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HomeMy WebLinkAbout2016-2693This document has important legal consequences; consultation with an attorney is encouraged with respect to its use or modification. This document should be adapted to the particular circumstances of the contemplated Project and the controlling Laws and Regulations. Prepared by .. 100 1410 ..1 and Issued and Published Jointly by of A►menic� TIc GASS.JC14Tf( }I.ftiER,V_f_C17vTkU TryRSCIi %"(R14;A R� AMERICAN COUNCIL OF ENGINEERING C0SIPANIE5 Quality K-01r Qudtity Prulai95. d AMERICAN SOCIETY OF CIVIL ENGINEERS PROFESSIONAL ENGINEERS IN PRIVATE PRACTICE A Practice Division of the NATIONAL SOCIETY OF PROFESSIONAL ENGINEERS Z!Inort florm ot Agreement Between Owner and Engineer for Professional Services Copyright 02009 National Society of Professional Engineers for EJCDC. All rights reserved. This Agreement has been prepared for use with the Standard General Conditions of the Construction Contract (EJCDC C -700, 2007 Edition) of the Engineers Joint Contract Documents Committee. Their provisions are interrelated, and a change in one may necessitate a change in the other. This abbreviated Agreement form is intended for use only for professional services of limited scope and complexity. It does not address the full range of issues of importance on most projects. In most cases, Owner and Engineer will be better served by the Standard Form of Agreement Between Owner and Engineer for Professional Services (EJCDC E -500, 2008 Edition), or one of the several special purpose EJCDC professional services agreement forms. Copyright Oc 2009 National Society of Professional Engineers 1420 King Street, Alexandria, VA 22314 -2794 (703) 684 -2882 www.nspe.or; American Council of Engineering Companies 1015 15th Street N.W., Washington, DC 20005 (202) 347 -7474 wwwACec.2r9 American Society of Civil Engineers 1801 Alexander Bell Drive, Reston, VA 20191 -4400 (800) 548 -2723 Associated General Contractors of America 2300 Wilson Boulevard, Suite 400, Arlington, VA 22201 -3308 (703) 548 -3118 The copyright for this EJCDC document is owned jointly by the four EJCDC sponsoring organizations and held in trust for their benefit by NSPE. EJCDC E -520 Short Form of Agreement Between Owner and Engineer for Professional Services Copyright 02009 National Society of Professional Engineers for EJCDC. All rights reserved. SHORT FORM OF AGREEMENT BETWEEN OWNER AND ENGINEER FOR PROFESSIONAL SERVICES THIS IS AN AGREEMENT effective as of December 14 2015 ( "Effective Date ") between and Citv of Columbia Heights ( "Owner ") Bolton & Menk, Inc. ( "Engineer ") Owner's Project, of which Engineer's services under this Agreement are a part, is generally identified as follows: Elevated Water Storage Tank Interior and Exterior Rehabilitation ( "Project "). Engineer's Sei vices under this Agreement are generally identified as follows: See Exhibit A Owner and Engineer further agree as follows: 1.01 Basic Agreement and Period of Semite A. Engineer shall provide, or cause to be provided, the services set forth in this Agreement. If authorized by Owner, or if required because of changes in the Project, Engineer shall furnish services in addition to those set forth above. Owner shall pay Engineer for its services as set forth in Paragraphs 7.01 and 7.02. B. Engineer shall complete its services within a reasonable time, or within the following specific time period: September 2016; Warranty Inspection August 2018 C. If the Project includes construction- related professional services, then Engineer's time for completion of services is conditioned on the time for Owner and its contractors to complete construction not exceeding months. If the actual time to complete construction exceeds the number of months indicated, then Engineer's period of service and its total compensation shall be appropriately adjusted. Appendix 1, Standard Hourly Rates Schedule EJCDC E -520 Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright ©2009 National Society of Professional Engineers for EJCDC. All rights reserved. Page 1 2.01 Payment Procedures A. Invoices: Engineer shall prepare invoices in accordance with its standard invoicing practices and submit the invoices to Owner on a monthly basis. Invoices are due and payable within 30 days of receipt. If Owner fails to make any payment due Engineer for services and expenses within 30 days after receipt of Engineer's invoice, then the amounts due Engineer will be increased at the rate of 1.0% per month (or the maximum rate of interest permitted by law, if less) from. said thirtieth day. In addition, Engineer may, after giving seven days written notice to Owner, suspend services under this Agreement until Engineer has been paid in full all amounts due for services, expenses, and other related charges. Owner waives any and all claims against Engineer for any such suspension. Payments will be credited first to interest and then to principal. 3.01 Termination A. The obligation to continue performance under this Agreement may be terminated: 1. For cause, a. By either party upon 30 days written notice in the event of substantial failure by the other party to perform in accordance with the Agreement's terms through no fault of the terminating party. Failure to pay Engineer for its services is a substantial failure to perform and a basis for termination. b. By Engineer: 1) upon seven days written notice if Owner demands that Engineer furnish or perform services contrary to Engineer's responsibilities as a licensed professional; or 2) upon seven days written notice if the Engineer's services for the Project are delayed for more than 90 days for reasons beyond Engineer's control. Engineer shall have no liability to Owner on account of a termination by Engineer under Paragraph 3.01.A. Lb. c. Notwithstanding the foregoing, this Agreement will not terminate as a result of a substantial failure under Paragraph 3.0I I.A. La if the party receiving such notice begins, within seven days of receipt of such notice, to correct its substantial failure to perform and proceeds diligently to cure such failure within no more than 30 days of receipt of notice; provided, however, that if and to the extent such substantial failure cannot be reasonably cured within such 30 day period, and if such party has diligently attempted to cure the same and thereafter continues diligently to cure the same, then the cure period provided for herein shall extend up to, but in no case more than, 60 days after the date of receipt of the notice. Appendix 1, Standard Hourly Rates Schedule EJCDC E -520 Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright ©2009 National Society of Professional Engineers for EJCDC. All rights reserved. Page 2 2. For convenience, by Owner effective upon Engineer's receipt of written notice fiom Owner. B. The terminating party under Paragraph 3.01.A may set the effective date of termination at a time up to 30 days later than otherwise provided to allow Engineer to complete tasks whose value would otherwise be lost, to prepare notes as to the status of completed and uncompleted tasks, and to assemble Project materials in orderly files. C. In the event of any termination under Paragraph 3.01, Engineer will be entitled to invoice Owner and to receive full payment for all services performed or furnished in accordance with this Agreement and all reimbursable expenses incurred through the effective date of termination. 4.01 Successors, Assigns, and Beneficiaries A. Owner and Engineer are hereby bound and the successors, executors, administrators, and legal representatives of Owner and Engineer (and to the extent permitted by Paragraph 4.01.13 the assigns of Owner and Engineer) are hereby bound to the other party to this Agreement and to the successors, executors, administrators, and legal representatives (and said assigns) of such other party, in respect of all covenants, agreements, and obligations of this Agreement. B. Neither Owner nor Engineer may assign, sublet, or transfer any rights under or interest (including, but without limitation, moneys that are due or may become due) in this Agreement without the written consent of the other, except to the extent that any assignment, subletting, or transfer is mandated or restricted by law. Unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under this Agreement. C. Unless expressly provided otherwise, nothing in this Agreement shall be construed to create, impose, or give rise to any duty owed by Owner or Engineer to any contractor, subcontractor, supplier, other individual or entity, or to any surety for or employee of any of them. All duties and responsibilities undertaken pursuant to this Agreement will be for the sole and exclusive benefit of Owner and Engineer and not for the benefit of any other party. 5.01 General Considerations A. The standard of care for all professional engineering and related services performed or furnished by Engineer under this Agreement will be the care and skill ordinarily used by members of the subject profession practicing under similar circumstances at the same time and in the same locality. Engineer makes no warranties, express or implied, under this Agreement or otherwise, in connection with Engineer's services. Subject to the foregoing standard of care, Engineer and its consultants may use or rely upon design elements and information ordinarily or customarily furnished by others, including, but not limited to, specialty contractors, manufacturers, suppliers, and the publishers of technical standards. Appendix r, Standard Hourly Rates Schedule EJCDC E -520 Short norm of Agreement Between Owner and Engineer for Professional Services. Copyright ©2009 National Society of Professional Engineers for EJCDC. All rights reserved. Pate 3 B. Engineer shall not at any time supervise, direct, control, or have authority over any contractor's work, nor shall Engineer have authority over or be responsible for the means, methods, techniques, sequences, or procedures of construction selected or used by any contractor, or the safety precautions and programs incident thereto, for security or safety at the Project site, nor for any failure of a contractor to comply with laws and regulations applicable to such contractor's furnishing and performing of its work. C. This Agreement is to be governed by the law of the state or jurisdiction in which the Project is located. D. Engineer neither guarantees the performance of any contractor nor assumes responsibility for any contractor's failure to furnish and perform its work in accordance with the contract between Owner and such contractor. Engineer is not responsible for variations between actual construction bids or costs and Engineer's opinions or estimates regarding construction costs. E. Engineer shall not be responsible for the acts or omissions of any contractor, subcontractor, or supplier, or of any of their agents or employees or of any other persons (except Engineer's own employees) at the Project site or otherwise furnishing or performing any construction work; or for any decision made regarding the construction contract requirements, or any application, interpretation, or clarification of the construction contract other than those made by Engineer. F. The general conditions for any construction contract documents prepared hereunder are to be the "Standard General Conditions of the Construction Contract" as prepared by the Engineers Joint Contract Documents Committee (EJCDC C -700, 2007 Edition) unless the parties agree otherwise. G. All documents prepared or furnished by Engineer are instruments of service, and Engineer retains an ownership and property interest (including the copyright and the right of reuse) in such documents, whether- or not the Project is completed. Owner shall have a limited license to use the documents on the Project, extensions of the Project, and for related uses of the Owner, subject to receipt by Engineer of full payment for all services relating to preparation of the documents and subject to the following limitations: (1) Owner acknowledges that such documents are not intended or represented to be suitable for use on the Project unless completed by Engineer, or for use or reuse by Owner or others on extensions of the Project, on any other project, or for any other use or purpose, without written verification or adaptation by Engineer; (2) any such use or reuse, or any modification of the documents, without written verification, completion, or adaptation by Engineer, as appropriate for the specific purpose intended, will be at Owner's sole risk and without liability or legal exposure to Engineer or to its officers, directors, members, partners, agents, employees, and consultants; (3) Owner shall indemnify and hold harmless Engineer and its officers, directors, members, partners, agents, employees, and consultants from all claims, damages, losses, and expenses, including attorneys' fees, arising out of or resulting from any use, reuse, or modification of the documents without written verification, Appendix 1, Standard Hourly Rates Schedule EJCDC E -520 Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright ©2009 National Society of Professional Engineers for EJCDC. All rights reserved. Page 4 completion, or adaptation by Engineer; and (4) such limited license to Owner shall not create any rights in third parties. H. To the fullest extent permitted by law, Owner and Engineer (1) waive against each other, and the other's employees, officers, directors, agents, insurers, partners, and consultants, any and all claims for or entitlement to special, incidental, indirect, or consequential damages arising out of, resulting from, or in any way related to the Project, and (2) agree that Engineer's total liability to Owner under this Agreement shall be limited to $50,000 or the total amount of compensation received by Engineer, whichever is greater. I. The parties acknowledge that Engineer's scope of services does not include any services related to a Hazardous Enviromnental Condition (the presence of asbestos, PCBs, petroleum, hazardous substances or waste as defined by the Comprehensive Environmental Response, Compensation and Liability Act, 42 U.S.C. § §9601 et seq., or radioactive materials). If Engineer or any other party encounters a Hazardous Environmental Condition, Engineer may, at its option and without liability for consequential or any other damages, suspend performance of services on the portion of the Project affected thereby until Owner: (1) retains appropriate specialist consultants or contractors to identify and, as appropriate, abate, rernediate, or remove the Hazardous Environmental Condition; and (2) warrants that the Site is in full compliance with applicable Laws and Regulations. J. Owner and Engineer agree to negotiate each dispute between them in good faith during the 30 days after notice of dispute. If negotiations are unsuccessful in resolving the dispute, then the dispute shall be mediated. If mediation is unsuccessful, then the parties may exercise their rights at law. 6.01 Total Agreement A. This Agreement (including any expressly incorporated attachments), constitutes the entire agreement between Owner and Engineer and supersedes all prior written or oral understandings. This Agreement may only be amended, supplemented, modified, or canceled by a duly executed written instrument. 7.01 Basis of Payment —Lump Sum A. Using the procedures set forth in Paragraph 2.01, Owner shall pay Engineer as follows: 1. A Lump Surn amount of $ 43,000 B. The portion of the compensation amount billed monthly for Engineer's services will be based upon Engineer's estimate of the percentage of the total services actually completed during the billing period. 7.02 Additional Services.- For additional services of Engineer's employees engaged directly on the Project, Owner shall pay Engineer an amount equal to the cumulative hours charged to the Project by each class of Engineer's employees times standard hourly rates for each Appendix 1, Standard Hourly Rates Schedule EJCDC E -520 Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright OO 2009 National Society of Professional Engineers for EJCDC. All rights reserved. Pau 5 applicable billing class; plus reimbursable expenses and Engineer's consultants' charges, if any. Engineer's standard hourly rates are attached as Appendix 1. Attachments: Proposal, Page 4 IN WITNESS WHEREOF, the parties hereto have executed this Agreement, the Effective Date of which is indicated on page 1. Appendix 1, Standard Hourly Rates Schedule EJCDC E -520 Short Form of Agreement Between owner and Engineer for Professional Services. Copyright 02009 National Society of Professional Engineers for EJCDC. All rights reserved. Nee 6 Date Signed: B ° y alter R. Fehst Title: City Manager Date Signed: Address for giving notices: Kevin Hansen City of Columbia Heights 63738 th Avenue NE Columbia Heights, MN 55421 ENGINEER: Title: Date Signed: f jj"� /� Engineer License or Finn's Certificate Number: State of Address for giving notices: Appendix 1, Standard Hourly Rates Schedule EJCDC E -520 Short Form of Agreement Between Owner and Engineer for Professional Services. Copyright ©2009 National Society of Professional Engineers for EJCDC. All rights reserved. Page 7 • 1 i COLUMBIA HEIGHTS, MINNESOTA ELEVATED WATER STORAGE TANK INTERIOR AND EXTERIOR REHABILITATION 1. INTRODUCTION The City of Columbia Heights is requesting proposals to provide professional services for Full Service design, inspection and contract administration of the interior and exterior of the City's water tower storage tank. The water tank is located at 4650 Stinson Boulevard. 11. GENERAL REQUIREMENTS Interested companies should submit their proposal no later than 3:30 P.M. on November 13th, 2015, to the Director of Public Works, 637 38th Ave. N.E., Columbia Heights, MN 55421. In submitting a proposal to provide the required services, the following is required in order to expedite the review process by the representatives of the City. The length of the proposal should not exceed 5 pages, excluding figures, resumes of personnel, firm experience and qualifications, etc. The proposal should not contain non - applicable promotional materials and should address only the points requested in this document, including proposed time schedule to complete the work and associated fees. If requested elsewhere in this RFP, provide separate schedules and fees for separate sections of work. 3. A schedule of the most current billing rates for individuals involved must be included with a total cost to complete the work in the specified time frame. 4. Three copies of the proposal should be addressed to the Director of Public Works /City Engineer, 637 38th Ave. N.E., Columbia Heights, Minnesota, 55421, to be received by 3:30 P.M. November 13th, 2015. 5. If the firm is proposing to use subcontracts, the subcontractor should be identified along with how the work will be divided. 6. The City of Columbia Heights reserves the right to reject any proposal that does not comply with the requirements of this R.F.P. III. BACKGROUND INFORMATION 250,000 Gallon Single Pedestal Spheroid Tank RFP — Water Tower Rehabilitation Page 2 Chicago Bridge and Iron Company constructed the tank in 1975. The tank interior was painted in 1983 and 1996. The interior painting in 1983 consisted of the following: One patch coat of Tnemec Hi -Build Epoxoline Primer (red) applied at 4.0 mils dry film thickness followed by one complete coat of Tnemec Hydro -Pox Epoxy Coating #20 -1235 (white) applied at 6.0 mils dry film thickness. The tank was inspected and repaired in 1994. The original paint coating on the water tower had failed at the weld seams. Subsequent investigation found that the thickness of the finish cover at the seams varied from 18 to 24 mils. The interior and exterior of the tank was repainted in 1996: One coat of Tnemec Series 20 -1255 Pota Pox Primer (Beige) applied to unpainted areas at 4.0 mils dry film thickness, followed by one complete coat of Tnemec Series 20 -2000 Pota -Pox (white) applied at 7.0 mils dry film thickness. In 1997, the City of Columbia Heights began leasing antenna space on the water tower to Sprint PCS. In 2003, the City began leasing space to Anoka County for their 800 Mhz trunk digital radio system. In 2008, the City began leasing antenna space on the water tower to Clearwire Communications The water tower was inspected in 2008 and again in 2014. Copies of those inspection reports are attached and are the basis of this RFP. The following represents the general scope of services: 1) Design 2) Cellular / Anoka County Equipment relocation 3) Construction Administration and Inspection including NACE certified inspectors 4) Final Inspection and project closeout 5) Warranty Inspection IV. SCOPE OF SERVICES The following items shall be required as part of this proiect: The City's 2015 -2016 Capital Improvement Plan includes $600,000 to complete this project. This estimated cost includes all construction and overhead costs. Work for all items will be included in a single set of plans and specifications for public bidding purposes. The proposal shall include the following: 1. DESIGN b) PLANS AND SPECIFICATIONS • Review and update recommendations to the 2014 Inspection Report. • Prepare contract documents and technical specifications to supplement City standard construction documents. Refer to the October 2014 inspection report — Option 2. RFP — Water Tower Rehabilitation Page 3 • Meet with City staff to review plans and specifications. • Contact cellular tenants and coordinate antenna removal and reinstallation. • Produce copies of plans /specifications for bidding purposes by contractors. Plans/ specifications will be sold from the Consultant's office. A plan holders list will be provided to the City. • Prepare a final Engineer's Estimate of the rehabilitation cost of the tower and estimated completion based on the final plans. • Prepare permit applications to appropriate State Agencies as required. • Include a project SWPPP • Work shall include a new logo on the tower based on the City of Columbia Heights' recent 'rebranding campaign.' • Provide the City with an electronic copy of the project design files, including addenda. c) BIDDING • Prepare advertisement for bids and submit to required publications. • Conduct a pre -bid meeting (indicate in your proposal if recommended) • Respond to and provide answer's to bidder's questions. • Issue addendum(s), as required. • Attend bid opening and tabulate results. • Prepare recommendation letter of bids and contract award to City Council. • Prepare Notice of Award and Contract Agreement and forward to Contractor. 2. CELLULAR /ANOKA COUNTY EQUIPMENT RELOCATION a) TENANTS • Anoka County • Sprint • Clearwire • Independent Ham Radio b) RELOCATION ADMINISTRATION • Communicate with individual tenants on relocation of their facilities. (1) Contact cellular tenants and coordinate antenna removal and reinstallation. • Inspect cellular tenant's reinstallation of their facilities including shop drawings. c) INVOICING • Consultant shall invoice for all telecommunication services separately when submitting pay requests. 3. CONSTRUCTION SERVICES a) CONSTRUCTION OBSERVATION / INSPECTIONS • Perform observation and keep daily records of the construction activities of the prime contractor and any of their subcontractors. NACE certified inspector is required to observe and inspect work. • Inspection of the structural repairs and modifications for conformance to the specifications. • Inspection of the abrasive blasting media and equipment • Monitoring the paint removal and abatement process for the conformance to the specifications and environmental regulations. • Monitoring the coating mixing and application for adherence to the specifications and coating manufacturer recommendations. RFP — Water Tower Rehabilitation Page 4 • Approve surface prep samples. • Prepare and file copies of reports on the construction activities. • Work directly with residents and property owners to answer questions and respond to construction related issues. • Prepare a written weekly update on the status of the project and meet on -site with City staff on a weekly basis during active work periods. A weekly summary shall also be provided for use in updating the public on the project progress. • Upon substantial completion, prepare "punch list." • Coordinate and review testing of materials. • Prepare final inspection letter. b) CONSTRUCTION ADMINISTRATION • Provide notification and conduct and preconstruction conference including meeting minutes. • Periodically perform on -site review of project's work and status and report to the City. • Coordinate progress meetings as necessary. • Prepare monthly payment request forms for City approval. • Prepare Change Orders and other written directives as necessary. • Prepare letter of final review and acceptance. • Review, approve and /or comment as appropriate of Contractor submittals and all information to be used for construction in accordance with the plans and specifications including: o Shop drawing review o Welder qualifications / certifications / procedures o Coating materials o Containment plan o TLCP sampling plan o Spent material collection and disposal o City Lettering and logo 4. FINAL INSPECTION a) FINAL REVIEW • Conduct final review of project. (1) Follow up with Contractor and verify completion of punch list items. • Prepare Engineer's recommendation of project final completion. • Provide the City of Columbia Heights with As -Built record drawings of the project in an electronic format. 5. WARRANTY INSPECTION a) Provide a Two Year warranty inspection. The warranty inspection shall be performed utilizing a Remote Operated Vehicle (ROV), Divers will not be considered an equivalent form of inspection. V. PROPOSAL CONTENTS 1. Project Approach Should reflect the firm's understanding of the requirements of the project and present a RFP — Water Tower Rehabilitation Page 5 task -by -task description of the work to be accomplished. Merely restating the scope of services will not be acceptable. 2. Schedule Should include a schedule depicting the task activities, their inter - relationships, and the projected completion dates. It should also contain a discussion of the firm's total staffing and its procedures for maintaining schedule compliance in the event of unforeseen delays or other such circumstances. 3. Proiect Personnel Should outline the general responsibilities of the firms to be involved if more than one. Should also contain the names of personnel with key responsibilities for the work and a description of their role and duties for this job. It must also include an organizational chart for these people, delineating responsibilities and showing lines of authority and communication. It should also contain biographical resumes of these individuals with emphasis on their background on comparable projects and similar roles to those proposed for this project. 4. Relevant Experience Should discuss demonstrated experience of firm and project team with studies of similar scope and magnitude to the proposed study. 5. Performance Should demonstrate the ability of the firm to perform the project in a timely and cost - effective manner. 6. References Should contain references that may be contacted for the similar studies discussed in the Experience and Performance Sections. 7. Schedule of Rates and Charges Should contain a schedule of hourly billing rates for each category of professional, technical and clerical employee. Specifically, provide an hourly rate for each employee who may be involved in this project. Also, include rates of miscellaneous charges, such as copies, mileage, etc. 8. Benefits to Columbia Heights All things considered, summarize why you believe the City of Columbia Heights should retain your firm to perform this project. RFP — Water Tower Rehabilitation Page 6 VI. EVALUATION CRITERIA AND SELECTION PROCEDURES Please provide the following information in your proposal. All Proposals will be evaluated on the following criteria: (50% of total review score): Demonstrated understanding of the requirements of this project and the concerns of the City of Columbia Heights. Relevance and suitability of the overall project approach and schedule. Detail, scope and program for the Implementation Report. Qualifications and expertise of the key personnel assigned to this project and their ability to work together as a team on similar projects. Experience of the firm and project team to complete a rehabilitation of the City's water storage tank. Record of past performance on similar projects. Comments and opinions provided by references. Resources of the firm to conduct and complete this project in a satisfactory manner. (50% of total review score): Price and proposed completion date. VI. Limitations Terms and Conditions This Request for Proposal does not commit the City of Columbia Heights to award a contract, pay costs incurred in the preparation of a proposal or to procure a contract for services or supplies. The City of Columbia Heights reserves the right to accept or reject any or all proposals received as a result of this request, to negotiate with any qualified source, or to cancel in part or entirety this Request for Proposal if it is in the best interest of the City of Columbia Heights to do so. If, for any reason, the firm selected is not able to commence services under its proposal within 30 days after its award, the City reserves the right to award the contract to the next most qualified firm. The City will retain ownership of all reports prepared under the proposal. This proposal will be the only submittal for firm selection. The firm that the City believes to be the best qualified based on the criteria above will be invited to enter into negotiations to perform this project. If you have any questions, please contact me at 763 -706 -3705. Yours truly, Kevin R. Hansen, PE Public Works Director /City Engineer KRH Elevated Water Storage Tank Interior and Exterior Rehabilitation References Schedule of Rates and Charges Benefits to Columbia Heights - Why Choose Bolton & Menk, Inc. Experienced Project Manager Senior Project Manager, Steve Nelson, has more than 26 years of experience with complex environmental renovation projects including water plants and towers in Eagan and Brooklyn Park. He will preemptively address potential challenges before they become problems and facilitate technical and stakeholder input to develop a customized project approach and construction protocol that ensures success for the owner and their project. Highly Qualified Inspector James Connor is a Certified Weld Inspector (CWI) with more than 25 years of structural steel welding and fabrication experience. James will ensure the field and shop welding performed on the structures and components is in accordance with industry standards, procedures, and specifications. He will also review the contractor's and cellular provider's welding personnel qualifications. Additionally, James is experienced with telecommunications installation and has the ability to insightfully manage, coordinate, and inspect the required telecommunications services. Upfront Work Group Meeting This meeting will maximize the value to Columbia Heights by providing a time for input that will help our team develop a customized project approach, Critical Point Inspection Plan, and contractor communications protocol. Some specific discussion items and their benefit to the City include: • Importance of completing structural repairs before the coating project starts; brainstorm ways to accomplish this. • Importance of having cellular consultant harnesses leverage that the cellular lease agreement provides in order to better control completion times. • Critical Point Inspection planning to ensure all key inspection expectations are satisfied. Commitment and History of Quality Work We have a unified team with an experienced Project Manager and Protective Coatings Specialist who will: • R ecuie and manage project within project timeline for the established budget. • Pay particular attention to the client's specific needs identified during the Work Group Meeting. • Provide quality work, inspection services, and documentation that is thorough and accurate in every detail critical to the rehabilitations success. Project Costs Bolton & Menk proposes to provide the services outlined herein for a lump sum fee of $43,000, based on a construction duration of 8 -10 weeks. Certification Statement I hereby certify that I am a duly authorized representative of the Company and that the information contained within this letter of interest is current, true and correct to the best of my knowledge. I hereby authorize and request any person, agency or firm to furnish any pertinent information requested by the City of Columbia Heights deemed necessary to verify the statements made in this application. J Steven G. Nelson, P.E. Senior Project Manager Kevin P. Kielb, P.E. Client Service Manager Submitted by Bo /ton & Menk, Inc. City of Columbia Heights, Minnesota COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT O, i k 11 WI' i; Z i This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section If - Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or or- ganization have agreed in writing in a con- tract or agreement that such person or organization be added as an additional in- sured on your policy. Such person or organ- ization is an additional insured only with respect to liability for "bodily injury', "prop- erty damage' or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing oper- ations for the additional insured. However, the insurance afforded to such ad- ditional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agree- ment to provide for such additional in- sured. A person's or organization's status as an ad- ditional insured under this endorsement ends when your operations for that additional in- sured are completed. B. With respect to the insurance afforded to these additional insureds, the following addi- tional exclusions apply: This insurance does not apply to: 1. "Bodily injury', "property damage" or 'personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, in- cluding: O Insurance Services office, Inc., 2012 a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architec- tural or engineering activities, This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property dam- age", or the offense which caused the "per- sonal and advertising injury", involved the rendering of or the failure to render any pro- fessional architectural, engineering or sur- veying services. 2. 'Bodily injury" or "property damage" oc- curring after: a. All work, including materials, parts or equipment furnished in con- nection with such work, on the project (other than service, mainte- nance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the cov- ered operations has been com- pleted; or b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon- tractor engaged in performing oper- ations for a principal as part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: The most we will pay on behalf of the addi- tional insured is the amount of insurance: CG 20 33 04 13 Page 1 of 2 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the ap- plicable Limits of Insurance shown in the Declarations. G G 20 33 04 13 Page 2 of 2 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY i I i D 0 W A111111 Z k I ,t ! A � 9 1 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional insured Person(s) Or Organization(s) Location(s) Of Covered Operations All persons or organizations when you have All Locations agreed in writing in a contract or agreement that such persons or organizations be added as an additional insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and adver- tising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing oper- ations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent per- mitted by law; and 2. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following addi- tional exclusions apply: This insurance does not apply to "bodily in- jury' or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the addi- tional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or or- ganization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance; If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations: whichever is less. This endorsement shall not increase the ap- plicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 CG 20 10 04 13 COMMERCIAL GENERAL LIABILITY 111`• •s r ! ! • . ! •, • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to include as an additional insured any person or organization when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional in- sured on your policy. Such person or organ- ization is an additional insured only with respect to liability caused, in whole or in part, by "yourwork" performed forthat insured and included in the "products- completed oper- ations" hazard. The coverage afforded to the Additional In- sured is solely limited to liability specifically resulting from the conduct of the Named In- sured, which may be imputed to the Addi- tional Insured. B. This endorsement provides no coverage to the Additional Insured for liability caused, in whole or in part, out of the claimed negligence of the Additional Insured, other than which may be imputed to the Additional Insured by virtue of the conduct of the Named Insured. C. With respect to the insurance afforded these additional insureds, the following additional exclusion applies: Includes Copyrighted Material of Insurance Services Office, Inc., with Its permission. This insurance does not apply to: 1. "Bodily injury" "property damage" or "personal and advertising injury" caused, in whole or in part by the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawing and specifications; and b. Supervisory, inspection, architec- tural, or engineering activities. 2. Willful misconduct of, or for defects in design furnished by, the additional in- sured or its "employees ". As a condition of coverage, the additional in- sured shall be obligated to tender the defense and indemnity of every claim or suit to all other insurers that may provide coverage to the additional insured, whether contingent, excess or primary. CG 70 87 0105 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY ADDITIONAL STATE OR GOVERNMENTAL OR SUBDIVISION O • POLITICAL t • OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to a. "Bodily injury" "property damage' include as an additional insured any state or or "personal and advertising injury" governmental agency or subdivision or poli- arising out of operations performed tical subdivision shown in the Schedule, sub- for the federal government, state or ject to the following provisions: municipality; or 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or gov- ernmental agency or subdivision or poli- tical subdivision has issued a permit or authorization. However: a. The insurance afforded to such ad- ditional insured only applies to the extent permitted by law; and b. if coverage provided to the addi- tional insured is required by a con- tract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such addi- tional insured. 2. This insurance does not apply to: b. "Bodily injury" or "property damage" included within the "products - completed operations hazard ". B. With respect to the insurance afforded to these additional insureds, the following is added to Section 111 - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the ap- plicable Limits of Insurance shown in the Declarations. © Insurance services Office Inc., 2012 CG 20 12 04 13 COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EXPANDED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM PmMim The coverage provided by this endorsement is summarized below and is intended to provide a general coverage description only. For the details affecting each coverage, please refer to the terms and condi- tions in this endorsement. A. Expected or Intended Injury * Reasonable force B. Non -owned Watercraft * Increased to 60 feet C. Non -owned Aircraft D. Property Damage - Elevators E. Damage To Premises Rented To You • Limit increased to $500,000 F. Personal and Advertising Injury • Exclusions G. Medical Payments - Volunteer Workers H. Voluntary Property Damage I. Care, Custody and Control J. Supplementary Payments • Bail Bonds - $2500 • Loss of Earnings - $1000 K. Who Is An Insured broadened; • Limited Liability Partnership • Joint Ventures / Partnership / Limited Liability Company • Health Care Professionals (Incidental Medical Malpractice) • Newly Formed or Acquired Entities (up to 365 days) • Individual Owners of Buildings L. Knowledge and Notice Of Occurrence M. Unintentional Failure To Disclose Hazards N. Liberalization O. Definitions • Bodily Injury redefined • Expanded Personal and Advertising Injury definition • Unintentional Damage or Destruction added In addition to the policy amendments contained in A through O listed above, the endorsements listed below will automatically be attached to your policy to complete the coverage provided by the Commercial General Liability Endorsement: • Additional Insured - Co- Owners of Insured Premises - CG 20 27 + Additional Insured - Concessionaire - CG 20 03 • Additional Insured - Controlling Interest - CG 20 05 • Additional Insured - Grantor of Franchise - CG 20 29 • Additional Insured- Lessor of Leased Equipment - CG 20 34 • Additional Insured - Managers or Lessors of Premises - CG 20 11 • Additional Insured - Mortgagee, Assignee or Receiver - CG 20 18 • Additional Insured - Owners or Other Interests From Whom Land Has Been Leased - CG 20 24 « Additional Insured - State or Governmental Agency or Subdivision or Political Subdivision - Permits or Authorizations - CG 20 12 « Additional Insured - Vendors - CG 20 15 « Waiver of Transfer of Rights of Recovery - CG 24 04 CG 71 35 11 12 Page 1 of 5 A. EXPECTED OR INTENDED INJURY Under SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Item 2. Exclusions a. is replaced with the following: a. Expected Or intended Injury "Bodily injury" or "property damage" ex- F. pected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of rea- sonable force for the purpose of protect- ing persons or property. B. NON -OWNED WATERCRAFT Under SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Item 2. Exclusions g. (2) (a) is re- placed with the following: (a) Less than 60 feet long; and C. NON -OWNED AIRCRAFT Under SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Item 2. Exclusions, g. Aircraft, Auto or Watercraft, the following is added: (6) An aircraft you do not own, provided that: (a) The pilot in command holds a currently effective certificate is- sued by the duly constituted au- thority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; (b) It is rented with a trained, paid crew; and (c) It does not transport persons or cargo for a charge. D. PROPERTY DAMAGE - ELEVATORS With respect to Exclusions of SECTION 1 - COVERAGES, COVERAGE A. BODILY IN- JURY AND PROPERTY DAMAGE LIABILITY, item 2. Exclusions, paragraphs (3), (4) and (6) of Exclusion j. Damage to Property and Ex- clusion k. Damage To Your Product do not apply to the use of elevators. The insurance afforded by this provision is excess over any valid and collectible property insurance (in- cluding any deductible) available to the in- sured, and the Other Insurance Condition is changed accordingly. E. DAMAGE TO PREMISES RENTED TO YOU Under SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Item 2. Exclusions, the last para- graph of item 2. Exclusions is replaced with the following: Exclusions c. through n. do not apply to damage by fire or explosion to premises while rented to you or temporarily occu- pied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III - LIMITS OF INSURANCE. PERSONAL AND ADVERTISING INJURY Under SECTION 1 - COVERAGES, COVERAGE B PERSONAL AND ADVERTISING INJURY LI- ABILITY, the following are added to Item 2. Exclusions: q. Discrimination Relating To Room, Dwell - Ing or Premises Caused by discrimination directly or in- directly related to the sale, rental, lease or sub -lease or prospective sale, rental, lease or sub -lease of any room, dwelling or premises by or at the direction of any insured. r. Fines or Penalties Fines or penalties levied or imposed by a governmental entity because of dis- crimination. G. MEDICAL PAYMENTS - VOLUNTEER WORK- ERS Under SECTION I - COVERAGES, COVERAGE C MEDICAL PAYMENTS, item 2. Exclusions b. Hired Person is replaced with the following: b. Hired Person To a person hired to do work for or on behalf of any insured or tenant of any in- sured; however this exclusion does not apply to "volunteer workers" while en- gaged in maintenance or repair of your premises. Under SECTION I - COVERAGES, the following are added: H. VOLUNTARY PROPERTY DAMAGE 1. Insuring Agreement We will pay, at your request, for "prop- erty damage" to property of others caused by you, or while in your pos- session arising out of your business op- erations. 2. Exclusions Coverage for Voluntary Property Damage does not apply to: a. "Loss" of property at premises owned, rented, leased, operated or used by you. b. "Loss" of property while in transit; c. "Loss" of property owned by, rented to, leased to, borrowed by or used by you; CG 71 35 11 12 Page 2 of 5 d. The cost of repairing or replacing: (1) "Your work" defectively or in- correctly done by you; (2) "Your product" manufactured, sold or supplied by you; or unless the "property damage" is caused directly by you after delivery of "your product" or completion of "your work" and resulting from a subsequent undertaking. e. "Loss" of property caused by or arising out of the "products - completed operations hazard." 3. Deductible We will not pay for "loss" in any one "occurrence" until the amount of "loss" exceeds $250. We will then pay the amount of "loss" in excess of $250, up to the applicable limit of insurance. 4. Actual Cost In the event of covered "loss ", you shall, if requested by us, replace the damaged property or furnish the labor and materi- als necessary for repairs thereto at your actual cost, excluding profit or overhead charges. The most we will pay under Voluntary Prop- erty Damage for "loss" arising out of any one "occurrence" is $250. The most we will pay for the sum of all "losses" under this cover- age is $1,000. CARE, CUSTODY OR CONTROL 1. Insuring Agreement We will pay those sums the insured be- comes legally obligated to pay as dam- ages because of "property damage" to property of others while in your care, custody or control or property as to which you are exercising physical control if the "property damage" arises out of your business operations. 2. Exclusions Coverage for Care, Custody or Control does not apply to: a. "Property damage" to property at any premises owned, rented, leased, operated or used by you; b. "Property damage" to property while in transit: c. The cost of repairing or replacing; (1) "Your work" defectively or in- correctly done by you; or (2) "Your product" manufactured, sold or supplied by you; unless the "property damage" is caused directly by you after de- livery of "your product" or com- pletion of "your work" and resulting from a subsequent undertaking. "Property damage" to property caused by or arising out of the "products- completed operations hazard'. 3. Deductible We will not pay for "property damage" in any one "occurrence" until the amount of "property damage" exceeds $250. We will then pay the amount of "property damage" in excess of $250, up to the ap- plicable limit of insurance. 4. Actual Cost In the event of covered "property dam- age", you shall, if requested by us, re- place the property or furnish the labor and materials necessary for repairs thereto at your actual cost, excluding profit or overhead charges. The most we will pay under Care, Custody or Control for "property damage" is $1,000 for each "occurrence". The most we will pay for the sum of all damages because of "property damage" under this coverage is $5,000. J. SUPPLEMENTARY PAYMENTS Under SECTION I - SUPPLEMENTARY PAY- MENTS COVERAGES A AND B, item 1.b. is replaced with the following: b. Up to $2,500 for cost of bail bonds re- quired because of accidents or traffic law violations arising out of the use of any vehicle to which the "Bodily Injury" Li- ability Coverage applies. We do not have to furnish these bonds. Under SECTION I - SUPPLEMENTARY PAYMENTS COVERAGES A AND B, item 1.d. is replaced with the following: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit ", including actual loss of earnings up to $1,000 a day because of time off from work. K. WHO IS AN INSURED BROADENED Under SECTION II - WHO IS AN INSURED Item 1.b. is replaced with the following: b. A partnership (including a limited liability partnership) or joint venture, you are an insured, Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business. CG 71 35 11 12 Page 3 of 5 Under SECTION li - WHO IS AN INSURED the following is added to item 1: f. Joint Ventures i Partnership I Limited Li- ability Company Coverage You are an insured when you had an in- terest in a joint venture, partnership or limited liability company which is termi- nated or ended prior to or during this policy period but only to the extent of your interest in such joint venture, part- nership or limited liability company. This coverage does not apply: (1) Prior to the termination date of any joint venture, partnership or limited liability company; or (2) if there is other valid and collectible insurance purchased specifically to insure the partnership, joint venture or legal liability company. Under SECTION If - WHO IS AN INSURED, item 2.a. is replaced with the following: a. Your "employees" or volunteer workers, other than either your "executive offi- cers" (if you are an organization other than a partnership, joint venture or lim- ited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these "em- ployees" or volunteer workers are an in- sured for: (1) "Bodily injury" or "personal and ad- vertising injury": (a) To you, to your partners or members (if you are a partner- ship or joint venture), to your members (if you are limited li- ability company), or to a co- "employee" or co- volunteer worker while that is either in the course of his or her employment or performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co- "employee" or co- volunteer worker as a consequence of paragraph (1)(a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in paragraphs (1)(a) or (b) above; or (d) Arising out of his or her provid- ing or failing to provide profes- sional health care services. This does not apply to nurses, emergency medical technicians or paramedics employed by you to provide health care services, but only if you are not in the business or occupation of pro- viding such professional ser- vices. (2) "Property damage" to property: (a) Owned, occupied or used by (b) Rented to, in the care, custody or control of, or over which physical control is being exer- cised for any purpose by you, any of your "employees" or vol- unteer workers, any partner or member (if you are a partner- ship or joint venture), or any member (if you are a limited li- ability company). Under SECTION 11 - WHO IS AN INSURED, item 3.a. is replaced with the following: a. Coverage under this provision is af- forded only until the end of the policy period or the next anniversary of this policy's effective date after you ac- quire or form the organization, whichever is earlier. Under SECTION II - WHO IS AN INSURED, the following is added: 4. For COVERAGE A and COVERAGE B only, the owner of any building leased to you, but only if the building owner is a shareholder in your corporation or a partner in your partnership insured in this policy, and only with respect to li- ability arising out of the ownership, maintenance or use of that part of the premises leased to you. However, this insurance does not apply: a. To any "occurrence" or offense which takes place after you cease to be a tenant in the premises; or b. To structural alterations, new con- struction or demolition operations performed by or on behalf of the building owner. Under SECTION 11 - WHO IS AN INSURED the last paragraph of this section is replaced with the fol- lowing: Except as provided in 3. above, no person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a named insured in the Dec- larations. CG 71 35 11 12 Page 4of5 L. KNOWLEDGE AND NOTICE OF OCCURRENCE Under SECTION 1V - COMMERCIAL GENERAL LIABILITY CONDITIONS, 2. Duties in the Event of Occurrence, Offense, Claim Or Suit, the following is added: e. The requirement in Condition 2.a. applies only when the "occurrence" or offense is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) An "executive officer" or insurance manager, if you are a corporation; or (4) A manager, if you are a limited li- ability company. f. The requirement in Condition 2. b. will not be breached unless the breach oc- curs after such claim or "suit" is known to: (1) You, if you are an individual; {2) A partner, if you are a partnership; (3) An "executive officer" or insurance manager, if you are a corporation; or (4) A manager, if you are a limited li- ability company. g. Your rights under this Coverage Part will not be prejudiced if you fail to give us notice of an "occurrence," offense, claim, or "suit" and that failure is solely due to your reasonable belief that the "bodily injury" or "property damage" is not cov- ered underthis Coverage Part. However, you shall give written notice of this "oc- currence," offense, claim, or "suit" to us as soon as you are aware this insurance may apply to such "occurrence ", offense, claim, or "suit ". M. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 6. Representations, the following is added: d. Your failure to disclose all hazards or prior "occurrences" existing as of the in- ception date of this policy shall not prej- udice the coverage afforded by this policy, provided such failure to disclose all hazards or prior "occurrences" is not intentional. N. LIBERALIZATION Under SECTION I - COVERAGES, SECTION II - WHO IS AN INSURED, SECTION III - LIMITS OF INSURANCE, SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS AND SEC- TION V - DEFINITIONS, the following is added: Liberalization If we adopt any revision that would broaden the coverage under this endorsement without additional premium within 45 days prior to or during the policy period, the broadened cov- erage will immediately apply to this endorse- ment. O. DEFINITIONS Under SECTION V - DEFINITIONS, item 3. is deleted and replaced with the following: 3. "Bodily injury" means bodily injury, disa- bility, sickness, or disease sustained by a person, including death resulting from any of these at any time. "Bodily injury" includes mental anguish or other mental injury resulting from "bodily injury". Under SECTION V - DEFINITIONS, item 14. the following is added to the definition of "Personal and advertising injury": h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural person but only if such dis- crimination or humiliation is: (1) not done intentionally by or at the direction of: (a) The insured; or (b) Any "executive officer," director, stockholder, partner, member or manager (if you are a limited liability company) of the insured; and (2) Not directly or indirectly related to the employment, prospective em- ployment, past employment or ter- mination of employment of any person or persons by any insured. Under SECTION V - DEFINITIONS, the follow- ing definition is added: 23. "Loss" means unintentional damage or destruction but does not include disap- pearance, theft, or loss of use. CG 71 35 11 12 Page 5 of 5 COMMERCIAL GENERAL LIABILITY T + • • + This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART We will waive, both in the adjustment of claims and in the defense of "suits" against the insured, any governmental immunity of the insured, unless the insured requests in writing that we do not do so. Waiver of immunity as a defense will not subject us to liability for any portion of a claim or judg- ment in excess of the applicable limit of insur- ance. C Insurance Services Office, Inc., 2012 CG 24 14 04 13 POLICY NUMBER: CMM 34U.tP CG—MERCIAL GENERAL LIABILITY 1 a A This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization for whom you are required in a written contract or agreement to include a waiver of transfer of rights of recovery against others to us, provided the 'bodily injury" or "property damage" occurs subsequent to the execution of the written agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. © Insurance Services office, Inc., 2008 • CG 24 04A 05 09 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER'OF OUR RIGHT TO RECOVER FROM OTHERSENDORSEMENT This endorsement modifies insurance provided under the following: POLICY NUMBER: EFFECTIVE DATE: INSURER: CARRIER CODE: NAMED INSURED: AGENCY NUMBER WCP 5080987 O'7/Wi- WESTFIELD INSURANCE CO. 14451 BOLTON & MENK iNC 22 -6319 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule Schedule PRINCIPAL: BLANKET WAIVER DESCRIBED OPERATIONS: ANY OPERATIONS OF THE INSURED MINIMUM PREM /FLAT CHARGE: 1500 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective Insured Insurance Company Policy No. Countersigned by Endorsement No. Premium 0 1983 National council on compensation insurance. WC 00 03 13 (4 -84) COMMERCIAL AUTO ENDORSEMENT THIS POLICY. i IT CAREFULLY. BUSINESS AUTO EXPANDED ENDORSEMEVT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE The coverage provided by this endorsement is summarized below and is intended to provide a general coverage description only, For the details affecting each coverage, please refer to the terms and condi- tions in this endorsement. A. Who Is An Insured broadened: • Additional Insured by Contract, Agreement or Permit • Legally Incorporated Subsidiaries • Newly Acquired Organizations B. Supplementary Payments • Bail Bonds - $5000 • Loss of Earnings - $500 C. Fellow Employee Exclusion Amendment D. Coverage Extensions • Transportation Expenses • Personal Effects (Excess Basis) E. Additional Coverages • Expenses paid for returning a stolen covered auto • Fire Department Service Charge F. Airbag Coverage - Accidental Discharge G. Glass Repair - Waiver of Deductible H. Knowledge and Notice of an Accident, Claim or Suit 1. Unintentional Failure To Disclose Hazards J. Worldwide Coverage K. Definitions • Bodily Injury Redefined In addition to the policy amendments contained In A. through K. listed above, the endorsements listed below will automatically be attached to your policy to complete the coverage provided by the Business Auto Expanded Endorsement: • Audio, Visual and Data Electronic Equipment Coverage Added Limits - CA 99 60 • Auto Loan /Lease Gap Coverage - CA 20 71 • Drive Other Car Coverage - Broadened Coverage For Named Individuals - (Executive Officers /Spouses) - CA 99 10 • Employee Hired Autos - CA 20 54 • Employees As Insureds - CA 99 33 • Hired Auto Physical Damage (Refer to Auto Declarations page) • Rental Reimbursement Coverage - CA 99 23 • Waiver of Transfer of Rights of Recovery (Waiver of Subrogation) - CA 04 44 A. WHO IS AN INSURED BROADENED SECTION If - LIABILITY COVERAGE, item A. Coverage, 1. Who Is An Insured is amended to include the following additional para- graphs: d. Any legally incorporated subsidiary of yours in which you own more than 50% of the voting stock on the ef- fective date of this endorsement. However, "insured" does not include any subsidiary that is an "insured" under any other liability policy or would be an "insured" under such a policy but for its termination or the exhaustion of its limit of insurance. Coverage under this provision is af- forded only for the first 180 days af- ter you acquire or form the organization or until the end of the policy period, whichever comes first. e. Any organization you newly acquire or form, other than a partnership or joint venture, and over which you maintain ownership or a majority in- terest. However, coverage under .this provision: CA 70 78 09 11 Page 1 of 3 (1) Does not apply if the organiza- tion you acquire or form is an "insured" under another auto li- ability policy or would be "in- sured' under such a policy but for its termination or the ex- haustion of its limits of insur- ance; (2) Does not apply to "bodily injury" or "property damage" that oc- curred before you acquired or formed the organization; and (3) Is afforded only for the first 180 days after you acquire or form the organization or until the end of the policy period, whichever comes first. f. Any person or organization with whom you agreed in writing in a contract, agreement or permit, to provide insurance such as is af- forded under this policy. This provision only applies if the written contract or agreement has been executed or permit has been issued, prior to the "bodily injury" or "property damage". B. SUPPLEMENTAL PAYMENTS SECTION 11 - LIABILITY COVERAGE, item A. Coverage, 2. Coverage Extensions, a. Sup- plementary Payments, subparagraphs (2) and (4) are deleted and replaced with the follow- ing: (2) Up to $5,000 for cost of bail bonds (including bonds for re- lated traffic law violations) re- quired because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses in- curred by the "insured" at our request, including actual loss of earnings up to $500 per day be- cause of time off from work. C. FELLOW EMPLOYEE EXCLUSION AMEND- MENT SECTION II - LIABILITY COVERAGE, item B. Exclusions, 5. Fellow Employee does not ap- ply if the "bodily injury" results from the use of a covered "auto" you own or hire. D. COVERAGE EXTENSIONS SECTION III - PHYSICAL DAMAGE COVER- AGE, Item A. Coverage, 4. Coverage Exten- sions, a. Transportation Expenses is replaced with the following: a. Transportation Expenses We will pay up to $100 per day to a maximum of $1,800 for transporta- tion expense incurred by you be- cause of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". The following is added to Item 4. Cover- age Extensions: c. Personal Effects We will pay up to $500 for the "loss" of your personal effects that are contained in a covered "auto" due to the total theft of the covered "auto." We will pay only for those personal effects that are contained in covered "autos" for which you carry either Comprehensive or Specified Causes Of Loss Coverage. Our payment for "loss" of or damage to personal effects will apply only on an excess basis over other collect- ible insurance. E. ADDITIONAL COVERAGES SECTION III - PHYSICAL DAMAGE COVER- AGE, A. Coverage, is amended to include the following additional coverage items: 5. We will pay the expense of returning a stolen covered "auto" to you. 6. Fire Department Service Charge When a fire department is called to save or protect a covered "auto ", its equip- ment, its contents or occupants from a Covered Cause Of Loss, we will pay up to $1,000 for your liability for Fire De- partment Service Charges: (a) Assumed by contract or agreement prior to loss; or (b) Required by local ordinance. No deductible applies to this additional coverage. F. AIRBAG COVERAGE - ACCIDENTAL DIS- CHARGE SECTION III - PHYSICAL DAMAGE COVER- AGE, Item B. Exclusions, subparagraph 3.a. is deleted and replaced with the following: a. Wear and tear, freezing, mechanical or electrical breakdown. CA 70 78 09 11 Page 2 of 3 Mechanical breakdown does not ap- ply to the accidental discharge of an airbag. G. GLASS REPAIR - WAIVER OF DEDUCTIBLE SECTION III - PHYSICAL DAMAGE COVER- AGE, item D. Deductible the following para- graph is added: No deductible shall apply to glass dam- age if the glass is repaired rather than replaced. H. KNOWLEDGE AND NOTICE OF AN ACCI- DENT, CLAIM OR SUIT SECTION IV - BUSINESS AUTO CONDITIONS, Item A. Loss Conditions is amended as fol- lows: Subparagraph a, under Item 2. Duties In The Event Of Accident, Claim, Suit Or Loss, is amended to include the following paragraphs: This requirement applies when the "accident," claim, "suit" or "loss" is first known to: (1) You, if you are an individual; (2) A partner, if you are a partner- ship; or (3) An executive officer or insur- ance manager, if you are a cor- poration. Subparagraph b.(2) under 2. Duties In The Event Of Accident, Claim, Suit Or Loss is amended as follows: (2) Immediately send us copies of any request, demand, order, notice, summons or legal paper received concerning the claim or "suit." Your employees may know of documents received concerning a claim or "suit ". This will not mean that you have such know- ledge, unless receipt of such documents is known to you, any of your executive officers or partners or your insurance manager. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Under SECTION IV - BUSINESS AUTO CON- DITIONS, B. General Conditions, 2. Concealment, Misrepresentation Or Fraud is amended to include the following additional paragraph: If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not deny coverage under this Coverage Part because of such failure. J. WORLDWIDE COVERAGE Under SECTION IV - BUSINESS AUTO CON- DITIONS, B. General Conditions, 7. Policy Period, Coverage Territory, subparagraph (5) is deleted and replaced with the following: (5) Anywhere in the world, if: (a) A covered "auto" of the private passenger type is leased, hired, rented or borrowed without a driver for a period of 45 days or less; and (b) The "insured's" responsibility to pay damages is determined in a "suit" on the merits, in the United States of America, the territories and possessions of the United States of America, Puerto Rico or Canada or in a settlement we agree to. (c) If, for such "autos" a "suit" is brought outside the territory de- scribed in 7.(1) through 7.(4) above, we will reimburse the insured for defense expenses incurred with our written con- sent, but we will make no pay- ment, nor will we reimburse the insured for damages. K. DEFINITIONS Under SECTION V - DEFINITIONS, Item C. is replaced by the following: C. "Bodily injury" means bodily injury, sick- ness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. "Bodily injury" includes mental anguish or other mental injury resulting from "bodily injury". CA 70 78 09 11 Page 3 of 3 INTERLINE MINNESOTA CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following: CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT - RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PROD UCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART A. When this endorsement is attached to the b. 90 Days Or More Standard Property Policy CP 00 99 the term Coverage Part in this endorsement is replaced If this policy has been in effect for 90 by the term Policy. days or more, or if it is a renewal of a policy we issued, we may cancel only B. The following provisions apply except when for one or more of the following rea- Paragraph C. of this endorsement applies: sons: The Cancellation Common Policy Condition is (1) Nonpayment of premium; replaced by the following: (2) Misrepresentation or fraud made CANCELLATION by you or with your knowledge.in obtaining the policy or in pursuing 1. The first Named Insured shown in the Dec- a claim under the policy; larations may cancel this policy by mailing (3) An act or omission by you that or delivering to us advance written notice substantially increases or changes of cancellation. the risk insured; 2. We may cancel this policy, subject to the (4) Refusal by you to eliminate known provisions of Paragraph B.3. below, by first conditions that increase the po- class mailing, or by delivery, of a written tential for loss after notification by notice of cancellation to the first Named In- us that the condition must be re- sured and any agent, to their last mailing moved; addresses known to us. Notice of cancel- (5) Substantial change in the risk as- lation will state the effective date of can- sumed, except to the extent that cellation. The policy period will end on that we should reasonably have fore - date, seen the change or contemplated the risk in writing the contract; 3. Policies In Effect (6) Loss of reinsurance by us which a. Less Than 90 Days provided coverage to us for a sig- nificant amount of the underlying If this policy is a new policy and has risk insured. Any notice of can - been in effect for fewer than 90 days, cellation pursuant to this item we may cancel for any reason by giv- shall advise the policyholder that ing notice at least: he or she has 10 days from the date of receipt of the notice to ap- (1) 10 days before the effective date peal the cancellation to the com- of cancellation, if we cancel for missioner of commerce and that nonpayment of premium; or the commissioner will render a decision as to whether the can- (2) 30 days before the effective date cellation is justified because of the loss of reinsurance within 30 busi- of cancellation, if we cancel for ness days after receipt of the ap- any other reason. peal; ®lso Properties, Inc., 2007 IL 02 45 09 08 Page 1 of 3 (7) A determination by the commis- sioner that the continuation of the policy could place us in violation of the Minnesota insurance laws; or (8) Nonpayment of dues to an associ- ation or organization, other than an insurance association or or- ganization, where payment of dues is a prerequisite to obtaining or continuing such insurance. This provision for cancellation for failure to pay dues shall not be applicable to persons who are re- tired at 62 years of age or older or who are disabled according to social security standards. Under this Item B.3.b., we will give no- tice at least: (1) 10 days before the effective date of cancellation, if we cancel for nonpayment of premium. The cancellation notice shall contain the information regarding the amount of premium due and the due date, and shall state the effect of nonpayment by the due date. Cancellation shall not be effective if payment of the amount due is made prior to the effective date of cancellation; or (2) 60 days before the effective date, if we cancel for a reason de- scribed in Paragraphs B.3.b.(2) through (8) above. The notice of cancellation will state the reason for cancellation. 4. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 5. Proof of mailing of any notice shall be suf- ficient proof of notice. C. The following applies with respect to coverage provided under the following: FARM COVERAGE PART 1. Policies In Effect 60 Days Or More a. If this Coverage Part covers buildings used for residental purposes and has been: (1) In effect for at least 60 days, or (2) Renewed by us, Paragraphs A.2. and A.6. of the Cancellation Common Policy Condition do not apply, and the following is added to the Cancel- lation Common Policy Condition: b. We may not cancel this policy, except fo r: (1) Nonpayment of premium; (2) Misrepresentation or fraud made by you or with your knowledge: (a) In obtaining this policy; or (b) In connection with a claim under this policy; (3) An act or omission by you that materially increases the risk we originally accepted; or (4) A physical change in the Covered Property which: (a) Is not corrected or restored within a reasonable time af- ter it occurs; and (b) Results in the property be- coming uninsurable. c. We may cancel this policy by giving the first Named Insured written notice of cancellation at least: (1) 20 days before the effective date of cancellation, if we cancel for nonpayment of premium; or (2) 30 days before the effective date of cancellation if we cancel for a reason described in Paragraphs C.1.b.(2) through (4) Such notice will be mailed or deliv- ered to the first Named Insured and will contain the reason for cancella- tion. Proof of mailing of any notice shall be sufficient proof of notice. 2. Policies In Effect Less Than 60 Days When this Coverage Part covers buildings used for residential purposes and is a new policy which has been in effect fewer than 60 days, cancellation is subject to the terms of the Cancellation Common Policy Condition except for Paragraphs A.2. and A.6., and is not subject to Paragraph B. or Paragraph C.1. of this endorsement. Un- der this Item, C.2., Paragraphs A.2. and A.6. of the Cancellation Common Policy Condition are replaced by the following: IL 02 45 09 08 Page 2 of 3 We may cancel this policy by giving the first Named Insured written notice of can- cellation at least 20 days before the effec- tive date of cancellation. Such notice will be mailed or delivered to the first Named Insured. Proof of mailing of any notice shall be sufficient proof of notice. If we cancel this policy for underwriting considerations, we will inform you of the source from which the information was received. D. The following is added and supersedes any provisions to the contrary: NONRENEWAL If we decide not to renew this policy, we may do so by giving the first Named Insured and any agent written notice of our intent not to renew at least 80 days before the expiration date of this policy, Such notice will be deliv- ered or mailed by first class mail to their last mailing addresses known to us. Proof of mailing of any notice shall be suffi- cient proof of notice. We need not mail or deliver this notice if you have: 1. Insured elsewhere; 2. Accepted replacement coverage; or 3. Agreed not to renew this policy. IL 02 45 09 08 Page 3 of 3 BOLTO -1 OP ID: MP ACID CERTIFICATE OF LIABILITY INSURANCE DATE (MMMDNYYY) 01115/2016 THIS CERTIFICATE IS ISSUED AS A MATTER 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 endorsement(s). PRODUCER Brown &Brown of MN1Mkto 530 W Pleasant St CONTACT CO Mary Portner PHONE 507 -344 -4505 FAX _ ac No Ext : { No) :_ 866 -800 -6599 Mankato, MN 56001 Mary E. Portner, CISR E -MAIL � bbmankato.com tner or ADDRESS: m p _ _ A X COMMERCIAL GENERAL LIABILITY I INSURER(S) AFFORDING COVERAGE NAIC # _ INSURER A: Westfield Insurance Company 124112 1,000100 INSURED Bolton and Menk, Inc. INSURER B: Continental Casualty Co 120443 1960 Premier Dr 1,000,000 Mankato, MN 56001 INSURER-C: $ 10,00 INSURER D: INSURER E: $ INSURER F: I GEN'L AGGREGATE LIMIT APPLIES PER: 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. INSR.�pDDI]SUBR POLICY EFF LTR TYPE OF INSURANCE IN §D WVD POLICY NUMBER MM /DD POLICY EXP MM /DD LIMITS A X COMMERCIAL GENERAL LIABILITY I I EACH OCCURRENCE $ 1,000100 CLAIMS -MADE ! X occuR X �CMM 3 406 737 07/01!2015 07/01/2016 " TCk �T�D PREMISES (Ea occurrence) $ 1,000,000 _ A X XCU Coverage ,.0 'BLKT CONTRACTUAL LIAR 07/01/2015: 07/01/2016 i MED EXP (Anyone person) $ 10,00 • X Blkt Al & Waiv of & BLKT ADD'L INSURED 07/01/2015 07/01/2016 + PERSONAL & ADV INJURY $ _ 1,000,00 I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY = JERCOT LOC ( PRODUCTS - COMP /OP AGG $ 2,000,00 OTHER: 'Emp Ben. ( $ 1 M /2M AUTOMOBILE LIABILITY I Ea aBINED SINGLE LIMIT '; $ 1,000,00 • X ANY AUTO CMM 3 406 737 07/01/2015 07/01/2016 BODILY INJURY (Per person) I $ —c ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ _ AUTOS AUTOS X HIRED AUTOS X NON- OWNED PROPERTY DAMAGE $ _� l��(TgS o ro Per accident) u X • Blkt Waive $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 7,000,00 A X EXCESS LIAB CLAIMS -MADE CMM 3 406 737 07101/2015' 07/01/2016 AGGREGATE $ 7,000,00 --- I DED X RETENTION $ -0" �. $ WORKERS COMPENSATION X STATUTE EORH AND EMPLOYERS' LIABILITY YIN A ANY PROPRIETOR/PARTNER/EXECUTIVE FN--]: / A WCP 5 080 987 07101/2015 07/0112016 E �H ACCIDENT — "—' $ 500,00 —" ' OFFICER/MEMBER EXCLUDED? .N (Mandatory in NH) BLANKET WAIVER OF SUBR E.L. DISEASE -EA EMPLOYE $ 500,00 If yes, describe under DESCRIPTION OF OPERATIONS below ! °- E.L. DISEASE - POLICY LIMIT $ 500,00 B ':Professional Liabi AFE 11 401 97 18 12/31/2015 12131/2016 Claim 5,000,00 IE &O /Ded $50,000 RETROACTIVE DATE 12131/97 Aggregate 7,500,00 DESCRIPTION OF OPERATIONS / LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project: Elevated Water Storage Tank Interior & Exterior Rehabilitation. City of Columbia Heights is added as an additional insured under the genera liability per attached form #CG2033 04/13 & CG2010 04/13. rE CITYCO2 City of Columbia Heights 637 38th Ave. NE Columbia Heights, MN 55421 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 ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD