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HomeMy Public PortalAbout105-2013 - Engineering - LWC - Parking Garage - DesignPROFESSIONAL SERVICES AGREEMENT THIS AGREEMENT made and entered into this Ist day of August, 2013, and referred to as Contract No.105-2013, by and between the City of Richmond, Indiana, a municipal corporation acting by and through its Board of Public Works and Safety (hereinafter referred to as the "City") and LWC Incorporated, 4440 Garwood Place, Richmond, Indiana, 47374 (hereinafter referred to as the "Contractor"). SECTION I. STATEMENT AND SUBJECT OF WORK City hereby retains Contractor to provide professional design services for the repair work needed for the Richmond Parking Garage located at 15 South 7 h Street in Richmond, Indiana (hereinafter referred to as the "Project"). Contractor's proposal is dated July 12, 2013, consists of three (3) pages and is attached hereto as Exhibit A and hereby incorporated by reference and made a part of this Agreement. Contractor agrees to abide by the same. Should any provisions, terms, or conditions contained in any of the documents attached hereto as Exhibits, or in any of the documents incorporated by reference herein, conflict with any of the provisions, terms, or conditions of this Agreement, this Agreement shall be controlling. The Contractor shall furnish all labor, material, equipment, and services necessary for the proper completion of all work specified. No performance of services shall commence until the following has been met: 1. The City is in receipt of any required certificates of insurance; 2. The City is in receipt of any required affidavit signed by Contractor in accordance with Indiana Code 22-5-1.7-11(a)(2); and 3. A purchase order has been issued by the Purchasing Department. SECTION II. STATUS OF CONTRACTOR Contractor shall be deemed to be an independent contractor and is not an employee or agent of the City of Richmond. The Contractor shall provide, at its own expense, competent supervision of the work. SECTION III. COMPENSATION City shall pay Contractor a sum not to exceed Six Thousand Five Hundred Dollars and Zero Cents ($6,500.00) for the complete and satisfactory performance the work required hereunder, which work includes any costs for itemized and invoiced reimbursable expenses. Contract No.105-2013 Page 1 of 6 SECTION IV. TERM OF AGREEMENT This Agreement shall be deemed effective when signed by all parties and shall continue in effect until March 31, 2014. Notwithstanding the term of this Agreement, City may terminate this Agreement in whole or in part, for cause, at any time by giving at least five (5) working days written notice specifying the effective date and the reasons for termination which shall include but not be limited to the following: a. failure, for any reason of the Contractor to fulfill in a timely manner its obligations under this Agreement; b. submission of a report, other work product, or advice, whether oral or written, by the Contractor to the City that is incorrect, incomplete, or does not meet reasonable professional standards in any material respect; C. ineffective or improper use of funds provided under this Agreement; d. suspension or termination of the grant funding to the City under which this Agreement is made; or e. unavailability of sufficient funds to make payment on this Agreement. In the event of such termination, the City shall be required to make payment for all work performed prior to the date this Agreement is terminated, but shall be relieved of any other responsibility herein. This Agreement may also be terminated by either the City or the Contractor, in whole or in part, by mutual Agreement setting forth the reasons for such termination, the effective date, and in the case of partial termination, the portion to be terminated. SECTION V. INDEMNIFICATION AND INSURANCE Contractor agrees to obtain insurance and to indemnify the City for any damage or injury to person or property or any other claims which may arise from the Contractor's conduct or performance of this Agreement, either intentionally or negligently; provided, however, that nothing contained in this Agreement shall be construed as rendering the Contractor liable for acts of the City, its officers, agents, or employees. Contractor shall as a prerequisite to this Agreement, purchase and thereafter maintain such insurance as will protect it from the claims set forth below which may arise out of or result from the Contractor's operations under this Agreement, whether such operations by the Contractor or by any sub -contractors or by anyone directly or indirectly employed by any of them, or by anyone for whose acts the Contractor may be held responsible. Page 2 of 6 Coverage A. Worker's Compensation & Disability Requirements B. Employer's Liability C. Comprehensive General Liability Section 1. Bodily Injury Section 2. Property Damage D. Comprehensive Auto Liability Section 1. Bodily Injury Section 2. Property Damage E. Comprehensive Umbrella Liability Limits Statutory $100,000 $1,000,000 each occurrence $2,000,000 aggregate $1,000,000 each occurrence $1,000,000 each person $1,000,000 each occurrence $1,000,000 each occurrence $1,000,000 each occurrence $1,000,000 each aggregate F. Malpractice/Errors & Omissions Insurance $500,000 each occurrence $500,000 each aggregate SECTION VI. COMPLIANCE WITH WORKER'S COMPENSATION LAW Contractor shall comply with all provisions of the Indiana Worker's Compensation law, and shall, before commencing work under this Agreement, provide the City a certificate of insurance, or a certificate from the industrial board showing that the Contractor has complied with Indiana Code Sections 22-3-2-5, 22-3-5-1 and 22-3-5-2. If Contractor is an out of state employer and therefore subject to another state's worker's compensation law, Contractor may choose to comply with all provisions of its home state's worker's compensation law and provide the City proof of such compliance in lieu of complying with the provisions of the Indiana Worker's Compensation Law. SECTION VII. COMPLIANCE WITH INDIANA E-VERIFY PROGRAM REQUIREMENTS Pursuant to Indiana Code 22-5-1.7, Contractor is required to enroll in and verify the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program. Contractor is not required to verify the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program if the Indiana E-Verify program no longer exists. Prior to the performance of this Agreement, Contractor shall provide to the City its signed Affidavit affirming that Contractor does not knowingly employ an unauthorized alien in accordance with IC 22-5-1.7-11 (a) (2). In the event Contractor violates IC 22-5-1.7 the Contractor shall be required to remedy the violation not later than thirty (30) days Page 3 of 6 after the City notifies the Contractor of the violation. If Contractor fails to remedy the violation within the thirty (30) day period provided above, the City shall consider the Contractor to be in breach of this Agreement and this Agreement will be terminated. If the City determines that terminating this Agreement would be detrimental to the public interest or public property, the City may allow this Agreement to remain in effect until the City procures a new contractor. If this Agreement is terminated under this section, then pursuant to IC 22-5-1.7-13 (c) the Contractor will remain liable to the City for actual damages. SECTION VIII. IRAN INVESTMENT ACTIVITIES Pursuant to Indiana Code (IC) 5-22-16.5, Contractor certifies that Contractor is not engaged in investment activities in Iran. In the event City determines during the course of this Agreement that this certification is no longer valid, City shall notify Contractor in writing of said determination and shall give contractor ninety (90) days within which to respond to the written notice. In the event Contractor fails to demonstrate to the City that the Contractor has ceased investment activities in Iran within ninety (90) days after the written notice is given to the Contractor, the City may proceed with any remedies it may have pursuant to IC 5-22-16.5. In the event the City determines during the course of this Agreement that this certification is no longer valid and said determination is not refuted by Contractor in the manner set forth in IC 5- 22-16.5, the City reserves the right to consider the Contractor to be in breach of this Agreement and terminate the agreement upon the expiration of the ninety (90) day period set forth above. SECTION IX. PROHIBITION AGAINST DISCRIMINATION A. Pursuant to Indiana Code 22-9-1-10, Contractor, any sub -contractor, or any person acting on behalf of Contractor or any sub -contractor shall not discriminate against any employee or applicant for employment to be employed in the performance of this Agreement, with respect to hire, tenure, terms, conditions or privileges of employment or any matter directly or indirectly related to employment, because of race, religion, color, sex, disability, national origin, or ancestry. B. Pursuant to Indiana Code 5-16-6-1, the Contractor agrees: 1. That in the hiring of employees for the performance of work under this Agreement of any subcontract hereunder, Contractor, any subcontractor, or any person acting on behalf of Contractor or any sub -contractor, shall not discriminate by reason of race, religion, color, sex, national origin or ancestry against any citizen of the State of Indiana who is qualified and available to perform the work to which the employment relates; 2. That Contractor, any sub -contractor, or any person action on behalf of Contractor or any sub -contractor shall in no manner discriminate against or intimidate any employee hired for the performance of work under this Agreement on account of race, religion, color, sex, national origin or ancestry; Page 4 of 6 3. That there may be deducted from the amount payable to Contractor by the City under this Agreement, a penalty of five dollars ($5.00) for each person for each calendar day during which such person was discriminated against or intimidated in violation of the provisions of the Agreement; and 4. That this Agreement may be canceled or terminated by the City and all money due or to become due hereunder may be forfeited, for a second or any subsequent violation of the terms or conditions of this section of the Agreement. C. Violation of the terms or conditions of this Agreement relating to discrimination or intimidation shall be considered a material breach of this Agreement. SECTION X. RELEASE OF LIABILITY Contractor hereby agrees to release and hold harmless the City and all officers, employees, or agents of the same from all liability for negligence which may arise in the course of Contractor's performance of its obligations pursuant to this Agreement. SECTION XI. MISCELLANEOUS This Agreement is personal to the parties hereto and neither parry may assign or delegate any of its rights or obligations hereunder without the prior written consent of the other party. Any such delegation or assignment, without the prior written consent of the other party, shall be null and void. This Agreement shall be controlled by and interpreted according to Indiana law and shall be binding upon the parties, their successors and assigns. This document constitutes the entire Agreement between the parties, although it may be altered or amended in whole or in part at any time by filing with the Agreement a written instrument setting forth such changes signed by both parties. By executing this Agreement the parties agree that this document supersedes any previous discussion, negotiation, or conversation relating to the subject matter contained herein. This Agreement may be simultaneously executed in several counterparts, each of which shall be an original and all of which shall constitute but one and the same instrument. The parties hereto submit to jurisdiction of the courts of Wayne County, Indiana, and any suit arising out of this Contract must be filed in said courts. The parties specifically agree that no arbitration or mediation shall be required prior to the commencement of legal proceedings in said Courts. By executing this Agreement, Contractor is estopped from bringing suit or any other action in any alternative forum, venue, or in front of any other tribunal, court, or administrative body other than the Circuit or Superior Courts of Wayne County, Indiana, regardless of any right Contractor may have to bring such suit in front of other tribunals or in other venues. Any person executing this Contract in a representative capacity hereby warrants that he/she has been duly authorized by his or her principal to execute this Contract. Page 5 of 6 In the event of any breach of this Agreement by Contractor, and in addition to any other damages or remedies, Contractor shall be liable for all costs incurred by City in its efforts to enforce this Agreement, including but not limited to, City's reasonable attorney's fees. In the event that an ambiguity, question of intent, or a need for interpretation of this Agreement arises, this Agreement shall be construed as if drafted jointly by the parties, and no presumption or burden of proof shall arise favoring or disfavoring any party by virtue of the authorship of any of the provisions of this Agreement. IN WITNESS WHEREOF, the parties have executed this Agreement at Richmond, Indiana, as of the day and year first written above, although signatures may be affixed on different dates. 04101 THE CITY OF RICHMOND, INDIANA BY AND THROUGH ITS Board of Public Works and Safety Vicki Robinson, President Date: APPROVE : Sarah L. Hutton, Mayor Date: g -;- , 1 3 "CONTRACTOR" LWC INCORPORATED 4440 Garwood Place Richmond, IN 47374 Title:y. &, Date: Page 6 of 6 EXHIBIT PAGE __LOFY 1-W -C INCORPORATED July 12, 2013 Mr. Greg Steins Director of Public Works and Engineering Municipal Building 50 North 5'h Street Richmond, IN 47374 Re: Professional Design Services Proposal for Parking Garage Repairs Dear Mr. Steins, Thank you for giving LWC the opportunity to provide a design services proposal for the repair work needed at the City of Richmond Parking Garage located at 15 South 7" Street in Richmond. Below is LWC's scope of work as defined by the site visit with you on July 1, 2013. If there are additional items or corrections to this list, please let us know so that we can revise the proposal accordingly. 1. Prepare complete construction documents for the following items: a. Removal of ticket dispensers and gate devices at each entrance b. Removal of bollards protecting dispensers and gate devices c. Replacement of select on -grade concrete near West entrance off South 7"' Street d. Repair of elevated parking slab at leaks in two identified locations (above women's restroom and public area) e. Repair leak damage to cement plaster ceilings f. Graffiti removal or cover in isolated locations throughout g. Identify graffiti protection and prevention products for coating masonry and brick h. Slip resistant floor coating on stair landings i. Alternate to replace cracked lintel above window on upper floor in east stairwell j. Maintenance for all doors and closures where required k. Selective removal and replacement of stair treads where bulging or corrosion is evident 1. Sandblasting and painting of all exposed steel in east and west stairwells in. Painting of masonry walls within east and west stairwells (include surface repair of visual masonry cracks in a few locations prior to coating) 2. Bidding, awarding and preparing construction contracts for the work. 3. Construction Administration Based on the scope of work shown above, we will provide design and construction documents and related construction services based on the attached hourly rate schedule with a not to exceed cost of $6,500. LW C creating inspiring spaces I. 434 East First Street Dayton. OH 45402 1 937.223.6500 www,lwcitispires.com 4440 Garwood Place Richmond, IN 47374 1 765.966.3546 EXH1131T.-6 PAGE a, OF� We are ready to move forward with this work upon notification to proceed. Again, we appreciate the opportunity to be involved in this project. If you have any questions or need any further information, please feel free to contact us. Respectfully, Ryan Henderson, PE LEED AP Associate enclosure; LWC Hourly Rates 7771 EXHIBIT PAGE OF s 2013 BILLING RATES PRINCIPAL. $ 150.00 PRINCIPAL EMERITUS $ 120.00 SR. PROJECT MANAGER $ 121.50 PROJECT MANAGER $ 98.50 SR. REGISTERED ARCHITECT $ 106.50 REGISTERED ARCHITECT $ 97.00 ARCHITECTURAL DESIGNER $ 88.50 1-2 YEARS OUT OF COLLEGE (TECHNICAL, ARCH.) $ 75.00 ARCHITECTURAL CO-OP $ 66.00 SR. INTERIOR DESIGNER $ 96.00 INTERIOR DESIGNER $ 88.50 INTERIOR CO-OP $ 66.00 REGISTERED ENGINEERING DIRECTOR $ 128.50 REGISTERED ENGINEER $ 107.00 ENGINEERING DESIGNER $ 88.60 1-2 YEARS OUT OF COLLEGE (TECHNICAL, ENGR.) $ 75.00 ENGINEERING CO-OP $ 66.00 CONSTRUCTION ADMINISTRATOR MANAGER $ 88.50 CONSTRUCTION ADMINISTRATOR II $ 75.00 CONSTRUCTION ADMINISTRATOR 1 $ 66.00 GRAPHIC DESIGNER $ 85.00 DRAFTER $ 67.50 TECHNICAL SUPPORT $ 54.00 �Qti CERTIFICATE OF LIABILITY INSURANCE D1/1001YYW) TE 715/2013 15/ PRODUCER THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PROFESSIONAL DESIGN INS MGMT CORP HOLDER. THIS CERTIFICATE HOES NOT AMEND, EXTEND OR PO Box 501130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Indianapolis, IN 46250 (317)570-6945 INSURERSAFFORDING COVERAGE NAIC# INSURED LWC Incorporated INSURER A: RLI Insurance Company INSURER B: 4440 Garwood Place INSURER C: Richmond, IN 47374 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUEDTO THE INSURED NAMED ABOVEFOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VVHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTMN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOVW MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR kDD'L TYPEOF INSURANCE POLICY NUMBER POUCYEFFECTIVE DATE MMIDD POUCYEXHRAflON DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISS (Ea ocrurence) $ COMMERCIAL GENERAL LIABILITY CLAIMSMADE 0 OCCUR MED EXP(Anyoneperson) $ PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIESPER: PRODUCTS - COMP/OP AGG $ PRO POLICY 0 JECT LOG AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea accden* $ BODILYINJURY (Per person) $ ALLOWNED AUTOS SCHEDULED AUTOS BODILY I NJURY (Peraccideng $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Peraccldeno $ GARAGELIABILTTY AUTOONLY- EAACCIDENT $ OTHER THAN EAACC $ ANYAUTO H $ AUTOONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMSMADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION S WORKERSCOMPENSATiONANO TORYLIMITS ER EMPLOYERS" LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIEYORIPARTNERIFXECUTIVB E.L. DISEASE- EAEMPLOYEE $ OFFICEWIMEMBER EXCLUDED? Ifyes,desorideunder SPECIAL PROVISIONS bekw E.L. DISEASE -POLICY LIMIT $ OTHER A Professional Liability RDP0008904 12/1/2012 12/1/2013 $2,000,000 limit each claim and $2 , 000, 000 in the aggregate DESCRIPTION OFOPERATIONS / LOCATIONS /VEHICLESI EXCLUSIONS ADDED BY ENDORSEMENT ISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Richmond DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 50 North Fif th St. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Richmond, IN 47374 IMPOSE NO OBLIGATION OPjW6BILrrY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENWTIVES AUTHORIZED REPRESEN Nj;)%,, IOU ACORD25 (2001108) V AGUKL) GUKF'UKAI TUN 1 VUS .--1^I% a AGENCY CUSTOMERD: LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED PROFESSIONAL DESIGN INS MGMT CORP LWC Incorporated 4440 Garwood Place POLICY NUMBER RDP0008904 Richmond, IN 47374 CARRIER NAIC CODE RLI Insurance Company EFFECnVE DATE: 12/1712 - 1211/13 ADDITIONAL REMARKS THISADDITIONAL REMARKS FORM IS A SCHEDULEfO ACORD FORM, FORM NUMBER: FORM TITLE: Project: City of Richmond Parking Garage Pursuant to the request of the above Named Insured, I have attached a Certificate of Insurance for your file. We are not permitted to name a specific project on a Professional Liability certificate, however, I have referenced it above for your convenience. If you have any questions, please do not hesitate to contact our office. Sincerely, Lora. Burton ACORD101 (2008101) OO 2008 ACORD CORPORA I ION. All ngrlts reserveD. The ACORDname and logo are registered marks of ACORD LOREW1C OP ID: NI2 .4CORL7° �� CERTIFICATE OF LIABILITY INSURANCE DATE (MMfDDNWY) o7,16/13 THIS CERTIFICATE IS ISSUED AS A !NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Phone: 937.228.4135 Brower Insurance Fax: 937.228.9108 A Marshs<Mcl.ennan Agency LLC Co NAME cr PHONE FAX No E-MAIL ADDRESS: 409 E. Monument Ave, Suite 400 Dayton, OH 45402 Marc E. Reynolds, CSRM INSURERS AFFORDING COVERAGE NAIL # INSURER A : Cincinnati Insurance Company 10677 INSURED LWC Incorporated 4440 Garwood Place INSURER B : Richmond, IN 47374 INSURERC: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X1 OCCUR EPP008062$ 05108113 4$101I74 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 500,00 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY F7 PRO 7 LOC PRODUCTS -COMPIOPAGG $ 1,000,OQo Emp Ben. $ 1,000,00 A AUTOMOBILE X LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS EPP0080625 05/08/13 05/01114 =D53NGLELIMIT $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peracddent $ A X UMBRELLA LIAR EXCESS LIAR i X OCCUR CLAIMS -MADE EPP0080625 05/08/13 05/01/14 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 DED X RETENTION$ 0 S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERIEXECUTiVEYIN OFFICERMIEMBER EXCLUDED? ❑ (Mandatary in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N 1 A WC186928500 05108/13 05108/14 X WCSTATU- OTH- T ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE- EA EMPLOYEE $ 500,00 E.L. DISEASE- POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) TE HOLDER City of Richmond Parking Garage Repairs City of Richmond 50 N Fifth St. Richmond, IN 47374 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE rr% _ ice, ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD