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HomeMy WebLinkAboutC2006-531 - 9/19/2006 - ApprovedA G R E E M E N T THE STATE OF TEXAS § COUNTY OF NUECES 8 THIS AGREEMENT is entered into this 19TH day of SEPTEMBER, 2006, by and between the CITY OF CORPUS CHRISTI of the County of Nueces, State of Texas, acting through its duly authorized City Manager, termed in the Contract Documents as "City," and C.W. Campbell Electric, Inc. termed in the Contract Documents as "Contractor," upon these terms, performable in Nueces County, Texas: In consideration of the payment of $185,400.00 by City and other obligations of City as set out herein, Contractor will construct and complete certain improvements described as follows: 0.N.STEVENS WATER TREATMENT PLANT ON -GOING INSTRUMENT MAINTENANCE PROGRAM FY 2006 -2007 (RENIWAL AGREEMENT) PROJECT NO. 8541 (TOTAL BASE BID: $185,400.00) according to the attached Plans and Specifications in a good and workmanlike manner for the prices and conditions set out in their attached bid proposal supplying at their expense such materials, services, labor and insurance as required by the attached Contract Documents, including overseeing the entire job. The Contract Documents include this Agreement, the bid proposal and instructions, plans and specifications, including all maps, plats, blueprints, and other drawings, the Performance and Payment bonds, addenda, and related documents all of which constitute the contract for this project and are made a part hereof. 2006 -531 09/19/06 M2006 -309 C. W. Campbell Electric Agreement Page 1 of 2 The Contractor will commence work within ten (10) calendar days from date they receive written work order and will complete same within ONE (1) CALENDAR YEAR after construction is begun. Should Contractor default, Contractor may be liable for liquidated damages as set forth in the Contract Documents. City will pay Contractor in current funds for performance of the contract in accordance with the Contract Documents as the work progresses. Signed in 4 parts at Corpus Christi, Texas on the date shown above. City Secretary APPROVED AS TO LF AL F©M: By: �V L/ LAN Asst. City Attorney ATTEST: (If Corporation) (Mote: If Person signing for corporation is not Presidesit, attach spy of authorization to sign') CIT\ OF CORPUS CHRISTI Ronald F. Massey, Asst. i y Mgr. of Public Works and Utili es a By: Ang . Escobar, P.E. Dirk for of Engineering Services /470/0/ CONTRACTOR C.W. Campbell Electric, Inc. By: Title: 802 CANTWELL LANE (Address) CORPUS CHRISTI, TX 78408 (City) (State) (Zip) 361/887 -0766 * 361/887 -0767 (Phone) (Fax) Agreement Page 2 of 2 P A Y M E N T B O N D STATE OF TEXAS 6 Bond No.: 104739239 KNOW ALL BY THESE PRESENTS: COUNTY OF NUECES 5 TEAT C.W. Campbell Electric, Inc. of County, Texas, hereinafter called "Principal", and Travelers Casualty CasuattyandSurety Company of America corporation organized under the laws of the State of Connecticut and duly authorized to do business :n the State of Texas, hereinafter called "Surety ". are held and firmly bound unto the City of Corpus Christi a municipal corporation of Nueces County, Texas, hereinafter called "City ", and into all persons firms and corporations supplying labor and materials in prosecution of the work referred to in the attached contract, in the penal sun of ONE HUNDRED EIGHTY -FIVE THOUSANDS FOUR MINDER AND NO /100 ($185,400.00) DOLLARS, lawful money of the United States, to be paid in Nueces County, Texas, for the payment of which sum well and truly to be made we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents THE CONDITION OF THIS OBLIGATION IS SUCH THAT: Whereas, the principal entered _tit() a certain contract with the City of Corpus Christi, dated the 19211 day SEPTEMBER , 20 06 , a copy of which is hereto attached and made a part hereof, for the construction of: 0.W.STEVENS WATER TREATMENT PLANT 01- GOING INSTRUMENT MAINTENANCE PROGRAM FY 2006 -2007 (RENEWAL AGREEMENT) PROJECT NO. 8541 (TOTAL BASE BID: $185,400.00) IOW, THEREFORE, if the principal shall faithfully perform its duties and make prompt payment to all persons, firms, subcontractors, corporations and claimants supplying labor and material in the prosecution of the work provided for in said contract and any and all duly authorized modification of said contract that may hereinafter be made, notice of which modification to the surety is hereby expressly waived, then this obligation shall be void; otherwise to remain in full force and effect. PROVIDED FURTHER, that if any legal action be filed upon this bond, venue shall lie in Nueces County, Texas. And that said surety for value received hereby stipulates that no change, extension of time alteration or addition to the terms of the contract, or to the work performed thereunder, or the plans, specifications, drawings, etc., accompanying the same shall in anywise affect its obligation on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract, or to the work to be performed thereunder. Payment Bond Page 1 of 2 This bond is given to meet the requirements of Article 5160, Vernon's Civil Statutes of Texas, and other applicable statutes of the State of Texas. The terms "Claimant", "Labor" and "Material ", as used herein are in accordance w.:th and as defined in said Article. The undersigned agent is hereby designated by the Surety herein as the Agent Resident in Nueces County to whom any requisite notices may be delivered and on whom service of process may be had in matters arising out of such suretyship, as provided by Art. 7.19 -1, Vernon's Texas Insurance Code. I NITIIESS wilimmor, this instrument is executed in 4, copies, each one of which shall be deemed an original, this the 1St day of November 20 06 PRINCIPAL C. W. Campbell Electric. Inc. Airr s rtIQ ,file (Q /e/ rint Name) SURETY Travelers Casualty and Surety Company of America By: !LI Attorney -in -fact Kerry J. Woods 'Print Name) The Resident Agent of the Surety in Memos County. Texas, for delivery of notice and service of process is; Agency; Keetch & Associates Contact Person: Kevin Keetch AdSS: P.O. Box 3280 Corpus Chrisit, TX 78463 -3280 Phone Arnrber: 361- 883 -3803 (NOTE: Date of Payment Bond must not be prior to date of contract) (Revised 9/02) Payment Bond Page 2 of 2 STATE OF TEXAS S COUNTY OF EMCEE; IS P E R F O R M A N C E B O N D Bond No.: 104739239 KNOW ALL BY THESE PRESENTS: TEAT C.W. Campbell Electric, Inc. of NUECES County, Texas, hereinafter cal led "Principal", and Travelers Casualty and Surety Company of America corporation organized under the laws of the State of Connecticut and duly authorized to do business in the State of Texas, hereinafter called "Surety ", are held and firmly bound unto the City of Corpus Christi; a municipal corporation of Nueces County, Texas, hereinafter called "City ", in the penal sum of ONE HUNDRED EIGHTY -FIVE THOUSAND, FOUR H NDP D A NO /100 ($185,400.00) DOLLARS, lawful money of the United States, to be paid in Nueces County, Texas, for the payment of which sum well and truly to be made we bind ourselves, our heirs, executors, administrators and successors: jointly and severally, firmly by these presents: TIME CONDITION OF THIS OBLIGATION IS SUCH THAT: Whereas, the principal entered into a certain contract with the City of Corpus Christi, dated the 19'!" of SEPTEMBER , 20 06 , a copy of which is hereto attached and made a part hereof, for the construction of: 0.N.STEVENS WATER TREATMENT PLANT ON -GOING INSTRUMENT MAINTENANCE PROGRAM FY 2006 -2007 (RENEWAL AGREEMENT) PROJECT NO. 8541 (TOTAL BASE BID: $185,400.00) NOW, TEERZFORE, if the principal shall faithfully perform said work in accordance with the plans, specifications and contract documents, including any changes, extensions, or guaranties, and if the principal shall repair and /or replace all defects due to faulty materials and /or workmanship that appear within a period of one (1) year from the date of completion and acceptance of improvements by the City, then this obligation_ shall be void; otherwise to remain in full force and effect. PROVIDED FURTHER, that if any legal action be filed on this bond, venue shall lie in Nueces County, Texas. And that said surety for value received hereby stipulates that no change, extension of time, alteration or addition to the terms of the contract, or to the work performed thereunder, or the plans, specifications, drawings, etc., accompanying the same shall in anywise affect its obligation on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract, or to the work to be performed thereunder. Performance Bond Page 1 of 2 This bond is given to meet the requirements of Article 5160, Vernon's Civic Stat'ates off Texas, and other applicable statutes of the State of Texas The undersigned agent is hereby designated by the Surety herein as the Agent Resident :n Nueces County to whom any requisite notices may be delivered and on whom service of process may be had in matters arising out of such suretyship, as provided by Art. 7.19 -1, Vernon's Texas Insurance Code. IN WITNESS WHEREOF, this instrument is executed in 4 copies, each one of which shall be deemed an original, this the 1St day of November , 2006 PRINCIPAL C. W. Campbell Electric, Inc. By: Ze‘ii 4/4/ g R 644 I,f c 61 ple.:4 P - (Print Name & Tit e ATTE Gtr _ Sec tary <a 41 /re /� (Print Name) SURETY Travelers Casualty and Surety Company of America By: Attorney -in -fact Kerry J. Woods (Print Name) The R sidant Agent of the Surety in Mtwcea County, Texas, for delivery of notice and service at process is: agency: Keelch & Associates contact Person: Kevin Keetch Address: P. 0. Box 3280 Corpus Christi, TX 78463 -3280 Phie limber: 361 -883 -3803 (NOTE: Date of Performance Bond must not be prior to date of contract) (Revised 9/02) Performance Bond Page 2 of 2 STPAUL Iri TRAVELERS attllrnev -In Iant No 1501)-1 nrARN JG Ty,R r0 ./ER F ATTORNF INVALID WITHOUT THE RED BORDER POV ER OF ATTORNEY Farmington 1 asualt■ ( outman% Fidelity and guaranty Insurance t'ompany l idelit■ and t :uarant■ [muranc, 1 nderv(riters. Inc ,eahuard Surety Company =':rul F 'ir+- ind 1larim° insurance ( ompany K'St)% a1J 3IEN KV"THESE PRESENTS I'unt Sraboar. Ourrty Fn. in Agar -L - :nsur. no Comp.u1 -. ' I'aL (iii rdian n,urs:.. 4 5 ne , r Vt■nne,.. that E tinumot;-,i ( ,■ ( "„ntp.ut. ti r -,n, :;il orga ,, o,d under t i, - ot Stuff. :,I C. -leer,, Man •,ind. that I i is am t i:,arant y Insu , (., n, ins .1,11 .'e 1 -.k writer. Inc ;,up,,, ,1101 luly .,,, ,n1n1, ,n ,ni- - hei: ,y Hake. _ni , u rr .111,1 St. Paul Guardian Insurance Company St. l'aul Mercury Insurance Company Travelers Casualty and Surety Company Tray elers Casualty and Surety Company of America I'nited States Fidelity and Guaranty Company Certificate No. 0 0 018 8 3 61 ( nmpan■ is i corporation duly organ /ed under the laws of the State of New York, that St. Paul iipany and Si Paul Alercur■ Insurance Company are corporations duly organized under the laws , Casualty Surety Company. and Travelers Casualty and Surety Company of America are that United State, Fidelity and Guaranty Company is a corporation duly organized under the nfptuny is a rr,rporat ion duly organized under the laws of the State of Iowa, and that Fidelity and „n.der the List o! the State of vi'iscon,in (herein collectively called the "Companies -1, and that Beth J Baxter Lee Anna Biesenbach Kenn G Keetch. Gonna Laurence. j. Michael Rhyne, and Kerry J. Woods of if, C =!., ,n Corpus Christi _ suac cacr n their soparate capes. ity if more than one is amen ahoy. 0 s.go other wr,nngs oftigatof. ,n the nature !hcreot on 'vehalt of the e'oittp. out acts , ltd ye, utin_ or . uarantcclno bond, and undcrlakino reqmi . 1 exas . their true and lawful Attorney(s) -in -Fact, . cyecute. seal and ackno s ledge any and all bonds, recognizances, conditional undertakings and mien in their business of guaranteeing the fidelity of persons, guaranteeing the performance of or permitted in any actions or proceedings allowed by law. IN NA ITNESS WHEREOF. the ('om panic, hayc used this iiititrument to be signed and their corporate seal, to he hereto affixed, this 13th day March 2006 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters. Inc. Seaboard Surety Company St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America united States Fidelity and Guaranty Company Slate,1 ( <,nnc �t. pit ( ih El 1111y. 3th 1, y March 2006 ht. tore me personalh appeared George W. Thompson, who acknowledged nnlyau• . Fidelity aid Guaranty insurance Company. Fidelity and Guaranty Insurance Underwriters, c Company. St. Paul Guardian Insurance Company. St. Paul Mercury Insurance Company, Travelers mp fn..,f America, and Cnited States Fidelity and Guaranty Company, and that he, as such, being nc.. error contained by signing on behalf of the corporations by himself as a duly authorized officer. 1 ly me roo, y'i:. President . ! arming, ,n (, uulty Inc. •;rah rd ;ur ty ( mhany-, St. P r it ` rc and Aurine )ii ii n isu..,ty Ind Surely C opany. Tra eler, Casualty ■nd Surety ( utth, -zet. i 1, do exe. ?tee_ the fore,, ,n , ,nstrumc tut for the put In Willies, Whereof, 1 i1c ( ,mn,:,su e.pire• unto Sot 10 Li r“..1 and 01 'cial ,eal. x 3Oth day n to -re 'Oli 58440 -9 -05 P, Tiled in A. Marie C. Tetreault, Notary Public WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER M. ST PAUL TRAVELERS IMPORTANT NOTICE TO OBTAIN INFORMATION OR MAKE A COMPLAINT: You may contact Travelers Casualty & Surety Company of America, Travelers Casualty & Surety Company, Travelers Indemnity Company, Standard Fire Insurance Company andior Farmington Casualty Company for information or to make a complaint at: I ravelers Bond -\ttn: Claims 500 Market Street West Tower, Suite 2900 Philadelphia, PA 19102 267) 675 -3057 267) 675 -3102 Fax You may contact the Texas Department of Insurance to obtain the information on companies, coverages. rights or complaints at Texas Department of Insurance P O Box 149104 \ustin_ TX 78714 -9104 { 800) 252 -3439 ATTACH THIS NOTICE TO YOLK BOND. This notice is for information only and does not become a part or a condition of the attached document and is given to comply with Section 2253 -021, Government Code, and Section 53.202, Property Code, effective September 1 . 2001. ACORD. CERTIFICATE OF LIABILITY Swantner & Gordon Ins Agcy-C. P C Box 870 Corpus Christi TX 78403 -3870 Phone,361 -- 883 -1711 Fax 361- 844 -0101 INSURED C. W. Campbell Electric, Inc 802 Cantwell Corpus Christi TX 78408 COVERAGES YINSURANCE CSR ME I DATE (MM/DD/YYYY) I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 7/06 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NSURER A' Association Casualty Ina. Co. INSURER B. NSURER C I INSURER D I- INSURER E NAIC # Mercury Insurance Group 35629 11908 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 'SSUED 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 AGGREGATE LMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD 'L N5RO TYPE QF INSURANCE POLICY NUMBER R GENERAL LIABILITY ,/ COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCU XPer Project Aggre GEN'L AGGREGATE JMITAPPLIES PER POLICY ECT —� ..00 AUTOMOBILE LIABILITY ANY HJTO �/ X� ALL 7WNED AUTOS X SCHEDULED ALTOS X HIRED AUTOS X NON OWNED Al TOS CMP9003949 BAP4509956 GARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY I [X } OCCUR CLAIMS MADE CU1803 DEDUCTIBLE IX RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY tl ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED, If yes, describe under SPECIAL PROVISIONS below 1WCA9027060 OTHER A Installation Fltr POLICY EFFECTIVE DATE (MIWDD/YY) 07/01/06 07/01/06 POLICY EXPIRATION DATE (MM/DD/YY) 07/01/07 LIMITS EACH OCCURRENCE UAMAGt IU RtNI EU PREMISES (Ea occurence) MED EXP (Any one person) PERSONAL 8.ADVINJURY GENERAL AGGREGATE $1,000,000 $ 100,000 $ 5,000 $1,000,000 V12,000,000 PRODUCTS - COMP/OP AGG $2,000,000 07/01/07 ` Y COMBINED SINGLE LIMIT (Ea accident) v‘1,000,000 BODILY INJURY (Per person) $55,000 BODILY INJURY (Per accident) $55,000 PROPERTY DAMAGE (Per accident) $55,000 AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY EA ACC $ 07/01/06 07/01/07 07/01/06 07/01/07 EACH OCCURRENCE AGG $ AGGREGATE )-/W2,000,000 $2,000,000 WC-Sl ATU- Ol H- I TORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT CMP9003948 07/01/06 07/01/07 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Project: O.N. Sterns Water Treatment Plant On -Going Instrument Maint. Program FY 2006 -2007 - Project No 8541 See NOTEPAD for additional wording CERTIFICATE HOLDER Rented Leased $1,000,000 $1,000,000 $1,000,000 $40,000 CANCELLATION City of Corpus Christi Attn: Sylvia Arraiga V P. O. Box 9277 Corpus Christi TX 78469 -9277 ACORD 25 (2001/08) CICC -CC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AU ' ORIZED RE ENT E J © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) Wavier of Subrogation as required by written insured contract in favor of the Certificate Holder applicable to workers Compensation and General Liability policies. Additional Insured as required by written insured contract in favor of the Certificate Holder applicable to the General Liability policy. COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY - PLEASE READ IT CAREFULLY f ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization City of Corpus Christi Department of Engineering Services Attn: Contract Administrator P. O. Box 9277 Corpus Christi, Texas 78469 -9277 (If no entry appears above, information required to complete this endorsement will be shown in the Declaration as applicable to this endorsement.) A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily injury" 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 additional insured(s) at the site 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 organization other than another contractor or subcontractor engaged in performing operations for a principal as part of the same project CG20101001 Insured: Effective: July I, 2006 CW Campbell Electric, Inc. Randal M. Authorized Representative Poi # CMP9003949 Managing Partner Title: TE 99 01B f ADDITIONAL INSURED This endorsement modifies insurance provided under the following: / BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM TRUCKERS COVERAGE FORM This endorsement changes the policy effective on the inception date of the polic unless another date i ' b I Endorsement Effective July 1. 2006 y Policy Number BAP4509956 / s 111,11‘441.64.1 e ow. Named Insured CVt' Campbell Electric, Inc. Countersigned by day �F , W (Authorized Representative) The provisions and exclusions that apply to LIABILITY COVERAGE also apply to this endorsement. Additional Insured: //City of Corpus Christi Dept. Of Engineering Services Attn: Contract Administrator P. O. Box 9277 Corpus Christi. TX 78469 -9277 is an insured, but only with respect to legal responsibility for acts or omissions of a person for whom Liability Coverage is afforded under this policy The additional insured is not required to pay for any premiums stated in the policy or earned from the policy. Any return premium and any dividend, if applicable, declared by us shall be paid to you. You are authorized to act for the additional insured in all matters pertaining to this insurance. We will mail the additional insured notice of any cancellation of this policy. If the cancellation is by us, we will give ten days notice to the additional insured. The additional insured will retain any right of recovery as a claimant under this policy. FORM TE 99 01B - ADDITIONAL INSURED Texas Standard Automobile Endorsement Prescribed by March 19, 1992 ATTACHMENT 2 2 OF 2 COMMERCIAL GENERAL LIABILITY CG 02 05 01 96 THIS ENDORSEMENT CHANGES THE POLICY - PLEASE READ IT CAREFULLY / TEXAS CHANGES - AMENDMENT OF CANCELLATION PROVISIONS OR COVERAGE CHANGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS / COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART In the event of cancellation or material change that reduces or restricts the insurance afforded by this Coverage Part, we agree to mail prior written notice of cancellation or material change to: SCHEDULE City of Corpus Christi Dept. Of Engineering Services Attn: Contract Administrator P. O. Box 9277 Corpus Christi, TX 78469 -9277 Number of days advance notice: THIRTY (30) Named Insured: CW Campbell Electric, Inc. Policy Number: CMP9003949 -� Effective Date of This Endorsement: July 1, 2006 Authorized Representative: Name (Printed): R. M. Lee Title (Printed): Managing Partner CG0205 (01/96) ATTACHMENT 3 1 OF 3 TE 02 02A CANCELLATION PROVISION OR COVERAGE CHANGE ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM TRUCKERS COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below: Endorsement Effective July 1, 2006 Policy Number BAP4509956 Named Insured CW Campbell Electric, Inc. 0 Countersigned by (Authorized Representative) i THIRTY (30) days before this policy is canceled or materially changed to reduce or restrict coverage we will mail notice of the cancellation or change to: City of Corpus Christi Dept. Of Engineering Services Attn: Contract Administrator P. O. Box 9277 Corpus Christi. TX 78469 -9277 Authorized Representative: Name (Printed): Title (Printed): R. M. Lee Managing Partner FORM TE 02 02A - CANCELLATION PROVISION OR COVERAGE CHANGE ENDORSEMENT Texas Standard Automobile Endorsement (Ed. Effective 3/92) ATTACHMENT 3 2 OF 3 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC420601 (ED. 7 -85) TEXAS NOTICE OF MATERIAL CHANGE ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in item 3 .A. of the Information Page. In the event of cancellation or other material change of the policy, we will mail advance notice to the person or organization named in the Schedule. The number of days advance notice is shown in the Schedule. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule 1. Number of days advance notice: 30 2. Notice will be mailed to City of Corpus Christi Department of Engineering Services Attn: Contract Administrator P 0 Box 9277 Corpus Christi, TX 78469 -9277 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 07/01/06 Policy No. Insured CW Campbell Electric, Inc. WCA9027060 Endorsement No. Insurance Company Association Casualty Countersigned By: WC 42 06 01 Name (Printed): (Ed. 7 -84) Title (Printed): R. M. Lee Managing Partner ATTACHMENT 3 3 OF 3