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HomeMy WebLinkAboutOpening of Proposals - Plumbing Services Contract - Niezgodski PlumbingNiezgodski Plumbing, Inc. Established 1922 232 N Mayflower Road, South Bend, IN 46619 (574)233-9774 N1e lco cast, et Indiana State License #PC88701935 Primary Contact: Secondary Contact David Niezgodski 574-233-9774 Sheila Niezgodski !jiMzj,qjjj.Ciji) jjj!�qst..net. 574-233-9774 0 M Niezgodski Plumbing Inc.'s primary goal is customer satisfaction. We are a family owned business, located in South Bend for 97 years now. We are dedicated to providing on time, professional, plumbing, heating and air-conditioning service. We are a union business with qualified, professional technicians that are fully trained and licensed. Niezgodski Plumbing Inc.'s technicians have expertise in plumbing service repair and replacement. We specialize in repair and replacement of the following items but are not limited to these: 1. Water heaters 2. Water Softeners 3. Water closets, sinks, faucets 4. Reverse Osmosis systems 5. Testing and installation of Backflow prevention devices 6. Boilers 7. Underground repair and installation, sewer and water 8. Backwater valves 9. Water and drainage system repair 10. Sewer televising and cleaning 11. Thawing frozen water lines Niezgodski Plumbing Inc. currently has 16 employees divided between office and shop. Our annual volume of projects is approximately 1200. Our clients include the City of South Bend Water Works and the Bureau of Sewers. We have been performing emergency water works repairs for South Bend Water Works for 47 continuous years. In addition we test and repair as called upon all emergency shower and eyewash devices located on Campus for the University of Notre Dame. We have been providing this service to Notre Dame for four years now and will continue to do so once again for the year 2020 beginning this coming January. There are in excess of 1000 of these devices located on campus. We are capable of securing all liability insurance and performance bonding as needed for this RFP. Enclosed please find our current insurance certificate that Niezgodski Plumbing Inc. carries with the City of South Bend and the University of Notre Dame to be used as examples. Our bonding capability would be secured through West Bend Insurance. r r r Company Em to ees performing services outlined in RFP. Greg Faubion: Estimator, Licensed Journeyman Plumber, over 35 years' experience in plumbing industry. Greg would be responsible for performing requested service repair orders and for estimating cost of repairs/installations which are equal or greater to $2500. Matt Thomas: Licensed Journeyman Plumber, 30 years' experience. Performance of all manner of repairs. David Schoff: Licensed Journeyman Plumber, 12 years' experience. Performance of repairs. Riley Hart: Licensed Journeyman Plumber, 3 years' experience. Performance of repairs. Additional Licensed Journeymen plumbers would be hired as required. Apprentices and Helpers working with Journe men when job requires assistance. Kelly Parmelee: 2"d year Apprentice Milton Emmons: 2nd year Apprentice Cody Kuhns: 2"d year Apprentice David Vidzraku: 1st year Apprentice Grant Niezgodski: Helper John Sirk: Helper =� Niezgodski Plumbing Inc. has been in business since July of 1991. Its current owners are: David Niezgodski, President Rachael Parmelee, Vice President David Schoff, 2"1 Vice President Grant Niezgodski, Treasurer Sheila Niezgodski, Secretary Niezgodski Plumbing has been within this community since 1922. In 1922 it was known as Niezgodski Brothers and its owner was Alex R. Niezgodski. Alex C. Niezgodski was the 2"d Generation owner. During this time the business was known as Niezgodski & Sons Plumbing and Heating. Our customer base is close to 1000 customers. Currently our business has 16 employees with annual gross sales exceeding 1.3 million dollars. Summary of fleet and infrastructure. Fleet: 1999 Chevy E25 1999 Chevy van G/2500 2010 Ford E-250 2012 Ford E-350 2014 Ford E-250 2016 Ford F-250 2016 Ford Transit 250 2013 Dump Trailer 2010 Interstate 12' Trailer Flat Trailer Terramite Mini -Excavator Infrastructure Full time Bookkeeper, Office manager, Estimator, Office Employee, 1 part time Office Employee. 1250 sq. ft. office space 5000 sq. ft. shop 1.8 acres Equipped with all necessary tools, equipment and machinery to complete all required installations and repairs. Office Location: 232 N. Mayflower Road, South Bend, IN 46619 References: South Bend City Water Works: Repair of underground water service leaks. Niezgodski Plumbing Inc. performs service during regular and emergency after normal working hours. We have always been dedicated to be on site as required for emergency repairs. Niezgodski Plumbing has performed these repairs for South Bend City Water Works for 28 years as Niezgodski Plumbing Inc. When the Business was known as Niezgodski & Sons Plumbing and Heating we performed the same work for a period of 19 years for a combined total of 47 continuous years of service to South Bend City Water Works. w 2"d opinions with camera and underground sewer repairs as called upon. Regular hours and emergency repairs as required. Niezgodski Plumbing has been a part of this program for numerous years but consecutively for at least four years at this time. Niezgodski Plumbing Inc. on an annual basis is responsible for testing emergency shower and eyewash devices for the entire Campus at the University of Notre Dame. We will begin our 5t" continuous year of testing these devices in January of 2020. In 2019 there were 1029 devices tested on campus. In addition Niezgodski Plumbing Inc. performs repairs and installation of these devices as directed. 0 Services Cost Information Emergency Double Time Hourly Rate (licensed) $175.00 Emergency Double Time Hourly Rate (non -licensed) $128.00 Applicability for Emergency Double Time Hourly Rate From 12:00 midnight until 8AM the rates shall be 2 times the daily working non -emergency hourly rate. Work performed on Saturdays between the period beginning at 513M until 8AM on Monday the rate shall be two times the daily working non -emergency hourly rate. Work performed on those days officially celebrated as the following Holidays: New Year's Day, Memorial Day, Fourth of July, Labor Day, Thanksgiving Day and Christmas Day shall be paid for at two times the daily working non -emergency hourly rate. When any of the above Holidays falls on a Saturday, it will be observed on Friday. When it falls on a Sunday, it will be observed on a Monday. Version 1/17/2019 Specification and Service Requirements Niezgodski Plumbing Inc., will have the ability to troubleshoot all plumbing issues which will be required under the specifications of this RFP that fall under General Facility Plumbing Repairs. We will coordinate these repairs at all times with COSB staff in an efficient, professional and timely manner. Niezgodski Plumbing Inc., has the capacity and ample room to grow in order to absorb the increased volume of plumbing requests originating from COSB • Material markup shall not exceed 10% • At all times every effort shall be made to use replacement parts generally and readily available on the plumbing market. At times certain items may have to be special ordered because of the age of existing plumbing fixtures or appliances. Niezgodski Plumbing has numerous business vendor accounts, all in good standing. These vendors provide a wide range of choices necessary in order to locate specialty items that may be called for from time to time. Professional workmanship is the end goal for the completion of every job. At all times Niezgodski Plumbing Inc. will coordinate all information prior to any commencement of work. Work will not proceed before proper approval is provided by COSB staff • Hourly service rate is the only labor rate which applies to this RFP • Niezgodski Plumbing shall at all times coordinate access to facilities with appropriate COSB representatives listed in Appendix 2 of this RFP • All work shall be performed in a professional manner according to the standards of excellence of the plumbing industry • All work shall conform to all applicable local, state and federal codes. o Permits necessary to perform work shall be the sole responsibility of the contractor and will be itemized on all invoices • Niezgodski Plumbing Inc., shall inform all employees performing work that all COSB facilities are smoke -free. • Niezgodski Plumbing's vehicles are all clearly marked with the name, address, phone number and license number of our business. • Niezgodski Plumbing employees all have appropriate uniforms that identify our company name and employee's name. Any other required name badge or other form of identification with credentials required also shall be worn. • Niezgodski Plumbing Inc. will report on COSB plumbing work orders on a quarterly basis as required. Reports shall include: Total volume and value of work orders, Volume and value of work orders by COSB department/division, Volume and value of work orders by type (non - emergency vs. emergency, Average and median time to close a work order. • Reports shall be delivered no later than the 15th day of the first month following the close of the standard calendar quarter. Reports shall be due the following business day if the 15th day lands on a Saturday, Sunday, or holiday • Niezgodski Plumbing Inc shall provide service within two hours of the time of the call • These provisions shall apply twenty-four hours a day seven days a week When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF mm ) SS: * _............. COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in Non -Collusion Non -Debarment Affidavit Non Iran Form the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Non -Collusion Non -Debarment Affidavit Non Iran Form Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 20 (lay of _. .-, c' ! C Contractor idder (Firm) Signature of Contractor/Bid r Cr Its Agent v / Printed Name and Title t wde" Subscribed and sworn to before me this 7 day of My Commission Expires j-o O County of Residence Non -Collusion Non -Debarment Affidavit Non Iran Form E ea1NNA SMITH- h ateof Indianap 20, 2025Expires May F �! a L�f� PEACE 1316COUNTY-CrrYBUILDING % � �r PHONE 574/235-9251 227 W. JEFFERSON BOULEVARD � ;a' FAX 574/ 235-9171 SOUTH BEND, IN[DIANA 46601-1830 TI)D 574/ 235-5567 CITY OF SOUTH BEND PETE BUfTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: Se tember 30, 2019 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Plumbing Services Contract Project Number: ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: sepfi 6eh 30 2-0 l ._.........-............................ This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: + t 4ikAoP .__ Authorized Signature: Date: IIO 2019 Version 4/2/2015 PROJECT NAME: PLUMBING SERVICES CONTRACT ADDENDUM NO. 1 Date: September 30, 2019 To: All Plan Holders From: Linda M. Martin, Clerk of the Board of Public Works The following APPENDIX 41 and APPENDIX #2 pages are to be added/changed to the contract documents: The attached APPENDIX #1 and APPENDIX #2 pages are added to the original RFP. A FULL AND COMPLETE COPY OF EACH CORRECTED PAGE IS ATTACHED TO THIS ADDENDUM. You must acknowledge receipt of this addendum by signing the first page, returning it via facsimile to (574) 235-9171, and a copy of the first page must be included with your bid. — This addendum consists of a total of 3 pages — Version 1/17/2019 Appendix 1- List of Facilities and Locations Organic Resources Main Office/Garage 14340 Trade Drive Wastewater Headworks Building 3113 Riverside Drive Administration Building 3113 Riverside Drive Solid Waste Sanitation Office Building 3113 Riverside Drive Sanitation Garage Building 3113 Riverside Drive Police Department Main Station 1701 West Sample Street Fire Department Station 1 1222 South Michigan Street Station 2 402 Charles Martin Sr. Drive Station 3 1805 McKinley Avenue Station 4 220 North Olive Street Station 5 2221 Prairie Avenue Station 6 4302 West Western Avenue Station 7 1616 Portage Avenue Station 8 2402 South Twyckenham Drive Station 9 - New 2108 Mishawaka Avenue Station 9 - Old 2520 Mishawaka Avenue Station 10 5303 South York Road Station 11 3505 North Bendix Drive Training Center 1710 East Sample Street Central Services Sample Street Complex 1045 West Sample Street Streets & Sewers Public Works Service Center 731 South Lafayette Boulevard Code Enforcement Animal Resource Center 521 Eclipse Place iVenues, Parks, and Arts (VPA) (Museum of Art 1120 Doctor M.L.K. Jr Blvd Century Center 120 Doctor M.L.K. Jr Blvd Morris Performing Arts Center 211 North Michigan Street Palais Royale 105 West Colfax Avenue Leighton Garage 109 West Jefferson Boulevard Main & Colfax Parking Garage 126 North Main Street Wayne Garage 121 East Wayne Street Experience Lodge 301 South St. Louis Boulevard High Street Maintenance Complex 1020 High Street Boehm Park 1600 Edison Road Boland Park 2800 Corpus Christi Drive Booth Tarkington Park North Hickory Road Brownfield Park Riverside Drive Byers Softball Complex 1300 Mayflower Road Coquillard Park 1235 Chalfant Street East Race Waterway 126 S Niles Ave Frederickson Park 1300 South Bend Avenue Fremont Park 1800 North Fremont St. Gwen Stiver Memorial Park East Colfax Ave. Heiman Park Helman Park Howard Park 219 South St. Louis Boulevard Hunt Plaza 211 N Michigan St, Keller Park 1858 Riverside Drive Kennedy Park 2700 Westmoor Street LaSalle Landing Park 2419 West Washington Street Leeper Park 907 Riverside Drive Marshall Park 1507 Byron Drive Martin Luther King, Jr. Park 1522 West Linden Avenue Muessel Grove Park 1222 Wilber Street Niles Avenue Bark Park 900 N Niles Avenue Nokomis Park 341 Marquette Ave. O'Brien Park 321 East Walter Street Parkovash Park 277 Parkovash Ave. Phil St. Clair Park 1300 South Mayflower Road Pier Park E Colfax Ave. Pinhook Park 2801 Riverside Drive Plaza Park 200 Blk. Riverside Drive Ponader Park 17772 Douglas Rd. Pulaski Park 500 South Walnut Street Randolph Park 1809 Randolph Street Ravina Park 1543 Dale Avenue River Manor Park 3811 Glenview Drive Rum Village Park 2626 South Gertrude Seitz Park St. Joseph River at Washington St. Shetterley Park Riverside Drive and Leland Avenue Sorin Park Southeast Neighborhood Park 3366 5orin Street Wenger Street Veteran's Memorial Park 1621 Northside Blvd.. Voorde Park 3433 Keller Street Walker Field Park 2198 S Walnut Street Westhaven Park Wheelock Park Sussex Drive 20400 Darden Road Potawatomi Park East Bank Trail Northside Boulevard Riverwalk 2105 East Mishawaka Avenue N/A N/A Elbel Park Erskine Park Studebaker Park Bowman Cemetary 26595 Auten Road 4200 Miami Street 718 East Calvert Street 1630 Miami Street City Cemetary 214 Elm Street Charles Black Community Center 3419 W Washington St MLK Community Center 1522 Linden Avenue 0 ® 7 C t9 ® aw - a-0.® za —C Cu as 0 O O O coo- O O va 0 Y an O O CA cu 1 o w Y Y W W Y Y Y �, :=1 C ° },/ 4.J r1 n Ln r-I Il r-1 . 1 00 rl cr O v oo m r� Ln oo r,r-I in r` m ^' oo n n N N 01 -qr m Ln O ei V/ T T o-11 Ol in cn I, a) Ln l0 01 � l.n i Ln o- Ln Lno- i Ln o- lfl i Ln i In i lI'1 i Ln AA�� Q) oo m m m m m m m m v m C N N N N N N N N N N N Q t n n n n n n n n n n a Ln Ln Ln Ln Ln Ln Ln Ln Ln �n Ln C E (A U ai L L Y N cu O U ++ a E 7 -cu cu Q O m N Ln Y C7 (� 0 2 C VI 1 N a aJ C Y Y w Y O L W v _U O Z 'E H a a Z — cn m V) O 1 N X C v Q CL v c ai u v a a cn v c C u oD + a) v E v E E " a�i tf a`, - oO L a1 E> m O O Ea,�'o� a) a) a) a� V cu cL � V aI C, a) .E Q L C 0 I. U vi U G 0 v�i Q> 4 Q n It^'F AWYB ,. I aF6Cut \� i? I'rt 9',1 V1 i I I o I II1 or °;OI I'II )III '``I',"iC, lrl l il)I'Il,i; N,4 'C)I q ,r, /z I, H II� ( ),F 11 1 l9 , 9 , �, r!r VV ( I i1 R,11r� Date: October 15„ 2019 To: All Planholders .............. Martin, Clerk Board of Public Works From Linda M ......_..�.�_.._ � �..�wwww-__...........�.__..��..._....._ . �����._..._.��...�....� Subject Addendum Number: 2 Project Name: Plumbing Services Contract Project Number: ACKNOWLEDGEMENT OF ECEIPT OF ADDENDUM Date Received: October 15, 2019 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy M (JS°T also be included with your bid package upon submittal. THIS IS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: _Niezgodski Plumbing, Inc. Authorized Signature: (2XBookee er on Behalf of David Ni z-odski President Date: 10/15/19 Version 4/2/2015 NIEZPLU-01 _... ._...�.. �� � CERTIFICATE DATE (MMIDDIYYYY) ICATE OF LIABILITY INSURANCE 812012019 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 olic ies HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED the must have AD............._�...........__...d.. _..._.__...__........... _....... _._ p Y( )..........................DITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dan Berry Insurance Agency Inc. 54101 Ironwood Road South Bend, IN 46637 255-6222 254-2630 ----.._ ._.. .... _.... -- INSURER A : West Bend Mutual Insurance Co 153,,,, , --------- 5 INSURED INSURERµ8 ,.FirstCom „-Insurance Com ,man P P ... .... _ ..__.. 276, Niezgodski Plumbing, Inc. InIsuRFltc_ ....,. PO Box 3096 INSURER D : South Bend, IN 46619 ......, .�. INSURER F : I�E�"IFI�G�1TmNUMBER: REVISION"(."OVERAC_....� �.._ m m I(!(tlMI3ER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. m _ ADDL SUBR IAaR. TYPE OF INSURANCE .� ... A� ICY EFF JL POLICY EXP POLICY NUMBER LIMITS __.... A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 00 1,000,000 CLAIMS -MADE I X OCCUR D A495062 8/21/2019 8/21/2020 DAMAGE 0 RENTED 300,000 _ .MEDEIAnyP( Xonepperso0 5,000 PER,SQNAL &wADV INJU,F2Y 1,000,000 GEN L AGGREGATE LIMIT APPLIES PER: GENFRAL_AGGI�EGATE $. 2,000,000 POLICY Loc PRODUCTS COMPIOPAGG $ ,W.m..,... 2,000,000 OTHEW $ COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY CLA AWOM - ., ......... X ANYAUTO A495062 8/21/2019 8/21/2020 BODILY INJURY (Perperson) OWNED 1 SCHEDULED AUTODS ONLY AUTOS BRORD�LY INJURY (Per accadent) $ HIRED ONLY _,I A8%T %NaI�i. „(Pate ms r DAMAGE _ A � ....._C.....�. . _._ UMBRELLA LUIB OCCUR ._.....__. ..................._...� a-_..._ �. EACH OCCURRENCE,,, 2,000,00p EXCESS LIAB CLAIMS -MADE A495062 8/21/2019 8/2112020 ATE AGGREGATE $ DED RETENTION $_. _� � ..... .. i ..,.... - $ 2,000,0001 ..._ "' B WOR ERS COMPENSATION .-....... PER ID I RH AND EMPLOYERS' LIABILITY YIN C0190699-01 812112019 8/2112020 n SOO,000 O PARTNER/EXECUTIVE t ExcLUDED� N / A ANaPRO E L EACH ACCIDENT $ iC RIMI,MgER do DISEASE EA EMPLOYEE $ ,,.. 500,000 . If yes, devAbe under DESCRIPTtON OF OPERATIONS below ......_.IT,�„ ..._ _ .........„„„_.... „„„.. �_....... _...... E,L DISEASELIME- - POLICY ' A_,,, 0�'()00.. e attached if more space Is required) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be _ ..._... _.__.... .._._.. _ ..._._ .. _ _ .......-..-- ......... ....... _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, City of South Bend ACCORDANCE WITH THE POLICY PROVISIONS. NOTICE WILL BE DELIVERED IN 227 W. Jefferson Blvd. South Bend, IN 46601-1830 - - __.......-� ��-- AUTHORIZED REPRESENTATIVE ................... ---- —_.----,___-,-,_................-.... ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD