HomeMy WebLinkAboutRes 06-24 Authorizing a Contract with Modernfold Door and SpecialtiesTOWN OF WESTLAKE
RESOLUTION NO. 06-24
A RESOLUTION OF THE BOARD OF ALDERMEN OF THE TOWN OF WESTLAKE,
TEXAS, AUTHORIZING A CONTRACT WITH MODERNFOLD DOOR &
SPECIALTIES OF DALLAS/FT. WORTH, INC. FOR CONSTRUCTION WORK
RELATED TO THE PHASE II (TWO) REMODELING/CONVERSION OF POD E
CIVIC CAMPUS FROM OFFICE SPACE TO ADDITIONAL CLASSROOMS AND
RELATED SPACE..
WHEREAS, the Board of Aldermen finds that the remodeling/conversion of the existing
office space to additional classrooms and related space will benefit the public; and
WHEREAS, the Board of Aldermen finds that the procedures and requirements set forth
in the Texas Local Government Code regarding competitive bidding requirements for the
remodeling/conversion were appropriately followed; and
WHEREAS, the Board of Aldermen finds that the contract from Modernfold Door &
Specialties of Dallas/Ft. Worth, Inc. to provide all materials and labor for the movable partition
doors and support system for the classroom conversions of Pod E, as attached Exhibit "A", is
sufficient to meet the public need; and
WHEREAS, the construction cost of this project has been included in the adopted
2005/2006 budget.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF ALDERMEN OF THE
TOWN OF WESTLAKE, TEXAS:
SECTION 1. The above findings are hereby found to be true and correct and are
incorporated herein in its entirety.
SECTION 2. The Board of Aldermen of the Town of Westlake, Texas, hereby approves
the contract with Modernfold Door & Specialties of Dallas/Ft. Worth Inc. relating to the Phase II
remodeling/conversion of Pod E Civic Campus construction, attached hereto as Exhibit "A"; and
further authorizes the Town Manager to execute the agreement on behalf of the Town of
Westlake, Texas.
PASSED AND APPROVED ON THIS 8" DAY OF MAY, 2006.
ATTEST:
JJAn Dwinnell, Town Secretary
Scott Bradley, Mayor
Trent O. Petty, Town Ma ger
EXHIBIT A
Civic Campus Expansion
FROM
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CLASSROOM CONVERSIONS POD E
April 24" 2006
TOWN OF WESTLAKE
DON REDDING
LARRY SPARROW
SCOTT BRADLEY
MAYOR
BOARD OF ALDERMEN
FRED HELD — MAYOR PRO TEM
TRENT 0. PETTY
TOWN MANAGER
Town of Westlake
2650 JT Ottinger Rd.
Westlake, Tx. 76262
Phone 817-430-0941
Fax 817-430-1812
BUDDY BROWN
BILL FREY
NOTICE TO BIDDERS
Sealed proposals addressed to the Town of Westlake for the construction of:
CIVIL CAMPUS EXPANSION
FROM
TOWN OF WESTLAKE
will be received at the Town Hall, Town of Westlake, 2650 J.T. Ottinger Road, Westlake, Texas, 76262 until
10:00 a.m., April , 14" 2006, (C.S.T.).
Each bidder shall identify his sealed Proposal by typing on the outside of the envelope:
TOWN OF WESTLAKE
ATTN: Debbie Piper - Finance Director
2650 J. T. Ottinger Road
Westlake, Texas 76262
All responses and requests for clarification/information shall be addressed in writing to the Town Facilities
Director at the above address.
Or email:
tmeyer@westlake-tx.org
Respondents may also fax questions/comments to:
(817) 430-1812
Attention: Troy J. Meyer
A pre-bid conference we be held at 10:00 a.m. Wednesday, March 22nd 2006 in the town council chamber at
2650 J.T. Ottinger Rd. Westlake, Tx. 76262. All prospective bidders are required to have a repersentive from
your firm attend this pre-bid conference
The Bid Opening will be held on Monday, April 17th at 10:00 A.M.
Plans, specifications will be furnished without charge to any general contractor desiring to submit a bid for this
project, and will be available on Tuesday, March 21th through Monday, April 12'h from gam to 4pm Monday -
Friday in person at the Town Hall, 2650 J.T. Ottinger Road, Westlake, Texas 76262. Please see Jaymi Ford
room 223
The Town of Westlake reserves the right to reject any or all bids, and to waive any formalities.
The Town of Westlake is committed to the ideals of equal opportunity, and strongly encourages participation
by HUBIMBEr`W BE business enterprises.
Bid Proposal
Section 8.1
WESTLAKE SCHOOL CLASSROOM CONVERSIONS BID PROPOSAL
General: The original school classroom building (Pod "E") was designed for initial temporary use as Town offices, and as school demand
increased, then revert back to classroom use. This indoor project involves removing the remaining Town office areas within three bays of Pod
"E" and converts those spaces back to classrooms. And, for school security, close the lobby -end of the central corridor with a fire -egress
double -door. The project will involve interior work and includes demolition with protection of existing items, wall and ceiling drywall, some
small lay -in ceilings, wood trim work, stained cabinetry, doors and hardware, performance folding partitions, magneticterasable wall panels,
carpeting & vinyl flooring, painting & wail coverings, and alarm system. Mechanical -Electrical -Plumbing and Fire Protection systems, and
communications/data system wiring, See sheets A1.01 — A1.10.
An additional section of the Work will be to provide and install new student's lockers in the main corridor of the basement level of the
Recreation Center, Unit "G. See sheet A1.11.
Pursuant to the foregoing notice to bidders, the undersigned bidder hereby proposes to do all the work and furnish all necessary labor,
materials and equipment to complete all the work upon which he bids, as provided by the attached specifications and shown on the plans and
binds himself on acceptance of his proposal to execute a contract and bond, according to the accompanying forms for performing and
completing the said work within the time stated and maintaining same as required by the detailed specifications for the following prices, to -wit:
Item # Approximate Description of Items with bid prices written in
Quantity words Unit Price Total Amount
" Furnish and install, including all appurtenant work, complete in piace, the following items
Please note: The doors and frames will be reused in the project. All fire system and electric devices will be reused when
possiable.
Plumbing
1
Install two sinks see A1.02 &A1.04 for a sum of
LS
8
Dollars
and Cents
Power
1
Demolition & debris removal see A1.01 for a
LS
sum of:
S
Dollars
and Cents
2
GFCI plugs and data outlets see A1.04 for a
EA
sum of: S
S
Dollars
and Cents
3
Light fixture and PA speaker see A1.03 for a
EA
sum of: 5
S
and Cents
4
LS For all Conduit see A1.04 for for a sum of: $ $
Cents
5
Telephone & Data stub ups installed see AI.04
EA
for for a sum of : $
Dollars
and Cents
6
Fire alarm strobe device removed and installed
EA
see AI.04 for for a sum of: $
$
Dollars
and Cents
7
Branch circuitary installed see AI.04 for for a
EA
sum of: $
$
Dollars
and Cents
Please note: The doors and frames will be reused in the project. Ali fire horn and strobe device
will be reused when possible.
Millwork
1
LF
Casework see A1.05- A1.07 for a sum of : $
$
Dollars
and Cents
2
Solid surface tops see A1.06 for a sum
SF
of
Dollars
and Cents
EA
Lockers see A1.011 for a sum of
Dollars
and Cents
4
5
LF Classroom trim see A1.06 for a sum of: $ $
Dollars
and Cents
LF Trim in Corridor see A1.05 -A1.06 for a sum of: $ $
Dollars
and Cents
6 Staining & finishing millwork see A1.06
LS for a sum of: $ $
Dollars
and Cents
Doors, Frames & Hardware
1
EA 3 Doors see A1.02 for a sum of: $ $
Dollars
and Cents
2
Set Door hardware see A1,02 for a sum of: $ $
Dollars
and Cents
3 Remove & reinstall corridor doors and plan room
EA door see A1.02 for a sum of: 5 $
Dollars
and Cents
4 Movable partition doors see A1.08 for a $ $ f»
LS sum of
VJCS t1 T+�bu�r�lp TIM :E AJ f�cr�,l�r�
Dollars
C>,/, TY – F–/ V E and Cents
5 Movable partition support system see Al AS
LS for a sum of: $--�
rp f >rL ;tJau S,g-IVD AP nlC 14cl A14,) 2a Dollars /fiy� � T Xls IZ.lf',E t5
SFVlC A"r� — �IE and N6 Cents
Glass & Glazing � i C 1 OA1 P(;—% Ie-
-L-
EA Door glazing see A1.05 for a slim of: $ $
Dollars
and Cents
2 Clearstrory glazing see A1.05 for a sum
SF of : $ S
Dollars
and Cents
Mechanical system
1 Remove grilles and duck work in file rm see
LS A1.01 for a sum of: $ 5
2 Install louver in C.R.203 see A1.04 for a
LS sum of: g $
3 Building management adjustment fora
LS sum of: $ $
DRYWALL
LS for a sum of :
$ S
Dollars
1
Cents
Demolition & removal see A1.01
for a
SF VCT flooring see A1.02 for a sum of:
$ S
LS
sum of:
and
$
a
Sy Carpet see A1.02 for a sum of :
Dollars
Dollars
and
and
Cents
2
LS
Rough carpentry see A1.02 for a sum of:
$
$
Dollars
and
Cents
4
LS
Drywall partitions see A1.02 for a sum of
: $
$
Dollars
and
Cents
5
Corridor in fili partition (Temp) see A1.02
LS
for a sum of :
$
$
Dollars
and
Cents
6
Fry reglet reveal work see A1.01
for a
LS
sum of:
$
$
Dollars
and
Cents
7
Plastic barrier from floor to ceiling on eastside of
LS
corridor for a sum of:
$
$
Dollars
and
Cents
Carpet & Resilient Flooring
1 Demo flooring & debris removal see A1.01
LS for a sum of :
$ S
Dollars
and
Cents
2
SF VCT flooring see A1.02 for a sum of:
$ S
Dollars
and
Cents
a
Sy Carpet see A1.02 for a sum of :
$ $
Dollars
and
Cents
4
Demo flooring in existing corridor see A1.01
LS
for a sum of
Dollars
and Cents
5
New flooring in existing corridor see A1.01
LS
for a sum of ; $
g
Dollars
and Cents
Painting & Walt Covering
1
Tape, Bed & Paint drywall see A1.02
LS
for a sum of : $
S
Dollars
and Cents
2
Magnetic marker board see A1.01 for a
SF
sum of: $
$
Dollars
and Cents
3
Support system for movable partition panels see
L5
A1.08 for a sum of: $
$
Dollars
and Cents
4
Fabric wrapped Acustical panels see A1.05 for a
LS
sum of
Dollars
and Cents
Security system
1 Remove security camera see A1.01 for a sum of
LS $ $
Dollars
and Cents
2
LS Install two card readers see A1.08 for a sum of: $ $
Dollars
and Cents
Total Amount Bid Per Trade $ Q
Total Amount Bid for Project S $
Addendum
Receipt is acknowledged of the following addenda:
Addendum No.1
Addendum No. 2
Addendum Nc. 3
The undersigned bidder agrees to commence work within five (5) days after the date of written notice to commence work, and to substantially
complete the work on which he has bid within 60 working days as provided in the general conditions of the agreement. Enclosed with this
proposal is a bid bond, proformance bond in the amount of the project, two year maintenance bond and a payment bond, which it is agreed
shall be collected and retained by the owener as liquidated damages in the event this proposal is accpted by the owener with five (5) days
after the date advertised for the receipt of bids and the undersigned fails to execute the contract and the required bonds with the owner,
under the conditions hereof, within five (5) days after the said proposal is accepted by the owner and received by the undersigned; otherwise,
said check or bond shall be returned to the undersigned upon demand,
tie undersigned hereby declares that he visited the site and has carefully examined the contract documents relative to the work
avered by the above bid.
Respectfully Submitted,
Contractor _1`A IC, -
By:
Name Printed
Title rl? F.�5
Address:
Z --)A
Phone #- )
Section 8.2
WORK TO BE DONE
INSTRUCTIONS
The work to be done as covered by these contracts and specifications consists of the furnishing of
all labor, materials, equipment, and incidentals for the remodel initial temporary use as Town
offices, and as school demand increased, then revert back to classroom use. This indoor project
involves removing the remaining Town office areas within two bays of Pod "E" and converts
those spaces back to classrooms. And, for school security, close the lobby -end of the central
corridor with a fire -egress double -door. The project will involve interior work and includes
demolition with protection of existing items, wall and ceiling drywall, some small lay -in ceilings,
wood trim work, stained cabinetry, doors and hardware, performance folding partitions,
magnetic/erasable wall panels, carpeting & vinyl flooring, painting & waIl coverings, and alarm
systen-L Mechanical -Electrical -Plumbing and Fire Protection systems, and communications/data
system wiring, See sheets A 1.01 — A 1, 10.
An additional section of the Work will be to provide and install new student's lockers in the
main corridor of the basement level of the Recreation Center, Unit "G". See sheet Al. 11.
2. PREPARATION AND SUBMISSION OF PROPOSAL
In the bid proposal, the bidder shall fill in the blanks for the "Unit Price" and the "Total
Amount."
3. INTERPRETATION OF QUOTED PRICES
In case of difference between the written words and any figure in a proposal, the amount
stated in writing will be considered as the bid. The contract method will be unit pricing based
on actual quantities of work installed.
4. DISCREPANCIES IN BIDS
In case of lack of clearness of a proposal, the owner will adopt the most advantageous
construction thereof or reject the bid.
5. UNBALANCED BIDS
Unreasonable or unbalanced unit prices will be cause for rejection of any bids.
6. INTERPRETATION OF SPECIFICATIONS
Any questions as to the meaning of any specifications will be answered by addendum which
will be sent to all who have been furnished with contract documents and plans.
7. LOCAL LABOR
The Contractor, in so far as is practicable, will be expected to give preference to employment
of local citizens.
MATERIALS FURNISHED BY CONTRACTOR
The Contractor shall furnish all materials, regardless of their nature except as noted in the
special provisions and/or plans.
MANUFACTURERS CERTIFICATE
The Contractor shall furnish, if the owner so requests, a certificate from each of the
manufacturers whose materials are used on this project stating that the materials and
supplies fulfill or exceed the requirements set out in these specifications.
10. AFFIDAVIT OF BILLS PAID
Prior to final acceptance of this project by the owner, the contractor shall execute an affidavit
that all bills for labor, material; rental, subcontractor's work and any other incidentals have
been paid in full and there are no claims pending of which he has been notified.
11. PLANS TO CONTRACTOR
The contractor will be furnished with one (1) sets of plans. Should he desire more than one
(1) sets, he may buy them for $25.00 per complete set.
12. LABOR CLASSIFICATION AND MINIMUM WAGE SCALE
Attention is called to the fact that a minimum scale of wages to be paid to employees engaged
in the work under this contract does not release the contractor from compliance with any state
wage law that may be applicable. The contractor shall abide by the wage and hour laws of the
state and must not pay less than the rates prescribed.
13. TIME ALLOWED FOR CONSTRUCTION
The contractor shall commence work in not more than 5 calendar days after the work order
has been issued and shall be substantially complete within forty five (45) working days of
issuance of the work order. Work on the project shall start on June 5`h, 2006 and must be
completed on later than August 0', 2006. Liquidated damages shall be charged in the amount
of $200.00 per day for not completing the work within the allotted time. The days charged
shall begin at the earlier of the date the contractor proceeds with construction or 5 calendar
days after the work order has been issued by the Town of Westlake. The Contractor shall
submit in writing to the Town any request for additional time due to weather delays.
Contractor will meet with the town responsive weekly to update their progress of the project.
14. SPECIAL INFORMATION - SALES TAX
The owner qualifies as an exempt agency as defined by the statutes of the State of Texas. The
Contractor shall comply with all statutes and rulings of the State Comptroller. On unit price
contracts, a final change order will be required to make final adjustment to reflect actual costs
for sales tax data.
15. INSURANCE
The Contractor shall furnish and maintain during the life of the contract adequate Worker's
Compensation and Commercial General Liability (Public) Insurance in such amounts as
follows:
Type of Insurance
1. Workerman's Compensation
2. Commercial General
Liability (Public)
Products ComplOps Agg. $1,000,000
Amount
As set forth in the Worker's
Compensation Act.
Each Occurrence $500,000
General Aggregate $1,000,000
The Town of Westlake and Manhattam Construction Company shall be named as an
additional insured on the Commercial General Liability (Public) Insurance Policy furnished
by the Contractor.
Each insurance policy shall contain a provision requiring that thirty (30) days prior to
expiration, cancellation, non -renewal or any material change in coverage, a notice thereof
shall be given by certified mail to the Town of Westlake, 2650 I. T. Ottinger Road, Westlake,
Texas76262.
Companies issuing the insurance policies shall have no recourse against the Town for
payment of any premiums or assessments for any deductibles which are at the sole
responsibility and risk of the Contractor.
Certificate of proof that the insurance is in farce shall be furnished to the Town.
The coverage's provided herein shall be primary and noncontributory with any other
insurance maintained by the Town of Westlake, Texas, for its benefit, including self
insurance.
In the event any insurance policy shown on the Certificate of Insurance has an expiration date
that is prior to the completion and final acceptance of the project by the Town of Westlake,
the Contractor shall furnish the Town proof of identical continued coverage no later than ten
(10) days prior to the expiration date shown on the Certificate of Insurance.
The Contractor shall not commence work on any Contract in the Town of Westlake until the
Contractor has obtained all the insurance required under this paragraph and such insurance
has been approved by the Town.
16. Contractor's most have a Per -bid bond and provide certification.
BIDDERS INSTRUCTIONS
(Must be signed by the Contractor)
ATTENTION TO ALL BIDDERS:
The Town of Westlake wishes to thank you in advance for bidding on this project. Please be
aware of the following requirements for bidding Town of Westlake work. It is important that you read and
understand these qualification factors in order to achieve a rapid and smooth completion of the process. All
pertinent documents required by law and these instructions must be correctly completed. A successful
completion of them, will not only benefit the Town of Westlake, but also you as the contractor, because
among other things, the money reserved for the project will be ready to be used in your project and prompt
scheduled payment may be made without any further delays. If you are unable to comply with formal
requirements or fail to exercise due diligence in completing the required contract forms, the contract may
be awarded to the next lowest bidder for the reason time is of the essence in these projects.
BASIC FORMS REQUIRED BY THE TOWN OFWESTLAKE
THE FOLLOWING FORMS MUST BE COMPLETED BY THE CONTRACTOR AND IT'S
INSURANCE COMPANY
1. Proposal (to be completed by the contractor)
2. Standard Form of Agreement (to be completed by the contractor)
3. Corporate Acknowledgment; or
Single Acknowledgment; or
Partnership Acknowledgment
NOTE: Which ever is applicable to the contractor, just one must be completed, and shall be
notarized.
4. Bonds : Pre-bid Bond; Payment Bond and Maintenance Bond
6. Power of Attorney or Certificate of Authority of Attomey(s) In -Fact (issued by the surety's
company)
7. Town. of Westlake Certificate of Insurance form (to be completed by the insurance company)
8. Indemnification by the Contractor (to be completed by the contractor)
REMINDER:
(a) All signatures must be originals.
(b) Make sure the appropriate forms have been correctly notarized.
INDEMNIFICATION BY CONTRACTOR
Town shall not be liable or responsible for, and shall be saved and held
harmless by Contractor from and against any and all suits, actions, losses,
damages, claims, or liability of any character, type, or description,
including all expenses of litigation, court costs, and attorney's fees for
injury or death to any person, or injury to any property, received or
sustained by any person or persons or property, arising out of, or
occasioned by, directly or indirectly, the performance of Contractor under
this agreement, including claims and damages arising in part from the
negligence of Town, without; however, waiving any governmental
immunity available to the Town under Texas law and without waiving any
defenses of the parties under Texas law. The provisions of this
indemnification are solely for the benefit of the parties hereto and not
intended to create or grant any rights, contractual or otherwise, to any
other person or entity.
It is the expressed intent of the parties to this Agreement that the indemnity
provided for in this section is an indemnity extended by Contractor to
indemnify and protect Town from the consequences of Town's own
negligence, provided, however, that the indemnity provided for in this
section shall apply only when the negligent act of Town is a contributory
cause of the resultant injury, death, or damage, and shall have no
application when the negligent act of Town is the sole cause of the
resultant injury, death, or damage, unmixed with the legal fault of another
person or entity.
Contractor further agrees to defend, at its own expense, and on behalf of
Town and in the name of Town, any claim or litigation brought in
connection with any such injury, death, or damage.
The Contractor will secure and maintain Contractual Liability insurance to cover this
indemnification agreement that will be primary and noncontributory as to any insurance
maintained by the Town for its own benefit, including self-insurance. in addition,
Contractor shall obtain and file with Town a Town of Westlake Certificate of Insurance
evidencing the required coverage.
Company Name (Contractor)
ig�J Lure
R
Name (Please Print)
12L,_f _.S ./ D e�✓r
Title
THE UNDERSIGNED BIDDER AGREES TO COMMENCE WORK WITHIN FIVE (5)
DAYS AFTER THE DATE OF WRITTEN NOTICE TO COMMENCE WORK, AND TO
SUBSTANTIALLY COMPLETE THE WORK ON WHICH HE HAS BID WITHIN 45
WORKING DAYS AS PROVIDED IN THE GENERAL CONDITIONS OF AGREEMENT.
ENCLOSED WITH THIS PROPOSAL IS A CASHIER'S OR CERTIFIED CHECK
FOR 4% Greatest Amount Bid
($ 4% GAB ) DOLLARS, OR A PROPOSAL BOND IN THE SUM OF { )
DOLLARS, WHICH IT IS AGREED SHALL BE COLLECTED AND RETAINED BY THE
OWNER AS LIQUIDATED DAMAGES IN THE EVENT THIS PROPOSAL IS
ACCEPTED BY THE OWNER WITHIN TEN (10) DAYS AFTER THE DATE
ADVERTISED FOR THE RECEPTION OF BIDS AND THE UNDERSIGNED FAILS TO
EXECUTE THE CONTRACT AND THE REQUIRED BOND WITH THE OWNER,
UNDER THE CONDITIONS HEREOF, WITHIN FIVE (5) DAYS AFTER THE SAID
PROPOSAL IS ACCEPTED BY THE OWNER AND RECEIVED BY THE
UNDERSIGNED; OTHERWISE, SAID CHECK OR BOND SHALL BE RETURNED TO
THE UNDERSIGNED UPON DEMAND.
THE UNDERSIGNED HEREBY DECLARES THAT HE HAS VISITED THE SITE AND
HAS CAREFULLY EXAMINED THE CONTRACT DOCUMENTS RELATIVE TO THE
WORK COVERED BY THE ABOVE BID.
RESPECTFULLY SUBMITTED:
ef
BY:
p/ 712 4 i
SEAL - IF BIDDER A CORPORATION
THE AMERICAN INSTITUTE OF ARCHITECTS
AIA Document A310
Bid Bond
KNOW ALL MEN BY THESE PRESENTS, THAT WE Modernfold Door .& Specialties of Dallas/Fort Worth Inc.
2952 BI stone Lane Dallas TX 75220-1504
as Principal, hereinafter called the Principal, and The Guarantee Company of North America USA
101 East Park Boulevard, Suite 817. Plano. TX 75074
a corporation duly organized under the laws of the State of Michigan
as Surety, hereinafter called the Surety, are held and firmly bound unto Town of Westlake
as Obligee, hereinafter called the Obligee, in the sum of Five Percent of Amount Bid
Dollars ($ 5% ),
for the payment of which sum well and truly to be made, the said 'Principal and the said Surety, bind ourselves, our heirs,
executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has submitted a bid for Civil Campus Expansion - Classroom Conversions POD E
NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with
the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or
Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt
payment of labor and materials furnished in the prosecution thereof, or in the event of the failure of the Principal to enter
such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the
penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith
contract with another party to perforin the Work covered by said bid, then this obligation shall be null and void, otherwise
to remain in full force and effect.
Signed and sealed this
r
f
MelissA Ramirez
14th
('Witness)
day of
Aoril
, 2005
Modernfold Door & Specialties of Dalias/Fort Worth, Inc.
(Principal) �— (Seal)
(Title)
The�ntee Compq (riy 9�rth America USA
r (5uretyW, (seal)
Steven E. White
AIA DOCUMENT A310 0 BID BOND • AIA • FEBRUARY 1970 ED. i THE AMERICAN
INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006
(Title)
THE GUARANTEE COMPANY OF NORTH AMERICA USA
Southfield, Michigan
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS: That THE GUARANTEE COMPANY OF NORTH AMERICA USA, a corporation organized and existing
under the laws of the State orMichigan, having its principal office in Southfield, Michigan, does hereby constitute and appoint
Edward Arens, Philip Baker, Steven E. White, Don Weidenfeller, Ray Garcia, Jr.
Summit Global
its true and lawful attomey(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity
and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise:
The execution of such instrument(s) in pursuance of these presents, shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA
USA as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at the principal
office.
The Power of Attorney is executed and may be certified so, and may be revoked, pursuant to and by authority of Article IX, Section 9.03 of the By -Laws
adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA.USA at a meeting held on the 31' day of December,
2003. The President, or any Vice President, acting with any Secretary or Assistant Secretary, shall have power and authority:
To appoint Attomey(s)-in-fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds
and undertakings, contracts of indemnity and other writings obligatory in the nature thereof; and
To revoke, at any time, any such Attomey-in-fact and revoke the authority given.
Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting duly
called and held on the 3l' day of December 2003, of which the following is a true excerpt:
RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification
thereof authorizing the execution and delivery of any bond, undertaking, contracts of indemnity and other writings obligatory in the nature thereof, and such
signature and seal when so used shall have the same force and effect as though manually affixed.
IN WITNESS WHEREOF, THE GUARANTEE COMPANY OF NORTH AMERICA USA has
caused this instrument to be signed and its corporate seal to be affixed by its authorized officer, this
o°ree coy 20r' day of January, 2005.
THE GUARANTEE COMPANY OF NORTH AMERICA USA
y�
J
AMER�Gp
STATE OF MICHIGAN
County of Oakland
Stephen Dullard, Vice President
On this 20" day of January, 2005 before me came the individual who executed the preceding instnunenl, to me personally known, and being by me duly
sworn, said that he is the herein described and authorized officer of The Guarantee Company of North America USA, that the seal affixed to said instrument
is the Corporate S eat of said Company; that the Corporate Seal and his signature were duly affixed by order of the Boavd of Directors of said Company.
Gail Trevor IN WITNESS WHEREOF,1 have hereunto set my hand at The Guarantee
=tj Notary Public, State of Mi'chi'gan Company of North America USA offices the day and year above written.
r County of Macomb
My Commission Expires August 2, 2005 .�
Acting in Oakland County
I, Randall Musselman, Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA, do hereby certify that the above and foregoing is a
true and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA, which is still in full force and
effect.
IN WITNESS WHEREOF, I have thereunto set my hand and attached the seal of said Company this 14th day of April 2006.
�,�typ,N7F� CQy
4
GP
�iAM€a` Randall 1Vlnsselman, Secretary
IMPORTANT NOTICE
TO OBTAIN INFORMATION ABOUT THIS BOND OR TO MAKE A COMPLAINT:
You may contact The Guarantee Company of North America USA at 800-795-5508 to
make a complaint or for information regarding this bond.
You may write to The Guarantee Company of North America USA at:
Claim Department
8000 Midlantic Drive, Suite 41 ON
Mt. Laurel, NJ 08054
You may also contact the Texas Department of Insurance to obtain information on
companies, coverages, rights or complaints at:
800-252-3439
You may write the Texas Department of Insurance at:
P.O. Box 149104
Austin, TX 78714-9104
THIS NOTICE IS FOR INFORMATION PURPOSES ONLY AND DOES NOT
BECOME A PART OF OR A CONDITION OF THE ATTACHED DOCUMENT. IT IS
GIVEN TO COMPLY WITH SECTION 2253.048, GOVERNMENT CODE, AND
SECTION 53.202, PROPERTY CODE, EFFECTIVE SEPTEMBER 1, 2001.
Section 8.3 AGREEMENT
BETWEEN TOWN AND CONTRACTOR
THIS AGREEMENT is dated as of they day of May in the year 2006, by and between the Town of
Westlake, Texas (hereinafter called OWNER) and Monerfold door & Special Ties of Dallas/Ft. Worth, Inc.
(hereinafter called CONTRACTOR).
OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as
follows:
Article 1. WORK.
CONTRACTOR shall complete all Work as specified or indicated in the Contract Documents, The Work is
generally described as follows:
Civil Campus Expansion
from
Classroom Conversions Pod E
Article 2. General Contractor
The Town General Contractor who is hereinafter called Manhattan Construction Company (MCC) and who
is to act as OWNER'S representative, assume all duties and responsibilities and has the rights and authority
assigned to MCC by the OWNER in connection with completion of the Work in accordance with the
Contract Documents.
Article 3. CONTRACT TIME.
3.1. CONTRACTOR agrees to commence work within five (5) days after the date of written notice to
commence work, and to complete the work on which he has bid within 45 calendar days as provided
in the General Provisions and Requirements.
Article 4. CONTRACT PRICE.
4.1. OWNER shall pay CONTRACTOR for completion of the Work on a Unit Price Work Basis in
accordance with the Contract Documents in current funds based on the measured quantities and the unit
prices stated in the Proposal.
Article 5. PAYMENT PROCEDURES.
CONTRACTOR shall submit Applications for Payment on work completed during the previous month on
the first day of the month. CONTRACTOR shall present only one Application for Payment each month.
Applications for Payment will be processed by OWNER shall make payment to CONTRACTOR within
thirty (30) days of the date of the invoice.
Article 6. INTEREST.
All moneys not paid when due shall bear interest at the maximum rate allowed by law at the place of the
Project.
Article 7. CONTRACTOR'S REPRESENTIONS.
In order to induce OWNER to enter into this Agreement, CONTRACTOR makes the following
representations:
7.1. CONTRACTOR has familiarized itself with the nature and extent of the Contract Documents,
Work, site, locality, and all local conditions and Laws and Regulations that in any manner may affect cost,
progress, performance or furnishing of the Work.
7.2. CONTRACTOR binds itself to use such materials and so construct the work that it will remain in
good repair and condition for and during the period of two (2) years from the date of the repair and to
maintain said work in good repair and condition for said term of two (2) years. CONTRACTOR binds itself
to repair or reconstruct the work in whole or in part at any time within said period, if in the opinion of the
MCC, it be necessary.
7.3. To the fullest extent permitted by laws and Regulations, CONTRACTOR shall indemnify and
hold harmless OWNER and MCC and their consultants, agents and employees from and against all claims,
damages, losses and expenses, direct, indirect or consequential (including but not limited to fees and
charges of engineers, architects, attorneys and other professionals and court and arbitration costs) arising
out of or resulting from the performance of Work, provided that any such claim, damage, loss or expense
(a) is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangible
property (other than the Work itself) including the loss of use resulting there from and (b ) is caused in
whole or in part by any negligent act or omission of CONTRACTOR, and Subcontractor, any person or
organization directly or indirectly employed by any of them to perform or furnish any of the Work or
anyone for whose acts any of them may be liable, regardless of whether or not it is caused in part by a party
indemnified hereunder or arises by or is imposed by Laws and Regulations regardless of the negligence of
any such party.
7.4. In any and all claims against OWNER or MCC or any of their consultants, agents or employees by
any employee of CONTRACTOR, any Subcontractor, any person or organization directly or indirectly
employed by any of them to perform or furnish any of the Work or anyone for whose acts any of them may
be liable, the indemnification obligation under paragraph 7.3 shall not be limited in any way by any
limitation on the amount or type of damages, compensation or benefits payable by or for CONTRACTOR
or any such Subcontractor or other person or organization under workers' or workmen's compensation acts,
disability benefit acts or other employee benefit acts.
Article 8. Contract Documents
The Contract Documents which comprise the entire agreement between OWNER and CONTRACTOR
concerning the Work consist of the following:
8.1. Bid Proposal consisting of five (6) pages
8.2 Instructions consisting of three (4) pages.
8.3 This Agreement consisting of four (4) pages..
8.4 Project scope classroom conversion consisting of two (2) pages.
8.5 Construction Pians consisting of fourteen (10) sheets.
There are no Contract Documents other than those listed above in this Article 8.
Article 9. TERMINATION
OWNER may terminate contract if CONTRACTOR persistently fails to perform the work in accordance
with the Contract Documents including, but not limited to, failure to supply sufficient skilled workers, or
suitable materials or equipment, or otherwise violates in any substantial way any provisions of the Contract
Documents, OWNER may, after giving CONTRACTOR seven (7) days written notice and to the extent
permitted by Laws and Regulations, terminate the services of CONTRACTOR, exclude CONTRACTOR
from the site and take possession of the Work.
Article 10. MISCELLANEOUS,
10.1. No assignment by a parry hereto of any rights under or interests in the Contract Documents will be
binding on another party hereto without the written consent of the party sought to be bound, and
specifically but without limitation moneys that may become due and moneys that are due may not be
assigned without such consent (except to the extent that the effect of this restriction may be limited by law),
and unless specifically stated to the contrary in any written consent to an assignment, no assignment will
release or discharge the assignor from any duty or responsibility under the Contract Documents.
10.2. OWNER and CONTRACTOR each binds itself, its partners, successors, assigns and legal
representatives to the other party hereto, its partners, successors, assigns and legal representatives in respect
of all covenants, agreements and obligations contained in the Contract Documents.
IN WITNESS WHEREOF, OWNER and CONTRACTOR have signed three copies of the Agreement.
Three counterparts have been delivered to OWNER, and one counterpart each has been delivered to
CONTRACTOR. All portions of the Contract Documents have been signed or identified by OWNER and
CONTRACTOR on their behalf.
This agreement will be effective on the day of May, 2006.
OWNER: CONTRACTOR:
Town of Westlake, Texas [n&k��CSiACi`Pbca:- % 5pL(_ic._ 1-6'�5
Trent Petty, Town ager` T`yo-V- trt
f V
ATTES
Jean Davi ell, Town Secretary v t eoe it Roccz`�naj , x
Yn CL'nut
Address for giving notices: Address for giving notices:
2650 J. T. Ottinger Road ' [ I r - C--'_
Westlake, Texas 76262 l l u V 7�5-"4ao
List name of person to whose attention
notices are to be sent:
c#e.n,t,, ay or'
(If CONTRACTOR is a Corporation,
attach evidence of authority to sign. )
Section 8.4
PROJECT SCOPE
WESTLAKE SCHOOL CLASSROOM CONVERSIONS POD E
General:
The original school classroom building (Pod "E") was designed for initial temporary use as Town offices,
and as school demand increased, then revert back to classroom use. This indoor project involves removing
the remaining Town office areas within three bays of Pod "E" and converts those spaces back to
classrooms. And, for school security, close the lobby -end of the central corridor with a fire -egress double -
door. The project will involve interior work and includes demolition with protection of existing items, wall
and ceiling drywall, some small lay -in ceilings, wood trim work, stained cabinetry, doors and hardware,
performance folding partitions, magnetic/erasable wall panels, carpeting & vinyl flooring, painting & wall
coverings, and alarm system. Mechanical -Electrical -Plumbing and Fire Protection systems, and
communications/data system wiring, See sheets A1.01— A1.10.
An additional section of the Work will be to provide and install new student's lockers in the main
corridor of the basement level of the Recreation Center, Unit "G". See sheet Al. 1l.
Timetable: The Town intends to conduct the bidding process in March, aiming towards a late spring
construction- early summer construction start-up, to be finished before the August 4`h 2006 semester.
The Town's Project Manager and primary contact will be Mr. Troy Meyer at 817-490-5735.
Specific:
1. Due to close proximity of other town daily operations, work on this project by the contractor will be
closely coordinated with the town's Project Manager ("PM") (see above). Every effort will be made to
minimize interference with normal daily operations. Contractor's working hours and noise -making
work will be coordinated with the PM.
2. Contractor will utilize heavy-duty work separation draping or hard barriers between his work and
public or school areas, and will coordinate cutting ofd' or blocking air distribution systems to avoid dust
problems.
3. Contractor will coordinate his lay -down area, parking, and access areas with the PM before
starting work.
4. The intent of this design is to match the new classroom finishes, colors, and textures with the other
classrooms, especially classroom #202, the most recent conversion. Although A/1.08 identifies finish
materials, colors, textures, etc., it is the responsibility of the Contractor to work with the PM to obtain
matching finishes, colors, textures before1p acing those orders. Some changes may be necessary due
to manufacturer's situations, but only upon the PM's approval. Therefore, the PM's selections will
govern over the stated finishes.
5. The original MEP design assumed an eventual change back to classroom use. This project should
involve only minor capping, minimal re -ducting, thermostat relocations, etc. The electrical and
plumbing will be the same situation— only minor changes are anticipated. Virtually all the systems will
require some amount of changing, whether or not mentioned in this document.
6. Certain finishes or materials may require longer ordering lead-time; if so, contractor shall obtain
samples in time for selection and ordering.
7. Contractor's Insurance Certificate stating limits will be furnished to the PM upon verbal
notification of their selection, pending insurance coverage limits, etc. Contractor to discuss
Builder's Risk insurance requirements if any, with PM.
S. There is NO Smoking on school grounds.
9. Contractor will meet with the town responsive weekly to update their progress of the project.
10. Contractor's most be bonded and provide certification.
11. Work on this project must be completed no later than August 4', 2006.
EXPERIENCE RECORD
List of projects bidder has successfully completed:
Amount of
Contract Award Type of Work
Date Name and Address
Accepted of Owner
t -6)a TUU. rxy
C�er���c iL�c�1�s
3i a< [
K.p iier A i.c.+-'� yZe4
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List of projects bidder is now engaged in completing:
Amount of
Contract Award Type of Work
Date frame and Address
Accepted of Owner
List of Surety Bonds in force on the above uncompleted work:
Amount of
Amount of
Name of Surety
Contract Award Bond Company
N7 6v n% n.5 /ry PLI? c-' 14 T TI M � . Co nuc SpA "Y H 1 5
r 11
Acknowledgment on next page must be filled in.
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List of Surety Bonds in force on the above uncompleted work:
Amount of
Amount of
Name of Surety
Contract Award Bond Company
N7 6v n% n.5 /ry PLI? c-' 14 T TI M � . Co nuc SpA "Y H 1 5
r 11
Acknowledgment on next page must be filled in.
Submittedby: MoDr--
D!t tyft5`/Fr. Harz -i 11
EXPERIENCE RECORD CONTINUED
DDO,Z
a partner
an individual
1 n/� - orporation
with principal office at D A t,l-r�f2
IM tt-4 s, ?-A. 75-22-0
TO BE FILLED IN BY CORPORATION TO BE FILLED IN BY PARTNERSHIPS:
Date Incorporated
-7
Under the Laws of / C -7X 4-5
( State)
Executive Officer
State of T -E x I-)
Date Formed L111 I e%7
State whether partnership is
general limited or associated.
List of Members:
County of PA L L-A
eT-(/ IV M 2 4,f -Al -Al , being duly sworn, deposes and says that he is
the E-:-",' of M o Q LO De?0/,;' e Spi
(Title) (Name of Organization) t,",q�!
rw .
and that the answers to the foregoing questions on the attached forms and all statements herein
are true and correct; that the experience record is made a part of this affidavit as through tiATritten
in full herein, and all statements and answers to questions given in the above mentioned
experience record are true and correct.
(Stgnatur
Sworn to before me this C + rt day of 4c"�
20 (-) o .
My Commission Expires:j�
(Seal)
w
C) '
kota-�-• -
Public
General Provisions
CLEAN -HP
DESCRIPTION
1. The Contractor shall perform such clean-up work as is deemed necessary by the
town.
2. The work shall at all time present a neat and orderly appearance and all cleaning
up shall be completed and all construction machinery and equipment, surplus
materials.
3. The Contractor is require by the town ordinance to use Allied Waste for all
waste disposal containers use on the project.
SOLID WASTE DISPOSAL
DESCRIPTION
1. The Contractor shall dispose of all refuse at a Texas Department of Health
(TDH) approved landfill.
2. A list of all landfills having a TDH permit is available at the Arlington Office of
TDH. The North Central Texas Council of Governments (NCTCOG) has
prepared, for sale, a list of all landfills in the NCTCOG region. The D/FW
landfill is listed in the telephone book "Yellow Pages".
3. Alternately, the Contractor may arrange with a Commercial waste firm to
simply supply a roll -off bin for disposal purposes. Several private regional
landfills are available in the NCTCOG area. The contractor shall determine
which method best fits the project requirements.
FROH
(MON)APR 10 2006 15;08/ST. 15:08/No, 6812847378 P 2
Contractor's Certification of
Workers' Compensation
an authorized
representative of TRALl-/ceS .77.uSu/Ia flo E' Cf n do certify
(insurance company)
that the workers'' compensation policy, of the Insured
Tm,'_ on the 'Certificate of Insurance'
(contractor's company)
meets all current Texas state laws and requirements.
7 dress: 1 76 7 A;;�
(Si
it )
14 qLT,u f Y= 774771
Title: f9C T Date: 4( l4 --Q
On this + day of _ E r . 200(o , personally appeared
LeiLA,q(,. an authorized representatiVe of
r zo_S . co - known to me to be the person
whose name is subsCrlbed to the foregoing instrument and acknowledged to me that
helshe executed the same for the purpose of certifying that the Insured Is covered by
workers' compensation In accordance with current Texas state laws.
My commission expires: '
_�.
Notary Public In and For the State of Texas
S I.2
.a "
,'� TERI L ERWIN
?'.
Nmary Public, State of Texas
My Gommiasion Expires
Auguai 09, 2009
ACORD. CERTIFICATE OF LIABILITY INSURANCEDATE(WWDDIYYYY)
12/14/2005
PRODUCER
Assurance One of Texas, LLC
11767 Katy Freeway, Suite 930
Houston TX 77079
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND COMPF-RS NO PJOWTS UP6N THE CEaTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC #
INSURED
ModernEold Door & Specialties of Dallas/
Ft. Worth, Inc.
2952 Blystone Lane
Dallas TX 75220
INSURERA: Travelers Insurance
wsum:Re- Service Ll4 ds
INSURER C,
INSURER
04SUFZERE
r^V rc=A f_CC
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TX
ADO'i
INSRO
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(feM1DDPM
POLICY EXPIRATION
DATE(MMIDOMI
LIMITS
GENERALLIABILTIY
I6607505AOSO
05/01/2005
05/01/2006
EACHOCCURRENCE s 1,000,000
FA
X COMMERCIAL GENERAL LIABILITY
TO RENTED
PR�jFESgoarrentel, 5 100,000
CLAIMS MADE Fx-� OCCUR
I one orsm) S 5,000
MED EXP LAm
PERSONAL& ADV INJURY S 1,000,000
X Contractural Liab.
GENERAL AGGREGATE 5 2,000,000
GEWLAGGREGATE LIMIT APPLIES PER:
PRODUCTS •COMPIOPAGG S 2,000,000
X POLICY 0 JECT LOC
A
AUTOMOBILE
X
LIABIUrY
ANY AUTO
CAP4757A695
05/01/2005
05/01/2006
COMBINED SINGLEUMFT
(Epawdem) S 1,000,000
BODILY INJURY S
(Per Pe mmn)
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY S
{Per xpdenl)
X
X
HIREDAUTOS
NON-0WNEOAl1T03
PROPERTYGAMAGE S
GARAGE LIABILITY
AUTOONLY.EAACCIOENT S
OTHER THAN EAACC s
ANY AUTO
AUTO ONLY: AGG 5
A
BXCESSRIMBRELLALIABILITY
CUP6646W049
05/01/2005
05/01/2006
EACH OCCURRENCE s 2,000,000
AGGREGATE 3 2 , 000 , 000
X OCCUR O CLAIMS MADE
3
S
IDEDUCTIBLE
s
X RETENT1014 S 10,880
B
WORKERSCOMPEN$AMONAND
SRV13645-04
05/02/2005
05/02/2006
T
Y LAK%t ER
EMPLOYERS' LIABILITY
ANY PROPMETOR(PARTNERPEXECUTWE
EL EACH ACCIDENT S 1,000,000
E_LDISEASE- EAEMYLOYEES 1,000,000
OFFICERNIEMBEREXCLUDED?
N yes, desenbe under
SPECIAL PROVISIONS below
E.L.OlSEASE- POLICY LIMIT I 5 1,000,000
OTHER
DESCRIPTION OF OPERAT*HSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISEONS
^ m— (:ANf_FI i ATWIM
ACORD 25 (2009108) 57 AGU KL) UL)KtIUKA 1 i0N 1786
r(yy INS025 (6108).05 £I.ECTROW LASER PORmS, INC. -1800}727-05++5 Pena I W 2
'fi �M
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
*****For Informational Purposes Only*****
EXPIKALTION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MWL
TX
10 DAYS WR=F-N NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, aUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KJND UPON THE
INSURED ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE +
ACORD 25 (2009108) 57 AGU KL) UL)KtIUKA 1 i0N 1786
r(yy INS025 (6108).05 £I.ECTROW LASER PORmS, INC. -1800}727-05++5 Pena I W 2
'fi �M
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
It SUBROGAPON IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an
endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such
endorsement(s),
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing
insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively
amend, extend or alter the coverage afforded by the policies listed thereon_
4CORD 25 (20DU08)
vg_ INS025(0+0e)-01 Pa9 zc�z
1 I N 77,- r1 1 z 1 Tia !c0 ex chi �rT TO G7 9 `36v21 rC96.t$3'2? _ P ry21 fT
�-. L�ilvi fV+-�:.u.L..t..• 1.�sSM �.��.... i w
COMMERCIAL GENERAL LIABILITY
POLICY NUMBER: I--660-7505A080-TLC ISSUE DATE: 5-1--2005
�—. THIS ENDORSEMENT C14ANGES THE POLICY. PLEASE READ ;IT CAREFULLY.
ADDITIONAL INSURED -OWNERS, HERS, LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMEROAL GENERAL LIABILMY COVERAGE PART
SCHEDULE
Hama of Person or Organization:
BLA7 KVT As REQUIREt) 8Y WRITTEN CONTRACT
(If no entry appears above, Information required to complete this endorsement will be shown In the Declarations
as applicable to this endorsement.)
'^ WHO 15 AN INSURED (Section II) is amended to include as an Insured tho person or arganizatlon shown In the
Schedule, but only with respect to liability arising out of your ongoing operatlons performed for that Insured.
CG 20 10 10 93 Copyright, Insurance Services Mice, Inc., 1992 Page 1 of 1
POLICY NUMBER: I-660-7505AGSO-TLC-04
COMMERCIAL GENERAL LIABILITY
ISSUE DATE: 5-1-05
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO CJS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
ANY PERSON OR ORGANIZATION WITH WHOA! YOU
HAVE AGREED IN A WRITTEN CONTRACT PRIOR
TO LOSS TO WAIVE YOUR DIGHT OF RFCOV
HOUSTON TX 77041
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
The TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US Condition (Section IV -
COMMERCIAL GENERAL UABIL1TY CONDITIONS)
Is amended by the addition of the fol#owing:
We waive any right of recovery we may have against
the person or Organization shown in the Schedule
above because of payments we make for injury or
damage arising out of your ongoing operations or
"your work" done under a contract with that person
or organization and included in the "products -
completed operations hazards." This waiver applies
only to the person or organization shown in the
Schedule above.
CG 24 04 10 93 Copyright, Insurance Services office. Inc., 1992
b63u_�
Page I of 1
TE 20 46A
CHANGES IN TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO USE
(WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the fallowing:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
TRUCKERS COVERAGE FORM
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below:
Endorsement Effective I Policy Number
5-1-05 1 ll--CAP-4757A69-5-04
Named Insured
TRW MODERNFOLD CO, INC_ I. -Countersigned
The CONDITIONS entitled "TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US" does not apply to
ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN
CONTRACT TO FURNISH THIS ENDORSEMENT
(Name of Person or Organization)
Additional Premium $ 250 will be retained by us regardless of any early termination of this endorsement
or the policy.
FORM TS 20 46A - CHANGES IN TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
(WAIVER OF SUBROGATION)
Texas Standard Automobile Endorsement
Prescribed November 1, 1987
WORKERS , compENsATION AND PmPLOYERS I LIABILITY TNS CR POLICY
TEXAS WA. VER OF OUR RIGHT TO RECOVER FROM OTHERS ENDt?RSE OOT
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
Specific waiver
Nage of person or organization:
(X) Blanket waiver
Away person or organization for whom the named insured has agreed by written
contract to furnish this waiver.
2. Operations: DOOR FRAME
3. Premium
The premium charge for this endorsement shall be a percent of the premium
developed on payroll in connection with work performed for the above persons) or
organization(s) arising out of the operations described.
g_ Advanced. Premium
Endorsement Effective_ 5-1-05 Policy No. SRVI3645-04 End. Pio, 05
Insured: TRW MODERNFOLD COMPANY, INC.
Insurance Company: Service Lloyds Ins. Co.
Countersigned by ��/e�t ae..
WC 42 03 04 A
TE 99 DIS
ADDITIONAL INSURED
This endorsement modifies insurance provided under the followin
BUSINESS AUTO COVERAGE
FORM
GARAGE COVERAGE FORM
TRUCKERS COVERAGE FORM
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated below;
Endorsement Effective
Policy Number
5—Z-05
IL-CAP4757A69-5-04
Named Insured
TRW MODERFOLD CO.
Countersigned b
(Authorized
Representative)
The provisions and exclusions that apply to LIABILITY COVERAGE also apply to this endorsement.
ANY PERSON OR ORGANIZATION FOR WHOM THE NAME=D INSURED HAS AGREED BY WRITTEN
CONTRACT TO FURNISH THIS ENDORSEMENT
(Enter Narne and Address of Additional Insured.)
is an insured, but only with respect to legal responsibility for acts or omissions of a person for whom Liability Coverage is
afforded
under this policy.
The additional insured is not required to pay for any premiums stated in the policy or earned from the policy. Any return
premium
and any dividend, if applicable. declared by us shall be paid by you.
You are authorized to act for the additional insured in all matters pertaining to this insurance,
We will mail the additional insured notice of any cancellation of this policy. if the cancellation is by us, we will give ten
days notice to the additional insured,
The additional insured will retain any right of recovery as a claimant under this policy.
FORM TE 99 GIB - ADDITIONAL INSURED
Texas Standard automobile Endorsement
Prescribed March 1B, 1992