HomeMy WebLinkAboutC2006-575 - 12/19/2006 - Approved?~~~-t,-~~c
12!19f06
M 2006-~29
i"susco Sportti Lighting
S P E C 2 A~ P R C V I S S O_. ~
S P E C I F I C A T I O N S
A N D
F O R M S O F C. O N T R A C T S A N D B O N D~
F O R
SPORTS FIELD LIGHT~NG
IMPRO~TF3MBI~TT ~
---- - ~
F'UR
Y~RY.~ AND RECREATION LEPARTME2dT
CITY OF CORPITS CHRIS'.T.'?, TE}:AS
Phane: 361/826-346i
Fax: 361/826-38u'4
AND
UEPAR2'MEDTT OF F.N'GINEEFZITTr S~RVI~ES
CITY OF CORPUS CHRISTZ, TEXAS
Phone: 361/880-3500
Fax: 361/88C-~5G1
PROJ~CT NC: ~315 ~
~~
~~~ ~
URF1'~TItIG NU : THI3
!R.evised ~ 5/OCt'
SPORTS FIELD LIGHTING IMPROVBMBNTS
Table of Conteats
~9-~-- {NOT USED )
NOTICL TO CONTRACTORS - A ( Revised May 2 006 )
Insurance Requirements
NOTICL TO CONTR.ACTORS - 8,Revised ~ j s/oa }
Worker's Compensation Coverage For Building or Construction
Projects For Government Entities
PART A - 3PECIAL PROVISIONS
~~- (NOT USED)
~. '~'_'`: ~: ~' "" '"'' r'"` (NOT USED?
A-3 Description of Pro~ect
A-4 M~thod of Award
A-5 Items to be Submitred witt~ Proposal
A-6 Time of Completionr'Liquidated Damages
A-? Workers Compensation Insurance Coverage
~-- ~'~ =-~~ ~"~ ^~~ ( NOT USED )
~--~--- ~4ei~ei~~r3ee~~ne~~ e€ ~~e~~- (NOT USED)
A-i0 W~ge Rates ~Revised 7/5/00
A-il Cooperation with Public Agencies (Revised 7/5/00)
A-12 Maintenance of Services
A-i3 Area Access and Traffic Control
A-i4 Canstruction Equipment Spillage and Tracking
,~"3~- ~"_"'..`'" "'' n ' (NOT USED)
A-16 ~i~posal/Salvage of Materials
~ ~ ~ ~' ~e ~ e~--6~f € re~e
A-18 Schedule and Sequence of ~onstruction
A-19 Collstruction Project Layout and Control
A-20 Te~ting and Certif~cation
A-21 Project Signs
A-22 Minority/Minority Business Enterprise Participation Policy (Revised 10/98)
A-23 Inapection Required (Revised ^ 5/00)
A-24 Surety Bonds
A-25 Sales Ta~c Exemption NO LONf;SR APPLSCABLS (6/il/98)
A-26 Supplemental Insurance Requirements
A-2? ReSponsibility for Damage Claims
ZL_~o ~..,....a..~~~~s €e~--~e~~~ae~ ~~ra~~ a~~ -~it~..~~,3--(NOT USED)
A-29 Caatractor's Field Administration Staff
A-30 Ac~uended "Consideration of Contract" Requirements
A-31 Arnended Policy on Extra Work and Change Orders
A-32 Amended "Execution of Contract" Requirements
~ ~z """"'' -- F " ' (NOT USED)
~~-
T ~°~_TZ'"ref'~el~ee ` ` ~' ~=n~~-(NOT USED~
" ~S ("~j TT L 1~~ [~w ~l _ __ __
j ~ (NOT USED)
A-36 Other Submittals (Revised 9/18/d0)
~- n~ain ~L
,. » a ~~„ .... _wa „L__-e ~e~ Wa~e~~'x~~r}~~e~ ~i~~e ^~~~-(NOT USED~
A-38 wosker's Compensation Coverage for Building or Construction Projects for
Government Entities
~ (NOT USED)
A-40 Amlendment to Section B-8-~: Partial Estimates
Tn-~- (NpT USED)
A-4~ OSHA Rules ~ Regulations
A-43 Amended Indemnification & Hold Harm~ess (9/98~
A-44 Change Orders ;4/26/99)
A-45 As-Built Dimensions and Drawings {~js/oo)
(NOT USED)
A-4E Overhead Electrical Wires r~15/00} ~NOT USED)
A-4G Amend "Maintenance Guaranty~~ i8/24/UO)
A-SC BuyBoard Quote / Technical Specification / Scope of Work
PART H - GSNER.AL PROVISIONS
PART C- F]3DERAL WAf~il3 RAT83 AND RgQUIRgMgNT3
n~~-~ s~2Ta~+r+~nr~ nc+nTeT~~...~.. (NOT II38D)
iTiZCT--Z
~ar•.• /~ ~ A~~/7Lwi TaTSGTta~~'Tr/'/T~TVfT~ (NOT II3ED)
T T~T ~!_ TS.'~lTfTAe~ (NOT VSiSD~
NOTICL
AGRBSI~NT
nn~cvr~"'~~'8 '~bA$~--~ '~-4'~F~'-- ~ NOT US BD )
PERFOR~LANCE BOND
PAYMENT BOIPD
NOTICE TU CONTRACTORS - A
NOTICE TO CONTRACTORS - A
INSURANCE REQUIREMENTS
Revised May, 2006
A Certificate of Insurance indicating proof of coverage in the following amounts
is r~quired:
TYPB OF IN3IIR!-NC8 MINIMIIM IN3IIRANCB COVBRA(iE
30-Day Notice of Cancellation required on Bodily Injuxy and Property Damage
all certificates PER OCCVRRBNCB / AGGR$GATS
~ommercial General ~iability inc~.uding: $2,~~00,000 COMBINED SINGLE LIMIT
_. ~ommercial Form
<. Premises - ~perations
_. E3cpiosion and Coliapse Hazard
4. Underground Hazard
~. Productsi Completed Operacions
Hazard
6. Contractual Liability
?. Broad Form Property Damage
8. Indeperident Contractors
9. Personal Injury
AUTOMOBILE LIABILITY--OWNED NON-OWNED $1,000,000 COMBINED SINGLE LIMIT
OR RENTE~
WHICH COMPLIES WITH THE TEXAS WORKERS'
WORKERS' COMPENSATION COMPENSATION ACT AND PAR.AGRAPH II OF
THIS EXHIBIT
EMPLOYERS' i,IABILITY $100,000
EXCESS LIABILITY $1,000,000 COMBINED SINGLE LIMIT
BROFESSIONAL POLLUTION LIABILITY/ $2,000,000 COMBINED SINGLE LIMIT
ENVIRONMENTAL IMPAIRMENT COVERAGE
Not '~imited to sudden & aCCidental ~
~ REQUIRED
discharge; ~o inciude long-term, t X NOT REQUIRED
, environ~aental impact for the disposal of ~
i contaminants
t BLTILDERS' RISK See Section B-6-11 and Supplemental
Insurance Requirements
' , REQUIRED
i X NOT REQUIRED
. II NSTAi3LATiCN FLOATER
, !$100,000 Combined Single Limit
~
~ See Section B-6-11 and Supplemental
Insurance Requirements
X REQUIRED
NOT REQUIRED
Page 1 of 2
Tr~ City of Corpus Christi must be named as an additioaal iasured on all coverages -
except wcrker's compensation liability coverage.
ite name of the Project must be listed under "description of operations" on each
certificate of insurance. -
Fc~ ea~r. insu~a-:::e ccverage, tt:e Contractor shall obtain an endorsement to the
applicable insurance poiicy, signed by the insurer, providing the City with thirty
(30! days prior written notice of cancellation of or material change on any '
coverage. The Contractor shall provide to the City the other endorsements to
insurance policies or coverages which are specified in section B-6-11 or Special
Pro~-isions section of the contract.
A compl~ted "Disclosure of Interest" must be submitted with your proposal.
Should you luve aay questions regardiag iasuraace requirements, please coatact the _
Contract Admiaistrator at 880-35Q0.
Page 2 of 2 ~
NOTICE TO CONTRACTORS - B
NOTICE TO CONTRACTORS - B
WOR~.:~' S CO:iFEivSATION COVER.AGE FOR
BUILDING Gn C~NSTRIICTZON PROJECTS
~OR G:,Vc:c?~TMENT ENTITIES
"exas 1aw requi~es tha~ -,ost contrsctors, subcc:cractors, and
otr~~r= ~roviding woric or ser~~~ces for a City building c= construction
prc=ec= ^ust be covered by wori:er's compensation insurs~ce, authorized
se~*"-:_.s~.:rance, or ~n aopreved worker`s compensa~~~z coverage
agre~.^.:~^ ~ .
=ven if Texas iaw does ~.ot require a contractor, subcontractor
or c~n~rs performing project services (incluciing deliveries to the job
site: ~~ provide 1 oi the 3 Forms of worker's compensacion coverage,
the ;~~~~y will require such coverage for aIl individuals providing work
or =e~:ices on this Prvjecc at any time, ineluding during the
m«ir~_^.ance guaranty perzod. :~totor carriers which are required to
reg~=-~r with the Texas Depar~-.~nL of Transportation under Texas Civil
Stat~~~s Article 6675c, and which provide accidezt~i insurance
cover~ce under Texas Civil :tatutes Articie 6675c, Section 4(j) need
no~ ~-ovi3e ~ o~ the ~ foz-ms c~ worker~s compensation ceverage.
'"he Contractor agrees ~.~ comply with all applicable provisions
of °"°xas Administrative ~ode ~itle 28, Section 110.110, a copy of
whic: ~s attached and deemea ~^corporated into the project contract.
Please ~:ote that under secticn 110.110:
:.. certain ~anguage ^ust be included in the Contractor's
Contract with the City and the Contractor's contracts with
subcontractors anc others providing services for the
Project;
~. the Cantracto~ ~s =equired to submit ~o the City
certificates of caverage for its employe~s ~nd far all
subcontractors and others providing services on the Project.
The Contractor is required to obtain and submit updated
certificates showing extension of coverage during the
Project; and
3. the Contractcr is ~equired to post the requ==°d notice at
the ~ob s~te_
By ~~c.^.~.ng this Concract, the Contractor certifies thac :_ will timely
com~i•,••~ith these Not_c° -o Contractors "B" requirement=.
N022CE :0 CON?R7~ICSQRS - B
(Reviseo 1/13/98)
Paqe 1 of 7
8/~ ~ 9g
. .: L C . ~: i l~.
j~itle ?S. L~SLR~.`CE
Part II. TE~.~S «'ORI~ERS' C4'~IPE:VSATIO\' C0:~11~IISSiO\`
':vhaprer i10. REQLLRED 1~`OTICES OF COV~ER~GE
~ubchaprer B. E~1PL0'~~R tiOTICES
~ I1fl.I10 Reoor-cin~ Reauiremeuu far 3uilding or Constructioa Projecu for Governmenta!
Entities
t a) The folSowin¢ words aad ter:ns, u•nen used in this ruie, shali h~ve the foIlowing meanings, unless
:he context cieariy inaicates oli~erwise. T~~:ns not define~ in ;his ruie snalI have the meaninQ de~ned in
~he Te.~ca.s La.bor Cade, u so de~ne~. r
~. :} Certuic. te oi cove:~zge ~ce-*.uic; ~~ ,-= cooy of a cer~.ificate ei i: sur~nce, a ce:tuicate ei autiiorir}~
to seia-insure :ssue.a bv tne c:,r:unissic~., c; a worke:s' compe:zsaien coverage a~re~ment (TWCC-SI,
~'WCG"o2, TWCC-S3, or T'E~CC-S41, showing statutory workers' cornpensauan insurance coverage
:or the person s or eZtir~s ern~Ioye~s tinciuding those suoject to a covera~e agreement) providin~
services an a project, f~r the duration of the project.
(2} Buildina or canstzur.ion-rias ~r.e mer.^.i*~~ denned in the Tz~czs Labor Code, § 406.096(e)(1).
(?) Contrac:or-.~ person oidding :ar :.r awarded a bui~ding or caastrucwaon project by a govemmenta.E
enritv.
(4) Coverage-Workers' compenSaLiOrl inSLr2iice meeting the SLatuiOry requifCmCn2s Of the Texas
I,abor Ccde, § 401.011(41t).
(S) Covera~e a2rce~aat-A written ~~re~:^ezt on form TWCC-oi, form T'WCC-s2, form iZVCC-S3,
or form TWCC-84, fil~d with the 7e.~cas Work~rs' Comae~sarifla Commission which cstablishes a
r~tati~nship berweea the pardes for puiposes of the Texas Worke: s' Compensation Act, parsuant to
the Tacas Labor Code, C~ter 406, Subchapters F and G, as one of employer/employee aad
estab~tshes who wiIl be respoasible for providing workors' compensatioa coverage for persons
providing scrvic~s on the project.
(5} Durauoa or the projeci-ir,cFudes tize tirne from tne beeinning oi woric on the groject untii t~:e
woric or. t::t projec: h~s be-.~ compie:e~ :.-:„ accepte~ by the ¢over.unental entity.
(`) Persons crovidin~ se^.~c~s on L~e ~roie^ ~"SUbCCnii'aCtor" u. 3 406.096 of the Act)-ti'ich the
exceptior. oi oersons exciuded under suosecuoas ~h) and (i) af this section, inc3udes aii gersons or
enc~ries ae:r'orming aIl or cazt of the services the cantractor has undertaken io perform On ihe Drojec•.,
regardless o: whethe: tnat person canuac;e~ directly wiui the contractor and regardless of whether
that person t~as emaloye~s Tf-.is inciudes but is not iunited to indeaeadent contractors, subcoauaczors.
(easin~ cernpanies, motor cazriers, ;wner-ooerators, employees of zny such entiry, or empIoye°s of
~,zv e:~siry fi:rr.:sning persons to pe:iar~ se:vic~s on the project. "~ervices" ircludes but is not li..^ute~
rrOTZCE TO CQNTRACSORS - _
,tt~ ;~,uww scs.state r.+:.us~taU28/IL': iOB,~" :0 ; IO htr^.i Revised 1/13/9B) g/~~qs
Paqe 2 of 7
~- _
_ _ _ ~ Page ? c: ~
=~ :.-'•:-- _-=:.:ur.c, c: de:.rezng ecu~p,::e~: er ...~._^sis. cr ~;~~zding iabor t.-~zs~c:-~_:cn, or othn-
n • ~ .,.
~e^,rtL~ r.,.,.._c .;, a ~rojec:. S~:vices" ~ees no: L._.,.,.,, aar,~ ~~s ~.:r~eiat
"' "° .:. ed to the proiec- _.:cn ~s
_`ook.. ~e~, °rw~e ~: enaors, c.~.~~ su~pivi ce!~veries, ~._ ceiiverv at ~or-~ofe toile~s.
; 8; P-cie~:-:jciudes r:7e erc•,ision cr all se:vices ;~i~:ec ~0 3 CL':iG:,:,g or construcT.ion cor.;;z~z Lor a
~ove:~ ~e:::r.~ enury.
;~b} PrC~;ai:.~ or causing io ~e provided a certincz;e e: coverage rursuant to this rule is a
~eprese: -..a;:~ : pv the insurec :hat all empioyees cf .:e insured w•no are pro~zding services cn the
~rojec: ~ e ~e•,~ered by woricers' comperisauon cove: a2e, Lhat the coverage is baserl on oraoer
±eportirte oi ciassincauon c;;des and payrall amour.s, and that ai coverage a~reements r.ave deen file3
wir.n u e 2~~ropriate uuura~.:e ca.~ier or, in the case ei a self-ins;ued, with the commission's Division
~f Se~.i-L:S;::~:ce Reguiauor Providing ialse or misie:ding ce.~.;cates of coverage, or :aii:ng to
arcvide o: r:~iutain re.~uirec c~verage, or failing tc report any c:.zage that maierially atie~s the
provision o: c.~verage may ssbject the contractor ar other persoa providing services on the project to
admir,istl ~::~•e penalties, c.rir~ina.~ penalties, civii pe:.ziues, or oth~r civil actions.
,c) A eove:-^ ~eztal eautv L.z: enters into a buildi;.~ or constnic:.=on contraet on a proje~ s;:all:
= I) inciude : tae bid spe~incatons, all the provisiors oz para~p:~ (?} of this subseaie0. Ls:ng the
':angua~e -e~uired by paragtzaa (7) ai this subsec:ic~:
~ 2) as part ci L~e contrac,, using the danguage re~uli ed by para~ph (7) of this subsec~on, require tt:e
~~nL-a~cr t~ perform as re~~,:ired in subsection (d) oi this seetion;
~ 3) ~bcair: ~ ~:n L~e ecmrac.c. a certificate of coverase for each pe:son providing services on the
proiect, ~:~or to that person be2innin2 woric on the project;
r4) obtain frem the conL-acor a new cercificate of coverage showing eact~nsion of coveraee:
~A) be:ore t:^e end of the a:.: ent coverage period, ~~'~~e contrac.or's currern certificate of coverage
shaws that ;:e coverage perod euds during the duratiQn of the groiect; and
~B) no iate: :.~.an seven days zr~er the expiratioa of t~e cnverage :or each other person providing
services on thc project w}~ose cuirent certificat~ shows that the coverage period ends duriag the
duration or't~e project;
(5) reLaiii C~:~fcat~s of cov~rage on fiIe for the duration of the project and for three years thereafter,
(6) previde a copy of the ce:.i$cates df coverage to tiie com:niss:on upon request and to any person
Pnut?e~ :e :he:n oy Iaw; and
(?) use t~e I~.~-sa~e containe~ in the folIowing Firau: e i for bid specincations and contrc.s, :~~ithoui
any addi~onai woras ar cnanges, except those reqLirea to accorr.moaate che specific docur.ient in
which ~h~v ~.re containe~ or ~o impose stricter stanazrds of docL :ie~tatiQn:
TzsS; ;0.1 i;r(c)(7)
tb!
NOTICE SO CONTRACTCRS - 9
Revised 1I13/981
htt~:i/:~~w sosstzte.tx.usita~'~s/II1? iC/B/110.I l0.htzr.i Paqe 3 or ~
8/7/S 8
_ .~c , ~. ~. ~ : ~~
: A co.^.tracsor snai::
Page .i or"b
:} pravide covecage ior ~ts empic•~e~s croviding servic~s on a projecr, ;~: ;::e duration of the projec;
°ssed on prop~: re~orinrt oi cfass~.c~::on codes and p2~TQl! BIIlOLIf12S 2.T:Q r:?: 2 af any coverage
~~eements;
~} provide a certificate of caverage S:iowiritt wOrlce~` c~rapensation cave:a_e to tho govemmental
>a~iry prior to b_' ~~Q work on :.:e ~raject;
+::} provide the gove:nmernaf eaLr;, r^or to ttia ead af the coverage pe:iec, ~ new certificate of
~~vr,rage showing excension of cover~ge, if the coverage pcriad shown on ~?~e contracto~s cuirent
: ertiScate of coverage ends durir.7 ~^.e 6urauon of the proj~ct; ~
(~) ohta.in 8rom each persort providing services on a project, aud provide te t: e~ovemmeatai eatity:
( 4} a cerciS~cate of covera~e, prior to rhat persan begiaaing work on the groject, so the goveramemal
e~dry will have on file cerrificates ~i coverage showin¢ coverage for all gersons pravidiag services on
~~e projecc; and
~~) no later thaa seven days aftu : ccei~c by the coatractor, a new certi.ficate oi coverage showing
ext«~ion of covexag~, if the coverzge period shown on the cun-eat ceitiacau of coverage ends during
the duration of the proi~;
(5) retain all required ce: a.&cates or' coverage on fiIe for tha duration of ~~c groject and for one year
thereafter,
{6) natify the goverameiuai entity in wririag by certified mail or persoaal de!ivery, withia tea days a.fter
che ccu~ractor kaew or shocild have icnew~ ef aay chaage t,hat mataiaiIy aaects the provision of
caverage of any person providing s~rvicrs on the project;
(.~} posc a notice on each project siu inionaiag ali persons providiag services oa the project that thcy
~: ~ required to be cavared, and stariag how a paaon iaay verify cuirent c: verz.¢e aad r~poR fas~ure to
provicie cov+ecage. This naric.~ does aoc 5adsfy other posting requiremeats i~posed by the Ad or other
co~sioa rules. 'Ibis nodce must be ptiated with a title in az lesst 30 point bold type and texi ia at
least 19 poiat aornzat type, aad shall be ia both Eaglish and Spaaish aad aay othet Ianguaga cammon
ta the worker popula~o~ T~e text for the notices shall be the followiag tact provided by the
comtao~sion on the sample notice, ~avirbout azry additional words or c~anga:
REQt~lRED WORKERS' COMPE~ISATION COVFRl'~GE
"The !sw requires that each person worldag on this site or providing servic:s rclaied to this
constrttaion projecc musc be covc:e~ by wockers' CoII1pe:1S3IiOt1 in~~*~*~Ca. i::is inciudes persons
~rovi~g, haulin~, or d~livering eouicr.ieat or materials, or praviding labor or transportatioa or oth~r
service related to the praject, regtrdless of the idemiry of their empIoyer or stttus as an eruployee."
"'CaIl the Texas Woricers' Compa^savon Commission ai 512-440-3789 to :eca:ve information on the
legai requircment for caverage, to verify whether your employer has provided the required coverage,
or ta report an employe~'s faiture co provide coverage."
NOTZCE _O COi4?R1~CTORS - 8
`~:~p:%l~~~v.sos.state.tx.us/tac/28/IIll ? OB/I 10.110.htmi RevLSed 2/13/98) gh/98
Ptqe ~ of T
rage a or 6
_ ~ ;._, ~
,- , : U
~~ CC :I:2C.~aiiy reC ';~ ~ '.."":: ~e'cp^ •y~•II '•~'GCT:: .. COAIZ2C:S ... . 'ctiice sen~c~S C:: .'. "CO)CCL 20:
E~; BfOV1aC CAVCI'?.~e 02Se3 O21 DrODef fe~OI'L::.z of ciassincation c:.ces 2.ZQ UBVi'0it u:.ounts and fiIing
~~f an`• cavera¢e aQre°:^er.u i~r ~._:.~ ci i:s e:neicve~s providi.^~ se^.zces cn tne proie~ ,:~r the duration
~f the proiec:;
;B; pro~zde a c~rti~cz~e or ~~verage CO :he coa~~C20i DtlOi LO t112L pe~SOII ~e91IlI2I.^g'::oric on the
arciec;:
tC t ir.ciuce in a.ll conu-ac.s ~o pro~1de se.~nc~s cr. tne projec: t.':e iznguaee in subse ~en (e)(3) of this
SCCIIG:1;
{D~ pravide *`he contnc:cr, prior :o ::ne end of ~i:e coveraue pe^oa, a new certinc:::e oi coverage
showing extaesion oi covera¢e, if the coverage pe:-iod shown on the curreat certinca:e of coverage
eads dc:z:nQ the duration oi the orojea;
~'E ~ eotai.: frorn each oche: ~erson v~~th whom i: contra~s, and pro~ide to the cor..*ac.or.
;) a c~cate of covera¢e, prior to ;hc ouier ~e: son beQinning wori: on the proje^; ~~d
~ti) priAr to tl~e end of the coveraae penod, a.^.ew certificaze of coverage showirig e.~c:easion of the
cavera~ge period, if the coverage period shown on tha currer.: ce:~incatc of coverZge ends duriag the
duratioa of tha project;
(~ retain all required ce~.incates of co~erage fln aIc for the duration of :he projec: a.^.d for one year
Lhtf0.°.~e';
tG~ no~i~, th~ gaye~mer,ia~ entiry `s.z writi.ng by certified mail or p~rsonaE delivery, w~~ia Lea days
after the person lmew or saould have Imown, of any change that materiaily affecu ~t:e provision of
coverage of any person providiag se.rvices on tne project; and
(~ co~aaa.ca3ally re~uire ~.:eh other persoa w:ta whom it canuae.s, to perform as *e~uired by
subpasasaaphs (A)-(Fi~ oi this para~tanh, with the c~cate of coverarre to be proviaad to the person
for wborm they are providing sei~vices.
(e} A persoa providiag services on a project, other thaa a caatractor, shall:
(i) pravide caverage for its emoloyezs providing services on a project, for the durauon ofthe project
based on prop~r re~orting of classincation codes and payroii amounu and filin¢ oi aay coverage
agree ~eau; ~ ~
(2} provide a certificzte oi cove:age as require~ by its conuac: to provide services en the projec•.,
pnar to be2ianing work on the pcoject;
(3 ) have the following lane~,iag~ in iu contract to provide services on the project: "5y signing this
contrac: or providinr3 or ~,ising to be provid~d a certificate of cav~raQe, the person sistning this
conua€: is r~presenting to the governmeatal entiry that all empioy~es of the penon sigaing this
contrac: who wi13 provide services on the projcct wiII be covered by wvricas' compensation coveraste
NOTICE TO CON?R1-CSOAS - B
htt~.r: w arw sos.state.rx.usltacJ28/II.~'': l OB/110.1 l0 htinl ~~sed iil3/981 8/7l98
Paqe 5 cf 7
__ .-_ ._. ,~~;
rage ~ ot o
:or ~:.~ d~:atian oi ~.~ proiect, :t~.at tne cc•:e:ase wiII be ~sed on proper reoorung oi c:assification
~oaes ~:d payroll ~::.ounu, and that all cov~:~e agree^z~^u •.uiii be filed wiui the aooropriau
:nsur~.c~ czrria or, ::. t~e case of a self-ir.si:red, wirh tt:e cor.imissiods Division oi Self-Insvrance
Re¢~:ia~ion. Provid'sng false or misieading ir.zor~ation may suojcct th~ contractor to adarinistrative
penai^es, c:inuaal ~e^.alties, civil penalties. or other civii ac:ions."
~4) provide the person for wnom it is providing services on the proj~ct, prior to the end of the
coverzge period shown on its current ce.ti~cate vi coverag~, a new eertificate saowing extensiaa of
COveragt, if the coverage period shown on ~e certificate ei cove: age ends during the dutation of the
proje~ ; `
{5) obuin from eac~ person providing se:vic~s on a projec: t:nder contract io it, 2nd provide as
~ equired by its conuzct:
(A) a c~tificate of caverage, prior to the o~;za persoa be~aaiag woric on tiie project; and
(B) pric~r to the end of the coverage p«iod, a new certificaze of caverage showiag exteasioa of the
covert~e paiod, if the coverage period snown on the curreat cer~ificate of coverage aids duriag the
dura~oa oi the proje^.;
(5) retana aIl requirea certificates of covera.Qe on file for the duration af the project and for oae year
therea.r~er.
('n nosii'y tha govern~antal emity in writing by c«tified maii or persaaal dr.Iivery, of azry chang~ that
materia~y af~'ects thc provisioa of coverage of any persvn providing services on the project aad send
the notice wit~ia un days after rhe p~rson i.~aew or should have known of the cilaage; and
(8) contraeiuatly re~uire each other person with wham it contracu to:
(A} pravide caverage based oa proper re~orcin~ of ciassification codes aad payroll ameuats and filing
of any ~verage agr~.~nenu for all of iu e.~ployees providiag sr.rvices oa the projec~ for the duration
of tbe proja~
(B) provide a certificzta of coverage to it prior to that other pcrsan beginaing work on the project;
(C} inc~da ia ait conrracts to provide services on the project the language in paragrapl~ (3) of this
wi~sect~n;
(D) prcvide, prior to the ead of the coverage p«iod, a new certificate of coverage showing extension
of the aovera~c p~riod, if tha cavera~e pe~od shown on tiie curreat c~rtifieata ef coveraga ends
durin¢ ~he dur~tion e: the project;
(E) ootsin from eacb other person und~r c~ntract to ic to provide servicas on the pro}ect, and provide
as reouired by iu conuact:
(i) a certificata of coverage, prior to the otne: penon beszinning work on the project; 2nd
{ii) prior to tht end of th~ covierage period, a new certificate of coverage shawi~g extension of the
covera~ period, if thc coverage pesiod shown on the current certificate of covenge ends duriag the
http:1/www sos.siate.:~c.us/tacJ28/IU1 i QB/110.110.htm1 N~=~ ro c~crons - 8 $~~8
R~vised 1/13/9!3
P~qe 6 0! 7
_ _ i , .. 1 .. . : J
durat~on ~i :at contrac.;
Page b of 6
~~"r retair. ai1 renuired ce:.i: -.z:es oi ::overage on frle for the duration ef t:.e pcoject and for one year
there~er
(G} noiuy t'r.e ¢overnme^t~: e.^:iry in writin8 oY certinad mail or pe: so:~i delivory, withia ten days
after the person irnew or snould have lrnown, of aay chaage that mate.^ziiy affects the provisioa of
covera~te of aay person providiag servicas an tha ~roj~ct; aad
~'H} caatrac:ually reciuire cac:~ pe: son with whom it contracts, to perier.:~ as required by this -
subpansrrapn arid SubparaH~aPns (A)-{G) af this paragraph, with the ce:~cincate of coverage to be
provid~d to the person for ~vaom they are providiag services.
(~ If a,~ny provision of this rsia or its a~plication to any p~sson or cire.:.~nstance is held iavalid, the
invalic~ry doss aot aff~ct otner provisions or appficadoas of this rule that caa be givea effect without
the invzlid provision or apglicaaon, and to this ead the provisions of this iule are declared to be
severable.
{g) Tftis rui~ is applicable far buiiding or consuuction cantracu adve.^,ised for bid by a governmental
enury on or ti~ter September I, 1994. This rule is also applicable for tnose building or coasnuction
contr~+ets entered iato on or ar3er September 1, 1994, which are not re~uired by law to be advertised
for bid.
(h) Tht coverag~ require:ne.Zt i~ this rule does not apply to motoc car,iers who are required pursuant
to Te~s Civil Statutes, Arride 6675c, to reszister with the Texbs Deparcmeat of Transportation aad
w~o provide accid~ntai i~surance coverage pursuaat to Texas Civii Statutes, Article 6675c, § 4G).
{i) The covec~e requiremoat in this rula does not appty to sole proprietors, partaers, aad corporate
officers wha meet the requiremeau of thc Act, § 406.097(c), aad wi~o are explicitly exctuded from
cover~ge in tceordaace with the Act, § 406.09?(a) (as added by Houst B~1 I089, 74th Legislature,
1995, § 1.24). This subseczion aapfies only to sok propriators, parmezs, aud corporate oxa:utive
officers who are racctuded from coverage in an +*+~~*a*+ce poliey or certificate of autharity to self-insure
chat is deliv~i, issued for de~ivery vr rcnewed on or after Ianuazy i, 1996.
Sonrcx: Th~ provisiocu af thu § 1 I0.110 adoptcd to be effective Sept~nber i, 1994, 19 TexReg
5715; ameaded to be effiectiv~ Novcmber 6, 1995, 20 TcxReg 8609.
Retura to Secrion Index
NOTSCE :0 CONS1tJi1C20RS - 8
, R.~~s~ 1/13/981 gn~gg
http://www sosstate.cx.usitacl28lII/, lOB/110.1 IO.html p,4• ~ a= ~
PART C
FEDERAL WAGE RATES
AND REQUIREMENTS
Page 1 of 2
General Jecision Number TX030:_~39 06/13/2003 TX39
Superseded General Declsion Ncs 'TX~20039
~ta~e; TEXAS
:onstruc~ion Type:
HEA ~v'1'
County(iesi:
NUE~ES SAN PATRIC~O
HEAVY CONSTRUCTION PROJECTS i.:.ncluding Sewer and Water Line
~:anstruction and ~rainage Pro~ects)
Modifica~ion Number Publiration Date
0 ~6;'~,_3; 2[~)03
CdUNTY{ies
NL'ECES aAN F'ATRICZ~ %
SL7TX2052A 12'~l!1.~~8?
Rates Fringes
CARPENTF3RS (Excluding Fcrm
Setting $ 9.05
CONCRETF rINISHER ~.56
Ei~ECTRICIAN 13.37 2.58
LABORERS:
Common 5.64
Jtili~y ~.68
POWER EQUIPMENT OPERATOR.S:
Backhoe 9.21
Motor Grader 8.?2
WELDERS -- Receive rate prescribed for craft performing
operatior to which welding is ~ncidental.
Unlisted ~~iassifications needed for work not included within
the scope cf the classifications listed may be added after
award only as provided :n the dab~r. standards contract clauses
(29 :FR 5.5(a) (1) (ii}i
In the listing above, the "SU" designation means that rates
listed under that identifier da not reflect collectively
bargained wage and fringe bene~it ~ates. Other designations
indicate unions whose rates ha,•~e been determined to be
prevailing
WAGE DETERMINATION APPEALS PROCESS
l i Has there been an initial ~iecision in the matter? This can
be:
* an existing published wage determination
* a survey underlying a wage determination
http:; iv~~ww.wdol.gov!wdol/sc~les/davisbacon/TX39.dvb 12/21/2006
_~ ~ . ,~,, .~~ .~.
A G R E E M E N T
THE STATE OF TEXAS ~
COUNTY OF NUECES ~
THIS AGREEMENT i~ ~r?tered into this 19TH day of DECEL~ER,
2006, by and betwaen tt~e ."'ITY ~F C~RPUS CHRISTI of the County of
Nueces Sta:~~ ~~f Texa.~ acting through its duly authorized City
Manager; termed ._n the c:ontract Documents as "City." and Musco
S o s Li htin LLC ter,m~ed in the Contract Documents as
,~i~ o ~ ,': ~
'`Contractor,` ap~n ~hese te m~, performable in Nueces County,
Texas
__. cunsi.~~ration ~_~f the payment of $898,353.00 by City and
cther obl~gation_, o~ ~ary as set out herein, Contractor will
cc~nst;-:.zct ar.d com:~Iete ~~ertain improvements described as follows;
SPORTS FIELD LIGHTING IMPROVEMENTS
PROJECT No.3315
(TOTAL BASE BID: $898,353.00}
according to the attarhed Plans and Specifications in a good and
workmanlike mannFr for t'-~e prices and conditions set out in their
attached bid pro;~osal .supplying at their expense such materials,
~ervices, laboi ~nd ~n:,urance as required by the attached Contract
I7ocuments r~ciu~inq -~v~~-seeinc the entire job. The Contract
Documents _~clude *:~~i~> Agreement. the bid proposal and
nstru:~ti~~ns plans ana ~pecifications, inr_luding all maps, plats,
t~ 1 uepr ~nts , and ther ~1r 3~ai ngs ±he Per formance and Payment bonds ,
adderda, and ~elater d~~~curr~ents all of which constitute the contract
~or ~ris ~ro~~ct ~nd a~e rr:ade a ~art hereof
Agreement
Page 1 of 2
~''zN Co;ltract . r ~~~~ . . • ~mmence work within ten ( 10 ) calendar
~~°,~s ' r~m da t~ t r;~y : e~e~ v e wr i t te?- work order and wi l l complete
same wi*:hin 150 CALENDER DAYS after construction is begun. Should
~~;c~*;ra.~ror d~~au~+ C: n? -a~~+or ma~~ be liable for liquidated damages
a: ~e? ~orth t.,, t~-,~ ;.,~nt~~ac~ Documents
~.:.~ t;y wi ~ ~ pa~, Cc~ntz a_ tor in current funds for performance of
t~:re cc~n*ract in accr~rda•:cE, with the Contract Documents as the work
~roqresses
Si~~ned lri _~._ par~~- z° Corpus Christi, Texas on the date shown
,~r o~re
ATTE3T:;
,~ .
, ,~ _
~ ,
__ r~-____- ---._
~~i tv Se-~retar~.~ ~ ---
APPRC~D AS TO LFGAL FORM :
;
~Y` " ~ ~v - - -
Ass± . '~~:i~y At torne~,~
ATTE~T~ (If C~rpora*ion;
~ ,~ ,
* ..~ ~. ~ ~_. -~ _ ~ ~ ~_ . ~,~._ _
' Sea- 1 -~low!
CITY OF CORPUS CHRISTI
B~,~-.,~.~.~ t I rzb ~
Rcnald F Massey. Asst. Cit gr.
oi Publ~c Wcrks and Utilities
BY: 1 r o7
~Angel R. Escobar. P.E.
Director of Engineering Services
(Note: If Person signing for
corpo3tatioII is not President
attach copy of authorization
to sign; ~}~~Y~~.--+~~/~-• AJ 1 MllKILu
i
~ ~~ ~~~~......~
.......~
~f ~
CONTRACTOR ti
~ ,~,~~o~ ~ -./~ ~~6~-
~s~o ' htin , LLC
~y: ~
`I' i t 1 e . . ~ - ~ _ _ ~-~~ ,--
575 Round Rock TnTest Dr. Ste.J-380
;Address)
Round Rock, TX 78681
iCity) (State)(ZIP)
866/786-1841 * 866/786-1842
!Phone) (Fax)
Agreement
Page :' of 2
'vli ~S('(~ SPORT~ LIGHTING, LLC
('~R"~II~'ICATE JF AUTHORITY
KNO~~' ~I,L ME'v BY 1'HESE PRESFNTS:
That at a meeting of the Managers' Committee of Musco Sports Lighting, LLC, a limited
liability company duly or~anized under the laws of the State of Iowa, held on January 2, 2001, the
tollowing resoluti~~n was adopted. which resolution is still in effect:
RESOLVED, that any ofthe fi~llowing:
,Ioe P. Crookham
Myron Gordin
Christopher K. H~-1and
Luann Ferreira
Doug Yates
Diane Crookham-Johnson
Jeff Roger~
_larr-es M. Hansen
President
Chairman
Vice President and Treasurer
Vice President, Operational Sales
Vice President, Sports Operations
Vice President, Administration
Vice President, Developmental Sales
Secretary
be, and they hereby are, authorued to execute any and all documents on behalf
~~f Musco Sports I_ighting, LLC and further that Certificates of Authority setting
uut this resolution be prepared and certified by the Secretary of Musco Sports
Lighting, LLC, to be used to evidence said authority.
I'hat I am the duly elected and qualified Secretary of Musco Sports Lighting, LLC and the
keepet ~f reeords of said company~ that the foregoing is a true and correct copy of a resolution
duly ~dopted at a meeting of the Managers' Committee of Musco Sports Lighting, LLC held in
accordance with its C~perating Agreement on January 2, 2001, and that the same is now in full
force and effect.
1N WITNESS WHEREOF. I have hereunto affixed my ame as Secretary by order of the
Mana~ers' Committee of Musco Sports Lighting, LLC this ~ day of
~~C>--~ ._ '
S"I~.ATE OF IOWA t
) s~.
CO~ NTY OF MAHASKA ~
_ !
J es M. Hansen, Secretary
Subscribed and swc~rn to before me this ?~-~-~ day of ~ ~~. ~~~ ,
.~.~~._.sc.~,,.~;..~, < ....s~,~.~...
KARYL L Ti-iOFriAS
Natarial Seal - lowa
Commissioe ~ 1111 ° .
My Commisa~an ~~~_;~-es _~1':~'~1~~ ~'
~. _
/
{~.C ~ ~ .r] J~~
Notary blic in and for the State of Iowa
Proi # 3315 Coruus Christi LightinQ Improvements
Quote/Technical Snecifications
Date: December 12, 2006
Submitted To:
City of Corpus Christi
Buy Board Quote
This Scope/Technical Specification represents the agreement between Musco Sports Lighting of Texas, LLC.
("Contractor") and City of Corpus Christi ("C.C ") for the design, procurement and installation of ball field
iighting at multiple locations.
"CONTRACTOR" shall provide and instal! the improvements on a turn-key basis for the lump sum price as
defined below The terms of the agreement are as follows:
;. '`CONTRACTOR" is approved by the Texas State Purchasing Cooperative (BuyBoard), under
BuyBoard Agreement # 218-05, and has met all the competitive bidding requirements as listed under
State Law.
2. As per the contract requirements from the City of Cotpus Christi, we will comply with all
stipulations in the special and general provisions.
3. The scope of work shall be as defined in the pmposal. This CONTRACT includes:
a. Electrical Engineering Services by NRG Engineering to consist of:
i. Design Phase Services
1. One (1) site visit to each field to deterniine scope
2. ~ne (1) site visit to each field to document existing conditions
3. Issue final sealed set of construction drawings and specifications
ii. Construction Phase Services:
1. One (1) site visit to each field to observe point to point test.
b. Installation and demolition per drawings - including unloading and pole assembly/standing
of new equipment, electrical to the poles, and demo of existing equipment. Payment and
performance bonds
c Foundation designs
d. Pricing fumished is effective through 12/31/06 unless otherwise noted and is considered
confidential. Divulging technical or pricing information to competitive vendors will result in
removal from the bid list.
~lusco Sp~~rts Lightink. Li.C Page S of 5 575 Round Rock West Dr
Suite J-380
Round Rock, TX 78681
e Material audit of` all fixtures.
f All necessary materials.
g. Installation labor
h Supervision.
i Clean-up and test.
j Liability and Worlanen's Compensation Insurance and Davis Bacon Wages.
k. Davis and Bacon Wage Detern~.inations will be applied.
I Service after the installation to ensure the upgrade operates according specifications.
~, "CC~NTRACTOR'" Warranties for "New Light and Ballast Fixtures" are:
a. Installation worlcrnanship 1 Year
b Lamps & Ballast 2.5 Years or 10,000 hours per warranty
s. '`CONTRACTOR" shall conduct a pre-installation meeting with "C.C.'s"
Reptesenta~tives prior to the start of installation. All aspects of the project shall be documented,
including contracts, reporting, installation schedules, security procedures, waste disposal and
equipment.
6. "CONTRACTOR" will be responsible for security of storage area for material and tools.
?"CONTRACTOR" will follow all local, state, federal codes. In addition, the contractor will follow
~TEC and ASTM's applicable for ail work.
8. Installatioa of the Ball Field Lighting modifications shall be done according to the information
contained in the attached Site Specifications and will be performed during mutually agreed hours so
that disturbances to the normal operations/play is minimized.
9 Any work change orders (additions or subtractionsj to the CONTRACT and/or work schedules are to
be ~bmitted in writing and approved by the "C.C.'s" Engineering Department and
"CONTRACTOR". This is beyond any scope of work already addressed.
10. "CQNTRACTOR" AND "C.C." shall conduct a facility inspection upon completion of each
building. A Notice of Acce,ptance shall be authorized by the "C.C." upon approval of the completed
building.
1 1. The payment due to "CONTRACTOR" under this CONTRACT AGREEMENT is $898,353.00
i 2. Request Payment Terms of Net 30 days from date of invoice for monthly progress payments.
a. Late payment will be subject to service charges of 1'h% per month (18% APR)
Musco $ports Lighting, LLC Pa~e ' of 5 575 Round Rock West Dr
Suite J-380
Round Rock, "fX 78681
~ Musco will coordinate shipment so that delivery corresponds with the customer's payxnent
scheduie. We will expect payment within the terms described above unless there is a written
statement from Musco's corporate headquarters stating the acceptance of different terms.
c Delivery to the jab site from the time of order, submittal, approval, and confirmation of
order details including voltage and phase, pole locations is approximately 30-45 days.
? 3 Work Schedule: "CONTRACTOR" shall commence work within 10 days from the written Notice to
Proceed. The "CONTRACTOR" will have complete access to all baseball and kickball fields until
M~rch Ol, 2006 and complete access to the Pop Warner Football field until June O1, 2006.
Therefore, the "CONTRACTOR" will complete installation work on all baseball and kickball fields
by March O1, 2006 and Pop Warner Football within 150 calendar days from the written Notice to
Prc~ceed. After March O 1, 2006, the "C;ONTRACTOR" will have restricted access to the
baseball/kickball fields which will require disruption of play and lighting of 14 calendar days for any
one field. If the total time of I50 days or the 14 calendar days per field after March Ol, 2006, there
are liquidated damages per the specia[ provisions.
14. If €~ny di~ute regarding the project occurs, The "c".C." has final authority on resolution with regards
to pa_yments and suspension of wc~rk.
1~. Here is what the '`C.C." ;;an expect:
a Energy savings of more than 50% over a standard lighting system
b 50% less spill and glare light than Musco's prior industry leading technology
~. Musco Constant 25T"' warranty and maintenance program that eliminates 100% of your
maintenance costs for 25 years, including labor and materials
d. Guaranteed constant light levet of 50 foot-candles infield/30 foot-candles outfield on all ball
fields, 30 foot-candles on the Pop Warner football field, and 30 foot-candles on the kickball
fields for 25 years, +i- 1 ~% per IESNA RP-06-O l
e. One (1) group re-lamp at the end of the lamps' rated life, 5000 hours
Control Link~, C'ontrol & Monitoring System for flexible control and solid management of
your lighting system
;~. Lighting Contactors sized for appropriate voltage/phasing available at field sites
~. All Agreements are contingent upon strikes or delays beyond "CONTRACTOR" control.
Musco Sports Lighting, LLC Yage 3 of 5 575 Round Rock West Dr
Suite 1-380
Round Rock, TX 78681
Site Saecifications
Equipment Descr~iption - Buccaneer Little League 200' Field
I.ight-Structure GreenT'" System delivered to your site in Five Easy PiecesT'"
• 4 ~ Pre-cast concrete bases
• 4- Galvanized steel poles (60' i
• UI, Listed remote electrical component enclosure
• Pole length wire harness
• 16 - Factory-aimed and assembled luminaries with 1500-watt metal halide lamps
EquipmenE Descr~ptioo - Universul Little League 200' Field
Light-Structure GreenT'" System delivered to your site in Five Easy Pieces""
• 4 - Pre-cast concrete bases
• 4 - Galvanized steel poles (60' )
• iJL Listed remote electrical component enclosure
• Pole lcngth wire harness
• 1 F- Factory-aimed and assembled luminaries with 1500-watt metal halide lamps
Equipment Desct~ipdon - Padre Little League 300' Field
Light-Strudure GreenTM System delivered to your site in Five Easy PiecesT"'
• 6 - Pre-cast concrete bases
• 6 - Galvanized steel poles (70' )
• L'L Listed remote electrical component enclosure
• Pole length wire harness
• 34 - Factory-aimed and assembled luminaries with 1500-watt metal halide lamps
Equipment Desctlption - Westsiie Pony 300'/325'/300' Baseball Field
Light-Structure GrcenT"' System delivered to your site in Five Easy PiecesTM
• 6 - Pre-cast concrete bases
• fi - Galvanized steel poles (70 1
• UL Listed remote electrical component enclosure
• Pole length wire harness
• 3b - Factory-aimed and assembled luminaries with 1500-watt metal halide lamps
Equipment Desc~iption - Dick Runyan 305'/340'/300' Baseball Field
Light-Strudure GreenT'" System delivered to yaur site in Five Easy Piecesr'"
• 6 - Pre-cast concrete bases
• 6 - Galvanized steel poles (70~ -
• UL Listed remote electrical component enclosure
• Pole length wire harness
Musco Sports Lighting, LL.(~ Page 4 0( 5 575 Round Rock West Dr
Suite I-380
Round Rock, TX 78681
• 36 - Factory-aimed and assemhled luminaries with 1500-watt metal halide lamps
Equipment Description - Botsford Park Pop Warner Football Field
Light-Structure Gr+eenTM System delivered to your site in Five Easy PiecesTM
• 4 ~ Pre-cast concrete bases
• 4 - Galvanized steel poles (60' ~
• iJL Listed remote electrical component enclosure
• Pole length wire harness
• 18 - Factory-aimed and assembled luminaries with I500-watt metal halide lamps
Equipment Description - Southside Kickball Fields
Light-Structure GreenTM System delivered to your site in Five Easy PiecesT"'
• 3 - Pre-cast concrete bases
• 3- Galvanized steel poles (60' s
• UL Listed remote electrical component enclosure
• Pole length wire harness
• ] 6- F~ctory-aimed and assembled luminaries with l 500-watt metal halide lamps
Contact Inf ti :
Dan Allman
Sales Repre.~entative
Musco Sports Lighting, LLC
575 Round ltock VVest Dr., Suite J-380
Round Rock, TX ~8681
Phone: 866/786-1841, ext. i 105
E-mail: dat~.allman@musco.com
Fax: 866/7~6-1842
Cell: 512/658-6884
/
/ ctl,~~~ ~~' Zod ~
~
?vtusco Sports Liahting, LLC Page 5 nf 5 575 Round Rock West Dr
Suite J-380
Round Rock, TX 78681
P E R F G R M A N C E B O N D
STATE OF TEXAS §
COUNTY 4F NUECES ~
BOND 104800082
FiN~W ALL BY THESE PRESENTS:
;~ ~/,,,~~ ~~ ~/, -/~~~
TH.~T Mpsco Sports Lighting ~ LLC of WILZIAMSON County,
TE?X~S, ~1E~'P111df~:P.~' caLled '"~x'1riClpa~`~~ clriC~TravlersCasualtyandSuretyCompanyofAme~ricaa
:~arparation orcan ~_zed under t:~ae laws of the State of Connecticut ~
anc dulyj auth~~ized te dc busin~ss in ~.he State af Texas,
~~eres nafter called "~ur~ ~y'', are held and fir~nly bound unto the
`vi'~y of Cscrpus C':~ris~i, a mu; a.c.ipal corpora~ion of Nueces Coux~ty,
`~'exau, hereinafter_ cailed "tvity", in the penal sunt o~ EiGHT IiUNDRED
NINETY--~(IGHT THOUSAND, THREE HUNDRED FIFTY-THREE AND
N(>/100 (~898,353.00) ~:OLI.~ARS, lawful °noney of the United States, to
be paid ~ n Nueces Coi.nty, "exas, for the payment of which sum we11.
and ~r.u1-y~ ~c be macie we ~i.nd ourselves, our heirs, e~ecutors,
admir..~stratars and ~ucces~~ors, joirtly and severally, firmly by
~-.hese~ presents:
~ CO~iDITION OF THIS OBLIGATIQN IS SUCH THAT: Whereas, the
pr~ncipal entered ~nt~o a c:ert:ain contract with the City of Corpus
;~hristi, dated ~:.~e 19TH ,~~ DECEi~ER, 2006, a copy of which is
heret~ attache~ and made a par'~ herec~f, for the construction o~:
SPORTS FIELD LIGHTING IMPROVEMENTS
PROJECT No.3315
(TaTAL BASE BID: $898,353.Ofl)
N~, T~ILREFORE, i~ thf~ F~rincipa 1 shall faithfully perforni said
work ~n accordance with the plans, speca.fications and contract
documents, including any c:~anqes, extensions, or guaranties, and if
the principal shall repair an~:;or replace alI defects due to faulty
ma~e~ials and/or wc~rk~nansnlp t?~at appear within a period af one (1)
year ~rom the date o~ com~J.etion and acceptance of improvements by
the ;:ity, then ':his obligati~n shall be void; otherwise to remain
i~r_ ~u11 fo~ce an{~ effect.
P1i~VID~ED FURTSER, thar :if any legal action be ~i.~.ed ori th~.s
bond, venue shall li.e in Nueces Count~y, Texas.
And tnat said s~rety for value received hereby stipulates tha~
no change, extension of t_~me, alteration or addition to the terms
of the contract, or ~a the work performed thexeunder, or the pl.ansr
spec~fications, cirawinqs, ~tt.., accompanying the same shall in
anyw~se ~f~'ect its ~bligatior on this bond, and it does hereby
:,raive noti ce of any sucr ~.:~ange, cx-ccr_sion of time, alteration or
addi~.~.on ~o ~he t.erms ot t.=~E contract, or to the work to be
~e_rf~?rmec there:znder.
Performance Bond
Page 1 of 2
"~ni:: ~onc: ~~: g_ver: '_~ niee~ the r.equiremerlts of Article 5160,
`jern_1r,'s C:ivii ~Ta-uf e~ ~i T-.xas, ar~.d c~her applicable statutes of
}.h~ =,t-3tr :~f "I'ex~ s .
Ihe undersigned age~:~ .s hereby designat~ed by the Surety
he:rei_._ a~ the A~enfi F<eside:;t ~~1 Nueces County to whom any requisite
r1c>t.i~~~es °nay be c'~ei~v~red arid ~~~n whorY service of process may be had
in r,~y.a*ters arising ~ut o~ such suretyship, as provided by Art.
?.~ 9-l, zJernon ° s Texa s I nstaranc:e Code .
5ee ~imitea Maintenance ?rcU•isior Rider Attached. Hereto and made a part Hereof.
IN WIT'pESS WHEREOF, t~~:is instr~,men'~ is executed in 4 copies,
each on~ of wh~ich shall be deem~~d ar_ original, this the 2nd
~ay .~,f .~anuary ____. , 2~~ U ' .
PRINCIPAL , l~/ ~~/~~
(G ' /
~,~usco Sports ~ighting ~,LLC ` '~ ~~R ~ ~ ~~
_ ~-- . , ,
,
Fjy J` r !,, '~' JM ~.~~
d~ ` ~~ f` Ir i~~~ %' f~ f/ fJ )
~ y, Ll L~
"~=int Name & `I'~i.tle}
ATTE~
i'~ _ r ~ ~
~ ../ r'~ ,~ ,~L~~
_- ~,~' ' .
Secretary ~
.
.~~~ ~~ ~_ ~ I~r~. ~~ ~t-
;Print
SURETY
Travelers {~asuaity and Surety Company of America
~y' ~ ,~~-_ 1 ` y ,~ ~,r'> ! --
Attorney-in--fact
Diane M. Vanderpool ~
(Print i3ame ) Reynolds & Reynolds, I nc.
300 Walnut, Suite 200
Des Moines. IA 503~9 515-243-1724
The Residestt Agent of the Surety in Nueces C~uaty, Texas, far
deliv~ry ~~'notice aad service of proaess is:
Agencp:
CazitaCt Person:
Address:
Phone Ntxmb~x :
Boraen Insurance
Debbie L. Johnson
711 N. Carancahua, #110American Bank Plaza
Corpus Christ~; TX 78403
361-693-1767
(NOTE: Fa t:e of Performance Bond mi:st r~ot be praor to da te of contract} {Revzsed 9/02)
?erformance Bond
Page 2 ~f 2
P A Y M E N T B O N D
Bond104800082
STATE OF TFXAS ~
KNOW ALL BY THESE PRESENTS:
~ OC3NT Y 4F Nt~CE S 9 ~
-, / ~~~ /l~~ ,%'t~~ ~~~a ;~ ~;~~,
~
~A1~T Mnsco Sports Lighting ~~~t- LI~C of WZLLIAt~SON Coun~y, ~
TeX~s , herelriaft e~- ca 11ed "Pr°a.ncipal", anCl Travelers Casualty and Surety Company of Amercia
=_ cor~cra`ion or~an.iz~d under ±-~e laws of the S~tate of Connecticut ,
~nc: ~~ly autrrcxi.zed to ~a ~usiness in the Si~ate of Texas,
~--ereiriafte3 ca1~~d "~>urety', are heLd and firmly bound unto the
~;ity ~.'~ ~~~c~rpus Christi, a munivipal corporatior_ of Nueces County,
`~'exas, hereinafter called 'C~ty", an~ unto al3 persons, firrns and
,orpcr,atior~s suppLyiri3 lak~+~r t~ric~ rnd'.erials iri p~~oSecuLiori oi tYie
work r6fexred re i:~ the a~ta~hed c~ntract, in the penal sum of
EIGHT NINETY-EIGHT TAOUSAl3D THREE HUNDRED FIFTY-THREE AND
NO/100( 98,353.f?0) ~Jt~LLARS, iawful money of the ~lnited S~ates, to
~:e paid ?n Nueces C~L.nty, `'°xas, for the payme~t of which sum well~
and r:r.uly to ~~ mac~e we b? r~<3 ourselves, our heirs, executors,
admir.istrat:ors an~ s$~cces~ors, jointly and severally, firmly 3~y
t~hese presents:
THIG CQ]~DITTON 4F THIS OBLIGATION IS SUCH TBAT: Whereas, ~he
pr:incipal ~ntered inta a certain corztract with the City of Corpus
~::hrisLi, dated the 19TH day DECEMBER, 200f, a copy of which is
~ereto atrachecl ar~d made a~~a.r_t: hereo£, f_or the construc~ion af:
SPORTS EIELD LIGHTING IMPROVEP~NTS
PROJECT No.3315
(TOTAL BRSE BID: $898,353.00j
N~P, T~REFORE~ if th? principal sha11 faithfully perform its
ciuties and make prampt payment to aI1 persons, firms,
subcc~ntractors, corporatiar_s and claimants supplying labor and
ma#~erial in t'~e presecution ~f tne wark pravided for in said
cantract and any~ and ali c~uly authorized modification af said
contr_act that may hereinaft~er be made, no~ice of which.modification
~~ the surety :.s hereby expressly waived, then this obligatian
shal.'~ be void; otherwise tc rernain ir, full force and e~fect.
P~VIDED ~'URTSER, tha~ if' any legai action be filed upon this
bond, venue shall. l~e in N~~eces County, Texas.
And that said suxety ~or value received hereby stipulates tha~.
no chanr~e, extension of t~.~me, alteration or addition to the tErms
of the contract, ar ~o the war~c perfarmed thereunder, or the plans,
specifica~ions, ~rawinge, e~c., accompanying ~he ~ame shall in
anywise affect its ~bl~gafiio-~ on this bondr and it does hereby
wayve not_~ce af ~ny suc_-~ ~har~qe, extensior. af time, alt~ratian or
adci~zon to the ~e~-ms ~; ~tie contract, ~r to the work to be
~.~erf~rmeci ~hereunder.
Paymen* Bond
Faqe 1 of 2
"':~.is vond ~.: gi~.~ en Y.c~ m=:e ~ the ~equzrements of Art~.cle 5160,
'?erncn' s"~ ~.vil St:atut:~s :.f Texas, an~~ o~her applicable statutes of
r ~F .;`atE~ ~f :'ex:~~. The t ~rm~ "Claim.an~~', "Labar" a:~d "Material",
~s u,ecl :~~rein ~:re ir~ ac~:or~ance wit.h and ~s dEfined in said
'~r~- ~c_~=.
~he ~Andersigned acen~_ ?~ hereby designated by the Surety
':zerein as the Ag~r.~ Resider:.t i.r NuecE~s ::ounty to whom any requisa.te
rGo~_ic~es may be d~livered ar~d ~n whom service of process may be had
: n ma~te~s aris~r~g i~ut of s~.ch su?-etyship, as provided by Art .
~' . y 9-1, Vernon' s Texas Insur~ance Code .
See L mited Maintenance Provision Rider ~+ttached Hereto and made a part Hereof.
IN WIT1{~SS WHEREOF, tk:~s instrument is executed in 4 copies,
~ach one ~f whi~:.h s~:~all be deeme~ an oriqinal, this the 2nd
day ~af January ~_.____- 20 G 1_-
PRINCTFA~
M usco S
$y:
. ~ °~--- Y, ~/o ~ r.
ing eF„~cas~L~C ~' ~ % t~ ~' ~
~ ~
r ~ ~
„r ~ rw~
! ~
rf .
. <: ` r "-.'~„ K.Y r'"'1_ , ~-~~7
t Name & T ~le„~
~' <
ATTES'1' ,~ ~'
,,- - r . j .,r
~ j'~ '~;,L- {~ ~'(~_ °`
~ y
Se etar ~~-
~ :' ; t--~ i-~ A ~ ~~-, ~'~- ; _
'Print
SURETY
' ravelers vasualty and Surety Company of America
t~y.~`: ~ ._ , __~ ` ~ ~~. ,., f-.- - ~
Attorney-in-fact
~iane M Vanderopol
~Print ?~lamel
300 Walnut, Suite 200
Des Moines, IA 50309 515-243-1724
The R~sidemt Agent of the Surety in N~eces Couaty, Texas, far
delives~y of no~ice and service of pracess is:
.A,~reac~: Borden Insurance
C~nta~t Pexson: Debbie L. Johnson
~~ess ; -11 N. Carancahua, #110 American Bank Plaza
~~orpus Christi, TX 78403
P~iorle 111ua~ber : 361-693-1767
(NOTP'.: Date o~ Payment Bor;d must ~ot ~e pricr t:o date of contzact) (Revised 9/02)
Payrnent Bond
Page 2 of 2
L~~nited !~Iaintenance Provision
Rider
!~:~ be attaehed to ai~d form part ot bor~~i ~o. __ 10480008~ _ issued by the Travelers Casualty
and Surety Company of America on behalt of Musco ~orts LiQhting.~~acac LLC in the
amOUnr. uf Eixht Hun~red Ninety-Eight "I housa~d Three Hundred Fiftv-Three and No/]OOths Dollars
i$898,:~~3.OOj and 3ated Januarv 2_2007 in favor of _ Gity of Corpus Christi for Sports Field
Li tin Imprc>~~emcnts Prcleet No_ ?? 15__ _F'hase i-!*1Q0184.
Yrincipaf shall guarantee tha,_ the work ~vill ~e fi-ee of defecti~e materials and workmanship for a period of
Tw~l~~e (i~) nlonths tollowu~g completion ot the contract_ Any addirional warranty or guarantee whether
etipressed or imphed [s exte+lded bv thF° Pr~~i~ipal or Manufacturer only, and the Surety assumes no liability
for such a guarante~
Musco Sports ~ting of Texas LLC
.
~ ~. , ; a
E3y: ........ _ , ; .~- .~ •
"Travelers Casualty and Surety r-~
C'omp~ of America ~`~
B ~ ~~ ` ..~ r' 1 ~~ G ~..~~ ~ ~r--~
Y `. ' -
thane M. Vanderpool, Attorney-in-Fac~
~ ~~ .~ . .,~,
~ .~.~. ~.F ,~ , .~ .~~~..
~,n.> ~,N~ ,- ' ~ ~ ~'~~.~~------
- , ~.r
~ , rr~~~~ . ,~ ~~_~„~ i~_ ,r.~,T~
STPAif~ E~~~~«~H.u ~~f ~a~i~i~~~R~v~;1~
~ ~RAVE'LERS i,.i~nin};to3; Ca~ual~~ t ~:n :,n
P
~~erlclitti ~n~~ [;uar:irit~ I;~:ii~ r~:~~ r~~~n~p~t~a~
+~ i~f~ tiz~ _~nr~ r;uarau~l; ?,i.ur.in,, t ndcr~~z~ii~ r 4. tna
~~~ ~bm~r~1 ~~~ ret~ t s~niprt.~
~t I`anI Fi~~ aann ~It~ri~~ 4ii..i. ~-~~r~ { ~iiiai~a,~:<<
REC'
SL Paul Guardian Insurance Compan~~
tit Paul M11ercurc Insurance Company
fra~~eler,t ('asu:ilt} and Surety Compam
l~r:n~elers <'asualt}~ ~nd Suret~~ Companp of America
~ ~~i!rs! ~titates F'ideli!~~ a;nd Guaranty Company
,,,,r~~„~ ,_~~. r.,~~t ~, 0 0 0 4 212 7 4
~~~~4 ( ~r(ific.~te No.
h~O11 ~1 ~ 1fE1~ tt~ fHFSh PR! ~HS f ti ~~~a~ , ~,
~ ~I'<<~ ~~' 1~~~! i~ c,r~ ~lul~ c i_.~ ~~i~d un~l~r [hc Imcs i>~~ ~he Srate ol New York, Ihat Si. Paul
(. ai 11 i:. InSi •.~ C~m ~:<u I' i ~ r 1, i
,~ ~~c. ~ ~ ~~ ~~.~ ~~; ~ .AI r~un In~u ,uii. ('~,~»p~in~~ ,uc u~rp~xation; du11~ urgxnized undcr thc Ixws
' Im~ ih.rt r ~ ~ ~, ,. ~r~ :
, ~ ~~ ~~ ~ ~ ~, i~ , i ~.
~,n~ n .. , o~ .,~ ,~ ur~~, ~ ~~ ~ !~i~ in, ,i ~ ~ [~;nc(er, ( ~i~u,if[v ~~nd Suret~ Com m ~ of Flmenca ~ire
5~,~ ~ ~ ~~. ~ ~ ~~ ~, . I i~l~l i~ am ( i r.ini~ ( ~,mp~> >c i. ti , oipoia[ion ~luly ~iir~~~nized uncter the
1 ~ n~ ~ . .if 1 ~ _r ~nu. n :,t ~ i ~ .~r~~i n~
G ` ~''~ '~. „ ~'!~ ~.l~~i` „i _~.nv~~: un~Jcr the I.i~ti~. ~~f th~ State of lowa. and dtat t^ideliiv and
zn Iu i~e ~ ~tu[c .~ ~ ui~; _ in ~
1 in ~ h. , ~ak~ ~ ~ r,i ~ ~ _ ~~~r,~ „~ ~~ i~, s~~~~~-in ~~ hcrcin _. ~l~cti.~c!~ called thc °C~~m~~anies"). and that
Dc.in :ti1 C'arh Diai~~c V1. Vandcrpu~;i, J;~c3~ ~_ Gearhan -~an~r.i K. Bell. Rhonda S Siberz, and Stanlcy J. Reynolds
,t ,: ~ i?, ~~wnea
_ „ Ln~ara
a~~~ ~n i-r~~~ iate :p~,cm it uin . ,~ ,~ - -- their irue xnd la~tul Attorney(sl-in Fact.
~ `~in~ ~ ~ ~~ ~~ut~ . ,r ~ ~n~' i~l,n~,u I~~I ~ ,n~ .in~i all hunds r~ca~nizances, conditional undert.iking, and
~th ~ u r~ ii_ ~.~h ~gat~ ~~ i thc nati i rr~_ ( ~eha ~ !: ~ i. i, . u~ ihri~ ~u,ine ,.
u~~;~.ict n.' ~.: utir~_ ~, _uat.u,i_~~ ~~r~i i~ iuul~ n.._ ~~ ~i i~#,r pc~inirtr i;n an~ acti„n~~~ut pru~ ~. ~iin ~>~ullowed ~b~~ Ia~~~, guaranteci~g the performanre of
IN N7T\F:S~+ L6HEl2F:1)F the =~~~ ~ ~~:~, i,:,,. iu~, ,-~i, ~~„run,eni i, hc ,~gneu .in~i d~eir ~<,i7iurate .i ~if~ to hc h~ret<~ aflixed. dtis
ta~ ~; ~la~~ -,Of)f~ llt}t
Farmu~g[un ( ~,ksualh (`ompan~
Fidelit~ and Gnaranh~ lnsuraner Cnmpanr
Fideiih und (:~~drant~ Ins~irani~c ! s~~{~rwriter~ Inc
tirnbnard Sun~sc Compan~
i!. t':~u! Firc ~u:d ils~rinr 1=i~ur:nu~~ 1'umpan~
St. Paul Guardian Insurance Company
St. Paul M1~lercury Insurance Company
lYavelers Casualty and Surety Company
l~ravclers Casualty and Surety Company of America
Cnited titates Fidelih~ and Guaranty ComPan~~
s
~
r ~, "~~>` ,~psu'~ry ~ "~uh.,y N
~ y ~{^ ~y..~,,~~ * J' M G~ • Y NSUq' tY qN
Z s~ ~BZ~; ~ fa~ _""^rH[MTED V~I 1927~ I, ^--\\ '~ IeiG J ~<~N1 :W~JORPORAI' ~~~~: ~ JP` oS`R' ~~~~~ ~4~Y~~
~ f ~
sy~~,a ~~ 1951 x j y f ~,' f; o: w HARTFORD, 1Fy{qhdqp~ T~ wcaa~~~
. * ;~. * ~,i~ -;V~,,,`~ a :;~~ ~6:SEAL: a: ~ corrN. o s~\ ca+u• ~ H ~~6
Oa~N," '.,.8' ~ ~a_ ,'aat a ~1.. ~ ~
... ~ A~ ~ ~ ~,r ... *~ ~ b ^~~a + .., v~~ ~O
....~ '~. ~......I,. 4j~ ~1M~
Sldtl .~.' l~~..,;ii~~ ::...-
~':t~ k1.• _':~~
t`
~ nrec 1~~ omp.on. Scn~ r Vic Presideni
~:. ~i: i,._~ rl~,~. ' ~..' Vlav ~
- .~~ 006 ,~~~~i~• iur p~iu,n.ilf
tti ~ tc~ ~I ~ ~~ ap~mared (]eorgc 1~. Thompson. who acknowledgcd
~ ru~ , Prc~i i-n irn in n~C.~. ~i, n,, . I~rl~lit~ .u t u~ir:mu lii.uran.c (:,~np~m~. Fidelih and (3uaranry Intiurance L'nderwritcr,e,
n.~:ih i f .r. C~~~~ ~u~ St '~ u ~€i„ ~,rirr, ,
„ ~
~ ~~.i~ ,. Si N~~~u ~ u u,_~,ui I~;.w~an~~ ( oi:ipxn~. St. P~iul M~rcui~~ Insurance Comp,iny. Travelers
i,u ~ ~ ~ ,.. C'c ~~.~. ~ 1~ ~~:i .~i.,I~~ id Si ~
~I ~ ~~niu~ic;, u.i ! ~,rtcd St~n~, F id~li~e ~nd Guarant~~ Company, ~i~d that hc. ati such, being
iutht ~.'ic~ .i .i. ~xei . r'nc~ t~,tc~s~ i ~ ..~rr•l rcli ~ i~~.,..i ,•:~n ~.'~inl ;~ni ~
,,i,~nin,~ „n h~half,~i ;he ~orp,irahons b~~ himtielt a, a duly authorized officer.
[n Witnes ~1'h~~re~ t, I , r~ ~ nto .c~ ~n , , ~ u ~ ~~ `_/~ '
~ '~ial .; ~ ~. ~
~rCy j~
~' ~• C ~i~im ~~ni ~ , ire~ , ~iCF ci.:, ~ I , ~' li i~ ~ _ _
~~1V * ~t~inc C 7~~ h-eauh. ~o~:~ry Public -
~~'
5844:) ~-Q a., .~r-:~; in ~ ~
vVARNING TH~S POWE~ OF F1'lGRNEY IS INVALID WITHnUTTHF AGn ono~~r,
Ci':.^Y ~;F CORF~S ~EiRISTI P:ond ~04800082
=EPARTM.EA1T OF ENGINEERI\TG SERV~CES
F~ o C~. BDX 92?'7
~`JRPL'S ^JHRySTi, fiEXAS 78469 -y~77
RE. ;~ertification ~f Power of At~orney for Perfox~pax~ce and Payment Bor~ds
'x'oject ~atrte/N~~. : ~`' F''~ ~~tirist _ Lighting Improvements Phase 3- Project No. 331.
~~100184
~E ~-a-~ = Fiei~ ~,ighting Improvement
.~'~rety Ccmpally:. 1'i avc~l~rs Casualty and Surety Company of America
Ger.tle;.,en :
~~i.~t~t ~~. ^~i.tlt~r ~~~~ af Officer of~ surety),
hereby cerCi~y that ~he Eacsimi3.e power of attorney submi~ted by
'?iane ~".. Vander~~ool
(Attorney-In~Fac~}
~pr ~iusco Sp~~rts Lighting ,
{Contraetar}, a copy oE which is attaehed to this cert3.fi.cate, ~s a true
and correct copy o~ the origir~al power o~ attorn~y on file ir~ the records
oi the suretz~ compaay ir. its nome office, has not been ~mended or
abridged, is s~ill in ~ull force and effect, and said designated agent is
c~.~rrentiy in g~cd st~ding with"the svre~y. In the~event af cancelZation
a~ this power o£ attozney, Che C`ity of Corpus Christi sha3.l be notif~.ed in
w?-i~ing hy cer.*LL~.f_s.er' t?~ail ;4ithin• sev~n {7) days thereof ~t the following
ar~dz'@SS .
Gity oz Corpus ~"~hxa.sti
I]epartment ot Engineering Services
Attr_: Cantract Adm9_nistratoz
P. C` . Box 9277
Corpus Chr7.sti, Texas 784~9-5277
Signed ~his ~r~ day of Janua~v ~~ 2Q 07
X ~ ~ ~ ~~
~T~L ~
Name: Dwight F. Miller
fiitle;~'ice President Bond
~worn and subscribed t.o..before.me on-this 'nd day of January ~
2f „7.
SRsvised 9t03-
'-'~.~
Nota Public
Btate of Illinois
Nfy Commission Expires:October 10, 2010
~~ t74=FiC' 4L S A~
JANE 6RONSON
VOTARY F1yQL~C - STA'TE OF I~1.SN015
qaY ~;pp,nrytIS51U^J EKP?RES OCT, 1P. 2t,,~~
Q~.lw+r^~+~W?^!A~'b~~^•~!'M.`RY~wRa i
ATTAC~-IMENT 1
1 4F 1
P A Y M E N T B O N D
STATE OF TEXAS §
COLJNTY OF NUECES §
KNOW ALL BY THESE PRESENTS:
THAT Musco Sports Lighting of Texas LLC of WILLIAMSON County,
e:~as, 'r,:ere~~raftAY ca~i le~ ~~
"F_ rincipal , an __ ~
,~~c~rp~~:ratior: :~rqa~~:ize~ ~,n~~ er the iaws of the State of ,
an~ d~:_:iy aat:ro:ri::ed t ~;_ bu~i.ness in the State of Texas,
~;e~einalter ca'~lea "Sur=t~~ ", are held and firmly bound unto the
~`i-,; c~ Corptl~ Chr is: ', a -~.unici~.~al ~orporation of Nueces County,
~e~tas, ~~ere~rr'ter ca _ ~r~:~ "':ity", and unto all persons, firms and
~~~~or~>ora~ior.s ~~app~'_yin~ la~l, ~;r and materials in prosecution of the
~~r~: _:e~-errec: '~~~ ir_ `~~r . .' tache.~ c:ontract, in the penal sum of
EIGHT RED NINETY-EIGBT THOUSAND THREE HUNDRED FIFTY-THREE AND
NO/1t~0 ($898, 353.00) DOLiARS, lawf ~l money of the United States, to
~~e ~?ai ~ in Nue ~es Co~nt ~, ""exas, ~ or the payment of which sum well
ar:c~ trt.ly t~; be made .aF .~ind Uurselves, our heirs, executors,
a~m_n~ ~~: rat ~:~r ~ <~r : ~u~_ °~~ =~: ~s, o ~r.t.ly and severally, firmly by
r.rese ~, eserzt:;
THE CONDITION OF THIS OBLIGATION IS SUCH THAT: Whereas, the
~rinc:.pal er.'~_ ~red into :~ ,~e_rtair. contract with the City of Corpus
~~r:rist'~_ datec~, rre 19TH day DECEI~ER, 2006, a copy of which is
'~~rat~~~~ ~~tt~c7~.~t~ ar~~ madF a part here~f, for the construction of :
SPORTS FIELD LIGHTING IMPROVEMENTS
PROJECT No.3315
(TOTAL BASE BID: $898,353.00)
NOW, THEREFORE, if the principal shal' faithfully perform its
~ztie~ and make pr:~mpt payment to all persons, firms,
slbco~,~tractors, orporat~:3~s an~ claimants supplying labor and
mater a al ir~. .he pr<~se~~u± ion of the work provided for in said
c~rtrzc t and ar.y and a:~LL duly authorized modification of said
c~ntract that may hereir~aft:er be made, noti~e of which modification
t-~ tr:e suret _,.~ i:- herF~by expre~s~y waived, then this obligation
s;:Aal; ~~e voi ;; ~~t':erwis, ': - r.emain in full force and effect.
PRO~IDED FURTHER, ~rz~r if any legal action be filed upon this
~cr,d, ~=enue ~` al.i lie ~.. -~ aeces County, Texas.
~nd t;~at sa i~ s~.rF =~ '~~r va Lue received hereby stipulates that
r~~ c;r:ange, ?xten~ion ~r t.ime, alteration or addition to the terms
cf tY~~ contra~~t, ~r to ~r:~- work performed thereunder, or the plans,
specif.eations, ~rawir,qs, etc., accompanying the same shall in
~n~/w~~se affect ~. ts :~~ . i a~~t ~on ~r. this band, and it does hereby
wa.ive natice ~:f ~ny s_.~r ~hanae, extensior. of time, alteration or
~:ddit i~n __ the term:s :;f the ccntract, or to the work to be
~}erfo~med t.he~eur~er,
?aymen~ Bond
Pagf~ ; ~f ~
"h~
~ bor:ct . s ~a : ve~. ' :~ :~~~et tr e requirements of Article 5160,
r
~~=~r~ .
;~~~' ~: ~ivi i~tat~~. te~ ~ . ~~'exas, ~~nd other applicable statutes of=
,
~- ~
~ ~a`e r ~, k _ _
of d:~. ~'~:e ~~ .~ , • ~~ ~, ,~ ~~
=E =~~'~s ~-~i'~ant , L.abor and Material",
a- .~ec~ her~ _:~ v r~ . c. YdancF w~~ tr anu as def ined in said
Ae _ _ ~e
I'h~- unde~signed agE~zt is hereby designated by the Surety
her~in -:: ~ the ~gent Resid=~n'~ in Nue~_es County to whom any requisite
n,~t. ~yes nay ~~e ::iei_i -erLU ~r.<:i ~~n wh~m service of process may be had
°~ ~natt ~~~s a 1~='~g c~= fi f
~ ~ ,uch :;uretyship, as provided by Art .
-~ i, ~Ternon' __ '~e~-as __. =~ -~~~. ~ce Ccde .
IN WITNESS WHEREOF, 'hi~ inst,:ument is executed in 4 copies,
eac:~~- o~~~_e of~ ~a~l-:i.c-r, sha~l- ~_~~ deemed an oriqinal, this the _
, <. ,
~ay - f "', _
PRINCIPAL
By:
(P~_,. Na*"te & _1LLP~
ATTEST
Secrt~t ~_r ;___
_F ,r._. N~im~)
SURETY
Bv.
Atto _'ne•.~ - in-fa~t
; n,,. ~~.. . r.J c. Pl P_ ~ ._
The Resident Agent of the Surety in Nueces County, Texas, for
delivery of notice and service of process is:
Ageacy :
Contsct Person:
Address:
Phoae Nu:nber :
~,>T : '~<;te c-_` : ~:,ment 3on~ m ~ _' ~<' be pri ~r `.-, date of _ ~ntract) (Revised 9/02)
Payme~t Bond
Fage <" f 2
P E R F O R M A N C E B O N D
STATE OF TEXAS §
COUNTY OF ~1UECES ~
KNOW ALL BY THESE PRESENTS:
TSAT D[usco Sports Lighting of Texas LLC of WILLIAMSON County,
T:~xas, ".ereinafter ~: alled "P~ incipal", and , a
cr_;r~~~cra'_ i.~n er.gan_. zF-d _.nd == r+~e ~aws ;~~f the S' ate of ,
a:~.~ du'_~ aur~crizr>d _. _= bus~ness in ~he State of Texas,
ri~r~=inafter _a:_'-ed "Sure ~_y''; are r~eld and firm ly bound unto the
C, t: of 'orp,:s ~hr_. sti , _; r-_,:~ic:ip~~l corporation of Nueces County,
Tex~as, ~Aereinafr..e~ ~al1eu "_.`y", .n the pena~ su m of EIGHT HUNDRED
NINETY-EIC~T THOUS~AND, TAREE HUNDRED FIFTY-THREE AND
NO/100($898,353.00) DOLL~ RS, ,._awfu-. money of the United States, to
~e ~aid n Nuec-es -:~un*, ~7 ~':=xas, fvr the payment of which sum well
a~~d r.r.:i ~ t~ : e rade ~s ~, s;ind ~.,arselves, ~ur heirs, executors,
~~~m; ~is~ T atcrs ~r :~ s~: ~~cr ~sc;r s, ;:c ;,_nt ~~y and sev erally, firmly by
~ re_~ p. eser.t s
THE CONDITION OF THIS OBLIGATION IS SUCH THAT: Whereas, the
~ T_ i-.c~ip~:~ en`e=~ed 1 ntc a c,~ ~ tain ,.ontract wi ~h the City of Corpus
~.?~~r-~sti date,~ the 19TH cf DEC~ER, 2006, a copy of which is
rer~` o a* tache: ~nci made -i ~<7 r t hel eof, for tne construction of :
SPORTS FZELD LIGHTING IMPROVEMENTS
PROJECT No.3315
(TOTAL BASE BID: $898,353.00)
1~OW, THEREFORE, ~f `~e F>rinci?a? shall faithfully perform said
wc~rk ir. ac:or~ancE witr -:~e p~ians, specif;~cations and contract
c~~c:zmerl'~~, -wnc-__udir,~ ar;~ .rar~qes, ~xtensions, or guaranties, and if
t i-;e pr~n<~ipai ~~ai ~. repa r:nd/or repiace all defects due to faulty
r~ateria'_.~. and~"c:~ wc.rkman~ ni~ rhat ~ppear witr~n a period of one (l.)
~~~e~ r fr~m t"~e :~ate of ::~~~mpl ~tion and acceptance of improvements by
t~:~E~ 'i?-y~, the-; t!-i~-> ob1 ~~a~-_:~n sha~= be voi~; otherwise to remain
•1 ~,_i1_i `orce ~~nd e~fect
PROVZDED FURTHBR, *r!a* if ar.y iegal action be filed on this
k>or.d, ve:iue sr~a._ i i ie r: N~F.~ es Co znty, Texas .
Ar~_~ that. _~id suret: 'c:~ value received hereby stipulates that
°,~ charce, extF~rsi ln ~f tin:e, alteration or addition to the terms
:>~ t7e ~ontrac~, o, to t-:e w~rk performed thereunder, or the plans,
specifi~ations, dr~wi~g~r -tc., accompanying the same shall in
an~,.~wise affect ~_t~ ok~i~~~at::ion or. this bond, and it does hereby
wal ve -.c tice c f ar. y su~': .r~ange, extension of time, alteration or
a~~c~i~i~_r, to *r_e , erms ~f ±he c:Jntract, c.r to the work to be
~~e:. f~rn~e:~ t~er~.~r:dE r.
'=erformance Bond
Page : of 2
I'r~.~ bc~n~~; _` ivt~; ~ c ~eet t~ze requirements of Article 5160,
`~ ,r ,c n' Yi~ ;~ 1:7ta~: ztes }'. exas, and other applicable statutes of
~ .~ . r.,
e .~ ta' E a "ka~~
Tr~- undersiqr,4 d ag:int is here~y designated by the Surety
rzra~~n ~: the ~:~ent Resic:ent: wn Nueces County to whom any requisite
r;t~.:~.;e~ ;°:ay bE• ~E1=ve~Ea ~r ~. ~n wr~om service of process may be had
~.. mat`_E~s ar_.:>:Lnq c~~.?, ~f ~uch :~aratyship, as provided by Art.
i~+- l, ''err.or: ': 'I e:~as I r:•u ~~:~:ce Cc de .
IN WITNESS WHEREOF, ~::h:. ~ inst.~ument is executed in 4 copies,
eacn c,:e of ~-'~~icF sha~ ~ :-e deemed an or~ginal, this the __
~,
;~ay ~f , ~~ ~. .
PRINCIPAL
BV
(pr:.^' Na~,~e & T1* le~
ATTEST
SecrF~ta r~.~
-- --- - __ _ -
(F~i.. ti~r;e~
SURETY
By:
A*-cr ~zey - Ln-fac~~
(Frin` I~aT~e}
The ltesid~nt Agent of the Surety in Nusces County, Texas, for
deliv~ery of notice and service of process is:
Agencay :
Contact Ferson:
AdaLrs~ s :
Phone Nuniber :
~sN~>?'F ---;t=~ of Per`~~rmar:~~e E~~nd ~vst ,o* be K~r.icr to date cf contract) (Revised 9/02)
Ferformance Bond
Page ~ o`. 2
. +City of
CITY OF CORPUS CHRISTI
~ Ch~S~l DISCLOSURE OF INTERESTS
~rr~
City of Corpu~ Christi Ordinance 17? 12, as amended, requires all persons or firms seeking to do business with the City
to provide the following information Every question must be answered. If the question is not applicable, answer with
"N!A"
FIRM NAME: Musco Saorts LiQhtinq LLC.
STREET: 100 1'~ Avenue West CITY: Oskaloosa. IA ZIP: 52577
FIRM is: ~. Corp~ation LLC 2. Partnership _ 3. Sole Owner 4. Association
S.Other X ~LC _,___
DISCLOSURE QUESTIONS
If additional space i~ necessary, please use the reverse side of this page or attach separate sheet.
1. State t4~e nar~s of each employee of the City of Corpus Christi having an ownership interest constituting
3% or more of the ownership in the above named firm.
Name Job TiUe and City Departrnent (if known)
N/A _ _- . ~ _ -
2, State ~e names of each official of the City of Corpus Christi having an ownership interest constituting 3%
or mot+e of the ownership in the above named firm.
Name Tide
N/A --- -__ --_ ___._
3. State tfie names of each board member of the City of Corpus Christi having an ownership interest
constltuting 3% or more of tfie ownership in the above named firm.
Name Board, Commission or Committee
, N/A ~ ~_~___ ___ -
_ ,..__- _ --
4. State ~e n~nes of each employee or officer of a consultant for the City of Corpus Christi who worked on
any rrMtter r~lated to the subject of this contract and has an ownership interest constituting 3°~ or more of
the ownershtp in the above named firm.
Name Consultant
NIA
CERTIFICATE
i certify that all infwmation provided is tr~e and correct as of the date of this statement, that I have not knowingly
withheld disclosure of any ~nformatio~ re uested; and that supplemental statements will be promptly submitted to the
City of Corpus Christi, Texas as ch es ~
Certifying Person: Dan Allm ~ . . Title: Sales Associate
ype or nn ~~/~ /
Signature of Certifying Person: Date:_12/7/06_~ a~
EXHIBIT "C"
Page 1 of 2
DEFINITIONS
a. Board INember. A member of any board, commission or committee appointed by the City Council of the City of
Corpus Christi, Texas
b Employ~e. Any person employed by the Ciry of Corpus Christi, Texas, either on a full or part time basis, but not as
an independent contractor.
c Firm. Any entity operated for economic gain, whether professional, industrial or commercial and whether
establis~hed to produce or deal u~th a product or service, including but not limited to, entities operated in the form
of sole propriNorship, as self-employed person, partnership corporation, joint stock company, ~omt venture,
receivetship or trust and entities which. for purposes of taxation, are treated as non-profit organizations.
d Official. The Mayor, members of the City Council, City Manager Deputy City Manager, Assistant City Managers,
Departtnent ~d Division Heads and Municipal Court Judges o~ the City of Corpus Chnsti, Texas.
e Ownership In~est. Legal or equitable interest, whether actually or constructively held, in a firm, including when
such ir~erest ~ held through an agent, trust, estate or ho{ding entity. Constructively held refers to holding or
control establ~ahed through voting trusts, proxies or special terms of venture or partnership agreements.
f Consultant. Any person or firm, such as engineers and architects, hired by the City of Corpus Christi for the
purpose of professional consultation and recommendation.
EXHIBIT "C"
Page 2 of 2
~:~1 iC::'0 Co~i irmNe~ 36i82F;t5~~:.
Pg 2/20
t A~~ CERTIFICATE OF LIABILITY INSURANCE oi~io;o7'"Y'
PROWLER i-800-24^ ~ 7756 THIS CERTIFICATE IS ISSUED AS A MAITER OF INFORMATION
Ho1meQ Murphv ~ Aeeoc w^w ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE
~ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
~p ~,~,~ ~2~ ALTER THE COVERAC,E AFFORDED BY THE POLICIES BELOW.
~Des Mc,inee, :~ 50306 - 9<t ' INSURERS AFFORDING COVERAGE
i
_ _ _ - -- -
___ __ -
iNSUrtfl[> ~~~ ,~ ~ NSURERA St. Paul Fire & Nazine Inaurance Company A XV
xueco Sporle righting .,~.' v
atcn: Karyl Thomaa NSURERB ~ployere Mutual Casualty Co. A- X __
P^ Bsax 809 ''NSURERC EblplOY@Y'8 Mueual Caeualty Co. A- X___
1 ~NSURERC _ ____.
~OeKalaoea. :A `_.~2577 _.__. _.. __ _._.._ ._ ._--
~ ~NSURER E~ ___
~vvcrv+u
?HE'OLICifS OF INSURANCE LIST~D BELOfN NAV~ BE=N ISSU'tJ TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWITHSTANDING
TERM OR CONDITIOV OF ANY CONTRAGI OR OTHER JOCUMENT WITH RESPECT TO WHICH THIS CERTIfICATE MAY BE ISSUED OR
~INY REQUIREMENT
,
THE IPISURANCE AFFORD-=J BY THE ~OUGES JtSCRBED HEREIN IS SUB.iECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
IN
a
T
,
MAY
ER
A
aOLiGES. AGGREGATE LIMITS SHOWN MNY HAV= BEE'V 4EJJC~J BV PAID C)LAIMS _
--- --~-- - - _--
-*-~--- - ~- ~-~ ~ - - POLICY EFFECTIVE POLICY EJWIRATION
I LIMITS
MISR
~~ ~~
"
q
NUMBER
TYPE OP IN~URAN E POLIC
L'TY ~2D:3625C" 07/O1/D6 07/O1/D7
$ ~~ EACH OCCURRENCE $1,000,000
GENERALLIABI
X';;~hMAEPC ta GENERHL ~E i'° ~ FIRE DAMAGE (Any one flre) E 300 , 000_
-~ - y'
x ;~ i1R ~
CL4 M~ MADE
;
MED EXP (My one person)
S 15 , 00 0
_.
~
i
k'~CoatYacCUal Liab PERSONAL8ADVINJURY $1,000,000
' __ .. .._~. . . _-- -. _...
~ ~
GENERALAGGREGATE
SZ•000,000
~ ._ .. __.. _. . _-.--.- _.
'GRFGA'E L'MIT APPL E t°GR
~
AC
PROOUCTS - COMPIOP AGG
S 2, 00 D, 000
GEN
t
a
~--. _. _._ f - - ~
~0-
~
: POLlCv . % 1
LCC _.._.. __..__
B~AUTOM08iLF..LlABIUTY 2ES~s625C' 0?~O1/06 ~'~. 07/O1/07 COMBINEDSINGLELIMiT
$1,000,000
- ~~ 0^/Ol/06 ~~ 07J01/O7
.~~2TS.ifi250'
E S: aNYAU"..; (Eaacddent) -
;
-~ ~~ ALLOWNEC AUTCS 2N5 ~625C' 07 (O1/06 ~, 07 j O1/07
~ BODILY INJURY
$
-- -~
SCtEDUt Ei: AUTOS
~ (Perperson)
~
i
:~~
~~~
..~ tf'~.REp a~..~T~:;S '~,
k BODILV INJURV $
AU7C5 I
V
F~i
~'~ x' (Per accitlenQ
N
J
NON-CV
~ . ~
~
_ PROPERTYOAMAGE $
......._._.. _ .
- -- fParacdtlenq
_.~ _., __ _,_-T
~
-'
AUTO ONLV - EA ACCIDENT
$
r .
~~~. G~RnGE UAbR+
.
'
.-
.. _
' ~ ACC S --
ANY Al;
.':
I
~ AUTO ONLYN
AGG S
A~j iQK0550011?? ~ -~--+ 07/O1/06 07,/O1/07
" EAGHOCCURRENCE 515,000,000
Y
E%CESS UABiI.I
~~ ~ ~ '~
/
MS "dAL`F '
;;I A
' X '
AGGREGATE
515,000,000
~
.
Y ,,
•-;C,CUF .__
- ~ $
~
~` $
~: 61 F-
DEDUC -
I
~ ..~.. REiEN7 ~ON S ~. I
TION ANO '~~2M536250' ~ ~ 07~01~06 07!01~07
B~
x W yLIMfUTS OER $
~., WORKE~COMPENSA
~ SOD
000
,! EMPLOYERS~unelUTV
07/O1/07
; ~yZ5362507 f ', 07/D1/06 ELEACHAGCIDENT ,
g
,
~
I
6' ~ ',25536250? - ~7%O1/06 '. 07r'O1/07 E.L.~ISEASE-EAEMPLOYE SSOD,000 _
~ ~ ~ EL.OISEASE-POUCYLIMIT $500,000
_.-r.._~._-. . _._.__._. .
-~~~., 07rieR ~ 0?;'O1/06 07;'O1/07
B 'Installaticn Floater '2C°3625G%
jLimit $ 860,000
/
` ~Deductible ~ 2,500
r'
J i y s
DESCRIPTION OF OPERATYOM3ILOGATIONSIVEHICLE9FJ(CLUSION5 ADDED BV ENDORSEMEN7ISpECIAL PROVISION~ ~~ S
Re: Corpue Chriati Lighting Improvementa Phaee 3: Project No. 1~03'S4
The c'iey of Corpus Chriati ia na~d as add:tional inaured on all general liability and all aueo liability policiea.
lr CR 1 ff 14 ~ C n V cn ~ Auui ~ unn~ n. - ---- -'
9HOULD ANY OF TNE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH EXPIRATION
OATE TMEREOf, TME ISSUING INSURER WILL ENDEAVOR TO MAIL 30 YS WRITTEN
CitY Of C`AIFILie Chrie ei
~
/
&nqinear~ay S9iVSCeB NOTICE TO THE CERTIFICATE HOLDER NAMED TO TME IEFT, BUT FAILURE TO OO SO SHALL
~
COIItLBCt ~dNlriBtx'BtOT IMPOSE NO OBIIGATION OR LIABILITY OF ANY KIND UPON TME INSURER, ITS A6EN7S OR
PO Box 9Z77
REPRESENTATIVES.
CoIPi18 C~tt1aC~ , TX 78465
;TS:4 AUTHORI2EDREPRESENTA7IVE ,~ /(~ ~
~
~~ V Ww~.c ~^~'^~IO
1i
,. .wiaun nneonowr~nu ~na9
AGUKU ZTS [!/y!J saiien
552416
_ .i f : -;r.: % .or ~ ~ rmNet 1;~6182b'3~~; Pg 3/ZO
IMPORTANT
i' the certificate hoider is an ADOITIONAL INSUREU, the policy(ies) must be endorsed. A statement
or this cert~cate does not confer rights tc the certificate holder in lieu of such endorsement(s).
if SUBROGATlON IS WAIVED, subject to the terms and conditions of the policy, certain policies may
~equire an endorsement. A statement on this certificate does not confer rights to the certificate
~older in iieu of such endorsement~s`..
DISCLAIMER
~he Certifiqte of Insurance on the reverse side of this form does not constitute a contract between
:ne issuing insurer~s), authorized representative or producer, and the ceR~cate holder, nor does it
affirrr~atively or nagative+y amend, extend or aker the coverage afforded by the policies listed thereon.
i/ ~~; ;:; ? i;on 3~ ~ rmNet ~:~~18263~a0 i
~f1i~Cln.sw~anoe Corr~an~es
Pg12/20
~ ~fP~O~RS MU"i'UAL t.:tl.7VHL1: t.~~i'~rru.i
; H A. N~s E E N D 0 R S E M E N T
~ *----------------------f*
~ PGI.ICY PERICL; FROM ~7, U1; 06 TO C7/O1/07/ * POLICY NUMBER 1/ *
i r ~ n~ _ Z K _ 7 ~i---Il'7 *
~'------~-'----------------*
N A M E D `- N S L R E I` : _ P R O D ZJ C E R___ __ y
M[7SC0 C4RPORATION HOLMES MURPHY Sc ASS~C INC
PO BOX 808 PO BOX 9207
p,SKAI,OQSA ~A 525T'-0808 DES MOINES IA 5b306-4207
AGBNT: AA-1452-4
AGENCY BILL AGBNT PHONE: 515-223-6600
T H I S E N il 0 R S E M• E i~T T C H A N G E S T H E P 0 L I C Y.
P L E A S E R E A D Z T C A R E F U L L Y.
_ ---------------^---------------------- -----------*
* ENI~ORSEMENT EFFECTIVE DATES: Ol/1~/a7 TO 07/O1/07 *
__-----------------*
< ____ ___--- ---
------ -------
IDI CO~dSIDERATION ~F THE PREMi~J CHARGED IT IS AGREED THAT THB FOLLOWIIJG
FORMS ARE ADDED:
l~ORM CG2010 t07/04)-ADDITIONAL INSURQD-OWNERS, LESSEES OR CONTRACTORS-
S~HEDULED PERSON ~~R ORGANIZATION, IN FAVOR OF: 'CITY OF CORPUS CHRISTI'
FORM CG6205 ~12/G4)-TEXAS CHANGSS-AMENDMEIdT QF CANCSLLATI4~7 PROVISIONS
OR COVERAGS CHANGFs, IN FAVOR OF: 'CITY 4F CORPUS CHRISTI`.
ADDITIONAL PREMIUM!' $ O.QO
AUDIT FRSQUENCY: ANNURL
' PLACE OF ISSUE : D&5 MOINES , IA ~ ~j,,~p r~~'~"
DATB OF ISSUE : 0 i/ 10 / b 7 _ COIINTSRS IGNED BY : ~il '~^^""
FORM: IL12C1A (ED. O1-8E' ~PP 118 SR 2D53625
~i, : ~; ;;~7 ;or:: ~rmNei ~_ ;618~6~-`~p i
PO!.ICYNIJiUIBER: 2D7-36-25-";7 ~;
Pg13/20
COMMERCIAL GENERAE. LfABILlTY
CG 20 10 O7 Q3
THIS ENDORSEMENT CHANG~S THE POL(CY. PLEASF REAI~ IT CAR~FU~I.Y.
ADDITIONAL INSURED - OWNERS, LESSEES OR
/ CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATIO~I
T~is endorsement modifies insurance pravided under the following•
~" COMMERCIAL GEN~RAL LIABILITY COVERAGE PART
SCHEDUIE
~
Name OfAdditional Insured Person{s)
Or Orginizatbn s:_
Location s Of Cavered O rations
CITY OF CORPUS CHRISTI
bEPT. bF ENGINEERING SERVICES
~.o. Box 92~~
ATTN: CONTRACT AD~hINIS7RATOR
CORPUS CHRISTI, T?( 78469-927i ~
Inforrn~tion r uired to co te tfiis Scfiedule, if not shown above, w(q be shown in the Declarations.
A. Section II - Who is An insured is amendec! to
~nckufe as an addiGonal insured ihe person{s} or
organizabon(s) shown in the Schedule, but oniy
with napect to liabi~ty for "bodily injury", "property
dam~ye" or "personai 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 operations for
the 8dditlonal insured(s} at the lecaGonts) desig-
nated ahove
GG 20 10 07 04
B. With resped to the insurance af~orded to these
additional insureds, the foHowing additional excfu-
sions apply:
This i~surance does not app~y ta "bodly injun/' or
"property damage" cecurring aRer:
1. AIt wark, including materiats, parts or equip-
ment lurnished in connection with such work,
on the praject (other than service, maintenance
or repairs) to be performed by or on behalf of
the additanal insured(s) a! the location of the
covered operations has been completed; or
2. That portion of "your work" out af which the
injury or damage arises has been put to its in-
tended use by any person or organizatian
other than anamer conVactor or subcontractor
engaged in petfomring operation5 for a princi-
pal as a part nf the same project.
O iS0 PreAerties, Inc., 2004
Page t of 1 ~
' : / J ~ ~ , ,or~ ~ ; rmNet i;~618263 ~0;
~IVI!~ Insurance Companies
'- EMPLGYERS tiIC'?".,A4 C.-';SLTA' TY ~OMF.'~`7Y
Pg 4/20
~ i ri ~. =~d ._ ?-- v ti~, C R S E M E N i
/
/
*_ ----------------------*
~ ~Oi~ ~ ^'~~` PERI~~"~r F3;;y ~ '` !+;~~ '"C D"; 01 1 ~~ / * POLICY NUNBER *
~ *~ T 5- 3 6- 2 5---07 *
'~ A M~ r ~~I ~ ~ E_
P ~_
R G -------------------•--*
D li C E R:
MUS~'~ ~ORPORr.Ti~N rGLM~S MiJRP HY &`ASSOC INC
?0 BG~ 808
^
~ ~~ IIOX 920?
SKFi~OSA IP ;~?~
08C8 DES ~CINES IA 5030fi-9207
AGENT: AA-1452-4
~°;~ENCY A=i:~ AGENT PHONE: 515-223-680Q
?- I~, ~ ti G~ R~= M E N T C~~. N G E S T H E P 0 I, I C Y.
_'. ~, ~ S w R.-; A D I T C A R E F U L L Y.
~ - - --- --__ _ _ _ _ -- ._ _ __----- - -----------------------*
~ ~'1DORS~MEN:' ~FFEC~_VE DATES: ~1/09/07 T'J ~7/O1/07 *
•... _.-- --------- - ------- --- -------------------*
j; IN ~JI~SIDE~ATIC:U Q; THE PR~MIJM ~HARGED, ~T IS AGREED THAT FORM CA7240
J ;~7:a~) ADD~T~{)NAL iNSi;R~~-DESIGNATED ?ERSON OR ORGANIZATION IS ADDED
1N ~~~'OR OF '~?TY ~^ CORP[:~ CHRISTI', ~S SHOWN QN TNE ENDORS~MENT
:;CHEDULE, ~'OR'~ i=~~7 31A 0~!0'_; AT'^ACHEi~.
AD.~.II ONAI PRENIUN~: a 0.00
AUnIT NREQt;ENC:!: ANNUAI
PLACE JF ISSC~:~ DES MOINES, I1~ ,~
; DATE Or ISSUE: O1/1C/C7 ;:OUNTERSIGNED BY: ~
FO :: I 1 lA 'ED. ,'1-85) ~- BPP ` 118 S~
I
~ ~; ; t7 ~ (:7 ~ ~.or.f 1rmNet . 361826:~50 i
Pg 5/20
,/~'aElM~C Insuranoe C;ornpanies
PAGE 2
i EMpLOYERS M~T??AL rASliA~TY C^N'FANY POLICY N0: 2T5-36-25---07
~ MI,'G~"? CORP ~y"T~~; EF~ vA?E: 07/;1/06 EXP DATE: 07/Q1/0?
~.: ~'' ~ E ~ N ~ C R ~ E f9 E N T
't: .. !~ T ; N ?~ ~ ~
iORM~ APP~I,~A3~~.
09~?=, 3003~(J3/~~_;, CAC~C~11~
CA2054 (10'Oi; , '~A2055 i;101 :)1 j >
CA"'OC1A(02/0~;, CA?00''i10i07;
CA8145(12/02;~, ~.A~170(07iG5),
~L0021(09/98?, IL1201AfC1i8Ej
IL8~44l02!7':~; iLF~523ib4:'~:4)
~%O1), CAC195(09109), CA2001(10/O1),
~A2109(~6/b9}, CA2264(02/Ol),
, C:A~2~8f08i99), CA72S0(07/97)*,
i'A9933(02/99), CA9995(12/O1),
IL7130A(04!O1), IL7131A{Q4/O1)*,
Re_`e~ ta p~~~~- di: -.ri:~~;`~~-n {~; for any forms not a*_tached
;
~.UDI T FREQUEN ~ Y_ A!~-NUA ~
PLACE OF ISSUE: DE~ MOTNE:, ;A ..
! ~ATE OF ISSUE: Oi/'~0/0~? COUNTERSIGNED BY: ~ ~
F : 2~ A(ED. 0?-85) BPP 118 SR 2T_ 362.
=Lia=~tr3~7 :ons~xmNet . i;~6.18263~0~
Pg 6/20
/"~IV~ Insurance Coir~anies
~ P" "R '"TI ~'A~' lA' TY _ ~M-' Nv pnr T~-v n
c.tii ~. ,~^. S MI. ._AL __ -T _ - ~+: NUMBER. 2T5-36-25--~7
?':7S~--'~~ ~'~RF~~~ '~C?~ e::'F' ~ATE: OilC3/07 EXP 7ATE: C7/O1/07
_. N:~ F_ R~ A~ r ~ T U P G L I C Y
, ~{: L A R A T T 0 N 5
°____=_ ~:==-_v_====____ ____°___________°_____________ _~°__=_°
EPd[%~}RSENEN"' SCHEDUiE
E~?:TION
EORP': D~:TF DESCRI;'TI,)N,'ADDITI:iNA~ INFGRMI~TION PREMTt7M
~ ``~~~- - SP~,C~A~ IT~TTEREST
TERROR~:SN :OVG I1vC~, IN MAIN COV i~ORM $ 6
?JO~~` C:.~-02 GLASS REPAIR FOR~7
j ::AOC'Ci _ ~~-G1 BUSINEE:S ~(?~0 COVER.AGE FORI~?
; ~A0195 C9--C9 TEXAS CHAN~ES
~ ~A2001 _;:-CI uESSOR-ADDITIONAL iUSURED/L055 PAYEE .
4A2054 _^-Oi EMPLOYEE HIRED AiJTC~S
~A2C.~~ it;-Oi FELLOW EMPI:OYEE CO~ERAGE
! CA21C9 C'c-C9 TX UNINSGREd/UNDERINSUR~D ~9GT4RISTS
~A2264 C2-C1 TX PER50NAr INJIIRY PROTECTZON
~ ~,~170G~A C~-CS ~OMM AC'TO DECLARATIONS/ADDIT'L ITEMS
~ CA70~:~ :~-Oi QUICK REFFRENCE 3USINESS AUTO FORM
~ ~A72:E ~:8-Q.9 i~AIVER OtiR F.IGHT/RECOV~R FROM OTHERS
tiAME
~ CITY OF A[:STIti
~o Bc>x ~ G68
AUSTIN, iX 78i0~
' °Cr~72~~ ."-9~ ADD'~ iNSD dESiGNA!ED PERSONAL/QRGAN
PERSON/ORGANIZATION
CIT1' OF tfORPtiS CIiRISTI
ENGINEERING SERVICES
Po Bcx yz~?
CORPGS CHRISTI, TX '8969
~ CA8I4~ ]2-C2 A[1TOMOBILE THEFT PREVENTIQN
; rA8I~'u .~-^u5 IMPORTANT NOTICE TC POLICYHO?DER
~A99~3 C'2-99 GN.PLOYE'.ES A5 INSUREDS
~A99~5 12-Oi TX SliPrLEMENTARY DEATH BENEFIT
~ ~L0021 ~~l-9$ ~3I7CL~AR ENERGY L•IAB EXCL/BROAD xORM
I:~12C1y ~I-86 ~HANGE ENDORSEMENT
I:~71 ~OA i14-Oi NA~^?ED INSURED ENDORSLMENT
": 71 <lr~ C9-01 ^~MM'~ POI.ICY ENDORSEMENT SCHEDULE
, T~8044 ~2-00 IMPORTANT N:TICE - TEXAS COMPLIANCE
I:_85~3 :~-04 CIGH^_'IN'.-; ~[vS FRAUD-PO~ICYHOL~ER NOTI
; DATE OF ISSUE: C1/1J/07
FO M: I 13?A (E~. 0-0~) -~--- BPP
~tI1 ~~0: ~~7 ~uonfYrmNet. ~ ~ 1~~618263~0,
Pg 7/20
/"~N~ Insurance Cornpanies
;~I1 ~_C1~E1~7 C.'ori~rmNet ~ 1~618263~Oi
Pg14/20
PQG'.CY HUMBER~ 2G`~-3b-25- )? ~ COMMERCIAL GENERAL LIABILiTY
CG a2 Q512 04
TH(S ENDORSEMENT CHANGES THE POLICY. Pi.EASE READ !T C4REFULLv.
T~XAS CHAlVGES - AMENDMENT 4F CANCELLAT~ON
~ PROViSIaNS OR CQVERAGE CHANGE
Th',s endorsemern madifies tnsurance prcvided under the following
J COIV~MERCIAI. GENERAL LIABILITY COVERAGE PART
IIQUOR LIABILI7Y COVERAGE PART
OW~ttERS AND COfVTi~ACTORS PROTECTN~ LIABIUIY COVER,4GE PART
POU.UTIpN LIABILITY COVERAGE PART
PRt~DUCT IMTHDRAUIEAL COVERAGE PART
PR~{,1CTS/COMPLETED OPERATIONS LWBI~lTY CQVERAGE PART
RAILROAD PROTECT~1/E LIABILITY COVEFZAGE PART
!n the eyent of canceAation or material change that reduces or resVids the insurance ai~orded by this Caverage
Part, we agree to mai! prior written notice of cance(lation or materiai change t~:
SCHEDULE
J
1. Name: CITY OF CORPUS CFiRI5T'~ DEPT. Of ENGINEERING SERVICES
Z. Addt~ss: P.fl. 66X 9277 ~-__.
ATTN: CQNTRACT AQMINiSTRATOR
~ ~ORPUS CHRIS~I, TX 784b9-9277
f
. Nur~e~ of days advanc~a notice: 6C
~fortnaEion re uired to com ete this Schedule, if not shown above, wiil be shawn in the Declarations.
CG 02 05'!2 04
O ISO Properties, inc., 2003 Page 1 of 1 O
;~.- _~. Ji ;:Or,f ~ZmNer, ~ _:;618Z6:Y50i
/~NI~CInsurance C,orr~panies
r EMP C `_!ERS '~2!~'?";A"~ ":~Sr'A~TY rOM.?~NV
-:. 'v ,' E N.. C R S E M E N T
k________ _...____________~___*
f POI_~ . PER~:~ ~ P'~ ~M ~ ~~ )1~ ~~, ~! + *
~ '"~ C~ ~ 1 i 07 POLICY NUMBER
* 2 T 5 - 3 6- 2 5----C7 *
' •- ---------------------*
' N A N! ;: _ ~ N ~~ '; ._ . P R C D U C E R:
?~IUSCC CORPOR.A"'i0N !-30'~,MES M[JRPI-lY & ASSOC INC
~o ~ex ec~ po 3ox 920~
JSK[-`~OOSA ;:-~ ' 25-" -0$CS DES MOINES IA 50 30 6-92 0 7
AGENT; AA-1~52-9
FGENCY B_ i,i AuENT PfiONE: 515-223-6800
3 i';. = I~ :~ `J ii ~_~ M~. N~_" i' H A~l G E S T H E P 0 L i C Y.
` :. E A S~ R E Fl D ~ T C P. ~ E F U L L Y.
~
, _ _--- ---_ __ -- - _ ---- ----------------------*
; ' r,NDCR:.EMEN'. ~°.i~'FE:"~~VE DA7'ES: Oi/IO/07 TO 07/O1/Q7 *
._ ____._. ___ --
_ -------------------__- --------*
:N vONSiDERP.TION 0_ THE PkEM~U~] CHARGED, IT IS AGR£ED THAT FORM CA0244
~~ ; 06i i~'-' )-TEXRS CANCELLAT~Ori PROVISION GR C(~VERAGE CHANGE EATDORSEMENT IS
ADDE,D IN FAVGR GF 'CITY 0~ CORFUS ~HRISTI', AS SHOWA; ON THE ENDORSEMENT
' CH~:D';~E. F~RN! Ii, i 31A (~~ `G: ) ATTACHFD.
~
A~~I`i IflN«L PREMI[;y: $ 0.00
AUD:i FREQUEN(~Y: AN.NUA'
; FLACE OF ISSU~: ilES MOINES. I~ ~ly~ ' ,_ ,'`..
; GATE G~ ISSUE: Oi/~J/0? ~OUNTERSI6NED BY: r )
Fb i: I 20iA lEQ. ~-86) ~ BPP 11 SR- - 2T 625 0 7
n. ~ . _. _ .,.. , -„R,.,a ~.- _ . _._ . a. u.~ ..~ ,_ . .. ,.. . _ _,,.
Pg 8/20
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Pg 9/20
,l~EMC Insuranc~e Companies
PA~E 2
r- ,. ---
CMPi~~.YERS ,']~'JAL ~. ASIJA,.
~ "'` :~ _ "^v ~~M?ANY PoLICY N0: 2T5-36-25---07
MU~':~ CCR?JRa "~~~;~N :r~'L' ~ATE: 07/`-~1/06 EXP DATE: 07/O1/07
' :: F. i~ C: E E N D C R 5 E N: E N m
~. N. I N u E D
F0~'~z: APP~= ~A?L~ :
09~"'", 3003~~!{,3,`0~~~,, CF?Ou:l(:~:,%~lj, CAOi,9o(09/04}, CA02~9(06/09?*,
CA~~tsi (1C~,/0~: , CA2~59 (l0i ~1) , ~,A2055 {i0/Oi) , CA2109 (C6/04),
CA~264(Q2i~Ji~~: CAi~C1At02~'OS), ~A7007(i0/Ol), CA7218(08/99),
~A~<<0 (d"'i 9' ~ , CA8195 (i2i ~2; , ~~A8170 (()7/0~> , CA9933 (02/99} ,
::A99G5(i2%G~ , ILCJ21(C4-'a8), ~L12Q1A(v'_/86), IL7i3~A(09/O1),
ZL-:~?lA(G~!J,` *: I:80L~ (~?!0:": , IL6523{09~09}
Re`e_ to pr: ,._ c:is-ribu~i~.~n(s~ ~°or arv forms rot at~ached
AUDIT FREQGE'.V~Y: A?~NUA~
Fi.ACE OF ~SSU~ : JE5 MOINES, I~:
j_ DATi OF ISSUE: Ol/~0/07 _ ~,OL'NTERSIGNED BY:
F N: I 120~A ;ED. ~-86) BPP 118
..~1,~ ~:7I~:;? ~~;onf irmNet - i3!~18283~~~1
Pg10/20
,~NI~Insurance C',ompanies
~_ E^~PLI^YERS Mt1T:,'AL LA~'JA~"~ : ~MPA:~Y i
M_:SC'_ ORPO~.T: ~N
PC~ICY NP,MBER: 2T5-36-25---
Ez~ GAT~: O1/1~/0? EXP DATE: 07/O1/07
~" M h1 E E% i ~ A ~ ~ ~ T C P 0 L I C Y
C~ E~~. ~: r~ A 3 A T I 0 N S
ED'D~RSEMEN': S~I~ED(J~~
~ ~L~irz,~N
I'ORi~+ CA.T'E DESCR~ti'ICN;'.ADDITI~ NA~ INFORMATT~N PREMIGM
' °;~1? SPECIA~ IN".'E~EST ------------
'_'ERRORI~M C:OVG IN:,i: IAT MAIN COV :ORM $ (
3C03~ C:-~2 :~LASS REPAI~ FORN.
~AOOD1 ~~-Oi BUSINESS AliTO COVERAGE FORM
~ :~.019=i ~:-G4 iEXAS .''HAN^vr,5
'*"h02G? ~=-ny TX CANCELLATION PROVISION OR CHANGE
:~AMElADDRESS ~/
NuMB~x CF DAYS' N_~TIC~: 60 ~/
NAME ~)F Y;RS7N OR. ORGANIZATION:
ADDRESS:
CITY ~F CORPUS CHRISTI
DEPARTMENT C~' ENGINEERING SERVICES
PO BCX 9~:i7; ATTN; CONTRACT A~MINISTRATOR
CORPt~S CHRISTI, TX 7B469--927 i
CA2.00: i'";'-O1 ~ES50R-ADDITIONAL INSQRED/LOSS ?AYEE
~ ~A2054 . ~,-0 ~ ~MP:.OYE~ :-IIRED ALTOS
CA205 ; . ,--0~ ~EL:~OW ~MPLOYEE COVERAGE
I ~~A21C~ :}6-09 'X iJNI1vSUREDlUNDERINSIJR~D MOTORISTS
~A2264 ~2--G:. TX PERSONAL TNJtJRY PROTECTION
C:A7Qi; 1~ ;,'.-C5 ~~!`~.M Ai? C0 DECLARATIONS/ADDIT'L I;EMS
~A70G' '.J Ci ~UICK R~FERENCE BUSINESS AUTO rOR'K
! ~~-A72i~ 0~~-99 ~~1AIVER ~`UR RIGH^'/RECOVE2 FROM OTHERS
NAME
CI i Y ?F AUST~N
PO B0~{ 1E88
ALSTI'J, TX 78?02
:~A724;? ~"'-9~' ~~DD';~ I`vSD DESIGNATED PERSONAL/CRGAN
, PERSON/OR~ANIZATION
C~TY :~F ~QRPUS CIIR2STI
ENCIN~ERINC~ SERVICES
PC BGX 92~'?
CORPUS CHRISTI, TX 76469
~A819~ ~.:-C2 AUTQMCB"<LE THEFT PREVENTION
~A81"'t) 0~`-v5 ~.MPORTANT 'VOTICE TO POLIti,YHOLDER
::'A993~ C~:'-99 i;MPLOYEES A5 INSiJR~DS
~ vA999~ ~~-O1 "'X SUPP:~EMENTARY DEATH BENEFIT
T~,002: ;~-98 NUCLEAR ~N~RGY LIAB EXCL/IIROAD FORM
i~120~A :`.~-86 ~:HANGE ENDORSEMENT
! ~I,713C1A ~4-G1 i~?AMED I'~SURED ENDORSEMENT
~* IL713 A C~~-C1 ~;OMM' ~?C3LI: Y ENDORSEMENT SCHEDULE
:Lg044 CL-OG ~MPORTANT i~C7mICE - TCXAS C~MPLIANCE
I IL852; C~-04 ~IGHTINC; INS FRAUD-POLiCYHOLDER NOTI
s
I
~ DATE OF ISSUE: O1/iu/07
FQ . iL7131A (EC. ".-O1) _-.~__ BP~
~,I.i ~%:;? ~:or~ixrmNet 1:5618~63~01
Pgll/20
/~~11~ Insurance C;o~n~pan~s
;~ / `~Oo ~ l ~~onfzrmNet 1.36182635~1
WORiiERS COMPENSAT!ON AND EMPLOYERS LIAB(~ITY INSURANCE POLICY
7EXAS NOTIGE OF MATERIAL CHANGE ENDORS~MENT
WC 4Y 06 01
{Ed. 1-94)
T7~s endorsement appaies oniy to the ins+:rarce provided by the policy because Texas is shown in ltem 3.A. of the
Irformatian P~ge.
ir. the event af cancelation o; other materiai change of the policy, we wilt mail advance notice to the person or
organizatioc ttamed in the Schedule. The number of days advance notice is shown in the Schedule.
Th~s endorsement shall not operate directly or ~ndirectfy to benefit anyone not named in the Schedule
Schedule
1. Number of days advance notice: 6C /
2. No~e wifl be mailed to: 7EIE F'RST NAMED INSURE~
Th~ endors~neM changes the policy to which =t is attached and is e~fectfve an the date issued unless otherwise stated.
{T'he fnformation below is required oalywhen this endo~sement is issued subsequent to preparation ofthe policy.}
Endors~ent 9-10-07 , EKective Poiicy Na 2Z5-36-25-~r~dorsement No_ 711
~nsured Ml;SCO CORPORATIbN ~~ P mium
tnsurance Gmm ~ EMPf.C)YERS MUTUAL !:ASIJA ~~ N~`.~ ~
pa y ~a~nt~~igned by ,,,
Pg20/20
WC4zosoi
!Ed ?-9d}
.~ i: 0 :~; ~o~~f ~rmNer. ~~61826.~=4iU i
/El~CInsuranoe C:o~r~panies
Pg15/20
; EMPLOYERS MLT'P[JAL CASUALTY COMPANY (15539)
;
c` H A N v E E N D O R S E M E N T
~,.~ k___________~_____-____-_!'
' P'JLZCY PERIOD: FROM C~r'O1:!06 T~ C7j01/07 * POLICY NUMBER ~*
k 2 Z 5- 3 6- 2 5---a7 +
~------------------------.*
N A M E D T N S:` R E D: P R O D U C E R:
MUSCO CQRPdRATI0I4 HOLMES M[JRPHY & ASSOC INC ~
PO BOX 808 PO BOX 9207
nSKALOOSA IA 525"7-0808 DfiS MOINBS IA 5~3Q6-92Q7
AGENTe AA-14S2-4
A~ENCY BILL AGENT PHONE: 515-223-6800
:' h I S E N D O R S E M E N T C H A N G E S T H E P O L I C Y.
P L E A S B R B A D I T C A R E F U L L Y.
r____ _-----____~_----------------------------------*
* END~RSEMRNT EFFECTIVE DATSS: 41/10/07 TO 07/O1/R7 +*
*----.___________....______-- -----------------------*
ItI CQNSIDERATIOId OF THE PREMIUM CHARGBD, IT IS AGRxED THAT FORM
YPC42d6a1 (O1/94} T$XAS Iv'OTICF OF MATERZAL CHANGE ENDORSEMBNT IS
ADDED AND ATTACHED.
ADD.TIONAL PREMIUM: $ 0.00
AUDIT FREQUENCY: ?1NNUAL
PI,ACB OF ISSUE : DES MOINBS , TA Y `%~~,.. .`,,
~ATE OF ISSUSc Q1/10/07 _~____ COUNTERSIGNED BY: ~w~x
ORM: IL1201A EA. 01-86' BPP 118 SR
11
,, ~i .~, 4~ 7 ;onf ~rmNet i s6182_6450 ..
/"~III~ Insuranoe ~ornpanies
Pg16/20
r,~tur~ ~
EMpZ~0YY12S MUTUAL CASi3ALTY COMPANY 515539) POLICY N0: 2Z5-3£-25---07
MUSCO CORPORATIQI3 EFF DATE: 07/02/06 EXP DATE: 07/Ol/07
^<~ A N G E B N D 0 R S E M B N T
~; N T Z N U E D
~QRMS APPLICABLE:
0405$(02/Q6;, 0405::{OZ/06 , ~4i7, 1012E(12/O1), 115G(47/Q5},
EL12G1A(O1/86) , T_i,7004 (O1;'06' , II~7].30A(04f O1} , IL7131A(04/O1) *,
IL7660(O1/99„ tL7602(O1/99), TL7604(a1J99), IL7607(02/00),
IL7612{Q1/99',: IL7613(Ol/99}, IL7615(O1/99), IL~618(10/99),
I.L8432(41/89i, IL8044(02/00), IL8062(06/02), .IL8129(09/93),
IL8383.3(09/04), WC000113;01/C6}, WC000301A(02/89), WC000302(04/84},
WC000303C(10/04), WC000310(04~84}, WC000311A(48/91?, WC000323(04/84),
WC00a316(04/86}, WCQ00441A(05/86), WCGdC1424(07/90), WC000419(O1/O1),
WCOQ0420(12/02), WCOQ0421Ai01/06}, WC000422{~1/06), WC040301A(03/98),
WC040336(04,~84), WC04036QA(11/99}, WC040402{ql/95}, WC040407(10/99),
WC040601A{1Zj93i, WC05D4~2(11%90), WC060301(04/84), WC060303B(04/96),
WG05C601(O1/03?, WCd70601;07;r86), WC0806U1{04/84), WC040403{O1/06),
WC090606(10/9$), WC10Q601A404{93), WC1206a1C{04/Ol), WCI50401(04/84),
WC15G405(03/96), wc15Q601.A(oij87), wC16~602{l0/99), WC170303(12/40),
WG17Q601D((34/02}, WC170602A(02/9b), WCI9(1601B(06/Ol), WC21011(00/OU),
WC21~3Q3Ai06J97}, WC210304(04j84), WC220000A(11/03), WC220601C(09/05),
WC2404Q6C(Q8/05}, WC240601B{O1f96}, WC2406a2S(07/06), WC240604(07/99?,
WC2503t~5(07/02), WC250601A(10/03), N~C254602(01/94), WC260601C{p7/96),
WC27~601A(1Of03?, WC280603(~4/84), WC280604(04/92), WC300301(44/64?7
WC300601(O1J9t~?, WC320301H{10%Oi), WC350601E(07/06~, WC354604(08/99),
WC3~0110(O1%06), WC370405~08~96), WC370601(04f84), WC.3766Q2(84/64),
WC370603A(08/95), WC38060I(04i84), WC400601(04/84), WC400603{O1/94),.
WC400605B~04;06), WC42a301F(O1./00), WC4204U7(03/02), WC42d601(07/84)*,
6JC440601{04f84), WC440602A~09f91), WC7603(09/86;, WC7005(04/92),
WC7101i~!(1S/89j, WC~104(O1,%98:, WC71D4.1(O1/98}, WC71~4.2{02/O1),
WC7105.1(06/98), WC7109(0"7/92), WC7111.1(04/9@J, WC7115{07/95),
WC7130.1(01~98), WC7I32.1;12!G.), WC7135(10/03}. WC8062(05/02),
WC8114(08/98;, WC6457K{08~03 , WC8486{O1/a5), WC8493{p6/O1),
WC8500(07/04`; WC8527(11/~5)
RCter to pri~r distribution(s`r for any forms aot attached
AI7DIT FREQI7ENCY : ANNUAL
PI~ACg OF ISSUE: DFsS MOINES, IA
I~TB ~' ISSUE: O1/10/07 _.__ COUNTERSIGI3ED BY:
nu. ..,~n,n rAn ni-RS~ BPP 118 S
5
., ~ ~ . ~. ~:'7 or. i ; rmNet . ~6i 8263`~0
~EI~Clnsuranae Companies
Pg17/20
MUTUAi, CASUALT`I COMPANY (15S39t Pl7?~ICY NUMBER: ZZ5-36-25---07
MUSi_'Cf CORPORA"_'IOI3 EFF DATE: O1/10/07 EXP DATE: 07/O1/07
~V O R~ E R S C' cJ M P E N S A T I O N P 0 L I C Y
D E C L A k~ A T I 0 N S
---------------°___=°_=___==_~==°-____
ENDOi2SEMENT SCHSDZTLE
FDITION
FORM DATE DESCRIPTI.ON/ADDITIUNAL INFORMATION PREMIUM
~J40SB 02~06 WC & GROUP BENSFITS PRIVACY NOTICE
040SC 02--06 PRIVACY NOTICE - CA
041? - SPECI.AL Ii~TI'SRFsST
1O12E 12-01 MIN1~Tr,SOTA LOSS PREVENTTON N~TICE
115J Q7-05 QI3ESTIQNS & ANSWERS A$OUT WC LAWS
IL12G1A C)1-B6 CHANGE ENDORSEM$NT
IL7Q04 0?-06 MUTUAL POL,ICY PROVISIONS
IL7130A 04-Oi NAMEn INSURSD ENDORSTM8I~TT
*IL7131A n4-O1 CONIl-4'i., POLICY ENDORSBMIINNT SCHEDULE
TL76C0 U1-99 RHODS ISLAND COMPANX $LIMINATION
IL7o'02 CL-94 COL~RADO COMPANY $LIMINATIaN
IL7604 01-99 KANSAS COMPANY ELIMINATIOPI
IL7a07 02-00 NORTH CAROLINA COMPANY SLIMINATION
IL7612 G1-99 NEW MEXICU COMPANY BI,IMINATION
TL7613 01-99 IDAFIO CQMPANY ELINlINATION
II.76i5 C1-99 OKLAHflMA COMPANY $LIMINATTON
IL7618 iQ-99 FLORIDA COMPANY ELIMINATION
IL6~31 01-89 CALZFORNIA RECOUPMENT NOTiCE
Ib6~44 D2-O6 IMPORTANT NOTZCE - TBXAS COMPLIANCE
II,8062 U6-02 CONSUMER COMPLAINT NOTICE - ILLINOIS
II,S 12 9 R 9- 9 3 OKLAHOMA FRAUD WARNIAiG
TL8363.3 04-04 DISC20SURE NOTICS OF TERRORISM
PREMIUM TFiROIIGH 12/31/OS WAIVED
PREMIUM BEYONA 12/31/U5 $ 8352
WCQ00~13 G1-~6 TERRORISM RISR ~NS ~XT ACT END.
WCQ00301A U2-89 ALTERNATE EMPLOYER ENDORSEMSNT
WCOOQ302 D4-84 DESIGNATED WORKPLACSS EXCLITSION
TKE POLICY DOES NOT COVER WORK
CONDUCTED AT OR FRQM:
ANY WORKPLACE COVERED UNDER ZNSURANCE POLICY
NUMSFsR 2553625 AND 2M53625.
WCO[}0303C ~D-04 EMPLOYSRS LIASILITY COV'ERAGE
WCOQ0310 04-84 SOLE PROPRIETORS/PARTNERS/OFFICBRS..
SOLE PROPRIETORS, PARTNERS, OFFICERS AND
OTHFsRS TNCLUDBD BBLOW(NAME, TYPE & STATE):
NON£s INSURED HEREUNDER IDAHO
WC000311A G8-91 VOLUNTARY COMP AND EMPL I,IABILITY
WCfl00313 ~4-84 WAIVER OF OUR RIGHT TO RBCOVER
THIS AGREEMBNT SHALL NOT OPFRATE DIRECTLY
OR TNDIRECTLY Ta BENEFIT ANYONE NdT
NAMSD BELOW:
ANY P$RSON OR ORGRNZZATION
wC000316 G4-88 EMPLOYERS LIAHILITY INSi7fiANCE ENDST
WC000401A C5-66 AIRC'RAFT PRSMIUM SNDOR3EMSNT
WC000414 v7-90 NOTIFTCATTON OF CHANGE EN OWNERSHIP
TE ~F ISSUE : D l j' 10 / 0 7 ( CONTII+TUED
RM: IL7I,31A ED 04-Oi' ~v BPP 118 SR 2Z53625
~~:i1=~i~? ~;onairmNet 1:~61826350~
/EM~Insurarx~e Can~anies
P,~GE NQ : 2
E1-tPLCYLRS MUTUAL C_~SUALTY ~OMPANY (15539
Pg18/20
PnLICY NUMBER: 2Z5-36-25---0
!~lUSCC CQRPORATIObJ EFF DATB: Ol/10/07 EXP DATE: 07/O1/0'
W O R~ E R S ~ O M P 8 N S A T I 0 N P O L I C Y
D B C L H k A i I 0 N S
w:~~~=~_:~=~~~_t=~===___--____________________________°=-__=_____-=-__-~_~~__:
~NDORSEMENT SCHEDULE
~LITION
FORN1 DATE DESCR~PTiON/ADDITIONAL INFORMATION p~iyl~
WCOG0419
G1-01 -- ------
pRB~IUM DUB DATE ENDORSEMENT --------------------
WCQOD42Q 12-Q2 TERR~RISM RISK INS ACT ENI7~RSEMENT $ 8352
WCO(70421A G1-06 DOM TERRORISM/E-QUAKS/CAT INDIIST ACC
WC000422 QI-06 FOREIGN TFsRRORISM PREMIUM END
4dCQ40301A 03-98 CA AMBPTDATORY ENDST
WC040336 04-84 }3lsll AGRBSMENT LMT k RESTRICTING INS
WC040360A 11-94 EMPLOYSRS LIABILITY COVSRAGE AMSND
WC0404Q2 01-95 MANDATORY RATE CIiANGE ENDORSFM$NT
WC04~467 10-99 CA PREMIUM ADJiTSTHSNT ENDORSBMEI3T
WC040601A 12-93 CA CA13'CELLATION ENDORSEMENT
WC050402 11-90 CO GLASSIFICATION BNDORSBMFNT
WC060301 04-84 CT APPLICATION OF 4QC INS ENDORSEMENT
WC0603035 04-96 CT WC FUNDS ENDORSBMENT
WCQb0601 01-03 CONNECTICUT NONRENEWAL ENDORSEMENT
WC070601 07-68 DE NONRENEU)AL SNDORSEMENT
WC080602 04-84 DISTR.ICT OF COLIJMBIA CANCSI,ATION
WC090403 01-06 FL - TERRORISM RISR INS ACT END
WCa966D6 1~-98 FL EMPLOYMENT & i4AGS INFO RSI.EASE
WC10d601A 04-93 GA CANCELATION, NONRSNEGiAL & CfiANGE
WCI20601C C4-01 ILLINOIS AMgNDATOftY ENDORSEMENT
WC150401 04-84 KS FINAL PREMIUM ENDORSSMENT
WC150405 ~3-96 KS LOSS COST CHANGE ~iDORSEMENT
UIC1.5 06 O1P_ ~ 1- 8 7 KS CANCEL & NONI?EN~~TAL END9T
WC1fi0b02 1~-99 KY NOTICE OF APPFsAL RIGHTS SNDST
PTC1703Q3 I2-QO LOUISIANA DUTY TO DEFEND ENDORSBMENT
in7C1706QiD 04-02 LOUISIANA Abl$NDATORY ENDORSfiMBNT
WC170602A ~2-96 I.A COST C~NTAINMENT ACT SNDORSBl~IBNT
WC1906UIB ~6-01 MARYI~AND CANCELLATION ENDORSEMENT
WC21011 OQ-00 MI NOTICE TO POLIGYHOLDSRS
WC`.~10303A 06-97 MI-NOTICB TO POLICYHOLDF3R ENDST_
WC31030A 04-84 MI LAW ENDORSEHlENT
WC~20000A 11-03 biINNESOTA AMEDTDATORY ENDORSEMENT
WC~ 2 0 6 O 1 C Q 9- 0 5 l-~T CANCELLAT ION & NO1dRFNEWAL 8ND
4JC~404Q6C 08-05 MO F3MPIAYER PAID MSDICAL ENDORSMENT
WCa40601B 01-96 MO CANCELLATION & NONRENES9AL SNDST
WC3~40602B 07-Q6 MQ PROP & C.AS GUARANTY RSSCO NOTIF
WC34060~ J?-99 MO ANIENDATORY F1~TDORSEMSNT
WC~50305 Q7-02 MT EMPLOYERS LIABILITY COV ENDST
WC250601A ~0-Q3 MT CANCELLATION & NONRENEWAL
WC~5~602 JZ-94 MT SAFETY Fs'NUORSEMBNT
WC~60601C :~7-96 ~1E CANCELLATION & NONRSNI"sWAL ENDST
WCZ70601A ,~0-Q3 NV CANCSLLATION/NONRSI~TEWAL SNDST
WC~80601 D4-84 NK SOLE RSPRSSENTATIVS ENDORSEMTNT
WC380604 J4-92 ~SW HAMPSHIRB AMFsNDATORY SNDOR57sMENT
wC~003Q1 04-84 D+TM SAFETY DBVICE COVERAGE
WC340601 01-90 NM CANCELATION & NONREN$WAL
D~TE QF ISSUB : O 1 j 10 / 0 7
~~ ( CON'TINiJfiD }
RM~ L7131A (ED. 04-02)
SPP 116 SR 2Z53625 0711
k , ~ ~i ; ~.o!~f irmNet . 361£~; 6:i50;
~EI~C Insuranoe ~anies
Pg19/20
s
!KiJSC'C C(?RPOkAfiZON EFF DATS; 01/lfl/07 EXP DATE: 07/O1/07
W p R{ E R S _~ M P E N S A T I 0 N P O L I C Y
D E C L A R A T I O N S
~~_r~~~==~__-_--_- _--°-_--____--__-__-_=~~__________________________~__~~__==_
~NDORSEMBNT SCHEDtTLE
15539} POLICY NCFMBER: 2Z5-36-25---07{
E~ITICN
FQRM DATE DESCR~PTION/ADDITIONFAL INFORMATION PREMItTM
WC320301B 10-01 NC AMENDED COVSRAGE ENDORSEMRNT
WC350601E C7-06 OH CANCELLAT2013, NONRENE'WAL, CHANGE
WC35a6~4 08-99 OK SLECTION OF COVERAGE NOTIFICATION
WC370110 O1-Q6 PA - TERRORISM RISK INS EXT ACT END
WC370405 08-96 PA MERIT RATING PLAN BNAORSEMENT
WC37Q601 64-84 SPECIAL PA ENDST-INSPECT OF MANC7ALS
WC370fi02 04-84 PENNSYLVANIA N'OTZCE
WC3'70603A 08-95 PA ACT eb-1986 ENDORSEM&NT
U1C360601 04-84 RI DIRSCT LIABILITY STATUTB
WC4~Q601 04-84 SD DIRECT ACTION STATUTE gNDC)RSEMENT
W~4 Q 0 6 0 3 O l- 94 SD MANAGED CAR.E E13DORSBI~NT
WC4Q0605B 04-Ob SD CANCSLLATION/L~iONRSNEWBAL END
WC~20301F 01-00 TX AMBNDATORY ENDORSEMENT
WC42Q4p7 03-02 TX AUDIT PR.EM & RETRO PREM $ND
~WC420601 v7-84 NOTICF., OF MA2ERIAL CHANGE
WC4 4 0 6 O 1 G 4- 8 4 VT LAi~J BNDORS BMgN'T
WC440602A 09-91 VT CANCSLATION & NONRENBWAL ENST
WC7003 u9-86 WORKERS COMPENSATION SCHSDULE
WC?G05 D4-92 WC QIIICIC R~FERSNCE
WC7101M 12-89 LIMITED FOREIGN INJURY EXPENSES
WC7144 ^1-98 DEDIICTIBLE Sr7DORSEMENT
~rTC7104_1 :1-98 DBDIICTTBLB END5T (ALAF W/IN DED)
WC71b4.2 02-01 DBDUCTIBLE END-ALAE W/IN DEDUCTIBLE
WC71D5.1 G6-98 DEI}OCTIBLE ENDST (ALAE W/IN DED)
WC7i 09 07-92 DBDi7CTIBLE EIdDORSfi~9BN'f
wC7111.1 D4-96 DSDUCTIBLE ENDORSEMBNT
WC7i15 ~7-95 CAI,IFORNIA LARGE RISR DEDUCTIBLE END
WC713Q.1 61-98 DEDUCTIBLE ENDST (Ai,AE W/IN DED)
WC7132.1 i2-O1 DEDIICTIBL~B $NiIST (ALA,E W/IN DED)
WC7135 10-Q3 BENEFITS DEDUCTIBLT ENDORSEMENT - KY
WC$G62 OS-02 CA WKRS COMP II3S RATING LAW - N02ICE
WC8110 GS-98 LA POSTING NOTICE
WC8457R 08-03 MN - WC NOTICE TO EMPLOYEES
WC8486 Ol-OS POLICY HQLDER NOTTCE YOUR RIGFIT RA.TG
AiC8493 ~6-01 IMP4RTADIT 130TICE TQ POLICYHOLDERS
a1C9500 07-04 IL INDUSTRIAL COMMISSN SURCHG/NOTICE
G~C8~I7 ~i-05 RETURN TG WORIC SERVICBS - TEXAS
ISSUE: O1/10/07
7131A {ED. 04-01
iis
2ZS362
"At-i- : 0-?~C~? i 4 ~ ~C ~=RC:." HL~L'`1E:=. "!URP!-IY
~~iM~s ~LtI'd~ ~""N"'~,..Zll~
EMPLD ERS MUTUAI CASUALTY COMPANY
':' H A N ~:~ E E N D 0 R S E M E N T
*------------~-~-------~*
PGi:ICY ?ERIOD: f'ROM Q7/Olf ~6 i0 07/O1./~7 * POLICY NUMBER *
x 2 C 5- 3 6- 2 5---0'7 *
,~------------------------*
N a M E D I N S ~ R F; D P R 0 D U C~ R:
_ _ _ _ _ _ _ _ _ _ _ _ _ - - -
MUSCO C~RP~JRATION HOLMES MURPHY ~ ASSOC INC
PG H~X 808 PO BOX 920~
OSKALOOSA IA 525?7-OB08 DE5 l~SOINES IA 503~6^9207
AGENT: AA-1452~4
~ AGENCY Biy~ AGENT PHONE: 515-223-6500
T H Z S L N D 0 R S E M E N T C H A N G E S T H E P 0 L I C Y.
P i~ E P S E R E A D I T C A R E F U L L Y.
*__-___--------____°_ -----------------------------------*
* ENDORSEMENT EFFECTIV~ DATES: 01/10/07 TO 07/Q1/07 *
! _-- - - ,________--____-- __----__ __------~--------------*
IN GQNSID~RATTON OF THE PREMYUM CHARGED, IT IS AGREED THAT L~SS PAYEE J
; 'CITY OF CORPUS CHR3STI` ZS ADD~D TO CLASS 999-INS'TALLATION FLOATER,
AS SHQWN ON THE SCHEDULE ATTACHED.
ADDITIaNAI~ PREMIUM: $ O.Op
P~ACL GF ISSUE: DES MOINES, IA
DATE OF I~SUE: 01/10/07 COUNTERSIGNED BY:
~75'1S'i~+"'Tr.-t'~~1~n fl'1 - F, 1 APP ~~~~
TO ~13618263501 P.02i06
/
!
v
..
`fi~^~-~ :0-~e~i7 ' ~ ~ [~`- ~-RC~1 ~C~^1F~ ~1i~RF~HY TO 913618263501 P. 03i06
/E:~C~suran~oe Cc~mpan~es
PAGE ~2
~' FMP~OYERS MtTTUAi, CASUALTY C~MPAN`I POI,ICY N0: 2G5-36-25----07
M[,=SCO "'~RPORATZ~'~ EFF DATE: 0~/O1/06 EXL' DATE: 07/01/07
~ H F, N~ E E N D 0 ft S E M E N T
C 0 N T I N L` E D
FORMS APPLICABLE:
; CM0001t09/04), CM7COlA(09/97!*, GM7q02(09/00), CM7021~11/O1?,
CM7381 t01/86) , r:,0276 (0~/02 t, Z:~0952 (1z/02) , ii~~130a (OA/01) ,
' I::7131Rt04101;, I:~73C6(C8/99), IL8383(b1/06)
Re:er ro prior d~.stribution(s} for any forms not attached
CL0:.00(03/99), C~a19o~oi~oii, CL0600(12/02), CM7001A(09/97}*,
crz7co~(07/98), CM7021(il/01~, CM7281(i2/9~?, IL1201A(O1/86?,
IL?~30A(04/Q1}, IL7131A(04/~1), IL7306f08/98), IL8383(01/06},
I~7QOOfC4/09), IM702~(04/04t
' aefer to prior ciistribution(s) for any forms not attached
PLACE GF ISSUE : DES MOINES, IA `~~~ .~~^"~'
DATE OF T33UE: 01/10/07 COUI3TERSZGNED BY:
FORN`: IL1 A(ED. O1- 6) ~ B P 5R 2C 625
°~F~ ' 0-~G_1~"~' i~ ~ ~~ ~-RC!" ~+Ot_MF== ~'L~F2PNY TC 'y13618263501 P. 04i06
/El~C~wra~~oe C ~o~an~s f
EMPLOY R5 M TUAL CASUA~TY COM°ANY POLICY N0: 2C5-36-25---07
MUS~~Q CORPOftATI~N EFF DATE: 01.I10/0? EXP DATE: 07/O1/07
_;: t~' M. E R C i A L :"a :~ A N C M A R I N E S C H E D(3 L E
~~CATION. 001 UNKNOWN
OSKALO~SA, ~A 52G'??
SPECIAL*
u~A55 DESCRIPTION INTERE5T LIMITS
~NSTAyLAT:.ON FLOATER
' 993 INS`I'ALLATION FLOATER
TYPE QF TNSTALLAT20N WC}RK PERFOAMiED:
LIGHTING II3STALLATION
LIMITS QF INSURANCE
~OV~RED PROPERTY AT ABOV~' INSTALLATTON SITE $ 500,000
~ ^nVERED PROPERTY IN `:'RANSIT $ 500,000
~ ~OVERED PROP~RTY AT ~JNSCHEpULED STORAGE $ 500,000
'~OCAT z ONS
~OVERED PRpPERTY FOR ANY ONE LOSS CAUSED $Y
EARTHMOVEMENT OR VO~CANTC ERUPTION
~pVERED PROPERTY FOR ANY ONE LOSS CAUSED 9Y
^ L00~ .'~ND GROUi~TD WATER
DEDt1CTIBLE APPLIES TO ALL COVERED CAUSES OF
~OSS EXCEPT FLOOD, EARTHMOVEMENT, VOLCANIC
ERJPTION AND GROUND WATER
DEDL'CTTBLE APPLIES ONL'f TO LOSS CAUSED 9Y
EA~THMOV~MENT AND VQLCAIJIC ERUPTION
[}EDLiCTIBLE APPLTES ~NI,Y TO LOSS CAUSED BY
Fi~04D AND GROUND WATER
NON-REPORTING FORM - ANNUA~ PREMIUM
I.OSS PAYEE.
CITY OF CORPUS CHRISTI
pEPARTMENT OF ENGII~TE~RZNG SERVICES
PO BOX 9277; ATTN: CONTRACT ADMINZSTRATOR
CoRPUS CHRFSTI, 'TX 78469-9277
(3~' I5~UE: Cl/10/07 (BPP
. M70 lA ED. 9-97 BPP 0
NOT COVERED
NOT GOVERED
S 2500
NOT COVERED
NOT COVERED
S 1813
CONTINUED
Ah -? r~-~~jF° , ~ ~ ~ ~~ _ ~ "' Nilt MF ° ~'~ 4°~" Tf:, ~13618263501 P. 05i06
/~I~Cl~uran~e ~'~patiie.s
"'~f+ ": 0-2aE? i ~+ ~ EiE = RC"M '-!GL"1E ~ I`il. ~RpHY
,,~~~ ~1St~l'Bll~e ~~tlle`S
EMPLOYERS MUTUA~ CASUALTY COMPANY
: H A N v ~ E N C 0 R S~ M E N T
*_--___-----------------~ *
~OLZCY PERIOD: FROM 07i01 06 TO 07i01/07 " POLYCY NUMBER *
* 2 C 5- 3 6- 2 5---07 *
*---------------___------*
N A M E r I N 5 G R F' D: P R 0 D U G E R:
; MUSCO CORPORATiON ! ~-lOIiMES MURPHY & ASSOC INC
' PO BOX 808 PO BOX 9207
OSKALOOSA IA 525~7-0808 DES MOINES IA 50306-9207
AGENT: AA-1452-4
AGENCY BZL' AGENT PHONE: S1S--223-68p0
.. _ .. .. _ _ _ _ ... _ _ .- _ _ _ _ ~ e - - - - - - - - ~ - - - - - -
s
T H? S E N D 0 R S E M E N T C H A N G E S T H E P d L I C Y.
P~: E A S E R E A D I T C A R E F L L L Y.
* _ __------------ ---------------~---------*
.._~ _. _ --- -- -
*~NDORSEMENT EFF~CTIVE DATES: O1/10/07 TO a7/01/07 *
•-- ____----------._----_____~---------------------*
~,30 DAY NOTICE OF CANCELLATION
~'T IS AGR~ED WE WI:.,L NOT CAIdCE.L TfiIS POLICY FOR REASONS OTHER THAN NON-
~ PAYMFN~ OF PREMTUM WITHOUT ~IVZNG 30 DAYS WRITTEN N0~'ICE TO THE FIRST
, NAMED INSC~RED.
ADDITIONA~~PREMIUM: S 0.00
PLACE JF ISSUE: DES MOINES, IA
DATE OF I UE: al/10/07
Faxr~:~~iA~~i- 6"~ i -
TO ~13618263501 P.06i06
V .
. .
TOTAL P.06