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HomeMy WebLinkAboutContract 54211-R2 CSC No.54211-R2 CITY OF FORT WORTH SECOND RENEWAL OF AGREEMENT WHEREAS, the City of Fort Worth, ("City"), and Ace Pipe Cleaning, hie. authorized to do business in Texas ("Contractor"), entered into that certain ORIGINAL AGREEMENT (City Secretary #54211, M&C 20-0458) for the PROJECT generally described as: 2020 Miscellaneous Sanitary Sewer Manhole Repair Contract; and WHEREAS, the ORIGINAL AGREEMENT may be renewed up to four times as provided by M&C 20-0458; and WHEREAS, the City and Contractor agreed to the first renewal of the ORIGINAL AGREEMENT for an additional term in the amount of $225,000.00, said FIRST RENEWAL was available in the 2021 operating budget of the Water and Sewer Capital Projects Fund, as appropriated in Ordinance#24446-09-2020; and WHEREAS, The City and Contractor desire to renew the ORIGINAL AGREEMENT for the second term at the amount of $225,000.00, said SECOND RENEWAL is available in the 2022 operating budget of the Water and Sewer Capital Projects Fund, as appropriated in Ordinance#25073-09-2021, NOW, THEREFORE, it is agreed by the City and Contractor as follows: Article I The Scope of Services as set forth in the ORIGINAL AGREEMENT has not changed. Article II The Contractor's compensation shall be in the amount up to $225,000,00. The Term of this renewal agreement shall be for one year, effective as of the effective date or the expenditure of the funding,whichever occurs first. Article III There are no other changes to any other terms or conditions of the ORIGINAL AGREEMENT. OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX Second Renewal of Agreement Page 1 of 2 Ace Pipe Cleaning,Inc. 2020 Miscellaneous Sanitary Sewer Manhole Repair Contract EXECUTED by each patty's duly authorized representative and EFFECTIVE as of the date subscribed by the City's designated City Manager. City of Fort Worth Ace Pipe Cleaning,hie. Dana BurandaFF ,n,W.{M1dM tt,Son loo]<Di7 Dana Burghdoff Theresa Ca vert Assistant City Manager Vice President Apr 18,2022 DATE: DATE: 3/18/22 APPROVAL RECOMMENDED: �irfor,Jivv ffavAar Chris Harder,P.E. Director,Water Department APPROVED AS TO FORM AND LEGALITY: M&C: 20-0458 aesir Date: June 23,2020 Douglas W.Black Sr.Assistant City Attorney Contract Compliance Manager j By signing I acluiowledge that I am the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. � 16 ,�•L2 J. Chris Underwood Project Manager ATTEST. AdaLL4FORT�a O`000°Op000�" J�nettHe S �(Ap�2 CDT) �tr�oo O OO�0 o g-1 o Jannette S. Goodall v o o=G % City Secretary P� co 000 �`� OFFICIAL RECORD fail is0000,XA9 CITY SECRETARY FT.WORTH, TX Second Renewal of Agreement Page 2 of 2 Ace Pipe Cleaning,Inc. 2020 Miscellaneous sanitary Sc%tier Manhole Repair Contract Official site of the City of Fort Worth,Texas CITY COUNCIL AGENDA FORTI1 Create New From This M&C DATE: 3/29/2022 REFERENCE **M&C 22- LOG NAME: 602020SSMHRR2R- NO.: 0237 ACEPC CODE: C TYPE: CONSENT PUBLIC NO HEARING: SUBJECT: (ALL) Rescind Mayor and Council Communication 22-0038 and Adopt the Attached Appropriation Ordinance in the Amount of$250,000.00 to Fund the Second Renewal of the 2020 Miscellaneous Sanitary Sewer Manhole Repair Contract for Various Locations throughout the City to Effect a Portion of Water's Contribution to the Fiscal Years 2022- 2026 Capital Improvement Program RECOMMENDATION: It is recommended that the City Council: 1. Rescind Mayor and Council Communication 22-0038; and 2. Adopt the attached appropriation ordinance increasing estimated receipts and appropriations in the Water and Sewer Capital Projects Fund in the amount of $250,000.00, transferred from available funds within the Water and Sewer Fund, for the purpose of funding the 2020 Miscellaneous Sanitary Sewer Manhole Contract project (City Project No. 102639) and to effect a portion of Water's Contribution to the Fiscal Years 2022-2026 Capital Improvement Program. DISCUSSION: Mayor and Council Communication (M&C) 22-0038 contained an error in the public notice with regard to the amount of the appropriation ordinance. Rescinding that M&C and the contemporaneous adoption of its attached appropriation ordinance is recommended to rectify the issue. This M&C is to appropriate additional funds in the Water and Sewer Capital Projects Fund for the 2020 Miscellaneous Sanitary Sewer Manhole Contract project. On June 23, 2020, M&C 20-0458, the City Council authorized the execution of a contract in the amount of$225,000.00, for the 2020 Miscellaneous Sanitary Sewer Manhole Repair Contract with Ace Pipe Cleaning, Inc (City Secretary Contract No. 54211). The M&C referenced four renewals but did not specifically authorize same. On June 8, 2021, M&C 21-0386, the City Council formally authorized up to four renewals of the 2020 Miscellaneous Sanitary Sewer Manhole Repair Contract (City Secretary Contract No. 54211) and authorized execution of the first renewal of the contract. On June 8, 2021, Change Order 1 was administratively authorized for$782.70 to provide for additional manhole epoxy coating quantities. The City and the Contractor desire to exercise the second renewal of the contract in the amount of $225,000.00. The work to be performed under this contract consists of sanitary sewer manhole repairs and the installation of interior epoxy manhole coatings as identified by the Water Department's Wastewater Field Operations staff. The Water Department is neither staffed nor equipped to perform sanitary sewer manhole interior epoxy coating. This contract is necessary to extend the useful life of deteriorated sanitary sewer manholes in the wastewater system in lieu of replacing with new manholes. In addition to the contract amount, $25,000.00 is required for project management and inspection. This project will have no impact on the Water Department's operating budget when completed. It is the practice of the Water Department to appropriate its CIP plan throughout the fiscal year as projects commence, additional funding needs are identified, and to comply with bond covenants. The actions in the M&C will amend the City of Fort Worth's Fiscal Year 2022-2026 Capital Improvement Program, as approved in connection with Ordinance 25073-09-2021, Section 6. Capital Improvements, page 28, as follows: Capital _ Bud et Chan a Revised Project FY2022 CIP g g Fund ( Authority Increase/Decrease FY2022 Name Name Appropriations g Bud et 56002- 102639- W&S MISC Capital Manhole $ - This M&C $250,000.00 $250,000.00 Projects Repair Fund Contract Funding is budgeted in the Transfer to Water/Sewer account of the Sewer operating budget for the purpose of funding the Misc. Manhole Repair Contract project within the Water & Sewer Capital Projects Fund. Appropriation for the 2020 Miscellaneous Sanitary Sewer Manhole Repair project are depicted below: Project FUND Existing (Additional Appropriations Appropriations Total W&S Capital Projects — $500,000.00 $250,000.00 $750,000.00 Fund 56002 Project Total $500,000.00 $250,000.00 $750,000.00 * Numbers rounded for presentation purposes. This project is located in ALL COUNCIL DISTRICTS. FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are currently available in the Water & Sewer Fund and upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the W&S Capital Projects Fund for the MISC Manhole Repair Contract project to support the renewal of the contract. Prior to any expenditure being incurred, the Water Department has the responsibility to validate the availability of funds. TO _ Fund Department Account Project Program lr��t Budget Reference# Amount ID ID Year (Chartfield 2) FROM Fund Department Account Project Program Activity Budget Reference# Amount ( ID ID Year Chartfield 2 Submitted for City Manager's Office by. Dana Burghdoff(8018) Originating Department Head: Chris Harder (5020) i Additional Information Contact: J. Chris Underwood (2629) ATTACHMENTS 602020SSMHRR2-ACEPC FID PBS 102639.pdf (Public) 602020SSMHRR2-ACEPC FID Table (NN 12.08.21) UPDATED.xlsx (CFW Internal) 602020SSMHRR2R-ACEPC SAM.pdf (CFW Internal) 602020SSMHRR2R-ACEPC.docx (CFW Internal) 602020SSMHRR2R-ACEPC 56002 AO22(r2).docx (Public) i i S o ;g O� cq C� 09 I CD co M O O O N Cl! N N o Lo m (N 'N 6N9 NK O O o � O O O O O O (O (O tD O O O (O (O fD I O O o j N N O O O m O Lo LO N M M M (A wfA EA M O O O n n n n LO ui Lo 'o of rn m ' Lo b9 F9 f6 E o 0 0 0 a ca w o � M � o N m N F+ W � o I .O O O O O O O o ` O O O O O O d O O O O O O O O O C. O O O O O O O O f" _ 6o Lo m nLo 0 C J ui r m c iy y v c d m a x o w F Q f°. a IN Q l6 O U v � Q Y = c � ip o a U 3 n v x i U) o 0 a O. a a m rn a U O� W `y G1 V O a o a ° c U d V L LL o LL o `m ® d ti Li cL o ` U ~ o n o 3 m a " w Y F <O N U m G NCD o a 0 3 00 f.� w — Z v g CL CL 0061 13-1 PERFORMANCE BOND Pagel of 2 Bond No. 107286730 1 SECTION 00 6113 2 PERFORMANCE BOND 3 4 THE STATE OF TEXAS § 5 § KNOW ALL BY THESE PRESENTS: 6 COUNTY OF TARRANT § 7 8 That we, Ace Pipe Cleaning, Inc. ,known as 9 "Principal"herein and Travelers Casualty and Surety Company of America,a corporate 10 surety(sureties,if more than one)duly authorized to do business in the State of Texas,known as 11 "Surety"herein(whether one or more), are held and firmly bound unto the City of Fort Worth, a 12 municipal corporation created pursuant to the laws of Texas,known as"City"herein,in the penal 13 sum of,Two-Hundred-Twenty-Five Thousand& no/100 Dollars($225,000.00),lawful money 14 of the United States,to be paid in Fort Worth,Tarrant County, Texas for the payment of which 15 sum well and truly to be made,we bind ourselves, our heirs, executors,administrators, successors 16 and assigns,jointly and severally,firmly by these presents. 17 WHEREAS,the Principal has entered into a certain written contract with the City 18 awarded the day of MrRC,!-� ,2072 which Contract is hereby referred to and 19 made a part hereof for all purposes as if fully set forth herein,to furnish all materials,equipment 20 labor and other accessories defined by law,in the prosecution of the Work, including any Change 21 Orders,as provided for in said Contract designated as 2020 Mise Sanitary Sewer Manhole 22 Repair Contract; City Project No. 102639 2nd Renewal Option of 4 One Year Options Exercised for the 2022-2023 term 23 NOW,THEREFORE,the condition of this obligation is such that if the said Principal 24 shall faithfully perform it obligations under the Contract and shall in all respects duly and 25 faithfully perform the Work,including Change Orders,under the Contract, according to the plans, 26 specifications,and contract documents therein referred to,and as well during any period of 27 extension of the Contract that may be granted on the part of the City,then this obligation shall be 28 and become null and void,otherwise to remain in full force and effect. 29 PROVIDED FURTHER,that if any legal action be filed on this Bond,venue shall lie in 30 Tarrant County, Texas or the United States District Court for the Northern District of Texas,Fort 31 Worth Division. CITY OF FORT WORTH 2O20 MISC SANITARY SEWER STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS MANHOLE REPAIR CONTRACT Revised July 1,2011 City Project No.102639 0061 13-2 PERFORMANCE BOND Page 2 of 2 1 This bond is made and executed in compliance with the provisions of Chapter 2253 of the 2 Texas Government Code,as amended,and all liabilities on this bond shall be determined in 3 accordance with the provisions of said statue. 4 IN WITNESS WHEREOF,the Principal and the Surety have SIGNED and SEALED 5 this instrument by duly authorized agents and officers on this the day of 6 Mik" ,20gZL 7 PRINCIPAL: 8 Ace Pipe Cleaning, Inc. 9 10 11 B-4— dKv, 12 Signature 13 ATTEST: -/-;VER_i5A C/aLVCf17_ 14 15 6 1 ll C_.C7 �21�ri1 y l 16 (Principal)Secretary Name and Title 17 1� Address: 6601 Universal Avenue 19 Kansas City, MO 64120 20 kZ 21AZ�t�_ 22 Witness as to Principal 23 SURETY; 24 Travelers.9imaltv and Suret 25 COMPO ofKnorica 26 27 BY: 4.it: AZ 28 Signature 29 30 Peter S. Forker,Attorney-in-Fact 31 Name and'Title 32 33 Address: One Tower Square 34 Hgdford�CT 06183 35 36 37 Witness as to S e Oscar F. Rincon Telephone Number: 312-497-4474 38 39 40 41 *Note: If signed by an officer of the Surety Company,there must be on file a certified extract 42 from the by-laws showing that this person has authority to sign such obligation. If 43 Surety's physical address is different from its mailing address,both must be provided. .14 The date of the bond shall not be prior to the date the Contract is awarded. 45 CITY OF FORT WORTH 2O20 MISC SANITARY SEWER STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS MANHOLE REPAIR CONTRACT Revised July 1,2011 City Project No.102639 AW TRAVELERS . IMPORTANT NOTICE TO OBTAIN INFORMATION OR MAKF,A COMPLAINT.- You may contact Travelers Casualty & Surety Company of America, Travelers Casualty & Surety Company, Travelers Indemnity Company, Standard Fire Insurance Company and/or Farmington Casualty Company for information or to make a complaint at: Travelers Bond Attn: Claims 1500 Market Street West Tower, Suite 2900 Philadelphia, PA 19102 (267) 675-3130 (267) 675-3102 Fax You may contact the Texas Department of Insurance to obtain the information on companies, coverages, rights or complaints at: Texas Department of Insurance P.O. Box 149104 Austin, TX 787i4-9jO4 (800) 252-3439 ATTACH THIS NOTICE, TO YOUR BOND, This notice is for information only and does not become a part or a condition of the attached document and is given to comply with Section 2253-021, Government Code, and Section 53.202, Property Code, effective September 1, 2001. Travelers Casualty and Surety Company of America A4W Travelers Casualty and Surety Company TRAVELERS J St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Peter S Forker of ROLLING MEADOWS , Illinois , their true and lawful Alto rney(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 21st day of April, 2021. MM UR J,,TV 4%, Milt HWAMMOR4P `9F y , 8 a NN ON. i 4p�yx#1 State of Connecticut By: City of Hartford ss. Robert L.Rane , enior Vice President On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. IN WITNESS WHEREOF, I hereunto set my hand and official seal. NOTARY My Commission expires the 30th day of June,2026 A.t, rusu� Anna P. Nowik,Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this dayof ,IV ANO y�ry � Fi 4p4 'rL9, T DOM. $ 'S CONN. o , Kevin E.Hughes,Assi tant Secretary To verify the authenticity of this Power of Attorney,please call us at 1-800-421-3880. Please refer to the above-named Attorneys)-in-Fact and the details of the bond to which this Power ofAttorney is attached. ACKNOWLEDGMENT BY SURETY STATE OF Illinois ss. County of Cook On this day of 2022 before me personally appeared Peter S. Forker known to,me to be the Attorney-in-Fact of Travelers Casualty and Surety Company of America the corporation that executed the within instrument,and acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal,at my office in the aforesaid County,the day and year in this certificate first above written. OFFICIAL.SEAL OSCAR F.RINCON NOT6aWY PUBIjC-STATE.OF ILLINOIS DIIY t,0MMISSj0m EYTIFIES SEPl't7,202h /�Z —XLL Notary Public in the tate f Illinois County of Cook S-0230/GE 10/99 XDP 0061 14-1 PAYMENT BOND Page 1 of 2 1 SECTION 00 6114 2 PAYMENT BOND Bond No. 107286730 3 4 THE STATE OF TEXAS § 5 § KNOW ALL BY THESE PRESENTS: 6 COUNTY OF TARRANT § 7 8 That we, Ace Pipe Cleaning, Inc. , known as 9 "Principal" herein, and Travelers Casualty and Surety Company of America , a 10 corporate surety (sureties), duly authorized to do business in the State of Texas, known as 11 "Surety" herein(whether one or more), are held and firmly bound unto the City of Fort Worth, a 12 municipal corporation created pursuant to the laws of the State of Texas, known as "City"herein, 13 in the penal sum of Two-Hundred-Twenty-Five Thousand & no/100 Dollars ($225,000.00), 14 lawful money of the United States, to be paid in Fort Worth, Tarrant County, Texas, for the 15 payment of which sum well and truly be made, we bind ourselves, our heirs, executors, 16 administrators, successors and assigns,jointly and severally,firmly by these presents: 17 WHEREAS,Principal has entered into a certain written Contract with City, awarded the 18 1-0 day of MIWW , 20 22 , which Contract is hereby referred to and 19 made a part hereof for all purposes as if fully set forth herein, to furnish all materials, equipment, 20 labor and other accessories as defined by law, in the prosecution of the Work as provided for in 21 said Contract and designated as 2020 Mise Sanitary Sewer Manhole Repair Contract; City 22 Project No. 102639 2nd Renewal Option of 4 One Year Options Exercised for the 2022-2023 term 23 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if 24 Principal shall pay all monies owing to any (and all) payment bond beneficiary (as defined in 25 Chapter 2253 of the Texas Government Code, as amended) in the prosecution of the Work under 26 the Contract, then this obligation shall be and become null and void; otherwise to remain in full 27 force and effect. 28 This bond is made and executed in compliance with the provisions of Chapter 2253 of the 29 Texas Government Code, as amended, and all liabilities on this bond shall be determined in 30 accordance with the provisions of said statute. 31 CITY OF FORT WORTH 2O20 MISC SANITARY SEWER STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS MANHOLE REPAIR CONTRACT Revised July 1,2011 City Project No, 102639 0061 14-2 PAYMENTBOND Page 2 of 2 1 E4 WITNESS WHEREOF,the Principal and Surety have each SIGNED and SEALED 2 this instrument by duly authorized agents and officers on this the i2A"o day of 3 MAQ" ,20 22 4 PRINCIPAL: Ace Pipe Cleaning, Inc. ATTEST: gy: Signature GIY4-V6—YV— vier- 2es! >- i/- � (Principal)Secretary Name and Title Address: 6601 Universal Avenue Kansas City, MO 64120 Witness as to Principal SURETY: Travelers Lagvaltv and S_uret Comp of rica ATTEST: By: A tom. Signature Peter S. Forker. Attorney-in-Fact (Surety) Rebecca Johlie Name and Title Address: One Tower Square_Zzo _ Hartford, CT 06183 Witness as to ur Oscar F. Rincon Telephone Number: 312-497-4474 5 6 Note: If signed by an officer of the Surety, there must be on file a certified extract from the 7 bylaws showing that this person has authority to sign such obligation. If Surety's physical 8 address is different fiow its mailing address,both must be provided. 9 10 The date of the bond shall not be prior to the date the Contract is awarded. 11 END OF SECTION 12 CITY OF FORT-WORTI-I 2020 MISC SANITARY SEWER STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS MANHOLE REPAIR CONTRACT Revised July 1,2011 City Project No 102639 Travelers Casualty and Surety Company of America AW Travelers Casualty and Surety Company TRAVELERS J St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Peter S Forker of ROLLING MEADOWS , Illinois , their true and lawful Attorney(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed,this 21st day of April, 2021. v►u tJ,47Y ANp It \\ CONN. c� VA f�•���� '�4! a�sr � t4 State of Connecticut By: dla� City of Hartford ss. Robert L.RaneyLtenior Vice President On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. +'SPPlNoj�w.. IN WITNESS WHEREOF, I hereunto set my hand and official seal. VvioTAIRIYMy Commission expires the 30th day of June,2026 Anna P.Nowik,Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this day of R/io' 9J•,tY ANAd �f1COW, i HARTFORD, COW, �R � COHrt a Kevin E.Hughes,Assi tant Secretary To verify the authenticity of this Power of Attorney,please call as at 1-800-421-3880. Please refer to the above-named Attorneys)-in-Pact and the details of the bond to which this Power ofAttorney is attached. ACKNOWLEDGMENT BY SURETY STATE OF Illinois ss. County of Cook On this day of 2022 before me personally appeared Peter S. Forker known to,me to be the Attorney-in-Fact of Travelers Casualty and Surety Company of America the corporation that executed the within instrument,and acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal,at my office in the aforesaid County,the day and year in this certificate first above written. OFFICIAL SEAL ` OSCAR F.RINCON NOTARY PUBLIC—STATE OF ILLINOIS f MY COMMISSION EXPIRES SEPT 17,2024 � r Notary Public in the St e of Illinois County of Cook S-0230/GE 10/99 XDP 0061 19-1 MAINTENANCE BOND Pagel of 3 1 SECTION 00 6119 2 MAINTENANCE BOND 3 Bond No. 107286730 4 THE STATE OF TEXAS § 5 § KNOW ALL BY THESE PRESENTS: 6 COUNTY OF TARRANT § 7 8 That we Ace Pipe Cleaning, Inc. , known as 9 "Principal"herein and Travelers Casualty and Surety Company of America,a corporate surety 10 (sureties, if more than one)duly authorized to do business in the State of Texas,known as 11 "Surety"herein(whether one or more),are held and firmly bound unto the City of Fort Worth, a 12 municipal corporation created pursuant to the laws of the State of Texas,known as"City"herein, 13 in the sum of Two-Hundred-Twenty-Five Thousand& no/100 Dollars($225,000.00),lawful 14 money of the United States,to be paid in Fort Worth,Tarrant County,Texas,for payment of 15 which sum well and truly be made unto the City and its successors,we bind ourselves, our heirs, 16 executors,administrators,successors and assigns,jointly and severally, firmly by these presents. 17 18 WHEREAS,the Principal has entered into a certain written contract with the City awarded 19 the I-qIt day of M412C4-V 20�Z,which Contract is hereby 20 referred to and a made part hereof for all purposes as if fully set forth herein,to furnish all 21 materials,equipment labor and other accessories as defined by law,in the prosecution of the 22 Work,including any Work resulting from a duly authorized Change Order(collectively herein, 23 the"Work") as provided for in said contract and designated as 2020 Mise Sanitary Sewer 24 Manhole Repair Contract; City Project No. 102639; and 2nd Renewal Option of 4 One Year Options 2s Exercised for the 2022-2023 term 26 WHEREAS,Principal binds itself to use such materials and to so construct the Work in 27 accordance with the plans,specifications and Contract Documents that the Work is and will 28 remain free from defects in materials or workmanship for and during the period of two(2)years 29 after the date of Final Acceptance of the Work by the City("Maintenance Period"); and 30 31 WHEREAS,Principal binds itself to repair or reconstruct the Work in whole or in part 32 upon receiving notice from the City of the need therefor at any time within the Maintenance 33 Period. 34 CITY OF FORT WORTH 2O20 MISC SANITARY SEWER STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS MANHOLE REPAIR CONTRACT Revised July 1,2011 City Project No.102639 0061 19-2 MAINTENANCE BOND Page 2 of 3 1 NOW THEREFORE,the condition of this obligation is such that if Principal shall 2 remedy any defective Work,for which timely notice was provided by City,to a completion 3 satisfactory to the City,then this obligation shall become null and void;otherwise to remain in 4 full force and effect. 5 6 PROVIDED,HOWEVER, if Principal shall fail so to repair or reconstruct any timely 7 noticed defective Work,it is agreed that the City may cause any and all such defective Work to 8 be repaired and/or reconstructed with all associated costs thereof being borne by the Principal and 9 the Surety under this Maintenance bond;and 10 11 PROVIDED FURTHER,that if any legal action be fled on this Bond,venue shall lie in 12 Tarrant County,Texas or the United States District Court for the Northern District of Texas,Fort 13 Worth Division; and 14 15 PROVIDED FURTHER,that this obligation shall be continuous in nature and 16 successive recoveries may be had hereon for successive breaches. 17 18 19 CITY OF FORT WORTH 2O20 M1SC SANITARY SEWER STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS MANHOLE REPAIR CONTRACT Revised July 1,2011 City Project No.102639 006119-3 MAINTENANCE BOND Page 3 of 3 I IN WITNESS WHEREOF,the Principal and the Surety have each SIGNED and SEALED this 2 instrument by duly authorized agents and officers on this the •�o� day of 3 _M d VZ = ,20 TL 4 5 PRINCIPAL: 6 Ace Pipe Gleaning, Inc. 7 8 �. 9 10 Signature 11 ATTEST: M4 VEDZ7 12 /� 7A�t=� 13 tti-- V V)C F /es7/ bojy, —. 14 (Principal)Secretary Name and Title 15 16 Address: 6601 Universal Avenue 17 Kansas City, MO 64120 18 19 _. 20 Witness as to Principal 21 SURETY: 22 Travelers Castaltv and Surety 23 Cornpaqf of Apheilica 24 25 BY: ^► L'. 26 Signature 27 28 Peter S. Forker, Attorney-in-Fact 29 AT EST: Name and Title 30 31 Address: One Tower Square 32 (Sure xnx cca Johlie Hartford, CT 06183 33 34 35 Witness as to S re Oscar F. Rincon Telephone Number: 312-497-4474 36 37 *Note: If signed by an officer of the Surety Company,there must be on file a certified extract 38 from the by-laws showing that this person has authority to sign such obligation. If 39 Surety's physical address is different from its mailing address, both must be provided. 40 The date of the bond shall not be prior to the date the Contract is awarded. 41 CITY OF FORT WORTH 2O20 MISC SANITARY SEWER STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS MANHOLE REPAIR CONTRACT Revised duly 1,2011 City Project No.102639 Travelers Casualty and Surety Company of America �� Travelers Casualty and Surety Company TRAVELERS St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Peter S Forker of ROLLING MEADOWS , Illinois , their true and lawful Attorney(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 21st day of April, 2021. �y 4 Rio ,J�tY Apo c a►RItFQ R 6P L9F N ¢ HARTFORD, t o 0*6 CONN. ltA�. s State of Connecticut By: City of Hartford ss. Robert L.Rane , enior Vice President On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. \1+P�1J .a IN WITNESS WHEREOF, I hereunto set my hand and official seal. pj�y ���` �/ NOTARY Y My Commission expires the 30th day of June,2026 �* ap 3 ZZIA G+e IA+;i ru�un Anna P.Nowik,Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this day of �ynto 91),IV Apo H COM. W NCO+�NRO, W O Kevin E.Hughes,As_sitaant Si @cretary To verify the authenticity of this Power of Attorney,please call us at 1-800-421-3880. Please refer to the above-named Attorneys)-in-Fact and the details of the bond to which this Powerof Attorney is attached. ACKNOWLEDGMENT BY SURETY STATE OF Illinois ss. County of Cook On this day of 2022 before me personally appeared Peter S. Forker ,known to,me to be the Attorney-in-Fact of Travelers Casualty and Surety Company of America the corporation that executed the within instrument,and acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal,at my office in the aforesaid County,the day and year in this certificate first above written. OFl iCiAL SEAL OSCAE�F?RINCON NOTARY PUBLIC-STATE OF ILLINOIS SAY COMMISSION EXPIRES SEPT 17,2024 otary Public in the State of/Illinois County of Cook S-0230/GE 10/99 XDP DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE `� 1 10/18/2021 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 endorsement(s). PRODUCER CONTACT NAME: Christina Cunningham,Client Service M r Sr. Arthur J. Gallagher Risk Management Services, Inc. PHONE FAx 2850 Golf Road ao No): AIL Rolling Meadows IL 60008 ADDRESS: Christina cunningham@aiq.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Zurich American Insurance Company 16535 INSURED CAROCOR-04 INSURERB:American Zurich Insurance Company 40142 ACE PIPE CLEANING, INC.6601 Universal Ave INSURERC:American Guarantee and Liability Ins Co 26247 Kansas City, MO 64120 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:567234738 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/LDDYr�Y MM/DD/YYYY LIMITS CY EXP L7R A X COMMERCIAL GENERAL LIABILITY Y GLO9377201-18 10/31/2021 10/31/2022 EACH OCCURRENCE $2,000,000 CLAIMS-MADE I-XI OCCUR DAPREMISESMAGE TOEa RENTEDo ccurrence $300,000 X XCU INCLUDED MED EXP(Any one person) $0 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY I A I PE& LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAP 9377199-18 10/31/2021 10/31/2022 COMBINED SINGLE LIMIT $5,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) s AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ C X UMBRELLALIAB X OCCUR AUC5916947-16 10/31/2021 10/31/2022 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s 10,000,000 DED I X I RETENTION$in nnn $ g AND EMPSCOMPENSATIONYERS'LIILIT WC 9377202-18 10/31/2021 10/31/2022 X STATUTE EERH AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) RE:Project No:102639;2020 Miscellaneous Sanitary Sewer Manhole Repair Contract. City of Fort Worth,Consultant and Others including their respective officers,directors,agents,servants and employees are shown as Additional Insureds solely with respect to General Liability coverage as evidenced herein as required by written contract with respect to work performed by the Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Worth ACCORDANCE WITH THE POLICY PROVISIONS. Financial Management Services Department Attn: Purchasing Division 200 Texas Street AUTHORIZED REPRESENTATIVE Fort Worth,TX 76102-6314 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Additional Insured — Owners, Lessees Or Contractors ZURICH — Scheduled Person Or Organization THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 9377201-18 Effective Date: 10/31/2021 This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION, BUT ONLY WHEN YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS AND WHERE THAT CONTRACT SPECIFICALLY REQUIRES THE ISO CG2010 10/2001 EDITION FORM OR THE EQUIVALENT OF SAME A. Section II—Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to"bodily injury" or"property damage"occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project(other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2) That portion of"your work"out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms, conditions, provisions and exclusions of this policy remain the same. U-GL-2183-A CW(09/19) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Additional Insured — Owners, Lessees Or Contractors ZURICH — Completed Operations THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 9377201-18 Effective Date: 10/31/2021 This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION, BUT ONLY WHEN YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS AND WHERE THAT CONTRACT SPECIFICALLY REQUIRED THE ISO CG2037 10/2001 EDITION FORM OR THE EQUIVALENT OF SAME Location And Description of Completed Operations: ANY LOCATION OR PROJECT, OTHER THAN A WRAP-UP OR OTHER CONSOLIDATED INSURANCE PROGRAM LOCATION OR PROJECT FOR WHICH INSURANCE IS OTHERWISE SEPARATELY PROVIDED TO YOU BY A WRAP- UP OR OTHER CONSOLIDATED INSURANCE PROGRAM Additional Premium: Included Section II —Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of"your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products-completed operations hazard". All other terms, conditions, provisions and exclusions of this policy remain the same. U-GL-2182-A CW(09/19) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Policy Number GL09377201-18 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Namedlnsured CARYLON CORPORATION Effective Date: 110-31-21 12:01 AM., Standard Time AgentName GALLAGHER Agent 24059- 000 BLANKET NOTICE TO OTHERS OF CANCELLATION BLANKET NOTIFICATION TO OTHERS OF CANCELLATION THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE : COMMERCIAL GENERAL LIABILITY COVERAGE PART A. IF WE CANCEL THIS COVERAGE PART BY WRITTEN NOTICE TO THE FIRST NAMED INSURED FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, WE WILL DELIVER ELECTRONIC NOTIFICATION THAT SUCH COVERAGE PART HAS BEEN CANCELLED TO EACH PERSON OR ORGANIZATION SHOWN IN A SCHEDULE PROVIDED TO US BY THE FIRST NAMED INSURED. SUCH SCHEDULE: 1 . MUST BE INITIALLY PROVIDED TO US WITHIN 15 DAYS : A. AFTER THE BEGINNING OF THE POLICY PERIOD SHOWN IN THE DECLARATIONS; ORB. AFTER THIS ENDORSEMENT HAS BEEN ADDED TO POLICY; 2 . MUST CONTAIN THE NAMES AND E—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olicy Number GLO 9377201-18 SCHEDULE OF NAMED INSURED(S) ZURICH AMERICAN INSURANCE COMPANY Named Insured CARYLON CORPORATION Effective Date: 10/31/2021 12:01 AM.,Standard Time Agent Name GALLAGHER Agent 24059 000 NAMED INSURED CARYLON CORPORATION VIDEO INDUSTRIAL SERVICES, INC. ACE PIPE CLEANING, INC . NATIONAL PLANT SERVICES, INC . DEEP SOUTH INDUSTRIAL SERVICES, INC. NATIONAL POWER RODDING CORP. ODESCO INDUSTRIAL SERVICES, INC. SEWER SYSTEM EVALUATIONS, INC. NATIONAL INDUSTRIAL MAINTENANCE, INC. MOBILE DREDGING &VIDEO PIPE, INC. NATIONAL WATER MAIN CLEANING COMPANY METROPOLITAN ENVIRONMENTAL SERVICES, INC. BIO—NOMIC SERVICES, INC. ROBINSON PIPE CLEANING CO. ROBINSON PIPE SERVICES, INC . BEARY PROPERTIES, INC. DEEP SOUTH SOLUTIONS, INC. SPECIALIZED MAINTENANCE SERVICES, INC. NATIONAL INDUSTRIAL MAINTENANCE SOLUTIONS, INC . SELECT TRANSPORTATION, INC. VIDEO PIPE SERVICES, INC. NATIOINAL INDUSTRIAL MAINTENANCE — MICHIGAN, INC. BEARY MANAGEMENT SERVICES, INC. U-GU-621-A CW(10/02) POLICYNUMBER:GLO 9377201-18 COMMERCIAL GENERAL LIABILITY CG25030509 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): A GENERAL AGGREGATE LIMIT APPLIES TO EACH CONSTRUCTION PROJECT WHERE THE NAMED INSURED IS PERFORMING OPERATIONS, HOWEVER, A GENERAL AGGREGATE LIMIT DOES NOT APPLY TO ANY CONSTRUCTION PROJECT WHERE THE NAMED INSURED IS PERFORMING OPERATIONS THAT ARE INSURED UNDER A WRAP— UP OR ANY OTHER CONSOLIDATED OR SIMILAR INSURANCE PROGRAM. ntormatl on reAuj'ed to complete this Schedule,it not own above,will e shown in the qeclaradons. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by damages or under Coverage C for medical "occurrences"under Section I-Coverage A,and expenses shall reduce the Designated for all medical expenses caused by accidents Construction Project General Aggregate Limit under Section I-Coverage C,which can be for that designated construction project. Such attributed only to ongoing operations at a single payments shall not reduce the General designated construction project shown in the Aggregate Limit shown in the Declarations nor Schedule above: shall they reduce any other Designated 1. A separate Designated Construction Project Construction Project General Aggregate Limit General Aggregate Limit applies to each for any other designated construction project designated construction project, and that limit shown in the Schedule above, is equal to the amount of the General 4. The limits shown in the Declarations for Each Aggregate Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit isthe most wewill pay for the However, instead of being subject to the sum ofalldamages underCoverage A,except General Aggregate Limit shown in the damages because of"bodily injury"or Declarations, such limits will be subject to the "property damage"included in the"products- applicable Designated Construction Project completed operations hazard", and for General Aggregate Limit. medical expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or"suits"brought; or c. Persons or organizations making claims or bringing "suits". CG 250305 09 ©Insurance Services Office, Inc., 2008 Page 1 of2 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by "products-completed operations hazard"is "occurrences"under Section I-Coverage A,and provided, any payments for damages because of for all medical expenses caused by accidents "bodily injury"or"property damage"included in under Section I- Coverage C,which cannot be the"products-completed operations hazard"will attributed onlyto ongoing operations at a single reduce the Products-completed Operations designated construction project shown in the Aggregate Limit, and not reduce the General Schedule above: Aggregate Limit nor the Designated Construction 1. Any payments made under Coverage A for Project General Aggregate Limit. damages or under Coverage C for medical A If the applicable designated construction project expenses shall reduce theamount available has been abandoned,delayed, or abandoned under the General Aggregate Limit or the and then restarted, or if the authorized Products-completed Operations Aggregate contracting parties deviate from plans, blueprints, Limit,whichever is applicable; and designs, specifications or timetables, the project 2. Such payments shall not reduce any will still be deemed to be the same construction Designated Construction Project General project. Aggregate Limit. E. The provisions of Section III-Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 ©Insurance Services Office, Inc., 2008 CG 25 0305 09 POLICY NUMBER: GLO 9377201-18 COMMERCIAL GENERAL LIABILITY CG 02 2410 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: COMMERCIAL GENERALLIABILITY COVERAGEPART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days' Notice 60_ (If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement.) For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement, is increased to the number of days shown in the Schedule above. CG 02 241093 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 ❑ Waiver Of Subrogation (Blanket) Endorsement Policy No. Eff.Date of Pol. Exp.Date of Pol. Eff.Date of End. Producer Add'!Prem. Return Prem. GLO9377201-18 10/31/2021 10/31/2022 24059000 $ INCL $ THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement,which is executed before a loss, to waive your rights of recovery from others,we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U-GL-925-B CW(12/01) Other Insurance Amendment - Primary And Non- Contributory ZURICH') Policy No. I Eff.Date of Pol. Exp.Date of Pol. Eff.Date of End. Producer No. Add1.Prem Return Prem. GLO9377201-18 10/31/2021 10/31/2022 10/31/2021 24059000 I NCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Carylon Corporation Address (including ZIP Code): 2500 Arthington; Chicago, IL 60612 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 1. The following paragraph is added to the Other Insurance Condition of Section IV-Commercial General Liability Conditions: This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by a written contractor written agreement that this insurance would be primary and would not seek contribution from any any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b.of the Other Insurance Condition of Section IV- Commercial General Liability Conditions: This insurance is excess over: Any of the other insuranc e, whether prim ary, excess, contingent or on any of her basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional ins ured on another policy providi ng coverage for the same 'occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by writt en contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged. U-GL-1327-B CW(04/13) Page 1 of 1 Includes copyrighted materialof Insurance Services Office,Inc.,withits permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (Ed.4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION. WC 00 0313 (Ed.4-84) o 1983 National Council on Compensation Insurance. Policy Number BAP9377199-18 SCHEDULE OF NAMED INSURED(S) ZURICH AMERICAN INSURANCE COMPANY Named Insured CARYLON CORPORATION Effective Date: 10/31/2021 12:01 A.M.,Standard Time Agent Name GALLAGHER Agent No. 24059-000 NAMED INSURED CARYLON CORPORATION ACE PIPE CLEANING, INC. BEARY PROPERTIES, INC. BIO-NOMIC SERVICES, INC. DEEP SOUTH INDUSTRIAL SERVICES, INC. DEEP SOUTH SOLUTIONS, INC . METROPOLITAN ENVIRONMENTAL SERVICES, INC. MOBILE DREDGING & VIDEO PIPE, INC. NATIONAL INDUSTRIAL MAINTENANCE, INC . NATIONAL INDUSTRIAL MAINTENANCE SOLUTIONS, INC. NATIONAL PLANT SERVICES, INC. NATIONAL POWER RODDING CORP. NATIONAL WATER MAIN CLEANING COMPANY ODESCO INDUSTRIAL SERVICES, INC. ROBINSON PIPE CLEANING CO. ROBINSON PIPE SERVICES, INC . SEWER SYSTEM EVALUATIONS, INC. SPECIALIZED MAINTENANCE SERVICES, INC. VIDEO INDUSTRIAL SERVICES, INC. SELECT TRANSPORTATION, INC. BEARY MANAGEMENT SERVICES, INC. NATIONAL INDUSTRIAL MAINTENANCE - MICHIGAN, INC. VIDEO PIPE SERVICES, INC. U-GU-621-A CW(10/02) POLICY NUMBER: BAP9377199-18 COMMERCIAL AUTO CA 04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: CARYLON CORPORATION Endorsement Effective Date: 10/31/2021 SCHEDULE Name(s) Of Person(s)Or Organization(s): ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THE POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the 'loss" under a contract with that person or organization. Page 2 of 12 ©Insurance Services Office, Inc., 2011 CA 04 4410 13 ❑ URICH"' ENDORSEMENT Insurance forthis coverage partprovided by: Policy Number ZURICH AMERICAN INSURANCE COMPANY BAP 9377199-18 Renewal of Number BAP 9377199-17 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE: COMMERCIAL AUTO COVERAGE PART A. IF WE CANCEL THIS COVERAGE PART BY WRITTEN NOTICE TO THE FIRST NAMED INSURED FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, WE WILL DELIVER ELECTRONIC NOTIFICATION THAT SUCH COVERAGE PART HAS BEEN CANCELLED TO EACH PERSON OR ORGANIZATION SHOWN IN A SCHEDULE PROVIDED TO US BY THE FIRST NAMED INSURED. SUCH SCHEDULE : 1 . MUST BE INITIALLY PROVIDED TO US WITHIN 15 DAYS : A. AFTER THE BEGINNING OF THE POLICY PERIOD SHOWN INTHE DECLARATIONS; OR B. AFTER THIS ENDORSEMENT HAS BEEN ADDED TO POLICY; 2 . MUST CONTAIN THE NAMES AND E—MAIL ADDRESSES OF ONLY THE PERSONS OR ORGANIZATIONS REQUIRING NOTIFICATION THAT SUCH COVERAGE PART HAS BEEN CANCELLED; 3 . MUST BE IN AN ELECTRONIC FORMAT THAT IS ACCEPTABLE TO US; AND 4 . MUST BE ACCURATE . SUCH SCHEDULE MAY BE UPDATED AND PROVIDED TO US BY THE FIRST NAMED INSURED DURING THE POLICY PERIOD. SUCH UPDATED SCHEDULE MUST COMPLY WITH PARAGRAPHS 2 . 3 . AND 4 . ABOVE. B. OUR DELIVERY OF THE ELECTRONIC NOTIFICATION AS DESCRIBED IN PARAGRAPH A. OF THIS ENDORSEMENT WILL BE BASED ON THE MOST RECENT SCHEDULE IN OUR RECORDS AS OF THE DATE THE NOTICE OF CANCELLATION IS MAILED OR DELIVERED TO THE FIRST NAMED INSURED. DELIVERY OF THE NOTIFICATION AS DESCRIBED IN PARAGRAPH A. OF THIS ENDORSEMENT WILL BE COMPLETED AS SOON AS PRACTICABLE AFTER THE EFFECTIVE DATE OF CANCELLATION TO THE FIRST NAMED INSURED. C. PROOF OF EMAILING THE ELECTRONIC NOTIFICATION WILL BE SUFFICIENT PROOF THAT WE HAVE COMPLIED WITH PARAGRAPHS A. AND B. OF THIS ENDORSEMENT. D. OUR DELIVERY OF ELECTRONIC NOTIFICATION DESCRIBED IN PARAGRAPHS A. AND B. OF THIS ENDORSEMENT IS INTENDED AS A COURTESY ONLY. OUR FAILURE TO PROVIDE SUCH DELIVERY OF ELECTRONIC NOTIFICATION WILL NOT : 1 . EXTEND THE COVERAGE PART CANCELLATION DATE; 2 . NEGATE THE CANCELLATION; OR 3 . PROVIDE ANY ADDITIONAL INSURANCE THAT WOULD NOT HAVE BEEN PROVIDED IN THE ABSENCE OF THIS ENDORSEMENT. E. WE ARE NOT RESPONSIBLE FOR THE ACCURACY, INTEGRITY, TIMELINESS AND VALIDITY OF INFORMATION CONTAINED IN THE SCHEDULE PROVIDED TO US AS DESCRIBED IN PARAGRAPHS A. AND B. OF THIS ENDORSEMENT. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. U-CA-388-A(07-94)