046504-076 Excess Limit: $1,000,000
Excess Liability
LOCATION(S)OF OPERATIONS 6 JOB p(If Applicable) DESCRIPTION OF OPERATIONS:
1986 Storm Water Dra Inage Project - Phas II
"NOTE You will NOI De notified annually of the conhnuction of this covsroge Yov w-it be nantied if this coverope it retmmated or reduced
NOTICE OF CANCELLATION: THE COMPANY WILL NOT TERMINATE OR
REDSg THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNLESS
11 DAYS NOTICE OF SUCH TERMINATION OR REDUCTION HAS BEEN
MAILED TO:
r City of .Jefferson
320 E. McCarty
LtRTIFICATL
Jefferson City, MO 65101 AUTHORIZED REPRESENTATIVE
HOLDERS Attu: Bonnie Hubert 9/19/86 Pr St. Louis
DATE ISSUED OFFICE
L J
This cerrd,care is e1ecure9 or 11IU6IY AIUTUAI IIISURANCE COWAN- or rrRtwth wtj,mswonle as is nttofded by Thu,Company, it is*.*cured by LIBERTY MUIUAI FIRE INSURANCE COMPANY at
respects such mbWance W Is*Harden fit,Thut Camfiony d it eseculed br tINOY IN$URA.NC)COR"ATION as respel is ruch rrHOrance as it afforded by That Company
BS 745
r
Certificate of Insurance
THIS CERTIPICATE IS ISSUED At A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER.THIS CERTIFICATE IS NOT AN INSURANCE
POLICY AND DOES NOT AMEND,EXTEND,OR ALTER THE COVERAGE A7FORDED BY THE POLICIES LISTED BELOW.
This is to Certify that _
F Name and LIBERTY
Twehous Excavating Company, Inc. .y address of MUTUA L
Route 3, Highway 50 East Insured. UIt11Y YUIU41NSUNANCi COYMINY.111f NIY YU1Wt NSUNxNCI CNPAIrV
1111N1Y INSUMNCI CONrOMIgN_CpSION Y1
Jefferson City, MO 65101
it, the issue dote of this certificate, insured by the Company under the policy(ies)listed below. *The insurance afforded by the listed policy(ies)is subject to oil
their terms,exclusions and conditions and is not elicited by any requirement,form or condition of any contract or other document with respect to which this certificate
may be issued.
TYPE OF POLICY CERT. EXP, DATE POLICY NUMBER LIMES OF LIABILITY
COVERAGE AFFORDED UNDER W.C. COV. B
LAW OF THE FOLLOWING STATES: BODILY INJURY BY ACCIDENT
WORKERS' 10/1/86 WC7-141-046504-085 MO $ 100,000 EA. ACCIDENT
BODILY INJURY BY DISEASE
COMPENSATION 100,000
$ EA. PERSON
BODILY INJURY BY DISEASE
1 3 500,000 POLICY LIMIT
FORM COMPREHENSIVE 10/ 1/86 LG.t-141-046504-095 BODILY INJURY PROPERTY DAMAGE
❑ SCHEDULE FORM 500,000 EACH 250,000 EACH
$ OCCURRENCE $ OCCURRENCE
LUEU OPERATTI
"� IONS 500,000 250,000$ AGGREGATE $ AGGREGATE
Z
INDEPENDENT CON. COMBINED SINGLE LIMIT
TORS PROs CTIVERAa BODILY INJURY AND PROPERTY DAMAGE
$ EACH OCCURRENCE
CONTRACTUAL
LIABILITY $ AGGREGATE
El
®
O ® OWNED 10/1/86 AS1~141-04650 :-015 $ 1,000,000 EACH ACCIDENT-SINGLE LIMIT-B.I. AND P.D. COMBINED
J ® NON-OWNED $ EACH PERSON
EACH ACCIDENT
HIRED EACH ACCIDENT
$ OR OCCURRENCE $ OR OCCURRENCE
t°C Umbrella 10/1/86 LEI--141-046504-075 Excess Limit: $1,000,000
O Excess Liability
LOCATIONS)Of OPERATIONS 8 JOB M(If Applicable) DESCRIPTION OF OPERATIONS:
Ref: City of Jefferson 1986 Storm Water Drainage Project Phase 2
0NOTf You will NOT be notified annually of the continuation of this coverage..You will be notified if this coverage Is terminated or reduced
NOTICE OF CANCELLATION: THE COMPANY WILL NOT TERMINATE OR
REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNLESS
30 DAYS NOTICE OF SUCH TERMINATION OR REDUCTION HAS BEEN
MAILED TO:
City of ,Jefferson
320 E. McCarty Street AUTHORIZED REPRESENTATIVE `
OIFICATE AU Jefferson City, MO 65101 8/18/AU p r St. Louis
HoiDER-i Attn: Bonnie Hubert DATE ISSUED OFFICE
L
This cernfi{afe is exsruted by LIBERTY MUTUAL INSURANCE COMPANY as respects such insurance as is afforded by That Company,it is executed by LIBERTY MUTUAL FIRE INSURANCE COMPANY as
respects such insurance us is afforded by Thai Company,It Is executed by LIBERTY INSURANCE COPPORA11014 as respells such insurance as is afforded by That Company
BS 745
NCB.. 10 8 0 8 6 CASUALTY INSURANCE
BINDER LIBERT''Y
MUTUAL
WITH RESPECT TO GL COVERAGE, THIS POLICY PROVIDES ��W " "�" "p
❑ Claims Made ❑ Occurrence
URED CITY OF JEFFERSON
320 EAST MCCARTY STREET
ADDRESS JEFFERSON CITY, MO 65101
Pending the Issuance of the policy or policies of the type or types described below,LIBERTY MUTUAL INSURANCE COMPANY or LIBERTY
MUTUAL FIRE INSURANCE COMPANY or LIBER'T'Y INSURANCE CORPORATION agrees to Insure the Insured, but only for the coverages
Indicated,in accordance with the provisions of the policy or policies in current use by it.The limit of the Company's Liability or Amount of Insurance
against each,such coverage shall be stated herein,subject to all the terms of the policy having reference thereto,and no Insurance is provided for
coverages for which no such limit or amount is stated.Issuance of the executed policy or policies voids this binder as of the effective date of such
policy.
This binder may be cancelled (1) by the company by written notice to the insured at the address shown above stating when thereafter such
cancellation shall be effective,or(2)by the Insured by mailing written notice to the company stating when thereafter such cancellation shall be
effective.
This binder shall be effective on_ SEPTEMBER 2, 1986 at 12:Q1 AM., and unless previously cancelled,
shall expire on NOVEMBER 1, 1986 at 12:01 A.M., Standard Time, at the address of the insured.
POLICY POLICY D TYPE OF POLICY LOCATION LOCATIONS TO WHICH BINDER APPLIES
SYMBOL. (TO BE ASSIGNESSIGNED)) NUMBER
LX OWNERS' AND CONTRACTORS' 1 CITY OF JEFFERSON 1986 STORM WATER
PROTECTIVE LIABILITY DRAINAGE PROJECT PHASE II
LIMITS OF LIABILITY FOR WORKERS' COMPENSATION, EMPLOYERS' LIABILITY AND GENERAL LIABILITY :
WORKERS' COMPENSATION AND SYMBOL EMPLOYERS' LIABILITY SPECIAL PROVISIONS OR AMOUNTS OF INSURANCE FOR OTHER CASUALTY POLICIES
STATES COVERED
LX TWEHOUS EXCAVATING CO., INC.
LIMIT OF LIABILITY—COVERAGE B HWY 50 EAST., ROUTE 3
BODILY INJURY BY ACCIDENT JEFFERSON CITY, MO 65101
$ EACH ACCIDENT
BODILY INJURY BY DISEASE LOCATION OF COVERED OPERATIONS — LOCATION 1 AS STATED ABOVE
$ EACH PERSON
BODILY INJURY BY DISEASE
$_ _,—_.POLICY LIMIT
BI &PD LIMITS OTHER LIMITS
POL. LOC. GEN'L AGGREGATE PRODUCTS/COMP. FIRE LEGAL * MEDICAL PERS/ADV. INJURY
SYM NO. Other than Prod/Comp Op OPS AGGREGATE EACH OCCURRENCE LIAR. Per Fire PAYMENTS Per Person or Org•
LX 1 $1,000,000 C MBINED SINGLE LIMIT
DEDUCTIBLE Retroactive Date is as defined In the policy and is the same as the effective date unless otherwise stated herein.
$ RETROACTIVE DATE: Subject to occurrence limit.
This binder when duly countersigned is issued on behalf of LIBERTY MUTUAL INSURANCE COMPANY Or LIBERTY MUTUAL.FIRE INSURANCE COMPANY
or LIBERTY INSURANCI:t.ORPORAT IoN,herein referred to as the Company as respects the indicated coverages under forms customarily written in such
Company.
ERTY MUTUAL.INSURANCE COMPANY SALES REP AND SALES OFFICE
LIBERTY MUTUAL FIRE INSURANCE COMPANY EMMERICH 442
LIBERTY INSURANCE CORPORATION POLICY ISSUING OFFICE I NEW OR REN_
... --�....
G MISHAWAKA NEW
"" �"� •• TYPED BY DATE
In U.•
L.9, U
'au ersigoext by Authorized Representative` SLS 8/28/Oe
BS 784 Printed in U.S.A.
Certificate of insurance
THIS CERTIFICATE IS ISSUED A$A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER.THIS CERTIFICATE IS NOT AN INSURANCE
POLICY AND DOES NOT AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW.
This is to Certify that
� LIIB�1�"T'Y
Name and /
Twehous Excavating Co. , Inc. -• address f MUTUAL ci)
nc• UHATV MUTUAL 1"UAINa COMPANI•0"ATI MUTUAL IiH 10UNANCC COMPANY
Hwy. 50 East, Route 3 UH1tl iNSUMNCI C0N100010-11LAtON W
I Jefferson City, MO 65101
Is,of the Issue date of this certificate, insured by the Company under the policy(les)listed below. *The insurance afforded by the listed policy(les)is subject to all
their forms,exclusions and conditions and is not altered by any requirement,form or condition of any tontract or other document with respect to which this certificate
may be Issued.
TYPE OF POLICY CERT. EXP, DATE POLICY NUMBER LIMITS OF LIABILITY
COVERAGE AFFORDED UNDER W.C. COV. B
LAW OF THE FOLLOWING STATES: BODILY INJURY BY ACCIDENT
WORKERS' $ EA. ACCIDENT
BODILY INJURY BY DISEASE
COMPENSATION
$ EA. PERSON
BODILY INJURY BY DISEASE
$ POLICY LIMIT
❑
COMPREHENSIVE BODILY INJURY PROPERTY DAMAGE
M
El SCHEDULE FORM EACH EACH
$ OCCURRENCE $ OCCURRENCE
❑ PRODUCTS COM-
M LETED OPERATIONS $ AGGREGATE $ AGGREGATE
51J
Z in
U-1 Q INDEPENDENT CON- COMBINED SINGLE LIMIT
(7=+ ❑ TRACTORS/CONTRAC- BODIL INJURY AND PROPERTY DAMAGE
TORS PROTECTIVE
$ EACH OCCURRENCE
CONTRACTUAL $ AGGREGATE
❑ LIABILITY
JEI
❑ OWNED $ EACH ACCIDENT-SINGLE LIMIT-B.I. AND P.D.COMBINED
Q Q El $NON-OWNED EACH PERSON
EACH ACCIDENT EACH ACCIDENT
.t ❑ HIRED $ OR OCCURRENCE $ OR OCCURRENCE
Eli Owners & 3/1/87 Binder #108086 Limit: 1,000,000 BT & PD
Contractors Pr tective
O
LOCATION(S)OF OPERATIONS 8 JOB N(If Applicable) DESCRIPTION OF OPERATIONS:
'NOTE:You will NOT be notified annually of the continuation of this coverage.You will be notified if this coverage is terminated or reduced.
NOTICE OF CANCELLATION: THE COMPANY WILL NOT TERMINATE OR
REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNLESS
DAYS NOTICE OF SUCH TERMINATION OR REDUCTION HAS BEEN
MAILED TO:
City of Jefferson
320 East McCarty St. AUTHORIZED REPRESENTATIVE
IFICATE Jefferson City, MO 65101 8/29/86 pr St. Louis
01 DER
Attn: Bonnie Hubert DATE ISSUED OFFICE
L J
This certificate is executed by LIBERTY MUTUAL INSURANCE COMPANY as respects such mswuncu as Is afforded by Thai Company,it is executed by LIBERTY MUTUAL FIRE INSURANCE COMPANY as
respects such Insurance as is afforded by That Company,it n executed by LIBERTY INSURANCE CORPORATION as respects such Insurance as is afforded by Thal Company
BS 745