Loading...
HomeMy WebLinkAboutRes 2024-04-1610 Construction Agreement with Hunter Knepshield of TX Inc for Natural Springs Park Playground ProjectCITY OF ANNA, TEXAS RESOLUTION NO. Z07 14 - 44 ' 1010 A RESOLUTION OF THE CITY OF ANNA, TEXAS, AUTHORIZING THE CITY MANAGER TO EXECUTE A CONSTRUCTION AGREEMENT BY AND BETWEEN THE CITY OF ANNA, TEXAS AND HUNTER KNEPSHIELD OF TEXAS, INCORPORATED, FOR THE CONSTRUCTION OF THE NATURAL SPRINGS PARK PLAYGROUND PROJECT, IN AN AMOUNT NOT TO EXCEED FOUR HUNDRED THOUSAND DOLLARS AND ZERO CENTS ($400,000.00), IN A FORM APPROVED BY THE CITY ATTORNEY; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the Natural Springs Playground project is included in the City of Anna 2023-2024 Capital Improvement Plan as a Parks Improvement project; and, WHEREAS, the City Council considers the construction of a playground in Natural Springs Park to be beneficial to the neighbors of Anna, Texas, meeting several goals and objectives set forth in the Strategic Plan and the Parks, Trails, and Open Space Master Plan, both being guiding documents adopted by City Council; and, WHEREAS, the City completed a publicly advertised request for qualifications process for the design and construction of the project, which included the review and feedback on submittals from the City of Anna Parks Advisory Board and a public survey to receive feedback from Anna Neighbors; and, WHEREAS, the City received 21 submittals from 8 vendors in the RFQ process, and the project is to be awarded as the best value to the City of Anna, Texas, in accordance with Texas Local Government Code Chapter 252 of the Texas Local Government Code. WHEREAS, upon the review of vendor qualifications and the submitted design concepts, and the results of the public survey, the Parks Advisory Board recommends the selection of submittal 3 from Hunter Knepshield of Texas, Inc. based upon the determination of best value; and, WHEREAS, the City Council authorizes the City Manager of the City of Anna, Texas to enter into a construction agreement with Hunter Knepshield of Texas, Inc. in an amount not to exceed $400,000, and in a form approved by the City Attorney; and, NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ANNA, TEXAS, THAT: Section 1. Recitals Incorporated. The recitals above are incorporated herein as if set forth in full for all purposes as set forth in full. Section 2. Approval and Authorization of Agreement. The City Council hereby authorizes the City Manager to execute a Construction Agreement with Hunter Knepshield of Texas, Inc. for the Natural Spring Park Playground project in a form approved by the City Attorney. The City Manager is hereby authorized to execute all documents and to take all other actions necessary to finalize and enforce the Construction Agreement with Hunter Knepshield of Texas, Inc. Section 3. Authorization of Payment and Funding. That the City Council hereby awards the Natural Springs Park Playground project to Hunter Knepshield of Texas, Inc. in an amount not to exceed $400,000.00. That funding for the project shall come from the Park Development Fund. PASSED, APPROVED, AND ADOPTED on first and final reading on this g"' day of April 2024. ATTEST: APPROVED: STATE OF TEXAS § § CONSTRUCTION AGREEMENT COUNTY OF COLLIN § This Construction Agreement ("Agreement") is made and entered into this 23rd day of April, 2024, by and between the City of Anna, Texas (the "Owner") and Hunter Knepshield of Texas, Inc., a Texas corporation (the "Contractor") acting by and through their authorized representatives and in exchange for the mutual covenants set forth herein and other valuable consideration, the sufficiency and receipt of which is hereby acknowledged, the parties agree as follows: Article I Work and Term 1.1 The Contractor shall perform all the work specified in the Contract Documents. The work is generally described as follows: Construction of a playground and associated infrastructure at Natural Springs Park located at 1201 W. White Street, Anna, TX 75409, as presented in the proposal received by the Owner on February 20, 2024, and identified as Quotation # 24-1848 B. The project scope includes a concrete walk surrounding the playground area and connecting to an existing concrete walk as well as all surfacing and drainage incidental to the installation of the playground. The project is turn -key and shall be completed by the Contractor within the quoted price. The Contractor will also facilitate a community participation element of the project which will include the installation of the engineered wood surfacing material. This work may coincide with the ribbon cutting of the playground. 1.2 The term of this Agreement shall begin on the last date of execution hereof (the "Effective Date") and continue until completion of the services provided herein. Article II Contract Documents 2.1 The Contract Documents shall include all documents identified herein. Every provision of the Contract Documents below is incorporated into this Agreement by reference. The Contract Documents referenced below are in descending order of precedence. Any conflict between or among any of the Contract Documents shall be resolved in favor of the document with higher precedence. A. This Agreement; B. Properly authorized change orders; C. Contractor's quote attached hereto as Exhibit A; D. Workers' Compensation Notice attached hereto as Exhibit B. CA-1 Playground and Associated Work at Natural Springs Park Article III Scope of Work 3.1 Contractor shall perform all the work specified in the Contract Documents. 3.2 Schematic Design Documents, Design Development Documents, Contract Documents, drawings, plans, specifications, and other documents, including those in electronic form, prepared by Contractor and its consultants, agents, representatives, and/or employees in connection with the Project are intended for the use and benefit of Owner. Contractor and its consultants, agents, representatives, and/or employees shall be deemed the authors of their respective part of said Project documents. Notwithstanding, Owner shall own, have, keep, and retain all rights, title, and interest in and to all Project documents, including all ownership, common law, statutory, and other reserved rights, including copyrights, in and to all such Project documents, whether in draft form or final form, which are produced at its request and in furtherance of this Agreement or the Project. Owner shall have full authority to authorize Contractor, Subcontractors, consultants, and material or equipment suppliers to reproduce applicable portions of the Project documents to and for use in their execution of the work or for any other purpose. All materials and reports prepared by Contractor in connection with this Agreement are "works for hire" and shall be the property of Owner. Contractor shall upon completion of the services, or earlier termination, provide Owner with reproductions of all materials reports, and exhibits prepared by Contractor pursuant to this Agreement, and in electronic format if requested by Owner. Article IV Compensation and Method of Payment 4.1 Owner shall pay the Contractor no more than S399,729.00, subject to additions and deductions, for completion of the work in accordance with the Contract Documents using current funds. 4.2 Contractor agrees to furnish all materials, supplies, machinery, equipment, tools, superintendence, labor, insurance and other accessories and services necessary to complete the Work at Contractor's own cost and expense. Article V Notice to Proceed The Contractor shall not proceed with any work required under this Agreement without a written Notice to Proceed from City. CA-2 Playground and Associated Work at Natural Springs Park Article VI Relationship of Parties It is understood and agreed by and between the parties that in satisfying the conditions of this Agreement, the Contractor is acting independently, and that Owner assumes no responsibility or liabilities to any third party in connection with these actions. All services to be performed by Contractor pursuant to this Agreement shall be in the capacity of an independent contractor, and not as an agent or employee of Owner. Contractor shall supervise the performance of its services and shall be entitled to control the manner and means by which its services are to be performed, subject to the terms of this Agreement. At no time will Owner have any control or supervision over the means, methods, sequences, technologies, undertakings, measures or procedures utilized to perform the services under this Agreement. Article VII Insurance 7.1 Procurement and Evidence of Insurance. Prior to commencing the Services and continuing until all Services to be performed under this Agreement have been completed, Contractor shall purchase and maintain insurance with a company or companies qualified to do business in Texas and rated at least "A" by AM Best or other equivalent rating service. All such insurance, with the exception of workers compensation, shall name Owner as an additional insured and provide for a waiver of subrogation against Owner for injuries, including death, property damage, or any other loss to the extent the same is covered by the proceeds of the insurance. Each policy and renewals or replacements thereof shall provide that it will not be canceled, non -renewed or material change except with thirty (30) days advance written notice to City. Evidence of such insurance shall be provided to Owner by delivering certificates of insurance. 7.2 Coverage and Limits. The insurance required under this Paragraph shall provide for the following coverages and limits: a. Workers' compensation and employers' liability insurance as required by applicable law attached hereto as Exhibit B. b. Commercial general liability insurance for bodily injury and properly damage, including limited contractual liability coverage in not less than the following amounts: i. General Aggregate Limit $2,000,000 each occurrence ii. Each Occurrence Limit $1,000,000 each occurrence; and 7.3 Commercial automobile liability insurance coverage, including non -owned and hired, covering all owned, hired or non -owned vehicles including the loading or unloading thereof with limits not less than $1,000,000. CA-3 Playground and Associated Work at Natural Springs Park 7.4 Umbrella liability insurance covering all operations with limits of liability not less than: Bodily Injury and Property Damage Liability $5,000,000 each occurrence $5,000,000 aggregate Article VIII Miscellaneous 8.1 Entire Agreement. This Agreement constitutes the sole and only agreement between the parties and supersedes any prior understandings, written or oral agreements between the parties with respect to this subject matter. 8.2 Authorization. Each parry represents that it has full capacity and authority to grant all rights and assume all obligations granted and assumed under this Agreement. 8.3 Assignment. Contractor may not assign this Agreement in whole or in part without the prior written consent of Owner. 8.4 Successors and Assigns. Subject to the provisions regarding assignment, this Agreement shall be binding on and inure to the benefit of the parties to it and their respective heirs, executors, administrators, legal representatives, successors, and assigns. 8.5 Governing Law. The Agreement shall be governed by the laws of the State of Texas, without giving effect to any conflicts of law rule or principle that might result in the application of the laws of another jurisdiction; and exclusive venue for any action concerning this Agreement shall be in a State District Court of Collin County, Texas. 8.6 Amendments. This Agreement may be amended by the mutual written agreement of the parties. 8.7 Severability. In the event any one or more of the provisions contained in this Agreement shall for any reason be held to be invalid, illegal, or unenforceable in any respect, such invalidity, illegality or unenforceability shall not affect any other provisions, and the Agreement shall be construed as if such invalid, illegal, or unenforceable provision had never been contained in it. 8.8 Survival of Covenants. Any of the representations, warranties, covenants, and obligations of the parties, as well as any rights and benefits of the parties, pertaining to a period of time following the termination of this Agreement shall survive termination. 8.9 Recitals. The recitals to this Agreement are incorporated herein. CA-4 Playground and Associated Work at Natural Springs Park 8.10 Notice. Any notice required or permitted to be delivered hereunder may be sent by first class mail, overnight courier or by confirmed telefax or facsimile to the address specified below, or to such other party or address as either parry may designate in writing, and shall be deemed received three (3) days after delivery set forth herein: If intended for Owner: City of Anna Attn: Ryan Henderson, City Manager 120 West Seventh St Anna, Texas 75409 If intended for Contractor: Hunter Knepshield of Texas, Inc. Attn: Sharma Hartsfield, President P.O. Box 759 Van Alstyne, TX 75495 8.11 Counterparts. This Agreement may be executed by the parties hereto in separate counterparts, each of which when so executed and delivered shall be an original, but all such counterparts shall together constitute one and the same instrument. Each counterpart may consist of any number of copies hereof each signed by less than all, but together signed by all of the parties hereto. 8.12 Exhibits. The exhibits attached hereto are incorporated herein and made a part hereof for all purposes. 8.13 Indemnification. OWNER SHALL NOT BE LIABLE FOR ANY LOSS, DAMAGE, OR INJURY OF ANY KIND OR CHARACTER TO ANY PERSON OR PROPERTY ARISING FROM THE SERVICES OF CONTRACTOR PURSUANT TO THIS AGREEMENT. CONTRACTOR WAIVES ALL CLAIMS AGAINST OWNER, ITS OFFICERS, AGENTS AND EMPLOYEES (COLLECTIVELY REFERRED TO IN THIS SECTION AS THE "CITY") FOR DAMAGE TO ANY PROPERTY OR INJURY TO, OR DEATH OF, ANY PERSON ARISING AT ANY TIME AND FROM ANY CAUSE OTHER THAN THE NEGLIGENCE OR WILLFUL MISCONDUCT OF OWNER. CONTRACTOR AGREES TO INDEMNIFY, DEFEND AND SAVE HARMLESS OWNER FROM AND AGAINST ANY AND ALL LIABILITIES, DAMAGES, CLAIMS, SUITS, COSTS (INCLUDING COURT COSTS, ATTORNEYS' FEES AND RELATED EXPENSES AND COSTS OF INVESTIGATION) AND ACTIONS BY REASON OF INJURY TO OR DEATH OF ANY PERSON OR DAMAGE TO OR LOSS OF PROPERTY TO THE EXTENT CAUSED BY CONTRACTOR'S NEGLIGENT PERFORMANCE OF SERVICES UNDER THIS AGREEMENT OR BY REASON OF ANY ACT OR OMISSION ON THE PART OF CONTRACTOR, ITS OFFICERS, DIRECTORS, SERVANTS, AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, SUCCESSORS OR PERMITTED ASSIGNS (EXCEPT WHEN SUCH LIABILITY, CLAIMS, SUITS, COSTS, INJURIES, DEATHS OR DAMAGES ARISE FROM OR ARE ATTRIBUTED TO SOLE NEGILGENCE OF OWNER). IF ANY ACTION OR PROCEEDING SHALL BE BROUGHT BY OR AGAINST CITY IN CONNECTION WITH ANY SUCH LIABILITY OR CLAIM, CONTRACTOR, ON NOTICE FROM OWNER, SHALL DEFEND SUCH ACTION OR PROCEEDINGS AT CONTRACTOR'S EXPENSE, BY OR THROUGH CA-5 Playground and Associated Work at Natural Springs Park ATTORNEYS REASONABLY SATISFACTORY TO OWNER. CONTRACTOR'S OBLIGATIONS UNDER THIS SECTION SHALL NOT BE LIMITED TO THE LIMITS OF COVERAGE OF INSURANCE MAINTAINED OR REQUIRED TO BE MAINTAINED BY CONTRACTOR UNDER THIS AGREEMENT. THIS PROVISION SHALL SURVIVE THE TERMINATION OF THIS AGREEMENT. 8.14 Legal Construction. In the event any one or more of the provisions contained in this Agreement shall for any reason be held to be invalid, illegal, or unenforceable in any respect, such invalidity, illegality, or unenforceability shall not affect other provisions, and it is the intention of the parties to this Agreement that in lieu of each provision that is found to be illegal, invalid, or unenforceable, a provision shall be added to this Agreement which is legal, valid and enforceable and is as similar in terms as possible to the provision found to be illegal, invalid or unenforceable. 8.15 Conflicts of Interests. Contractor represents that no official, officer, or employee of Owner has any direct or indirect pecuniary interest in this Agreement. (signature page to follow) CA-6 Playground and Associated Work at Natural Springs Park ap EXECUTED on this q day of J 4 Ph. 2024. OWNER, City of Anna, Texas By: Oan nderson,, pCityMaanager /J Attest: EXECUTED on this LIPL day of 2024. CONTRACTOR, Hunter Knepshield of Texas, Inc. By. Name: Shanna Hartsfield Title: President Attest: CA-7 Playground and Associated Work at Natural Springs Park EXHIBIT A 4RW 1w, RFP: DESIGN &CONSTRUCTION SERVICES FOR NEW PLAYGROUND AT NATURAL SPRING PARK BID Proposats from Hunter Knepshietd of Texas, Inc. Now OWN v February 20, 2024 Hunter Knepshield of Texas, Inc. Q.Q. Box 759 Van Alstyne, TX 75495 Letter of Transmittal iGw[�r�Fil=f-a Hunter Knepshleid of Texas, Inc. P.O. Box 759 Van Aistyne, TX 75495 Shanna Hartsfield President Dalan Walker Park Planning and Development Manager City of Anna 120 W 7th Street Anna, TX 75409 Dear Mr. Walker, Phone: (800) 451-4138 Fax: (972) 867-7250 Email: hktexas@flash.net Website: www.hkparkandplay.com Included in this document are our BID proposals for the new playground project at Natural Springs Park in Anna, TX. Hunter Knepshield of Texas is a commercial playground, park and site amenities company with 20+ years of experience located in Van Alstyne, TX. We grant the City of Anna and its representatives' permission to contact previous clients for the purposes of ascertaining and independent evaluation of our previous performances. We look forward to hearing back from you on your evaluation of our BID proposals and look forward to the opportunity to working with the City of Anna on this exciting project. If you have any questions, please contact us at Kristy Dozier at (800) 451-4138. Sincerely, Enclosure: BID Proposal Documents Im14 1A AA IDIIA N tit It ignature of DOna Official Date L _ —... Page 2 oP 35 Table of Contents Tab #1 Vendor Information, Experience, and Services ........................................ P. 4 Tab #2 Work Performance and References........................................................ P. 7 Tab #3 Capacity to Perform................................................................................. P. 10 Tab#4 Design...................................................................................................... P. 12 Tab #5 City Required Attachments....................................................................... P. 35 Page 3 of 35 IMO■ Vendor Information, Experience and Services Page 4 of 35 Tab# 1 Vendor Information, Experiences and Services History and Philosophy: Hunter Knepshield of Texas, Inc., is a Texas based corporation offering sales and services throughout Texas representing more than 20 select manufacturers of commercial playgrounds and materials, shades 1 shelters, and site furnishings. In addition, we offer turn -key installations for all customers for projects of all sizes. Our Hunter Knepshield of Texas dedicated staff are always available to assist with all project consulting needs to ensure your project is within budget, fun for kids of all ages, safe, and successful. Our detailed, experienced, and certified installation crews are second to none in installation safety. Hunter Knepshield of Texas is proud to have offered our services to commercial customers and public systems for over 23 years. As one of the largest suppliers of commercial park and playground equipment and installation in the United States Hunter Knepshield of Texas, Inc. is your one -stop -shop for all project needs. Name of Principal Officers: Shanna Hartsfield, President (800) 451-4138 Overview of Expertise and Specialization: Hunter Knepshield of Texas specializes in commercial playgrounds, shades, shelters, and site amenities working with cities, schools, business entities, churches, etc. all over Texas. Location of Home and Branch Offices: 1292 W Van Alstyne Parkway Van Alstyne, TX 75495 Experience of the Vendor for Selected Category: Hunter Knepshield of Texas has been installing commercial playgrounds, playground surfacing and site amenities all over Texas for 20+ years. Vendor Culture and Overall Project Management Approach: Hunter Knepshield of Texas takes an organized, detail oriented, hands-on approach to project management being involved start to finish to ensure the highest quality of work and customer service. This approach is taken to ensure that our customers' needs are met and that they are happy with the outcome of the project. Quality Control/Quality Assurance: Hunter Knepshield of Texas is partnered Superior Recreational Products for all our playground equipment. SRP is a USA -based company that provides quality products. https:11superiorrecreationalproducts.cpm/ Page 5 of 35 Hunter Knepshield of Texas use certified, experienced installers that pride themselves in producing quality projects. Our installation crews are local, they are experienced with installing our products and are familiar with the Grayson County area. Key Professionals Involved in the Project including Sub -Vendors: Hunter Knepshield of Texas Shanna Hartsfield, President, 23 years Kristy Dozier, Sales, 1 year Will oversee project sales and completion. Area of expertise includes project sales and completion for playgrounds, shade structures, shelter structures, site amenities, etc. Relevant Projects: City of Sherman, Sherman ISD, Allen ISD, Fort Bend ISD, Lakeview Estates in Anna, TX Installation: Triple T Park Experience: 17 Years Certified Playground Installation, Insured Relevant Projects: City of Sherman, Sherman ISD, Allen ISD, Fort Bend ISD, Lakeview Estates in Anna, TX Plumbing* Murley Plumbing Experience: 22 Years Certified Residential and Commercial Plumbing, Fully Licensed and Insured Residential and Commercial Plumbing in Grayson and Collin County Concrete: ARCO Contractors Experience: 17 Years Insured Page 6 of 35 Tab # 2 Work Performance & References Rage 7 of 35 Tab #2 Work Performance & References List all self -performed work being proposed on the project, along with proposed design and/or installation partners and level of expertise. Hunter Knepshield of Texas will sale and oversee the Natural Springs Park Playground Project. They will sub -contract with Triple T Park for the playground installation. They will sub -contract with Concrete Company to provide the 6' concrete sidewalk around the play area. They will sub- contract with Murley Plumbing for the installation of the drinking fountain. See Tab# Four for the quotes containing the proposed designs. See Tab# 1 for Level of Experience. References: Sherman ISD - Sory Elementary, 2023; Neblett Elementary 2023; Dillingham Elementary, 2021 & 2022; Jefferson Learning Center, 2021 &2023; Fred Douglass Elementary, 2021; Perrin Early Childhood, 2020; Wakefield Elementary, 2018 - Total Cost: $715,000.00 - Completed on time and within budget - Contacts, a Shanna Hartsfield, Hunter Knepshield of Texas, (800) 451-4138 o Scott Conrad, Sherman ISD Administration Building, (903) 891-6407, 2701 Loy Lake Road Sherman, TX 75090 City of Sherman - Centennial Park, $153,935.67, 2023; Hllicrest Park, $30,443,79, 2022; Rosedale Park, $25,704.81, 2021; Cherry Street Park: 24,078,25, 2019; Hawn Park: $22,609,75, 2018 - Completed on time and within budget - Contacts: n Shanna Hartsfield, Hunter Knepshield of Texas, (800) 451-4138 o Sean Hemperley, City of Sherman, 1002 N. Music St. Sherman, TX 75090, (903) 892-7344 City of Anna Shelter at Fire Station, $35,800.00, 2023 - Completed on time and within budget - Contacts: a Shanna Hartsfield, Hunter Knepshield of Texas, (800) 451-4138 o Justin Clay, City of Anna, 120 W 7t�' Street Anna, TX 75409, (214) 901-4616 More References Available Upon Request List of All Projects Currently Under Contract for Selected Category: Van Alstyne ISD, Partin Elementary Anticipated Completion Date: March 17, 2024 Page 8 of 35 London 15D, London Elementary Anticipated Completion Date: Early 2024 Palladium East Foster Crossing Apartments Anticipated Completion Date: Mar/Apr 2024 Balcones Apartments Anticipated Completion Date: 2024 Crosswinds Apartments Anticipated Completion Date: 2024 1L Texas Heritage Anticipated Completion Date: 2024 IL Texas Peariand Anticipated Completion Date: 2024 Millstream Apartments Anticipated Completion Date: 2024 Redwood Apartments Anticipated Completion Date: 2024 Royal Lane Apartments Anticipated Completion Date: 2024 Project Contact: 5hanna Hartsfietd, (800) 451-4138 Page 9 of 35 Tab # 3 Capacity to Perform Page 10 of 35 Tab #3 Capacity to Perform Provide a list of all similar projects the vendor has currently under contract, with anticipated completion date. See Tab #2 for List of Projects and Anticipated Completion Dates Organizationat Chart Hunter Knepshietd of Texas Shanna Hartsfietd President rT Kristy Dozier Hannah Lawson TBA Sales Administrative Administrative Assistant Assistant Office Location: 1292 W Van Alstyne Parkway Van Alstyne, TX 75495 Proposed Project Schedule based on Official Notice to Proceed Date of April 1, 2024 Receive Signed quote Documents and Information from the City of Anna: April 1, 2024 Estimated Ship Date: 18-22 Weeks after Receipt of Order Estimated Project Start Date: September 2024 Estimated Project Completion Date: November 2024 Page 11 of 35 Tab # 4 Designs / Quotes Page 12 of 35 Tab #4 Designs 1 Quotes Three Design Quote Options are Included in Tab #4 - Option 2 - Option 3 - Option 4 - "Note: There is no Option 1. - Alternate Quote, Water Fountain This document is 8.5 x 11. We attached the 11 x 17 design files in the ACH Form slot. More design images are available for Options 2 & 3 in the 11 x 17 files. We were concerned about going over the page count, so we did not include all design images in this file. We are also happy to email the 11x17 design files to you as well. Page 13 of 35 Hunter Knepshield of Texas, Inc. www.hkparkandplay.com P.O. Box 759 Van Alstyne, TX 75495 DATE 1 V0.451.4138 * 972.867.5739 * Fax 972.867.7250 Quotation # Bill To: Ship To: City of Anna, Natural Springs Park Comments or special instructions: Anna, TX 75409 Option 3, Engineered Wood Fiber February 20, 2024 24-1848 B �uofation valid until: March 11, 2024 Prepared by. Kflsty Dozier uantit Cataloa # Description Unit Extended 1 SRPFX 50456 Superior Custom Playground Design 202,300.00 202,300.00 1 6111- r' Half Log Balance Beam 3,745.00 3,745.00 1 3TST Tree Stumps - Set of 3 (2-5 yr), Includes 2 small and 1 med stump 4,308.00 4,308,00 1 4LB 4' Log Bench 3,372.00 3,372.00 1 4LT 4' Log Tunnel 6,374.00 6,374.00 1 5ST Stepping Turtles - Set of 5 2,246.00 2,246.00 3 B6WBi1LS 6 Ft. Bench with Back, 3/4" #9 Expanded Metal, Rounded Comers, 562.00 1,686.00 Two 2 318" Legs, inground Mt. **RB** Select Seat Ploy Color. Green Select Frame Powder Coat Color: Black 2 TR55 55 Gallon Trash Receptacle, 314" 09 Expanded Metal —RB** 446.00 892.00 2 LINER55 Rigid Plastic Liner for TR 55 Gray Only **RB— 102.00 204.00 2 FLATTOP55-HW Flattop Assembly for TR55, With Hardware "*RBA* 233.00 466,00 2 TR-ING-HW inground Mount Assembly for TR with Hardware **Ra— 82.00 164.00 1 INSTALL Installation of Superior Custom Playground Equipment and Site 137,470.00 137,470.00 Amenities including Dirtwork, Drainage, Concrete Sidewalk, Tree Trimming, Dumpster and Restroorn 1 WOODFIBER Engineered Wood Fiber Delivered and installed 9,400.00 9,400.00 1 BOND Payment, Performance, Maintenance Bond 10,500.00 10,500.00 Sub TOTAL $ 383,127.00 $ 16,60200 Freight Tax TOTAL $ 399,729.00 If installation is required, the following will prevail. The customer is responsible for the offloading of equipment. The above quotation is based upon site access for heavy equipment and normal soil conditions of 2000 PSR If during excavation of foundations necessary per manufacture specifications, condition exceed normal, our contractor shall notify the owner immediatety. This shall include all types of rock vegetation and/or any unforeseen hazards, There will be additional charges incurred to clear the area and/or the abutment hole so that installation can be completed. No soil tests, licenses or permits included. ***NOTE: IF APPLICABLE SALES TAX IS NOT INCLUDED. Copy of tax exempt certificate must accompany all exempt orders. Customer is respormble for paying applicable sales tax direct to their state, or submits copy of tax exempt certificate with order. ***TERMS- NET 30 DAYS (UPON APPROVED CREDIT) Service charge of 2%per month added to all costs, including attorney fees. Quote is valid for 30 days. THANK YOU FOR YOUR BUSINESSI Authorized Signature Authorized Signature of Purchaser _ Date: Date: go L, IP 2 1 6 r a 0 y 01-0 1- o O c Q LLJ O aRt a rX a Lu �r ry a ry W r D �p Lt7 01-0 F- it 7 0 2 U in W Z cu a LL � v 0 O 0LL. i.y a L�uZ Z� M CD � LuOZ m ^^ 00 r-1= SLLJf% J Iq tij C z J m U. y 2 Li? Lys � cr Efy 0 cc i i LLL0 LLjm ui tl) cc{� Li ~cl W 4 ~ Luu N LL = Z 1�-U a Ln Quz= 0 UJ< 02 zo Z LL0 ¢ LL= i=:S2F- wJ J m0 U��� < ccL.L O C to LL.Q Q LU�= Z Z S O0 LDL02V V�,U � F-Z z,WF_Z Nm= 0uj4W 7-a� W— LL.un w-j� Z5-6u i-O�Q ;°E 00 QLLJQ 2vviioC ©Qa�- a UUQ— ping_ F-z0 9 -11 Tab # 5 City Required Attachments Page 35 of 35 Attachment B — Insurance Requirements (Vendor to provide completed form for RFP demonstrating ability to meet insurance requirements identified in Master and Project Specific Agreements) TO: CITY OF ANNA ANNA, TEXAS THIS IS TO CERTIFY THAT - h. &:�.-15� (Name and Address of Insured) CERTIFICATE OF INSURANCE DATE: C4 PROJECT; � .0L LA R A 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 accordance with the provisions of the standard policies used by this Company, and further hereinaft er described. Exceptions to standard polic noted hereon. see auj_) �6&ikM� - TYPE OF INSURANCE �1,a4 Coy' 6 OT �— V i Policy No. Effective Expires Limits of Liability Per Person $ Per Occur. $ Workmen's Compensation Property Damage $ Per Person $ iPer Occur. $ I Public Liability Property Damage $ Per Person $ Per Occur. $ Contingent Liability Property Damage $ Per Person $ Per Occur. $ Property Damage Property Damage $ Per Person $ Per Occur. $ Builder's Risk Property damage $ Per Person $ Per Occur. $ Autorrtnbile Property Damage $ Other The foregoing Policies (do) (do not) cover all sub -vendors. Locations Covered: Description of Operations Covered: Additional Insured: City of Anna, Texas Per Person $ _ Per Occur. $ Property Damage $ The above policies, either in the body thereof or by appropriate endorsement, provide that they may not be changed or canceled by the insurer in less than the legal time required after the insured has received written notice of such change or cancellation, or in case there is no legal requirement, in less than sixty (60) days in advance of cancellation or change. FIVE COMES OF THIS CERTIFICATE MUST BE SENT TO THE OWNER (Name of Insurer) By: Title: Address: Phone/Fax: 2120124, 2:44 PM AT&T Yahoo Mail - RE: C01 Needed RE: COI Needed From: Certificate (certificate@piainsure.com) To. hktexas@flash.net Date: Tuesday, February 20, 2024 at 02:31 PM CST Hi Kristy, As an agency, we are not authorized to complete supplemental applications or coverage questionnaires. I would be happy to send a copy of the ]p_,ol�icy or policies .t�o` the certificate holder with (your permission. lax j� Regards, `�`�i 441ajT 0� R 4 4P � ifr l F. l�I1t✓t. W ur T, hoa)- i '�! Its y� r� 'j� Certificate Processing Department with Patterson & Associates Insurance Agency, Inc. � t1+�t l v O e f �hi e l of i1*1 Address: 2435 North Central Expressway, Suite 16M Richardson, Texas 750150 Certificate Requests: e ' t @piainsure.com Claims ReportinglOwstions: fc a�piainswe.com We are a Full -Service Agency, so please do not hesitate to contact me regarding: Benefits (Life Insurance, Group Health Insurance along with many other Products), Commercial Insurance Coverages, Personal Lines and Bonds. Confidentiality Note: The information contained in this electronic email is privileged and confidential and is intended for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby noted that any dissemination, distribution or copy of this electronic email is strictly prohibited. If you have received this electronic mail in error, please immedlately notify the sender and delete all copies. From: Shanna Hartsfield <hktexas@flash.net> Sent: Tuesday, February 20, 2024 1:54 PM To: Certificate <certificate@piainsure.com> Subject: Re: Col Needed Hello, l wanted to follow tap on receiving the attached form completed please? We did receive the Ce fificate of Insurance yesterday; however, the attached form was not included. We have to turn this form in asap today. I appreciate your help. Thank you, Kristy Dozier Hunter Knepshield of Texas. Inc. 800.451.4138 CERTIFICATE OF LIABILITY INSURANCE DATE (MMAIM YYYY) 2119/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsementis). PRODUCER Patterson & Associates Insurance Agency, Inc. 2435 N. Central Expy Suite 1500 Richardson TX 75080 INSURED — — Hunter Knepshield of Texas, Inc PO Box 759 Van Alstyne TX 75495 INSU S AFFORDING COVERAGE Cincinnati Spec Underwriter COVERAGES CERTIFICATE NUMBER:132415524 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE: INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SV POLICYIEFF POLICYEXP LTR TYPE OF INSURANCE POLICY NUMBER MWOD D LIMITS A X COMMERCIAL GENERALLiABILITY GS00068105 311Q023 311412024 EACH OCCURRENCE 51,000,000 CLAIMS -MADE � OCCUR � PREMISS a owumme 3 Efl0,000 _ _ MED EXP (Any one person) $ SAW _ PERSONAL& ADV iNJURY S1,000,000 _ GEN'LAGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE S2,000,000 I I [K jE a POLICY 17 LOC i I PRODUCTS - COMP/OP AGO S 2.000,000 OTHER: HiredlNon-Owned $ Indutied AUTOMOSII.ELIABILIIY BINED SINGLE LIMIT 3 Ea aceide -� ANYAUTO i - SWLY INJURY (Par Person) f OWNED SCHEDULED AUTOS ONLY AUTOS I I idBODILY INJVRY(Peraccart) ; HIRED NON -OWNED I PROPERTYDAMAG- $ ` AUTOS ONLY AUTOS ONLY Per accident A X UMBRELLAUAIa I X1 OCCUR I CSU0068983 3114/2023 311412024 EACH OCCURRENCE S2,000AW $ 2.000,000 EXCESS LEAK CLAIMS -MADE I AGGREGATE DIED I X I RETENTIONS i $ g WORKERSCOMPENSAT10N 46WBCRT8854 3114/2023 3/14/2024 jX I yTEpTLITE I J OTI+ AND EMPLOYERS'LIABILITY YIN ANYPROPRIi TORIPARTNERIEXECUTIVE MIA I E.L. EACH ACCIDENT $1,000.000 OFFICERIMEMBER EXCLU DED7 (Mandatory In NH) E.L DISEASE -EA EMPLOYE;I $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONSaw E.L. DISEASE. POLICY LIMIT S1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS f VEMCLES (ACORD 1101, AddlHonal Remarks Schedule, may be attached If more space Is required) The above coverages r4er to the following endorsements listed below, General Liability: Designated Construction Project(s) General Aggregate Limit - CG2503 05109 where required by written contract; Additional Insured Completed Operations where required by written contract CSGA437 1 13; Additional Insured where required by written contract CSIA405 08109A; Waiver of Subrogation where required by written contract CSGA4087 12112. Workers Compensation: See Attached... City of Anna P.O. Box 776 120 W. 7th Street Anna, TX 75409 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DIELWERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AIl11`114ORf2EDRFP 1 NTATiSIE ACORD 25 (2016103) S ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDfY Tn 2/19/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT, If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and cmditions of the policy, certain policies may require an endorsennent. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemengs). PROOUCM;t Patterson & Associates Insurance Agency, Inc. 2435 N. Central Expy Suite 1600 Richardson TX 75080 INSURED Hunter Knepshield of Texas, Inc PO Box 759 Van Alstyne TX 75495 972-669-2431 COVERAGES CERTIFICATE NUMBER:132415524 REVISION NUMBER: -- NAIL M 13037 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE. INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IADDLISUOR INTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS A }( COMMERCIAL GENERAL LIABILITY CSU0088105 3/14/2023 3114/2024 EACH OCCURRENCE 11,000,000 CLAIMS -MADE o OCCUR PR MI ace ce 5100,000 MED EXP Any one person) $ 5,000 — PERSONAL & ADV INJURY $1,000,000 GAiELIMITAPPLIESPER.- 0 GENERAL AGGREGATE $2,ofteLIM tAGGRF- PR LOC PROCUCTS • COMPIOP AGG S 2,000,D00 HER: HiredlNon Ownad S Included AUTOMOBILE LIABILITY C INGLE LIMIT Eaa aaccicci D dent $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULER 80DILYINJURY (Per accldenq $ AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY BAMAGE - $ AUTOS ONLY AUTOS ONLY Par acci t __ 5 A X UM13RELLAUAB , X OCCUR CSU0068983 3/1442023 311412024 EACH OCCURRFNCE $2.000.000 EXCESS LIAB CLAIMS -MADE' I AGGREGATE $ 2,000,000 DED X RETENTION $ $ g WORKERS COMPENSATIION 46VVBCRT8854 3/1412023 3/14/2024 X I IPTRF T TH AND EMPLOYERS' LIABILITY YF_Nj ANYPROPRII:TORMARTNERIEXECUTIVE E.LEACH ACCIDENT OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA' E.L. DISEASE- EA EMPLOYEE $1,000,000 — IfyS describe under DESCRIPTION OF OPERATIONS below . E.L. DISEASE -POLICY LIMrr $1,000,000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addblonal Remarks Schedule, may be attached 11mere space Is squired) The above coverages refer to the following endorsements listed below: General Liability: Designated Construction Project(s) General Aggnegate Limit - CG2503 05109 where required by written contract; Additional Insured Completed Operations where required by written contract CSGA437 12J13; Additional Insured where required by written contmet CSIA405 08tNA; Waiver of Subrogation where required by written contract CSGA4087 12112. Workers Compensation: See Attached... I114 Y City of Anna P.O. Box 776 120 W. 7th Street Anna, TX 75409 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOriMpREP NTATr1lE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE IMM UNYYY) 2/19/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE ]DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORMD REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the "rtificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).__ PRODUCER Patterson & Associates Insurance Agency, Inc. 2435 N. Central Expy Suite 1600 Richardson TX 75080 PMRP.D Hunter Knepshield of Texas, Inc PO Box 759 Van Alstyne TX 75495 HUNTKNE-01 Patterson S Associates Insurance Hartford COVERAGES CERTIFICATE NUMBEiR:132415524 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLA MS. IlL1S TR TYPEOEINSURANCE rZOL UBRI Pq!)CYNUMBSR PMLICYEFF MSC EXP LIMITS A X COMMERCLALGENERALLIABtLITY CSU0068105 3114/2023 3114=24 EACHoCCURRENCE r,1,000,0W CLAIMS -MADE C OCCUR PREMISES DAMAGE TO a occurrence $100,D00 MED EXP Any ane Pemn) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L. AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,OW,000 POLICY � JECT LOC 32,D00,000 PRODU LTS_COMPIOPAGG HiredlNon-Owned OTHER: $Induded AUTOMOBILE LIABILITY tFO HB BDIS[NGL $ BODILY INJURY (per oersan) ANY AUTO I I $ OWNED l SCNEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY iPera"rdent)I -F--�-- PROPERTY OHMAGE Per accident S $ a A X UMBRELLA LIAR X OCCUR CSU0068983 3/1412023 3/1412024 EACH OCCURRENCE $ 2,000,000 $2,000,000 EXCESS LIAB CLAIMSMADE1 AGGREGATE DED I X I RETENTION s n $ a WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY YIN 46WBCRT885a 3114n023 3[14/2024 X ERA E.L. EACH ACCIDENT ANYPFtOPPJETOMPARTNErUEXECUTIVE ff] OFFICERIMEMBEREXCLUDED? (Mandatary In NH) $1,000,000 $1,0D0,000 E.L. DISEASE- SA EMPLOYEE EL DISEASE • POLICY LIMIT [fps describe under DCRIPTION OF OPERATIONS be% $1,000,000 t OESCRWTION OF OPERATIONS! LOCATIONS ! VEHICLES IACORD 141, Additional Remarks Schedule, may he attached If more space Is required) The above coverages refer to the following endorsements listed below: General Liability: Designated Construction Projects) General Agggregate Limit - CG2503 05/09 where required by written contract; Additional Insured Completed Operations where required by written contract CSGA437 92113; Additional Insured where required by written contract CSIA405 08109A; Waiver of Subrogation where required by written contract CSGA4087 12/12. Workers Compensation: See Attached... City of Anna P.O. Box 776 120 W. 7th Street Minna, TX 75409 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICIE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR[ZEUREP 1TATIvt: 1988-2015 ACORD CORPORATION. Ail rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 2l19I2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomoment(s). PRODUCER Patterson & Associates Insurance Agency, Inc. 2435 N. Central Expy Suite 1600 Richardson TX 75080 INSURED Hunter Knepshield of Texas, Inc PO Box 759 Van Alstyne TX 75495 Patterson & Associates C-, Cincinnati COVERAGES CERTIFICATE NUMBER:132415524 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. _ IL SUGR IN9R TYPE OF INSURANCE LTR POLICY NUMBER -��lMM100 �MMT00 EXPO LIMITS A X COMMERCIAL GENERALLUU31LrrY CSUOOSB105 311412023 3/1412024 EACH OCCURRENCE S I1000.0m CLAIMS -MADE FKBCCUR C-45TO RENTED PREINISES ai c=rence S ID0,D00 MED EXP {Arty one personl $ 5,000 PERSONAL&ADVINJURY $1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GE%ERALAGGREGATE $2,0W.000 32,OOD OOO . E LOC POLICY � jE� RPRODUCTS-CGMP10PAGG HiredlNon-Owned f Induced OTHER., AUTOMosiL.ELIABLLrrY r I COMOtNED SINGLEL I MI Ea acddanl $ $ ANY AUTO I II BODILY INJURY (Per Person) OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS ONLY AUTOS HIRED MON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY A X UMBRELLALIAB Xi OCCUR CSU0I)6M 3114/2023 3/1412024 EACHOCCURRENce S2.000,000 AGGREGATE _ s'2.000.WO- EXCESS LIAB L CLAIMS -MADE. - $ DED X RETENTION$ 1 I B WORKERSCCWPENSATWN 46WBCRT8854 311412023 3/14/2024 OTH X ' STATUTE ER AND EMPLOYERS' LIABILITY YIN o ANYPROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICERIMEINBER EXCLU DED? N (NlandataryInNH) N! A E.L. DISEASE -EAEMPL $1,W0,000 If yea, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 I I i DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more wee is required) The above Coverages reefer to the following endorsements listed below: General Liability Designated Construction Project(s) General Aggregate Limit - CG2503 05/09 where required by written contract-, Additional Insured Completed Operations where required by written contract CSGA437 12113,- Additional Insured where required by written contract CSIA405 08109A-, Waiver of Subrogation where required by written contract CSGA4087 12M 2. Workers Compensation: See Attached... City of Anna P.O. Box 776 120 W. 7th Street Anna, TX 75409 SHOULD ANY OF THE ABOVE DESCrIBED POLICIES BE CANCELLED BEFORE THE EXP(RATTON DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (0 1935.2015 ACE)KU COMPUKA IJUN. All rlgM 1re5e1'VeU. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DAT£ (IIIIAMDIYYM 2119=4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO FLIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate !solder is an ADDITIONAL INSURED, the pollcy(ies) inust have ADDITIONAL INSURED provisions or be endorsed. H SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ PRODUCER Patterson & Associates Insurance Agency, Inc. 2435 N. Central Expy Suite 1600 Richardson TX 75080 INSEIRED Hunter Knepshield of Texas, Inc PO Box 759 Van Alstyne TX 75495 C-. 13037 COVERAGES CERTIFICATE NUMBER.132415524 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR T TYPE OF INSURANCE 9R POLICYNUIMBER 1 � FDD EFF M�DY EXPYYY LIMITS A X COMMERCIALGENERALLIAMIITY CSUO068105 311412023 3/1412024 EACHoccuRRENCE S1.000,000 _ MINES $S00,WO CLAIMS -MADE OCCUR I - • 1 PAC rEa o=.r*ncnca r.1ED EXP ( Any one Person) S 5,000 PERSONAL & ADV INJURY S 1.040,0oo GEWLAGGREGATE UMITAPPLIES PER: � GENERAL AGGREGATE $2.000.000 POLICY -2JECT LOG PRODUCTS -COMPloPRGG 52,D0[1,vO0 Ii i Included OTHER: I F+:redlkarrOwned I S AUTOMOSILELIABILnY COI�iB1 E 5[hGL UPI' s j..�a a 'dent - ANY AUTO j BODILY INJURY (PW person) s OWNED SCHEDULE!] goo ILYINJURY (Par accident)' ALTOS ONLY AUTOS HIRED NON -OWNED -- - - PROPERTY DAMAGE ; $ AUTOS ONLY AUTOS ONLY Per ecddent r S A X UMBRELLALIAII X OCCUR CSU0068983 EACH OCCURRENCE $2'000,000 EXCESS LUIB Cl AIMS MADE AGGREGATE S 2,M.000 -- DM X RErENT10N S $ B WORKERS COMPENSATION 4MBCRT8854 3/1023 3I14120Zb 412 5T T ERµ AND EMPLOYERS' LIABILITY Y) ANYPROPRIETOILPARTNERIEXECUTIVE � E L. EACH ACCIDENT 3 1,000,000 oFFICERNEMBEREXCLUDED7 L (Mandatary in NH) NIA E.L. DISEASE - EA FMPLOYEE S 1.000,000 E.L. DISEASE -POLICY LIMIT !ryyees des Igoe under DESCRIPTION OFOPEPATIoNS below $1.000M i J DESCRIPTION OF OPERRTtoNS I LOCATIONS I VEHICLES IACORD 101, Additional Remarks Srbeduls, may be attached it more space Is required) The above coverages refer to the following endorsements listed below: General Liability: Designated Construction Project(s) General Aggregate Limit- CG2503 05/09 where required by written contract; Additional Insured Completed Operations where required by written Contract CSGA437 12/13; Additional Insured where required by written contract CSIA405 08109A; Waiver of Subrogation where required by written contract CSGA408712112. Workers Compensation: See Attached... City of Anna P.O Box 776 120 W. 7th Street Anna, TX 75409 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTIIORFLED RE�ATWE 0 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Attachment C -- Vendor Supplemental Information QUALIFICATION STATEMENT OF VENDOR SUBMITTED TO: City of Anna Reviewed by: Lute Rece ..^^' VENDOR: CIRCLE ONE: Sale Proprietor NAME: ADDRESS:T.0- CITY: PHONE: Partnership CorporaDflon Joint Venture PARTNER: ADDRESS: CITY: PHONE: PRINCIPAL PLACE OF BUSINESS: PRINCIPAL PLACE OF BUSINESS: lzxm COUNTY STATE COUNTY STATE IF THE VENDOR IS A CORPORATION, FILL OUT THE FOLLOWING: STATE OF INCORPORATION: 0 a e LOCATION OF PRINCIPAL OFFICE:. CONTACT PERSONS AT OFFICE: ! �� ill + �� 1 '� A PERSON EXECUTING CONTRACTS {ON BE ALF OF CORPORATION: y 1. '.`� 1 1 ADDRESS:' - ! NAME. I TITLE: CITY STATE ZIP PHONE: NAMES OF OFFICERS: (IF APPLICABLE)'• I LIST NUMBER OF EMPLOYEES WORKING FOR VENDOR: LIST ALL EQUIPMENT TO BE USED ON THIS PROJECT: (PLEASE USE ATTACHMENT) NUMBER OF YEARS IN BUSINESS AS A GENERAL VENDOR ON PROJECTS SIMILAR TO THIS PROJECT: TYPE(S) OF WORK DONE: Public Facilities (list types): Other: COMMENTS: LIST RECENTLY COMPLETED PROJECTS OF THETYPE OF WORK QUALIFYING FOR OR SIMILAR WORK, PLUS THE FOLLOWING INFORMATION FOR EACH PROJECT: PROJECT: U ' t t/ t � e f� l 4� � \, OWNER/EN6tNZ+R: YEAR BUILT- J CONTRACT PRICE': } CONTACT PERSON: l i,t i �( -)Ai��� _1� � PHONE: d f To6zs PROJECT: �'( r OWNER/EN6If4Ef- is " i our' �S I 'tn iv Y � � 1 YEAR BUILT: � � � CONTRACT PRICE: CONTACT PERSON: , Y� fr HONE: I f 13 PROJECT: I? OWNER/&4Gi4EU: jf:j' �v,``i�i i \�,') I k 4 UPI 1-rlF YEAR BUILT: CONTRACT PRICE: I CONTACT PERSONS V�V� QNE: V y PROJECT: OWNER/€&tI M: YEAR BUILT: CONTRACT PRIG AA ,I , r CONTACT PERSON:, �����.L� ar �� ' r `PHONE: � (USE ATTACHMENTS IF NECESSARY) ,-r 7-�pA o i Teo pid o-t T-exo LIST INCOMPLETE PROJECTS, PLUS THE FOLLOWING INFORMATION FOR EACH PROJECT LISTED: �yyo NER �fiR: GW / PERCENT COMPLETE: _� CONTRACT PRICE: � CONTACT PERSON: PROJECT: OWNER/ENGINEER: L'b 1 j' 2l J I N PERCENT COMPLETE: CONTRACT PRICE: CONTACT PERSON: S1t1�.Vrt�°�1iQNE: 5 - I? PROJECT: 'N rh�l 6 OWIER/EN1 iMR: , �� . 4 �. � t , Ui 4i� � � �tF '1 e PERCENT COMPLETE: CONTRACT PRICE: y CONTACT PERSON: '�>J��%Lk NE: PROJECT: &01 . b�v vj OWNER/EN6fftEER: "L h L 6 mY av,kv- �vl PERCENT COMPLETE: CONTRACT PRICE: j CONTACT PERSON � � igo— NE: �. i • � (USE ATTACHMENTS IF NECESSARY) �L V IF COMPANY IS UNDER NEW MANAGEMENT PLEASE LIST NAMES OF STAFF AND QUALIFICATION AND/OR EXPERIENCE OF SAID PERSONS. (PLEASE USE ATTACHMENT.) HAVE YOU OR ANY PRESENT PARTNER(S) OR OFFICER(S) FAILED TO COMPLETE A CONTRACT? Nv IF SO, NAME OF OWNER AND/OR SURETY: CONTACT PERSON: PHONE: 1�f ;; ARE THERE ANY UNSATISFIED DEMANDS UPON YOU AS TO YOUR ACCOUNTS PAYABLE? i IF SO, GIVE NAMES, AMOUNTS, AND EXPLANATIONS: BANK REFERENCE: Bank: n ✓��n Address: °1� � q� N Al City: State: F� .Zip: Contact Phone: MUNICIPALITY REFERENCE: Cit) Contact Person: >� Y Address: vu n OTHER CREDIT REFERENCES: �' kp Name: J� ')U 1 Ci{lf �I��, Address: CA6-A_ I q Phone: Position: Phone: ��o u,c/4 Name: Address: Phone: In compliance with Invitation to Bid for above mentioned types of projects, the undersigned is submitting the information as required with the understanding that the purpose is only to assist in determining the qualifications for this organization to perform the type and magnitude of work designated, and further, guarantee the truth and accuracy of all statements made, and will accept your determination of qualifications without prejudice. The surety herein named, any other bonding company, bank, sub - Vendor, supplier, or any other person(s), firm(s) or corporations with whom I (we) have done business, or who have extended any credit to me (us) are hereby authorized to furnish you with any information you may request concerning performance on previous work and my (our) credit standing with any of them; and I (we) hereby release any and all such parties from any legal responsibility whatsoever on account of having furnished such information to you. 0*4 �r Company.Signe !. �1��. �PDate:JIM rt COPY TO LOCAL UNDERWRITING OFFICE OF PROPOSED SURETY Name:, Address: SKlIlt, -TQo Phone: ZW2— City: State List ail equipment to be used an this project: • Bobcat with Auger • Concrete Truck • Pump Truck • Mini Excavator • Boom Lift QUALIFICATION STATEMENT OF BIDDER'S SURETY SUBMITTED TO: City of Anna BIDER- Hunter Knepshield of Texas, Inc. ADDRESS: P.O. Box 759, Van Alstyne, TX 75455 PHONE: 800-451-4138 1. Has this surety furnished contract bands on contracts now complete? Yes 2. Has this surety furnished contract bonds on contracts now incomplete? Yes 3. What is the maximum bonding capacity of this Vendor? $300k singlel$900it aggregate 4. Is the current financial information on this Vendor satisfactory? Yes 5. Roes Information obtained indicate accounts are paid when due? Yes If not, give details: b. is it your opinion that the bidder has sufficient experience and financial resources to satisfactory perform the contract? Yes - -- 7. Provided this bidder does not assume other commitments or that you do not acquire further information that in your opinion will materially affect the bidder's capacity to perform this contract, will you furnish the bonds as specified? Upon satisfactory review of contract documents and any required band forms REMARKS: SURELY; SureTec Insurance Company SIGNED: . TITTLE; Morris D. Piagens, Jr., Vice -President ADDRESS: 5905 Legacy Drive, Suite 400 Plano - TX 75024 CITY STATE ZIP PHONE; 469-241-1488 Attachment D — Vendor Acknowledgement VENDOR ACKNOWLEDGEMENT FORM Company Information The following information must be provided in its entirety for your submission to be considered: Company Name: Principal Place of Business -I u � n S tle- TtO 'Thc- Address: Principal Place of Business Id.°! i!V U4It 17Q Pik"1 u lit j i City, State, Zip: Principal Place of Business �q,� �5�� 1 Phone Number: Pria! Place of Business goo �51- Fax Number: IR-1 -I Remittance Address jd9iffetent from above): Remittance City, State, Zip: q1K 4%4 Ioe I Tax Identification No:15, 2A,�j a, 9, Addendums If an addendum to this RFP is issued, acknowledge addendum by initialing beside the addendum nu er: Add. No. 1 Add. No. 2 Add. No. 3 Add. No. 4 Add. No. 5 Certification The undersigned hereby certifies that he/she understands the scope of work, has read the document in its entirety and that the information submitted has been carefully reviewed and is submitted as correct and final. if selected, Firm further certifies and agrees to furnish any or all services in accordance with the terms and conditions contained herein, to willfully enter into negotiations; and to faithfully execute an agreement with the Anna Economic Development Corporation upon successful negotiations. The individual signing this RFP certifies that he/she is a legal agent of the Firm, authorized to submit on behalf of the Firm, and is legally responsible for the decisions as to the supporting documentation provided. JWnorized F%pre entative S nature Dat Email Address 11 ,It 9 Al ` -Flo a CL FA (i Y It �.r e � ; !+ r a VIM 3 r N ' - ■ Wo- 4 i a +' Olt �y ■4I � 61, l via M.A Uk• ® rA t JMMIWMmm� APR 13 m 04 uqmWMM I CL • mr 4 Aid dodw (1�4 A \ / \ 0 k { = 2 § t ) "¥7 4« \�f\)if/ i ƒ� \(2 \k «��©) �aaCL �t`aE=�`-02 ��J /® ��a)\)£ to 3V)12 &&/ NO, ««2« 2£ � ! k E \/ £ ME ] }f 77 0 ru CL§ (« 7� r) 22 / \ J k \ A 2 � \ ) £ ƒ\ k Ef \ C§ \ \k / 2 u } 2\y tf� \ —0-k\\ §)} !\ B 7\ � ¥\E -NY 777 @ �2 ee§ «_ Tug 22O �■ f2j ) 9 §¥cn ¥ e�& Re V a,,_,. 25'-0' a o x � � C v ➢ a a �i EXHIBIT B REQUIRED WORKERS' COMPENSATION COVERAGE The law requires that each person working on this site or providing services related to this construction project must be covered by workers' compensation insurance. This includes persons providing, hauling, or delivering equipment or materials, or providing labor or transportation or other services related to the project, regardless of the identity of their employer or status as an employee. Call the Division of Workers' Compensation at 1-500-252-7031 or access the division's website at www.tdi.texas.gov/wc/indexwc.htmi to receive information on the legal requirement for coverage, to verify whether your employer has provided the required coverage, or to report an employer's failure to provide coverage. TO THE CONTRACTOR: Pursuant to Workers' Compensation Rule 110.110 (d)(7), a contractor engaged in a building or construction project for a government entity is required to post a notice on each project site informing all persons providing services on the project that they are required to be covered by workers' compensation insurance. The notice required by this does not satisfy other posting requirements imposed by the Texas Workers' Compensation Act or other Workers' Compensation Rules. This notice must: (1) be posted in English, Spanish and any other language common to the employer's employee population; (2) be displayed on each project site; (3) state how a person may verify current coverage and report failure to provide coverage; (4) be printed with a title in at least 30-point bold type and text in at least 19-point normal type; and (5) contain the exact words as prescribed in Rule 110.110 (d)(7). The notice on the reverse side meets the above requirements. Failure to post the notice as required by this rule is a violation of the Act and Workers' Compensation Rules. The violator may be subject to administrative penalties. Notice 8 (Rev. 12/15) TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION Rule 110.110