HomeMy WebLinkAboutAuthorization for Entry - Asplundh Brush Control LLC - Access for I&M and Contractors for Retention Basion at W End of Calvert1316, COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
Sou-ni BENI.). INDIANA 46601-1830
CiTy OF SoLjTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
July 10, 2018
Ray Seaman
Asplundh Brush Control, LLC
708 Blair Mill Road
Willow Grove, PA 19090
RE: Authorization for Entry
Dear Mr. Seaman:
PHONE 574/235-9251
FAX 574/ 235-9171
The Board of Public Works, at its meeting held on July 10, 2018, approved the above
referenced agreement granting I&M and its contractors permission to travel through City -
Owned land for a retention basin located at the west end of Calvert Street.
Enclosed please find a copy of the agreement for your records.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
Linda M. Martin, Clerk
Enclosure
GARY A. Gii,o'r SUZANNA M. FRITZBERci E1..IZA[31sTti A. MARADIK Amy's A. MUE1,LER Ti-iERESE J. DORAU
CITY OF SOUTH BEND, INDIANA
AUTHORIZATION FOR ENTRY UPON AND THE'IEMPORARY USE OF
PUBLIC PROPERTY LOCATED AT oravel Pit Property west of calvert st.
THIS AGREEMENT is made effective the *_ day of '� � ��.�� , 20*/ , by the South
City of South Bend Board of Public Works ("City") andAl l,�a ��g� �o�trfli Lac("Contractor").
RECITALS
WFIEREAS, in accordance with IC'36-9W6 the care, custody and control of City owned
property is vested in the City of South Bead Hoard of Public Works ("Board"); and
West of Calvert St -
WHEREAS, the City is the owner of certain property at * within the City of
South Bend, Indiana, which property is more specifically described at Exhibit "A" attached
hereto and incorporated herein ("Property"); and
WHEREAS, Contractor desires temporary access to the. Property for the purpose of
Tree Clearing for I&M Project ("Activity"); and..........
Uescr•iplfrni o clivffl
WHEREAS, the City is willing to permit Contractor and its agents to gain access to and
temporary use of the Property subject to certain terms and conditions set forth in this Agreement.
NOW, T]JEREFORE, in consideration of the mutual covenants contained herein and for
other good and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged, the Parties Agree as follows:
I. The City grants to the Contractor, its agents, contractors and employees, a
temporary non-exclusive right on, in and across the Property for the purpose of conducting the
Activity described herein. This non-exclusive right to enter upon and use the Property for said
Activity shall be at all reasonable times.
2. In consideration for authorization and approval by the City for the Contractor to
enter upon. and use the Property in conducting, the Activity, the Contractor hereby agrees and
undertakes to hold the; Civil City of South Bend, Indiana, and the South Bend Board of Public
Worms, the agents, contractors, employees, successors and assigns of each, free and harmless
from any liability, loss, costs, damages or expenses, including attorney's fees, which the Civil
City of South Band or the South Bend Board of Public Works may suffer or incur, as a result of
any claims or actions which may be brought by any person or entity arising out of the approval
granted herein by the City. If any action is brought against the City of South Bend or the South
Bend Board of Public Works, the agents, contractors, employees, successors and assigns of each,
because of the aforementioned Activity; the undersigned agrees to defend such action or
proceedings at its own expense and to pay any judgment rendered therein.
3, The rights granted under this Agreement shall terminate without further action by
the City upon the earlier of (i) *[DATY OR EVENT] or (ii) delivery of written notice from the
City to the Contractor in care of * 7/31 Ift 124 N. Patterson St. ,Lebangn, IN 4GO52
onrraaor's Addre&t
4. To the extent that any portion of the Property is disturbed in connection with the
exercises of the privileges granted under this Agreement., Contractor shall restore the Property to
the same condition in which it was immediately prior to such disturbance to the satisfaction of
the City.
S. Contractor understands and agrees that. it will secure in its own name and at its
own expense all necessary permits and authorizations needed in order to conduct the Activity.
Contractor shall not, without the prior written consent of the City, cause or permit, knowingly or
unknowingly, any hazardous material to be brought or remain upon, kept, used, discharged,
leaked or emitted in or about, or treated at the Property.
6. Contractor understands and agrees that it will, at its own expense, observe and
comply with all present and future statutes, laws, ordinances, requirements, orders, rules and
regulations of all governmental authorities.
7. Contractor, at its expense, shalt maintain during the term of this Agreement,
commercial general liability insurance on the Property covering Contractor as the named insured
and identifying the City of South Bend, hidiana and the South .Bend Board of Public Works as an
„additional insured" with terms satisfactory to the City and with companies qualified to do
business in the State of Indiana, for limits of not less than $700,000.00 for bodily injury,
including death resulting therefrom, and personal injury for any one (1) person in any one (1)
occurrence, $5,000,000.00 for such injuries for all persons for any one (1) occurrence,
$1,000,000.00 property damage insurance, or a combined single limit in the amount of
$6,000,000.00. Notwithstanding the foregoing, Contractor shall, at all times, maintain said
general liability insurance naming the City of South Bend, Indiana and the South Bend Board of
Public 'Works as an "additional insured" for bodily injury, including death resulting thereform
and personal injury with limits sufficient to cover the City or the City's exposure to liability ,for
said injuries, which amounts are set forth at Indiana Code § 34-13-34, as the same may be
amended, superseded or recodif`ted. from time to time-
7- The undersigned person(s) signing on behalf of his/her respective Parties certify
*. F-AccessTDI'ubl icYropeM;-BPw
that he/she is duly authorized to bind his/her respective, Party to the terms hereof.
IN WITNESS W11hR1,30F, file Parties have cacti executed (his Agreeryient as ot.'(fie date
first written above.
CITY OF SOUTH BENI),
BOARD OVPUBLIC WORKS
i-jary )tot, President
I'--'Iizabeth Maradik, Member
Therese orkill,
m
*CONTRACTOR NAME
OF —
,decoRv® CERTIFICATE 4F LIABILITY INSURANCE
.�
DATE
7/6/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT:, If ttrr . certificate, holder is:an ADDITIONAL INSURED,'the, policy(ies)'musfhave. ADI])TIO.NAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVE% subject to, the terms!and conditions of the- policy,, certain policies: may require an endorsement, A statement on
this certificate does not eonferrights to the certificate holder irr Lieu of such endorsement(s).
PRODUCER
Aor€.Risk'Services Central,;lnc- 'ADn,-Risl( Services Central,,lnc.
Philadelphia PA Office 4 Overlook Point
One Liberty Place, Suite 1000 Lincolnshire, IL 60069
Philadelphia, PA 19103
CONTACT
E 215 255 2000 a No ;
ADDRIESS:
INSURER(S) AFFORDING COVERAGE
NAIC#
INSURER A: Greenwich Insurance Company
22322
_
4"SURED
=1N8tJRER.B. XL Insurance America; Inc.
24554
Asplundh Br€.€sh Conlrel; LLC
708 Blair Mill Road
INSURER C-
INSURER D:
WAlow Grove, PA 18U9D
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER., 2145040132 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSION&AND.CONDITIONS.OFSUCH POLICIES_- LIMITS SHOWN.MAY HAVE_BEEN.REDUCED BY.PAIDCLAIMS.;
..
€NSR
LTR
TYPEOF INSURANCE
POL€CYNUMBER
MMIDONYYY
mMimiyvYY
LIMITS'
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE .a OCCUR
RGD3001362
8/1/2017
8/1/2018
EACHOCCURRENCE
$ 6,000,000
PREMf5GE8 a rrence
C mmmm^^ 500,000
MED EXP (Any one person)
$ Excluded
PERSONAL & AOV INJURY
$ 6,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JEC �LOC
POTHER
GENERAL AGGREGATE
$ 6.000,000
PRODUCTS -COMPIOPAGO
$ 6,000,000
A
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
_ AUTO&ONLY AUTOS>
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
- RAD9437837 (AOS)
RAD9437868 (VI)
��8 1<:2D1+-
-8/112D18
O L I
dt3nl.
;$ .6;000,;000
BODILY INJURY (Per person)
$
BODILY INJURY (Per ace dent)
$.
PROPERTYDAMAGE
Per a dden
$
UMSRELLALIAB
OCCUR
GLAIMS•MADE
EACHOCCURRENGE
$
4EXCESSLIAB
AGGREGATE
$
QED RErEVTION
B.
WORKERS. COMPENSATION
AND E-M 7LOVERS' LIABIL€TY yIN
ANY PROPRIETORWARTNEWEXECUTIVE
OFFICERIMEMBER EXCLUDED? [N]
(Mam orjIW €!}
II yes, dBscAbe under
OESCRIPTION OF OPERATIONS below
N 1 A
RWD300135&(AOS)
RWR3001359 (AK, AZ, OK, W€)
8.11I=7
81112A18
X Sp UTE OER�
E.L. EACH ACCIDENT
$ 1,DDD,DOO
'E;L.'DISFASE-'ENFMPLOYF
,$ 1,000,000
E.L. DISEASE- POLICY LIMIT
1,DDD,DDD
$
DESCRIPTION.OE';DPERATIONSILOCAMONS]VEHICLES (ACORD1.fit,,Additional Remeft:Schedule, may basttached€fmarespace.isrequire4)
Cily�of South Bend, Indiana and. the South Bend Buard,oi Public Works.are listed:as addilional insured,as required bywritten,agreamerll-butTmnty:aoogrding to policy terms,
conditions and exclusions tar liability arising from operations performed by or on belTalt of the named insured.
ChK i INGAI L HULUt_R GANUhLL,AI IUN
City,of South Bend
227 West Jefferson Blvd:, Suite 1300 N..
South Bend, Indiana 46601
SHOULD. A,NY OFTHEAf3OVEDeSCRIBF.D POLICIES.BF-CANCF-LLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZED REPRESENTATIVE
Aon Risk Services Central, Inc.
O 1988-2016 ACORD CORPORATION. All rightsreserved.
A001`10.25(2016103) . They[CORD namJe and logo arle°registered marks.ofACORD
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date Julv 5, 2018
Name
Carl Littrell
Department
DPW Engi Leering ..
B,PW Date ._.-July
10, 2018
Phone Extension
9149
Legal Attorney Name
Controller review is required for all Contracts $5,000.00 or more
Controller ❑ and greater than one year in length per the City Purchasing
Policy
Purchasing F-1
H Agreement
F-1 Professional Services
F-1 Bid Opening
D Quote Opening
F-1 Chg Order No.
F-1 Ease./Encroach.
Other: Permission to
Enter
Company or Vendor Name
New Vendor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of ❑
❑
H Contract
0 Amendment
El Bid Award
F] Quote Award
n C/O & PCA No.
E] Traffic Control
liam
15.0170-TTAT4171 ri,
F-1 Req. to Advertise [:] Title Sheet
[:1 PGA
F-1 Resolution
F-1 Claim
Indiana Michigan Power and Contractors /+-S1)/LtvLcU
El Yes Fj If Yes, Approved by Purchasind 8e.LA.5v
M No
F1 MBE Nis
Completed E-Verify Form Attached F-1WBE
I&M Transmission Line
N/A
N/A
Gives I&M and its Contractors p ermission to travel through land
City owns for retention basin at west end of West Calvert Street.
I&M needs to clear trees and brush from adjacent land, but is
stvmied by ditches for direct access.
Increase $
Decrease $
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Change:
Time Extension:
Copy Original
11 n
El El