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HomeMy WebLinkAboutContract 2011 2370 . - -. - - H r 370 CORPORATION' Environmental Consulting & Contracting 44 2605 Seppaia Blvd. www.sheitertechcorp.com °' St. Pau, MN 55109 FAX 651.773.8908 651.770.2405 ASBESTOS REMOVAL PROPOSAL/CONTRACT #00411 -CH -T2 SUBMITTED TO: City of Columbia Heights ATTN: Kevin Hansen, P.E. 637 - 38 Avenue N.E. Columbia Heights, MN 55421 Re: Asbestos Materials Removal/Disposal, Boiler Room, City Hall, City of Columbia Heights SHELTERTECH CORPORATION, Licensed and Insured Asbestos Abatement Contractor, proposes to perform work at the above referenced property per site visit and information provided by TEA. DESCRIPTION 1. INSPECT AND DECONTAMINATE HORIZONTAL SURFACES IN AREAS NEAR ASBESTOS PIPE/FITTING INSULATION. 2. WITHIN GLOVEBAGS UNDER NEGATIVE AIR PRESSURE, REMOVE AND DISPOSE OF 1 SF ASBESTOS BOILER SEAM SEAL AND 2 ASBESTOS BOILER GASKETS LOCATED IN BOILER ROOM. • All labor, materials, insurance, required permits, air monitoring, and disposal costs included. ♦ Abatement work to be conducted by personnel licensed by the Minnesota Department of Health. ♦ All ACBM removed from this project will be transported to an approved landfill for disposal. PRICE: All of the work described above to be completed in a substantial and workmanlike manner according to standard practices for the sum of Three hundred fifty and 00 /100 Dollars ($ 350.00) SUBMITTED on 04/15/11 by ACCEPTED on 2i L 201/ by O SHELTERTECH CORPORATION is licensed by the State of Minnesota to perform asbestos abatement work under license 1/401. O SHELIIaRTECH CORPORATION is insured by Arch Specialty Insurance companies for general and pollution liability. (1111' ;SHELTERTECH" ; CORPoRATION Environmental Consulting & Contracting 2605 Seppala Blvd. www.sheltertechcorp.com MINIMMIEr St. Pau, MN 55109 FAX 651.773.8908 651.770.2405 ASBESTOS REMOVAL PROPOSAL/CONTRACT #00411 -CH -T SUBMITTED TO: City of Columbia Heights ATTN: Kevin Hansen, P.E. 637 - 38 Avenue N.E. Columbia Heights, MN 55421 Re: Asbestos Materials Removal/Disposal, Boiler Room, Public Library, City of Columbia Heights SBELTERTECH CORPORATION, Licensed and Insured Asbestos. Abatement Contractor, proposes to perform work at the above referenced property per site visit and information provided by LEA. DESCRIPTION 1. INSPECT AND DECONTAMINATE HORIZONTAL SURFACES IN AREAS NEAR ASBESTOS PIPE /FITTING INSULATION. 2. WITHIN FULL ENCLOSURE UNDER NEGATIVE AIR PRESSURE, REMOVE AND DISPOSE OF ASBESTOS INSULATION ON 70 PIPE FITTINGS, 2 SF ASBESTOS BOILER SEAM SEAL, AND 2 SF ASBESTOS BOILER HATCH MATERIAL LOCATED IN BOILER ROOM. ♦ All labor, materials, insurance, required permits, air monitoring, and disposal costs included. ♦ Abatement work to be conducted by personnel licensed by the Minnesota Department of Health. ♦ All ACBM removed from this project will be transported to an approved landfill for disposal. PRICE: All of the work described above to be completed in a substantial and workmanlike manner according to standard practices for the sum of Three thousand four hundred forty and 00/100 Dollars ($ 3,440.00) SUBMITTED on 04/15/11 by J9es. 1_ ms. -- ACCEPTED on / . ! ! 20 by o SHELTERTECH CORPORATION is licensed by the State of Minnesota to perform asbestos abatement work under license #401. E3 SHELTERTECH CORPORATION is insured by Arch Specialty Insurance companies for general and pollution liability. A ®® CERTIFICATE OF LIABILITY IM SURANCE NSUR D /2010 11/05 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR NEGATIVELYAMEND, 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, thepolicy(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 endorsement(s). PRODUCER CONTACT KAREN OCONNELL BONDING & INSURANCE SPECIALISTS AGENCY, INC. PHONE Ext : 708-598-5355 FAX ac N 708-598-6686 9340 S. HARLEM AVENUE Ao Ass: KOCONNELLABISA- INC.COM BRIDGEVIEW, IL 60455 INSURER(S) AFFORDING COVERAGE NAIC # _ IN CALIFORNIA, DBA BONDS AND INSURANCE SERVICES, INSURERA ARCH SPECIALTY INSURANCE COMPANY INSURED INSURER B: CAROLINA CASUALTY INSURANCE CO. SHELTERTECH CORPORATION INSURER C: 2605 SEPPALA BOULEVARD INSURER D: N. ST. PAUL, MN 55109 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 101374 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR ADDL SUER POLICY Y TYPE OF INSURANCE POLICY NUMBER OLIC EFF POLICY EXP INSR WVD LIMITS {M Y OLIC EFF ( POLIC EXP A GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 • X COMMERCIAL GENERAL LIABILITY PRE MISE E( Ea oecurr $ 50,000 CLAIMS -MADE X OCCUR 12 EMP 43430 06 11/15/10 11/15/11 MED EXP (Anyone person) $ 5,000 X i tCAONTRACTORS POLLUTION PERSONAL & ADV INJURY $ 2,000,000 X ASBESTOS /LEAD OPS GENERAL AGGREGATE _ $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 4,000,000 X POLICY 1 CT LOC * PER CLAIM $ 1,000,000 AUTOMOBILE LIABILITY Ee accident) IN LE LIMIT $ _ ANY AUTO BODILY INJURY (Per person) $- AUTOSVNED AUTE BODILY INJURY (Per accident) $ J .. -- -- NON -OWNED PR• • D IT . - HIRED AUTOS AUTOS (Per accident) $ I $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ _— DED RETENTION $ $ D WORKERS COMPENSATION X TORY WC ST S ER OTW AND EMPLOYERS' LIABILITY T ANY PROPRIETOR/PARTNER/EXECUTIVE4 N/ BNUWC0113624 05/14/10 05/14/11 E.L. EACH ACCIDENT $ 1,000,0 QFFICER/MEMBER EXCLUDED? (Mandatory In NH) INCLUDES THE STATE OF MN ONLY E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under GEORGE ZORTMAN IS EXCLUDED DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 $1,000,000 - MOLD LIMIT - PER CLAIM A CONTRACTOR POLLUTION LIAIBLITY I $1,000,000 - MOLD AGGREGATE MOLD OPS - CLAIMS MADE FORM 12 EMP 43430 06 11/15/10 11/15/11 $1,000,000 - PER CLAIM PROFFSSIONAI I IARII ITV - CI AIMS MAr)F FORM r DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) CERTIFICATE HOLDER CANCELLATION , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I FOR INFORMATION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AND BIDDING PURPOSES. AUTHORIZED REPRESENTATIVE j/J�� KAO t.�- ti"'-C.. © 1988-2010 ACORD CORPORATION. All rights reserved. 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