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13-056.00 Bacon Concrete: Pines/Mansfield Sidewalks at UPRR TracksContract THIS AGREEMENT, made and entered into this . day of ' Y,i 2013, between the City of Spokane Valley under and by virtue of Title 35 RC , as amended and Bacon Concrete, Inc. Hereinafter called the Contractor. WITNESSETH: That in consideration of the terms and conditions contained herein and attached and made a part of this agreement, the parties hereto covenant and agree as follows: I. The Contractor shall do all work and furnish all tools, materials, and equipment for: Pines/Mansfield Sidewalk Work at UPRR Tracks SVPW Contract 13 -015 in accordance with and as described in the project plans and specification, and the standard specification of the Washington State of Department of Transportation which are by this reference incorporated herein and made part hereof and, shall perform any changes in the work in accord with the Contract Documents. The Contractor shall provide and bear the expense of all equipment, work and labor, of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in these Contract Documents except those items mentioned therein to be furnished by the City of Spokane Valley. II. The City of Spokane Valley hereby promises and agrees with the Contractor to employ, and does employ the Contractor to provide the materials and to do and cause to be done the above described work and to complete and finish the same in accord with the project plans and specification and the terms and conditions herein contained and hereby contracts to pay for the same according to the referenced specifications and the schedule of unit or itemized prices at the time and in the manner and upon the conditions provided for in this contract. III. The Contractor for himself/herself, and for his /hers heirs, executors, administrators, successors, and assigns, does hereby agree to full performance of all covenants required of the Contractor in the contract. IV. It is further provided that no liability shall attach to the City of Spokane Valley by reason of entering onto this contract, except as provided herein. 1�0►3 -oS�- V_ The project was awarded for the bid amount of $16,400.00. IN WITNESS WHEREOF, the Contractor has executed this instrument, on the day and year first below written and the City of Spokane Valley has caused this instrument to be executed by and in the name of the said City of Spokane Valley the day and year first above written. Executed by Contractor -Z &, ` , 2013. Date PrintedNName Nf .Q Title Signature City of Spoka alley %r -- Spokane BOND NO: CONTRACTOR'S PERFORMANCE BOND to City of Spokane Valley, Washington B0367137 The City of Spokane Valley, Washington, in Spokane County, has awarded to Bacon Concrete, Inc. (Contractor), as Principal, a contract for the construction of the project designated as Pines/Mansfield Sidewalk at UPRR Tracks, Project No. #0005 in Spokane Valley, Washington, and said Principal is required under the terms of the Contract to furnish a performance bond in accordance with chapter 39.08 Revised Code of Washington (RCW). The Principal, and The Cincinnati Insurance Company (Surety), a corporation, organized under the laws of OH and licensed to do business in the State of Washington as surety and named in the current list of "Surety Companies Acceptable in Federal Bonds" as published in the Federal Register by the Audit Staff Bureau of Accounts, U.S. Treasury Dept., are jointly and severally held and firmly bound to the City of Spokane Valley, as Obligee, in the sum of S 16, 400.00 total Contract amount (including Washington State sales tax), subject to the provisions herein. This performance bond shall become null and void, if and when the Principal, its heirs, executors, administrators, successors, or assigns shall well and faithfully perform all of the Principal's obligations under the Contract and fulfill all the terms and conditions of all duly authorized modifications, additions, and changes to said Contract that may hereafter be made, at the time and in the manner therein specified; shall warranty the work as provided in the Contract and shall indemnify and hold harmless the Obligee from any defects in the workmanship and materials incorporated into the work for the period identified in the Contract; and if such performance obligations have not been fulfilled, this bond shall remain in full force and effect. The Surety for value received agrees that no change, extension of time, alteration or addition to the terms of the Contract, the specifications accompanying the Contract, or to the work to be performed under the Contract shall in any way affect its obligation on this bond, and waives notice of any change, extension of time, alteration or addition to the terms of the Contract or the work performed. The Surety agrees that modifications and changes to the terms and conditions of the Contract that increase the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this bond and notice to Surety is not required for such increased obligation. This bond may be executed in two original counterparts, and shall be signed by the parties' duly authorized officers. This bond will only be accepted if it is accompanied by a fully executed and original power of attorney for the officer executing on behalf of the surety. PRINCI (CONTRACTOR) Principal Sign re Date Greg Bacon Printed Name President Title SU TY `e%4! / 4 7 -�kzyoz�se- 3 / 11 / 13 Surety Signature Date Patrick McNamara Printed Name Attorney —in —Fact Title Name, address, and telephone of local office /agent of Surety Company i Wheat & Associates Ins. Co. 5(�9- 922 -2937 PO BOX 3548 Spokane WA 99220 Updated 1.14.2013 THE CINCINNATI INSURANCE COMPANY Fairfield, Ohio POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY, a corporation organised under the laws of the State of Ohio, and having its principal office in the City of Fairfield, Ohio, does hereby constitute and appoint David N. Wheat; Tena M. Wheat; Derek M. Collett; Kathy M. Whipple; Stacy Breithaupt; Patrick McNamara; Zac Wheat and /or Shellie Duncan of Spokane, Washington its true and lawful Attomey(s) -in -Fact to sign, execute, seal and deliver on its behalf as Surety, and as its act and deed, any and all bonds, policies, undertakings, or other like instruments, as follows: Any such obligations in the United States, up to Fifteen Million and No /100 Dollars ($15,000,000.00). This appointment is made under and by authority of the following resolution passed by the Board of Directors of said Company at a meeting held in the principal office of the Company, a quorum being present and voting, on the 61 day of December, 1958, which resolution is still in effect: "RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appoint Attorneys -in- Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and may authorize any officer or any such Attorney -in -Fact to affix the corporate seal; and may with or without cause modify or revoke any such appointment or authority. Any such writings so, executed by such Attomeys -in- Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 711 day of December, 1973. "RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary or Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company." IN WITNESS WHEREOF, THE CINCINNATI INSURANCE COMPANY has caused these presents to be sealed with its corporate seal, duly attested by its Vice President this 101 day of May, 2012. THE CINCINNATI INSURANCE COMPANY v CORPORATE 3 SEAL OHIO Vice President STATE OF OHIO ) ss: COUNTY OF BUTLER ) On this 101 day of May, 2012, before me came the above -named Vice President of THE CINCINNATI INSURANCE COMPANY, to me personally known to be the officer described herein, and acknowledged that the seal affixed to the preceding instrument is the corporate seal of said Company and the corporate seal and the signature of the officer were duly affixed and subscribed to said instrument by the authority and direction of said corporation. t• " "- IA E 'N MAqJ.H ER, Attorney at Law P� ��" VNOTARY PUBLIC - STATE OF OHIO My commission has no expiration of date. Section 147.03 O.R.C. I, the undersigned Secretary or Assistant Secretary of THE CINCINNATI INSURANCE COMPANY, hereby certify that the above is a true and correct copy of the Original Power of Attorney issued by said Company, and do hereby further certify that the said Power of Attorney is still in full force and effect. GIVEN under my hand and seal of said Company at Fairfield, Ohio. this day of cc�„ lnauri�n• e v CORPORATE 9 SEAL t OHIO . BN -1005 (5/12) Assistant Secretary Aft Span „;,1.'FVa .ley BONDNO: B0367137 CONTRACTOR'S PAYMENT BOND (NON - FEDERALLY FUNDED PROJECT) to City of Spokane Valley, Washington The City of Spokane Valley, Washington, in Spokane County, has awarded to Bacon Concrete, Inc. (Contractor), as Principal, a contract for the construction of the project designated as Pines/Mansfield Sidewalk at UPRR Tracks, Project No. #0005 in Spokane Valley, Washington, and said Principal is required under the terms of the Contract to furnish a payment bond in accordance with chapter 39.08 Revised Code of Washington (RCW). The Principal, and The Cincinnati Insurance Company (Surety), a corporation organized under the laws OH and licensed to do business in the State of Washington as surety and named in the current list of "Surety Companies Acceptable in Federal Bonds" as published in the Federal Register by the Audit Staff Bureau of Accounts, U.S. Treasury De t., are jointly and severally held and firmly bound to the City of Spokane Valley, as Obligee, in the sum of $ 16,40 . T total Contract amount (including Washington State sales tax), subject to the provisions herein. This payment bond shall become null and void, if and when the Principal, its heirs, executors, administrators, successors, or assigns shall pay all persons in accordance with chapters 39.08 and 39.12 RCW, including all workers, laborers, mechanics, subcontractors, and materialmen, and all persons who shall supply such contractor or subcontractor with provisions and supplies for the carrying on of such work; and shall indemnify and hold harmless the Obligee from all loss, cost or damage which Obligee may suffer by reason of the failure of Principal to make such required payments; and if such payment obligations have not been fulfilled, this bond shall remain in full force and effect. The Surety for value received agrees that no change, extension of time, alteration or addition to the terms of the Contract, the specifications accompanying the Contract, or to the work to be performed under the Contract shall in any way affect its obligation on this bond, except as provided herein, and waives notice of any change, extension of time, alteration or addition to the terms of the Contract or the work performed. The Surety agrees that modifications and changes to the terms and conditions of the Contract that increase the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this bond and notice to Surety is not required for such increased obligation. This bond may be executed in two original counterparts, and shall be signed by the parties' duly authorized officers. This bond will only be accepted if it is accompanied by a fully executed and original power of attorney for the officer executing on behalf of the surety. PRINCIPAL (CONTRACTOR) SU TY �� X3/11/13 Principal Signa , e Date Surety Signature Date Greg Bacon Patrick McNamara 4D Printed Name Printed Name President Title Attorney —in —Fact Title Name, address, and telephone of local office /agent of Surety Company is: Wheat & Associates Ins. Co. 509 -922 -2937 PO BOX 3548 Spokane WA 99220 Updated 1.14.2013 THE CINCINNATI INSURANCE COMPAN Y Fairfield, Ohio POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY, a corporation organized under the laws of the State of Ohio, and having its principal office in the City of Fairfield, Ohio, does hereby constitute and appoint David N. Wheat; Tena M. Wheat; Derek M. Collett; Kathy M. Whipple; Stacy Breithaupt; Patrick McNamara; Zac Wheat and /or Shellie Duncan of Spokane, Washington its true and lawful Attorneys) -in -Fact to sign, execute, seal and deliver on its behalf as Surety, and as its act and deed, any and all bonds, policies, undertakings, or other like instruments, as follows: Any such obligations in the United States, up to Fifteen Million and No /100 Dollars ($15,000,000.00). This appointment is made under and by authority of the following resolution passed by the Board of Directors of said Company at a meeting held in the principal office of the Company, a quorum being present and voting, on the 61 day of December, 1958, which resolution is still in effect: "RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appoint Attorneys -in- Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and may authorize any officer or any such Attomey -in -Fact to affix the corporate seal; and may with or without cause modify or revoke any such appointment or authority. Any such writings so, executed by such Attorneys -in- Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 71 day of December, 1973. "RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary or Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company." IN WITNESS WHEREOF, THE CINCINNATI INSURANCE COMPANY has caused these presents to be sealed with its corporate seal, duly attested by its Vice President this 10' day of May, 2012. `. THE CINCINNATI INSURANCE COMPANY v CORPORATE 3 SEAL t A ` OHIO Vice President STATE OF OHIO ) ss: COUNTY OF BUTLER ) On this 101 day of May, 2012, before me came the above -named Vice President of THE CINCINNATI INSURANCE COMPANY, to me personally known to be the officer described herein, and acknowledged that the seal affixed to the preceding instrument is the corporate seal of said Company and the corporate seal and the signature of the officer were duly affixed and subscribed to said instrument by the authority and direction of said corporation. 1 A t s � * �p MARK J. H LLER, Attorney at Law �&�`• /NOTARY PUBLIC - STATE OF OHIO �� .� My commission has no expiration of _° date. Section 147.03 O.R.C. I, the undersigned Secretary or Assistant Secretary of THE CINCINNATI INSURANCE COMPANY, hereby certify that the above is a true and correct copy of the Original Power of Attorney issued by said Company, and do hereby further certify that the said Power of Attorney is still in full force and effect. GIVEN under my hand and seal of said Company at Fairfield, Ohio. this day of InsYr�„ri v CORPORATE 3 SEAL onto . BN -1005 (5/12) le4 /,�7 da, Assistant Secretary BAUUN -2 UP ID: PM '`161. Y CERTIR' ,ATE OF LIABILITY INSL,, ANCE DATE 0311 1 12 01 YY) 03/11 !2013 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 Phone:509- 922 -2937 Wheat & Associates Insurance Fax: 509 - 922 -4103 P.O. Box 3548 Spokane, WA 99220 -3548 Zac Wheat CONTACT NAME: PHONE FAX A/c No Ext : A/c No): E -MAIL ADDRESS: GENERAL LIABILITY INSURERS AFFORDING COVERAGE NAIC # INSURERA:Cincinnati Insurance Co 10677 $ 1,000,000 INSURED Bacon Concrete, Inc. 513 E. Silver Pines Ct. INSURER 8: X EPP0115514 Colbert, WA 99005 INSURER C: DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 10,000 INSURER D: $ 1,000,00 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION Nt1MBFR- 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 OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F;-17] OCCUR X EPP0115514 12/31/2012 12/31/2013 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICYFI PRO LOC $ AUTOMOBILE LIABILITY Ea BIINdE�DtSINGLE LIMIT $ 1,000 000 X BODILY INJURY (Per person) $ - A ANY AUTO EBA0115514 12/31/2012 12/31/2013 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- A AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A EPP0115514 WA STOP GAP 12/31/2012 12/31/2013 �( TORY LIMITS R E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ 2,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) Certificate Holder is included as an Additional Insured, but only if required by written contract or written agreement, as per endorsement GA 233, in respect to the operations of the named insured performed on their behalf. City of Spokane Valley 11707 E Sprague Ave, STE 106 Spokane Valley, WA 99206 Lof_101"a 111 W_1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIIZZEEDREPRESENTATIVE 4M., a &- ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD BAGUN -2 UN IU: PM CERTIFICATE OF LIABILITY INSU..ANCE DATE Y) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 03 /11/2013 03/11 /2013 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 Phone: 509-922-2937 Wheat & Associates Insurance P.O. Box 3548 Fax: 509- 922 -4103 Spokane, WA 99220 -3548 Zac Wheat CONTACT NAME: a/CONr o Ext : NC No : E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Cincinnati Insurance CO 10677 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx-] OCCUR INSURED Bacon Concrete, Inc. Greg Bacon 513 E. Silver Pines Ct. INSURER B: EPP0115514 INSURER c 12/31/2013 INSURER D: $ 500,000 Colbert, WA 99005 INSURER E: PERSONAL & ADV INJURY $ 1,000,000 INSURER F: COVERAGES CERTIFICATE NUMRFR- RFVLSInN nil IMRFR- 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 OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YWY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx-] OCCUR X X EPP0115514 12/31/2012 12/31/2013 PREMISES Ea occurrence) $ 500,000 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY PRO - ] jECT F7 $ AUTOMOBILE AUTOMOBILE LIABILITY EOM�BIINdEeDiSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO EBA0115514 12/31/2012 12/31/2013 ALL OWNED SCHEDULED A UTOS AUTOS BODILY INJURY (Per accident) $ PRO PER TYDAMAGE Per accident $ HIRED AUTOS NON -OWNED AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 8,000,000 AGGREGATE $ 8,000,000 A EXCESS LIAB CLAIMS -MADE EPP0115514 03/11/2013 12/31/2013 DED I X I RETENTION $ 0 $ WORKERS COMPENSATION WC STATU- OTH- A AND EMPLOYERS' LIABILITY �, / N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) N/A EPP0115514 WA STOP GAP 12/3112012 12/31/2013 X ORY LIMITS ER E.L. EACH ACCIDENT _ $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 A Railroad EPP0115514 03111/2013 12/31/2014 Occurence 2,000,00 Protective Aggregate 6,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Certificate Holder is included as an Additional Insured, but only if required by written contract or written agreement, as per endorsement GA 233, in respect to the operations of the named insured performed on their behalf. Project: Pines Mansfield Sidewalk #0005 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Union Pacific Railroad Company THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P y ACCORDANCE WITH THE POLICY PROVISIONS. Real Estate Department UPRR Folder No 717 -64 AUTHORIZED REPRESENTATIVE 1400 Douglass St MS 1690 Omaha, NE 68179 44V ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD