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HomeMy WebLinkAboutRES 13-186 RESOLUTION NO.13-186 BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF BEAUMONT: THAT the City Manager be and he is hereby authorized to execute a one (1) year Agreement, with an option to renew for two (2) additional terms of one year, with Texas Industries for the Blind and Handicapped (TIBH)/Beaumont Products & Services (BPS), of Beaumont, Texas, at a rate of $15.00 per hour per person in the estimated amount of $149,380 to provide litter removal services on City rights-of-way. The Agreement is substantially in the form attached hereto as Exhibit "A" and made a part hereof for all purposes. PASSED BY THE CITY COUNCIL of the City of Beaumont this the 10th day of September, 2013. r ;a; N UM ie AW® � 6T{a1WY - Mayor ro Tem ethrel Wright - � w � r ,�/ ='o STATE OF TEXAS § COUNTY OF JEFFERSON § AGREEMENT FOR FURNISHING LITTER REMOVAL SERVICE FOR CITY RIGHTS-OF-WAY AND SPECIFIED AREAS TI-IlS AGREEMENT, is made and entered into by and between the CITY of BEAUMONT, Texas, a municipal corporation, hereinafter referred to as "City," and Texas Industries for Blind and 1-Iandieapped (:'IBI-1), a State of Texas agency, hereinafter referred to as TIBH, and Beaumont Products & Services, Inc., hereinafter referred to as"Provider." Therefore, City, 1I13I-1,and Provider agree as follows: WITNESSETH 1 .0 It is the intent of the City of Beaumont to contract with a private not-for-profit state certified workshop as provided by the state of Texas for furnishing litter removal services on City rights- of-way and other areas as may be determined. 2 .0 This Agreement shall be in effect for a period of one (1) year beginning September 16, 2013 and ending September 15, 2014. The City may renew the contract for up to two (2) additional one(1) year periods. Renewals shall occur by mutual agreement between the City and "1'181-1 at the end of each yearly contract period. On the anniversary dates of the agreement,the City shall increase the monthly payments by the lesser of the percentage increase in the Consumer Price Index for all tJrban Consumers (CPI-U) or 2.5%. The increase will be based on the Houston-Gal veston- Brazoria Consolidated Metropolitan Statistical Areas for the previous year from July 1 through June 30. 3 .0 The Provider shall furnish all labor,supervision, equipment, supplies and transportation necessary to provide for the pickup and proper disposal of litter or debris discarded onto City rights-of-way and other areas as may be determined by the City. The rights-of-way include but are not limited to those listed on Attachment "B"attached hereto. 4 .0 "Litter" or "debris" shall be defined as trash, garbage, fragments, remains, ruins, rubble, or loose materials of any 'iature which have been discarded or which may detract from the appearance and safety of the area. "Litter" shall also include advertisements placed on or against any pole, post, tree;, fireplug, trash receptacle or other property located on a street right-of-way. 5 .0 All litter accum-dated by the Provider shall be collected and disposed of by Provider. All supplies and equipment needed shall be furnished by the Provider. All vehicles used in transporting litte3' must be equipped to prevent litter from being deposited on the street right-of-- way during transport to disposal sites. 6 .0 The Provider shall not be required to remove dead animals, tires, or objects weighing more than sixty (60) pounds. 1-lowever, the Provider shall notify the designated official of the location of 1 EXHIBIT "A" these items immediately upon their discovery. 7 .0 The Provider shall furnish a crew consisting of one (I) supervisor and four(4) crew members for approximately eight (8) hours per day. At the sole discretion of the City, it niay require additional crew members to be provided. If the Provider is unable to furnish the required number of crew members, the City shall be notified in advance and the City may cancel the days scheduled to be worked by the reduced crew. No payment shall be made for days canceled by the City. Provider shall also furnish all transportation required. 8 .0 Litter removal shall be performed five (5) days per week, Monday through Friday, except rain days and City holidays. Rain days can be voluntarily called by the crew performing litter removal or at the discretion of the designated official. Additional days may be provided with the written approval of the Designated Official. Normal working hours shall be 7:30 a.m. to 4:00 p.m. The City shall have full right of inspection of any facilities, areas, or equipment. Such inspections may be related to, but not limited to, verification of work or conditions, safety, damages, or operational interests. 8.1 Work days that are voluntarily called as a result of a inclement weather shall not incur a minimum charge for the day. Payments will not be made for hours not worked due to inclement weather. 4.0 On a weekly basis, the Provider shall meet with the designated official to define program objectives and schedule litter removal services, The Provider shall follow the litter removal schedule as defined by the designated official. The Provider shall contact the designated official on a daily basis to report work status. Once work has been assigned,the Provider shall proceed in an expeditious manner until all work is satisfactorily completed. 10.0 Each employee shall wear brightly colored safety vests while on City rights-of-way. It shall be the responsibility of the Provider to ensure the safety of its employees and citizens while in the performance of this Agreement. 11.0 City holidays shall be defined as follows: Labor 1--)ay Veterans Day Thanksgiving Day Day after Thanksgiving Christmas Day New Year's Day Martin Luther King, Jr.'s Birthday Good Friday Memorial Day Independence Day 12.0 The City shall have the right but not the duty to inspect, audit, copy, and examine all books and records of the Provider pertaining to its performance of services and obligations to the City under this Agreement. 2 13.0 "file Provider may not assign any portion of this Agreement to another party or parties without written approval of the City Manager or his designee of such sale or assignment. The City may require any records or financial statements necessary in its opinion to ensure such sale or assignment will be in the best interest of the City. 14.0 This Agreement shall constitute the entire understanding of the parties hereto with respect to the subject matter hereof, and no amendment, modification,or alteration of the terms shall be binding unless the same be in writing, dated subsequent to the date hereof, and duly executed by the parties hereto. 15.0 The Provider agrees to indenntify and save harmless the City of Beaumont and its officers, agents and employees from any and all claims,causes or action, and damages of every kind, for injury to or death of any person and damages to property arising out of or in connection with the work done by Provider under this Agreement, and including acts or omissions of the City of Beaumont or its officers, agents or employees in connection with said Agreement. 16.0 The Provider shall at all times during the Agreement maintain in full force and effect insurance as provided in Attachment"A". A certificate of insurance, or a copy of the insurance policies shall be furnished to the City prior to the commencement of work by the Provider and shall provide that the City shall receive thirty days prior written notice before any change or cancellation of any policy. All of the insurance costs shall be borne by the Provider. Should any insurance required by the Agreement lapse, the Provider shall immediately cease all operations as of the time and date of such lapse and shall not resume any operations until authorized in writing by the City. if the lapse period extends fifteen days, the Agreement shall automatically terminate and the Provider shall be in breach of this Agreement. Should the City of Beaumont receive notices of insurance cancellation three (3) or more times within any twelve (12) month period, the City may cancel this Agreement. 17.0 The City, besides all other rights or remedies it may have, shall have the right to terminate this Agreement upon thirty (30) days written notice from the City Manager or his designee of its election to do so. Said termination shall be at the sole discretion of the City Manager or his designee. 18.0 The City, besides all other rights or remedies it may have, shall have the right to terminate this Agreement upon five (5) days written notice in writing if the Provider fails to perform the scope of work as herein provided. The decision to terminate shall be at the sole discretion of the City Manager or his designee. 19.0 'File City agrees to pay the Provider upon receipt of monthly invoices for services performed satisfactorily and reports as required herein. Such payment shall be made within thirty (30)days of receipt of invoice. 'File City shall have the right to refuse payment for work not satisfactorily completed. 19.1 On a weekly basis, the Provider shall provide the following reports: 19.1.1 An accurate record of the streets worked and the amount of litter removed. The 3 unit of measurement for |kior xbuU be the number of bags and tbu number of cubic yards collected. 19.1.2 An accurate listing detailing the number of crew members, days worked, and number of hours each worked each day. 20,8 The City shall pay the Provider atu rate of$|5.O0 per hour per person. Payment will hc made for crew member hours actually worked. No minimum payments for inclement weather(lays will be allowed. This payment shall be full compensation for all work performed, equipment, materials, transportation,and iouideo1uia necessary to complete the work aswell as disposal ofthe litter. 21,0 Deductions fl-ozn payments by the City to the Provider may include items specified herein, including taxes, oou<o for damages by the Provider, or other amounts which may be owed by the Provider tothe City. Such deductions sbu|| not be cause for the Provider to cease or partially cease upuru1imnu or activities required by this }\grrunco1. 22J0 The relationship of the Provider 10 the City shall be that of an independent provider, and no principal-agent or omp}oycpcmpluyue relationship in created by this Ag/000uomL 3v entering into this Agreement,the Provider acknowledges that it will, in tile performance of its duties under this Agreement ho acting as all independent provider and that 000fficer, agent o,employee nfthe Provider will bn for any purpose an employee of the City of Beaumont and that no officer, agent or employee uf the Provider ia entitled to any of the henofitaand privileges ofu City employee o, officer under any provision *fthe statutes of the State o[Texas or the Charter and ordinances of the City ofBeaumont, 23.0 Y40 PERSON has the authority to verbally alter these terms and conditions. Any changes muo<bo approved in writing 6v both parties. 24,0 Any ouxioe which City or Provider may require or may desire to give to the other shall be in writing and uhu|| be sent by registered or certified mail 10 the following respective addresses: City: City ofBcuumon1 p. O. Box 3827 801 Main Street Beaumont,TX 77704 State Agency: Melinda May, Market Representative Texas Industries for the Blind and Hundicuppcd l 79Y4urik Skmc1, Suite B Nacogdoches,Texas 75V6] 4 Provider: Harold Comstock, President Beaumont Products&Services, Inc. 1305 Washington Blvd. Beaumont,Texas 77705 All notices shall be deemed given on the date so delivered. Either party hereto may change the above address by sending written notice of such change to the other in the manner so provided herein. IN WITNESS WHEREOF, City and Provider have executed or caused to be executed by their duly authorized officers or agents this Agreement as of the day and year written below. CITY OF BEAUMONT: BY: Kyle Hayes, City Manager bate: TEXAS INDUSTRIES FOR THE BLIND AND HANDICAPPED: By: Melinda May, Market Representative Date: 13EAUMONT PRODUCTS AND SERVICES,INC.: BY: Harold Comstock, President ATTACHMENT A (Revised 4/1/2013) INSURANCE SECTION A. Prior tu the approval of this contract by the City,CONTRACTOR shall furnish u completed Insurance Conifi:atetuthe Purchasing office. The certificate shall be completed by an agent authorized to bind the named underwriter(s)to the coverages,limits,and termination provisions shown tho/roo, arid ahuU furnish arid contain all required information referenced o, indicated thereon. CITY SHALL HAVE#0DD7YT0 PAY Olt PERFORM UNDGRTUlSC0NTDACTUNDL SUCH CERTIFICATE iS RECEIVED 8l, THE CITY OF D6\U&40NTS PURCHASING DlY|O[0N,and no officer or employee of the City x6u||have authority to w6vu this requirement. INSURANCE COVERACE REQUIRE SECTION B. CITY reserves the rightto reviewthe iiisuraticerequii-eineiitsoftliissectiott during the effective period ofthecontract and to adjust insurance coverages arid theirlimits when deemed necessary and prudentby CITY, based upon changes in statutory law, court decisions,o,the u|uimx history oythe industry umwell as the CONTRACTOR. SECTION C. Subject to CONTRACTOR'S right to maintain reasonable deductibles in such amounts as are approved by CITY, CONTRACTOR shall obtain and maintain in fb|| force and uAeu for the duration of this uoo(rooi, arid any extension hereof, at CONTRACTOR'S soleexpense,insurance coverage written bycornpaniesapproved bythe StateofTexas and acceptableto CITY,in the following typo(o)arid umouut(y) TYPE' AMOUNT l. Workers' Coin p*nvxdnnarid Statutory Employer's Liability NOTE: For building orconstruction projects,and services provided at City-owned facilities,the successful Contractor shall meet the minimum ccquimcmcutx defined in the Texas Workers' Compensation Commission Rule 2M3/tC0ll0.11O which follows this insurance attachment. 2, Commercial General(yohOo)Liability including covet-age for the following: o. Premises operations Combined single limit for bodily injuryuoJ h. Independent contractors and property damage o[$5O0`000per C. Products/completed operations occurrence or its equivalent with an a0g/ngwo: d, Personal injury limit nf$l.O00'0O0. C. Advertising in [ Contractual liability � Mudicm| palmonv }� Professional liability* i. Underground hazard* J Explosion and collapse hazard* L {.iquo,|ivhUi|y* i Fire legal liability* IM City's prope,t\ iuCmnt,auor's* cmm, custody,orcontrol o. Asbestos specific liability* * Not required for this contract ] Comprehensive/knmuoabUo IjuhUity Combined uio&|o !imkfor bodily injury and inaumuco,including coverage for loading property dmmagu of$500,000 per occurrence and unloading hazards, k`c or equivalent. ' l ' ATTACHMENT ''A" a. Owned/leased vehicles b. Non-owned vehicles C. [-fired vehicles 4. Errors and Oinissions Provide a prudent amount of coverage for the insurance policy willful or negligent acts or omissions of any (when applicable) officers,employees or agents thereof. ADDITIONAL POLICY ENDORSEMENTS CITY shall be entitled, upon request,and without expense,to receive copies of the policies and all endorsements thereto andmay make any reasonable request for deletion, revision, or modifration of particular policy terms,conditions, limitations, or exclusions (except where policy provisions are established by law or regulation binding upon either of the parties hereto or the underwiter of any of such policies). Upon such request by CITY,CONTRACTOR shall exercise reasonable efforts to accomplish such changes in policy coverages,and shall pay the cost thereof. REQUIRED PROVISIONS CONTRACTOR agrees with respect to the above required insurance, all insurance contracts and certificate(s)of insurance will contain and state, in writing,on the certificate or its attachment,the following required provisions. a. Name,the City of Beaumont and its officers,employees,and elected representatives as additional insured(s),(as the interest of each insured may appear)to all applicable coverage. b. Provide for 30 days'notice to City for cancellation, non-renewal, or material change. C. Provide for notice to City at the address shown below by registered mail d. CON'T'RACTOR.agrees to waive subrogation against the City of Beaumont, its officers,employees, and elected representatives for injuries, including death,property damage, or any other loss to the extent same may be covered by the proceeds of insurance. e. Provide that all provisions of this agreement concerning liability,duty,and standard of care together shall be underwritten by contractual liability coverage sufficient to include such obligations within applicable policies. f. For coverages that are only available with claims made policies,the required period of coverage will be determined by the following formula: Continuous coverage for the life of the contract,plus one year(to provide coverage for the warranty period)and an extended discovery period for a minimum of five yeas which shall begin at the end of the warranty period. NOTICES CONTRACTOR shall notify CI'T'Y in the event of any change in coverage and shall give such notices not less thanthirty(30)days prior to the change,which notice must be accompanied by a reT acement CERTIFICATE OF INSURANCE. All notices shall be given to CITY at the following address: Purchasing Division City of Beaumont P.O. Box 3827 Beaumont,Texas 77704 SECTION D. Approval,disapproval, or failure to act by CITY regarding any insurance supplied by CONTRACTOR shall not relieve CONTRACTOR of full responsibility or liability for damages and accidents as set forth in the contract documents. Neither shdl the bankruptcy, insolvency, or denial of liability by the insurance companyexonerate CONTRACTOR from liability. - 2 - WORKERS COMPENSATION INSURANCE for Building*rConstruction Projects and Services Provided utCixy0v*u*d Facilities TEXAS WORKEBk0' COMPENSATlON COMMISSION RULE%0,§118.l18 An required 6ythel'euuy YVu/kcm'Cmnpcooadnn Rule 28,§] |0.\|0. the Contractor shall accept the following definitions and comply with the following provisions: Workers' Compensation Iumucomoe Coverage A. Definitions: | Certificate of coverage("cotifivate')-A copy ofuconif icateof insurance,o certificate vf authority mmo|t-innuraissued by the commission, ormcoverage agreement[rwcC'8}^ TVVCC82. [VVCC-83, orT\VCC'84). showing statutory *ockmrx'compcnsozien insurance coverage for the person's mr entity's employees providing services oomproJoot.for the duration of the project. 2. Duration ofthe project-includes the time frorn the beginning of the work on the project until the Contracta's/person's work nn the project has been completed and accepted 6y the City u[Beaumont, 3. Persons providing set-vices oo the project("xu6000truotor''io§406.0P6)'indudcuu|\p*munsormniduopu,fonniogu\l or part of the services the Contractor has undertaken to perform on the project, regardless of whether that person unotmo1cd directly with the Contractor and regardless nf whether that person has employees. This includes,without |imitabon'independent Contractors,subcontractors,leasing companies,motor carriers,owoer-opcomoru,employees of any such entity,or employees of any entity which furnishes persons to provide services on the project,"Services"include, without limitation,providing,hauling,or delivering equipment or materials,or providing labor,transportation,oi-other set-vice related to a project."Set-vices"does not include activities unrelated to the project,such as food/beverage vendors, office supply deliveries,and delivery of pot-table toilets. B. The Contractor shall provide coverage, based on proper reporting of classification codes and payroll amounts and filing of any coverage agreements,which ineets the statutory requirements of Texas Labor Code,.Section 401.01](44)for all employees of the Contractor providing services un the project,for the duration uf the project. C. The Contractor mug provide u certificate ofcoverage to the City of Beaumont prior m being awarded the contract. D. If the coverage period shown on the Contractor's current certificate of coverage oodo during the duration of the project, the Contractor must,pviexoa the end o the coverage period,fi|ou new certificate ufoov*mgevvidh the City ofBouumontuhm*ingtha coverage has been extended. - � - E. The Contractor shall obtain from each person providing services on a project, and provide to the City of Beaumont: 1. A certificate of coverage,prior to that person beginning work on the project,so the City of Beaumont will have on file certificates of coverage showingcoverage for all persons providing services on the project; and 1 No later than seven (7) days after receipt by the Contractor, a new certificate of coverage showing extension of coverage,ifthe coverage period shown on the current certificate of coverage ends during the duration of the project. P. The Contractor shall retain all required certificates of coverage for the duration of the project and for one(1) year thereafter. G. The Contractor shall notify the City of Beaumont in writing by certified mail orpersonal delivery,within ten {10)days after the Contractor knew or should have known,of any change that materially affects the provision of coverage of any person providing services on the project. 1-1. fhe Contractor shall post on each project site a notice, in the text, form and manner prescribed by the Texas Workers' Compensation Commission, informing all persons providing services on the project that they are required to be covered,and stating how a person may verify coverage and report lack of coverage. 1. The Contractor shall contractually require each person with whom it contracts to provide services on a project, !o: I. Provide coverage,based on proper reporting of classification codes and payroll amounts and filing of any coverage agreements, which meets the statutory requirements of Texas Labor Code, Section 401.01 1(44)for all of its employees providing services on the project,for the duration of the project; 2. Provide to the Contractor,prior to that person beginning work on the project,a certificate of coverage showing that coverage is being provided for all employees of the person providing services on the project,for the duration of the project. Provide the Contractor,prior to the end of the coverage period,a new certificate of coverage showing extension of coverage,if the coverage period shown on the current certificate of coverage ends during the duration of the project; 4. Obtain from each other person with whom it contracts, and provide to the Contractor a. A certificate of coverage,prior to the other person beginning work on the project; and b. A new certificate of coverage showing extension of coverage,prior to the end of the coverage period, if the coverage period shown on the current certificate of coverage ends during the duration of the project. Retain all required certificates of coverage on file for the duration of the project and for one(1)year thereafter; . Notify the City of Beaumont in writing by certified mail or personal delivery,within ten(10'1 days after the person knew or should have known,of any change that maternally affects the provision of coverage of any person providing services on the project; and Contractually require each person with whom it contracts,to perform as required by paragraphs(])- (7), with tile, certificates of coverage to be provided to the person for whom they are providing services. - 4 - J. By signing this contract or providing or causing to be provided a certificate of coverage, the Contractor is representing to the City of Beaumont that all employees of the Contractor who will provide services on the project will be covered by workers'compensation coverage for the duration of the project,that the coverage will be based on proper reporting of classification codes and payroll amounts,and that all coverage agreements will be filed with the appropriate insurance carrier or,in the case of a self-insured,with the commission's Division of Self-Insurance regulation. Providing false or misleading information may subject the Contractor to administrative penalties,criminal penalties,civil penalties,or other civil actions. K. The Contractor's failure to comply with any ofthese provisions is a breach of contract by the Contractor which entitles the City of Beaumont to declare the contract void if the Contractor does not remedy the breach within ten(10)days after receipt of notice of breach from the City of Beaumont. As defined by the Texas Labor Code,Chapter 269,Section 406.096(e),building or construction is defined as: Erecting or preparing to erect a structure,including a building,bridge,roadway,public utility facility, or related appurtenance; 2. Remodeling,extending,repairing,or demolishing a structure: or 3. Otherwise improving real property or an appurtenance to real property through similar activities. The employmentof a maintenance employee who is not engaging in building or construction as the employer'sprimary business does not constitute engaging in building or construction. _ S _ CERTIFICATE OF INSURANCE Form No. C0131 Put! Edition Date: 12/12/2012 A I L Page 1 of 3 This form is for informational purposes only and certifies that policies of insurance listed below have been issued to insured named below and are in force at this time. Notwithstanding any requirements, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, insurance afforded by policies described herein is subject to all terms, exclusions and conditions of such policies. Prior to the beginning of work, the vendor shall obtain the minimum insurance and endorsements specified. Agents must complete the form providing all requested information and submit by fax, U.S. mail or e-mail as requested by the City of Beaumont("COB"). The endorsements listed below are required as attachments to this certificate;copies of the endorsements are also acceptable. PLEASE ATTACH ALL ENDORSEMENTS TO THIS FORM AND INCLUDE THE MATCHING POLICY NUMBER ON THE ENDORSEMENT. Only City of Beaumont certificates of insurance are acceptable; commercial carriers' certificates are not. This certificate shall be completed by a licensed insurance agent: Name and Address of Agency: City of Beaumont Reference: Project Name: Project Location: Phone: Managing Dept.: Name and Address of Insured: Project Mgr.: Insurers Affording Coverages: Insurer A: Phone: / Insurer B: Prime or Sub-Contractor?-.— Insurer C: Name of Prime Contractor, if different from Insured: Insurer D: INSR TYPE OF INSURANCE POLICY POLICY EFF.DATE POLICY EXP. LIMITS OF LIABILITY LTR NO. (MM/DDIYYYY) DATE (MMIDDIYYYY) Commercial General Each Occurrence $ Liability Policy As defined in the Policy, does the Policy General Aggregate $ provide: Completed $ I ❑ Yes ❑ No – Completed Operations/Products Operations/ Products Aggregate ❑Yes ❑ No — Contractual Liability Personal & $ Advertising Injury Deductible or Self $ El Yes El No — Explosion Insured Retention - 6 - .,�.. CERTIFICATE OF INSURANCE Form No, COB1 Edition Date: 12/12/2012 M IL Page 2 of 3 INSR POLICY POLICY EFF.DATE POLICY EXP. LTR TYPE OF INSURANCE NO. (MM/DDIYYYY) DATE LIMITS OF LIABILITY (MMIDD[YYYY) O Yes El No — Collapse 0 Yes 0 No — Underground *Yes ❑No — Contractors/Subcontractors Work ❑Yes f1 No — Aggregate Limits per Project Form CG 2503 O Yes 0 No — Additional Insured Form—CG 2010 i Yes 0 No — 30 Day Notice of Cancellation Form-CG 0205 O Yes 0 No — Waiver of Subrogation Form-CG 2404 Pollution!Environmental Occurrence $ Impairment Policy A re ate $ Auto Liability Policy CSL $ As defined in the Policy, does the Policy provide: Bodily Injury $ Per Incident ❑Yes [_i No — Any Auto Bodily Injury $ (Per Person) 0 Yes 11 No - All Owned Autos Property Damage $ Per Accident) 0 Yes 0 No — Non-Owned Autos ❑Yes C7 No — Hired Autos D Yes Ll No — Waiver of Subrogation •CA0444 O Yes L]No — 30 Day Notice of Cancellation-CA0244 D Yes EI No — Additional Insured-CA2048 D Yes 0 No — MCS 90 r Excess Liability n Umbrella Form Occurrence $ P Excess Liability Follow Form Aggregate $ Workers Compensation 8: 0 Statutory Employers Liability As defined in the Policy, does the Policy provide Each Accident $ []Yes �No — Waiver of Subrogation -WC420304 Disease ' $ Folic Limit O Yes i.:J No — 30 Day Notice of Cancellation -WC420601 Disease- $ Each Employee Is a Builders Risk or $ Installation Insurance Policy provided? 0 Yes 0 No O Yes D No — Is the City shown as loss payee/mortgagee? Professional Liability As defined in the Policy, Each Claim $ does the Policy provide: 0 Yes 0 No — 30 Day Notice of Cancellation Deductible or Self Retroactive Date: Insured Retention - 7 - CERTIFICATE OF INSURANCE Form No. COB1 Edition Date: 12/12/2012 A US w Page 3 of 3 AGENT CERTIFICATION: THIS IS TO CERTIFYTO THE CITY OF BEAUMONTthatthe insurance policies above are in full force and effect. Name of Insurance Company: Name of Authorized Agent: Company Address: Agent's Address: City: State: Zip: City: State: Zip: Authorized Agent's Phone Number(including Area Code): Original signature of Authorized Agent: X Date: CERTIFICATE HOLDER: DATE ISSUED: City of Beaumont P. 0, Box 3827 AUTHORIZED REPRESENTATIVE SIGNATURE Beaumont, Texas 777043827 Licensed Insurance Agent Printed Name: Beaumont Products & Services, Inc. Street From To Dates McLean Major Drive Greeves Phelan Blvd IH-10 W Frontage Road W City Limits Laurel Office Park Dr. IH-10 N. Frontage Road Gladys Major Drive IH-10 W Frontage Road Dowlen Road Concord Road College Old Dowlen Road Dowlen Road Hwy 105 Plant Road Eastex Helbi Sherwood Broadoak Piney Point Maida Helbig Barrett one block Comstock Garner Helbi Calder Magnolia 400' W of Arlington Todd Phelan McLean West Lucas Calder Eastex E Frontage Road East Lucas Eastex E Frontage Road Pine Bigner E Lucas Dead end Id (wood E Lucas Charles Pine _ Boat Ram IH-10 N Frontage Road Delaware Major Drive Pine Dishman Major Drive City Limits Tolivar Ma ior Drive Keith Road Magnolia Laurel E Lucas Lawrence Drive Eastex Chinn Chinn Eastex Lawrence Concord Hwy 105 Liveoak Gober Concord 1 st Driveway Pineburr E Lucas Concord Pinkston Eastex E Frontage Road Concord CDS/Dollin er/Hoover Concord 11th Street 7th Street Dollin er Laurel College IH-10 E Frontage Road Neches Eleventh Street Delaware Fannett Road Fannett _ Washington Blvd Cardinal N Frontage Road Walden Road Major Drive Fannett Road Brooks Major Drive IH-10 W Frontage Road Tyrrell Park Road Fannett Road Frint/Canal Buford Pennsylvania Carroll Irving Buford Highland Highland Ave. Irving Cardinal N Frontage Road Highland Drive Highland Ave Kenneth Florida Cardinal N Frontage Road University Park MLK Florida Pennsylvania Washington Blvd MLK Avenue A Virginia City Limits Washington Blvd MLK Parkway Reynolds Pevitot/Burbank Washington Blvd W of LNVA Canal Lan ham Washington Blvd College Wendelin Lan ham College Fourth North Cardinal N Frontage Road Cedar MLK Parkway Fourth Delores/Elmira/Fatima Fannett Road Sarah Sarah Fannett Road Bob Lavaca Bob University Drive Liberty& Laurel MLK 11th Street McFaddin MLK Willow Fannin MLK Neches Bowie MLK Neches First Calder Evalon ATTACHMENT "B"