HomeMy WebLinkAbout55-76 RESOLUTIONRESOLUTION NO. ST -7(p
A RESOLUTION AUTHORIZING THE MAYOR AND CITY CLERK TO
EXECUTE A CONTRACT WITH BRAUN EXCAVATING COMPANY FOR CONSTRUCTION
OF THE TWENTY-SECOND STREET AND HIGHWAY 71 SEWER PROJECT.
BE IT RESOLVED BY THE BOARD OF DIRECTORS OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
That the Mayor and City Clerk be, and they hereby are,
authorized and directed to execute a contract with Braun
Excavating Company for the construction of the Twenty-second
Street and Highway 71 Sewer Project. A copy of said contract,
marked Exhibit "A", is attached hereto and made a part hereof.
PASSED AND APPROVED THIS Al/DAY OF eattalca,
1976.
ATTEST:
APPROVED:
27224-4,0;71.., MAYO(12-t.
R
jattatia)SLk
CITY CLERK
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1
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55-7;
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SPECIFICATIONS
FOR
22ND STREET SEWER
HIGHWAY 71 SOUTH SEWER
WORK ORDER #1435
CITY OF FAYETTEVILLE
FAYETTEVILLE, ARKANSAS
•
•
D HUD PROJECT NUMBER
502-29
APRIL 11976
• CITY ENGINEER'S OFFICE
•
•
Skla0f11.9,
otkart
. IZELL
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TABLE OF CONTENTS
PAGE
ADVERTISEMENT FOR BIDS 1
BID BOND B.B.-1
PROPOSAL FOR SCHEDULE I 2
PROPOSAL FOR SCHEDULE II 5
PERFORMANCE AND LABOR AND MATERIAL PAYMENT BOND 1-S
CONTRACT AGREEMENT 8
INFORMATION FOR BIDDERS I.T.B.-1
CERTIFICATION OF BIDDER REGARDING EQUAL EMPLOYMENT
OPPORTUNITY
CONTRACTOR'S CERTIFICATION CONCERNING LABOR STANDARDS AND
PREVAILING WAGE REQUIREMENTS C.C.-1
CERTIFICATE OF OWNER'S ATTORNEY C.0,-1
GENERAL CONDITIONS OF THE SPECIFICATIONS 4-s
SUPPLEMENTAL GENERAL CONDITIONS 27-S
ANTI -KICKBACK ACT A.K.A.-1
DETAILED SPECIFICATIONS - PART I - CONTRACT STIPULATIONS 10
DETAILED SPECIFICATIONS - PART II - CONTRACT SPECIFICATIONS 12
DETAILED SPECIFICATIONS - PART III - MATERIAL SPECIFICATIONS 25
CURRENT WAGE RATES
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U.S. DEPARTMENT OF Ford:turn AND URBAN DEVELOPMENT
ADVERTISEMENT FOR BIDS
Project No.
(Owner)
HUD -4238-A
(5-66)
Separate sealed bids for
for
will be received by
at the office of
until o'clock (A.M. — P.M.. S.T . S , 19 , and then at said
office publicly opened and read aloud.
The information for Bidders. Form of Rid, Form of Contract, Plans, Specifications, and Forms of Bid Bond,
Performance and Payment Bond, and other contract documents may be examined at the following:
Copies may be obtained at the office of located at
open payment of $ for each set.
Any unsuccessful bidder, upon returning such set promptly and in good condition, will be refunded his payment,
and any non -bidder upon so returning such a set will be refunded $
The owner reserves the right to waive any informalities or to reject any or all bids.
Each bidder must deposit with his bid, security in the amount, form and subject to the conditions provided in
the Information for Bidders.
Attention of bidders is particularly called in the requirements as to conditions of employment to be observed
and minimum wage rates to he paid under the contract.
No bidder may withdraw his bid within 30 days after the actual date of the opening thereof.
•
(Dote)
GPO 169.156
WATER -SEWER SYSTEMS
•
TREATMENT FACILITIES
PUMPING STATIONS
BRAUN EXCAVATING CO.
Route 4
•
Phone: (417) 738-2751
Seymour, Mo. 65746
DeceMber 30, 1976
Darlene Westbrook, City Clerk
City of Fayetteville, Arkansas
P.O. Drawer F
Fayetteville, Arkansas 72701
Re: 22nd Street and Hwy. 71 South Sewer Lines
Dear Ms. Westbrook:
CONTRACTORS
•
MUNICIPAL
COMMERCIAL
Enclosed please find six (6) copies of Certificate of Insurance
for period from 1/1/77 to 1/1/78.
As indicated in our letter of 12/8/76, we anticipated the work
would be completed prior to the end of 1976, but our "Notice to
Proceed," authorizes a starting date of 1/3/77, so the new evidences
of coverage are required for contract compliance.
WTT:rj
Enclosures
Very truly yours,
BRAUN EXCAVATING CO.
W. T. T. Tucker
•
SET TAB STOPS AT ARROWS
• •
Certificate of Insurance
•
THIS CERTIFICATE IS ISSUED AS A' MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS 4/P0t1 THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW.
NAME AND ADDRESS OF AGENCY
Barker -Phillips, Inc.
1500 E. Sunshine
Springfield, Missouri
NAME AND F•PL'IFFSS CFF IN•ILLRI
Braun Excavating Company
Route 4
Seymour, Missouri
1Hs lc tc certify !Lot :etre le- • v
• AICANy •
HFIER
A
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GENERAL LIABILITY
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Missouri, Arkansas, Kansas & Oklahoma
All Automobiles operated hy the Insured
Cancellaticn-
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-"al! •mpose ru cbl gat•rn lt„i!Ly ht Thr kind upon the c
City of Fayetteville
Fayetteville, Arkansas
DAFT IF:Skill,
December 29, 1976
7 76
•
cCOrd
•
SET TAB STOPS AT ARROWS
•7 • •
Certificate of Insurance
•
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,
THIS CERTIFOCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW.
NAME AND ADDRESS Of AGEN"v
Barker -Phillips, Inc.
1500 E. Sunshine
Springfield, Missouri
NAME AND AI/DRIBS OF INSIIHI •
Braun Excavating Company
Route 4
Seymour, Missouri
This is tO certify th p c,es or insuran: e listed beiow havc uoer•
LETTER
A
GENERAL LIABILITY
511 .11NA PRCHE NS [VI_ F313131
1-1 PREMISES t IRE PAT RUN'
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1CC 991556
CEP 72987
COMPANIES AFFORDING COVERAGES
COMPAN'e A
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U.S.F. & G.
PPA -'ANY D
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,CRIPTION OF OPEIR4TIONS3 I r‘110•11 .3."
Sewer &Mater Line Contractor
Missouri, Arkansas, Kansas & Oklahoma
_ ____AII_Autosielles_operated_by the Insured_
Cancellation: Shoo d on? • ,P1r2 prove :Jeci err, : ceLe ht.oro -1e ex • Pat ,•.
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NAM: 14NC, vbSS I 11, •
City of Fayetteville
Fayetteville, Arkansas
DATE ISSUED'
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kW I 1.)UA A 11•23ue In
December 291976 _
Barker -P
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‘/RIZEIcalIBESI 311
Val ""•••
7 76
•
SET TAB STOPS AT ARROWS
•
Certificate of Insurance
•
•
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW.
NAME AND ADDRESS OF AGENCY
Barker -Phillips, Inc.
1500 E. Sunshine
Springfield, Missouri
NAME AND ADDRESS OF .NSUHI
Braun Excavating Canny
Route 4
Seymour, Missouri
Th.s is to certify that policies of la u once listed be r w havi keen
COMPANY
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GENERAL LIABILITY
COMM IIENSIVE FOHM
11] PRI MISES -OPE RA' roNt,
E111E WEI; '.ION AND col
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PR7PI 7TC- • WP; Fl I
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CON'P • Al INS.'• '
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EXCESS L IABUTY
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FCLICY NUMR
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1CC 991556
WORKERSCOMPENSATION
and
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERA' IONSII fl b pONS. • El -PCI ES
CEP 72987
1363900317782
COMPANIES AFFORDING COVERAGES
OMPANY
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U.S.F. & G.
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surd lc IL: insured nomett ,Thoye and are in face Ji OIL. time.
CI ICY
:XP.FAT ON DATf
1-1-78
1-1-78
1-1-78
Limits ol Liability in Thousands (000)
I ACH AGGPEGATE
I OCCURRENLL
prop F R: v r AV V
$ 500 $ 500
s250
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PROF- MACI
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1$ 1,000
1-1-78 $ 100
Sauer & Mater Line Contractor
Missouri, Arkansas, Kansas & Oklahoma
All Automobile OPerated by the Insured_
A Nitip
•
$1.000
Cancellation: Should any 24 the above described pericies t -re carcelied before the expiration date thereof. the ISSU:7T Lom-
pony endeavcr td mail days written rotice to the helow named certificate ho.dcr, hjt 4311 re to
mad SJC7 OCVICe shall impose no obligation or liability of any kind upon the comparly
NAMI AND ACDPI CER1 r APE HOL DER
City of Fayetteville
Fayetteville, Arkansas
DAI L ISSJED December 29, 1976
Cr 'NI,
7-76
QCOrd
SET TAB STOPS AT ARROWS
Certificate of Insurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER
THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW.
NAME AND ADDRESS OF AGENCY
lartor-Phillips, Inc.
IMO E. Saddam
Springfield, Missouri
NAME AND ADDRESS OF INSURED
Breen Excavating Coupon
Route 4
Seymour, Missouri
COMPANIES AFFORDING COVERAGES
COMPANY A
f R
& G.
Lomr„,„ B
LETTER
COMPANv C
e0MPANY D
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COMPANY E
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This is to certify that policies of i surance listed neicw have been iss,1' 7 the insured narnei :hove and are in lor e at this here
COMPANY
L ETTER
A
TYPE O INSURAN(
GENERAL LIABILITY
• COMPREHENSIVE FORM
LJPREMISES -OPERA I iL
• EXPLOSION AND ( A")S
HAZARD
1111 UNDERGROUND HA/ARL
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OPERATFONS HAIARL:
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DAMAGE
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AUTOMOBILE LIABILITY
t COMPRI liEN'3IY'
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EXCESS LIABILIrd
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FORM
WORKERS' COMPENSATInrsj
and
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OTHER
NUMBER
ICC 991556
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POLICY
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1-1-78
ICC 991556 14-78
CEP 72987
DESCRIPTION OF OPERATIoNS/LocAnoNSIn HILL f
1363900317782
Sewer & Veber Line Costractor
Missouri, Arkansas, Camas I Oklahoma
All Arstenshiles operated by the loured
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1-1-78
Limits of Liabilly in Thousan • s (
AND
PreCJPEP' • r)/ MAGE
, • 1.0 pINED
ACM
00- UPHENCE
AGGREGATE
$ 500 s 500
$ 250 $ 250
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Opere, -szard
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BOOR N. IN, u f; r
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PROPER -I Y bAMAI4
BOD'L INJIP( AND
PROPT.47.' DAV' if
COMINED
POD Y INJDFW ANT
PROPERTY ;.ey A GI
p '
$ 250
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1-1-78 $ 100 _ _
•
Cancellation: ShouIC any cf the above descipeo oci cpes be cancelled beton-, the expiration dale hoi eof the cm
cany ende wor tc mail days written notice to the be ow owned ce-1' cate .ler hut ilure to
mail such notice shall impose no Dbligatior Gr liabi ty of any kind upon the iTompany.
NAME AND ADDRFUS OF CERTIFICATE HOE PER
rty of FrovIlle
December 29, 1976
DATt ISSUED
7,76
•
SET TAB STOPS AT ARROWS
•
Certificate of Insurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER
THIS CERTIFICATE WES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW
7.
0 dJI SS C" Patti :1
Barker -Phillips, Inc.
1500 E. Sunshine
Springfield, Missouri
_
NAME AN" AL' t
Braun Excavating Company
Route 4
Seymour, Missouri
This is to ceit
OCMPANN
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COMPANIES AFFORDING ER4GES
IN' Pt U.S.F. &G.
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100_
etiaraINIIIPSISeWMESCSIIIIIIff witir:4•41111SIUMIDIEM
Sewer & Water Line Contractor
Missouri, Arkansas, Kansas & Oklahoma
__ All Automobiles_operated by the Insured
Canctilation Pt'e elLc jE
I 4 I r 1 4% it.
h rhr em ) OL
City of Fayetteville
Fayetteville, Arkansas
t. betnt "Lie rvr
t the -low -acne ert-i
ti pun the Lump -1y
-1
•
December 29. 1976
Bark
•
°cord
SET TAB STOPS AT ARROWS
• • • • •
Certificate of Insurance
•
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW
NAME AND ADDPESS Or VAN! 1
Barker -Phillips, Inc.
1500 E. Sunshine
Springfield, Missouri
NMF ANC P DORF SS OF NSURE
Braun Excavating Company
Route 4
Seymour, Missouri
-ENO Is TO: recItty tfji
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LITTER
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GENERAL LIA
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EMPLOYERS' IL". BB r•
011-1Fr-
DESCRIPTION OF OR. HA 7I(.ry7
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ICC 991556
ICOMPANMS AFFORDING COVERAGES
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1363900 317782
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Sewer & Water Line Contractor
Missouri, Arkansas, Kansas & Oklahoma
ATh Automobtlei_operatast_hythelnsurmdc__
$ 1.000 $ 1.000
Cancellation -f u y ^7 the dAPP "0011 -)01 ;TIPP LP -MCP. 1[Cd t e exc.r.-t on • t • e tt.
;du). era( tc a; —10. c TO 17P hplow nArth :•1 CO' '
op.. I ••• Li:JO r 01, • h31: rITOOSt . obligat nab.lity ta driV Kind upon thecompany.
City of Fayetteville
Fayetteville, Arkansas
rArc SSUE0 1Mcamber 29,_197.6
76
•
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4.
t
A STOCK COMPANY-
•
Fid_eh
OOHED 1890
ilyeadDeposl Comp
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HOME OFFICE OF MARYLAND BALTIMORE
A
I
I
BID BOND
KNOW ALL MEN BY THESE PRESENTS:
1
That we, BRAUN EXCAVATING CO,
1
, as Principal, (hereinafter called the "Principal"), and
1
the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, of Baltimore, Maryland, a corporation duly organized
under the laws of the State of Maryland, as Surety, (hereinafter called the "Surety"), are held and firmly bound
unto City of Fayetteville, Arkansas
1
as Obligee, (hereina(ter called the "Obligee"),
in the sum of Five Per Cent (5%) of Amount Bid Dollars ($ ),
1
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.
a
3
WHEREAS, the Principal has submitted a bid for 22nd Street Sewer and Highway 71
„I
Di
i
South.Sewer
I
1
11
4
I
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
I
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 material furnished in the prosecution thereof, or in the
event of the failure of the Principal to enter into such contract and give such bond or bonds, if the Principal
A
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 perform the work
covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect.
il
Signed and sealed this 7th day of October A.D. 197.6.-...
I
1
BRAUN
EXCAVATING
CO (sem)
t,3•
Principal_
....._
.
Witness aaL
by: • /1 . ..
T
1
FIDELITY AND DEPOSIT COMPANY OF
MARYLAND
Surety
:
,
. (SEAL)
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i
Witness ' 'rney- - . - Title
M25.1 -100M,845198717
Approved by 14 Mmmato losUWW of Architects.
NIA. Document No A4I0 February IWO FolitWu.
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Fidelity and Deposil Compamr i
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Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
HOME OFFICE, BALTIMORE, MD,
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corpora-
tion of the State of Maryland, by C. M. PECOT, JR. , Vice -President, and C. W. ROBBINS
Assistant Secretary, in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said Com-
pany, which reads as follows:
The President, or any one of the Executive Vice -Presidents, or any one of the additional Vice -Presidents specially authorized
so to do by the Board of Directors or by the Executive Committee, shall have power, by and with the concurrence of the Sec-
retary or any one of the Assistant Secretaries, to appoint Resident Vice -Presidents, Assistant Vice -Presidents, Resident Assistant
Secretaries and Attorneys -in -Fact as the business of the Company may require, or to authorize any person or persons to execute on
behalf of the Company any bonds, undertakings, recognizances, stipulations, policies, contracts, agreements, deeds, and releases and
assignments of judgments, decrees, mortgages and instruments in the nature of mortgages, and also all other instruments and docu-
ments which the business of the Company may require, and to affix the seal of the Company thereto."
does hereby nominate, constitute and appoint Paul 0. Barker, Milton S. Phillips, Larry W.
Giboney and Linda K. Johnston, all of Springfield, Missouri, EACH.... ..
aw u agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as
surety, and as its act and deed: any and all bonds and undertakings
execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said
Company, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged
by the regularly elected officers of the Company at its office in Baltimore, Md., in their own proper persons.
This power of attorney revokes that issued on behalf of Paul 0. Barker, etal, dated
March 20, 1975.
The said Assistant Secretary does hereby certify that the aforegoing is a true copy of Article VI, Section 2, of the By -Laws of
said Company, and is now in force.
IN WITNESS WHEREOF, the said Vice -President and Assistant Secretary have hereunto subscribed
their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this
3r3. day of BlipteMbAr , A.D. 19_76....
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
ATTEST:
0 By
Assistant Secretary Vice -President
STATE OF MARYLAND }
CITY OF BALTIMORE SS:
On this 3rd. day of September , A.D. 19 76 , before the subscriber, a Notary Public of the State of
Maryland, in and for the City of Baltimore, duly commissioned and qualified, came the above-named Vice -President and Assistant
Secretary of the FIDELITY A/ID DEPOSIT COMPANY OF MARYLAND, to me personallyknown to be the individuals and officers described
in and who executed the preceding instrument, and they each acknowledged the executioa of the same, and being by me duly sworn,
severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid, and that the seal affixed
to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such
officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation.
IN Tizsrusotrt WHEREOF, I have hereunto set my hand and affixed my Official Seal at the City of Baltimore, the day and year
first above written. ...."1"
$01 ‘
71 le;.‘ TiiiiittiAa
.*
,
Ti<1:8% PuRBELG‘cl.:49
CERTIFICATE
taryl, the undersigned. Assistair Secsadr! of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the original
Power of Attorney of which the foregoing is a full, true and correct copy, is in full force and effect on the date of this certificate; and I
do further certify that the Vice -President who executed the said Power of Attorney was one of the additional Vice -Presidents spe-
cially authorized by the Board of Directors to appoint any Attorney -in -Fact as provided in Article VI, Section 2 of the By -Laws of
the FIDELITY A14D DEPOSIT COMPANY OF MARYLAND.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directorrof the
Flown AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 16th day of July, 1969.
RnsoLvati: That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company, whether -
made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by tbeSompany, fftall be _
valid and binding upon the Company with the same force and effect as though manually affixed."
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said -Company, this
7th _day of October 19_ 7.6
Notary Public Commission Expiressbay
L1419—CIL 201494
1
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1.
1
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II U. S.IDEPARTmENT OF HOUSING AND uheaN DEVELOPMENT
•
BID BOND
PUD -4238-E
• • - • • • (2-66)
(Formerly CFA -VD -E)
KNOW ALL MEN BY THESE PRESENTS, that we the undersigned,
as Principal, and
as Surety, are hereby held
and firmly bound unto as owner
in the penal sum of
for the payment of which, well and truly to be made, we hereby jointly and Sever-
ally bind ourselves, our heirs executors, administrators, successors and assigns.
Signed, this
day of
The condition of the above obligation is such that whereas the Principal has
submitted to • a certain Bid,
attached hereto and hereby made a part hereof to enter into a contract in writing, .
for the
MOW THEREFOR,
II. .
(a) If said Bid shall be rejected, or in the alternate.
• • (b) If said Bid shall be accepted and the Principal shall execute and deliver
I. a contract in the Form of Contract attached hereto (properly completed in
accordance with said Bid) and shall furnish a bond for his faithful per -
romance of said contract, and for the payment of all persons performing
II labor or furnishing materials in connection therewith, and shall in all
,
other respects perform the agreement created by the acceptance of said Bid,
• then this obligation shall be void, otherwise the same shall remain in force and ef-
1 .1 feet; it being expressly understood and agreed that the liability of the Surety for
any and all claims hereunder shall, in no event, exceed the penal amount of this ob-
ligation as herein stated.
V. .•
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O.B.-1
•
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• The Surety, for vnluc received, hereby stipulates and agrees that the obligations
• •
of said Surety and its bond shall be in no way impaired or affected by any extension
of the time within which the Owner may accept such Bid; and said Surety does hereby
waive Thence of any such extension.
• •
•
IN WITNESS WHEREOF, the Principal and the Surety' have hereunto set their hands
and seals, and such of them as are corporations have caused their corporate seals to
be hereto affixed and these presents to be signed by their proper officers, the day
and year first set forth above.
.1 •
.(L SI)
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.137:
Pr sae ap•I
Sate Sy
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01 t 4:P•417
•
ThISISMCDIM
that policies in the name of
NAMED
INSURED
and
ADDRESS
rtraun Excavating Company,
A Missouri Corporation
Route #4
Seymour, Missouri 65746
are in force at the date hereof, as follows:
CERTIFICATE OF INSURANCE
•
GU 6115
(Ed. 2-68)
FILED IN MY OFFIg THIS
nra Ife: 2z% iatrinfic444-1 19t
Cie ik
THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR
NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE
AFFORDED BY ANY POLICY DESCRIBED HEREIN.
KIND OF
INSURANCE
POLICY
NUMBER
POLICY
PERIOD
LIMITS
OF LIABILITY
BODILY INJURY
PROPERTY DAMAGE
WORKMEN'S
COMPENSATION
WC 23-26-02
Eff.
Exp.
1-1-76
1-1-77
Provided
Compensation
Missouri
by Workmen's
Law—State of
NIL
COMPREHENSIVE
LIABILITY
COMPLETED
GENERAL
INCLUDING
OPERATIONS
GLA 19-95-77
Eff.
Exp.
1-1— 7 6
1-1-77
$
$1,000
$1,000
, 000 Each person
, 000 Each occurrence
, 000 Aggregate
$ 1,000 .000 Each occurrence
$ 1,000 , 000 Aggregate
MANUFACTURERS' AND
CONTRACTORS' LIABILITY
Eff.
Exp.
$ , 000 Each person
$ , 000 Each occurrence
$ , 000 Each occurrence
$ , 000 Aggregate
OWNERS', LANDLORDS'
AND TENANTS' LIABILITY
Eff.
Exp.
$ , 000 Each person
$ .000 Each occurrence
$ , 000 Each occurrence
$ ,000 Aggregate
CONTRACTUAL
LIABILITY
Eff.
Exp.
$ ,000 Each person
i .000 Each occurrence
$ , 000 Each occurrence
$ , 000 Aggregate
AUTOMOBILE
LIABILITY
Owned Automobiles
Hired Automobiles
Non -Owned Automobiles
Eff.
Exp.
$ , 000 Each person
$ , 000 Each accident
$ , 000 Each accident
•
•
fl
COMPREHENSIVE AUTO.
MOBILE LIABILITY
GIA 19-95-77
Eff.
LW.
1-1-76
1-1-77
$ 1,000 ,000 Each person
$ single .000 Each occurrence
$ Limits , 000 Each occurrence
OTHER:
Eff.
Exp.
In the event of any material change in, or cancellation of, said policies, the undersigned company will endeavor to give written notice to the party to whom this
certificate is issued, but failure to give such notice shall impose no obligation nor liability upon the company.
bpr 22, 1976
YYYTTIois Nationa12surance Company
CERTIFICATE ISSUED TO:
Rity of Fayetteville
NAME
and
ADDRESS
Fayetteville, Arkansas
Dated:
Name of
Company:
A
AUTHORIZED REPRESENTATIVE
oof 2.V..'f..ILZr 0.a
0
44° 4;7E7 ";:iso"
•
•
ZIHT 321110 YM
40 YACI
• 7.7
1‘ • 7—rirrelirm.7 771-1-
-..Firlrg
The Insurance (mord by this certifisate will not be cancelled or
materially attend. except after ton (10) days writton notios has
boon roosted by the owner
•
WATER -SEWER SYSTEMS
•
TREATMENT FACILITIES
PUMPING STATIONS
BRAUN EXCAVATING CO.
Rout* 4
•
Phone: (417) 738-2751
Seymour, Mo. 65746
December 8, 1976
Darlene Westbrook, City Clerk
City of Fayetteville, Arkansas
P.O. Drawer F
Fayetteville, Arkansas 72701
Re: Contract of 11/19/76
22nd Street and Hwy. 71 South Sewer Lines
Dear Ms. Westbrook:
CONTRACTORS
•
MUNICIPAL
COMMERCIAL
f?eceiveo
Enclosed please find five (5) copies of Certificate of
Contractor's Insurance as requested, for referenced contract
documents.
Since we are nearing the expiration of our current policies,
we will of course submit certificate of the renewal policies unless
the project is completed prior to the end of this year.
WTT:rj
Enclosures
Very truly yours,
BRAUN EXCAVATING CO.
W T Tucker
Office Manager