HomeMy WebLinkAboutContract 61689-PM1CSC No. 61689-PM1
qRT WORT
PROJECT MANUAL
FOR
THE CONSTRUCTION OF
NOR THSTAR OFFSITE SEWER
IPRC Record No. IPRC22-0250
City Project No.104385
FID No. 30114-0200431-104385 EO7685
File No. N/A
X File No. 27661
Mattie Parker
Mayor
Christopher P. Harder, P.E.
Director, Water Department
David Cooke
City Manager
Northstar Ranch Municipal Utility Districts No. 1
The City of Fort Worth
2024
Burgess & Niple
3950 Fossil Creek Blvd. Ste #210
Fort Worth, TX 76137
(817) 306-1444
TBPELS Firm Registration # F-10834
O F TE -
�G�P � '•j
JEFFREY OWINGS, 9
�141945
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
000010
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 1 of 6
SECTION 00 00 10
TABLE OF CONTENTS
DEVELOPER AWARDED PROJECTS
Division 00 - General Conditions
Last Revised
0011 13
Invitation to Bidders
03/20/2020
0021 13
Instructions to Bidders
03/20/2020
00 41 00
Bid Form
04/02/2014
00 42 43
Proposal Form Unit Price
05/22/2019
0043 13
Bid Bond
04/02/2014
0045 11
Bidders Prequalification's
04/02/2014
0045 12
nno0
Prequalification Statement
e,. fiea4ie A
09/01/2015
in n
4 5 13
00 45 26
Bid Pfe,,t+a1 pplieatien
Contractor Compliance with Workers' Compensation Law
03
04/02/2014
nQi
00 4540
00 52 43
Minerity Business Enterprise Goal
Agreement
a
06/16/2016
00 61 25
Certificate of Insurance
07/01/2011
00 62 13
Performance Bond
01/31/2012
00 62 14
Payment Bond
01/31/2012
00 62 19
Maintenance Bond
01/31/2012
00 72 00
General Conditions
11/15/2017
00 73 00
Supplementary Conditions
07/01/2011
0073 10
Standard City Conditions of the Construction Contract for Developer
01/10/2013
Awarded Projects
Division 01- General Requirements
Last Revised
01 1100
Summary of Work
12/20/2012
01 25 00
Substitution Procedures
08/30/2013
01 31 19
Preconstruction Meeting
08/30/2013
�
013120
PYO_�Ot Meetings
mini /20i i
�n
01 32 16
Construction Progress Schedule
07/01/2011
01 32 33
Preconstruction Video
08/30/2013
01 33 00
Submittals
08/30/2013
01 35 13
Special Project Procedures
08/30/2013
01 45 23
Testing and Inspection Services
03/20/2020
01 50 00
Temporary Facilities and Controls
07/01/2011
01 5526
Street Use Permit and Modifications to Traffic Control
07/01/2011
0157 13
Storm Water Pollution Prevention Plan
07/01/2011
0158 13
Temporary Project Signage
04/07/2014
01 60 00
Product Requirements
03/20/2020
01 66 00
Product Storage and Handling Requirements
04/07/2014
01 70 00
Mobilization and Remobilization
04/07/2014
01 71 23
Construction Staking
04/07/2014
01 74 23
Cleaning
04/07/2014
0177 19
Closeout Requirements
04/07/2014
01 78 23
Operation and Maintenance Data
04/07/2014
01 78 39
Project Record Documents
04/07/2014
CITY OF FORT WORTH NORTHSTAR OFFS= SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CPN 104385
Revised March 20, 2020
000010
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 2 of 6
Technical Specifications which have been modified by the Engineer specifically for this
Project; hard copies are included in the Project's Contract Documents
NONE
CITY OF FORT WORTH NORTHSTAR OFFS= SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CPN 104385
Revised March 20, 2020
000010
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 3 of 6
Technical Specifications listed below are included for this Project by reference and can be
viewed/downloaded from the City's website at:
htti)s:Hai)vs.fortworthtexas.2ov/ProiectResources/
Division 02 - Existing Conditions Last Revised
02 41 13 Seleetive Site Demolition 034 b/202-2
02 41 14 Utility Remeval4k-ba-ndenme QQ01,20i-2
0241 15 Paving Removal 02/02/2016
Division 03 - Concrete
033000 Gast In Plaou Goner-ete 0341/2
03 34 13 Controlled Low Str-eagth Mmer-ial (CLSM) 12�20/2012
03 34 16 Conerets UoNl Ma4er-ia4 for- T-r-ench Repai Q,1201120Q
03 8000 Modifieations to Existing Goner-ete Stfuettir-es 12,90QO�2
Division 26 - Electrical
260500 Common Alor-k Results far- Eleetfieal 034 1,120
2605 10 Demolition for Eleetfieal Systems 12420,1201-2
260533 Raeeways and BEwes for- al F/;4em-s 12420,12012
260543 Under-gr-eua &2/a �. Raaeways4or Vzjcs*oW. Ff;4effts 07M,120i i
260550 CGrrfmurtiMions Multi Duet Conduit 02,96/2
Division 31 - Earthwork
310000 Site Clearing 03/22/2021
3123 16 U-nelassified E*ea-vatieff OW8,12W3
31 2323 Beffe OIQW2013
3124 00 EWbfff1kffief4-S 01429/2013
312500 Erosion and Sediment Control 04/29/2021
313600 Gabiens 12Q0,Q012
3i 37 00 RipFap 12Q0,Q012
Division 32 - Exterior Improvements
3201 17 1-1,.v .. F, llep=-- 12/20/2012
3201 18 -T-cm-por Asipha4 P"ittg Repair 12/20/2012
320129 Goner-ete Paving Repai QQOA2012
32 1123 Flexible -Base Coufses 12�20/201 1
32 1129 L-.nw Tr--&ted4Kv,—Geufses 12�20/2012
32 11 33 Gemont Tivatted Base Gouf 0640A2022
32 11 37 Liquid T-feated Soil Stab 08Q !A201-5
32 12 16 Asphalt PaA,iPg- 12/20/2012
32 1273 Asphalt P"iftg-Ckaz& Ovalaffts 12/20/2012
32 13 13 Gonefete P * 06/10/2022
32 1320 Gonefete Sidewa&s, Driveways and Baffier- Fr-ec Ran,,V3 !X09A2022
32 1373 Goner-ete Paving joint Sealants !XNA201-2
32 14 16 Bf kok- Unit 12QO/2012
32 16 13 Gonefete C=ufb a -ad Gtiftefs and Valley Gt#ter-s 12/09/2022
32 1723 Pavement MaFkings 06/10/202"
CITY OF FORT WORTH NORTHSTAR OFFS= SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CPN 104385
Revised March 20, 2020
000010
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 4 of 6
Z7�5
�+7,��C",�d'�00 11 04 2013
Livntisg �n
323126 Wire Ee ees and Gates 1 2 i�012
32 P. 29 Wood Fences and Gates 11 i 2
3291 19 TI PlY.t ay.d rIYLi.hIY.g o Raad•9v4y r iglit 0 f- W ays 03/11/2022
3292 13 05/13/2021
27� Are.. Nat;i,e Seeding ncn�2
3293-43 Tree-3 and Vhwbs 1'4��2
Division 33 - Utilities
33 01 30
Sewer and Manhole Testing
09/07/2018
33 01 31
Closed Circuit Television (CCTV) Inspection — Sanitary Sewer
03/11/2022
330132
Closed Gir-euit Telex (CCTV) laspeetion SS c-S4 Drain
03 �,�z
33 03-10
Z2�0
2 2�
Byrtir, DIaNF/ng •,f'Existing Sewer- Syste
Teif 4 Beading and Eleetr-ie 1 lseWies.
Cef !' t Test Stations
1220,9012
12/20/2012
1 7 /reQO/20Q
22�=
22�0
fesio o of
AiT.,g esitff, Anode Cathodic D,-eteetio,,. Systeffl
Gle.,n;ng and A eeept.,nee Testing ..f Water- Mains
17/7 z
02103
33 04 50
3305 10
3305
3305 13
Ct e ring of Pipes
Utility Trench Excavation, Embedment, and Backfill
E,..,me Cove,- and Grade n;r,.s
inlets, Valve Other- Straetufes to
03 n�i
04/02/2021
1 71 /7zz�90,12012
nnin i
33 05 1 n
--v�--rT
11 (116
3305 17
2�0Auger-1
> > a -ad
GM^de
CCtec„tGte�,-eteWater- Vaults
Concrete Collars
0311 1 i2m2
�r vzz
179z
03/11/2022
71
3
3�-A��
T T
unr�a.1 .�xre
20/2012
17/7z
33 05 22
Steel Casing Pipe
12/20/2012
171 /7z
33 05 23
22�4
22�o
22�0
Hand Ttmaeliag
of C.,f f e,- Pipe i Gasi g o,- Tunnel Liner- e.- Plate
U44i <, T afke,-s/T ee.,tef-
T
Existi....
�rz0/2012
1 2/n z
12QO,Q
33 11 05
T✓-rr-v�
33 11 10
eeatieft of U44i-;ems
Belts 1T„ s .,,�,d Gaskets
, ,
Ductile Iron Pipe
12QO,QOz
!2Q0,�n14
rrr=-vrrvzz
12/09/2022
33 11 11
Ductile Iron Fittings
09/20/2017
33 11 12
Polyvinyl Chloride (PVC) Pressure Pipe
09/09/2022
33 ...2
CaEieteDreSSufePipe, v£f'3ALF edrSteel Cylinder-
12QO,Qn12
33 1 1 11
22�no
T2uf ed Steel -Pipe and F- 4t;n..s
Ax7.,te,- Sefy ees 1 ineh to 2 i eh
12/20/2012
02/1�T
33 1220
Resilient Seated Gate Valve
AxWA A7
05/06/2015
33 1221
33 1225
Rubbef: Seated BtAte,zy
Cofmeetionrto E7160 ing 1V'4eFAUi*S
0423,Q019
mine
33 1230
22�no
Combination Air Valve Assemblies for Potable Water Systems
12/20/2012
n1 in
3�- 1250
�EI;�r�
y`wi k-' EXWi J!1O Stab iS
4
1'f �'fr�r20,Q012
CITY OF FORT WORTH NORTHSTAR OFFS= SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS - DEVELOPER AWARDED PROJECTS CPN 104385
Revised March 20, 2020
000010
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 5 of 6
22�o
....,L7
St.,,�.1.,r Blow off Valve �5007''amNly
06/1 3
22 211 ,?
Ctir-e a i Ulaee Pipe (CIPP)
12�7�2012
P- P. 12
Dei fef:ee,] Pipe for- Gravity Samna,, Sewers
Fiber
12QO/2012
-glass
P- P. 15
High r,e„sit-y Polyethylene (14PPE) Pipe for Samna,. Sewer
nn i2�9
33 31 20
Polyvinyl Chloride (PVC) Gravity Sanitary Sewer Pipe
09/09/2022
Polyvinyl Chloride (PVC) Closed Profile C_-ayity C'a-nitai-y Sewer
Npe
?-P 22
SanitarySe c V.ip 1/in;ng
,01-2
P- P. 22
Sanitary Se ,- Npo F/ti1QIgame
1242rrr20,120 2
22�o
Saaitai=y Sewef Service Cenne,--&\-z-and een4ee Line e
0493
33 31 70
Combination Air Valve for Sanitary Sewer Force Mains
12/20/2012
3 3 39- IQ
Cact in Naze Concrete >,,rat+h .1 es
QQ0,12W2 I
33 39 20
22�o
Precast Concrete Manholes
Fiber -glass TiT.,,-holes
12/20/2012
12/2�02
22�0
33 39 60
Wastewater- n eeess Chamber- (Ia(n C)
Liners for Sanitary Sewer Structures
n ei fe -eea Cone -ete c,-,,..m
, 2 �2zz 2042012
04/29/2021
33 410
P- � 1 11
Sewer- PipeiC„lyefts
High Density Polyethylene (14PPE) Pipe f;,,- c�xvr, Dmin
Win�1
129z
22�2
Rein f ,-ee.7 Polyethylene ( RPE) P*a
l 1
, 1 11 5
22 3ypr-epQno
22�o
Pi for-
c„>�
0611 ni2m2
1 �,
22 4601
Slotted Sto:m Jmins
070 ,12n11n
33 4602
Tr-en--1 Dmirx)
0710z I
22�-490
CaM,4,4 Plose Manholes aa unet; n Boxes
129z
22�0
Gtffb and DPGxr, 11-al.c4S
n2n�i
22�no
Storm 14e.,,1.. ally .-ada-ad rxr,,,.....,ll
070 12n1 1
Division 34
2 A ^en1
- Transportation
Attaehmen4 A Coatr-eller- Gabine
n /'�� }..,�ll Spe���;
124 rW2015
021120Q
24 41 10.02
24 41 10.03
ntt&C�?iix�� L'Va[2Va�:r�7ctYiicuti8n
n cre
rrtt&Ellrii��-C�64ii@vpv-EifzciztiAa
Tempe,-., -y T -.,ff e Signals
Removing, Tra.� ff' Signals
01/201-2
1 11 1 /2 3
�
034 ,,i2022
�nv2 �
34 4 1 11
34 41 3
2/l�0
1 A&&effyb;es
��' Zlu�r�t�
QQ0�2n,2�
,
2 n n�oz
l L13,D Raadwr
064 5,Qn, c
24 412002
.
>~ -ee., ay r Ell ne.,dw ., r
�1.x.'Si�l'i�'�P
06/1��
2 n n�o3
t r r it
l�esi�lonaral �� P.�r�.�arn��Ies
n6/15/2015
own
34 41 30
2n�o
�'111,��inum
Cable
1142,L2013fi�i}s n
3471 13
Single Made Fibef Optie
Traffic Control
02i2 6
03/22/2021
CITY OF FORT WORTH NORTHSTAR OFFS= SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS - DEVELOPER AWARDED PROJECTS CPN 104385
Revised March 20, 2020
000010
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 6 of 6
Nonstandard Bid Item List
Division 99 - General Requirements Last Revised
99 99 01 Wager USA 2050-100 IP manual (Odor Control) 12/20/2012
99 99 02 Wager USA 2050 200 IP manual (Odor Control) 07/01/2011
99 99 03 Wager USA 3000 Manhole Scrubber (Odor Control) 08/17/2012
Appendix
CG4.01
Awilab lib,
GC4-02
Eubsuff ee and Physieal Conditions
FiE-4.✓I
TUndcgFoum
GG 4.0-E
IIa--ardeos 1✓f. if:em+ efAa Geed fie . 4 Site
A65,TD
minor-ity andWomen Owned Business ED e f. f:ise C,,.-..,plianee
n
G6.07
7
`ll
1�� c .7l t`m
G
GC-6.21
mltia*
GR-01 60 00 Product Requirements
END OF SECTION
CITY OF FORT WORTH NORTHSTAR OFFS= SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CPN 104385
Revised March 20, 2020
0011 13
INVITATION TO BIDDERS
Page 1 of 2
�1 D[yl I [130[Qlf f f R3
INVITATION TO BIDDERS
DEVELOPER AWARDED CONTRACTS
FOR PUBLICLY BID PROJECTS ONLY
RECEIPT OF BIDS
Sealed bids for the construction of NORTHSTAR OFFSITE SEWER LINE (CPN 104385)
will be received by the NORTHSTAR RANCH M.U.D. No. 1:
WELCH ENGINEERING, INC
1308 Norwood Drive, Suite 200
Bedford, Texas 76022
Bids will be accepted until 9:45 am, CT, Wednesday, August 30, 2023 and bids will be
publicly read aloud at 10:00 am, CT, Wednesday, August 30, 2023.
GENERAL DESCRIPTION OF WORK
The major work will consist of the (approximate) following:
The project is NORTHSTAR OFFSITE SEWER LINE, general summary of Project below:
The project consists of installing 10,865 LF of 12" sewer PVC force main and 2,760 LF of 21"
gravity PVC pipe by open cut. There will be approximately 957 LF of ductile iron 12" force main
pipe installed `By Other Than Open Cut". There are two gas access road crossings and access to
the gas pad sites must remain at all times. The gravity sewer main will have five 4-foot diameter
manholes lined with epoxy liner. The force main to gravity transition manhole shall be reinforced
and lined as shown per the detail on construction plans. Asphalt pavement replacement will be
required for 6,773 LF. Topsoil and block sod replacement will be required for 7,180 LF. Odor
control units are required for this project.
The Construction plans are approved by the city of Fort Worth, and prior to signing the
Contractual Documents, final Engineer's Bid Quantities and specifications will be provided to the
selected Contractor.
PREQUALIFICATION
The improvements included in this project must be performed by a contractor who is pre -
qualified by the City at the time of bid opening. The procedures for qualification and pre -
qualification are outlined in the Section 00 2113 — INSTRUCTIONS TO BIDDERS.
DOCUMENT EXAMINATION AND PROCUREMENTS
Copies of the Bidding and Contract Documents may be acquired by at: twelch(a,welcheng c�
A drop box will be emailed back to you. Contact Timothy Welch, P.E. at 817-253-3682, if
you have questions.
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CITY PROJ. NUM. 104385
Revised March 20, 2020
0011 13
INVITATION TO BIDDERS
Page 2 of 2
Each bid must be accompanied by a certified or cashier's check, from a responsible bank in the
State of Texas, or a bid bond, issued by a surety legally authorized to do business in the State of
Texas, equal to 5% of the total bid amount. Make the cashier's check, certified check or bid bond
payable to 170 NORTHSTAR RANCH DEVELOPER, INC. MUNICIPAL UTILITY
DISTRICT, (M.U.D.).
PREBID CONFERENCE
A prebid conference will not be held as described in Section 00 21 13 - INSTRUCTIONS TO
BIDDERS at the following location, date, and time:
DATE: N/A TIME: N/A
PLACE: N/A LOCATION: N/A
DEVELOPER/CITY'S RIGHT TO ACCEPT OR REJECT BIDS
Developer and City reserves the right to waive irregularities and to accept or reject bids.
Required forms to be submitted for Bid Opening- Section 00 41 00; Section 00 42 43,
Section 00 43 13 and Section 00 45 12 with 5% Bid Bond.
FUNDING
Any Contracts awarded under this INVITATION TO BIDDERS will be funded from revenues
generated from the Developers Completion or Escrow Fund and dedicated by the Developer's
Financial Institution for the Work under this INVITATION TO BIDDERS.
INQUIRIES
All inquiries relative to this procurement should be addressed to the following:
Attn: Timothy J. Welch, WELCH ENGINEERING, INC.
Email: twelch(a,welchen2.com
Phone: (817) 253-3682
AND/OR
Attn: Ram Tiwari, P.E., Senior Professional Engineer, CITY OF FORT WORTH
Email: ram.tiwari@fortworthtexas.gov
Phone: (817) 392-2237
ADVERTISEMENT DATES
Friday, August 18, 2023
Friday, August 25, 2023
END OF SECTION
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CITY PROJ. NUM. 104385
Revised March 20, 2020
0021 13
INSTRUCTIONS TO BIDDERS
SECTION 00 2113
INSTRUCTIONS TO BIDDERS
1. Defined Terms
Page 1 of 10
1.1. Capitalized terms used in these INSTRUCTIONS TO BIDDERS are defined in Section
00 72 00 - GENERAL CONDITIONS.
1.2. Certain additional terms used in these INSTRUCTIONS TO BIDDERS have the
meanings indicated below which are applicable to both the singular and plural thereof.
1.2.1. Bidder: Any person, firm, partnership, company, association, or corporation acting
directly through a duly authorized representative, submitting a bid for performing
the work contemplated under the Contract Documents.
1.2.2. Nonresident Bidder: Any person, firm, partnership, company, association, or
corporation acting directly through a duly authorized representative, submitting a
bid for performing the work contemplated under the Contract Documents whose
principal place of business is not in the State of Texas.
1.2.3. Successful Bidder: The lowest responsible and responsive Bidder to whom City
(on the basis of City's evaluation as hereinafter provided) makes an award.
2. Copies of Bidding Documents
2.1. Neither City nor Engineer shall assume any responsibility for errors or misinterpretations
resulting from the Bidders use of incomplete sets of Bidding Documents.
2.2. City and Engineer in making copies of Bidding Documents available do so only for the
purpose of obtaining Bids for the Work and do not authorize or confer a license or grant
for any other use.
3. Prequalification of Bidders (Prime Contractors and Subcontractors)
3.1. Bidders or their designated subcontractors are required to be prequalified for the work
types requiring prequalification as per Sections 00 45 11 BIDDERS
PREQUALIFICATIONS and 00 45 12 PREQUALIFICATION STATEMENT. Firms
seeking pre -qualification, must submit the documentation identified in Section 00 45 11
on Section 00 45 13 PREQUALIFICATION APPLICATION at least seven (7)
calendar days prior to Bid opening for review and, if qualified, acceptance. The
subcontractors listed by a Bidder on 00 45 12 must be prequalified for the appropriate
work types. Subcontractors must follow the same timelines as Bidders for obtaining
prequalification review. Bidders or Subcontractors who are not prequalified at the time
bids are opened and reviewed may cause the bid to be rejected.
Prequalification requirement work types and documentation are available by accessing all
required files through the City's website at:
httDs://aDDs.fortworthtexas. aov/Proi ectResources/
3.1.1. Paving — Requirements document located at:
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CITY PROJ. NUM. 104385
Revised/Updated November 2, 2021
0021 13
INSTRUCTIONS TO BIDDERS
Page 2 of 10
httDs: //aDDS. fortworthtexas. aov/Proi ectResources/ResourcesP/02%20-
%20Construction%2ODocuments/Contractor%2OPre(ivalification/TPW%2OPavina
%20Contractor%2OPrecivalification%2OProaram/PREOUALIFICATION%20REO
UIREMENTS%20FOR%20PAVING%2000NTRACTORS.Ddf
3.1.2. Roadway and Pedestrian Lighting — Requirements document located at:
httDs: //abbs. fortworthtexas. aov/Proi ectResources/ResourcesP/02%20-
%20Construction%2ODocuments/Contractor%2OPrecivalification/TPW%2ORoadwa
v%20and%2OPedestrian%2OLiahtina%2OPrequalification%2OProaram/STREET%
20LIGHT%20PRE0UAL%20RE0MNTS.pdf
3.1.3. Water and Sanitary Sewer — Requirements document located at:
httDs://aDDs.fortworthtexas. aov/Proi ectResources/ResourcesP/02%20-
%20Construction%2ODocuments/Contractor%2OPrecivalification/Water%2Oand%2
OSanitarv%2OSewer%2OContractor%2OPrecivalification%2OProa_ ram/WSS%20_nre
qual%20requirements. pdf
3.2. Each Bidder, unless currently prequalified, must submit to City at least seven (7)
calendar days prior to Bid opening, the documentation identified in Section 00 45 11,
BIDDERS PREQUALIFICATIONS.
3.2. 1. Submission of and/or questions related to prequalification should be addressed to
the City contact as provided in Paragraph 6.1.
3.3. The City reserves the right to require any pre -qualified contractor who is the apparent low
bidder for a project to submit such additional information as the City, in its sole
discretion may require, including but not limited to manpower and equipment records,
information about key personnel to be assigned to the project, and construction schedule
to assist the City in evaluating and assessing the ability of the apparent low bidder to
deliver a quality product and successfully complete projects for the amount bid within
the stipulated time frame. Based upon the City's assessment of the submitted
information, a recommendation regarding the award of a contract will be made to the
City Council. Failure to submit the additional information, if requested, may be grounds
for rejecting the apparent low bidder as non -responsive. Affected contractors will be
notified in writing of a recommendation to the City Council.
3.4. In addition to prequalification, additional requirements for qualification may be required
within various sections of the Contract Documents.
4. Examination of Bidding and Contract Documents, Other Related Data, and Site
4.1. Before submitting a Bid, each Bidder:
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CITY PROJ. NUM. 104385
Revised/Updated November 2, 2021
0021 13
INSTRUCTIONS TO BIDDERS
Page 3 of 10
4.1.1. Shall examine and carefully study the Contract Documents and other related data
identified in the Bidding Documents (including "technical data" referred to in
Paragraph 4.2. below). No information given by City or any representative of the
City other than that contained in the Contract Documents and officially
promulgated addenda thereto, shall be binding upon the City.
4.1.2. Should visit the site to become familiar with and satisfy Bidder as to the general,
local and site conditions that may affect cost, progress, performance or furnishing
of the Work.
4.1.3. Shall consider federal, state and local Laws and Regulations that may affect cost,
progress, performance or furnishing of the Work.
4.1.4. Shall study all: (i) reports of explorations and tests of subsurface conditions at or
contiguous to the Site and all drawings of physical conditions relating to existing
surface or subsurface structures at the Site (except Underground Facilities) that
have been identified in the Contract Documents as containing reliable "technical
data" and (ii) reports and drawings of Hazardous Environmental Conditions, if any,
at the Site that have been identified in the Contract Documents as containing
reliable "technical data."
4.1.5. Is advised that the Contract Documents on file with the City shall constitute all of
the information which the City will furnish. All additional information and data
which the City will supply after promulgation of the formal Contract Documents
shall be issued in the form of written addenda and shall become part of the Contract
Documents just as though such addenda were actually written into the original
Contract Documents. No information given by the City other than that contained in
the Contract Documents and officially promulgated addenda thereto, shall be
binding upon the City.
4.1.6. Should perform independent research, investigations, tests, borings, and such other
means as may be necessary to gain a complete knowledge of the conditions which
will be encountered during the construction of the project. For projects with
restricted access, upon request, City may provide each Bidder access to the site to
conduct such examinations, investigations, explorations, tests and studies as each
Bidder deems necessary for submission of a Bid. Bidder must fill all holes and
clean up and restore the site to its former conditions upon completion of such
explorations, investigations, tests and studies.
4.1.7. Shall determine the difficulties of the Work and all attending circumstances
affecting the cost of doing the Work, time required for its completion, and obtain all
information required to make a proposal. Bidders shall rely exclusively and solely
upon their own estimates, investigation, research, tests, explorations, and other data
which are necessary for full and complete information upon which the proposal is
to be based. It is understood that the submission of a proposal or bid is prima -facie
evidence that the Bidder has made the investigations, examinations and tests herein
required.
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CITY PROJ. NUM. 104385
Revised/Updated November 2, 2021
0021 13
INSTRUCTIONS TO BIDDERS
Page 4 of 10
4.1.8. Shall promptly notify City of all conflicts, errors, ambiguities or discrepancies in or
between the Contract Documents and such other related documents. The Contractor
shall not take advantage of any gross error or omission in the Contract Documents,
and the City shall be permitted to make such corrections or interpretations as may
be deemed necessary for fulfillment of the intent of the Contract Documents.
4.2. Reference is made to Section 00 73 00 — Supplementary Conditions for identification of:
4.2.1. those reports of explorations and tests of subsurface conditions at or contiguous to
the site which have been utilized by City in preparation of the Contract Documents.
The logs of Soil Borings, if any, on the plans are for general information only.
Neither the City nor the Engineer guarantee that the data shown is representative of
conditions which actually exist.
4.2.2. those drawings of physical conditions in or relating to existing surface and
subsurface structures (except Underground Facilities) which are at or contiguous to
the site that have been utilized by City in preparation of the Contract Documents.
4.2.3. copies of such reports and drawings will be made available by City to any Bidder
on request. Those reports and drawings may not be part of the Contract
Documents, but the "technical data" contained therein upon which Bidder is entitled
to rely as provided in Paragraph 4.02. of the General Conditions has been identified
and established in Paragraph SC 4.02 of the Supplementary Conditions. Bidder is
responsible for any interpretation or conclusion drawn from any "technical data" or
any other data, interpretations, opinions or information.
4.2.4. Standard insurance requirements, coverages and limits.
4.3. The submission of a Bid will constitute an incontrovertible representation by Bidder: (i)
that Bidder has complied with every requirement of this Paragraph 4, (ii) that without
exception the Bid is premised upon performing and furnishing the Work required by the
Contract Documents and applying the specific means, methods, techniques, sequences or
procedures of construction (if any) that may be shown or indicated or expressly required
by the Contract Documents, (iii) that Bidder has given City written notice of all
conflicts, errors, ambiguities and discrepancies in the Contract Documents and the
written resolutions thereof by City are acceptable to Bidder, and when said conflicts,
etc., have not been resolved through the interpretations by City as described in
Paragraph 6., and (iv) that the Contract Documents are generally sufficient to indicate
and convey understanding of all terms and conditions for performing and furnishing the
Work.
4.4. The provisions of this Paragraph 4, inclusive, do not apply to Asbestos, Polychlorinated
biphenyls (PCBs), Petroleum, Hazardous Waste or Radioactive Material covered by
Paragraph 4.06. of the General Conditions, unless specifically identified in the Contract
Documents.
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CITY PROJ. NUM. 104385
Revised/Updated November 2, 2021
0021 13
INSTRUCTIONS TO BIDDERS
Page 5 of 10
5. Availability of Lands for Work, Etc.
5.1. The lands upon which the Work is to be performed, rights -of -way and easements for
access thereto and other lands designated for use by Contractor in performing the Work
are identified in the Contract Documents. All additional lands and access thereto
required for temporary construction facilities, construction equipment or storage of
materials and equipment to be incorporated in the Work are to be obtained and paid for
by Contractor. Easements for permanent structures or permanent changes in existing
facilities are to be obtained and paid for by City unless otherwise provided in the
Contract Documents.
5.2.Outstanding right-of-way, easements, and/or permits to be acquired by the City are listed
in Paragraph SC 4.01 of the Supplementary Conditions. In the event the necessary right-
of-way, easements, and/or permits are not obtained, the City reserves the right to cancel
the award of contract at any time before the Bidder begins any construction work on the
project.
5.3. The Bidder shall be prepared to commence construction without all executed right-of-
way, easements, and/or permits, and shall submit a schedule to the City of how
construction will proceed in the other areas of the project that do not require permits
and/or easements.
6. Interpretations and Addenda
6.1. All questions about the meaning or intent of the Bidding Documents are to be directed to
City in writing on or before 2 p.m., the Monday prior to the Bid opening. Questions
received after this day may not be responded to. Interpretations or clarifications
considered necessary by City in response to such questions will be issued by Addenda
delivered to all parties recorded by City as having received the Bidding Documents.
Only questions answered by formal written Addenda will be binding. Oral and other
interpretations or clarifications will be without legal effect.
Address questions to:
Welch Engineering
1308 Norwood Drive, Suite 200
Bedford, TX 76022
Attn: Timothy J. Welch, WELCH ENGINEERING, INC.
Email: twelch@welcheng.com
Phone: 817-253-3682
6.2. Addenda may also be issued to modify the Bidding Documents as deemed advisable by
City.
Addenda or clarifications may be posted via the City's electronic document management and
collaboration system at httr)s://docs.b360.autodesk.com/shares/a268ec49-2f6c-4916-95dl-
78708d304128
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CITY PROJ. NUM. 104385
Revised/Updated November 2, 2021
0021 13
INSTRUCTIONS TO BIDDERS
Page 6 of 10
6.3. A prebid conference may be held at the time and place indicated in the Advertisement or
INVITATION TO BIDDERS. Representatives of City will be present to discuss the
Project. Bidders are encouraged to attend and participate in the conference. City will
transmit to all prospective Bidders of record such Addenda as City considers necessary
in response to questions arising at the conference. Oral statements may not be relied
upon and will not be binding or legally effective.
7. Bid Security
7.1. Each Bid must be accompanied by a Bid Bond made payable to City in an amount of five
(5) percent of Bidder's maximum Bid price, on the form attached or equivalent, issued
by a surety meeting the requirements of Paragraph 5.01 of the General Conditions.
7.2. The Bid Bonds provided by a Bidder will be retained until the conditions of the Notice of
Award have been satisfied. If the Successful Bidder fails to execute and return the
Contract Documents within 14 days after the Notice of Award conveying same, City
may consider Bidder to be in default, rescind the Notice of Award and act on the Bid
Bond. Such action shall be City's exclusive remedy in the event Bidder is deemed to
have defaulted.
8. Contract Times
The number of days within which, or the dates by which, Milestones are to be achieved in
accordance with the General Requirements and the Work is to be completed and ready for
Final Acceptance is set forth in the Agreement or incorporated therein by reference to the
attached Bid Form.
9. Liquidated Damages
Provisions for liquidated damages are set forth in the Agreement.
10. Substitute and "Or -Equal" Items
The Contract, if awarded, will be on the basis of materials and equipment described in the
Bidding Documents without consideration of possible substitute or "or -equal" items.
Whenever it is indicated or specified in the Bidding Documents that a "substitute" or "or -
equal" item of material or equipment may be furnished or used by Contractor if acceptable to
City, application for such acceptance will not be considered by City until after the Effective
Date of the Agreement. The procedure for submission of any such application by Contractor
and consideration by City is set forth in Paragraphs 6.05A., 6.05B. and 6.05C. of the General
Conditions and is supplemented in Section 0125 00 of the General Requirements.
11. Subcontractors, Suppliers and Others
11.1. In accordance with the City's Business Equity Ordinance No.25165-10-2021 the City
has goals for the participation of minority business and/or women business
enterprises in City contracts $100,000 or greater. See Section 00 45 40 for the
M/WBE Project Goals and additional requirements. Failure to comply shall render
the Bidder as non -responsive.
Business Equity Ordinance No.25165-10-2021, as amended (replacing Ordinance
No. 24534-11-2020), codified at:
httDs://codelibrarv.amle2al.com/codes/ftworth/latest/ftworth tx/0-0-0-22593
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CITY PROJ. NUM. 104385
Revised/Updated November 2, 2021
0021 13
INSTRUCTIONS TO BIDDERS
Page 7 of 10
11.2. No Contractor shall be required to employ any Subcontractor, Supplier, other person
or organization against whom Contractor or City has reasonable objection.
12. Bid Form
12.1. The Bid Form is included with the Bidding Documents; additional copies may be
obtained from the City.
12.2. All blanks on the Bid Form must be completed and the Bid Form signed in ink.
Erasures or alterations shall be initialed in ink by the person signing the Bid Form. A
Bid price shall be indicated for each Bid item, alternative, and unit price item listed
therein. In the case of optional alternatives, the words "No Bid," "No Change," or
"Not Applicable" may be entered. Bidder shall state the prices for which the Bidder
proposes to do the work contemplated or furnish materials required. All entries shall
be legible.
12.3. Bids by corporations shall be executed in the corporate name by the president or a
vice-president or other corporate officer accompanied by evidence of authority to
sign. The corporate seal shall be affixed. The corporate address and state of
incorporation shall be shown below the signature.
12.4. Bids by partnerships shall be executed in the partnership name and signed by a
partner, whose title must appear under the signature accompanied by evidence of
authority to sign. The official address of the partnership shall be shown below the
signature.
12.5. Bids by limited liability companies shall be executed in the name of the firm by a
member and accompanied by evidence of authority to sign. The state of formation of
the firm and the official address of the firm shall be shown.
12.6. Bids by individuals shall show the Bidder's name and official address.
12.7. Bids by joint ventures shall be executed by each joint venture in the manner indicated
on the Bid Form. The official address of the joint venture shall be shown.
12.8. All names shall be typed or printed in ink below the signature.
12.9. The Bid shall contain an acknowledgement of receipt of all Addenda, the numbers of
which shall be filled in on the Bid Form.
12.10. Postal and e-mail addresses and telephone number for communications regarding the
Bid shall be shown.
12.11. Evidence of authority to conduct business as a Nonresident Bidder in the state of
Texas shall be provided in accordance with Section 00 43 37 — Vendor Compliance
to State Law Non Resident Bidder.
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CITY PROJ. NUM. 104385
Revised/Updated November 2, 2021
0021 13
INSTRUCTIONS TO BIDDERS
Page 8 of 10
13. Submission of Bids
Bids shall be submitted on the prescribed Bid Form, provided with the Bidding Documents,
at the time and place indicated in the Advertisement or INVITATION TO BIDDERS,
addressed to Purchasing Manager of the City, and shall be enclosed in an opaque sealed
envelope, marked with the City Project Number, Project title, the name and address of
Bidder, and accompanied by the Bid security and other required documents. If the Bid is sent
through the mail or other delivery system, the sealed envelope shall be enclosed in a separate
envelope with the notation "BID ENCLOSED" on the face of it.
14. Withdrawal of Bids
14.1. Bids addressed to the Purchasing Manager and filed with the Purchasing Office may
be withdrawn prior to the time set for bid opening. A request for withdrawal must be
made in writing and delivered to the Purchasing Office to receive a time stamp prior
to the opening of Bids. A timely withdrawn bid will be returned to the Bidder or, if
the request is within one hour of bid opening, will not be read aloud and will
thereafter be returned unopened.
14.2. In the event any Bid for which a withdrawal request has been timely filed has been
inadvertently opened, said Bid and any record thereof will subsequently be marked
"Withdrawn" and will be given no further consideration for the award of contract.
15. Opening of Bids
Bids will be opened and read aloud publicly. An abstract of the amounts of the base Bids and
major alternates (if any) will be made available to Bidders after the opening of Bids.
16. Bids to Remain Subject to Acceptance
All Bids will remain subject to acceptance for a minimum of 90 days or the time period
specified for Notice of Award and execution and delivery of a complete Agreement by
Successful Bidder. City may, at City's sole discretion, release any Bid and nullify the Bid
security prior to that date.
17. Evaluation of Bids and Award of Contract
17.1. City reserves the right to reject any or all Bids, including without limitation the rights
to reject any or all nonconforming, nonresponsive, unbalanced or conditional Bids
and to reject the Bid of any Bidder if City believes that it would not be in the best
interest of the Project to make an award to that Bidder. City reserves the right to
waive informalities not involving price, contract time or changes in the Work and
award a contract to such Bidder. Discrepancies between the multiplication of units of
Work and unit prices will be resolved in favor of the unit prices. Discrepancies
between the indicated sum of any column of figures and the correct sum thereof will
be resolved in favor of the correct sum. Discrepancies between words and figures
will be resolved in favor of the words.
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CITY PROJ. NUM. 104385
Revised/Updated November 2, 2021
0021 13
INSTRUCTIONS TO BIDDERS
Page 9 of 10
17.1.1. Any or all bids will be rejected if City has reason to believe that collusion exists
among the Bidders, Bidder is an interested party to any litigation against City,
City or Bidder may have a claim against the other or be engaged in litigation,
Bidder is in arrears on any existing contract or has defaulted on a previous
contract, Bidder has performed a prior contract in an unsatisfactory manner, or
Bidder has uncompleted work which in the judgment of the City will prevent or
hinder the prompt completion of additional work if awarded.
17.2. In addition to Bidder's relevant prequalification requirements, City may consider the
qualifications and experience of Subcontractors, Suppliers, and other persons and
organizations proposed for those portions of the Work where the identity of such
Subcontractors, Suppliers, and other persons and organizations must be submitted as
provided in the Contract Documents or upon the request of the City. City also may
consider the operating costs, maintenance requirements, performance data and
guarantees of major items of materials and equipment proposed for incorporation in
the Work when such data is required to be submitted prior to the Notice of Award.
17.3. City may conduct such investigations as City deems necessary to assist in the
evaluation of any Bid and to establish the responsibility, qualifications, and financial
ability of Bidders, proposed Subcontractors, Suppliers and other persons and
organizations to perform and furnish the Work in accordance with the Contract
Documents to City's satisfaction within the prescribed time.
17.4. Contractor shall perform with his own organization, work of a value not less than
35% of the value embraced on the Contract, unless otherwise approved by the City.
17.5. If the Contract is to be awarded, it will be awarded to lowest responsible and
responsive Bidder whose evaluation by City indicates that the award will be in the
best interests of the City.
17.6. Pursuant to Texas Government Code Chapter 2252.001, the City will not award
contract to a Nonresident Bidder unless the Nonresident Bidder's bid is lower than
the lowest bid submitted by a responsible Texas Bidder by the same amount that a
Texas resident bidder would be required to underbid a Nonresident Bidder to obtain a
comparable contract in the state in which the nonresident's principal place of
business is located.
17.7. A contract is not awarded until formal City Council authorization. If the Contract is
to be awarded, City will award the Contract within 90 days after the day of the Bid
opening unless extended in writing. No other act of City or others will constitute
acceptance of a Bid. Upon the contract award, a Notice of Award will be issued by
the City.
17.7.1. The contractor is required to fill out and sign the Certificate of Interested
Parties Form 1295 and the form must be submitted to the Project Manager
before the contract will be presented to the City Council. The form can be
obtained at httns://www.ethics.state.tx.us/data/forms/1295/1295.i)df
17.8. Failure or refusal to comply with the requirements may result in rejection of Bid.
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CITY PROJ. NUM. 104385
Revised/Updated November 2, 2021
0021 13
INSTRUCTIONS TO BIDDERS
Page 10 of 10
18. Signing of Agreement
18.1. When City issues a Notice of Award to the Successful Bidder, it will be accompanied
by the required number of unsigned counterparts of the Project Manual. Within 14
days thereafter, Contractor shall sign and deliver the required number of counterparts
of the Project Manual to City with the required Bonds, Certificates of Insurance, and
all other required documentation.
18.2. City shall thereafter deliver one fully signed counterpart to Contractor.
END OF SECTION
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CITY PROJ. NUM. 104385
Revised/Updated November 2, 2021
00 41 00
DAP BID FORM FOR PUBLICLY BID PROJECTS ONLY
Page 1 of 3
SECTION 00 4100
DAP BID FORM FOR PUBLICLY BID PROJECTS ONLY
TO: 170 NORTHSTAR RANCH DEVELOPERS, INC.
3045 LACKLAND ROAD
FORT WORTH, TEXAS 76116
FOR: NORTHSTAR OFFSITE SEWER
SANITARY SEWER IMPROVMENTS
City Project No.: 104385
Units/Sections: SANITARY SEWER
1. Enter Into Agreement
The undersigned Bidder proposes
and agrees, if this Bid is accepted, to enter into an Agreement with Developer in the form included in the
Bidding Documents to perform and furnish all Work as specified or indicated in the Contract Documents
for the Bid Price and within the Contract Time indicated in this Bid and in accordance with the other
terms and conditions of the Contract Documents.
2. BIDDER Acknowledgements and Certification
2.1. In submitting this Bid, Bidder accepts all of the terms and conditions of the INVITATION TO
BIDDERS and INSTRUCTIONS TO BIDDERS, including without limitation those dealing
with the disposition of Bid Bond.
2.2. Bidder is aware of all costs to provide the required insurance, will do so pending contract
award, and will provide a valid insurance certificate meeting all requirements in the
construction contract.
2.3. Bidder certifies that this Bid is genuine and not made in the interest of or on behalf of any
undisclosed individual or entity and is not submitted in conformity with any collusive
agreement or rules of any group, association, organization, or corporation.
2.4. Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or
sham Bid.
2.5. Bidder has not solicited or induced any individual or entity to refrain from bidding.
2.6. Bidder has not engaged in corrupt, fraudulent, collusive, or coercive practices in competing for
the Contract. For the purposes of this Paragraph:
a. "corrupt practice" means the offering, giving, receiving, or soliciting of anything of value
likely to influence the action of a public official in the bidding process.
b. "fraudulent practice" means an intentional misrepresentation of facts made (a) to
influence the bidding process to the detriment of Developer (b) to establish Bid prices at
CITY OF FORT WORTH
STANDARD CONSTRUCTION BID FORM — DEVELOPER AWARDED PROJECTS 00 4100 Bid Form — DAP.docx
Form Revised April 2, 2014
00 41 00
DAP BID FORM FOR PUBLICLY BID PROJECTS ONLY
Page 2 of 3
artificial non-competitive levels, or (c) to deprive Developer of the benefits of free and
open competition.
c. "collusive practice" means a scheme or arrangement between two or more Bidders, with
or without the knowledge of Developer, a purpose of which is to establish Bid prices at
artificial, non-competitive levels.
d. "coercive practice" means harming or threatening to harm, directly or indirectly, persons
or their property to influence their participation in the bidding process or affect the
execution of the Contract.
3. Prequalification
The Bidder acknowledges that the following work types must be performed only by prequalified
contractors and subcontractors:
a. SEWER INTERCEPTORS, DEVELOPMENT, 24-INCHES AND SMALLER
b. AUGUR BORING- 241NCH DIAMETER CASING OR LESS
4. Time of Completion
4.1. The Work will be complete for Final Acceptance within 160 calendar days after the date when
the Contract Time commences to run as provided in the General Conditions.
4.2. Bidder accepts the provisions of the Agreement to liquidated damages, if applicable, in the event
of failure to complete the Work {and/or achievement of Milestones} within the times specified
in the Agreement.
5. Attached to this Bid
The following documents are attached to and made a part of this Bid:
a. This Bid Form, Section 00 41 00
b. Bid Bond (if required), Section 00 43 13 issued by a surety meeting the
requirements of the General Conditions.
c. Proposal Form, Section 00 42 43
d. MBE Forms (if required)
e. Prequalification Statement, Section 00 45 12
f. Any additional documents that may be required by Section 12 of the Instructions
to Bidders
g. Bidder pre -qualification application (optional)
6. Total Bid Amount
6.1. Bidder will complete the Work in accordance with the Contract Documents for the following
bid amount. In the space provided below, please enter the total bid amount for this project. Only
this figure will be read publicly by the City at the bid opening.
6.2. It is understood and agreed by the Bidder in signing this proposal that the total bid
amount entered below is subject to verification and/or modification by multiplying the unit
bid prices for each pay item by the respective estimated quantities shown in this proposal and
then totaling all of the extended amounts.
CITY OF FORT WORTH
STANDARD CONSTRUCTION BID FORM — DEVELOPER AWARDED PROJECTS 00 4100 Bid Form — DAP.docx
Form Revised April 2, 2014
00 41 00
DAP BID FORM FOR PUBLICLY BID PROJECTS ONLY
Page 3 of 3
6.3. Evaluation of Alternate Bid Items <use this if applicable, otherwise delete>
TOTAL BID 1 $3,812,557.00
7. Bid Submittal
This Bid is submitted on August 301h, 2023 by the entity named below
Respectfully submitted,
By:
(Signature)
Colton Tollett
(Printed Name)
Title: Vice President
Company: D.T. Utility Contractors, INC.
Address: 2614 Causbie Road
Weatherford, TX 76087
State of Incorporation: Texas
Email: colton@dtutility.com
Phone: (817) 304-2000
Receipt is acknowledged of
the following Addenda: Initial
Addendum No. I
Addendum No. 2
Addendum No. 3
Addendum No. 4
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION BID FORM — DEVELOPER AWARDED PROJECTS 00 4100 Bid Form — DAP.docx
Form Revised April 2, 2014
UNIT PRICE BID
Bidlist Iteml
No.
SECTION 00 42 43
Developer Awarded Projects - PROPOSAL FORM
Project Item Information
00 42 43
DAP - BID PROPOSAL
Page 1 of2
Bidder's Application
Bidder's Proposal
Description l Specification Unit of l Bid Unit Price l Bid Value
Section No. Measure Quantity
UNIT II: SANITARY SEWER IMPROVI =NkFNTS
1 '3291.0100 Topsoil
'32 91 19
333
$50.00"
$16,650.00
2 3292.0100 Block Sod Placement
32 92 13
SY
3989
$18.00
$71,802.00
3 3471.0001 Traffic Control
3471 13
MO
5
$35,000.00
$175,000.00
4 3125.0101 SWPPP Z 1 acre
31 2500
LS
1
$45,000.00
$45,000.00
5 9999.0001 Project Signs
99 99 01
LS
1
$6,500.00
$6,500.00
6 3331.4211 12" Sewer Force Main By Open Cut
3311 12
LF
10865
$140.00
$1,521,100.00
7 3331.4212 12" DIP Sewer
3311 10
LF
957
$165.00
$157,905.00
8 3305.1104 24" Casing By Other Than Open Cut
33 05 22
LF
957
$700.00
$669,900.00
9 3305,0116 Concrete Encasement for Utility Pipes
33 05 10
CY
35
$350.00
$12,250.00
10 3331.4308 21" Sewer Pipe
3331 20
LF
2760
$230.00
$634,800.00
11 3301.0001 Pre -CCTV Inspection
3301 31
LF
2760
$7.50
$20,700.00
12 3301.0002 Post -CCTV Inspection
3301 31
LF
2760
$7.50
$20,700.00
13 3312.3005 12" Gate Valve & Box
33 12 20
EA
6
$6,500.00
$39,000.00
14 3331.6102 3" Sewer Air Release Valve & Vault
3331 70
EA
2
$26,000.00
$52,000.00
15 3331.3401 Ductile Iron Sewer Fittings
3311 11
TON
2
$21,000.00
$42,000.00
16 3110.0103 6-inch - 12-inch Tree Removal
31 0000
EA
13
$1,500,00
$19,500.00
17 3110.0103 12-inch - 18-inch Tree Removal
31 0000
EA
3
$3,500.00
$10,500.00
18 9999.0003 Wager USA 3000 Manhole Scrubber
99 99 03
EA
4
$23,000.00
$92,000.00
19 9999.0004 Wager USA 2050 -100 Series - Inflow
99 99 04
EA
2
$17,000.00
$34,000.00
20 9999.0005 Wager USA 2050 - 200 Series- Inflow
99 99 05
EA
1
$18,000.00
$18,000.00
21 3339.1001 4' Manhole
33 39 20
EA
5
$7,800.00
$39,000.00
22 3305.0112 Concrete Collar
33 05 17
EA
6
$1,500.00
$9,000.00
23 3339.1003 4' Extra Depth Manhole
33 39 20
VF
8
$250.00
$2,000,00
24 3339.0001 Epoxy Manhole Liner
33 39 60
EA
5
$9,500.00
$47,500.00
25 3339.0002 Epoxy Structure Liner
33 39 60
EA
1
$12,500.00
$12,500.00
26 3301.0101 Manhole Vacuum Testing
3301 30
EA
6
$250.00
$1,500.00
27 3339.2001 Sanitary Sewer Junction Structure
33 39 20
EA
1
$14,500.00
$14,500.00
28 3305.0109 Trench Safety
33 05 10
LF
13625
$2.00
$27,250.00
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS - DEVELOPER AWARDED PROJECTS
Fonn Version May 22, 2019 00 42 43_Bid Proposal DAP
UNIT PRICE BID
SECTION 00 42 43
Developer Awarded Projects - PROPOSAL FORM
Project Item Information
00 42 43
DAP-BIDPROPOSAL
Page 2 of 2
Bidder's Application
Bidlist Item I Specification I Unit of I Bid
No. Description Section No. Measure Quantity
Bid Summary
I UNIT II: SANITARY SEWER IMPROVEMENTS
This Bid is submitted by the entity named below:
BIDDER:
D.T. Utility Contractors, INC.
2614 Causbie Road
Weathford, TX 76087
Contractor agrees to complete WORK for FINAL ACCEPTANCE within
CONTRACT commences to run as provided in the General Conditions.
Total Construction Bid
Bidder's Proposal
Unit Price I Bid Value
BY: Colton Tollett
7-7
TITLE: Vice President
DATE: 4/4/2024
END OF SECTION
$3,812,557.00
$3,812,557.00
160 working days after the date when the
CRY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS - DEVELOPER AWARDED PROJECTS
Forth Version May 22, 2019 00 42 43_Bid Proposal DAP
SECTION 00 43 13
DAP - BID BOND
BY THESE PRESENTS:
0043 13
DAP BID BOND FORM FOR PUBLICLY BID PROJECTS ONLY
Page 1 of 1
That we, D.T. UTILITY CONTRACTORS, INC., called the Principal, and AMERICAN ALTERNATIVE
INSURANCE CORPORATION, a corporation or firm duly authorized to transact surety business in the State
of Texas, hereinafter called the Surety, are held and firmly bound unto the City, hereinafter called the
Obligee, in the sum of THREE MILLION EIGHT HUNDRED TWELVE THOUSAND FIVE HUNDRED FIFTY-
SEVEN and No/l00 Dollars said Principal andthe said Surety, bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, firm by these presents.
WHEREAS the Principal has submitted a proposal to perform work for the following project of
the Obligee identified as:
NORTHSTAR OFFSITE SEWER
NOW, THERL:I:ORE, if the Obligee shall award the Contract for the foregoing project to the
Principal, and the Principal shall satisfy all requirements and conditions required for theexecution of the
Contract and shall enter into the Contract in writing with the Obligee in accordance with the terns of such
proposal, then this bond shall be null and void. if the Principal fails torexecute such Contract in
accordance with the tenns of such proposal or fails to satisfy all requirements and conditions required for
the execution of the Contract in accordance with the proposal, this bond shall become the property of the
Obligee, without recourse of the Principal and/or Surety, not to exceed the penalty hereof, and shall be
used to compensate Obligce for the difference between Principal's Total Bid Amount and the next
selected Bidder's Total Bid Amount.
SIGNED this 29th day of August , 2023 .
By: D.T. UTILITYCONTRACTORS, INC.
Signature and Title of Principal)
By: ANIERICAN ALT 'ATIVE IN NC
E�RPORATIOV
Russ Frenzel (Sig kturc%l fP.ttomcy-of-Fact)
*Attach Power of Attorney (Surety) for Attorney-in-i;a'cr'
END OF SECTION
CITY OF FONT WORTH
STAN DANO CONSTRUCTION BU BOND FORM - OEVEIOPEN AWARDW PROJECTS
Form Version Apni 7, 2014
Impressed
Surety Seal
Only
00 43 13 0 d Bond -DAP
0045 11 -1
BIDDERS PREQUALIFICATIONS
Page 1 of 3
SECTION 00 45 11
BIDDERS PREQUALIFICATIONS
1. Summary. All contractors are required to be prequalified by the City prior to submitting
bids. To be eligible to bid the contractor must submit Section 00 45 12, Prequalification
Statement for the work type(s) listed with their Bid. Any contractor or subcontractor who is
not prequalified for the work type(s) listed must submit Section 00 45 13, Bidder
Prequalification Application in accordance with the requirements below.
The prequalification process will establish a bid limit based on a technical evaluation and
financial analysis of the contractor. The information must be submitted seven (7) days prior
to the date of the opening of bids. For example, a contractor wishing to submit bids on
projects to be opened on the 7th of April must file the information by the 31 st day of March
in order to bid on these projects. In order to expedite and facilitate the approval of a Bidder's
Prequalification Application, the following must accompany the submission.
a. A complete set of audited or reviewed financial statements.
(1) Classified Balance Sheet
(2) Income Statement
(3) Statement of Cash Flows
(4) Statement of Retained Earnings
(5) Notes to the Financial Statements, if any
b. A certified copy of the firm's organizational documents (Corporate Charter, Articles
of Incorporation, Articles of Organization, Certificate of Formation, LLC
Regulations, Certificate of Limited Partnership Agreement).
c. A completed Bidder Prequalification Application.
(1) The firm's Texas Taxpayer Identification Number as issued by the Texas
Comptroller of Public Accounts. To obtain a Texas Taxpayer Identification
number visit the Texas Comptroller of Public Accounts online at the
following web address www.window.state.tx.us/taxDennit/ and fill out the
application to apply for your Texas tax ID.
(2) The firm's e-mail address and fax number.
(3) The firm's DUNS number as issued by Dun & Bradstreet. This number
is used by the City for required reporting on Federal Aid projects. The DUNS
number may be obtained at www.dnb.com.
d. Resumes reflecting the construction experience of the principles of the firm for firms
submitting their initial prequalification. These resumes should include the size and
scope of the work performed.
e. Other information as requested by the City.
2. Prequalification Requirements
a. Financial Statements. Financial statement submission must be provided in
accordance with the following:
(1) The City requires that the original Financial Statement or a certified copy
be submitted for consideration.
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS PROJECT #104385
Revised April 2, 2014
0045 11 -2
BIDDERS PREQUALIFICATIONS
Page 2 of 3
(2)
To be satisfactory, the financial statements must be audited or reviewed
by an independent, certified public accounting firm registered and in
good standing in any state. Current Texas statues also require that
accounting firms performing audits or reviews on business entities within
the State of Texas be properly licensed or registered with the Texas State
Board of Public Accountancy.
(3)
The accounting firm should state in the audit report or review whether
the contractor is an individual, corporation, or limited liability company.
(4)
Financial Statements must be presented in U.S. dollars at the current rate
of exchange of the Balance Sheet date.
(5)
The City will not recognize any certified public accountant as
independent who is not, in fact, independent.
(6)
The accountant's opinion on the financial statements of the contracting
company should state that the audit or review has been conducted in
accordance with auditing standards generally accepted in the United
States of America. This must be stated in the accounting firm's opinion.
It should: (1) express an unqualified opinion, or (2) express a qualified
opinion on the statements taken as a whole.
(7)
The City reserves the right to require a new statement at any time.
(8)
The financial statement must be prepared as of the last day of any month,
not more than one year old and must be on file with the City 16 months
thereafter, in accordance with Paragraph 1.
(9)
The City will determine a contractor's bidding capacity for the purposes
of awarding contracts. Bidding capacity is determined by multiplying the
positive net working capital (working capital = current assets — current
liabilities) by a factor of 10.Only those statements reflecting a positive
net working capital position will be considered satisfactory for
prequalification purposes.
(10)
In the case that a bidding date falls within the time a new financial
statement is being prepared, the previous statement shall be updated with
proper verification.
b. Bidder Prequalification Application. A Bidder Prequalification Application must be
submitted along with audited or reviewed financial statements by firms wishing to be
eligible to bid on all classes of construction and maintenance projects. Incomplete
Applications will be rejected.
(1)
In those schedules where there is nothing to report, the notation of
"None" or "N/A" should be inserted.
(2) A minimum of five (5) references of related work must be provided.
(3) Submission of an equipment schedule which indicates equipment under
the control of the Contractor and which is related to the type of work for
which the Contactor is seeking prequalification. The schedule must
include the manufacturer, model and general common description of
each piece of equipment. Abbreviations or means of describing
equipment other than provided above will not be accepted.
3. Eligibility to Bid
a. The City shall be the sole judge as to a contractor's prequalification.
b. The City may reject, suspend, or modify any prequalification for failure by the
contractor to demonstrate acceptable financial ability or performance.
c. The City will issue a letter as to the status of the prequalification approval.
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS PROJECT #104385
Revised April 2, 2014
0045 11 -3
BIDDERS PREQUALIFICATIONS
Page 3 of 3
d. If a contractor has a valid prequalification letter, the contractor will be eligible to bid
the prequalified work types until the expiration date stated in the letter.
END OF SECTION
CITY OF FORT WORTH NORTHSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS PROJECT #104385
Revised April 2, 2014
0045 12
DAP PREQUALIFICATION STATEMENT
Page I of I
SECTION 00 45 12
DAP — PREQUALIFICATION STATEMENT
Each Bidder is required to complete the information below by identifying the prequalified contractors
and/or subcontractors whom they intend to utilize for the major work type(s) listed. In the "Maior Work
Tvoe" box provide the complete maior work tvpe and actual description as provided by the Water
Department for water and sewer and TPW for paving.
Major Work Type
SEWER INTERCEPTORS,
DEVELOPMENT, 24-INCHES
AND SMALLER
AUGUR BORING — 24INCH
DIAMETER CASING OR LESS
Contractor/Subcontractor Company Name Prequalification
Expiration Date
D.T. UTILITY CONTRACTORS, INC. 4/30/2025
D.T. UTILITY CONTRACTORS, INC. 4/30/2025
The undersigned hereby certifies that the contractors and/or subcontractors described in the table above
are currently prequalified for the work types listed.
BIDDER:
D.T. UTILITY CONTRACTORS, INC.
2614 CAUSBIE ROAD
WEATHERFORD, TEXAS 76087
BY: CO�LLTTON TOLLETT
(Signature)
TITLE: VICE PRESIDENT
DATE:
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION PREQUALIFICATION STATEMENT— DEVELOPER AWARDED PROJECTS 0045 12_Prequalification Statement 2015_DAP (002)
Form Version September 1, 2015
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00 45 26 - 1
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
Page I of I
SECTION 00 45 26
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
Pursuant to Texas Labor Code Section 406.096(a), as amended, Contractor certifies that it
provides worker's compensation insurance coverage for all of its employees employed on City
Project No. 104385. Contractor further certifies that, pursuant to Texas Labor Code, Section
406.096(b), as amended, it will provide to City its subcontractor's certificates of compliance with
worker's compensation coverage.
CONTRACTOR:
_D.T. UTILITY CONTRACTORS, INC._ By: COLTON TOLLETT
Company (Please Print)
2614 CAUSBIE ROAD
Address
WEATHERFORD. TX 76087
City/State/Zip
THE STATE OF TEXAS §
COUNTY OF T—.-A�T Aft -Fe §
Signature:
Title: VICE PRESIDENT
(Please Print)
BEFORE ME, the undersigned authority, on this day personally appeared
eD/-r>n T//eEf , known to me to be the person whose name is
subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same as
the act and deed of A T. r A A*"4v es xnc, for the purposes and
consideration therein expressed and In the capacity therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this day of
cam, , 2at -.
TAN
AVIS
9r IN TAF` 'BLIC > Nota�Pcd for the State of Texas
* `xST. r �....XASr
^: ��c I D + ; .4
�: ` My Comm. E :. 12.2025
- TANYA DAVIS
(SMYCornm.
NOTARY PUBLIC
END OF SECTION STATE OF TEXAS
ID # 576914-4
Expires 09-28-2025
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised April 2, 2014
NORTHSTAR OFFSITE SEWER
CPN 104385
005243-1
Developer Awarded Project Agreement
Page I of
SECTION 00 52 433
AGREEMENT
3 THIS AGREEMENT, authorized on 8/6/2024 is made by and between the Developer,
4 170 0TAR RANCH DEVELOPERS, INC., authorized to do business in Texas
5 ("Developer") a d D.T. Utility Contractors, INC., authorized to do business in Texas, acting
6 by and through its duly authorized representative, ("Contractor").
I 7 Developer and Co tractor, in consideration of the mutual covenants hereinafter set forth, agree as
8 follows:
9 Article 1. WORK
10 Contractor shall complete all Work as specified or indicated in the Contract Documents for the
I I Project identified herein.
12 Article 2. PROJECT
13 The project for wh ich the Work under the Contract Documents may be the whole or only a part is
14 generally described as follows:
15 Northstar Offisite.11)'eiver
16 CUP Proied #1043 5
17 Article 3. CONT CT TIME
18 3.1 Time is of th essence.
19 All time limits for Milestones, if any, and Final Acceptance as stated in the Contract
20 Documents are of the essence to this Contract.
21 3.2 Final Acceptance.
22 The Work will be complete for Final Acceptance within 160 calendar days after the date
23 when the Contract Time commences to run as provided in Paragraph 12.04 of the Standard
24 City Conditions of the Construction Contract for Developer Awarded Projects.
25 3.3 Liquidated damages
26 Contractor recognizes that time is of the essence of this Agreement and that Developer
27 will suffer financial loss if the Work is not completed within the times specified in
28 Paragraph ;.2 above, plus any extension thereof allowed in accordance with Article 10 of
29 the Standard City Conditions of the Construction Contract for Developer Awarded
30 Projects. The Contractor also recognizes the delays, expense and difficulties involved in
31 proving in I legal gaI proceeding the actual loss suffered by the Developer if the Work is not
32 completed n time. Accordingly, instead of requiring any such proof , Contractor agrees
1
33 that as liq idated damages for delay (but not as a penalty), Contractor shall pay
34 Developer E THOUSAND DOLLARS, Dollars ($1 0_00) for each day that expires after
35 the time specified in Paragraph 3.2 for Final Acceptance until the City issues the Final
36 Letter of Acceptance.
CITY OF FORT WORTH NOR THSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CPAf 104385
Revised June 16,2016
005243-2
Developer Awarded Project Agreement
Page 2 of 4
37 Article 4. CONTRACT PRICE
38 Developer agrees , o pay Contractor for performance of the Work in accordance with the Contract
39 Documents an amount in current funds of three million eight hundred twelve thousand five
40 hundred fifty-seven Dollars ($3,812,557.00).
41 Article 5. CONTRACT DOCUMENTS
42 5.1 CONTENTS:
43
A. The Contract Documents which comprise the entire agreement between Developer and
44
Contractor
concerning the Work consist of the following:
45
1.
This Agreement.
46
2,
Attachments to this Agreement:
47
a. Bid Form (As provided by Developer)
48
1) Proposal Form (DAP Version)
49
2) Prequalification Statement
50
� State and Federal documents (project specific)
51
b. Lisurance ACORD Fon-n(s)
52
c. Payment Bond (DAP Version)
53
d. Performance Bond (DAP Version)
54
e. Maintenance Bond (DAP Version)
55
f. Power of Attorney for the Bonds
56
9- Nyorker's Compensation Affidavit
57
h. BE and/or SBE Commitment Form (If required)
58
3.
Stan and City General Conditions of the Construction Contract for Developer
59
Aw ed Projects.
60
4.
Suppernentary Conditions.
61
5.
Specifications specifically made a part of the Contract Documents by attachment
62
or, if not attached, as incorporated by reference and described in the Table of
63
Conttnts of the Project's Contract Documents.
64
6.
Drawings.
65
7.
Addaida.
66 8. Documentation submitted by Contractor prior to Notice of Award.
67 9. The following which may be delivered or issued after the Effective Date of the
68 Agreement and, if issued, become an incorporated part of the Contract Documents:
69 a. Notice to Proceed.
70 b. Field Orders.
71 c. Change Orders.
72 d. Latter of Final Acceptance.
73
74
CITY OF FORT WORTH NOR THSTAR OFFSITE SEWER
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CPN 104385
Revised June 16, 2016
005243-3
Developer Awarded Project Agreement
Page 3 of
75 Ahrdcle 6. INDEW91FICATION
76 6.S Ceimtractor covenants @ad agrees to indemnify, hold harmless and defead, at Its ovilm
77 eKpanse, th city, its officers, servants and employees, from and @Ezlnst any and Rfl
78 egaims arisi g out of, or alleged to arise out of, the work and services to be performed
79 by the cont actor, its officers, agents, employees, subcontractors, Heenses or invitees
so under this ontract. This indemnification Drovision is sDecificaliv inlelmded to omen-qCte
81 and be effq five even if it is alleged or proven that all or some of the dams
82 Zgught wer i ence of the cutv.
.Sht wer caused. in whole or in Dart. by anv act. omission or negU
83 'TM)s iiadem ity provision is intended to include, without limftzt�,on, indemaMy fbir
84 costs, expen es and legal fees incurred by the efty in defending ag2dnrt guah cis ms 2nd
85 egauses of ac
86
87 6.2 Contractor ovenants and agrees to indemnify and hold harmIess, at its own expense,
88 the city, its officers, servants and employees, from and against any and all loss, damage
89 or destruction of property of the city, arising out of, or alleged to nAoe out of, the work
90 and service:; to be performed by the contractor, fts offficem, g1gegaLo, employees,
91 subcontracters, Qicensees or invitees under this contract. This iff'demlmfflacation
92 nrovision is sDecificafiv intended to overate and be effective even if it is afleged or
93 Droven that AJI or soune of the damages being sought were caused, in whole or in Dart,
94 by anv act, omission or negligence of the city.
95
96 Article 7. MISCELLAI\103US
97 7.1 Terms.
98 Terms used in this Agreement are defined in Article 1 of the Standard City Conditions of
99 the Construclion Contract for Developer Awarded Projects.
100 7.2 Assignment of Contract.
101 This Agreerrent, including all of the Contract Documents may not be assigned by the
102 Contractor w, thout the advanced express written consent of the Developer.
103 7.3 Successors and Assigns.
104 Developer and Contractor each binds itself, its partners, successors, assigns and legal
105 representatives to the other party hereto, in respect to all covenants, agreements and
106 obligations contained in the Contract Documents.
107 7.4 Severability.
108 Any provisiep or part of the Contract Documents held to be unconstitutional, void or
109 unenforceabl 1 by a court of competent jurisdiction shall be deemed stricken, and all
110 remaining prtvisions shall continue to be valid and binding upon DEVELOPER and
H] CONTRACTOR.
112 7.5 Governing Law and Venue.
113 This Agreement, including all of the Contract Documents is performable in the State of
114 Texas. Venue shall be Tarrant County, Texas, or the United States District Court for the
115 Northern District of Texas, Fort Worth Division.
CITY OF FORT WORTH NORTHS7AR OFFSITE SEWER
STANDARD CONSTRUc riON SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS CPN 104385
Revised June 16,2016
116
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005243-4
Developer Awarded Project Agreement
Page 4 of 4
7.6 Authority to Sign.
Contractor shall attach evidence of authority to sign Agreement, if other than duly
authorized signatory of the Contractor,
IN WITNESS WHEREOF, Developer and Contractor have executed this Agreement in multiple
counterparts,
This Agreement is effective as of the last date signed by the Parties ("Effective Date").
Contractor: Developer:
By: By:
(Si gnature) , *(Signature)
Colton Tollett
(Prir-,ted Name)
Title: Vice Preside it
Company Name: CT Utility
Address: 2614 Causbie Road
City/State/Zip: Weatherford, TX 76087
Date
Kim Gill
(Printed Name)
Title-. Vice President
Company name: 170 Northstar Ranch Developer
Inc.
Address: 3045 Lackland Road.
City/State/Zip: Fort Worth, TX 76116
Date
CITY OF FORT WORTH NORTHSTAR OrPSITE SEWER
STANDARD CONSTRUC FION SPECIFICATION DOCUMENTS --DEVELOPER AWARDED PROJECTS CPN 104385
Revised dune 16,2016
CERTIFIED COPY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS That the AMERICAN ALTERNATIVE INSURANCE CORPORATION, a corporation organized and existing by virtue of the
laws of the State of Delaware ("Corporation') with offices at 555 College Road East Princeton N J 08543, has made constituted and appointed and by these presents
does make constitute and appoint.
Russ Frenzel; Brady K. Cox: William D. Baldwin; Brent Baldwin; Michael B. Hill; Keith Rogers; Sam Freireich;
Brock Anglin; Cindy Alford; Yamillec Ramos; Neira Hernandez; and Kristi Meek
its true and awful Attorneys -in -Fact, at Princeton in the State of New Jersey each of them alone to have full power to act without the other or others, to make execute ane
deliver on its behalf as Surety or Co -surety bonds and undertakings given for any and all purposes also to execute and deliver on its behalf as aforesaid renewals extensions.
agreements. waivers, consents or stipulations relating to such bonds or undertakings provided, however, that no single bond or undertaking so made executed and delivered shall
obligate said Company for any portion of the penal sum thereof in excess of the sum of One Hundred Million Dollars ($100.000,000)
Sucn bonds and undertakings for said purposes when duly executed by said Atterney(s -in-Fact shall be binding upon said Company as fully and to thesame extent as if signed
by the President of said Company under its corporate seat attested by its Secretary
This appointment is made under and by authority of a certain Resolution adopted at a meeting of the Board of Directors of said Company duly held on the 27th
day of August 1975 a copy of which appears below
IN WITNESS WHEREOF, the AMERICAN ALTERNATIVE INSURANCE CORPORATION has caused its corporate seal to be hereunto affixed, and these presents to be signed
by its duly authorized officers this 24"' day of September. 2021
,o�p�lvElvSU�'•
.,
coPvort it `�
By.
'a
Michael G. Kerner
President
Attest:
Ignaciivera
Deputy General Counsel & Secretary
STATE OF NEW JERSEY, COUNTY OF SOMERSET
The foregoing instrument was acknowledged before me by means of online notarization this 241" day of September, 2021, by Michael G Kerner and Ignacio Rivera, who are
personally known to me
E �.a4aif i
�.
Jill n Sanfilippo lot ary Public '
I
"+sa i A
Stiitts of New J rsey
My Commission Expires February R. 2026
SECRETARY'S CERTIFICATE
The uadcrsianed. 1_na cio Rivera. hcicbr cerifics
'Iham the undcrst, nrd is Scoclaty ul Aincitrw •\Rein:ni%c Insinari�c Coiltowliun .) �Wpurtunn ofthe ,tale ul't )chmaic.
11rat tl:e original p"Iv:Cr ofauorncy ol'\\hich hC k'rcgontL• Is.:.up\ aa• cfuh e\CtulCd on behalf of did C mI,0tauon on the day oi• its date, unit has not snicc bCCII
ic\ oked. an)ended or nu+difiCd: that file undersigned hoN compared the lineguuig copy dfereot \with s, nl mcuul po\wcr ofattoiri. and that the same i, a true and Correct
copy ol'said origmid power of attorney and of the \\hole thereon
'I hat the original resolution of +Olieh the ti,llo%%ine is a copy was duly adopted at. and recorded if the minute, -it'. :I regular nfceimi; of the lipoid of
I)irecl„rs of;aid Corporation dul) held on August 4, 1}'94. and has nut sux•c. been revoked. an)cnded or moditicil
RESOLVED- than each of the folluwine ollicers of this Corporation. namely, the Prcstdent. the Executive Vice Prcstdent, tha Scntot Vice Presidents.
and the Vice Presidents. he, and they herehy are, authorized, from time to time in their discretion. to appoint such agent or agents or attorney or
attorneys -in -fact as deemed by them necessary or desirable fir the purpose of carrying on this Corporation's business, and to empower such agent
or agents or attumey or attorneys -in -tact to execute and deliver, in this Corporation', name and on its behalf, and under its seal or otherwise, surety
bonds. surety undertakings or surety contracts made by this Corporation as surct% thereon.
RESOLVED. that the signature of -any authorized officer of the Corporation and the Corporation's seal may he affixed by facsimile to any power of
attorney and revocation ol'am• power of atiomey or certificate of either given tier the execution of'any surei) hond. surer undertaking, or surety
contract. such signature and seal, when so used being hereby adopted by the Corporation its the original signature o1'such officer and the original
seal ol'the Corporation. to he valid and hindine upon the Corporation with the smite force and ctl'ect as though manually atlixed.
FURTHER Rl"SOLVED- that any prior appointments by the Corporation of \iCAs are, in all respects, hereby ratified, confinned and approved.
FURTHER RESOLVED, that the Secretary or any Assistant Secretary ofthis Corporation is hcreh\ authorized to cenity and deliver to any person to whom
such certification and deliver• may be deemed necessary and desirable in thcopinion ofsuch Sccrcfarn or Assistant Secretary, a true copy ofthe lbregoing
resolution.
The undcrst Lncd has rntnp: ied the l6regoing copies of said original resolutions a, so recorded. and tile\ are the sums true and curroCl copies of said
ort:anal reohnioni ,is sit recorded and oftl•e \;hole thcrcoll
W,iutess the hand of the undei-o, r. d •i,. l tluc.:.cr l c-i ::f C'irr;4irauc.n this .__ dal of _ 'U
:\:kTP.RIC,\\ Al. hf•:!L\.\TlVl:l\S1 RA\( 4.C'OKI'f)KAI'IO\
�
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_
8j .,1923 ,-Q SF. .
'''atE0F0Eu?�;PLO
- I�nacleR alit{Sea74,:eat t(Iai:ko'i
'
1 �n❑.:ro Riwcra
-
I)eputy General ('ounscl C Secret.fr\ TRS-1001-i
Bond Verification
Should you wish to verify the authenticity of this bond, please send your request,
including a copy of the bond, via email to:
essuretvuwsupport�munichre.com
Bond Claims or Notices
Should you wish to file any notices to the Surety for this American Alternative Insurance
Corporation bond(s) they should be sent via email, including all pertinent
correspondence or information to:
p0060014688 � m u n i ch re. co m
LW
Mail to: Munich Re Specialty Insurance
330 Madison Avenue, 12th Floor
New York, NY 10017
Attn: Surety Bond Claims
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 03 04 B
(Ed. 6-14)
TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A.
of the Information Page.
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, but this waiver applies only
with respect to bodily injury arising out of the operations described in the Schedule where you are required
by a written contract to obtain this waiver from us.
This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
The premium for this endorsement is shown in the Schedule.
Schedule
1. Blanket Waiver
Any person or organization for whom the Named Insured has agreed by written contract to furnish this
waiver.
2. Operations: All TX Operations
3. Premium:
The premium charge for this endorsement shall be 2 percent of the premium developed on payroll in
connection with work performed for the above person(s) or organization(s) arising out of the operations
described.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
Date Prepared: February 20, 2024
Carrier: Bridgefield Casualty Insurance Company
Effective Date of Endorsement: April 20, 2024
Policy Number: 196-57864 Countersigned by-
C
Insured: D.T. Utility Contractors, Inc.
WC 42 03 04 B (Ed. 6-14)
"Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. Copyright 2014 NCCI"
POLICY NUMBER: MP35280042 COMMERCIAL AUTO
NA CA 09 01 21
NATIONAL AMERICAN INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO ENHANCED COVERAGE ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
The following is a summary index of additional coverages provided by this endorsement. This endorsement is
subject to the provisions of your policy which means that it is subject to all limitations and conditions applicable to
this Coverage Part, unless specifically deleted, replaced, or modified therein. No coverage is provided by this
summary.
SUMMARY INDEX
DESCRIPTION
PAGE NUMBER
SECTION II - COVERED AUTOS LIABILITY COVERAGE
Who Is An Insured
Broad Form Insured
2
Employee As Insureds
2
Additional Insured Status By Contract, Agreement Or Permit
2
Supplementary Payments
Bail Bond Coverage
2
Loss Of Earnings Coverage
2
Pollution Liability - Broadened Coverage For Covered Autos
2
I
SECTION III - PHYSICAL DAMAGE COVERAGE
Broadened Coverage
Towing And Labor
3
Physical Damage Additional Transportation Expense Coveraqe
4
Temporary Substitute Auto Physical Damage
4
Extra Expense- Theft
4
Rental Reimbursement And Additional Transportation Expense
4
Personal Effects Coverage
5
Personal Property Of Others
5
I Locksmith Coverage
5
Vehicle Wrap Coverage
5
Airbag Accidental Discharge
5
Audio, Visual And Data Electronic Equipment Coverage
5
Auto Loan/Lease Total Loss Protection
6
Glass Repair- Deductible Amendment
6
SECTION IV - BUSINESS AUTO CONDITIONS
Broadened Coverage
Amended Duties In The Event Of Accident, Claim, Suit Or Loss 6
Waiver Of Subrogation - Automatic Status When Required In A Written Contract 6
Unintentional Failure To Disclose 6
Hired, Leased, Rented Or Borrowed Auto Physical Damage 7
I
SECTION V - DEFINITIONS
Mental Anguish Included in Definition of "Bodily Injury" 7
I
NA CA 09 01 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 1 of 7
(SECTION II - COVERED AUTOS LIABILITY COVERAGE, WHO IS AN INSURED, SUPPLEMENTARY
PAYMENTS, POLLUTION)
The following changes are made to SECTION II - COVERED AUTOS LIABILITY COVERAGE:
A. The following are added to Paragraph A.1.:
1. Who Is An Insured
The following are "insureds":
d. Any organization that is acquired or formed by you, during the term of this policy and over which
you maintain majority ownership. However, the Named Insured does not include any newly formed
or acquired organization:
(1) That is a joint venture or partnership;
(2) That is an "insured" under any other policy;
(3) That has exhausted its Limits of Insurance under any other policy; or
(4) 180 days or more after its acquisition or formation by you, unless you have given us notice of
the acquisition or formation.
Coverage does not apply to "bodily injury" or "property damage" that results from an accident that
occurred before you formed or acquired the organization.
e. Your "employee" while acting in the course of your business or your personal affairs while using a
covered "auto" you do not own, hire or borrow.
f. Any person or organization for whom you are required to add as an additional insured when you
and such person or organization have agreed in writing in a contract or agreement, but such written
contract or agreement must be:
(1) Currently in effect or becoming effective during the term of this policy; and
(2) Executed prior to the "bodily injury" or "property damage".
Coverage provided by this extension applies only with respect to the extent that the person or
organization is liable for the conduct of an "insured" arising out of the ownership, maintenance or
use of a covered "auto" under this policy.
Coverage provided by this extension will not exceed the Limits of Liability required by the written
contract or agreement even if the limits stated in the policy exceed those limits. This coverage
shall not increase the Limit Of Insurance for Covered Autos Liability Coverage shown in the
Declarations.
For any covered "auto" you own, the insurance provided under this extension is primary.
B. Paragraphs 2.a.(2) and 2.a.(4) are replaced with the following:
2. Coverage Extensions
a. Supplementary Payments
(2) Up to $5,000 for cost of bail bonds (including bonds for related traffic violations) required
because of an "accident' we cover. We do not have to furnis h these bonds.
(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of
earnings up to $500 a day because of time off from work.
C. Pollution Liability - Broadened Coverage For Covered Autos
1. Covered Autos Liability Coverage is changed as follows:
a. Paragraph a. of the Pollution Exclusion applies only to liability assumed under a contractor
agreement.
NA CA 09 01 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 2 of 7
b. With respect to the coverage afforded by Paragraph A.I. above, Exclusion B.6. Care, Custody
Or Control does not apply.
2. Changes In Definitions
For the purposes of this endorsement, Paragraph D. of the Definitions Section is replaced by the
following:
D. "Covered pollution cost or expense" means any cost or expense arising out of:
1. Any request, demand, order or statutory or regulatory requirement that any "insured" or
others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any
way respond to, or assess the effects of "pollutants"; or
2. Any claim or "suit' by or on behalf of a gover nmental authority for damages because of
testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or
neutralizing, or in any way responding to or assessing the effects of "pollutants".
"Covered pollution cost or expense" does not include any cost or expense arising out of the
actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of
"pollutants":
a. Before the "pollutants" or any property in which the "pollutants" are contained are
moved from the place where they are accepted by the "insured" for movement into or
onto the covered "auto"; or
b. After the "pollutants" or any property in which the "pollutants" are contained are moved
from the covered "auto" to the place where they are finally delivered, disposed of or
abandoned by the "insured".
Paragraphs a. and b. above do not apply to "accidents" that occur away from premises
owned by or rented to an "insured" with respect to "pollutants" not in or upon a covered
"auto" if:
(1) The "pollutants" or any property in which the "pollutants" are contained are upset,
overturned or damaged as a result of the maintenance or use of a covered "auto";
and
(2) The discharge, dispersal, seepage, migration, release or escape of the "pollutants"
is caused directly by such upset, overturn or damage.
3. Limits For "Covered Pollution Cost or Expense"
The most we will pay for "covered pollution cost or expense" is $100,000 in the aggregate per
policy period, regardless of the number of "accidents".
When this limit is used up, we shall have no further obligation to defend claims or "suits" seeking
such damages or to pay such damages or defense expense.
(SECTION III - PHYSICAL DAMAGE COVERAGE, BROADENED PHYSICAL DAMAGE COVERAGES)
The following changes are made to SECTION III - PHYSICAL DAMAGE COVERAGE
A. Paragraph A.2 is replaced with the following:
A. Coverage
2. Towing And Labor
We will pay for towing and labor costs incurred, up to the limits shown below, each time a covered
"auto" is disabled:
a. For private passenger type vehicles, we will pay up to $100 per disablement.
NA CA 09 01 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 3 of 7
b. For all other covered "autos" we will pay up to $500 per disablement.
However, the labor must be performed at the place of disablement.
B. Paragraph A.4.a. is replaced with the following:
A. Coverage
4. Coverage Extensions
a. Transportation Expenses
We will pay up to $60 per day, to a maximum of $1,800, for temporary transportation
expense incurred by you because of the total theft of a c overed "auto" of the private
passenger type. We will pay only for those covered "autos" for which you carry either
Comprehensive or Specified Causes Of Loss Coverage. We will pay for temporary
transportation expenses incurred during the period beginning 48 hours after the theft and
ending, regardless of the policy's expiration, when the covered "auto" is returned to use or
we pay for its "loss".
C. The following are added to Paragraph 4. Coverage Extensions:
4. Coverage Extensions
c. Temporary Substitute Autos
If Physical Damage Coverage is provided under this Coverage Form for an "auto" you own, the
Physical Damage coverages provided for that owned "auto" are extended to any "auto" you do
not own while used with the permission of its owner as a temporary substitute for the covered
"auto" you own that is out of service because of its:
(1) Breakdown;
(2) Repair;
(3) Servicing;
(4) "Loss'; or
(5) Destruction.
d. Theft Recovery Expense
If you have purchased Comprehensive Coverage on a covered "auto" that is stolen, we will pay
the expense of returning that stolen "auto" to you. The limit for this coverage extension is
$5,000.
e. Rental Reimbursement
We will provide Rental Reimbursement and Additional Expense coverage only for those
Physical Damage coverages for which a premium is shown in the Declarations. Coverage
applies only to a covered "auto".
(1) We will pay for auto rental expense and the expense incurred by you because of a covered
cause of "loss" to remove and transfer your materials and equipment from a covered "auto"
to a covered "auto". Payment applies in addition to the otherwise applicable coverage you
have on a covered "auto". No deductible applies to this coverage.
(2) We will pay only for expens es incurred during the policy period and beginning 24 hours
after the "loss" and ending, regardless of the policy's expiration, with the lesser of the
following number of days:
(a) The number of days reasonably required to repair or replace the covered "auto". If
"loss" is caused by theft, this number of days is added to the number of days it takes to
locate the covered "auto" and return it to you; or
(b) 30 days.
(3) Our payment is limited to the lesser of the following amounts:
(a) Necessary and actual expenses incurred; or
NA CA 09 01 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 4 of 7
(b) $75 per day.
(4) This coverage does not apply while there are spare or reserve "autos" available to you for
your operations.
(5) If "loss" results from the total theft of a covered "auto" of the private passenger type or light
truck type, we will pay under this coverage only that amount of your rental reimbursement
expense which is not already provided for under SECTION III - PHYSICAL DAMAGE
COVERAGE, A. Coverage, 4. Coverage Extensions, a. Transportation Expenses.
f. Personal Effects
If you have purchased comprehensive coverage on a covered "auto" you own and that "auto" is
stolen, we will pay, without application of a deductible, up to $500 for "Personal Effects" stolen
with the covered "auto". The insurance provided under this provision is excess over any other
collectible insurance. For this coverage extension, "Personal Effects" means tangible property
that is worn or normally carried on "insured's" person.
g. Personal Property Of Others
We will pay up to $500 for "loss" to personal property of others in or on your covered "auto".
This coverage applies only in the event of "loss" to your covered "auto" caused by fire,
lightning, explosion, theft, mischief or vandalism, the covered "auto's" collision with another
object, or the covered "auto's" overturn. No deductible applies to this coverage.
h. Locksmith Coverage
We will pay up to $250 per occurrence for necessary locksmith services for keys locked inside
a covered private passenger type "auto". The deductible is waived for these services.
i. Vehicle Wrap Coverage
Under either Comprehensive or Collision Coverage, we will pay up to $1,000 for vinyl vehicle
wraps which are displayed on a covered "auto" at the time of a total "loss".
Regardless of the number of "autos" deemed a total "loss", the most we will pay under this
coverage for any one "loss" is $5,000. For purposes of this coverage, signs or other graphics
painted or magnetically affixed to the c overed "auto" are not considered vehicle wraps.
D. Paragraph B.3. is replaced with the following:
B. Exclusions
3. We will not pay for "loss" due and confined to:
a. Wear and tear, freezing, mechanical or electrical breakdown.
b. Blowouts, punctures or other road damage to tires.
This exclusion does not apply to such "loss" resulting from the total theft of a
covered "auto".
This exclusion also does not apply to the mechanical breakdown relating to the accidental
discharge of an air bag. This exception applies only if you have purchased comprehensive
or collision coverage on the covered "auto" you own and coverage is excess of any other
collectible insurance or warranty. No deductible applies to this coverage.
E. Paragraph C.1.b. is replaced with the following:
C. Limits Of Insurance
1. The most we will pay for:
b. All electronic equipment that reproduces, receives or transmits audio, visual or data
signals in any one "loss" is $5,000, if, at the time of "loss", such electronic equipment
is:
(1) Permanently installed in or upon the covered "auto" in a housing, opening or other
location that is not normally used by the "auto" manufacturer for the installation of such
equipment;
(2) Removable from a permanently installed housing unit as described in Paragraphb.(1)
above; or
NA CA 09 01 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 5 of 7
(3) An integral part of such equipment as described in Paragraphs b.(1) and b.(2) above.
F. The following is added to Paragraph C. Limits of Insurance:
C. Limits Of Insurance
4. In the event of a total "loss" to a covered "auto" shown in the Declarations, which is subject
to a loan or lease at the time of the "loss", we will pay any unpaid amount due, including up
to a maximum of $500 for early termination fees or penalties on the lease or loan for a
covered "auto", less:
a. The amount paid under the Physical Damage Coverage Section of the policy; and
b. Any:
(1) Overdue lease or loan payments at the time of the 'loss";
(2) Financial penalties imposed under a lease for excessive use, abnormal wear and
tear or high mileage;
(3) Security deposits not returned by the lessor;
(4) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability
Insurance purchased with the loan or lease; and
(6) Carry-over balances from previous loans or leases.
G. The following is added to Paragraph D. Deductible
D. Deductible
Any deductible shown in the Declarations as applicable to the covered "auto" will not apply to
glass breakage if the damaged glass is repaired, rather than replaced.
(SECTION IV - BUSINESS AUTO CONDITIONS, BROADENED COVERAGE)
The following changes are made to SECTION IV - BUSINESS AUTO CONDITIONS:
A. The following is added to Paragraph 2. Duties In The Event Of Accident, Claim, Suit Or Loss
2. Duties In The Event Of Accident, Claim, Suit Or Loss
d. Knowledge of any "accident", "claim", "suit" or "loss" will be deemed knowledge by you when notice
of such "accident', "claim", "suit' or "loss" has been received by:
(1) You, if you are an individual;
(2) Any partner or insurance manager, if you are a partnership;
(3) An executive officer or insurance manager, if you are a corporation;
(4) Your members, managers or insurance manager, if you are a limited liability company; or
(6) Your officials, trustees board members or insurance manager, if you are a not -for -profit
organization.
B. The following is added to Paragraph 5. Transfer Of Rights Of Recovery Against Others To Us
5. Transfer Of Rights Of Recovery Against Others To Us
However, we waive any rights of recovery we may have under the policy against any person or
organization for whom the insured is working or operating under a written contract when such contract
requires a waiver of s ubrogation. This provision does not apply unless the written contract has been
executed prior to the "bodily injury" or "property damage".
C. The following is added to Paragraph B.2. Concealment, Misrepresentation Or Fraud:
B. General Conditions
2. Concealment, Misrepresentation Or Fraud
However, your unintentional error in disclosing, or failing to disclose, any material fact existing at
the effective date of this Coverage Form, or during the policy period in connection with any
additional hazards, will not prejudice your rights under this Coverage Form.
NA CA 09 01 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 6 of 7
D. Paragraph 5.b. of B. General Conditions is replaced with the following:
B. General Conditions
5. Other Insurance
b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos"
you own:
(1) Any covered "auto" you lease, hire, rent or borrow; and
(2) Any covered "auto" hired or rented by your "employee" under a contract in that individual
"employee's" name, with your permission, while performing duties related to the conduct of
your business.
However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto".
The most we will pay for any one "loss" is the lesser of the following:
(1) $75,000 per accident; or
(2) Actual cash value at the time of loss; or
(3) Cost of repair.
Less the deductible shown in Item Four of the Declarations.
An adjustment for depreciation and physical condition will be made in determining actual cash
value in the event of a total "loss". The deductible does not apply to "loss" caused by fire or
lightning.
This coverage is excess over any other collectible insurance.
(SECTION V - DEFINITIONS, MENTAL ANGUISH)
A. Paragraph C. under SECTION V - DEFINITIONS is replaced with the following:
C. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental
anguish or death resulting from such bodily injury, sickness, or disease.
NA CA 09 01 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. page 7 of 7
NATIONAL AMERICAN INSURANCE COMPANY
CONTRACTORS GENERAL LIABILITY ENHANCED COVERAGE
ENDORSEMENT
SUMMARY OF COVERAGES
The following is a summary of additional coverages provided by this endorsement. This endorsement is subject to
the provisions of your policy which means that it is subject to all terms, limitations, exclusions and conditions of the
policy, except and to the extent specifically stated in this endorsement No coveraqe is provided by t its summary.
COVERAGE DESCRIPTION PAGE
Coverage Extensions
Extended Property Damage
2
Expanded Fire Legal Liability to Include Explosion, Lightning and Sprinkler Leakage
2
Coverage For Non -Owned Watercraft Extended to 51 Feet in Length
2
Newly Formed or Acquired Organizations- Extend The Reporting Requirement to 180 Days
7
Knowledge of Occurrence- Knowledge of an "occurrence", claim, or "suit" by your agent, servant,
or employee shall not in itself constitute knowledge of the Named Insured unless an officer of the
11
Named Insured has received such notice from the agent, servant, or employee
Primary And Noncontributory- Other Insurance Condition
11
Waiver of Subrogation - Automatic Status When Required In A Written Contract
11
Additional Coverages Limit of Insurance
Coverage D- Voluntary Property Damage Coverage $5,000 Occurrence
2
$10,000 Aqqreqate
Coverage E- Care, Custody or Control Property $10,000 Occurrence
Damage Coverage $25,000 Aggregate
3
Coverage F- Product Recall Expense $10,000 Each Recall
$25,000 Aggregate 3
$1,000 Deductible
Coverage G - Water Damage Legal Liability $25,000 Aggregate 5
Coverage H- Contamination or Pollution Coverage $100,000 Aggregate 5
(Sudden And Accidental)
Increase in Supplementary Payments 7
Bail Bonds - $1,000
Loss of Earnings - $500
Additional Insured Coverages on a Primary and Non -Contributory Basis:
Additional Insured- Owners, Lessees or Contractors -Automatic Status When Required In 8
Construction Agreement With You
Additional Insured- Lessor of Leased Equipment -Automatic Status When Required In 8
Lease Agreement With You
Additional Insured- Managers or Lessor of Premises -Automatic Status When Required In 9
A Written Contract
Additional Insured- Engineers, Architects or Surveyors Not Engaged by the Named
Insured 9
Aggregate Limits of Insurance
Automatically Included - Per Location Subject to Cap 10
Automatically Included - Per Project Subject to Cap 10
NA CG 23A 03 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 1 of 11
POLICY NUMBER: MP35280042 COMMERCIAL GENERAL LIABILITY
NA CG 23A 03 21
NATIONAL AMERICAN INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS GENERAL LIABILITY ENHANCED COVERAGE
ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SECTION I - COVERAGES
A. The following changes are made under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury
And Property Damage Liability:
1. Exclusion a. is replaced by the following:
a. Expected Or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This
exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable
force to protect persons or property.
2. Expanded Fire Legal Liability
The last paragraph under 2. Exclusions is replaced by the following:
Exclusions c. through n. do not apply to damage by fire, explosion, lightning,or smoke resulting from
such fire, explosion, or lightning, or sprinkler leakage to premises while rented to you or temporarily
occupied by you with permission of the owner. A separate limit of insurance applies to this coverage
as described in Section III - Limits of Insurance.
3. Non -Owned Watercraft
Exclusion g. (2) (a) is replaced by the following:
g. Aircraft, Auto Or Watercraft
(2) A watercraft you do not own that is:
(a) Less than 51 feet long; and
B. The following additional coverages are added to Section I - Coverages. Each of these additional coverages
is subject to Paragraph 2. Exclusions of Section 1 - Coverage A - Bodily Injury And Property Damage
Liability and all other terms, limitations, conditions, exclusions and all other provisions of the policy except and
to the extent otherwise specifically stated in this endorsement.
COVERAGE D - VOLUNTARY PROPERTY DAMAGE COVERAGE
1. Insuring Agreement
a. At your request, and whether or not you are legally obligated to pay, we will pay for "property damage" to
property of others you cause while the property is in your possession or if the "property damage" arises out
of 'your work".
b. Subject to Paragraph 5. of SECTION III - LIMITS OF INSURANCE, a $5,000 occurrence limit and a
$10,000 aggregate limit is the most we will pay under Coverage D for damages because of "property
damage".
The aggregate limit is the maximum amount we will pay for all covered 'occurrences" during the policy
period.
NA CG 23A 03 21 Includes Copyrighted Material of Insurance Services Office Inc., with its Permission. Page 2 of 11
c. Our duty to pay ends when we have paid the applicable Limit of Insurance in the payment of judgments or
settlements under Coverage D.
2. Exclusions
a. For purposes of Coverage D. only, Exclusion j. under Paragraph 2. Exclusions of Section I -
Coverage A - Bodily Injury And Property Damage Liability, is replaced by the following:
j. Damage To Property
"Property damage" to:
(1) Property held by the insured for servicing, repair, storage or sale at premises you own, rent,
lease, operate or use;
(2) Property transported by or damage caused by any "automobile", "watercraft" or "aircraft" you
own, hire or lease;
(3) Property you own, rent, lease, borrow or use.
COVERAGE E - CARE, CUSTODY OR CONTROL PROPERTY DAMAGE COVERAGE
1. Insuring Agreement
a. We will pay for "property damage" to personal property in the care, custody or control of the insured subject
to the following provisions, limitations and conditions:
(1) Exclusion j.(4) under Paragraph 2. Exclusions of Section 1- Coverage A - Bodily Injury And
Property Damage Liability, does not apply to Coverage E.
(2) Subject to S. of SECTION III - LIMITS OF INSURANCE, a $10,000 occurrence limit and a $25,000
aggregate limit is the most we will pay under Coverage E.
The aggregate limit is the maximum amount we will pay for all covered "occurrences" during the policy
period.
(3) Our right and duty to defend ends when we have used up the applicable limit of insurance in the
payment of judgments or settlements under Coverage E., regardless of the number of:
(a) Insureds;
(b) Claims made or "suits" brought; or
(c) Persons or organizations making claims or bringing "suits".
COVERAGE F - PRODUCT RECALL EXPENSE
1. Insuring Agreement
a. Notwithstanding Exclusion n. under Paragraph 2., Exclusions of Section I - Coverage A - Bodily
Injury And Property Damage Liability, and subject to the limits shown in the Summary of Coverages, we
will pay the "product recall expense" you incur as a result of a "product recall' you initiate during
the coverage period.
b. We will only pay for " product recall expense" arising out of "your products" which have been physically
relinquished to others.
c. This coverage is subject to a $10,000 each product recall limit and a $25,000 aggregate limit. The
most we will pay for the s um of all "product recall expense" you incur as a result of all "product recalls"
you initiate during the policy period shall not be greater than $25,000.
d. Our right and duty to defend ends when we have used up the applicable Limit of Insurance in the payment
of judgments or settlements under Coverage F.
2. Exclusions
This insurance does not apply to "product recall expense" arising out of:
a. Any fact, circumstance or situation which existed at the inception date of the policy and which you were
aware of, or could reasonably have foreseen that would have resulted in a "product recall'.
NA CG 23A 03 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 3 of 11
b. Deterioration, decomposition or transformation of a chemical nature, except if caused by an error in the
manufacture, design, processing, storage, or transportation of "your product".
c. The withdrawal of similar products or batches that are not defective, when a defect in another product or
batch has been found.
d. Acts, errors or omissions of any of your employees, done with prior knowledge of any of your officers or
directors.
e. Inherent vice, meaning a natural condition of property that causes it to deteriorate or become damaged.
f. "Bodily injury" or "property damage':
g. Failure of "your product" to accomplish its intended purpose, including any breach of warranty of fitness,
quality, efficacy or efficiency, whether written or implied.
h. Loss of reputation, customer faith or approval, or any costs incurred to regain customer market, or any
other consequential damages.
i. Legal fees or expenses
j. Damages claimed for any los s, cost or expense incurred by you or others for the loss of use of "your
product".
k. "Product recall expense" arising from the "product recall" of any of "your products" for which coverage is
excluded by endorsement
I. Any "product recall" initiated due to the expiration of the designated shelf life of "your product".
3. Conditions
The following conditions are added to Coverage F.
a. Duties In Event of Product Recall
In the event of a "product recall", you must:
(1) See to it that we are notified as soon as practicable of a "product recall". To the extent possible, notice
should include how, when and where the "product recall" took place and estimated "product recall
expense".
(2) Take all reasonable steps to minimize "product recall expense". This will not increase the Limits of
Insurance.
(3) If requested, permit us to question any insured under oath at such times as may be reasonably
required about any matter relating to this insurance orthe insured's claim, including your books
and records. Your answers must be signed.
(4) Permit us to inspect and obtain other information proving the loss. You must send us a signed, sworn
statement of loss containing the information we request to investigate the claim. You must do this
within 60 days after our request.
(5) Cooperate with us in the investigation or settlement of any claim.
(6) Assist us upon our request, in the enforcement of any rights against any person or organization which
may be liable to you because of loss to which this insurance applies.
4. Definitions
The following definitions are added:
a. "Product recall" means a withdrawal or removal from the market of "your product" based on the
determination by you or any regulatory or governmental agency that:
(1) The use or consumption of "your product" has caused or will cause actual or alleged "bodily injury" or
"property damage" and
(2) Such determination requires you to recover possession or control of "your product" from any distributor,
purchaser or user, to repair or replace "your product", but only if "your product" is unfit for use or
consumption, or is hazardous as a result of:
NA CG 23A 03 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 4 of 11
(a) An error or omission by an insured in the design, manufacturing, processing, labeling, storage, or
transportation of "your product"; or
(b) Actual or alleged intentional, malicious or wrongful alteration or contamination of "your product" by
someone other than you.
b. "Product recall expense" means reasonable and necessary expenses for:
(1) Telephone, radio and television communication and printed advertisements, including stationery,
envelopes and postage.
(2) Transporting recalled products from any purchaser, distributor or user, to locations designated by you.
(3) Remuneration paid to your employees for overtime, as well as remuneration paid to additional
employees or independent contractors you hire.
(4) Transportation and accommodation expense incurred by your employees.
(5) Rental expense incurred for temporary locations used to store recalled products.
(6) Expenses incurred to properly dispose of recalled products, including packaging that cannot be reused.
(7) Transportation expense incurred to replace recalled products.
(8) Repairing, redistributing or replacing covered recalled products with like products or substitutes, not to
exceed your original cost of manufacturing, processing, acquisition and/or distribution.
These expenses must be incurred as a result of a "product recall".
COVERAGE G - WATER DAMAGE LEGAL LIABILITY
1. Insuring Agreement
a. Notwithstanding Exclusion j.(1) under Paragraph 2., Exclusions of Section I - Coverage A - Bodily Injury
And Property Damage Liability, we will pay for "property damage" to premises that are both rented to
and occupied by you if the "property damage" happens during the policy period as the result of an
"occurrence" and arises out of the injurious presence of water.
b. Subject to Paragraph 5. of SECTION III - LIMITS OF INSURANCE the most we will pay under Coverage
G. is $25,000 aggregate per policy period.
The aggregate limit is the maximum amount w e will pay for all c overed "occurrences" during the policy
period.
c. Our right and duty to defend ends when we have used up the applicable Limit of Insurance in the payment
of judgments or settlements under Coverage G.
COVERAGE H - CONTAMINATION OR POLLUTION COVERAGE (Sudden And Accidental
For Contractors)
A. The following provisions are added to Section I - Coverage A - Bodily Injury And Property Damage
Liability.
1. LIMITED POLLUTION COVERAGE
Exclusion f. under Paragraph 2., Exclusions of Section I - Coverage A - Bodily Injury And Property
Damage Liability is replaced by the following:
This insurance does not apply to:
f. Pollution
(1) "Bodily injury' or "property damage" which would not have occurred in whole or part but for the
actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of
"pollutants" at any time.
(2) Any loss, cost or expense arising out of any:
(a) Request, demand, order or statutory or regulatory requirement that any insured or others test
for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to,
or assess the effects of "pollutants"; or
NA CG 23A 03 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 6 of 11
(b) Claim or suit by or on behalf of a governmental authority for damages because of testing for,
monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any
way responding to, or assessing the effects of, "pollutants."
This exclusion does not apply to that portion of any "bodily injury" or "property damage" which is
caused by a "pollution incident', subject to the limits of insurance set forth below in this endorsement,
but only if the following conditions are met:
(a) The commencement time and date of such "pollution incident' can be identified with certainty, and
such "pollution incident' commences at a specific time and date during the policy period;
(b) Such "pollution incident' is an accident and unintentional release, discharge, emission or escape of
"pollutants," is sudden and accidental and is neither expected nor intended by any insured;
(c) Such "pollution incident' is not a repeat or resumption of a previous discharge, dispersal, release or
escape of the same "pollutants" from essentially the same source within twelve (12) months of a
previous discharge, dispersal, release or escape;
(d) Such "bodily injury" or "property damage" is not caused or contributed to in any degree by any
"pollution incident" that commenced prior to the beginning of the Policy Period shown in the
Declarations;
(e) Such "pollution incident' is discovered or otherwise becomes known to you within thirty (30) days of
its commencement and is reported to us in writing within thirty (30) days after you first obtain
knowledge of the "pollution incident';
(f) Such "pollution incident' did not result from or was not contributed to by your failure to comply with
any government statute, rule, regulation, or order;
2. LIMITS FOR POLLUTION COVERAGE:
The most we will pay for liability because of covered "bodily injury" and "property damage" caused by one
or more "pollution incidents" shall not be greater than $100,000 in the aggregate per policy period.
For the purpose of mitigating further "bodily injury" or "property damage" caused by a covered "pollution
incident," $ 100,000 may be applied to costs or expenses incurred by any insured for cleaning up,
removing or containing a covered "pollution incident' on the particular part of real property upon which the
operations of the insured are conducted. This amount shall not be in addition to the limits set forth above,
but such amounts shall reduce such applicable limits.
When this limit is used up, we shall have no further obligation to defend claims or "suits" seeking such
damages or pay such damages or defense expense.
This coverage does not apply to Coverage B - Personal And Advertising Injury Liability.
3. NON -EXTENSION OF COVERAGE:
The only coverage provided under this policy for liability in any way relating to, or caused by, any
"pollution incident" is that which is set forth in this endorsement.
4. DEFINITIONS
All provisions of the POLICY DEFINITIONS portion of this insurance remain unchanged except as modified
by the following:
For purposes only of the coverages addressed in this endorsement, the definition of "property damage" is
replaced with the following:
"Property Damage" means:
a. Physical Injury to, destruction of, or contamination of tangible property, including all resulting loss of
use of that property; or
b. Loss of use of tangible property that is not physically injured, destroyed or contaminated but has
been evacuated, withdrawn from use or rendered inaccessible because of a "pollution incident."
c. Any loss, cost, or expense which you become legally obligated to pay, provided that you receive
notice asserting such obligation during the policy period or within 30 days thereafter, and provided
further that such "loss," cost or expense arises out of:
(1) A request, demand or order that any insured or others test for, monitor, clean-up, remove, contain,
NA CG 23A 03 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 6 of 11
treat, detoxify or neutralize, or in any way respond to, or assess the effects of "pollutants;" or
(2) A claim or legal proceeding by or on behalf of a governmental authority for payments because of
testing for, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way
responding to or assessing the effects of "pollutants."
"Pollution Incident" means an "occurrence" consisting of any actual emission, discharge, release, or escape
of any "pollutant" into or upon land, the atmosphere, any watercourse or body of water, or any building or
dwelling, provided that such emission, discharge, release or escape results in "environmental damage."
The entirety of any such actual emission, discharge, release or escape shall be deemed to be one
"pollution incident."
"Pollutant" means any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor,
soot, fumes, acids, alkalis, chemicals, waste and saline substances. Waste includes materials to be
recycled, reconditioned or reclaimed.
"Environmental Damage" means any injurious presence actually in or upon land, the atmosphere, any
watercourse or body of water, or any building or dwelling, of any "pollutant."
SUPPLEMENTARY PAYMENTS - COVERAGES A AND B
1. SUPPLEMENTARY PAYMENTS -COVERAGES A AND B is amended as follows:
a. To read SUPPLEMENTARY PAYMENTS -ALL COVERAGES
b. The following language is added at the end of Paragraph 1.
However, we shall have none of the duties set forth above when this insurance applies only for Coverage
D., Coverage E., or both, and we have paid the Limit of Liability or the Aggregate Limt for these additional
coverages.
c. Bail Bonds
Paragraph 1.b. is replaced by the following:
1. We will pay, with respect to any claim we investigate or settle, or any "suit' against an insured we
defend:
b. Up to $1,000 for cost of bail bonds required because of accidents or traffic law violations arising out
of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to
furnish these bonds.
d. Loss of Earnings
Paragraph 1.d. is replaced by the following:
1. We will pay, with respect to any claim we investigate or settle, or any "suit' against an insured we
defend:
d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or
defense of the claim or "suit', including actual loss of earnings up to $500 a day because of time off
from work.
SECTION II -WHO IS AN INSURED
A. The following changes are made to SECTION II -WHO IS AN INSURED
1. Extended Reporting Requirements
Paragraph 3.a. is replaced by the following:
3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability
company, and over which you maintain ownership or majority interest, will qualify as a Named Insured
if there is no other similar insurance available to that organization. However:
a. Coverage under this provision is afforded only until the 180th day after you acquire or form the
organization or the end of the policy period, whichever is earlier;
B. The following provisions are added to SECTION II -WHO IS AN INSURED:
NA CG 23A 03 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 7 of 11
4. Additional Insured -Owners, Lessees or Contractors- Automatic Status When Required In
Construction or Service Agreement With You
Each of the following is an insured:
a. Any person or organization for whom you are performing operations when you and such person or
organization have agreed in writing in a contract or agreement that such person or organization be
added as an additional insured on your policy;
b. Any other person or organization you are required to add as an additional insured under the contract or
agreement described in Paragrapha. above.
Such person or organization is an additional insured only with respect to liability for "bodily injury",
"property damage" or "personal and advertising injury" which may be imputed to that person or
organization directly arising out of:
(1) Your acts or omissions, or the acts or omissions of those acting on your behalf in the performance
of your ongoing operations for the additional insured; or
(2) "Your work" specified in the "written contract' but only for "bodily injury", "property damage" or
"personal and advertising injury" included in the "products -completed operations hazard';
However, the insurance afforded to such additional insureds described in Paragraphs a. and b. above, only
applies to the extent permitted by law and will not be broader than that which you are required by the
contract or agreement to provide for such additional insureds.
c. With respect to the insurance afforded to these additional insureds, the following additional exclusions
apply:
This insurance does not apply to:
(1) 'Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering
of, or the failure to render, any professional architectural, engineering or surveying services,
including:
(a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; or
(b) Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in
the supervision, hiring, employment, training or monitoring of others by that insured, if the 'occurrence"
which caused the "bodily injury" or "property damage", or the offense which caused the "personal and
advertising injury", involved the rendering of or the failure to render any professional architectural,
engineering or surveying services.
d. With respect to the insurance afforded to these additional insureds, the following is added to Section III
- Limits of Insurance:
The most we will pay on behalf of the additional insured is the amount of insurance:
(1) Required by the contract or agreement you have entered into with the additional insured; or
(2) Available under the applicable Limits of Insurance;
whichever is less.
This coverage shall not increase the applicable Limits of Insurance.
5. Additional Insured -Lessor of Leased Equipment- Automatic Status When Required In Lease
Agreement With You
Each of the following is an insured:
a. Any person(s) or organization(s) from whom you lease equipment when you and such person(s) or
organization(s) have agreed in writing in a contract or agreement that such person(s) or organization(s)
be added as an additional insured on your policy. Such person(s) or organization(s) is an insured only
with respect to your liability for "bodily injury", "property damage" or "personal and advertising injury"
directly arising out of the maintenance, operation or use of equipment leased to you by such person(s)
or organization(s).
NA CG 23A 03 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 8 of 11
However:
(1) The insurance afforded to such additional insured only applies to the extent permitted by law; and
(2) If coverage provided to the additional insured is required by a contract or agreement, the insurance
afforded to such additional insured will not be broader than that which you are required by the
contract or agreement to provide for such additional insured.
b. With respect to the insurance afforded to these additional insureds, this insurance does not apply to
any "occurrence" which takes place after the equipment lease expires.
c. With respect to the insurance afforded to these additional insureds, the following is added to Section III
- Limits of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will
pay on behalf of the additional insured is the amount of insurance:
(1) Required by the contract or agreement; or
(2) Available under the applicable Limits of Insurance;
whichever is less.
This coverage shall not increase the applicable Limits of Insurance.
6. Additional Insured - Managers or Lessors of Premises
Each of the following is an insured:
a. Any person(s) or organization(s), but only with respect to liability arising out of the ownership,
maintenance or use of that part of the premises leased to you and subject to the following additional
exclusions:
This insurance does not apply to:
(1) Any "occurrence" which takes place after you cease to be a tenant in that premises.
(2) Structural alterations, new construction or demolition operations performed by or on behalf of such
person(s) or organization(s).
However:
(1) The insurance afforded to such additional insured only applies to the extent permitted by law; and
(2) If coverage provided to the additional insured is required by a contractor agreement, the insurance
afforded to such additional insured will not be broader than that which you are required by the
contract or agreement to provide for such additional insured.
b. With respect to the insurance afforded to these additional insureds, the following is added to Section
III -Limits of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will
pay on behalf of the additional insured is the amount of insurance:
(1) Required by the contract or agreement; or
(2) Available under the applicable Limits of Insurance;
whichever is less.
This coverage shall not increase the applicable Limits of Insurance.
7. Additional Insured - Engineers, Architects or Surveyors Not Engaged by the Named Insured
Each of the following is an insured:
a. Any architects, engineers or surveyors who are not engaged by you are insureds, but only with respect
to liability for "bodily injury" or "property damage" or "personal and advertising injury" which may be
imputed to that architect, engineer or surveyor aris ing out of:
(1) Your acts or omissions; or
(2) The acts or omissions of those acting on your behalf;
NA CG 23A 03 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 9 of 11
in the performance of your ongoing operations performed by you or on your behalf.
Such architects, engineers or surveyors, while not engaged by you, are contractually required to be
added as an additional insured to your policy.
However, the insurance afforded to such additional insured:
(1) Only applies to the extent permitted by law; and
(2) Will not be broader than that which you are required by the contract or agreement to provide for
such additional insured.
b. With respect to the insurance afforded to these additional insureds, the following additional exclusion
applies:
The insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury"
arising out of the rendering of or the failure to render any professional services, including:
(1) The preparing, approving, or failing to prepare or approve, maps, drawings, opinions, reports,
surveys, change orders, designs or specifications; or
(2) Supervisory, inspection or engineering services.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in
the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence"
which caused the "bodily injury" or "property damage", or the offense which caused the "personal and
advertising injury", involved the rendering of or the failure to render any professional services.
SECTION III - LIMITS OF INSURANCE
A. Paragraphs 2., 3., and 6. of SECTION III -LIMITS OF INSURANCE are replaced by the following:
2. The General Aggregate Limit is the most we will pay for the sum of:
a. Medical expenses under Coverage C;
b. Damages under Coverage A, except damages because of "bodily injury" or "property damage"
included in the "products -completed operations hazard'; and
c. Damages under Coverage B; and
d. Damages under Coverage G.
e. Damages under Coverage H.
3. The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for
damages because of "bodily injury" and "property damage" included in the "products -completed operations
hazard" and Coverage F.
6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay
under Coverage A for damages because of "property damage" to any one premises, while rented to you,
or in the case of damage by fire, explosion, lightning, or smoke resulting from such fire, explosion, or
lightning, or sprinkler leakage while rented to you or temporarily occupied by you with permission of the
owner.
B. The following are added to SECTION III - LIMITS OF INSURANCE:
8. Aggregate Limits of Insurance ( Per Location)
The General Aggregate Limit applies separately to each of your "locations" owned by or rented to you or
temporarily occupied by you with the permission of the owner.
"Location" means premises involving the same or connecting lots, or premises whose connection is
interrupted only by a street, roadway, waterway or right-of-way of a railroad.
9. Aggregate Limits of Insurance (Per Project)
The General Aggregate Limit applies separately to each of your "construction projects" away from premises
owned by or rented to you.
"Construction Project" means "your work" conducted according to a single plan.
NA CG 23A 03 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 10 of 11
10. Even though the General Aggregate Limit applies separately to each of your "locations" and each of your
"construction projects", the most we will pay under this policy is three times the General Aggregate Limit
regardless of the number of "locations", "construction projects", 'occurrences", "insureds", claims, "suits",
or persons or organizations making claims or bringing "suits".
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS
A. The following is added to Paragraph 4.Other Insurance:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek contribution from any other insurance available to an additional
insured under your policy provided that:
(1) The additional insured is a Named Insured under such other insurance; and
(2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not
seek contribution from any other insurance available to the additional insured.
B. Paragraphs 2.a. and b. are replaced with the following:
2. Duties In The Event Of Occurrence, Offense, Claim Or Suit
a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense which
may result in a claim. Knowledge of an "occurrence" by your agent, servant or employee shall not in
itself constitute knowledge of the Named Insured unless an officer of the Named Insured has received
such notice from the agent, servant or employee. T o the extent possible, notice should include:
(1) How, when and where the "occurrence" took place;
(2) The names and addresses of any injured persons and witnesses; and
(3) The nature and location of any injury or damage arising out of the "occurrence" or offense.
b. If a claim is made or "suit' is brought against any insured, you must:
(1) Immediately record the specifics of the claim or "suit' and the date received; and
(2) Notify us as soon as practicable.
You must see to it that we receive written notice of the claim or "suit' as soon as practicable. Knowledge of
a claim or "suit' by your agent, servant or employee shall not in itself constitute knowledge of the Named
Insured unless an officer of the Named Insured has received such notice from the agent, servant or
employee.
C. The following is added to Paragraph 2.c.:
2. Duties In The Event Of Occurrence, Offense, Claim or Suit
c. You and any other involved ins ured must:
(5) Upon our request, replace or repair the property covered under Coverage D - Voluntary Property
Damage at your actual cost, excluding profit or over head.
D. Paragraph 8. is modified by adding the following sentence:
8. Transfer Of Rights Of Recovery Against Others To Us
We waive our right to recovery against any person or organization for whom the insured is operating under
a written contract when such contract requires a waiver of subrogation, and such contract is executed
before the "property damage" or "bodily injury" occurs or the "personal and advertising" offense is
committed.
NA CG 23A 03 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 11 of 11
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 03 04 B
(Ed. 6-14)
TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A.
of the Information Page.
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, but this waiver applies only
with respect to bodily injury arising out of the operations described in the Schedule where you are required
by a written contract to obtain this waiver from us.
This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
The premium for this endorsement is shown in the Schedule.
Schedule
1. Blanket Waiver
Any person or organization for whom the Named Insured has agreed by written contract to furnish this
waiver.
2. Operations: All TX Operations
3. Premium:
The premium charge for this endorsement shall be 2 percent of the premium developed on payroll in
connection with work performed for the above person(s) or organization(s) arising out of the operations
described.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
Date Prepared: February 20, 2024
Carrier: Bridgefield Casualty Insurance Company
Effective Date of Endorsement: April 20, 2024
Policy Number: 196-57864 Countersigned by -
Insured: D.T. Utility Contractors, Inc.
WC 42 03 04 B (Ed. 6-14)
"Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. Copyright 2014 NCCI"
POLICY NUMBER: MP35280042 COMMERCIAL AUTO
NA CA 09 01 21
NATIONAL AMERICAN INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO ENHANCED COVERAGE ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
The following is a summary index of additional coverages provided by this endorsement. This endorsement is
subject to the provisions of your policy which means that it is subject to all limitations and conditions applicable to
this Coverage Part, unless specifically deleted, replaced, or modified therein. No coverage is provided by this
summary.
SUMMARY INDEX
DESCRIPTION
SECTION II - COVERED AUTOS LIABILITY COVERAGE
Who Is An Insured
Broad Form Insured
Employee As Insureds
Additional Insured Status By Contract, Agreement Or Permit
Supplementary Payments
Bail Bond Coverage
Loss Of Earnings Coverage
Pollution Liability - Broadened Coverage For Covered Autos
SECTION III - PHYSICAL DAMAGE COVERAGE
Broadened Coveraqe
Towinq And Labor
Physical Damaqe Additional Transportation Expense Coveraqe
Temporary Substitute Auto Physical Damaqe
Extra Expense- Theft
Rental Reimbursement And Additional Transportation Expense
Personal Effects Coverage
Personal Property Of Others
Locksmith Coverage
Vehicle Wrap Coverage
Airbag Accidental Discharge
Audio, Visual And Data Electronic Equipment Coveraqe
Auto Loan/Lease Total Loss Protection
Glass Repair- Deductible Amendment
SECTION IV - BUSINESS AUTO CONDITIONS
Broadened Coverage
Amended Duties In The Event Of Accident, Claim, Suit Or Loss
Waiver Of Subrogation - Automatic Status When Required In A Written Contract
Unintentional Failure To Disclose
Hired, Leased, Rented Or Borrowed Auto Physical Damaqe
SECTION V - DEFINITIONS
Mental Anguish Included in Definition of "Bodily Iniury"
PAGE NUMBER
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3
4
4
4
4
5
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NA CA 09 01 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 1 of 7
(SECTION 11- COVERED AUTOS LIABILITY COVERAGE, WHO IS AN INSURED, SUPPLEMENTARY
PAYMENTS, POLLUTION)
The following changes are made to SECTION II - COVERED AUTOS LIABILITY COVERAGE:
A. The following are added to Paragraph A.1.:
1. Who Is An Insured
The following are "insureds":
d. Any organization that is acquired or formed by you, during the term of this policy and over which
you maintain majority ownership. However, the Named Insured does not include any newly formed
or acquired organization:
(1) That is a joint venture or partnership;
(2) That is an "insured" under any other policy;
(3) That has exhausted its Limits of Insurance under any other policy; or
(4) 180 days or more after its acquisition or formation by you, unless you have given us notice of
the acquisition or formation.
Coverage does not apply to "bodily injury" or "property damage" that results from an accident that
occurred before you formed or acquired the organization.
e. Your "employee" while acting in the course of your business or your personal affairs while using a
covered "auto" you do not own, hire or borrow.
f. Any person or organization for whom you are required to add as an additional ins ured when you
and such person or organization have agreed in writing in a contract or agreement, but such written
contract or agreement must be:
(1) Currently in effect or becoming effective during the term of this policy; and
(2) Executed prior to the "bodily injury" or "property damage".
Coverage provided by this extension applies only with respect to the extent that the person or
organization is liable for the conduct of an "insured" arising out of the ownership, maintenance or
use of a covered "auto" under this policy.
Coverage provided by this extension will not exceed the Limits of Liability required by the written
contract or agreement even if the limits stated in the policy exceed those limits. This coverage
shall not increase the Limit Of Insurance for Covered Autos Liability Coverage shown in the
Declarations.
For any covered "auto" you own, the insurance provided under this extension is primary.
B. Paragraphs 2.a.(2) and 2.a.(4) are replaced with the following:
2. Coverage Extensions
a. Supplementary Payments
(2) Up to $5,000 for cost of bail bonds (including bonds for related traffic violations) required
because of an "accident' we cover. We do not have to furnis h these bonds.
(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of
earnings up to $500 a day because of time off from work.
C. Pollution Liability - Broadened Coverage For Covered Autos
1. Covered Autos Liability Coverage is changed as follows:
a. Paragraph a. of the Pollution Exclusion applies only to liability assumed under a contract or
agreement.
NA CA 09 01 21 Includes Copyrighted Material of Insurance Services Office, Inc., with its Permission. Page 2 of 7
b. With respect to the coverage afforded by Paragraph A.1. above, Exclusion B.6. Care, Custody
Or Control does not apply.
2. Changes In Definitions
For the purposes of this endorsement, Paragraph D. of the Definitions Section is replaced by the
following:
D. "Covered pollution cost or expense" means any cost or expense arising out of:
1. Any request, demand, order or statutory or regulatory requirement that any "insured" or
others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any
way respond to, or assess the effects of "pollutants"; or
2. Any claim or "suit' by or on behalf of a governmental authority for damages because of
testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or
neutralizing, or in any way responding to or assessing the effects of "pollutants".
"Covered pollution cost or expense" does not include any cost or expense arising out of the
actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of
"pollutants":
a. Before the "pollutants" or any property in which the "pollutants" are contained are
moved from the place where they are accepted by the "insured" for movement into or
onto the covered "auto"; or
b. After the "pollutants" or any property in which the "pollutants" are contained are moved
from the covered "auto" to the place where they are finally delivered, disposed of or
abandoned by the "insured".
Paragraphs a. and b. above do not apply to "accidents" that occur away from premises
owned by or rented to an "insured" with respect to "pollutants" not in or upon a covered
"auto" if:
(1) The "pollutants" or any property in which the "pollutants" are contained are upset,
overturned or damaged as a result of the maintenance or use of a covered "auto';
and
(2) The discharge, dispersal, seepage, migration, release or escape of the "pollutants"
is caused directly by such upset, overturn or damage.
3. Limits For "Covered Pollution Cost or Expense"
The most we will pay for "covered pollution cost or expense" is $100,000 in the aggregate per
policy period, regardless of the number of "accidents".
When this limit is used up, we shall have no further obligation to defend claims or "suits" seeking
such damages or to pay such damages or defense expense.
(SECTION III - PHYSICAL DAMAGE COVERAGE, BROADENED PHYSICAL DAMAGE COVERAGES)
The following changes are made to SECTION III - PHYSICAL DAMAGE COVERAGE
A. Paragraph A.2 is replaced with the following:
A. Coverage
2. Towing And Labor
We will pay for towing and labor costs incurred, up to the limits shown below, each time a covered
"auto" is disabled:
a. For private passenger type vehicles, we will pay up to $100 per disablement.
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b. For all other covered "autos" we will pay up to $500 per disablement.
However, the labor must be performed at the place of disablement.
B. Paragraph AA.a. is replaced with the following:
A. Coverage
4. Coverage Extensions
a. Transportation Expenses
We will pay up to $60 per day, to a maximum of $1,800, for temporary transportation
expense incurred by you because of the total theft of a c overed "auto" of the private
passenger type. We will pay only for those covered "autos" for which you carry either
Comprehensive or Specified Causes Of Loss Coverage. We will pay for temporary
transportation expenses incurred during the period beginning 48 hours after the theft and
ending, regardless of the policy's expiration, when the covered "auto" is returned to use or
we pay for its "loss".
C. The following are added to Paragraph 4. Coverage Extensions:
4. Coverage Extensions
c. Temporary Substitute Autos
If Physical Damage Coverage is provided under this Coverage Form for an "auto" you own, the
Physical Damage coverages provided for that owned "auto" are extended to any "auto" you do
not own while used with the permission of its owner as a temporary substitute for the covered
"auto" you own that is out of service because of its:
(1) Breakdown;
(2) Repair;
(3) Servicing;
(4) "Loss"; or
(5) Destruction.
d. Theft Recovery Expense
If you have purchased Comprehensive Coverage on a covered "auto" that is stolen, we will pay
the expense of returning that stolen "auto" to you. The limit for this coverage extension is
$5,000.
e. Rental Reimbursement
We will provide Rental Reimbursement and Additional Expense coverage only for those
Physical Damage coverages for which a premium is shown in the Declarations. Coverage
applies only to a covered "auto".
(1) We will pay for auto rental expense and the expense incurred by you because of a covered
cause of "loss" to remove and transfer your materials and equipment from a covered "auto"
to a covered "auto". Payment applies in addition to the otherwise applicable coverage you
have on a covered "auto". No deductible applies to this coverage.
(2) We will pay only for expens es incurred during the policy period and beginning 24 hours
after the "loss" and ending, regardless of the policy's expiration, with the lesser of the
following number of days:
(a) The number of days reasonably required to repair or replace the covered "auto". If
"loss" is caused by theft, this number of days is added to the number of days it takes to
locate the covered "auto" and return it to you; or
(b) 30 days.
(3) Our payment is limited to the lesser of the following amounts:
(a) Necessary and actual expenses incurred; or
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(b) $75 per day.
(4) This coverage does not apply while there are spare or reserve "autos" available to you for
your operations.
(5) If "loss" results from the total theft of a covered "auto" of the private passenger type or light
truck type, we will pay under this coverage only that amount of your rental reimbursement
expense which is not already provided for under SECTION III - PHYSICAL DAMAGE
COVERAGE, A. Coverage, 4. Coverage Extensions, a. Transportation Expenses.
f. Personal Effects
If you have purchased comprehensive coverage on a covered "auto" you own and that "auto" is
stolen, we will pay, without application of a deductible, up to $500 for "Personal Effects" stolen
with the covered "auto". The insurance provided under this provision is excess over any other
collectible insurance. For this coverage extension, "Personal Effects" means tangible property
that is worn or normally carried on "insured's" person.
g. Personal Property Of Others
We will pay up to $500 for "loss" to personal property of others in or on your covered "auto".
This coverage applies only in the event of "loss" to your covered "auto" caused by fire,
lightning, explosion, theft, mischief or vandalism, the covered "auto's" collision with another
object, or the covered "auto's" overturn. No deductible applies to this coverage.
h. Locksmith Coverage
We will pay up to $250 per occurrence for necessary locksmith services for keys locked inside
a covered private passenger type "auto". The deductible is waived for these services.
I. Vehicle Wrap Coverage
Under either Comprehensive or Collision Coverage, we will pay up to $1,000 for vinyl vehicle
wraps which are displayed on a covered "auto" at the time of a total "loss".
Regardless of the number of "autos" deemed a total "loss", the most we will pay under this
coverage for any one "loss" is $5,000. For purposes of this coverage, signs or other graphics
painted or magnetically affixed to the c overed "auto" are not considered vehicle wraps.
D. Paragraph B.3. is replaced with the following:
B. Exclusions
3. We will not pay for "loss" due and confined to:
a. Wear and tear, freezing, mechanical or electrical breakdown.
b. Blowouts, punctures or other road damage to tires.
This exclusion does not apply to such "loss" resulting from the total theft of a
covered "auto".
This exclusion also does not apply to the mechanical breakdown relating to the accidental
discharge of an air bag. This exception applies only if you have purchased comprehensive
or collision coverage on the covered "auto" you own and coverage is excess of any other
collectible insurance or warranty. No deductible applies to this coverage.
E. Paragraph C.1.b. is replaced with the following:
C. Limits Of Insurance
1. The most we will pay for:
b. All electronic equipment that reproduces, receives or transmits audio, visual or data
signals in any one "loss" is $5,000, if, at the time of "loss", such electronic equipment
is:
(1) Permanently installed in or upon the covered "auto" in a housing, opening or other
location that is not normally used by the "auto" manufacturer for the installation of such
equipment;
(2) Removable from a permanently installed housing unit as described in Paragraphb.(1)
above; or
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(3) An integral part of such equipment as described in Paragraphs b.(1) and b.(2) above.
F. The following is added to Paragraph C. Limits of Insurance:
C. Limits Of Insurance
4. In the event of a total "loss" to a covered "auto" shown in the Declarations, which is subject
to a loan or lease at the time of the 'loss", we will pay any unpaid amount due, including up
to a maximum of $500 for early termination fees or penalties on the lease or loan for a
covered "auto", less:
a. The amount paid under the Physical Damage Coverage Section of the policy; and
b. Any:
(1) Overdue lease or loan payments at the time of the "loss";
(2) Financial penalties imposed under a lease for excessive use, abnormal wear and
tear or high mileage;
(3) Security deposits not returned by the lessor;
(4) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability
Insurance purchased with the loan or lease; and
(6) Carry-over balances from previous loans or leases.
G. The following is added to Paragraph D. Deductible
D. Deductible
Any deductible shown in the Declarations as applicable to the covered "auto" will not apply to
glass breakage if the damaged glass is repaired, rather than replaced.
(SECTION IV - BUSINESS AUTO CONDITIONS, BROADENED COVERAGE)
The following changes are made to SECTION IV - BUSINESS AUTO CONDITIONS:
A. The following is added to Paragraph 2. Duties In The Event Of Accident, Claim, Suit Or Loss
2. Duties In The Event Of Accident, Claim, Suit Or Loss
d. Knowledge of any "accident", "claim", "s uit' or "loss" will be deemed knowledge by you when notice
of such "accident', "claim", "suit" or "loss" has been received by:
(1) You, if you are an individual;
(2) Any partner or insurance manager, if you are a partnership;
(3) An executive officer or insurance manager, if you are a corporation;
(4) Your members, managers or insurance manager, if you are a limited liability company; or
(5) Your officials, trustees board members or insurance manager, if you are a not -for -profit
organization.
B. The following is added to Paragraph 5. Transfer Of Rights Of Recovery Against Others To Us
5. Transfer Of Rights Of Recovery Against Others To Us
However, we waive any rights of recovery we may have under the policy against any person or
organization for whom the insured is working or operating under a written contract when such contract
requires a waiver of s ubrogation. This provision does not apply unless the written contract has been
executed prior to the "bodily injury" or "property damage".
C. The following is added to Paragraph B.2. Concealment, Misrepresentation Or Fraud:
B. General Conditions
2. Concealment, Misrepresentation Or Fraud
However, your unintentional error in disclosing, or failing to disclose, any material fact existing at
the effective date of this Coverage Form, or during the policy period in connection with any
additional hazards, will not prejudice your rights under this Coverage Form.
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D. Paragraph 5.b. of B. General Conditions is replaced with the following:
B. General Conditions
5. Other Insurance
b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos"
you own:
(1) Any covered "auto" you lease, hire, rent or borrow; and
(2) Any covered "auto" hired or rented by your "employee" under a contract in that individual
"employee's" name, with your permission, while performing duties related to the conduct of
your business.
However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto".
The most we will pay for any one "loss" is the lesser of the following:
(1) $75,000 per accident; or
(2) Actual cash value at the time of loss; or
(3) Cost of repair.
Less the deductible shown in Item Four of the Declarations.
An adjustment for depreciation and physical condition will be made in determining actual cash
value in the event of a total "loss". The deductible does not apply to "loss" caused by fire or
lightning.
This coverage is excess over any other collectible insurance.
(SECTION V - DEFINITIONS, MENTAL ANGUISH)
A. Paragraph C. under SECTION V - DEFINITIONS is replaced with the following:
C. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental
anguish or death resulting from such bodily injury, sickness, or disease.
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NATIONAL AMERICAN INSURANCE COMPANY
CONTRACTORS GENERAL LIABILITY ENHANCED COVERAGE
ENDORSEMENT
SUMMARY OF COVERAGES
The following is a summary of additional coverages provided by this endorsement. This endorsement is subject to
the provisions of your policy which means that it is subject to all terms, limitations, exclusions and conditions of the
policy, except and to the extent specifically stated in this endorsement No coverage is provided by this summary.
COVERAGE DESCRIPTION PAGE
Coverage Extensions
Extended Property Damage 2
Expanded Fire Legal Liability to Include Explosion, Lightning and Sprinkler Leakage 2
Coverage For Non -Owned Watercraft Extended to 51 Feet in Length 2
Newly Formed or Acquired Organizations- Extend The Reporting Requirement to 180 Days 7
Knowledge of Occurrence- Knowledge of an "occurrence", claim, or "suit' by your agent, servant,
or employee shall not in its elf constitute knowledge of the Named Insured unless an officer of the 11
Named Insured has received such notice from the agent, servant, or employee
Primary And Noncontributory- Other Insurance Condition 11
Waiver of Subrogation - Automatic Status When Required In A Written Contract 11
Additional Coverages Limit of Insurance
Coverage D- Voluntary Property Damage Coverage $5,000 Occurrence 2
$10.000 Aggregate
Coverage E- Care, Custody or Control Property $10,000 Occurrence
Damage Coverage $25,000 Aggregate 3
Coverage F- Product Recall Expense $10,000 Each Recall
$25,000 Aggregate 3
$1,000 Deductible
Coverage G - Water Damage Legal Liability $25,000 Aggregate 5
Coverage H- Contamination or Pollution Coverage $100,000 Aggregate 5
(Sudden And Accidental)
Increase in Supplementary Payments 7
Bail Bonds - $1,000
Loss of Earnings - $500
Additional Insured Coverages on a Primary and Non -Contributory Basis:
Additional Insured- Owners, Lessees orContractors- Automatic Status When Required In 8
Construction Agreement With You
Additional Insured- Lessor of Leased Equipment- Automatic Status When Required In 8
Lease Agreement With You
Additional Insured- Managers or Lessor of Premises- Automatic Status When Required In 9
A Written Contract
Additional Insured- Engineers, Architects or Surveyors Not Engaged by the Named
Insured 9
Aggregate Limits of Insurance
Automatically Included - Per Location Subject to Cap 10
Automatically Included - Per Project Subject to Cap 10
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POLICY NUMBER: MP35280042 COMMERCIAL GENERAL LIABILITY
NA CG 23A 03 21
NATIONAL AMERICAN INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS GENERAL LIABILITY ENHANCED COVERAGE
ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SECTION I - COVERAGES
A. The following changes are made under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury
And Property Damage Liability:
1. Exclusion a. is replaced by the following:
a. Expected Or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This
exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable
force to protect persons or property.
2. Expanded Fire Legal Liability
The last paragraph under 2. Exclusions is replaced by the following:
Exclusions c. through n. do not apply to damage by fire, explosion, lightning, or smoke resulting from
such fire, explosion, or lightning, or sprinkler leakage to premises while rented to you or temporarily
occupied by you with permission of the owner. A separate limit of insurance applies to this coverage
as described in Section III - Limits of Insurance.
3. Non -Owned Watercraft
Exclusion g. (2) (a) is replaced by the following:
g. Aircraft, Auto Or Watercraft
(2) A watercraft you do not own that is:
(a) Less than 51 feet long; and
B. The following additional coverages are addedto Section 1 - Coverages. Each of these additional coverages
is subject to Paragraph 2. Exclusions of Section 1 - Coverage A - Bodily Injury And Property Damage
Liability and all other terms, limitations, conditions, exclusions and all other provisions of the policy except and
to the extent otherwise specifically stated in this endorsement.
COVERAGE D - VOLUNTARY PROPERTY DAMAGE COVERAGE
1. Insuring Agreement
a. At your request, and whether or not you are legally obligated to pay, we will pay for "property damage" to
property of others you cause while the property is in your possession or if the "property damage" arises out
of "your work".
b. Subject to Paragraph 5. of SECTION III - LIMITS OF INSURANCE, a $5,000 occurrence limit and a
$10,000 aggregate limit is the most we will pay under Coverage D for damages because of "property
damage".
The aggregate limit is the maximum amount we will pay for all covered 'occurrences" during the policy
period.
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c. Our duty to pay ends when we have paid the applicable Limit of Insurance in the payment of judgments or
settlements under Coverage D.
2. Exclusions
a. For purposes of Coverage D. only, Exclusion j. under Paragraph 2. Exclusions of Section I -
Coverage A -Bodily Injury And Property Damage Liability, is replaced by the following:
j. Damage To Property
"Property damage" to:
(1) Property held by the insured for servicing, repair, storage or sale at premises you own, rent,
lease, operate or use;
(2) Property transported by or damage caused by any "automobile", "watercraft" or "aircraft" you
own, hire or lease;
(3) Property you own, rent, lease, borrow or use.
COVERAGE E - CARE, CUSTODY OR CONTROL PROPERTY DAMAGE COVERAGE
1. Insuring Agreement
a. We will pay for "property damage" to personal property in the care, custody or control of the insured subject
to the following provisions, limitations and conditions:
(1) Exclusion j.(4) under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And
Property Damage Liability, does not apply to Coverage E.
(2) Subject to 5. of SECTION III - LIMITS OF INSURANCE, a $10,000 occurrence limit and a $25,000
aggregate limit is the most we will pay under Coverage E.
The aggregate limit is the maximum amount we will pay for all covered 'occurrences" during the policy
period.
(3) Our right and duty to defend ends when we have used up the applicable limit of insurance in the
payment of judgments or settlements under Coverage E., regardless of the number of:
(a) Insureds;
(b) Claims made or "suits" brought; or
(c) Persons or organizations making claims or bringing "suits".
COVERAGE F - PRODUCT RECALL EXPENSE
1. Insuring Agreement
a. Notwithstanding Exclusion n. under Paragraph 2., Exclusions of Section I - Coverage A - Bodily
Injury And Property Damage Liability, and subject to the limits shown in the Summary of Coverages, we
will pay the "product recall expense" you incur as a result of a "product recall' you initiate during
the coverage period.
b. We will only pay for " product recall expense" arising out of "your products" which have been physically
relinquished to others.
c. This coverage is subject to a $10,000 each product recall limit and a $25,000 aggregate limit. The
most we will pay for the s um of all "product recall expense" you incur as a result of all "product recalls"
you initiate during the policy period shall not be greater than $25,000.
d. Our right and duty to defend ends when we have used up the applicable Limit of Insurance in the payment
of judgments or settlements under Coverage F.
2. Exclusions
This insurance does not apply to "product recall expense" arising out of:
a. Any fact, circumstance or situation which existed at the inception date of the policy and which you were
aware of, or could reasonably have foreseen that would have resulted in a "product recall'.
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b. Deterioration, decomposition or transformation of a chemical nature, except if caused by an error in the
manufacture, design, processing, storage, or transportation of "your product".
c. The withdrawal of similar products or batches that are not defective, when a defect in another product or
batch has been found.
d. Acts, errors or omissions of any of your employees, done with prior knowledge of any of your officers or
directors.
e. Inherent vice, meaning a natural condition of property that causes it to deteriorate or become damaged.
f. "Bodily injury" or "property damage"
g. Failure of "your product" to accomplish its intended purpose, including any breach of warranty of fitness,
quality, efficacy or efficiency, whether written or implied.
h. Loss of reputation, customer faith or approval, or any costs incurred to regain customer market, or any
other consequential damages.
I. Legal fees or expenses
j. Damages claimed for any loss, cost or expense incurred by you or others for the loss of use of "your
product".
k. "Product recall expense" arising from the "product recall" of any of "your products" for which coverage is
excluded by endorsement
I. Any "product recall" initiated due to the expiration of the designated shelf life of "your product".
3. Conditions
The following conditions are added to Coverage F.
a. Duties In Event of Product Recall
In the event of a "product recall", you must:
(1) See to it that we are notified as soon as practicable of a "product recall". To the extent possible, notice
should include how, when and where the "product recall" took place and estimated "product recall
expense".
(2) Take all reasonable steps to minimize "product recall expense". This will not increase the Limits of
Insurance.
(3) If requested, permit us to question any insured under oath at such times as may be reasonably
required about any matter relating to this insurance orthe insured's claim, including your books
and records. Your answers must be signed.
(4) Permit us to inspect and obtain other information proving the loss. You must send us a signed, sworn
statement of loss containing the information we request to investigate the claim. You must do this
within 60 days after our request.
(6) Cooperate with us in the investigation or settlement of any c [aim.
(6) Assist us upon our request, in the enforcement of any rights against any person or organization which
may be liable to you because of loss to which this insurance applies.
4. Definitions
The following definitions are added:
a. "Product recall" means a withdrawal or removal from the market of "your product" based on the
determination by you or any regulatory or governmental agency that:
(1) The use or consumption of "your product" has caused or will cause actual or alleged "bodily injury" or
"property damage" and
(2) Such determination requires you to recover possession or control of "your product" from any distributor,
purchaser or user, to repair or replace "your product", but only if "your product" is unfit for use or
consumption, or is hazardous as a result of:
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(a) An error or omission by an insured in the design, manufacturing, processing, labeling, storage, or
transportation of "your product'; or
(b) Actual or alleged intentional, malicious or wrongful alteration or contamination of "your product" by
someone other than you.
b. "Product recall expense" means reasonable and necessary expenses for:
(1) Telephone, radio and television communication and printed advertisements, including stationery,
envelopes and postage.
(2) Transporting recalled products from any purchaser, distributor or user, to locations designated by you.
(3) Remuneration paid to your employees for overtime, as well as remuneration paid to additional
employees or independent contractors you hire.
(4) Transportation and accommodation expense incurred by your employees.
(5) Rental expense incurred for temporary locations used to store recalled products.
(6) Expenses incurred to properly dispose of recalled products, including packaging that cannot be reused.
(7) Transportation expense incurred to replace recalled products.
(8) Repairing, redistributing or replacing covered recalled products with like products or substitutes, not to
exceed your original cost of manufacturing, processing, acquisition and/or distribution.
These expenses must be incurred as a result of a "product recall".
COVERAGE G -WATER DAMAGE LEGAL LIABILITY
1. Insuring Agreement
a. Notwithstanding Exclusion j.(1) under Paragraph 2., Exclusions of Section I - Coverage A - Bodily Injury
And Property Damage Liability, we will pay for "property damage" to premises that are both rented to
and occupied by you if the "property damage" happens during the policy period as the result of an
"occurrence" and arises out of the injurious presence of water.
b. Subject to Paragraph 5. of SECTION III - LIMITS OF INSURANCE, the most we will pay under Coverage
G. is $25,000 aggregate per policy period.
The aggregate limit is the maximum amount we will pay for all covered "occurrences" during the policy
period.
c. Our right and duty to defend ends when we have used up the applicable Limit of Insurance in the payment
of judgments or settlements under Coverage G.
COVERAGE H - CONTAMINATION OR POLLUTION COVERAGE (Sudden And Accidental
For Contractors)
A. The following provisions are added to Section I - Coverage A - Bodily Injury And Property Damage
Liability.
1. LIMITED POLLUTION COVERAGE
Exclusion f. under Paragraph 2., Exclusions of Section I - Coverage A - Bodily Injury And Property
Damage Liability is replaced by the following:
This insurance does not apply to:
f. Pollution
(1) "Bodily injury' or "property damage" which would not have occurred in whole or part but for the
actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of
"pollutants" at any time.
(2) Any loss, cost or expense arising out of any:
(a) Request, demand, order or statutory or regulatory requirement that any insured or others test
for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to,
or assess the effects of "pollutants"; or
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(b) Claim or suit by or on behalf of a governmental authority for damages because of testing for,
monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any
way responding to, or assessing the effects of, "pollutants."
This exclusion does not apply to that portion of any "bodily injury" or "property damage" which is
caused by a "pollution incident", subject to the limits of insurance set forth below in this endorsement,
but only if the following conditions are met:
(a) The commencement time and date of such "pollution incident" can be identified with certainty, and
such "pollution incident' commences at a specific time and date during the policy period;
(b) Such "pollution incident" is an accident and unintentional release, discharge, emission or escape of
"pollutants," is sudden and accidental and is neither expected nor intended by any insured;
(c) Such "pollution incident' is not a repeat or resumption of a previous discharge, dispersal, release or
escape of the same "pollutants" from essentially the same source within twelve (12) months of a
previous discharge, dispersal, release or escape;
(d) Such "bodily injury" or "property damage" is not caused or contributed to in any degree by any
"pollution incident" that commenced prior to the beginning of the Policy Period shown in the
Declarations;
(e) Such "pollution incident' is discovered or otherwise becomes known to you within thirty (30) days of
its commencement and is reported to us in writing within thirty (30) days after you first obtain
knowledge of the "pollution incident';
(f) Such "pollution incident' did not result from or was not contributed to by your failure to comply with
any government statute, rule, regulation, or order;
2. LIMITS FOR POLLUTION COVERAGE:
The most we will pay for liability because of covered "bodily injury" and "property damage" caused by one
or more "pollution incidents" shall not be greater than $100,000 in the aggregate per policy period.
For the purpose of mitigating further "bodily injury" or "property damage" caused by a covered "pollution
incident," $ 100,000 may be applied to costs or expenses incurred by any insured for cleaning up,
removing or containing a covered "pollution incident' on the particular part of real property upon which the
operations of the insured are conducted. This amount shall not be in addition to the limits set forth above,
but such amounts shall reduce such applicable limits.
When this limit is used up, we shall have no further obligation to defend claims or "suits" seeking such
damages or pay such damages or defense expense.
This coverage does not apply to Coverage B - Personal And Advertising Injury Liability.
3. NON -EXTENSION OF COVERAGE:
The only coverage provided under this policy for liability in any way relating to, or caused by, any
"pollution incident" is that which is set forth in this endorsement.
4. DEFINITIONS
All provisions of the POLICY DEFINITIONS portion of this insurance remain unchanged except as modified
by the following:
For purposes only of the coverages addressed in this endorsement, the definition of "property damage" is
replaced with the following:
"Property Damage" means:
a. Physical Injury to, destruction of, or contamination of tangible property, including all resulting loss of
use of that property; or
b. Loss of use of tangible property that is not physically injured, destroyed or contaminated but has
been evacuated, withdrawn from use or rendered inaccessible because of a "pollution incident."
c. Any loss, cost, or expense which you become legally obligated to pay, provided that you receive
notice asserting such obligation during the policy period or within 30 days thereafter, and provided
further that such 'loss," cost or expense arises out of:
(1) A request, demand or order that any insured or others test for, monitor, clean-up, remove, contain,
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treat, detoxify or neutralize, or in any way respond to, or assess the effects of "pollutants;" or
(2) A claim or legal proceeding by or on behalf of a governmental authority for payments because of
testing for, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way
responding to or assessing the effects of "pollutants."
'Pollution Incident' means an 'occurrence" consisting of any actual emission, discharge, release, or escape
of any "pollutant' into or upon land, the atmosphere, any watercourse or body of water, or any building or
dwelling, provided that such emission, discharge, release or escape results in "environmental damage."
The entirety of any such actual emission, discharge, release or escape shall be deemed to be one
"pollution incident."
'Pollutant' means any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor,
soot, fumes, acids, alkalis, chemicals, waste and saline substances. Waste includes materials to be
recycled, reconditioned or reclaimed.
"Environmental Damage" means any injurious presence actually in or upon land, the atmosphere, any
watercourse or body of water, or any building or dwelling, of any "pollutant."
SUPPLEMENTARY PAYMENTS - COVERAGES A AND B
1. SUPPLEMENTARY PAYMENTS- COVERAGES A AND B is amended as follows:
a. To read SUPPLEMENTARY PAYMENTS -ALL COVERAGES
b. The following language is added at the end of Paragraph 1.
However, we shall have none of the duties set forth above when this insurance applies only for Coverage
D., Coverage E., or both, and we have paid the Limit of Liability or the Aggregate Limt for these additional
coverages.
c. Bail Bonds
Paragraph 1.b. is replaced by the following:
1. We will pay, with respect to any claim we investigate or settle, or any "suit' against an insured we
defend:
b. Up to $1,000 for cost of bail bonds required because of accidents or traffic law violations arising out
of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to
furnish these bonds.
d. Loss of Earnings
Paragraph 1.d. is replaced by the following:
1. We will pay, with respect to any claim we investigate or settle, or any "suit" against an insured we
defend:
d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or
defense of the claim or "suit', including actual loss of earnings up to $500 a day because of time off
from work.
SECTION II -WHO IS AN INSURED
A. The following changes are made to SECTION II -WHO IS AN INSURED
1. Extended Reporting Requirements
Paragraph 3.a. is replaced by the following:
3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability
company, and over which you maintain ownership or majority interest, will qualify as a Named Insured
if there is no other similar insurance available to that organization. However:
a. Coverage under this provision is afforded only until the 180th day after you acquire or form the
organization or the end of the policy period, whichever is earlier;
B. The following provisions are added to SECTION II - WHO IS AN INSURED:
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4. Additional Insured -Owners, Lessees or Contractors- Automatic Status When Required In
Construction or Service Agreement With You
Each of the following is an insured:
a. Any person or organization for whom you are performing operations when you and such person or
organization have agreed in writing in a contract or agreement that such person or organization be
added as an additional insured on your policy;
b. Any other person or organization you are required to add as an additional insured under the contract or
agreement described in Paragraph a. above.
Such person or organization is an additional insured only with respect to liability for "bodily injury",
"property damage" or "personal and advertising injury" which may be imputed to that person or
organization directly arising out of:
(1) Your acts or omissions, or the acts or omissions of those acting on your behalf in the performance
of your ongoing operations for the additional insured; or
(2) "Your work" specified in the "written contract' but only for "bodily injury", "property damage" or
"personal and advertising injury" included in the "products -completed operations hazard";
However, the insurance afforded to such additional insureds described in Paragraphs a. and b. above, only
applies to the extent permitted by law and will not be broader than that which you are required by the
contract or agreement to provide for such additional insureds.
c. With respect to the insurance afforded to these additional insureds, the following additional exclusions
apply:
This insurance does not apply to:
(1) 'Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering
of, or the failure to render, any professional architectural, engineering or surveying services,
including:
(a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; or
(b) Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in
the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence"
which caused the "bodily injury" or "property damage", or the offense which caused the "personal and
advertising injury", involved the rendering of or the failure to render any professional architectural,
engineering or surveying services.
d. With respect to the insurance afforded to these additional insureds, the following is added to Section III
- Limits of Insurance:
The most we will pay on behalf of the additional insured is the amount of insurance:
(1) Required by the contract or agreement you have entered into with the additional insured; or
(2) Available under the applicable Limits of Insurance;
whichever is less.
This coverage shall not increase the applicable Limits of Insurance.
5. Additional Insured -Lessor of Leased Equipment- Automatic Status When Required In Lease
Agreement With You
Each of the following is an insured:
a. Any person(s) or organization(s) from whom you lease equipment when you and such person(s) or
organization(s) have agreed in writing in a contract or agreement that such person(s) or organization(s)
be added as an additional insured on your policy. Such person(s) or organization(s) is an insured only
with respect to your liability for "bodily injury", "property damage" or "personal and advertising injury"
directly arising out of the maintenance, operation or use of equipment leased to you by such person(s)
or organization(s).
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However:
(1) The insurance afforded to such additional insured only applies to the extent permitted by law; and
(2) If coverage provided to the additional insured is required by a contract or agreement, the insurance
afforded to such additional insured will not be broader than that which you are required by the
contract or agreement to provide for such additional insured.
b. With respect to the insurance afforded to these additional insureds, this insurance does not apply to
any 'occurrence" which takes place after the equipment lease expires.
c. With respect to the insurance afforded to these additional insureds, the following is added to Section III
- Limits of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will
pay on behalf of the additional insured is the amount of insurance:
(1) Required by the contract or agreement; or
(2) Available under the applicable Limits of Insurance;
whichever is less.
This coverage shall not increase the applicable Limits of Insurance.
6. Additional Insured - Managers or Lessors of Premises
Each of the following is an insured:
a. Any person(s) or organization(s), but only with respect to liability arising out of the ownership,
maintenance or use of that part of the premises leased to you and subject to the following additional
exclusions:
This insurance does not apply to:
(1) Any "occurrence" which takes place after you cease to be a tenant in that premises.
(2) Structural alterations, new construction or demolition operations performed by or on behalf of such
person(s) or organization(s).
However:
(1) The insurance afforded to such additional insured only applies to the extent permitted by law; and
(2) If coverage provided to the additional insured is required by a contract or agreement, the insurance
afforded to such additional insured will not be broader than that which you are required by the
contract or agreement to provide for such additional insured.
b. With respect to the insurance afforded to these additional insureds, the following is added to Section
III -Limits of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will
pay on behalf of the additional ins ured is the amount of insurance:
(1) Required by the contract or agreement; or
(2) Available under the applicable Limits of Insurance;
whichever is less.
This coverage shall not increase the applicable Limits of Insurance.
7. Additional Insured - Engineers, Architects or Surveyors Not Engaged by the Named Insured
Each of the following is an insured:
a. Any architects, engineers or surveyors who are not engaged by you are insureds, but only with respect
to liability for "bodily injury" or "property damage" or "personal and advertising injury" which may be
imputed to that architect, engineer or surveyor arising out of:
(1) Your acts or omissions; or
(2) The acts or omissions of those acting on your behalf;
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in the performance of your ongoing operations performed by you or on your behalf.
Such architects, engineers or surveyors, while not engaged by you, are contractually required to be
added as an additional insured to your policy.
However, the insurance afforded to such additional insured:
(1) Only applies to the extent permitted by law; and
(2) Will not be broader than that which you are required by the contract or agreement to provide for
such additional insured.
b. With respect to the insurance afforded to these additional insureds, the following additional exclusion
applies:
The insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury"
arising out of the rendering of or the failure to render any professional services, including:
(1) The preparing, approving, or failing to prepare or approve, maps, drawings, opinions, reports,
surveys, change orders, designs or specifications; or
(2) Supervisory, inspection or engineering services.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in
the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence"
which caused the "bodily injury" or "property damage", or the offense which caused the "personal and
advertising injury", involved the rendering of or the failure to render any professional services.
SECTION III - LIMITS OF INSURANCE
A. Paragraphs 2., 3., and 6. of SECTION III - LIMITS OF INSURANCE are replaced by the following:
2. The General Aggregate Limit is the most we will pay for the sum of:
a. Medical expenses under Coverage C;
b. Damages under Coverage A, except damages because of "bodily injury" or "property damage"
included in the "products -completed operations hazard'; and
c. Damages under Coverage B; and
d. Damages under Coverage G.
e. Damages under Coverage H.
3. The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for
damages because of "bodily injury" and "property damage" included in the "products -completed operations
hazard" and Coverage F.
6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay
under Coverage A for damages because of "property damage" to any one premises, while rented to you,
or in the case of damage by fire, explosion, lightning, or smoke resulting from such fire, explosion, or
lightning, or sprinkler leakage while rented to you or temporarily occupied by you with permission of the
owner.
B. The following are added to SECTION III - LIMITS OF INSURANCE:
8. Aggregate Limits of Insurance ( Per Location)
The General Aggregate Limit applies separately to each of your "locations" owned by or rented to you or
temporarily occupied by you with the permission of the owner.
"Location" means premises involving the same or connecting lots, or premises whose connection is
interrupted only by a street, roadway, waterway or right-of-way of a railroad.
9. Aggregate Limits of Insurance (Per Project)
The General Aggregate Limit applies separately to each of your "construction projects" away from premises
owned by or rented to you.
"Construction Project" means "your work" conducted according to a single plan.
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