HomeMy WebLinkAboutResolution - 2004-R0119 - Contract For Vehicle Body Repair And Painting - Precision Body Works - 03_04_2004Resolution No. 2004-R 0119
March 4, 2004
Item No. 35
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to execute for and on behalf of the City of Lubbock, a Contract for vehicle body
repair & painting — annual pricing, by and between the City of Lubbock and Precision
Body Works, Inc. of Lubbock, Texas, and related documents. Said Contract is attached
hereto and incorporated in this resolution as if fully set forth herein and shall be included
in the minutes of the City Council.
Passed by the City Council this 4th day c
ATTEST:
RA
Rebecca Garza, City Secretary
APPROVED AS TO CONTENT:
Vl�'Ibo
Victor Kilm4n, Purchasing Manager
APPROVED AS TO FORM:
M. Knight i
Assistant City Attorney
gs/ccdocs/Contract-Precision Body Works Inc.res
Feb. 20, 2004
Resolution No. 2004—RO119
March 4, 2004
Item No. 35
P.O. Box 2000
Lubbock. Texas 79457
(806) 775-2167 • Fax (806) 775-2164
March 4, 2004
Precision Body Works, Inc.
Rojean Solis Brewer
1302 98`h Street
Lubbock, Texas 79423
Office of
Purchasing
RE: ITB #244-03/RS — VEHICLE BODY REPAIR & PAINTING — ANNUAL PRICING
Dear Ms. Brewer:
PRECISION BODY WORKS, INC. has been awarded the items noted below for Vehicle
Body Repair & Painting - Annual Pricing based on your response to the City of Lubbock Invitation
to ITB #244-03/RS.
1. A Purchase Order will be issued by the City of Lubbock and covers the category of
items shown below, and no other, during the period beginning March 4, 2003 and
ending March 3, 2005. The City of Lubbock shall not be responsible for payment of
any invoices except those orders placed pursuant to this agreement.
2. Category of Items:
1. Passenger Vehicles (Quaternary) 10% Parts Discount $34.00 Per Labor Hour
2. Heavy Trucks (Primary) 5% Parts Discount $55.00 Per Labor Hour
3. Specialty Vehicles (Secondary) 5% Parts Discount $55.00 Per Labor Hour
3. PRECISION BODY WORKS. INC.'S bid dated January 20, 2004, is incorporated into
and made a part of this agreement.
4. Prices: As quoted.
5. All invoices shall be directed to:
City of Lubbock
Accounts Payable
PO Box 2000
Lubbock, Texas 79457
6. The City of Lubbock reserves the right to enforce the performance of this contract in
any manner prescribed by law or deemed to be in the best interest of the City of
Lubbock in the event of breach or default of this agreement. The City of Lubbock
reserves the right to terminate this agreement with a thirty (30) day written notice in
the event PRECISION BODY WORKS, INC. fails to perform in accordance with their
bid dated January 20, 2004.
ATTEST:
e b6 cca Garza
City Secretary
APPROVED AS TO CONTENT:
Vic?of Kilman
Purchasing Manager
APPROVED AS TO FORM:
AV
rney
cc: Robert Robinson, Fleet Services
Robin Holder, Fleet Services
Vendor File
Resolution No. 2004-RO119
SUBMIT TO:
CITY OF LUBBOCK
CITY OF LUBBOCK TEXASPURCHASING
DEPARTMENTift
e
1625 13T" STREET, RM L04
LUBBOCK, TX 79401-3830
AN EQUAL
INVITATION TO BID
CONTACT PERSON:
OPPORTUNITY
Ron Shuffield, Senior B er
EMPLOYER
#244-0 3 - R5
TEL: 806.775.2167
FAX: 806.775.2164
http://purchasing.ci.lubbock.tx.us
TITLE:
SUBMITTAL DEADLINE:
Vehicle Body Repair I3 Painting - Annual Pricing
January 28, 2004, 2.00 p.m. CST
PRE BID DATE, TIME AND LOCATION: January 15, 2004 at 10:00
Any bids received after the time and date listed above.
a.m., in the Municipal Building, 1625 13u' Street, Training —
regardless of the mode of delivery, shali be returned
Conference Room L01, Lubbock Texas,
unopened.
RESPONDENT NAME-
n e c t. � i, v n D o a� i� v n � � INC.
LABEL THE OUTSIDE OF YOUR SEALED BID WITH THE ITB NUMBER,
r
THE CLOSING DATE AND TIME, AND YOUR COMPANY NAME AND
ADDRESS.
MAILING ADDRESS:
302 98T{ h ST .
IF RETURNING AS A "NO BID-, PLEASE COMPLETE AND RETURN THE
"STATEMENT OF NO BID".
CITY - STATE - ZIP:
THE CITY OF LUBBOCK RESERVES THE RIGHT TO ACCEPT OR REJECT ANY AND
L u G b v c h T X 4
ALL BIDS IN WHOLE OR IN PART AND WAIVE ANY INFORMALITY IN THE
COMPETITIVE BID PROCESS. FURTHER, THE CITY RESERVES THE RIGHT TO
ENTER INTO ANY CONTRACT DEEMED TO BE IN THE BEST INTEREST OF THE
TELEPHONE NO:
806) 745-2888
CITY.
IT IS THE INTENT AND PURPOSE OF THE CITY OF LUBBOCK THAT THIS REQUEST
FAX NO:
806) 745-84 l
PERMITS COMPETITIVE BIDS. IT IS THE BIDDER'S RESPONSIBILITY TO ADVISE
THE CITY OF LUBBOCK PURCHASING MANAGER IF ANY LANGUAGE,
REQUIREMENTS, ETC., OR ANY COMBINATIONS THEREOF, INADVERTENTLY
E-MAIL'
RESTRICTS OR LIMITS THE REQUIREMENTS STATED IN THIS ITB TO A SINGLE
—
SOURCE. SUCH NOTIFICATION MUST BE SUBMITTED IN WRITING AND MUST BE
RECEIVED BY THE PURCHASING MANAGER NO LATER THAN FIVE (5) BUSINESS
DERAL TAX D NO. COR SOCIAL SECURITY N0. et
1752735163
DAYS PRIOR TO THE ABOVE SUBMITTAL DEADLINE.
THE BIDDER HEREBY ACKNOWLEDGES RECEIPT OF AND AGREES ITS BID IS BASED ON THE FOLLOWING ADDENDA:
#1-TL #2T* #3R #4_0_ #5Tlb (Please Initial)
The City of Lubbock Charter states that no officer or employee of the City can benefit from any contract, job, work or service for the
municipality or be interested in the sate to the City of any supplies, equipment, material or articles purchase4 Will any officer or employee of
the City, or member of their immediate family, benefit from the award of this bid to the above firm? YES NO
IN COMPLIANCE WITH THIS SOLICITATION, THE UNDERSIGNED BIDDER HAVING EXAMINED THE INVITATION TO BID AND SPECIFICATIONS, AND BEING
FAMILIAR WITH THE CONDITIONS TO BE MET, HEREBY SUBMITS THE FOLLOWING BID FOR FURNISHING THE MATERIAL, EQUIPMENT, LABOR AND
EVERYTHING NECESSARY FOR PROVIDING THE ITEMS LISTED ON THE ATTACHED BID FORM AND AGREES TO DELIVER SAID ITEMS AT THE LOCATIONS
AND FOR THE PRICES SET FORTH ON THE BID FORM. AN INDIVIDUAL AUTHORIZED TO BIND THE COMPANY MUST SIGN THE FOLLOWING SECTION.
FAILURE TO EXECUTE THIS PORTION MAY RESULT IN BID REJECTION.
By my signature I certify that this offer is made without prior understanding, agreement, or connection with any corporation, firm, business
entity, or person submitting an offer for the same materials, supplies, equipment, or service(s), and is in all respects fair and without collusion or
fraud. I further agree that if the offer is accepted, the offeror will convey, sell, assign, or transfer to the City of Lubbock all right, title, and
interest in and to all causes of action it may now or hereafter acquire under the And -that Laws of the United States and the State of Texas for
pri ng relating to the particular commadiity(s) or service (s) purchased
n or acquired by the City of Lubbock. At the City's discretion, such
ass i�shall be madbecom ective at the � LU(Jlt) time the City tenders
GI Y I�.I�n GK.. or.
Auttioriz6b Signature Title
Tkun 6b'S w t
PrinWype Name Date
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR RESPONSE.
Page 1 of 26
BID FORM
Vehicle Body Repair & Painting - Annual Pricing
CITY OF LUBBOCK, TEXAS
ITB #244-03-RS
In compliance with the Invitation to Bid #244-03-RS, the undersigned Bidder having examined the invitation
to Bid and Specifications, and being familiar with the conditions to be met, hereby submits the following Bid
for furnishing the material, equipment, labor and everything necessary for providing the items listed below
and agrees to deliver said items at the locations and for the prices set forth on this form. The Invitation to
Bid #244-03-RS is by reference incorporated in this contract. The Bid Form must be completed in blue or
black ink or by typewriter.
Rates quoted on the Bid Form and any labor hours used to figure estimates shall not exceed those published in
the current Mitchell Estimating Book. The rates bid shall be used in all work for the class of vehicles covered.
No variance from the labor rate bid will be allowed during each contract year.
COMMODITY CODE FOR AUTOMOTIVE BODY WORK 92819
1. PASSENGER VEHICLES (AS DEFINED IN THE SPECIFICATION)
Parts shall be provided at crash guide list less / 0'0 percent.
Labor shall be provided at $ 34. 00 per hour.
The estimated crash guide list for parts for evaluating purposes is $11,000 and labor 1,200 hours.
2. TRUCKS (AS DEFINED IN THE SPECIFICATION)
Parts shall be provided at crash guide list less 510o percent.
Labor shall be provided at $ 55 00�oer hour.
The estimated crash guide list for parts for evaluating purposes is $6,000 and labor 600 hours.
3. SPECIALTY VEHICLES (AS DEFINED IN THE SPECIFICATION)
Parts shall be provided at crash guide list less °o percent.
Labor shall be provided at $ 55.00 per hour.
The estimated crash guide list for parts for evaluating purposes is $11,000 and tabor 700 hours.
NOTE: iN ITEMS 1, 2, 3 CRASH GUIDE LIST SHALL BE MiTCHELL'S CRASH GUiDE OR THE APPLICABLE INDUSTRY
STANDARD LIST USED BY THE APPRAISAL FIRM.
ESTIMATED PARTS AND LABOR AMOUNTS ARE FOR EVALUATION PURPOSES ONLY. ACTUAL AMOUNTS MAY BE
MORE OR LESS THAN THOSE USED FOR EVALUATION.
PICK UP AND DELIVERY:
Bidder must include free pickup and delivery of vehicles, including -fiat bedding when required.
Page 3 of 26
Upon return of finished vehicles, operators will remain until the vehicle is inspected and accepted. If it is
determined that the vehicle is not properly repaired, the operator will return the vehicle to Contractor's shop
for repair and deliver at no additional charge.
All vehicles must be returned within 24 hours of completion.
THIS BID IS SUBMITTED BY P n e c i I L o n B o d g Gil o a kA, —Inc— a corporation organized under the laws of the
State of TX or a partnership consisting of T o rr y&? o j ea n B a ew e n or an individual
tradingas % rceci.Alon Bodg Uloaka, Inc. of the City of Gu66ocR
Firm: l aeceALon Body G 04k-., Inc.
Address: 1302 98t h ST .
cin,- tu6bach State: TX Zin 79423
M/WBE Firm: I A I Woman
American
1116104
Authorfzed Representative - must sign by hand
Officer Name and Title: Toni B n ewe n— C o -Own e n
Please Print
Business Telephone Number 8061 745-2888 FAX: 806) 745-8411
FOR CITY USE ONLY
Bid Form Item Number(s) Awarded to Above Named Firm/Individual:
Date of Award by City Council (for bids over $25,000): Date P.O./Contract Issued:
LABEL THE OUTSIDE OF YOUR SEALED BID WITH THE ITB NUMBER, THE CLOSING DATE AND TIME, AND
YOUR COMPANY NAME AND ADDRESS.
Page 4 of 26
Vehicle Body Repair t} Painting - Annual Pricing
CITY OF LUBBOCK, TEXAS
ITB #244-03-RS
IV. TECHNICAL REQUIREMENTS
Supply all information requested and attach this section to the Bid Form.
Initial each section to verify that specifications are met; enter "N.A." if options or specifications are not
available. All exceptions or equivalencies must be fully explained or documented.
A. General: The intent of this bid is to secure the services of one or more qualified contractors to perform
body repair and/or painting as required for the City of Lubbock.
B. Parts/Materials: All parts/materials used in the performance of this contract must be new and unused
and, at a minimum, include a 90-day warranty.
X Will Comply Will not comply
C. Additional Requirements: Bidder must be able to comply with the following requirements to be
considered for award:
1. All repair estimates for service must be free of charge.
X Will Comply Will not comply
2. For calls made prior to 12:00 p.m., Contractor must be out same day to provide repair estimate. For
calls made after 12:00 p.m., Contractor must be out by 12:00 p.m. the next working day to provide
estimate. Failure to adhere to these response times will eliminate your firm from consideration for
that service.
X Will Comply Will not comply
3. Estimates must be provided within 24 hours after on -site inspection.
X Will Comply Will not comply
4. If awarded service, vehicle must be picked up within 8 hours of notification.
X Will Comply Will not comply
5. Bidder must include free pickup and delivery of vehicles, including flat bedding when required.
X Will Comply Will not comply
6. Bidder must agree to give City of Lubbock Police Department vehicles first priority over other City of
Lubbock vehicles in the shop. In addition, Contractor must make every effort to give priority to Police
Department vehicles over other non -emergency type vehicles in the shop.
X Wilt Comply Will not comply
Page 23 of 26
7. Contractor must be able to provide decal services when necessary/required. These decals can consist
of Unit numbers, Department logos, etc. and will be supplied to the contractor by City of Lubbock.
X Will Comply Will not comply
S. Contractor must agree to commence work on our vehicles within 1-2 days of receipt.
X Will Comply Will not comply
9. Contractor must agree to provide a turnaround time of no more than 3-4 working days after
commencement of work. This requirement may be waived at the sole discretion of City of Lubbock;
i.e. for reasons such as parts unavailability, low priority as determined by City of Lubbock, etc.
X Will Comply Will not comply
Firm: NeCLALvn Body woAkA, Inc.
ail
///G/o4
Representative - must sign by hand
Officer Name and Title: Tong B newen Co -Owners
Page 24 of 26
n8 #244.03-Rs, Vehide Body Repair & Painting - Annual P"
EXHIBIT A
PROVEN EXPERIENCE
Supply all information requested and attach this section to the Bid Form.
Name of Bidder: P aecL iLon Bodbu Woaha, Inc.
Number of Years in Business: / 5
Number of Years performing similar services: / 5
Number of Mechanics: 8
List the name of company, contact name and phone number for a minimum of three (3) references:
Reference 1:
NameofCompany: Pao+2/Leaai.ve Inauaance
Contact Name: B a L a n Watt a
Phone Number: 806) 548-0/22
Reference 2:
Name of Company: TOW
Contact Name: Yohnnry ?u,ah
Phone Number: 806) 76 5-266 /
Reference 3:
Name of Company: Gaani to Conatauct Lon
Contact Name: W end eU
Phone Number: 806) 74 8- / 7 / 4
BIDDER MAY SUBMIT ADDITIONAL INFORMATION COVERING EXPERIENCE, QUALIFICATIONS, FACILITIES,
CONTRACTS WITH OTHER LOCAL GOVERNMENTS OR CORPORATION, OR ANY OTHER INFORMATION THAT
ASSISTS THE CITY IN EVALUATING BIDDER'S CAPABILITIES.
244•03.doc 25 of 26
rrB #244-03-RS. Vehide Body Repair & PaWIN - Annual Ncing
City of Lubbock
Consideration of Location of Bidder's Principal Place of Business
Affidavit of Eligibility
Pursuant to Texas Local Government Code 271.905(b), in purchasing real property or personal property that is not
affixed to real property, if the City receives one or more bids from a bidder whose principal place of business is in
the City of Lubbock and whose bid is within three percent (3%) of the lowest bid price received by the City from a
bidder who is not a resident of the City of Lubbock, the City may enter into a contract with:
(1) the lowest bidder; or
(2) the bidder whose principal place of business is in the City of Lubbock if the City Council determines, in
writing, that the local bidder offers the City the best combination of contract price and additional economic
development opportunities for the City of Lubbock created by the contract award, including the
employment of residents of the City of Lubbock and increased tax revenues to the City of Lubbock.
In order to receive consideration, bidders must submit this affidavit to:
Victor Kilman, Purchasing Manager
City of Lubbock
1625 13'h Street
Lubbock, TX 79401
Complete aff areas below. Incomplete affidavits may be rejected.
Local Business Name: P neci.ALon Bodbu wonkA, Inc.
Local Address (must be within the City limits):
1. Is the above address the principal place of business for the business named above?
2. How many residents of the City of Lubbock are employed at the above business location? / Q
3. Year your business was established in the City of Lubbock: / 989
4. For transactions that require sales tax, provide the following Reseller information:
Reseller Permit Number: 3-20095-5464 -6
Company Name and Address (as it appears on permit):
l neci ALOn Bodu WonkA. Inc.
1302 9R ST .
Lubbock TX 79423
5. Does your business have more than one office in the State of Texas? Yes X No
If Yes, identify the office location considered as the point -of sale credit for sales tax purposes:
6. Was the local business required to pay business and/or real property tax for the most recent tax year?
X Yes No
If Yes, did the local business pay any of this tax to the City of Lubbock? X Yes No
Under penalty of perjury, the undersigned states that the foregoing statements are true and correct. It is further acknowledged
that any person, firm, corporation or entity intentionally submitting false information to the City in an attempt to qualify for
eligibility shall be prohibited from bidding on City of Lubbock products and services for a period of one (1) year.
Authorized Signature: Date:
Printed Name and Title: Tone n ewe n C o -Own e n .
244-03.doc 27 of 26
faft of Ztxas
Historically Underutilized Business
Certification and Compliance Program
01
rM
The Texas Building & Procurement Commission (TBPC),
hereby certifies that
PRECISION BODY WORKS, INC.
has successfully met the established requirements of the
State of Texas Historically Underutilized Business (HUB)
Certification and Compliance Program to be.recognized as a HUB.
This certificate, printed 02-AUG-2003, supersedes any registration and certificate previously issued by the
TBPC's HUB Certification and Compliance Program. If there are any changes regarding the information (i.e.,
business structure, ownership, day-to-day management, operational control, addresses, phone and fax
numbers or authorized signatures) provided in the submission of the business' application for
registration/certification as a HUB, you must immediately (within 30 days of such changes) notify the TBPC's
HUB program in writing. The Commission reserves the right to conduct a compliance review at any time to
confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of ineligibility.
?,j 4 at"Y_�,
CertificateNlD Number: 1752735163300 Paul A. Gibson
FileNendor Number: 32704 HUB Certification & Compliance Supervisor
Approval Date: 29-JUL-2003 Texas Building & Procurement Commission
Expiration Date: 29-JUL-2007 (512) 305-9071
Note: In order for State agencies and institutions of higher education (universities) to be credited for utilizing
this business as a HUB, they must award payment under the CertificateNlD Number identified above.
Agencies and universities are encouraged to validate HUB certification prior to issuing a notice of award by
accessing the Internet (http://www.tbpc.state.tx.us) or by contacting the TBPC's HUB Certification and
Compliance Program at (888) 863-5881 or (512) 463-5872.
� � r
PRECI S(ON BODY WORKS, INC
GRAfWTF_ CONSMUCTION
DAVEWICKAM
748-1719
FED EX
MARK SAUNDERS
74"373
DEAFMAM TRANS.
CHRIS BELL
548-2092
BLUE STAR SUS SPACES
RICK BROWNLOW
794-1959
IONESTAR DIRT & PAVING
WESL" SAINDERS
745-6011
LUBBOCK TRUCK SPACES
CHARLIE SWAN
748-1529
MPMONAL LINEN
DAMES KING
762-8751
AMERMAN EQUIP. & TRL .
PAUL T49YLOR
747-2991
TOMMYS TRUCK SPACES
TOMMY TOWNSEND
745-0586
BUMMSER
SCOOTER.
745-5263
RYDER
RIC
747-3668
TNM
RUSH
765-2661
FAX "J745-841 I E-1 ILpRE ORKS�f1t 0�1K11VE1VET
ACCEPTANCE INDEMNITY INSURANC
P.O. BOX 3328 XL0 0 0 0 010 6
O MAHA, N E 68103 RENEWAL OF NUMBER
No. XL00000264
Item DECLARATIONS
Named Insured Tony Brewer
ADDRESS: :DBA Precision Body Works, Inc.
(Number &Street, Town, County & State)
:1302 98th Street
2 dness of the named insured as stated
Policy Period: herein, unless sooner terminated In ae-
cordance with roAsions of this li . Fmm' ' 10 2 5 2 0 0 3 To: 10 2 5 2 0 0 4
#272 Agent or Broker L t hfie SRe ial Risks c.
Office Address • 18� Pan eoTi ay, Suite' 1$ '
TownandState 'San Antonio, TX �8232
Item 3. Underlying insurance: (1) Insurer, (2) Policy number (including renewals/or replacements thereof)
(1) Burlington
(2) TBD
Item 4. Description of Insured's operations: Auto Body Shop
Item 5. The insurance afforded is only with respect to such of the following coverages as are indicated by specific premium charge or charges.
The limit of the Company's liability against each such coverage shall be as stated herein, subject to all the terms of this policy having
reference thereto,
LIMITS OF LIABILITY
Coverages
Premium
Section I
Section It
Section III
Company
Undertying Insurance
Total
Bodily lnjury-Automobile
$
; '000
000$
$ OM
CECIL - DUNN INSURANCE AGENCY
Insurance of All Kinds
,000
Bodily Injury -Other Than
Automobile
$
�dtpt�Ceat Phone: 747-3404
4120 AVENUE 0
'
$ 000
f�Cf P. 0. BOX 3870
LUBBOCK, TEXAS 79452
s 000
$ DOD
Property Damage -Automobile
$
6 ,00O
$ '000
$___.-, ... �. ,000Each-06ourrenae _ _ _ . _. _
Property Damage-
$
$ 000
$ 'ODD
Other Than Automobile
$ OOOAggregats
$ 000
$ 000
Combined Single Limit
Bodily injury and/or
Property Damage -Automobile
$
$ OOOEach Occurrence
$ 000
$ 000
Combined Single Limit
Bodily Injury and/or
Property Damage
$
$ 000 Each Occurrence
$ 000
$ 000
Other Than Automobile
$
$ OOOGeneral Aggregate
$ 000
$ 000
(Other Than Products -
Completed Operations)
$
$ OMProducts-Comp(etedOperaflonsAggregate
$ OD0
$ 000
$
$ 000Personal and Advertising injury
$ '000
$ 000
Other
Garage Liability
$1,550
See
Form
AE8505
:: 3 ' un $1,550 + PoLicy Bee 225 + 'lax $86.09 + StaTpLm Ebe $1.78 = Zt--tal $1,862.87
Item 6. Premium when subject to adjustment
Premium Basis
Estimated Exposure
Rate
Estimated Premium
Flat Charge
Flat
Flat
$1,550
xncl. intotapolypremium.
llicr
Deposit Premium $ $1,550 Minimum Premium $ 1,550 Audit Period
00
.am 7. Endorsements: "See AE8959 (01 /02)"
Date of Issue 10 / 2 6 2 0 0 3 C ] C countenrtgned by of- ! /0 &
Paget . 67
r
Authorized Representative
=arm No. XL 3000 (01021
GARAGE COVERAGE FORM DECLARATIONS
Policy Number:061B000859
Effective Date 10/25/2003
12:01 A.M., Standard Time
ITEM ONE - Named Insured, Mailing Address and Policy Period are shown in the Common Policy Declarations.
Form of Business: ❑ Individual ❑ Partnership M Corporation ❑ Limited Liability Company ❑ Other
ITEM TWO - SCHEDULE OF COVERAGES AND COVERED AUTOS
This policy provides only those coverages identified by entry of a PREMIUM and by entry of the applicable
COVERED "AUTO" DESIGNATION SYMBOL in the columns below (numerical symbols are defined in Section 1
of the Garage Coverage Form and Changes in the Garage Coverage Form). Entry of a covered "auto" symbol
next to Liability provides coverage for "garage operations.' Page 2 of 2 of our Garage Policy Declarations
replaces the AUTO DEALERS SUPPLEMENTARY SCHEDULE AND THE NON -DEALERS AND TRAILER DEALERS
SUPPLEMENTARY SCHEDULE referred to in the GARAGE COVERAGE FORM.
LIMIT
GARAGE COVERAGE
COVERED
THE MOST WE WILL PAY FOR ANY ONE ACCIDENT
PREMIUM
"AUTOS"
OR LOSS
Each 'Accident' Operations'
Aggregate 'Garage Operations'
Liability Insurance
29
*Auto' Only
Other Than
'Auto' Or ly
Other o'Onty
1,000,000
1,000,000
2,000,000
$ 3630
m @ g
Specified Causes of Loss
mm
3 0
See Limits of Insurance on Page 2 of Declarations.
Comprehensive Coverage
oY
$ 2179
Collision Coverage
8
Specified Causes of Loss
Hm
See Limits of Insurance on Page 2 of Declarations.
Comprehensive Coverage
0 o c
$
Collision Coverage
Medical Payments Coverage
5000
$ Each Insured
$ 50
Uninsured/U nderinsured
Motorist
Separately stated in the endorsement.
$
Personal Iniury Protection
Separately stated in the endorsement.
$
$ each person. (Coverage if purchased is
Premises Medical Payments
subject to provisions of Form CA2505)
$
$ (Coverage if purchased is subject to
Personal Injury Liability
rovisions of Form BG-GA-143.))
$
$ any one fire. (Coverage if purchased is
Fire Legal Liability
subject to provisions of Form BG-GA-175.)
$
Personal Injury and Advertising Injury Liability, and Fire
Broadened Coverage
Legal Liability Limits are as stated above. Broadened
Coverage if purchased is subject to provisions of Form
BG-GA-21 1.
$
Additional Insured(s) (if any) - See Endorsement(s) attached
$200
Unassigned Registration Plates (BG-GA-266 0399)
$
Towing and Transport Coverage (BG-GA-331 0899)
$
Forms and Endorsements applying to this Coverage Part and made pa Total Premium $6059. 00
of this policy at time of issue:
THESE DECLARATIONS MUST BE COMPLETED BY THE ATTACHMENT OF PAGE 2.
*Forms and Endorsements applicable to this Coverage Part omitted if shown elsewhere in the policy
THESE DECLARATIONS ARE PART OF THE COMMON POLICY DECLARATIONS CONTAINING THE NAME
OF THE INSURED AND THE POLICY PERIOD.
BG-GA-270 0500
Page 1 of 2
Policy Number: 0618000859
GARAGE DEALER COVERAGE FORM DECLARATIONS PAGE 2 OF 2
ITEM THREE - LOCATIONS WHERE YOU CONDUCT GARAGE OPERATIONS_
Loc. No.
Address - State your main business location as Location No. 1
1
1302 98TH STREET LUBBOCK TX 79423
2
ITEM FOUR - LIARILITY COVERAGES - PREMIUMS
Loc. No.
Territory
Dealers
Non -Dealer Service
Rate
Premium
1
10
Number of Rating Units
Full Time Employees
11.00
330
3, 6 3 0
_
Part -Time Employees
2
Number of Rating Units
Full Time Employees
:::y :>=>•-s:,<}>
Part -Time Employees
ITEM FIVE - GARAGEKEEPERS COVERAGE AND PREMIUMS
Loc. No.
Coverages
Limit of
Insurance for Each Location
Premium For All Locations
Specified Causes of Loss or
Comprehensive
$250, 000' minus $ Soo Deductible for each covered auto
for loss subject to $2, soo maximum deductible for all
such loss.
Specified Causes of Loss
$ 875
1
Comprehensive
$
Collision
kso, 000' minus $ soo Deductible for each covered auto
2
Collision
$ 1,304
Specified Causes of Loss or
Comprehensive
$ ' minus $ Deductible for each covered auto
for loss subject to $ maximum deductible for all such
loss.
Collision
$ minus $ Deductible for each covered auto
Subject to the limit of insurance for each location, the most we will pay for any one covered auto
is $ 50,000
Total Premium
$ 2,179
GARAGEKEEPERS COVERAGE applies on a legal liability basis unless the Direct Primary option has been
selected indicated by (x) in the block.
® PRIMARY INSURANCE GARAGEKEEPERS COVERAGE applies without regard to your or any other
"insured's" legal liability for "loss" to a covered "auto" and is Primary insurance.
ITEM SIX - PHYSICAL DAMAGE COVERAGE FOR DEALERS AND NON -REPORTING PREMIUM.
Each of the following Physical Damage coverages that is indicated in ITEM TWO applies only to the type of
"autna" anri intaracts inrlicatari halnw by Ixl in the Klock_
❑ Used Autos
❑ Your interest in covered "autos" you own
❑ New Autos
❑ Your interest and interest of any creditor named as loss payee
❑ All interests in covered "autos" while in your possession on consignment for sale
Premium For All Location
Loc. No.
Coverages
Limit of Insurance for Each Location
1
Specified Causes of Loss of
Comprehensive
$ ' minus $ Deductible for each covered auto
for loss subject to S maximum deductible for all such
loss.
Specified Causes of Loss
$
Comprehensive
$
Collision
$
2
Specified Causes of Loss of
Comprehensive
$ ' minus $ Deductible for each covered auto
for loss subject to $ maximum deductible for all
such loss.
All
Collision
limit of insurance shown here is the sum of the
Location
Location limits shown immediately above for rating es.
$ ' minus $ Deductible for each covered auto
Subject to the limit of insurance for each location, the most we will pay for any one covered auto
is $
Total Premium
$
"CATASTROPHE LOSS OCCURRENCE AGGREGATE LIMIT" - ITEM FIVE AND ITEM SIX -
provided these coverages are indentified by entry of a premium and by entry of
the applicable "auto" designation symbol.
$500,000.
Loss Payee - Any loss is payable as interest may appear to you and:
1TFM CFVFiu - SCNFI'fV p F op SPFCIFICAI LY DESCRIREn "AUTOS_"
No.
Year, Make , Model, Body Type, Vehicle Indentification Number
Cost/Value Chassis and Body
1
$
2
$
No.
GVW
Use
I Radius I
Code
Loss Payee
1
2
COVERAGES
(Will apply as indicated by entry of a premium.)
L•a il'
c'
ied Causes of Loss
Comorehensive
Ifision
Medical Payments
UMIUIM
Personal Iniury Protectio
No.
Premium
Ded.
Premium
Ded.
Premium
Ded.
Premium
Premium
Premium
Premium
1
2
Total
0
0
0
0
0
0
BG-GA-270 0500 Page 2 of 2
RENEWAL OF NUMBER 31GF700014
POLICY NUMBER 316F700164
MYRON F. STEVES & COMPANY
P.O. Box 4479, Houston, Texas 77210-4479
713/522-1100 Texas Watts 1-800-392-1604
THIS IS TO CERTIFY THAT WE HAVE EFFECTED THE FOLLOWING INSURANCE WITH
Certain Underwriters at Lloyds of London - Contract # 330.316.03
NAMED INSURED AND MAILING ADDRESS
(PRECISION BODY WORKS, INC.
TONY BREWER, DBA;
1
1302 98th STREET
LUBBOCK
TX 79423
POLICY PERIOD FROM: 10/25/2003 TO: 10/25/2004 TERM: 1 YEAR
At 12:01 am, Standard Time at your mailing address shown above.
BUSINESS DESCRIPTION: AUTO BODY SHOP
NAMED INSURED: ❑ Individual ❑ Partnership 0 Corp ❑ Joint Venture ❑ Other
THIS COMMERCIAL PACKAGE DECLARATIONS AND THE SUPPLEMENTAL DECLARATIONS, TOGETHER WITH THE COMMON
POLICY CONDITIONS, COVERAGE FORM(S) AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED POLICY.
THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM 1S INDICATED.
THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT.
I Commercial Property Coverage Part
I Commercial General Liability Coverage Part
PREMIUM
$ 2,840.00
Commercial Inland Marine Coverage Part $
Total $ 2,840.00
(Fully Earned) Policy Fee $ 175.00
Minimum Earned Premium: 25%
State Tax $ 146.23
0.0010 Stamping Fee $ 3.02
Forms Applicable to all Coverage Parts:
See Schedule of Forms and Endorsements
Countersigned DFM 11/05/2003
(Date)
MFS-CULL (02-01) Insured
MYRON F. STEVES & COMPANY
(Authorized Representative)
,z c.; U9 — V-v r �"
GUMIVIEKGIAL f KUYEKTY GUVLKAGE PART
DECLARATIONS
Policy No. 316F700164 Effective Date: 10/25/2003
12:01 A.M., Standard Time
Named Insured: PRECISION BODY WORKS, INC. ❑ Supplemental Declarations is attached.
BUSINESS DESCRIPTION
AUTO BODY SHOP
DESCRIPTION OF PREMISES
PREM. NO. BLDG. NO. LOCATION, CONSTRUCTION AND OCCUPANCY
1 1-3 1302 98th STREET, LUBBOCK, LUBBOCK CO., (18) TX 79423
CONSTRUCTION: METAL OCCUPANCY: AUTO BODY SHOP
COVERAGES PROVIDED -INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN.
PREM. NO. BLDG. NO. COVERAGE LIMIT OF INSURANCE COVERED CAUSE OF LOSS COINSURANCE t RATES
1 1 BUILDING $105,000 SPECIAL INCL THEFT 60% 0.800
1 1 BPP $100,000 SPECIAL INCL THEFT 8096 0.800
1 2 BUILDING $90,000 SPECIAL INCL THEFT 80% 0.800
1 3 BUILDING $60,000 SPECIAL INCL THEFT 80% 0.800
OPTIONAL COVERAGES -APPLICABLE ONLY WHEN ENTRIES ARE MADE IN THE SCHEDULE BELOW t1F EXMA OCPENSE COVERAGE. town CN LOSS PAWWT
AGREED VALUE REPLACEMENT COST (X) PERSONAL INCLUDING
PREM. NO. BLDG. NO. EXPIRATION DATE COVERAGE AMOUNT BUILDING PROPERTY 'STOCK'
1 1-3 X X
INFLATION GUARD (Percentage) tt MONTHLY LIMIT OF tt MAXIMUM PERIOD tt EXTENDED PERIOD
PREM. NO. BLDG. NO. BUILDING PERSONAL PROPERTY INDEMNITY (Fraction) OF INDEMNITY (X) OF INDEMNITY (Days)
MORTGAGE HOLDER(S) tt AMIES TO OWP493"COWS ONLY
PREM. NO. BLDG. NO. MORTGAGE HOLDER NAME AND MAILING ADDRESS
1 1-3 J. H. RICHARDS, 3812 55th STREET, LUBBOCK, TX 79413
1 1-3 FIRST BANK & TRUST, 7806 INDIANA AVE., LUBBOCK, TX 79423
DEDUCTIBLE
$1,000.
FORMS AND ENDORSEMENTS (other than applicable Forms and Endorsements shown elsewhere in the policy)
Forms and Endorsements applying to this Coverage Part and made part of this policy at time of issue:
APPLICABLE TO ALL COVERAGES:
See Schedule of Forms and Endorsements
APPLICABLE TO SPECIFIC PREM. NO. BLDG. NO. COVERAGES FORM NUMBERS
PREMISES/COVERAGES:
PREMIUM
Premium for this Coverage Part $ 2, 840.
`Information omitted if shown elsewhere in the policy. ""Inclusion of date optional
THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD.
CF 150 (11-85)
Copyright, ISO Commercial Risk Services, Inc., 1983, 1984
Insured