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HomeMy WebLinkAbout228-09 RESOLUTIONRESOLUTION NO. 228-09 A RESOLUTION AWARDING BID AND APPROVING PURCHASE OF A FIRE PUMPER APPARATUS AND RELATED EQUIPMENT FROM FERRARA FIRE APPARATUS IN THE AMOUNT OF $410,200.00 FOR USE BY THE FAYETTEVILLE FIRE DEPARTMENT; AND APPROVING A 12% CONTENGENCY BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS: Section 1. That the City Council of the City of Fayetteville, Arkansas hereby awards the bid and approves the purchase of a fire pumper apparatus and related equipment from Ferrara Fire Apparatus in the amount of $410,200.00 for use by the Fayetteville Fire Department. Section 2. That the City Council of the City of Fayetteville, Arkansas hereby approves a contingency in an amount not to exceed 12% of the bid amount. PASSED and APPROVED this 17th day of November, 2009. APPROVED: AOS !! �O ELD ATTEST: By: /aAJ L SONDRA E. SMITH, City Clerk/Treasurer 40; Vis% 1131. E • FAYETTEVILLE: #0i„,+ is fS ti•co'•. nw� Kyle Curry Submitted By City of Fayetteville Staff Review Form City Council Agenda Items and Contracts, Leases o- Agreements November` 1.v2009 City Council Meeting Date Agenda Items Onty Operations Division Action Required: Fire Department Department Council approval to accept bid from Ferrara Fire Apparatus for $410,200 to purchase a fire pumper apparatus. $ 410,200.00 Cost of this request 4470.9470.5802.00 Account Number 03019 Project Number Budgeted Item X 500,000.00 Category / Project Budget 95.00 Fire apparatus purchases Program Category 1 Project Name Fire improvements Funds Used to Date Program I Project Category Name 499,905.00 Sales tax capital Remaining Balance Fund Name Budget Adjustment Attached ! Dep i; ent Direct (1744-r City$ ttomey Finance and Internal Services Director /11 j.. Previous Ordinance or Resolution # ate Original Contract Date: i't)/21/11 1 Original Contract Number: Date I U- 13-2009 Date D to Received in City Clerk's Office Comments: Revised January 15, 2009 vpYETTEVILLr\ {l FIRE DEPT. IIII dill MI F 19 1:1)° ARK ', The City of Fayetteville Fire Department 303 W. Center St. Fayetteville, AR. 72701 Phone (479) 575-8365 Fax (479) 575-0471 Proiect Request Date: October 21, 2009 To: Mayor Jordan and The Fayetteville City Council From: Bud Thompson, Assistant Chief Thru: Kyle Curry, Interim Fire Chief Subject: Recommendation for awarding bid 09-62 Fire Pumper Apparatus Recommendation I would like to recommend that you accept and approve the low bid submitted by Ferrara Fire Apparatus for one fire pumper apparatus in the amount of $410,200.00. In a separate request, I would also like to have approved a contingency amount of $72,224.00 for the separate purchase of necessary equipment that we have already received bids on. This equipment will be purchased after the delivery of the truck so a 12% contingency has been added to account for possible price adjustments after the first of the year. Typically, we can get a better price on loose equipment than most fire truck vendors can. This will bring the grand total for the project to $482,424.00. The initial projection for the purchase was estimated at $500,000. The bidding process for the truck was accomplished by reverse auction. This is a "first" for the City of Fayetteville. All of the vendors were required to submit proposals based on specifications written by the Fayetteville Fire Department. After approval of submitted proposals, vendors were allowed to participate in the bidding process. I believe we have gotten the most competitive price possible. Other bids submitted were Jon's Mid America Fire Apparatus, (KME) $410,440.00, Pro -Fire (Pierce) $481,808.00, Sunbelt Fire Inc. (E -One) $497,990.00. Justification This truck purchase is for a replacement front Zine fire pumper apparatus. The new truck will allow us to replace a thirteen year old reserve truck that has been increasingly costly to maintain and is showing evidence of requiring costly engine repairs in the near future. The new truck will have several new features that will make it a safer and easier piece of equipment for our personnel to work with. Some of those features are: Honor, Commitment, Courage; Our people make the difference! 7•' • 0• • •. • ;If 1,_• - y, � t• • 1 .•. J. 1 , r • • - u1. The City of Fayetteville Fire Department 303 W. Center St. Fayetteville, AR. 72701 Phone (479) 575-8365 Fax (479) 575-0471 • Power ladder rack to make handling ladders easier • Larger compartments to carry additional equipment and make equipment easier to work with • Anti-lock brakes • Electronic stability control • Features to reduce loose equipment in the rider area The proposed assignment of this truck will be at Station 5, 2979 N. Crossover. Engine 5 responds to a fairly sizable area of large, new homes. This truck will also respond on automatic aid assignments within designated areas of the Goshen community. Honor, Commitment, Courage; Our people make the difference! RESOLUTION NO. A RESOLUTION AWARDING BID ANI) APPROVING PURCHASE OF A FIRE PUMPER APPARATUS AND RELATED EQUIPMENT FROM FERRARA FIRE APPARATUS IN THE AMOUNT OF $410,200.00 FOR USE BY THE FAYETTEVILLE FIRE DEPARTMENT; AND APPROVING A 12% CONTENGENCY BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS: Section 1. That the City Council of the City of Fayetteville, Arkansas hereby awards the bid and approves the purchase of a fire pumper apparatus and related equipment from Ferrara Fire Apparatus in the amount of $410,200.00 for use by the Fayetteville Fire Department. Section 2. That the City Council of the City of Fayetteville, Arkansas hereby approves a contingency in an amount not to exceed 12% of the bid amount. PASSED and APPROVED this 3rd day of November, 2009. APPROVED: ATTEST: By: By: LIONELD JORDAN, Mayor SONDRA E. SMITH, City Clerk/Treasurer (10/23/2009) Bud Thompson - Final Bid Data.pdf Page 1 BidBridge, LLC : Buyer Event Manager :Final Bid Submission Report �d("1 gridc e Final Bid Submission Report Fire Apparatus Started:10/21/200910:00AM Ended:10/21/200911:02AM Fire Apparatus Cost for 0ne(1) New Fl re Apparatus per Specifications. Rank Company Value 1 Ferrara Rre Apparatus $410,200.00 2 ]on'sMid America Fire Apparatus $410,440.00 3 Pre -Fire $481,808,72 4 Sunbelt Fire, Inc. $497,990.00 Date/lime 10/21/200910:58:53AM 10/21/200910:59:35AM 10/21/200910:20:34AM 10/20/20091:54:58PM Page I of 1 https://bids.bidbridge.com/buyer/reports/finalbiddat a.aspx 10/21/2009 4 LLLLLI LLL f ., LLV . LLLJ VA L • V1IL 1.144A 1LL6Vl • L • V11L LILA" 1111141.1 J world •/e ` tw' Event Summary Report Fire Apparatus Started: 10/21/2009 10:00 AM Ended: 10/21/2009 11:02 AM Fire Apparatus t for One. 1. New Fire Apparatus per Specifications. .1.15V1 VL 1 Rank Bidder Initial Bid Final Bid # of Bids 1 _ Ferrara Fire Apparatus $449,000.00 •$410,200.00 21 2 km's Mid America Fire Apparatus $436,067.00 $410,440.00 21 3 Pro -Fire $534,308.72 $481,808.72 29 4 Sunbelt Fire, Inc. $497,990.00 $497,990.00 1 $600,000.00 $400,000.00 $200,000.00 *Ferrara Fire Apparatus is pro -Fire L1 Jon's Mid America Fire Apparatus X Sunbelt Fire 10:57 AM Number of Bids 1st Place TurnOvers Est. Bid Ceiling Est. Bid Decrement Avg. Bid Decrement Avg. Time Between Bids High -Low Spread % 1st -2nd: High -Low Spread % Total: Extension Count: 72 27 n/a $1,000.00 $1,274.09 54secs 0.06 % 17.63 0/0 34 Mayor: Department Director: i Purchasing Manager: Finance & Internal Services Director: Budget Manager: IT Manager: Dispatch Manager: Utilities Manager: Other: ItShippinglHandling1 1 Lot I I $0.00 pecial Instructions: Approvals: ,4eZ • a fD co V O (71 44. c.3 N -J. Requester, Gerald Thompson O U. 7 Address: 27855 James Chapel Road, P.O. Box 249 Vendor #: 07-9508539740 City Of Fayetteville Purchase Order (PO) Request k�;z (NOt a Purchase Order} ! F £t �y k t ' `F4, A[1 purchases under $2500 shall�be used on a P Card unless medlcaf�or 1099�servfce related {Call x251 vlth�questions) All Pt) Request shall be, scanned 1o_ the P. ur.chasing;e=inall 1?urchasing�cl Fayetteville anus �is`.t� 1 1 IFire Pumper Apparatus O m. `O O 7 ..a (Quantity 'Vendor Name: Ferrara Fire Apparatus Inc. C O_ ro State: LA a. J d la 0 0o 0 b C S� jC 0 0 0 o 0 Q 0 0 o 0 0 0 O 0 0 0 00'01 r C 0 o 0 0 Extended Cost V mO A OCn Q co 0 0 Account Numbers Requester's Employee #: 191 Zip Code: 70744 Fob Point: 7 ti 8 1aD 8 1.3 o 0 14 o o 2 to 1Projec !Subproject # Extension: Divison Head Approval: Z P 1 W Z o [K. 3 g '• Z 0 Inventory # 'Quotes Attached Yes: 1( No: !Expected Delivery Date: 8/30/2010 a 0 m D i u PERFORMANCE BOND Bond No. SUR0002016 Argonaut Insurance Company 10101 Reunion Place, Suite 500, San Antonio, TX 78216 KNOW ALL MEN BY THESE PRESENTS, that we, Ferrara Fire Apparatus, Inc., as Principal, and Argonaut Insurance Company, licensed to do business in the State of IL, as Surety, are held and firmly bound unto City of Fayetteville, AR (Obligee), in the penal sum of Four Hundred Ten Thousand Two Hundred & No/100 Dollars ($410 20L 0.00), lawful money of the United States of America, for the payment of which sum, well and truly to be made, the Principal and Surety do bind themselves, their heirs, executors, administrators, and successors and assigns, jointly and severally, firmly by these presents. WHEREAS the Principal has entered, or is about to enter, into a written agreement with the Obligee for Bid #09-62, Fire Pumper Apparatus to be Unit #40 (hereinafter referred to as the Contract) and more fully described in said Contract, said Contract is hereby referred to and made part hereof. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal, its executors, administrators, successors and assigns shall promptly and faithfully perform and carry out the covenants, terms and conditions of said Contract, then this obligation shall become null and void, otherwise to remain in full force and effect. Sealed with our seals and dated this 12th day of Apri1,2010. Witness PRINCIPAL Ferrara Fir jaratus, Inc. 7c -X , Title ARGONAUT INSURANCE COMPANY 7kpg-divori,,Z- Ronald L. Kaihol , Attorney -in -Fact ACKNOWLEDGMENT OF PRINCIPAL (Individual) State of County of } On this da , in the year , before me personally comes to me known and known to me to be the person who is described in and executed the foregoing instrument, and acknowledges to me that he/she executed the same. Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Partnership) State of County of 1 On this /clay of , in the year , before me personally come(s) a member of the co -partnership of to me known and known to me to be the person who is described in and executed the foregoing instrument, and acknowledges to me that he/she executed the same as the act and deed of the said co -partnership. Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Corporation/LLC) State of County of } On this day of , in the year , before me personally come(s) to me known, who being duly sworn, deposes and says that he/she resides in the City of that he/she is the of the , the corporation described in and which executed the foregoing instrument, and that he/she signed his/her name thereto by like order. Notary Public Bond No. SUR0002016 AS -0016093 Argonaut Insurance Company 225 W. Washington, 6th Floor Chicago, IL 60606 POWER OF ATTORNEY KNOW ALL MEN 13Y THESE PRESENTS: That the Argonaut Insurance Company, a Corporation duly organized and existing under the laws of the State ofiillmmS and having its principal office in the County of Cook, Illinois does hereby nominate, constitute and appoint: Dianne M. Ammermann. Jack L. Anderson. Geoffrey Hathaway, Rita M. Jorgenson, Ronald L. Kaihoi, Bradley S. Koosmann, Amv J. Nordaiane,.Bienda M. Risa, Ronae M. Rose its true and lawful 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 aII b nds ,4ptracts, agreements of indemnity and other undertakings in suretyship provided, however, that the penal sum of any one such instrument executedIk'reUnderiSball not exceed the sum of: $15,000,000.00 This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolution adopted b tithe Board oflDirectors of Argonaut Insurance Company: "RESOLVED, That the President, Senior Vice President, Vice President, Assistant Vice President, Secretary, Treasurer and each of them hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile signature, which may be attested o4liti vledged by any officer or attorney, of the Company, qualifying the attorney or attorneys named in the given power of attorney, to execute in beha)jf of, ani%ekrii`iivledge as the act and deed of the Argonaut Insurance Company, all bond undertakings and contracts of suretyship, and to affix the corporate se'fhereto." r a IN WITNESS WHEREOF, Argonaut Insurance Company has caused its official seal to be hertunnafffited and these presents to be signed by its duly authorized officer on the 15th day of September, 2008. Argonaut Insurance Company STATE OF TEXAS COUNTY OF BEXAR SS: By -M L Michael E. Arledge President On this 15th day. of September, 2008 A.D., beforeltie I otary Public of the State of Texas, in and for the County of Bexar, duly commissioned and qualified, came THE ABOVE OFFICER OF THE COMPAN4oyappersorially known to be the individual and officer described in, and who executed the preceding instrument, and he acknowledged the execution of same, and being byie duly sworn, deposed and said that he is the officer of the said Company aforesaid, and that the seal affixed to the preceding instrument is the Corporatee'itaid Company, and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direon of the said corporation, and that Resolution adopted by the Board of Directors of said Company, referred to in the preceding instrument is now in force. IN TESTIMONY WA O1 T tawe hereunto set my hand, and affixed my Official Seal at the County of Hexer, the day and year first above written. A.'ki ely. BECKY JIMENEZ s •• i r, mousey Public, State at Texas My Commission Expiras December 30, 2011 Notary Public) I, the undersigned Officer of the Argonaut Insurance Company, Illinois Corporation, do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF,1 have hereunto set my hand, and affixed the Seal of said Company, on the 1 2 titiay of Apr i 1 201 -0_ - Robert F. Thomas Vice President THIS DOCUMENT IS NOT VALID UNLESS PRINTED ON SHADED BACKGROUND WITH BLUE SERIAL NUMBER IN THE UPPED. RIGHT HAND CORNER. IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL (210) 321 - 8400. ACKNOWLEDGEMENT OF SURETY STATE OF MINNESOTA COUNTY OF CHIPPEWA On this 12th day of April , 2010 , before me, a Notary Public within and for said County, personally appeared Ronald L. Kaihoi to me personally known, who being by me duly sworn he/she did say that he/she is the attorney-in-fact of Argonaut Insurance Company , the corporation named in the foregoing instrument, and the seal affixed to said instrument is the corporation seal of said corporation, and sealed on behalf of said corporation by authority of its Board of Directors and said Ronald L. Kaihoi acknowledged said instrument to be the free act and deed of said corporation. (741:412/9 NOTA '=YPUBLIC My Commission Expires /3u/?o1J JOSEPH GARY HELGESON Notary Public Minnesota Myccmmleskin EpIres Jen 31.2014 -09 D? 4® /�+1�(.V(.J�ALJ CERTIFICATE OF LIABILITY INSURANCE OP ID WA DATE(MMIDDIYYYY) 12/21/10 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 the certificate holder is an ADDITIONAL INSURED, the policy(les) must 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 KNOX INSURANCE GROUP LLC P 0 BOX 53406 LAFAYETTE LA 70505 Phone:337-233-0530 Fax NAME: LIZ PICARD PHONEAr o, Ext): 337-769-4544 jAJC,No): 337-235-0547 ADDRESS: 1picard@knoxinsurance.com PRODUCER CUSTOMER ID 0: FERRFI2 INSURER(S) AFFORDING COVERAGE NAICO INSURED FERRARA FIRE APPARATUS INC. FERRARA FIREFIGHTING EQUIPMENT P. O. BOX 249 HOLDEN LA 70744-0249 INSURER A : NAxos INSURANCE co/DELOs no 12936 INSURER B: IRONSRORE SPECIALTY/WEST SPEC 25445 INSURER C : Lk woRId:Rs' c tiPENSATION CORP 22 350 INSURER D: OLD REPUBLIC GEN INS CORP 24139 INSURER E : uAMAL,t Iu HENIEU PREMISES (Ea occurrence} INSURER F : COVERAGES CERTIFICATE NUMBER: 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 W1TH 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. INSR LTR TYPE OF INSURANCE AUIIL INSR SUNF MD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MM/DDIYYYY) LIMITS GENERAL LABILITY COMMERCIAL GENERAL LIABILITY OCCUR EACH OCCURRENCE $ — uAMAL,t Iu HENIEU PREMISES (Ea occurrence} $ CLAIMS -MADE MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: n JE 0 n LOC PRODUCTS - COMP/OP AGG $ nPOLICY $ A A AUTOMOBILE ---, X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS INCL GENERAL LIAB GARAGE LIABILITY : oTN.THAN TX-NLR1000105000 TX - NLR1600105100 01/01/11 01/01/11 01/01/12 01/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person} $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GL ONLY -EACH AC$ 1,000,000 X GL AGGREGATE $ 2,000,000 B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 000077000 / 222034777006 01/01/11 01/01/12 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 DEDUCTIBLE RETENTION $ 10,000 $ ' _ X $ C D WORKERS COMPENSATION AND EMPLOYERS' UABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMSER EXCLUDED? (Mandatory in NN) 11 yes, describe under DESCRIPTION OF OPERATIONS 1 A 75252 (LA) NWC11610201 (MULTISTATE) 07/01/10 07/01/10 07/01/11 07/01/11 X WCSTATU- OTH- TORY LIMITS ER Et. EACH ACCIDENT $500,000 ��YpIN l -' E,L. DISEASE - EA EMPLOYEE $ 500,000 below E.L. DISEASE - POLICY LIMIT $ 500 , 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) S yut� COVERAGE TERRITORY INCL US TERRITORIES & POSSESSIONS CANADA. ASSEMBLY OF' FIREFIGHTING TRUCKS.RETAIL SALES OF TRUCK ACCESSORIES & PROTECTIVE EQUIPMENT (#MWC11618301-AR, CA, FL, GA, IN, ME, MS, OK, PA, TN, TX & STOP GAP -OH & WA) OA. /- CERTIFICATE HOLDER CANCELLATION 10 CITY OF FAYETTEVILLE 113ATW EIEMOUNTAIN ST FAYETTEVILLE AR 72701 CITYFA3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE /0.„„:„.,....„, A„.„...,...Z. ACORD 25 (2009109) ©19882009 ACORD CORPORATION. All rights res The ACORD name and logo are registered marks of ACORD 2:2t -D' OP ID: LR '4CaRo' CERTIFICATE OF LIABILITY INSURANCE DATE(Mid/DDIYYYY) 06/18/12 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 the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 337-233-0530 KNOX INSURANCE GROUP LLC 337-235-0547 P 0 BOX 53406 LAFAYETTE, LA 70505 RANDALL BONAVENTURE cAME: CRYSTAL TUBBS NAME: PHDNE 337-769-4540 FAx 337-235-0547 iAJC, No, E„):!AIC. No): E-MADAIL Ctuuus@knoxinsurance.com PRODUCER CUSTOMER ID #: FERRFI2 INSURER(S) AFFORDING COVERAGE NAIC # INSURED FERRARA FIRE APPARATUS, INC. FERRARA FIREFIGHTING EQUIPMENT P 0 BOX 249 HOLDEN, LA 70744-0249 INSURER A : HOUSTON SPECIALTY INS CO 12936 INSURER a:IMPERIUM INS CO 35408 INSURER c:IRONSHORE SPECIALTYIWESTCHESTE 25445 INSURER D : LA WORKERS' COMPENSATION CORP 22350 INSURER E: OLD REPUBLIC GEN INS CORP 24139 INSURER F : BER: 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE DF INSURANCE AODCSUBR INSR IWVD POLICY NUMBER POLICY EFF IMMIDDIYYYYS POLICY EXP (MMIDDNYYYS LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS -MADE MED EXP (Any ono person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1-1 7,7 n LOC• PRODUCTS - COMP/OP AGG $ 7 $ A B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS INCL GENERAL LIAB X X GARAGE LIABILITY: HSLR180184100 1LR180004700 (TX) 01/01112 01101(12 01/01/13 01/01/13 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GL ONLY -EACH AC $ 1,000,000 X GL AGGREGATE $ 2,000,000 C X UMBRELLA LIAR EXCESS LIAB - X OCCUR CLAIMS -MADE X X 000877001/G22034777007 01101112 01/01/13 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 DEDUCTIBLE RETENTION $ 10,000 $ X $ my WORKERS COMPENSATIONWC AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/M(Mandatory in ER EXCLUDED? (Mandatory in NH) I1 yes, describe under DESCRIPTION OF OPERATIONS Y l N NIA X 75252 MWC11618303 (MULTISTATE) 07/01/12 07/01/12 07101(13 07101(13 STATU- OTH- X TORY LIMITS ER E.L. EACH ACCIDENT $ 500,000 N below E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POUCY LIMIT $ 500,000 COVERAGE TERRITORYLINCL USITERRITORIES & POSSESS3IONS CANADA.ePOLICIESaI°required) INCLUDE 30 DAY NOTICE OF CANCELLATION. (#MWC11618303-Al , CA, FL, GA, IN, ME, MS, OK, PA, TN, TX & STOP GAP -OH & WA) AT1ON ._ ` _ CITYFA3 CITY OF FAYETTEVILLE 113 W MOUNTAIN ST FAYETTEVILLE, AR 72701 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE RSLLLi ACORD 25 (2009/09) The ACORD name and logo are registered ©1988-2009 ACORD CORPORATION. All rights reserved. marks of ACORD 4111110(