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HomeMy WebLinkAboutResolution - 954E - Contract - OW Chisum & Company - Garage Facility Construction - 10/22/1981RESOLUTION 954 - 10/22/81 DGV:da 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 the following agreements pertaining to the construction of a new City garage facility: Bid Package 1 & 2, Contract with Hunter Construction Company. 6-(2) Bid Package 3, no bid. 0t (3) Bid Package 4, Contract with Henson Plastering, Inc. Package 5, Contract with Lubbock Development Company. 6, Contract with 0. W. Chisum & Company. 'Bid Package 7, Contract with Tech Electric Company. Bid Package 8, Contract with All Texas Builders, Inc. Said contracts, which are attached hereto, shall be spread upon the minutes of the Council and as spread upon the minutes of this Council shall constitute and be a part of this Resolution as if fully copied herein in detail. Passed by the City Council this 22nd day of (l�t�bPr , 1981. k r i I BILL McALI T R, MAYOR ATTEST: Evelyn affga, City Wretary-Treasurer APPROVED AS TO FORM: KAP LQ&TWA resp G. Vandiver, Asst. City Attorney CHANGE ORDER To: griginal amount of contract Net amount previous change orders Net amount this change order Amended amount of contract Percentage change of contract price Additional Time of Completion The date of substantial completion as of this change order therefore is RESOLUTION 954-E 6 CITY SECRETARY -TREASURER WHEREAS, it is desirable to make changes in the plans and specifications for this project; THIS AGREEMENT WITNESSETH: In consideration of the mutual advantages gained, the Owner and Contractor agree to the change shown herein and in the attached exhibits and data, the Owner and the Contractor -agree that the ori- ginal contract between them shall be modified to the extent herein indicated. Extend time of completion 53 calendar days per attached request due to delays caused by weather. IN WITNESS WHEREOF, the Owner and the Contractor have hereto set their hands this the 7 day of October , 1982.' 0. W. Chisum and Company BY:6c-� TITLE /0 s Norma " Schauer Associates, Inc. BY: a--%- a TITLE Pre ident CITY OF LUBBOCK OWNER BY surer Services APPROVED AS TO FORM: C i t At torne'y`��` tO 0 00 00 53 L�A WHEREAS, it is desirable to make changes in the plans and specifications for this project; THIS AGREEMENT WITNESSETH: In consideration of the mutual advantages gained, the Owner and Contractor agree to the change shown herein and in the attached exhibits and data, the Owner and the Contractor -agree that the ori- ginal contract between them shall be modified to the extent herein indicated. Extend time of completion 53 calendar days per attached request due to delays caused by weather. IN WITNESS WHEREOF, the Owner and the Contractor have hereto set their hands this the 7 day of October , 1982.' 0. W. Chisum and Company BY:6c-� TITLE /0 s Norma " Schauer Associates, Inc. BY: a--%- a TITLE Pre ident CITY OF LUBBOCK OWNER BY surer Services APPROVED AS TO FORM: C i t At torne'y`��` "— RESOLUTION 954-B - 10/22/81 0. W. Chisum & Company u, 1. ,. ... .....:... .:_�. .: /NORMAN IGO • SCHAUER ASSOCIATES, INC. November 10, 1981 Mr. Bill Payne, Director Administrative Services City of Lubbock Lubbock, Texas 79401. Re: City Garage Dear Mr. Payne: We are forwarding herewith documents on Bid Package 6 from O.W. Chisum & Co. on the above referenced job for approval and signature by the Mayor for award of the contract for their phase of the work. Documents As Follows Dated 1. Notice of Acceptance 10/30/81 2. Acceptance of Change Order 10/20/81 3. Change Order #1 10/30/81 4. Contract 10/30/81 5. Payment Bond 10/30/81 6. Performance Bond 10/30/81 7. Power of Attorney 10/30/81 8. Certificate of Insurance 11/2/81 Please return three (3) copies of the executed documents for the contractor's and our file, when they have been executed. Sincerely, 4 n' o Igo�Schauer/C.M., Inc. Con truction Manager NI/jl ARCHITECTS • ENGINEERS • CONSTRUCTION MANAGERS 2201 UNIVERSITY LUBBOCK, TEXAS 79410 8061747-0193 MEMBER AIA & PE 6 October 30, 1981 NOTICE OF ACCEPTANCE RESOLUTION 954-E - 10/22/81 4.. 0. W. Chisum & Co. TO: _ 0. W. Chisum E`Company (Name of Bidder) P.O. Box 2955 (Address of Bidder) _Lubbock, Texas 79408 (City and State of Bidder) The City of Lubbock, having considered the proposals submitted and opened on the 6 day. of October 19 81 for work to be done and materials to be furnished in and for: •City .Ga rage and Sanitation Facilities Bid Package #6 w/Change Order No i :..o, Total Contract Amount S118-014,00 as set :forth. in detail in the Specification s,' Plans, and,Contract Documents for such work for.the,City of Lubbock; it appearing that your proposal is fair,equitable and to the best interest of'said City,•please take notice that said proposal was accepted by the City Council of the City :of Lubbock on the 22 -day of October 19 81 at the bid price contained theiein', subject.to the execution of and furnishing of all contract documents, bonds,certificates of insurance, and all other documents specified and required to be executed and furnished under. the contract documents. It will be- necessary for you to execute and furnish to the City of Lubbock all such documents within ten (10) days from your receipt of this Notice. The five -(5%) per cent bid security, submitted with your proposal, will bet returned upon the execution of such contract documents and bonds within the above specified 'ten (10) day period. In the event you should fail to execute and furnish such contract documents and bonds within the time limit specified, said bid security will.be retained by the:'City of Lubbock. CITY OF LUBBOC Owner's�Repre entative TO: City of Lubbock, Owner Re: City Garage and Sanitation facilities/Igo-Schauer Associates, Inc. Construction Managers ACCEPTANCE .OF CHANGE ORDER I, /S'�'/i% ,mi✓D CO, , contractor, do hereby agree to and accept al i, of the provisions set forth by Change Order.No, l to Bid No. a copy of which Change -,Order is attached hereto.: I understand that this acceptance shall become .a part of he Contract `Documents for the above named project and shall b"e`subjecte.to all of the,.P' isio�s,thereof. This acceptance executed this day of 61n; $Oeh 2, 1981 CHANGE ORDER AIA DOCUMENT G707 OWNER [] ARCHITECT D CONTRACTOR a FIELD 0 OTHER PROJECT: City Garage- and Sanitation Facilities CHANGE ORDER NUMBER: 1 (name, address) 324 Municipal Drive Lubbock, Texas 79401 TO (Contractor) F_ 0. W. Chisum & Co. ARCHITECT'S PROJECT NO: City Garage P.O. Box 2955 CONTRACT FOR: BID PACKAGE NO. 6 Lubbock, Texas 79408 L _ CONTRACT DATE: October 30, 1981 You are directed.to make the following changes in this Contract: Item No. 1 - Delete Building 'B' of the project completely. -Item No. 2 Reduce the -overall length of�Building 'A' of the project from 265'-1 3/4" to 1:9.3'-1 3/4" by deleting the center 72'-0" of the overall building length.and moving the south 910-6 7/8" of the overall building length 72'-0" to the north. This reduction shall constitute A deletion of all work originally shown on the drawings within the 72'-0" x 119'-9" x full height of building area deleted.. Item No. 3 - Omit all .Special Coatings from the project (Sec. 9I of specifications). Change remaining lath and plaster at building 'A' to standard three coat stucco plaster system. t Note: Upon acceptance of this change order, the entire contract documents shall be construed"to be changed to the provisions herein. Revised drawings reflecting these changes shall be issued priorto commencement. of construction. The original Contract Sum was . . . . . . S 1409,975.00 Net change by previous Change Orders . . . . . . ' . . . . . . . . . . . . S 0 The Contract Sum prior to this Change Order was . . . . . . . . . . S 140,975.00 The Contract Sum will be (increased) (decreased) (trneh&nged) by this Change Order. -S 22,941.00 The new Contract Sum including this Change Order will be S 118,034.00 The Contract Time will be fhereased) (deereased),(unchanged) by { 0 )Days. The Date of Completion as of the date of this Change Order therefore is unchanged Norman Igo—Schauer Assoc Inc. _O, W_ rhistem & rn. City of Lubbock ARCHITECT CONTRACTOR OWNER 2201 University P.O. Bnx 2955 916 Texas Ave - Address Address Address Lubbock, Texas 79410 Lubbock, Texas - 79408 Lubbock, Texas 79401 BY J g BY DATE DATE 10 / V/ R 1 DATE in / Zn In t AIA DOCUMENT 0701 • CHANGE ORDER • APRIL 1970 EDITION • AIA© • 0 1970 THE ONE PACE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVE.. NW. WASHINCTON. D.C. 20006 CONTRACT CONTRACT STATE OF TEXAS COUNTY OF LUBBOCK THIS AGREEMENT, made and entered into this 30th day of orrnbPr , A.D. 1981, by and between the City of Lubbock, County of Lubbock, State of Texas, acting by and through _ Mr. Bill McAtisror , Mayor, thereunto authorized to do so, hereinafter referred to as OWNER, and 0. W. Chisum and Co. of the City of Lubbock ; County of Lubheck and State of Texas ,'hereinafter termed CONTRACTOR. WITNESSETH: That for and in consideration of the payments and agreements hereinafter mentioned,. to be made and performed by the OWNER and under the conditions expressed in the bond bearing even date herewith (if any) the CON- TRACTOR hereby agrees with OWNER. to commence and complete the construction of certain improvements described as follows: Project: City Garage & Sanitation Facilities, Lubbock, Texas The contractor shall perform all -of the*work under -Bid Packages No. 6 at the above referenced project'in accordance with contract documents for construction prepared by Norman Igo -Schauer Assoc: Inc., Architects and Engineers and all extra work in connection therewith, under the terms as stated in the contract documents and at his (or their) own proper cost and expense to furnish all materials, supplies, machinery, equipment, tools, superintendence, labor, insurance and other accessories and services necessary to complete the said construction in accordance with the contract documents as defined in the General Condition of Agreement. The CONTRACTOR hereby agrees to commence work within ten days after the date written notice to do so shall have been given to him and to substantially complete same within the time specified in the contract documents. The OWNER agrees to pay the CONTRACTOR in current funds for the perfor- mance of the contract in accordance with the proposal submitted therefor, subject to additions and deductions, as provided in the contract documents and to make payment on account thereof as provided therein. IN WITNESS WHEREOF, the parties to these presents have executed this agreement in Lubbo k in the year and day first above written. CITY OF L , R) BY: Mr. ill cAlister ATTEST.' MAYOR Secretary ATTEST: Secretary 0. W. Chisum Co. CONTRACTOR BY:. C. G.-Leverett TITLE: President ft COMPLETE ADDRESS: 0. W. Chisum and Co. P.O. Box 2955 Lubbock, Texas 79408 PAYMENT BDND STATUTCELY PAYMENT BOND PURSUILNT TO ARTICLE 5160 OF T8E REVISED CIVIL STATUTES OF TEXAS AS AIMNDED BY. ACTS OF TEE 56TH LEGISLATURE, REGULAR SESSION, 1959 KNOW ALL THEN BY THESE PRESENTS, that 0. W. Chi sum and Company (hereinafter called the Principal (s)*, as Principal (s) , and St. Paul Fire and Marine Insurance Company (hereinafter called the Surety (a) as Surety (s) , are held and firmly: bound unto the City of Lubbock (hereinafter called the Obligee), in the amount of -_One Hundred Eighteen Thbusand, Thirty-four and no/1on Dollars {$118,034.00 } lawful money of the.United states' for the payment whereof, -the said'prtncipal and Surety bind themselves, and their heirs, administrators,.executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has entered into a certain written contract with the Obligee, dated the 30th day of October , 19 .81 , to Complete the work under Bid Packages No. 6 ofthe Prosect: City Garage & Sanita- tion Facilities, Lubbock, Texas, in accordance w/the contract documents as prepared by Norman Igo -Schauer Assoc., Inc., Architects and Engineers and -said principal, under the law is required before commencing the work provided for in said contract to execute a bond in the amount of said contract which contract is hereby. _referred to and bade a part hereof as fully and to the same extent as if copied at length herein. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said Principal shall pay all claimants supplying labor and material to him or a sub -contractor in the prosecution. of the work provided for in said contract, then, this obligation shall be void; •otherwise to remain in full force and effect; PROVIDED, Ra&,VER, that this -bond is executed pursuant to the provisions of Article 5160 of .the Revised Civil Statutes of Texas as amended by Acts of the 56th Legislature, Regular Session, 1959, and all liabilities on this bond shall be determined in accordance with the provisions of said Article to the same extent as if it were copied at length herein.. IN WITNESS WHEREOF, the said Principal (s) and Surety (s) have signed - and sealed this instrument this 30Th ,day of October St. Paul Fire & Marine Insurance Company 0. W. Chisum and Company Surety Principal By. *By: (Title) President Attor y -in 4act itle) By (Title) By: (Title) The undersigned surety company represents that it is duly qualified to do business in Texas, and hereby designates- The Shropshire A9ny, Inn_ an agent resident in Lubbock County to Whom ,any requisite notices may be delivered and on whom service of process may be had,in matters arising out'of such suretyship. • t T St. Paul__Fire f_ MarineIneteranra rnmpnny Surety *By: Attorney -in -Fact (Title) Approved as to form: City of Lubbock By City Attorney *Note: If signed by an officer of the Surety Company there must be on file a Certified extract from the by-laws showing that this person has authority to sign such obligation. If signed by an Attorney in Fact, we must have copy of power of attorney for our files. Payment Bond — Page 2 PERFORMANCE BOND STATUTORY PERi?aMNCE BOND PURSUANT TO ARTICIB 5160 OF TEE REVISED CIVIL STATUTES OF TEXAS AS AMNDED BY ACTS OF TIE 56TH LEGISLATURE. REGULAR SESSION 1959 MOW ALL V214 BY THESE PRESENTS, that 0. W. Chisum and.Company (Hereinafter called the Principal (s), as Principal (s), and St. Paul Fire and Marine Insurance Company (hereinafter called the-Surety(s) , as Surety(s) are held and firmly bound unto the city of-Lubbock.(hereinafter•called the Obligee) is the amount of -One Hundred -Eighteen Thousand, Thirty-four.and no/100---- Dollars 034.00 :}- lawful more of the ;United States for the y payment whereof, the; said Principal and Surety, bind ahemselves, and their heirs, administrators, exec utors,,successors and assigns, Jointly and severally,:firmly -by -.these -presents. WHEREAS, the.:Principal has entered into a certain written contract with the Obligee, dated the_Mt da.y of October' 29,1 to Complete the work under Bid Packages No. 6 of the Project• City Garage and Sanitation'Fa.ciiities,.Lubbock, Texas, in accordance w/the contract documents as prepared by Norman Igo -Schauer Assoc., Inc., Architects and Engineers and:said principal under the law is required before commencingthe work provided for in -said contract to execute a bond in. the amount of said contract which contract i.i hereby referred to and pale a part hereof as fully and to' the same extent as if.cogied at length herein. NOW; TiiF=ME, THE CONDITION OF :THIS OBLIGATION 'IS SUCH, that if the said,Piincipal shall-faith'ully perform the.work in accordance with the plans' specifications and contract* documents,'then'this obligation shall be void; otherwise to remain in full force and effect. PROVIDED, HOWEVER, that this bond is executed pursuant to the provisions of Article 5160 of 'the Revised Civil Skatutes'of Texas as amended by Acts of the 56th Legislature, regular session 1959, and all liabilities on this bond shall be determined in accordance with•the provisions of said article to the same extent as if it were copied at length herein. IN WITNESS WHEREOF, the said Principal(s) and Surety(s) have signed and sealed this instrument this 30th day of October , .19 81 ,. -St.-Paul ire Mar.i_ne Insurance rompany 0_ W_ Chiaum and C„m�y _ Surety Principal * By :� $} (Title) president Atto ney-in-Fact (Title) By (Title) By: (Title) The:;under,signed surety...compaizy represents that it, is duly qualified to do business in Texas, and hereby' detignates_ The Shropshire Agency, Inc An._agent,=resident in Lubbock_ County to whom any, requisite notices may be delivered acid on whom service of process :dlBay be had -in matters arising.out of such suretyship, St. Paul Fire and Marine InsuranceGompa__y Surety *By . At orney-in-Fact (Title) Approved "as 'to Form. City of Lubbock By: City Attorney *Note: Ifsignedby an officer of'the Surety Company there must be pn file a certified.!extract from the by-laws showing that this person has authority to sign such;; obligation. If signed by an Attorney in Fact, we must have copy of power of attorney for our files. Performance Bond - Page 2 Amu' ST. PAUL FIRE AND MARINE INSURANCE COMPANY w ` 385 Washington Street, St. Paul, Minnesota SS 102 GENERAL POWER OF ATTORNEY - CERTIFIED COPY (Original on File at Home Office of Company. See Certification.) CERTIFICATE OF AUTHORITY No, 270914 KNOW ALL MENBY, THESE PRESENTS: That St. Paul Fire and Marine Insurance Company, a corporation organized and existing under the laws of the State of Minnesota, and having its principal office in the City of St. Paul, Minnesota, does hereby constitute and appoint: John V. Shropshiret John V. Shropshire, Jr.9 Virginia Smith,' individually) Lubbock, Texas its ,true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, NOT TO EXCEED 1N PENAM TIS SUM OF FIFTY M=ON ($509000000) EAM and the execution of all such instrument(s) in pursuance of these presents, shall be as binding upon said St. Paul Fire and Marine Insurance Company, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office. This Power of Attorney is executed, and may be certified to.and may be revoked, pursuant to and by authority of Article V, -Section 6(C), of the By -Laws adopted by the Board of Directors of ST, PAUL FIRE AND MARINE INSURANCE COMPANY at a meeting called and held on the 23rd day of January, 1970, of which the following is a true' transcript of said Section 6(C); "The President or any Vice President, Assistant Vice President, Secretary or Resident Secretary shall have power and authority (1) To appoint Attorneys -in -fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, and (2) To appoint special Attorneys -in -fact, who are hereby authorized to certify to copies of any powerof-attorney issued in pursuance of this section and/or any of the By -Laws of the Company, and (3) To remove, at any time, any such Attorney-in-fact or Special Attorney-in-fact and revoke the authority given him." Further, this Power of, Attorney ;is signed and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting duly called and held on the 6th day of May, 1959, of which the following is a true exerpt: "Now therefore the signatures of such officers and the seal of the Company may, be affixed to any such power, of attorney or any certificate ,relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by`facsimile �signatures ,and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. ��y FtFIE �Ue�p4i IN TESTIMONY WHEREOF, St. Paul Fire and Marine InsuranceCompany has caused this instrument to be signed and its corporate seal to be affixed by its authorized officer, this 2nd day of January, A.D. 1980. STATE OF MINNESOTA ST. PAUL FIRE AND MARINE INSURANCE COMPANY 4,� Ori County Of:Ramsey ss. 'VillninnmG` � )) Vice President On this day of Q"�",t 19 �3. ,before me came 'the individual who executed the preceding instrument, to me personally know2n8an , being by me duly sworn, sa that ire/she is the therein described and authorized Officer of St. Paul Fire and Marine Insurance Company; that the seal affixed to said instrument is the Corporate;Seal of said Company; that the said Corporate Seal and his/her signature were duly affixed by order of the Board of Directors of said Company. ,l4L IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal, at th and year first above written. e city of St. Paul, Minnesota, the day AT,c p V.C. INNES, Notary Public, Ramsey County, MN My Commission Expires April 27, 1983 IFF THF ATION I, the undersigned officer of St -'Paul Fite and Marine Insurance Companyt do hereby certify that I havecomparedthe foregoing copy of the Power of Attorney and affidavit, and the copy of the Section of the By-Laws'of said Company as set forth in said power of Attorney,' with the ORIGINALS ON FILE IN THE HOME OFFICE OF 3AiiD COMPANY, and that the `same are correct ttanscripts thereof, and of the' whole of the said .originals, and that the" said Power' of Attorney. has not been revoked<arid' is now in full force and effect. 4rJy piRE 4 y IN TESTIMONY WHEREOF„ I have hereunto set my hand this , Q�iift —'30th day of Oot:Ober i GRANGE 'I9s Secretary Only a certified copy of Power of ,4ttorner g upon bearing. the, ,Certificate of Authority No. rinted in ed on the uPPer r' copies or other reprotductions of this document are invalid and not bindinthe Company, ; corner is binding. Photocopies,` carbon S ANY INSTRUMENT ISSUED IN Ir}CCESS OF THE PENALTY AMOUNT. S'T'ATED ABQVE IS TQ TALLY VOID AND WITHOUT ANY VALIDITY. For verification of the authenticity of this Power of Attorney,'you may telephone toll free 800-328-9821 ,andaskfor the Power of Attorney Clerk.' Please refer to the above Certificate of. Authority No. and the above named individual(s). , 29550 Ed. 8-80 Printed in U.S.A. No Text THIS CERTIFICATE IS ISSU THIS CERTIFICATE DOES A NAME AND ADDRESS y , P. 0. Box 10428 n . COMPANIES AFFORDING COVERAGES p Lubbock, Texas 79408COMPANY LETTER ASt. 806- 6 3-731 7 1 Paul Mercury Insurance Company COMPANY Q NAME AND ADDRESS OF INSURED LETTER United States Fire Insurance Com an 0. W. Chisum & Company, Mechanical Contractor C P. 0. Box •2955 LCOMP ETTER Lubbock, Texas 79408 COMPANY LETTER 806-765-9314 COMPANYLETTER E This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. COMPANY LETTERFFo, YPE�Ui—=Lrry POLICY NUMBER Limits of abili in Thausan s EXPIRATION DATE EACH OCCURRENCE AGGREGATE NERAL A MPREHENSIVE FORM 592ZC2561 4-1-82 BODILY INJURY $ 500 i 500 PREMISES -OPERATIONS 91EXPLOSION AND COLLAPSE PROPERTY DAMAGE $ 250 $ 250 KI((�� HAZARD UNDERGROUND HAZARD PRODUCTS/COMPLETED OPERATIONS HAZARD BODILY EJ CONTRACTUAL INSURANCE BROAD FORM PROPERTY INJURY AND PROPERTY DAMAGE i s DAMAGE COMBINED INDEPENDENTCONTRACTORS PERSONAL INJURY PERSONAL INJURY S 500 AUTOMOBILE LIABILITY A x� T COMPREHENSIVE)DOFORM — 592ZC2561 BODILY INJURY (EACH PERSON) $ 250 4-1 -82 BODILY INJURY = 500 J-1 HIRED C-1 (EACH ACCIDENT) PROPERTY DAMAGE : inn )EINON-OWNED BODILY INJURY AND PROPERTY DAMAGE 1 $ B El UMBRELLA FORM ❑ OTHER THAN UMBRELLA FORM A I and EMPLOYERS' LIABILITY OTHER DESCRIPTION OF OPERATIONS&DCATIONS/VEHICLES 523 088 741 5-1-82 792ZC0330 4-1-82 Mechanical Contractors I INJURY AND TY DAMAGE s3,000 s3,000 MBINED TUTORY $ 100 Re: Bid Package 6 -City Garage and Sanitation Facilities Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com- pany will=j4pM= to mail In days written notice to the below named certificate holder, Kd(pc#MrW 10< xoraakscx�ccxssstbse(xbnCki�otxaexcx>�ktfaoa#IatoidDt�Cl4kaaxrd.�ls�(#��d4�r. NAME AND ADDRESS OF CERTIFICATE HOLDER: City of Lubbock 916 Texas Avenue Lubbock, Texas 79408 DATE ISSUED November 2, 1981 THE SHRQPSHIRE AGENCY, INC. REPRESENTATIVE CERTIFICATE OF INSURANCE TO: CITY OF LUBBOCK Lubbock, Texas DATE: Type of Project: THIS IS TO CERTIFY THAT (Name and Address of Insured) 'is,'at the date of this certificate, insured by this Company with respect to the business operations hereinafter described, for the types of insurance and in accor- dance with the provisions of the standard policies used by this Company, and further hereinafter described. Exceptions to standard policy noted hereon. TYPE, OF INSURANCE Workm Expires Limits ,of ,Liabilit en.,$y Co :eusation Owner's Protec- Per Person - tive or`Contingent Per Occurence $ Liability Property` Damage $ Contractor s Protec- Per Person tive or Contingent Per Occurence $ Liability Property Damage $. Automobile Per Person $ Per Occurence $ Property Damage $ The foregoing Policies (do) (do not) cover all sub -contractors. Locations Covered: DESCRIPTION of`Operations Covered The'"above" policies eithdt'in the body thereof or by appropriate endorsement provide that they may not be changed or cancelled.by the insurer in less than the USA time ` required after the insured has received written notice of such change or canoellation, or in case there is no legal requirement, in less than five days in advance of cancel - la tion . FIVE -COPIES OF THIS CERTIFICATE MUST BE SENT TO THE OWNER. (Name of Insurer) By , Title New Former Policy No. THE ST. PAUL INSURANCE COMPANY ST. PAUL LIABILITY POLICY DECLARATIONS NAMED INSURED AND ADDRESS (No., Street, City, State and Zip Code) C L=i I • • fv N S City of Lubbock u 91'6 Texas Avenue E Lubbock, Texas 79401 c- D • G A • E The Shropshire Agency, Inc. N P. 0. Box 10428 C AUDITPERIOD: (Ifappficable) y Lubboek,Texas 79408 Annual unless otherwise stated r— a oiicy Period: ' tT O Total Advance From To The business of the Named Insured is: Premium 10-30-81 10-30-82 City is 83.00 a 12:01 A.M., Standard Time at the address of the Named Insured. ! Automobile premiums are for one year only. Additional years will be computed at the Company's prevailing rates. The Named Insured is: Individual; N ❑ ❑ Partnership; ❑ Joint Venture; ❑ Corporation; ❑ (Other) 0 cc The insurance afforded is only with respect to those Coverage Forms for which an X is shown in thea N L'nvIZRA1'-C enaeac , appropriate box. Co - a.nnr r0 wr- LIND1L11 T ADVANCE Basic Automobile Liability Comprehensive Automobile Liability ❑ ❑ Bodily Injury — Each Person Bodily Injury — Each Occurrence $ $ PREMIUMS Property Damage — Each Occurrence $ $ S Automobile Medical Payments Protection Against Uninsured Motorists Automobile Physical Damage Garage ❑ ❑ ❑ ❑ Each Person See Coverage Form and Schedule See Coverage Form and Schedule See Coverage Form and Schedule $ $ $ $ ❑ See Coverage Form or Endorsement $ Comprehensive General Liability ❑ Bodily Injury Each Occurrence $ Aggregate $ $ Property Damage $ $ Owners', Landlords' and Tenants' Liability ❑ Bodily Injury Property Damage $ $ $ Manufacturers' and Contractors' Liability, ContractualLiability ❑ ❑ Bodily Injury Property Damage $ $ $ $ Property Damage coverage is not included unless a limit of liability is shown. If an "X" is inserted in the box opposite one of the following optional exclusions, then such exclusion, as set forth in the Coverage Form, shall apply to the insurance afforded. Exclusion: ❑ 1 —Explosion ❑ 2 — Collapse ❑ 3 — Underground Property Damage Premises Medical Payments ❑ Each Person $ Each Accident $ $ Personal Injury Liability ❑ $ Aggregate $ Comprehensive Personal Insurance Owners' and Contractors' Protective Lia bi)ity ❑ ❑ ® See Coverage Form See Covera;e Form See Coverage Form $ $ $ Fn.rn........... sae ❑ See Coverage Form $ _ ituc—ily uy rurm number or tiliel I $ 11-2-81 ms Lubbock, Texas Countersignature Date Countersigned at 61208 Rev. 3-7-1 Printed in U.S.A. ,r THE ST. PAUL IMS. CI C. PAUL OWNERS' AND CONTRACTORS' PROTECTIVE LIAB1UTY INSURANCE COVERAGE FORM atil111'!r COVERAGE FOR OPERATIONS OF DESIGNATED CONTRACTORS 1-111-1-1.11— '"' "" "°" For attachment to The St. Paul Liability Policy The following spaces preceded by an asterisk (') need not be completed it this Coverage Form and the Policy have same incenr;nn .►a►. ATTACHED TO AND FORMINGI 'EFFECTIVE DATE PART OF POLICY NO. OF COVERAGE FORM 592CA3070 10-30-81 IJJULU IV City of Lubbock SCHEDULE Limits of Liability: Bodily Injury $ 500,000.00 each person; $ 504,000.00 each occurrence Property Damage $ 100,000.00 each occurrence; $ 100 , 400.00 aggregate Premium Bases Rates (Per $100 of Cost) Premiums Cost $ 118, 034.00 1st $500,000...... B.I . ... $ .047 P.D. $ .021 $ B. 1. 55.00 P.D. $ 28.00 min. 2nd $500,000......... $ $ $ Over $1,000,000...... $ $ 1$ $ $ Code Number 16292_ Total Advance Premium $ 83.00 Designation of Contractor 0. W. Chi sum and Company Mailing Address _ P. 0. Box 2955, Lubbock, Texas 79408 Lubbock, Texas 79408 Location of Covered Operations____.,__._ Check here if the following provision is applicable: The person or organization designated above as the Contractor has undertaken to pay the premium for this Policy and shall, be entitled to receive return premiums, if any, which may become payable under the terms of this Policy. I. COVERAGE A—BODILY INJURY LIABILITY COVERAGE B—PROPERTY LIABILITY The Company will pay on behalf of the Insured all sums which the insured shall become legally obligated to pay as damages because of Coverage A. bodily Injury or Coverage B. property damage to which this Policy applies, caused by an occurrence and arising out of (1) operations performed for the Named Insured by the con• tractor designated in the Schedule at the location designated there. in or ("),acts or omissions of the Named Insured in connection with his general supervision of such operations, and the Company shall have the right and duty to defend any suit against the Insured seeking damages on account of such bodily injury or property damage, even if any of the allegations of the suit are groundless, false or fraudulent, and may make such investigation and settle- ment of any claim or suit as it deems expedient, but the Company shall not be obligated to pay any claim or judgment or to defend any suit after :the applicable limit of the Company's liability has been exhausted by payment of judgments or settlements. Exclusions This Policy does not apply: (a) to liability assumed by the Insured under any contract or agree- ment except an incidental contract; but this exclusion does not apply to a warranty that work performed by the designated con- tractor, will be done in a workmanlike manner; (b) to bodily injury or property damage occurring after (1) all;work on the project (other than service, maintenance or repairs) to be performed by ar on behalf of the Named Insured at the site of the covered operations has been completed or 16349 OCF Ed. 10.66 (over) (2) that portion of the designated contractor's work out of which the injury or damage arises has been put to its intended use by any person or organization other than another con- tractor or subcontractor engaged in performing operations for a principal as a part of the same project; (c) to bodily injury or property damage arising out of any act or omission of the Named Insured or any of his employees, other than general supervision of work performed for the Named Insured by the designated contractor; (d) to any obligation for which the Insured or any carrier as his insurer may be held liable under any workmen's compensation, unemployment compensation or disability benefits law, or under anv similar law; (e) to bodily injury to any employee of the Insured arising out of and in the course of his employment by the Insured; but this exclusion does not apply to liability assumed by the Insured under an incidental contract; (f) to property damage to (1) property owned or occupied by or rented to the Insured, (2) property used by the Insured, (3) property in the care, custody or control of the Insured or as to which the Insured is for any purpose exercising physical control, or (4) work performed for the Insured by the designated contractor; (9) to bodily injury or property damage due to war, whether or not declared. civil war, insurrection, rebellion or revolution or to any act or condition incident to any of the foregoing, with respect to (1) liability assumed by the insured under an incidental con. tract, or (2) expenses for first aid under the Supplementary Payments provision of the Policy. It. PERSONS INSURED Each of the following is an Insured under this Policy to the extent set forth below: (a) if the Named Insured is designated in the Declarations as an individual, the person so designates: (b) if the Named Insured is designated in the Declarations as a partnership or joint venture, the partnership or joint venture so designated an,; any partner or member thereof but oiily with respect to his liability as such; (c) if the Named Insured is designated in the Schedule as other than an individual, partnership or joint venture, the organization so designated and any executive officer, director or stockholder thereof while acting within the scope of his duties as such; and (d) any person (other than an employee of the Named Insured) or organization white acting as real estate manager for the Named Insured. 111. LIMITS OF LIABILITY . Regardless of the number of (1) insureds under this Policy, (2) persons or organizations who sustain bodily injury or property damage, or (3) claims made or suits brought on account of bodily injury or property damage, the Company's liability is limited as follows: Coverage A—The limit of bodily injury liability stated in the Schedule as applicable to "each person" is the limit of the Com- pany's liability for all damages because of bodily injury sustained by one person as the result of any one occurrence; but subject to the above provision respecting "each person", the total liability of the Company for all damages because of bodily injury sustained by 16349 OCF Ed. 10.66 two or more persons as the result of any one occurrence shall not exceed the limit of bodily injury liability stated in the Schedule as applicable to "each occurrence". Coverage B—The total liability of the Company for all damages because of all property damage sustained by one or more persons or organizations as the result of any one occurrence shall not exceed the limit of property damage liability stated in the Schedule as applicable to "each occurrence". Subject to the above provision respecting "each occurrence" the total liability of the Company for all damages because of all property damage to which this coverage applies shall not exceed the limit of property damage liability stated in the Schedule as "aggregate*% if more than one project is designated in the Schedule, such aggregate limit shall apply separately with respect to each project. Coverages A and B—For the purpose of determining the limit of the Company's liability, all bodily injury and property damage arising out of continuous or repeated exposure to substantially the same general conditions shall be considered as arising out of one o::currence. IV. ADDITIONAL DEFINITION When used in reference to this insurance (including endorse• ments forming a part of the Policy): "work" Includes materials, parts and equipment furnished in connection therewith. V. POLICY PERIOD; TERRITORY This Policy applies only to bodily injury or property damage which occurs during the policy period within the policy territory.