HomeMy WebLinkAboutContract 35013 (2)Ci�i�' S�'C��7'�RY�
CONTRACT f�p. � �
CITY OF FORT WORTH, TEXAS
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
STATE OF TEXAS §
KNOWN ALL BY THESE PRESENTS:
COUNTY OF TARRANT §
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THIS AGREEMENT, entered into the �,�.�' day of February 2007, by and
between the CITY OF FORT WORTH, a municipal corporation of Tarrant,
Denton, Parker, and Wise Counties, Texas, acting herein by and through Marc
Ott, its duly authorized Assistant City Manager, hereinafter called the "City", and
Mas-Tek Engineering & Associates, Inc., an independent contractor, acting by
and through Stephen Mason, its duly authorized President, hereinafter called
"Engineer".
WITNESSETH
That for and in consideration of mutual covenants and agreements herein
contained, the parties hereto mutually agree as follows:
ARTICLE I
SERVICES
Section 1. Engineer hereby agrees to perform as a per-job independent
contractor such professional services as may be requested by the City during the
term of this Agreement. These professional services shall be performed in
connection with geotechnical investigation for building construction, renovation,
roads, landfills, utilities and other civil works as may be required during the life of
this Agreement and include laboratory analysis, field work, and reports. These
services shall also include material testing.
Section 2. In addition to the professional engineering services to be performed
under Section 1 above, Engineer shall render the following professional services:
1. Attend such conferences with City officials as may be determined
necessary to ensure the drilling, testing, and analysis will proceed in an
economical and orderly manner.
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2. Advise the City on special aspects of each project as ma p���;;=• ,;. i,�,;��, �;; , �::L,
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Geotechnical Engineering Services � - -�-_ -
Feb.2007 � ORIGINAL
Page 1 of 8
3. Furnish all necessary personnel, drilling equipment, laboratory
testing equipment, and materials necessary to perform all testing and
other work required and contempiated under this Agreement and at such
time and in such manner so as not to delay the geotechnical investigation
by the City. Engineer shall also furnish all necessary barricades, signs
and other warning devices and their appurtenances so as to comply with
all applicable local, state and federal laws, rules and regulations.
ARTICLE II
CITY'S OBLIGATIONS AND COMPENSATION
Section 1. All testing or other work to be performed under this Agreement will
be specified in writing by the City. City shall not pay for any testing or other work
performed by Engineer or its subcontractors that has not been ordered in writing.
It is specifically agreed that Engineer shall not be compensated for any alleged
additional work resulting from oral orders of any person.
City shall make available to Engineer in the performance of the Agreement, all
existing plans, maps, field notes, statistics, computations, and other data in its
possession relative to the sites designated for investigation. City assumes no
responsibility for the accuracy of such data furnished to Engineer by the City, its
agents, contractors, or subcontractors.
Section 2. City agrees to pay Engineer for testing services on a unit price per
authorized test basis. The unit price to be paid for each authorized service shall
not exceed the unit price amount set out in the schedule of Fees and Services,
attached hereto, marked "Exhibit A", and incorporated herein for all purposes
incident to this Agreement. In no event shall the total Agreement price paid by
the City for all services performed hereunder exceed the sum of Twenty-Three
Thousand Dollars ($23,000.00).
The method of payment shall be as follows: Payment for services rendered
shall be due upon completion of the particular services so ordered and receipt by
City of Engineer's invoice for payment of same.
Acceptance by Engineer of said payment shall operate as and shall release the
City from all claims or liabilities under this Agreement for anything related to,
done, or furnished in connection with the services for which payment is made,
including any act or omission of the City in connection with such services.
ARTICLE III
TERM
This Agreement shall be for a term of nine (9) months, beginning upon the date
of its execution.
Geotechnical Engineering Services
Feb. 2007
Page 2 of 8
ARTICLE IV
INDEPENDENT CONTRACTOR
Engineer shall operate hereunder as an independent contractor, and not as an
officer, agent, servant, or employee of the City. Engineer shall have exclusive
control of and the exclusive right to control the details of the work to be
performed hereunder and all persons performing same, and shall be solely
responsible for the acts and omissions of its officers, agents, employees,
contractors and subcontractors. The doctrine of respondent superior shall not
apply as between City and Engineer, its officers, agents, employees, contractors,
and subcontractors, and nothing herein shall be construed as creating a
partnership or joint venture between City and Engineer.
ARTICLE V
PROFESSIONAL COMPETENCE AND INDEMNIFICATION
Section 1. The standard of care applicable to Engineers services will be the
degree of skill and diligence normally employed in the State of Texas by
professional engineers or consultants performing the same or similar services at
the time such services are performed. Engineer shall comply in all aspects with
all applicable local, state and federal laws and with all applicable rules and
regulations promulgated by the local, state and national boards, bureaus and
agencies. Approval by the City shall not constitute or be deemed to be a release
of the responsibility and liability of Engineer or its officers, agents, employees,
contractors and subcontractors for the accuracy and competency of its drilling,
testing, and reporting, and other engineering services performed hereunder.
Section 2. Engineer shall indemnify, hold harmless and defend the City and all of
its officers, agents, servants and employees from and against any and all claims
or suits for property damage or loss and/or personal injury, including death, to
any and all persons of whatsoever kind or character, including but not limited to
employees of Engineer, employees of subcontractors, and all other persons
performing work incident to this Agreement which may rise out of or be
connected with directly or indirectly:
a. The negligent, defective or deficient execution, perFormance,
attempted performance or non-performance of this Agreement by
Engineer.
b. Any act, omission, defect, deficiency or negligence of Engineer in
drilling and testing, reporting, recommendations or any other engineering
services;
c. Any neglect in the safeguarding of the work by Engineer or its
subcontractors;
Geotechnical Engineering Services
Feb. 2007
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d. Failure by Engineer or its subcontractors to properly execute the
work;
e. Defective work or materials; and/or
f. Striking, cutting, impaling or tearing any cables, utility lines, pipes
and other matter located beneath the surface due to the negligence or
wrongful acts of Engineer.
Engineer shall likewise indemnify, and hold harmless, City for any and all injury
or damage to City property arising out of, or in connection with, any and all acts
or omissions of Engineer, its officers, agents, employees or subcontractors.
ARTICLE VI
INSURANCE
Section 1. Engineer shall not commence work under this Agreement until it
has obtained all insurance required under this Article VI and the City has
approved such insurance, nor shall Engineer allow any subcontractor to
commence work on its subcontract until all similar insurance of the subcontractor
has been so obtained and approval given by the City; provided, however,
Consultant may elect to add any subconsultant as an additional insured under its
liability policies.
Commercial General Liability
$5,000,000 each occurrence
$5,000,000 aggregate
Automobile Liability
$1,000,000 each accident (or reasonably equivalent
limits of coverage if written on a split limits basis).
Coverage shall be on any vehicle used in the course
of the PROJECT.
Worker's Compensation
Coverage A: statutory limits
Coverage B: $100,000 each accident
$500,000 disease - policy limit
$100,000 disease - each employee
Professional Liability
$1,000,000 each claim/annual aggregate
Section 2. Additional Insurance Requirements
a. Except for employer's liability insurance coverage under Engineer's
worker's compensation insurance policy and professional liability
Geotechnical Engineering Services
Feb. 2007
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insurance, the City, its officers, employees and servants shali be
endorsed as an additional insured on Engineer's insurance policies.
b. Certificates of insurance shall be delivered to the Transportation and
Public Works Department, ATTN: Architectural Services, 1000
Throckmorton Street, Fort Worth, TX 76102, prior to commencement of
work.
c. Any failure on part of the City to request required insurance
documentation shall not constitute a waiver of the insurance
requirements specified herein.
d. Each insurance policy shall be endorsed to provide the City a minimum
thirty days notice of cancellation, non-renewal, and/or material change in
policy terms or coverage. A ten days notice shall be acceptable in the
event of non-payment of premium.
e. Insurers must be authorized to do business in the State of Texas and
have a current A.M. Best rating of A: VII or equivalent measure of
financial strength and solvency.
f. Deductible limits, or self-funded retention limits, on each policy must
not exceed $10,000.00 per occurrence unless otherwise approved by
the City.
g. Other than worker's compensation insurance, in lieu of traditional
insurance, City may consider alternative coverage or risk treatment
measures through insurance pools or risk retention groups. The City
must approve in writing any alternative coverage.
h. Workers' compensation insurance policy(s) covering employees
employed on the project shall be endorsed with a waiver of
subrogation providing rights of recovery in favor of the City.
i. City shall not be responsible for the direct payment of insurance
premium costs for Engineer's insurance.
j. Engineer's insurance policies shall each be endorsed to provide that
such insurance is primary protection and any self-funded or
commercial coverage maintained by City shall not be called upon to
contribute to loss recovery.
k. In the course of the Agreement, Engineer shall report, in a timely
manner, to City's officially designated contract administrator any known
loss occurrence which could give rise to a liability claim or lawsuit or
which could result in a property loss.
Geotechnical Engineering Services
Feb. 2007
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Engineer's liability shall not be limited to the specified amounts of
insurance required herein.
m. Upon the request of City, Engineer shall provide complete copies of all
insurance policies required by this Agreement.
ARTICLE VII
TRANSFER OR ASSIGNMENT
City and Engineer each bind themselves, and their respective successor and
assigns, to this Agreement. Engineer, its successors and assigns, shall not
assign, sublet or transfer any interest in this Agreement without prior written
consent of the City.
ARTICLE VIII
TERMINATION OF CONTRACT
Section 1. City may terminate this Agreement at any time, for any cause, by
notice in writing to Engineer. Upon receipt of such notice, Engineer shall
immediately discontinue all services and work hereunder and the placing of all
orders or the entering into contracts for supplies, assistance, facilities, and
materials, in connection with the performance of this Agreement and shall
proceed to cancel promptly all existing contracts insofar as they are chargeable
to this Agreement.
Section 2. If City chooses to terminate this Agreement under Article VIII,
Section 1, upon receipt of notice of termination, Engineer shall discontinue
services rendered up to the date of such termination based upon calculations in
Article II, Section 2 and the attached incorporated Schedule of Fees and
Services (Exhibit "A").
Section 3. All reports, whether partial or complete, prepared under this
Agreement, including the original drawings, whether furnished by the City, its
officers, agents, employees, consultants, engineers, or contractors, or prepared
by Engineer, shall be or become the property of the City, and shall be furnished
to the City prior to or at the time such services are completed, or upon
termination or expiration of this Agreement.
ARTICLE IX
RIGHT TO AUDIT
(a) Engineer agrees that the City shall, until the expiration of three (3) years after
final payment under this Agreement, have access to and the right to examine
any directly pertinent books, documents, papers and records of Engineer
involving transactions relating to this Agreement. Engineer agrees that the
Geotechnical Engineering Services
Feb. 2007
Page 6 of 8
City shall have access during normal working hours to all necessary facilities
and shall be provided adequate and appropriate workspace in order to
conduct audits. City shall give Engineer reasonable advance notice of
intended audits.
(b) Engineer further agrees to include in all its subcontracts hereunder, a
provision to the effect that the subcontracting consultant agrees that the City
shall, until the expiration of three (3) years after final payment under the
subcontract, have access to and the right to examine any directly pertinent
books, documents, papers and records of such subconsultant, involving
transactions to the subcontract, and further, that City shall have access during
normal working hours to all subconsultant facilities, and shall be provided
adequate and appropriate work space in order to conduct audits in
compliance with the provisions of this Article IX. City shall give Engineer and
any subconsultant reasonable advance notice of intended audit.
(c) Engineer and subconsultants agree to photocopy such documents as may be
requested by the City. The City agrees to reimburse Engineer for the cost of
copies at the rate published in the Texas Administrative Code in effect as of the
time copying is perFormed.
ARTICLE X
MINORITY AND WOMAN BISUNESS ENTERPRISE
(M/WBE) PARTICIPATION
In accordance with City Ordinance No. 15530, the City has goals for the
participation of minority business enterprises and woman business enterprises
("M/WBE") in City contracts.
ARTICLE XI
OBSERVE AND COMPLY
Engineer shall at all times observe and comply with all federal and State laws and
regulations and with all City ordinances and regulations which in any way affect this
Agreement and the work hereunder, and shall observe and comply with all orders,
laws ordinances and regulations which may exist or may be enacted later by
governing bodies having jurisdiction or authority for such enactment. No plea of
misunderstanding or ignorance thereof shall be considered. Engineer agrees to
defend, indemnify and hold harmless City and all of its officers, agents and
employees from and against all claims or liability arising out of the violation of any
such order, law, ordinance, or regulation, whether it be by itself or its employees.
ARTICLE XIII
GOVERNING LAW, VENUE & JURISDICTION
If any action, whether real or asserted, at law or in equity, arises on the basis of
any provision of this Agreement, venue for such action shall lie in state courts
Geotechnical Engineering Services
Feb. 2007
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located in Tarrant County, Texas or the United States District Court for the
Northern District of Texas — Fort Worth Division. This Agreement shall be
construed in accordance with the laws of the State of Texas.
IN WITNESS THEREOF, the parties hereto have made and executed this
Agreement in multiple originals the day and year first above written, in Fort
Worth, Tarrant County, Texas.
MAS-TEK EN
By: �
St ason
Presi ent
ASSOC.INC. APPROb ` ��
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_ By. �;
arc Ott �
Assistant City Manager
APPROVAL RECOMMENDED:
sy: /�-%�-
;,,�;� Robert Goode, PE, Director
Transportation & Public Works Dept.
APPRO�
By: ,
my J.
Assista
TO FO
Attorney
Geotechnical Engineering Services
Feb. 2007
Page 8 of 8
GALITY
RECORDED: ,
By: �
Marty Hendrix
City Secretary
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Date: �� K - ! , �.� �
Contract Authorization:
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ATTACHMEI�lT A
FEE SCHEDULE
For Construction Material Testing and Geotechnical Borings
Concrete
Compression Test Cylinders (Min. 4 per set), each
Air Content/Slump/Temperature/Next Day Cylinder Pick up, hour
Flexural Beams, each
Coring (4" DIA to 6" depth 4ltrip)
2" Coring for depth isolation to 6" each additional inch
Thickness Measurement, each
Patching of Core Holes, each
Coring Technician Time, hour
Flexural Test of Beams, each
Compression Test Cylinders, each
Sawing and/or Capping Cores & Cylinders, each
Compression Test of Cores, each
Compression Test Specimen fIold
Mix Design Review, each
Mix Design Formulation w/Aggregrate Tests Include Specific Gravity/Sieve
Analysis/Unit WT-200, each
Additional Mix Design Utilizing Above Mix Analysis, each
Mix Design Formulation Revision, each
Engineering Tech (NICET) for Quality Assurance Monitoring of Onsite Work,
hour
Pre-pour Reinforcing Steel Placement Inspection, hour
Sampling for Inlab Test, hour
Equipment Charge
Minimum Vehicle Charge
Batching Mix Design in Preparation for Making Lab Confirmation Cylinders
or Beams, hour
Batch Plant Observation Supporting Concrete Placement, hour
Concrete Flatness, Sq. Ft.
Certified Welding Inspector, hour
Field Gradation Equipment, test
Slump Test, each
�** Includes Cost of Technician Time Coring and Patching Core Holes
Page 1 of 5
$15.00
$35.00
$25.00
�`�`*$56.00
per add inch $6.00
$40.00
$8.00
$6.00
$35.00
$25.00
�ss.00
$100.00
$550.00
$200.00
$200.00
$45.00
$35.00
$40.00
N/C
$25.00
$35.00
$45.00
per sq. ft. $0.02
min. $500.00
$55.00
N/C
$15.00
(Min 3 hours)
(Min 4 per trip)
(Min 4 per trip)
Ai�'ACHP4€NY A
FEESCHEDULE
For Construction Material Testing and Geotechnical Borings
HMAC
Density Nuclear Method, each
Core Inplace Density, each
Coring HMAC Technician Time, hour
Core Depth Measurement, core
Patching Core Holes, each
Min Vehicle Charge
4" DIA./6" Depth, core
Each Additional Inch, Inch
Rolling Pattern Nuc(ear Gauge, hour
Nuclear Moisture Density Gauge, day
Extraction and Gradation, each
Lab Density, each
Stability Test, each
Maximum Specific Gravity, each
Disposal Fee
Batch Plant �Iot Bin Analysis, each
Material Sampling For In Lab Tests, hour
** Technician Time, Trip and Gauge Charge Included
*** Includes Gauge Charge
Page 2 of 5
** $45.00 (3 Min)
$32.00
$56.00 (Min 4/trip)
$40.00
$6.00
**� $�15.00
$80.00
$170.00
$40.00
$160.00
$75.00
N/C
$55.00
$40.00
Al'T�►C H f+� E PJ'i �►
FEE SCHEDULE
For Construction Material Testing and Geotechnical Borings
Professional
Chief EngineerlScientist, hour
Senior Technician, hour
Senior Project Engineer/Professional Engineer, hour
Project Engineer/Scientist/Geologist, hour
Graduate Engineer/Project Manager, hour
Staff Scientist/Geologist/Engineer, hour
Project Inspector, hour
Clerical, hour
Drafter, hour
Engineering Technician, hour
Engineering and Report Review, hour
Page 3 of 5
$140.00
$45.00
$125.00
$100.00
$85.00
$85.00
$45.00
$30.00
$35.00
$42.00
$100.00
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FEE SCHEDULE
For Construction Material Testing and Geotechnical Borings
Geotechnical
Undisturbed Soil Sample, each
Visual Classification, each
Classification ASTM D-2487, each
Sample Extrusion, each
Sample Preparation, each
Atterburg Limits RAW PI, each
Soil w/Additive, each
Bar Lineal Shrinkage, each
Moisture Density Relationship (Proctor)
Standard (ASTM D-698), each
Moisture Density Relationship (Proctor)
Modified (ASTM D-1517), each
THD 113E, each
Unit VVeight, each
Unit Weight (Dry Rodded), each
-200 Sieve Analysis, each
Laboratory Moisture Content, each
Sieve Analysis (Fine Aggregate), each
Sieve Analysis (Large Aggregate), each
Sieve Analysis (Finer than 200 Sieve), each
Lime or Cement Series Determination (5 points), each
Optimum Lime Content, each
pH Series (6 points), each
Specific Gravity, each
Absorption, each
Los Angeles Abrasion (Large Aggregate), each
Los Angeles Abrasion (Small Aggregate), each
Texas Wet Ball Mill, each
Gradation (Lime or Cement Stabilized), each
Litned Soil Depth Measurement, each
In Place Moisture Density (Nuclear Method), each
In Place Moisture Density (Nuclear Method Technician), hour
In Place Moisture Density (Nuclear Method Gauge Charge) each
Grain Size Analysis (Mechanical and Hydrometer), each
Unconfined Compression Test Including Moisture, each
Unconfined Compression Test Soil, each
Unconfined Compression Test Rock, each
Confined Compression i est (UU), each
Triaxial Test Unconsolidated Undrained, speci
Triaxial Test Multiple Stage, stage
Triaxial Consolidated Undrained w/Pore Pressure Measurement, speci
Triaxial Consolidated Drained Multiple Stage, stage
Triaxial Consolidated Drained Single Stage, stage
Triaxial Consolidated Drained Three Stage, stage
Consolidated Test, each
Direct Shear Consolidated Drained Sand & Grave(, point
Direct Shear Consolidated Drained Silt & Clay, point
Direct Shear Consolidated Undrained Sand & Gravel, point
Direct Shear Consolidated Undrained Si[t & Clay, point
Page 4 of 5
$11.00
$10.00
$105.00
N/A
$10.00
$45.00
$50.00
$16.00
$145.00
$175.00
$180.00
$20.00
$20.00
$30.00
$8.00
$60.00
$60.00
$35.00
$255.00
$200.00
$210.00
$45.00
$25.00
$235.00
$215.00
$175.00
$30.00
***$30.00
$30.00
$150.00
$30.00
$27.00
$35.00
$100.00
$85.00
$300.00
$650.00
$650.00
$300.00
$780.00
$350.00
$200.00
$350.00
$175.00
$200.00
(per ft.)
(3 Min Tech Time &
Trip Included)
(3 Min Tech Time &
Trip lncluded)
(3 Min Tech Time,
Trip & Gauge Charge
Included. Max 90
minutes for 3 density
tests.)
ATTACHMEN'T e�
FEE SCHEDULE
For Construction Material Testing and Geotechnical Borings
California Bearing Ratio, each
THD Triaxial, each
Percent Swell, each
Permeability Test Falling Head, each
Permeability Test Triaxial, each
Permeability Test Flex Wall, each
Permeability Test Fixed Wall, each
Permeability Test Clay Soils, each
Permeability Test Granular Soils, each
Permeability Test Pressure Head w/Beck Pressure Saturation, each
Electrical Resistivity, THD A7ethod, each
Truck Mounted Mobilization, mile and trip
Buggy/Ave Mounted, mile and trip
Per Diem Per Man, day
Intermittent Soil Sampling w/Truck @ 5' Intervals 0-25' Depth, foot
Intermittent Soil Sampling w/Truck @ S Intervals 25-50' Depth, foot
Intermittent Soil Sampling w/Truck @ 5' Intervals 50-100' Depth, foot
Continuous Soil Sampling w/Truck 0-10' Depth, foot
Intermittent Soil Sampling w/ATV @ 5' Intervals 0-25' Depth, foot
Intermittent Soil Sampling w/ATV @ 5' Intervals 25-50' Depth, foot
Intermittent Soil Samp(ing w/ATV @ S Intervals 50-100' Depth, foot
Continuous Soil Sampling w/ATV 0-10' Depth, foot
Continuous Soil Sampling w/ATV 10-50' Depth, foot
Auger Drilling Without Sample, foot
Rock Coring w/NX Size, Core Barrel 0-25' Depth Carbide Bit, foot
Rock Coring w/NX Size, Core Barre125-50' Depth Carbide Bit, foot
Rock Coring wMX Size, Core Barrel 50-75' Depth Carbide Bit, foot
Rock Coring w/NX Size, Core Barrel 75-100' Depth Carbide Bit, foot
Rock Coring w/NX Size, Core Barrel 50-75' Depth Diamond Bit, foot
CME 5' Continuous Sampler 0-50' Depth, run
Stand By or Access Time, hour
Drilling w/Auger Rig, hour
Minimum Drill Fee
Post Injection Subgrade Evaluation Per Boring Including Moisture and Free
Swell Determination
Minimum Post Injection Charge
Field Time Engineer, hour
A minimum vehicle charge of $25.00
*Does not include technician time
**'� Shall be performed after compacting and final grading of stabilized soil
Page 5 of 5
$250.00
$800.00
$80.00
$200.00
$300.00
$300.00
$200.00
$290.00
$250.00
$350.00
$100.00
Mile - $3.25
Trip - $250.00
Mile - $5.00
Trip - $350.00
$85.00
$11,00
$12.00
$15.00
$15.00
$12.00
$13.00
$15.00
$14.00
$18.00
$8.00
$18.00
$20.00
$21.00
$25.00
$27.00
$15.�� Per PT
$120.00
$150.00
$600.00
$500.00
$900.00
$100.00
ACOROh CERTIFICATE OF LIABILITY INSURANCE' °a`e`'""''°d''",
_ 2���2007
Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
Advanced Risk Solutions THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
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Overland Park KS 66213 INSURERS AFFORDING COVERAGE
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INSURER
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Insured INSURER
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INSURER
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Brooklyn Center MN 55430 INSURER
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COVERAGES '
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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
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POLICY POLICY
INSR EFFECTIVE EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER MM/DD�Y MM/DD/YY LIMITS
GENERAL LIABILITY EACH oCCURRENCE 5
COMMERCIAL GENERAL LIAB FIRE DAMAGE (Any one fire) $
CLAIMS MADE �OCCUR MED EXP (An one erson) S
PERSONAL & ADV INJURY $
GENERALAGGREGATE $
GEN'L AGG LIMIT APPLIES PER
PRODUCTS-COMPlOP AGG $
POLICY PROJECT LOC g
AUTOMOBILE LIABILITY
ANY AUTO � � COMBI�ED SINGLE LIMIT S -
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) S
HIRED AUTOS BODILY INJURY
NON-OWNE� AUTOS (Per accident) b
PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S
ANY AUTO OTHER THAN EA ACC S
AUTO ONLY: AGG S
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR � CLAIMS MADE AGGREGATE $
5
DEDUCTIBLE g
RETENTION S g
WORKERS' COMPENSATION & SrATUTORY LIMIT THE
EMPLOYERS' LIABILITY EL EACH ACCIDENT S 'I OOO OOO
A 283652 12/31 /2006 12/31 /2007 EL DISEASE - EA EMPLOYEE S � QQQ QQQ
EL DISEASE - POLICY LIMIT $ � OOO OOO
DESCRIPTION OF OPERATIONS LOCATIONS EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT SPECIAI PROVISIONS
THIS CERTIFICATE CONFERS NO ADDITIONAL INSURED RIGHTS UPON THE CERTIFICATE HOLDER.
MAS-TEK ENGINEERING & ASSOCS. is provided Workers Compensation coverage for employees leased from
Payroll Plus Corporation.
CERTIFICi4TE HOLDER ':: CANCELLATlON
A01420 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
c�ty of Fort wortn, Texas EXPIRA� ION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Transportation and Public Works Department 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION
OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE-
SENTATIVES. ' 10 Days for Non-Payment of Premium
AUTHORIZED � � - - �
REPRESENTATIVE � . �
,�.�� � . ,��
Robert M Gagne
ACORD 25-5 (7/97) � Q ACORD. CORPORATION 1988 ;::
FEB 12 '07 88�04 FR NRTIONWIDE-COLLt�`1 RGY72 387 2568 TO 97270973B5 P.a2i��
vv. � �wv�o
THE PQ�ICIES OF INSIlRArvCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE� NAMED ABOVE FOR THE POLICY PERIOD INDICA7ED. N071N�THSTANDING
ANY REQUIRFMENT. TERM pR CqN01TfON OF ANY CONTRACT OR O7HER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE I$SUED OR
MAY PER7AIN, THE INSURANCE AFFORDED BY THE PQ��CI�S DESCRIBEO HEREIN IS SU8JEC7 Tb AU THE TERMS, EXCLUSIONS AND CON01710NS OF SUCH
PpLIC1E�. AGGREGAiE LIMITS SHOWN MAV HAVE BEEN REOUCED BY PAIO CIAIMS.
v R p �i V EFFEGTI{�E POLtCYEXPIRA N
.rR Nsan 7Yp IN URAN E PQUCY NUMBER D 7 MM1pD/YY �ATE MMrDONV UMiYS
GENERAL �IAB�LI'fY EACH OCC�JRREivCE 5 ], Qa0 �
}� COMMERCIAlGFNERq►LIA61l1TY DREMISES E� accuran� , S 3OO (
CLAIMSMADE � accuR ME�EXP(Myonepersen> s 1 000 �
A ACP 5502341022 ` 10/11/06 10/il/07 PERSONALBADVltv�URY s 2 040 (
I GENERqL AGGREGATE 5 2 OOO i
GEN'L AGGREGATE LIMIT APPUES PEfj; PRODUCTS • COMP/OPAGG S
- ��cy n .`�RO �� �oc i
A
ANVAUTO
ALL OW?lE0 AUTOS
SCHEDIriED AUTOS
HIRED AUTQS
NON•OWNEDAUTOS
GARAGE t W BiI,ITY
� ANYAUTo
ACP 5502341022
IEXCESS/UMBRELLA L�AB�Urv
� X OCGUR � CIA�MSMADE
ACP 5502341022
; A oEoueT�s�e
RErEN710N s
i WORKERSGOMPEN3ATIONANO
�I EMPtOYER$' IWBIL17Y
� ANY DqOPqiETDILPAiiTNERJEXEGU7IVE
O�FICCWFIEM9ER El(ClUO[D7
City of Fort FPorth, �exas
Transportation and Public Works
Department
ACORD25 (2001/08)
(CAa�aE�OSINGLELIMIT � S Z � b�� � ���
BODILYIN,7URY S
(Perperson)
10�11�OE 1OI11/ O% sQO�IyINJURY
(ae�ecaaem) s
PROpERTY OAMAGE S
(Pc�xcd@nt)
AUTOONLY-EAACCIDENT S
OTHERTHAN EAACC S
AUTOONLY; AGG S
EACH OCCURRENCE � 5 $. O�Q _ ��0
10/11/06 � 10/1�./0� �_ �s
E�I.EACHACGIDEN7 � S
E,L. DISEASE - EA EMPLOYE S
E.L. DISEASE. POL�CY �iMiT S
SNOULO/WY OF 7HE A80VE DESCRIBE� POI�CIES BE CANCEILED BEfORE THE EXPKtpTlpN
DATE THEREOF. THE ISSUING INSURF.R WILL ENDEAVOR TO IAAi�3O OnvS WR�7TEN
NOTCE TO 7HE CERTIFICATE HOIDER NAMED 70 THE I�FT. 6U7 Kqi�URE TO QO SO SMALL
��POSE Np OBL�GA710N OR L�ABIIITV OF ANV �CirvU UPON THE iNSURER, ITS AGENTS OR
OACORD CORPORATION 198a
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