HomeMy WebLinkAboutResolution - 2006-R0568 - Contract - TIBH Industries Inc & Maian Moss Enterprises -Indoor Plant Maintenace - 11/21/2006Resolution No. 2006-80568
November 21, 2006
Item No. 5.16
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 sign for and on behalf of the City of Lubbock, a Contract by and between the
City of Lubbock and TIBH Industries, Inc., and Marian Moss Enterprises of Lubbock,
Texas for the indoor plant maintenance, and all 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 21st day of November , 2006.
DAVID A. WILLER, MAYOR
ATTEST:
Rebecca Garza, City Secretary
APPROVED AS TO CONTENT:
bt-1 lzlr t 24, C
Wesley ENUrett, Facilities Manager
APPROVED AS TO FORM:
i
L
Amy L. .s tttorney
J
gs/ccdocs/indoor plant maint Contract -res
10/26/06
Contract Number: 7252
Resolution No. 2006-80568
CONTRACT FOR STATE USE PROGRAM
THIS AGREEMENT IS MADE by and between City of Lubbock, hereinafter called CITY OF LUBBOCK,
TIBH Industries, Inc., hereinafter called TIBH, and Marian Moss Enterprises, hereinafter called PROVIDER.
WITNESSETH
WHEREAS, Chapter 122 of the Texas Human Resources Code authorizes CITY OF LUBBOCK to
purchase services and products from blind and severely disabled persons and establishes procedures for such
purchase, said statute, authority and procedures hereinafter referred to as the State Use Program; and,
WHEREAS, The Texas Committee on Purchases of Products and Services of BIind and Severely
Disabled Persons has lawfully promulgated rules for the State Use Program at Title 40 of the Texas
Administrative Code, Chapter 189; and,
WHEREAS, pursuant to the rules, CITY OF LUBBOCK has determined to set aside a service or
product generally described as Indoor Plant Maintenance to be once and for all dedicated to the State Use
Program and said service or product to be furnished by PROVIDER; however, said service or product can be
removed from State Use in accordance with said rules and as further provided in Article 17 of this agreement;
and,
NOW, THEREFORE, in consideration of the mutual covenants and agreements herein contained,
CITY OF LUBBOCK, TIBH, and PROVIDER mutually agree as follows
AGREEMENT
Article 1. Contract Period
This contract shall become effective on November 27, 2006 and terminate on November 26, 2007, unless
termination occurs as otherwise provided in this agreement. This contract may be renewed for two
additional one-year terms with mutual agreement from both parties under the same terms and conditions.
Article 2. Scope Of Work
PROVIDER shall undertake, perform, and complete all work authorized in Scope of Work, at the locations
described in Exhibit "A" and costs described in Exhibit `B".
Article 3. Compensation
Contractor shall receive Nine Thousand Four Hundred Twenty Six and Seventy Seven dollars ($9426) per
year.
PROVIDER shall submit periodic requests for reimbursement using forms acceptable to CITY OF
LUBBOCK. Such requests shall be made for work performed or products furnished by PROVIDER. jh
PROVIDER hereby assigns all payments due it by CITY OF LUBBOCK to TIBH. CITY OF LUBBOCK
shall make payment directly to TIBH on behalf of PROVIDER and no liability shall attach to CITY OF
LUBBOCK by PROVIDER's assignment to T1BH. TIBH shall deduct a 6% fee and shall compensate
PROVIDER the remaining 94%.
Indoor Plant Maintenance Page 1 of 13
Contract Number: 7252
Article 4. Insurance
Before beginning work, PROVIDER shall obtain appropriate insurance coverage and furnish
documentation of such coverage to CITY OF LUBBOCK.
Appropriate coverage is listed and marked below.
Do not sign this agreement unless the appropriate box is marked. [ ]
PROVIDER is a state agency.
PROVIDER, being a State Agency, acknowledges that it is not an agent, servant or employee of the
City of Lubbock, and it is responsible for its own acts and deeds and for those of its agents or
employees during the term of this contract.
[X] PROVIDER is not a state agency.
1. PROVIDER must provide CITY OF LUBBOCK with evidence of insurance coverage as follows:
Worker's Compensation - The Contractor shall elect to obtain worker's compensation
coverage pursuant to Section 406.002 of the Texas Labor Code. Further, Contractor shall
maintain said coverage throughout the term of the Contract and shall comply with all
provisions of Title 5 of the Texas Labor Code to ensure that the Contractor maintains said
coverage. Any termination of worker's compensation insurance coverage by contractor or
any cancellation or non -renewal of worker's compensation insurance coverage for the
Contractor shall be a material breach of this Contract." The contractor may maintain
Occupational Medical and Disability Insurance in lieu of Workers' Compensation. In either
event, the policy must be endorsed to include a wavier of subrogation in favor of the CITY
OF LUBBOCK.
The Contractor shall also provide the CITY OF LUBBOCK proof of Employers' Liability in
an amount no less than $500,000 will be included with the certificate.
If at any time during the life of the contract or any extension, the contractor fails to maintain
the required insurance in full force and effect; all work under the contract shall be
discontinued immediately. Any failure to maintain the required insurance may be sufficient
cause for the City to terminate the contract.
2. Commercial General Liability Policy including premises/operations, products/completed
operations. The Commercial General Liability Policy requires a $500,000 combined single
limit for injury or death of any person(s) and property damage, arising out of one occurrence.
With an endorsement for heavy equipment coverage. The CITY OF LUBBOCK shall be
named a primary additional insured. The certificate of Insurance must reflect wording which
states that the policy shall be primary and non-contributory with respect to any insurance
carried by the contractor.
3. Automobile liability with a limit of $300,000 combined single limit for bodily injury and
property damage arising out of any one occurrence. The cost of such insurance shall be a
direct cost of operation by the Provider. Such policies shall contain a covenant of the
insurance company requiring thirty (30) days written notice first to be given to CITY OF
Indoor Plant Maintenance Page 2 of 13
Contract Number: 7252
LUBBOCK before cancellation, reduction, or modification. The CITY OF LUBBOCK shall
be named a primary additional insured.
4. If a subcontractor is employed, the subcontractor shall provide a written certification to the
Provider that the subcontractor is providing insurance coverage equal to the limits described
above and the Provider shall provide CITY OF LUBBOCK written certification to this
effect. The certificate of Insurance shall name the City of Lubbock as a primary additional
insured and such certificate shall reflect wording which states the policy shall be primary and
non-contributing with respect to any insurance or self-insurance of the City of Lubbock.
However, when the Provider and subcontractor agree in writing for the Provider to provide
workers' compensation insurance coverage for all employees of the Provider and
subcontractor employed on the project, the Provider shall provide a copy of said agreement
to the Provider's workers' compensation insurance carrier within 10 days of execution, and
provide a written certification of said agreement to CITY OF LUBBOCK.
5. Certificates of Insurance along with a copy of the additional insured endorsement shall be
provided to the CITY OF LUBBOCK prior to beginning any work.
CITY OF LUBBOCK shall be named as an Primary Additional Insured on Automobile and
General Liability and a Waiver of Subrogation in favor of CITY OF LUBBOCK shall be
provided on all policies.
4. If a subcontractor is employed, the subcontractor shall provide a written certification to
PROVIDER that the subcontractor is providing workers' compensation insurance coverage for all
employees of the subcontractor employed on the project, and PROVIDER shall provide CITY OF
LUBBOCK written certification to this effect.
However, when PROVIDER and subcontractor agree in writing for PROVIDER to provide
workers compensation insurance coverage for all employees of PROVIDER and subcontractor
employed on the project, PROVIDER shall provide a copy of said agreement to PROVIDER's
workers compensation insurance carrier within 10 days of execution, and provide a written
certification of said agreement to CITY OF LUBBOCK.
Article 5. Records
PROVIDER and TIBH agree to maintain all books, documents, papers, drawings, accounting records, and
evidence pertaining to costs incurred and work performed hereunder, hereinafter called the records, and
shall make such records available at its office during the contract period and for three years from the date
of final payment under this contract..
PROVIDER and T113H shall allow access to the records by duly authorized representatives of CITY OF
LUBBOCK for the purpose of making audits, examinations, excerpts, and transcriptions.
Article 5. Indemnification
PROVIDER and TIBH each shall save harmless CITY OF LUBBOCK from all claims and liability
due to the acts or omissions of PROVIDER or TIBH, their agents or employees to the extent
provided by law.
Indoor Plant Maintenance Page 3 of 13
Contract Number: 7252
Article 7. Disputes
If a dispute arises about the services authorized under this agreement, PROVIDER shall immediately notify
CITY OF LUBBOCK and TIBH. Every effort shall be made to resolve the dispute.
If, however, the dispute cannot be settled in an amount of time deemed reasonable by CITY OF LUBBOCK,
CITY OF LUBBOCK shall terminate this agreement in accordance with Article 13, Termination. TIBH
shall coordinate with CITY OF LUBBOCK to furnish another Provider under THE STATE Use Program,
and a new agreement shall be entered into for the services or products set aside under the terms of this
agreement.
If another Provider cannot be found to provide the services or products, TIBH shall notify CITY OF
LUBBOCK in writing no later than thirty days from the date of termination of this agreement.
Upon receiving such notice, CITY OF LUBBOCK shall at is own option complete the work with its own
forces or enter into a contract using appropriate procedures other than the State Use Program, except that
PROVIDER and TIBH shall not thereby be absolved of legal responsibility for such work.
Article 8. Remedies
Violation or breach of the terms of this agreement by PROVIDER or TIBH shall be grounds for
termination of the contract. This agreement shall not be considered as specifying the exclusive remedy for
any default, but all remedies existing at law and in equity may be availed by either party and shall be
cumulative.
Article 9. Changes in Work
If at any time during the course of this agreement it becomes necessary for PROVIDER to perform services
or provide a product not identified in the original Attachment A, Scope of Work, PROVIDER shall notify
CITY OF LUBBOCK and request authorization to proceed. CITY OF LUBBOCK shall notify
PROVIDER in writing if the additional work is deemed necessary and shall authorize PROVIDER to
proceed with the increased work.
If at any time during the course of this agreement it becomes necessary for CITY OF LUBBOCK to cancel
or otherwise make changes in the services or products authorized in Attachment A, Scope of Work, CITY
OF LUBBOCK shall so notify PROVIDER in writing and PROVIDER shall cancel or otherwise change
the work as instructed by CITY OF LUBBOCK. PROVIDER shall not request compensation for any work
so canceled.
If the maximum amount payable established in Article 3, Compensation, is exceeded as a result of the
additional or changed work, CITY OF LUBBOCK shall provide additional compensation at the rates
specified in Attachment B, Item Quantity Sheet. If rates have not been specified for the additional work
tasks, CITY OF LUBBOCK, PROVIDER, and T113H shall mutually agree to the rates, provided, however,
that rates are reasonable and consistent with rates normally charged for the work.
Any additional compensation must be authorized in writing and approved by all parties in accordance with
Article 10, Supplemental Agreements.
This agreement may be amended to reflect additions to work performed with the appropriate amount of
compensation being added to Attachment B "Item Quantity Sheet".
Indoor Plant Maintenance Page 4 of 13
Contract Number: 7252
Article 10. Supplemental Agreements
If PROVIDER fmds that any work requested under this agreement will change the scope, character,
complexity, or nature of the work, the time period, the method of payment, or the maximum cost hereunder,
a written amendment must be executed within the time period established in Article 1, Contract period. Any
such amendment shall be deemed to be a supplemental agreement to this document.
If CITY OF LUBBOCK finds it necessary to require changes in completed work because of errors made by
PROVIDER, CITY OF LUBBOCK shall require PROVIDER to correct the work at no cost to CITY OF
LUBBOCK and without amendment to the agreement
If the changes are made at the request of CITY OF LUBBOCK and are not because of errors of PROVIDER,
CITY OF LUBBOCK shall compensate PROVIDER as authorized in Article 9, Changes in Work.
Article 11. Inspection of Work
CITY OF LUBBOCK shall have the right at all reasonable times to inspect or otherwise evaluate the work
performed or being performed hereunder and the premises in which it is being performed. If any inspection
or evaluation is made on the premises of PROVIDER, PROVIDER shall provide all reasonable facilities and
assistance for the safety and convenience of the inspectors in the performance of their duties. All inspections
and evaluations shall be performed in such a manner as will not unduly delay the work.
Article 12. Reporting
PROVIDER or T1BH shall promptly advise CITY OF LUBBOCK in writing of events which have a
significant impact upon the work performed under this agreement, including:
1. Problems, delays, or adverse conditions which will materially affect the ability to attain program
objectives, prevent the meeting of time schedules and goals, or preclude the attainment of project work
units by established time periods. This disclosure shall be accomplished by a statement of the action
taken, or contemplated, and any CITY OF LUBBOCK assistance needed to resolve the situation.
2. Favorable developments or events that enable meeting time schedules and goals sooner than
anticipated or producing more work units than originally projected.
Article 13. Public Safety and Convenience
The safety of the public and the convenience of traffic are of prime importance under this agreement.
Unless otherwise provided, PROVIDER's performance of this agreement shall not interfere with city
activities or traffic on the roadways.
Article 14. Protection of Property
PROVIDER shall take proper precautions to protect all adjacent property that might be damaged or injured
by any process of work. In case of any such injury or damage resulting from PROVIDER's acts or
omissions, PROVIDER shall restore at its own expense the damaged property to a condition, similar or
equal to that existing before such injury or damage was done, or it shall otherwise remedy such injury or
damage in a manner acceptable to CITY OF LUBBOCK, TIBH, and the property holder or owner involved.
If CITY OF LUBBOCK must intervene and repair any damage not repaired by PROVIDER, all such
repairs shall be made at PROVIDER's expense. CITY OF LUBBOCK shall deduct the costs associated with
the repair from the amount due and payable to PROVIDER, or PROVIDER shall otherwise compensate
Indoor Plant Maintenance Page 5 of 13
Contract Number: 7252
CITY OF LUBBOCK for the cost of repair.
Article 15. Subcontracts
PROVIDER shall not sublet or transfer any portion of the work authorized in this contract unless
specifically authorized to do so in writing by CITY OF LUBBOCK. Subcontractors shall comply
with the provisions of this contract, and subcontracts in excess of $25,000 shall include the
required provisions of this contract. No subcontract shall relieve PROVIDER of his or her
responsibility under this contract.
Article 16. Gratuities
Employees of CITY OF LUBBOCK shall not accept any benefits, gifts, or favors from any person doing
business with or who reasonably speaking may do business with the State under this agreement.
Any person doing business with or who reasonably speaking may do business with CITY OF LUBBOCK
under this agreement may not make any offer of benefits, gifts, or favors to CITY OF LUBBOCK's
employees except as mentioned here above. Failure on the part of PROVIDER to adhere to this policy may
result in termination of this contract.
Article 17. Termination
This agreement may be terminated before the completion date established in Article 1, Contract Period, by
any of the following:
A. Termination of either party requires a thirty (30) day written notice prior to any
cancellation. Such written notice must state the reason for cancellation.
B. By CITY OF LUBBOCK, giving notice in writing to PROVIDER and to TIBH, as consequence of
failure by PROVIDER or TIBH to perform the services herein set forth in a satisfactory manner and
within the limits provided, with proper allowances being made for circumstances beyond the control of
PROVIDER and TIBH.
C. By either party upon the failure of the other party to fulfill its obligations as set forth in the 'Scope of
Work attached hereto and labeled Attachment A, giving written notice one to the other establishing the
effective date of termination.
D. By satisfactory completion of all services and obligations described herein.
Should CITY OF LUBBOCK terminate this agreement as herein provided, no costs other than costs due and
payable at the time of termination shall thereafter be paid to PROVIDER or TIBH. In determining the value
of the work performed by PROVIDER prior to termination, CITY OF LUBBOCK shall consult with TI13H
but CITY OF LUBBOCK shall be the sole judge. Payment for work at termination shall be based on work
completed at that time.
If PROVIDER defaults in performance of this agreement or if CITY OF LUBBOCK terminates the
agreement for fault on the part of PROVIDER or TIBH, CITY OF LUBBOCK shall give consideration to
the actual services or products provided up to the date of default.
Article 18. Compliance with Laws
PROVIDER and T113H shall comply with all federal, state and local laws, statutes, ordinances, rules and
regulations, and the orders and decrees of any courts or administrative bodies or tribunals in any matter
affecting the performance of this contract, including, without limitation, workers' compensation laws,
minimum and maximum salary wage statutes and regulations, and licensing laws and regulations. When
required, PROVIDER and TIBH shall furnish CITY OF LUBBOCK with satisfactory proof of compliance.
Indoor Plant Maintenance Page 6 of 13
Contract Number: 7252
Article 19. Successors and Assigns
CITY OF LUBBOCK, TIBH, and PROVIDER each binds itself, its successors, executors, assigns, and
administrators to the other parties to this agreement and to the successors, executors, assigns, and
administrators of such other party in respect to all covenants of this agreement.
PROVIDER has assigned all payments due it by CITY OF LUBBOCK under this agreement to TIBH.
Payments should be sent to the following address according to Articles 3 & 19.
TIBH Industries, Inc.
300 Highland Mall Blvd., Suite 302
Austin, Texas 78752
The Payee Identification Number is: 17522473119001
Indoor Plant Maintenance Page 7 of 13
Contract Number: 7252
Article 20. Signatory Warranty
The undersigned signatories each hereby represents and warrants that each is an officer of the organization
which he or she has executed this contract and that each has full and complete authority to enter into this
agreement on behalf of the agency.
IN WITNESS WHEREOF, the parties hereto have executed triplicate counterparts to effectuate their
agreement, but this agreement shall not be valid until signed by a duly authorized representative of each
party.
City of Lubbock
David A. Miler
Mayor
Attest:
Becky Garza
City Secretary
Approved as to Content
to f -
Wesley Everett, Facilities Manager
Approved as to Form
Assistant City Attorney
Marian Moss E tLriscs
14a, 1;
Mike McDaniel,
Executive Director
Attest:
Jayne Ann Miller
Corporate Secretary
Appr ved for State Use Program
Larry Sargee, Sr. Marketing Representative
TIBH Industries, Inc.
Indoor Plant Maintenance Page 8 of 13
Contract Number: 7252
CITY OF LUBBOCK
INTERIOR PLANT MAINTENANCE
SCOPE OF WORK
A. OWNER'S REPRESENTATIVE
1. Owner's representative for the City of Lubbock shall be the Facilities Maintenance Supervisor,
(806) 775-2276.
B. RESPONSIBILITIES
1. Contractor shall be responsible for the maintenance of planters and plants located throughout the City of
Lubbock facilities as listed in Attachment "A".
1.1 Contractor may recommend a change in type and/or number of plants at any site that is
evaluated as inadequate planters for the best appearance. Recommended changes must be
approved by Facilities Management and the City Of Lubbock will be billed for the new
plants at the contractors cost
2. Maintenance services shall include the following:
2.1 Watering
2.2 Cleaning foliage
3. Furnishing necessary fertilizers and application of same.
4. Application of insecticides and/or pesticides for any insects or disease to any plants.
All pesticides, chemicals, MSDS sheets, and proof of current Applicator's License
must be submitted and approved by the Owner's Representative prior to the notice to
proceed.
5. Pruning and removal of dead leaves, as necessary.
6. Removal of trash from planters.
7. Replacement of plants with like variety as necessary.
8. The maintenance services as outlined above shall be performed on a regular
schedule so as to insure the appearance of quality installation at all times, such
schedule to be coordinated with the City of Lubbock Facilities Management
Department.
9. Contractor shall supply all necessary equipment and labor required to perform
maintenance services.
10. Available water sources will be supplied by the City of Lubbock.
11. The maintenance services shall be done during regular business hours, 8:00 a.m. to
5:00 p.m., Monday through Friday, or as scheduled by the Owner's Representative.
City Hall will be serviced twice a week (Tue & Fri), the rest of the buildings can be
serviced in accordance to the above requirements
Indoor Plant Maintenance Page 9 of 13
Contract Number: 7252
C. GUARANTEES
1. Contractor shall be responsible for all damages to plants due to lack of maintenance or neglect.
Damaged plants must be replaced immediately.
2. Neglect shall include lack of or excessive watering, inadequate/improper fertilizer or
pruning, or inadequate/improper disease/insect control or application.
3. Contractor shall replace said plants at his own expense in a prompt manner.
4. Contractor shall insure that replacement plants are true in size, name, and variety.
Substitutions may only be made with the written approval of the City of Lubbock
Facilities Management Department.
Provide (50) poinsettias annually to the Civic Center for tree planter areas and
offices of the Civic Center at time deemed by Civic Center Director. Provide (50)
poinsettias annually to the Municipal Building at time deemed by the Owner's
Representative.
6. Contractor shall not be responsible for vandalism, theft or damage to plants that is
beyond their control. However, owner agrees to pay Contractor to replace said
plants at Contractor's cost. Contractor will notify Owner in writing within five (5)
working days of any evidence of vandalism, theft or other damages beyond the
Contractor's control.
7. The Contractor shall request payment for services as outlined in this agreement. The
Contractor will provide a detailed bill listing each facility as shown in Attachment
"A" to the City of Lubbock Facilities Management Department at 1625 13" Street,
Suite L08. Billing must be received by the 1St of the month for the previous month of
service. Invoices will only be paid after services are rendered.
8. This agreement may be terminated by either party prior to the expiration date of this
agreement by issuing a 30 -day written notice.
9. The purpose of this Invitation to Bid is to establish firm prices for a period of one (1)
year for the items and/or services described herein. The City of Lubbock may renew
this agreement for a period of up to two (2) additional years at the same price.
Indoor Plant Maintenance Page 10 of 13
Contract Number: 7252
EXHIBIT "A"
LIST OF PLANTS
1-10" Dracena Pole Plant
2-8" Dracena Janet Craigs
4-8" Agalnerua Silver Queen
3-8" Scheffelera Hawaiian
3-8" Schefflera
4-8" Dracaena JC
1-8" Agalnenia Silver Queen
3-8" Dracena Warniki
4-8" Verigated Scheffelera
1-8" Dracena Marginata
2-14" Massangeana Cane
1-10" Dracaena Marginata
2-10" Janet Craig
1-10"Schefflera Amate
50-6" Poinsettia's during the holiday season
34-6" Pothos Ivys in 8 Planters
2-10" Janet Craig
2-12" Dracaena Marginata
1-10" Philodendron. Salome
1-16" Philodendron Salome
City Hall
162513 TH
ATRIUM AREA
Basement
3-8" Dracena Lemon Lime
2-8" Ficus
2-8" Dracena Warniki
5-8" Scheffelera Regular
1sT Floor
10-8" Dracaena Lemon and Warniki
2-8" Dracaena Reflexia
20-6" Kalonchoes
2ND Floor
2-8" Schefferela Regular
2-8" Ficus
11-6" Kalnchoes
Legal Department
162513th
Room 205
1-10"Pale Ivy
1-10" Ficus Bush
1-10" Sansevieria
Mahon Library
13069... Street
9-6 Dracaena Marginata in 8 Planters
3-14" Dracaena Pole Plant
1-12" Janet Craigs
2-14" Philodendron Salome
1-12"Fern
Indoor Plant Maintenance Page 11 of 13
Contract Number: 7252
Lubbock Preston Smith International Airport
5401 North MLK Boulevard
Security Offices
12-10"-14" Plants
Airport Offices
410"-12"Plants 10-10"Plants
Ticket Office
4-10" Plants
These are mixed Scheffelera, Dracaena, Ficus and Agalnenia.
Boarding Area
1-14" Dracaena Marginata 1-14" Reflexa
1-14" Janet Craig 2-14" Strelitzia
4-14 Ficus 2-14" Arboricola
Lubbock Memorial Civic Center
1501 6T" STREET
Lower Level Atrium Area
3-10" Scheffelera 8-10" Ficus Ferns
1-10" Dracena Reflexa
Lobby
10 -Planters 8' Ficus Trees 1-10" Scheffelera
Administration Office
1-10" Peace Lily 1-14" Dracena
1-14" Salome 2-14" Ficus
1-14" Scheffelera 2-6' Planters
1-10" Ficus 1-14" Sansevieria
50 Poinsettia's at request of Civic Center director during holiday season.
Indoor Plant Maintenance Page 12 of 13
Contract Number: 7252
EXHIBIT "B"
ITEM
LOCATION
ANNUAL CONTRACT COST
1
City Hall/Legal Department
6,647.32
2
Mahon Library
1,049.24
3
Lubbock Preston Smith International
Airport
655.78
4
Lubbock Memorial Civic Center
1,074.43
TOTAL ANNUAL COSI'
9,426.77
Indoor Plant Maintenance Page 13 of 13
A4 -CORD, CERTIFICATE OF LIABIL
-9344
Sanford Insurance Agency
6303 Indiana Ave.
P.O. sox 64790
Lubbock, Tx 79413
muRm Moss, Marian Enterprises,
DBA: Direct Matress
S01 East 4Znd Street
Lubbock, Tx 79404
09b 'Illd
DATE @01MU n -M
ITY INSURANCE I 10/17/20N
TH IG CERTIFICATE M ISSUED AS A MATTER OF INFORMATWN
ONLY AND CONFERS NO RNMTS UPON THE CERTIFICATE
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AND A WAIVER OF SUBROGATION IN FAVOR OF CITY OF LUBOXX SHALL
WE PROVIDED ON AUTO, GL ! A1C.
ACORD 25 (2001104) FAX. (306)163-3504 6UCORD CORPORATON 1448
SJMD Uft OF TIN AWA DE ACFAW POLICKS BE CAMCEI.UM MOM TI!
VXMAT" OATS nNREO/, THE Mato* MMM NRL EM My MI YO LIAR
30 DAYS VmTm NOTKN TO TME congPa1'E "MOM "mm" Tw LEFT,
CTEV OF LUBBOCK
WT FMLXM TO MAIL 50004 MWTWM AE MD TKMI
P.O. BOIL 2000
cIII ANT MIND U/DM TIRE fffblpllR Yrs
AWHORMROWADITATM �+
LUBBOCK, Tx 79457
las Sanford
ACORD 25 (2001104) FAX. (306)163-3504 6UCORD CORPORATON 1448
m9b Ylle M544 V. Ili
IMPORTANT
If the certificate hoiden is an ADDITIONAL INSURED. the policy(ios) must be endorsed. A statement
on this cent! caq does not confer rights to the certificate WOW in lieu of such endrxserrrs *4
It SUB ROGATION IS WAIVED, subject to the te►ms and conditions of the policy, Certain poricies msy
require an endorsement A statement on this certificste does not Confer rights to the certificatt
holder in lieu of such endomemeent(s).
DISCLAMER
The Certificate of Insurance on the reverse aide of this form does not Constitute a contract between
the issuing Insursr(sj, authorized representative or producer. NW the CeMilicats hoiden, nor does it
atfirrnativey or negatively amend, extend or sitar the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)
TOTAL P.02