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HomeMy WebLinkAboutUntitled DATE(MM/DD/YY) PRACORD CERTIFICeTE OF LIABILI HT TI CERTIFICAINSWANC jpID PA-i. INFOR06/0/9 MS ISSUED AS A MATTERLandmark Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 232 South Lake Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 188 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Forest Lake MN 55025 COMPANIES AFFORDING COVERAGE Tracey Lund COMPANY Phone No. 612-464-3333 Fax A LMCIT-Berkley Risk Services, I INSURED COMPANY B City of Oak Park Heights COMPANY Mike Robertson, City Admin. C 14168 N 57th St, Box 2007 COMPANY Stillwater MN 55082 D COVERAGES 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. COTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE $ 600,000 A X COMMERCIAL GENERAL LIABILITY CMC16674 07/07/97 07/07/98 PRODUCTS-COMP/OPAGG $ 600,000 X CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S 600,000 _ FIRE DAMAGE(Any one fire) S 50,000 MED EXP(Any one person) $ 1,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: _ EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE 81,000,000 A X UMBRELLA FORM MEL2623 07/07/97 07/07/98 AGGREGATE $1,000,000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND TORY UMIT-S OER EMPLOYERS'LIABILITY EL EACH ACCIDENT $200000 A THEPROPRIETOR/ INCL 02000729-10 07/07/97 07/07/98 EL DISEASE-POUCYLIMIT S 600000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 600000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION WASHI-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Washington Cty. Dept of Health SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY Attn: Tom Haugen 14 900 North 61st Street OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Stillwater MN 55082 AUTHORIZED REPRESENTATIVE Tracey Lund ACORD 25-S(1/95) ®ACORD CORPORATION 1988 ACORD cERTIFIC TE OF LIABILITY INsakANG ID TL UAT6/30D/YY) AKPA-1 06/30/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Landmark Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 232 South Lake Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 188 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Forest Lake MN 55025 COMPANIES AFFORDING COVERAGE Tracey Lund COMPANY A LMCIT-Berkley Risk Services, I Phone No. 612-464-3333 Fax No.612-464-7596 INSURED COMPANY B City of Oak Park Heights COMPANY Mike Robertson, City Admin. C 14168 N 57th St, Box 2007 COMPANY Stillwater MN 55082 D COVERAGES 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. POLICY EFFECTIVE POLICY EXPIRATION LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDM!) DATE(MM/DD/YY) LTR GENERAL LIABILITY GENERAL AGGREGATE S 600,000 A X COMMERCIAL GENERAL LIABILITY CMC16674 07/07/97 07/07/98 PRODUCTS-COMP/OP AGG S 600,000 }[ CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 600,000 FIRE DAMAGE(Any one fire) $50,000 MED EXP(Any one person) $1,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ AUTO ONLY-EA ACCIDENT $ GARAGE LIABILITY — ANY AUTO OTHER THAN AUTO ONLY: — EACH ACCIDENT $ AGGREGATE S EACH OCCURRENCE S 1,000,000 EXCESS LIABILITY — A X UMBRELLA FORM MEL2623 07/07/97 07/07/98 AGGREGATE $ 1,000,000 S OTHER THAN UMBRELLA FORM WC STATU- 0TH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $200000 A THEPROPRIETOR/ INCL 02000729-10 07/07/97 07/07/98 ELDISEASE-POLICYLIMIT $ 600000 PARTNERS/EXECUTIVE EL DISEASE-EA EMPLOYEE $ 600000 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION WASHI-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Washington Cty. Dept of Health SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Attn: Tom Haugen 55082 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.Stillwater MN 55 14900 North Street AUTHORIZED REPRESENTATIVE Tracey Lund ACORD 25-S(1195) ©ACORD CoRPoRATION 1988 i ,NGTONC� ASHINGTON COUNTY Mary L. McGlothlin 02 3� .45?-7-1k44 DEPARTMENT OF HEALTH, ENVIRONMENT Director Rose Green ‘1-;777:, AND LAND MANAGEMENT Office Manager GOVERNMENT CENTER 14900 61ST STREET NORTH, P.O. BOX 3803 • STILLWATER, MN 55082-3803 Office(612)430-6655•TDD(612)439-3220• Facsimile Machine(612)430-6730 JUN 1 7 1997 , June 16, 1997 Michael Robertson, Administrator City Of Oak Park Heights 14168 57th St . N Oak Park Heights, MN 55082 Dear Mr. Robertson: Enclosed is your 1997 Memorandum of Agreement for Curbside Recycling Grant Distribution. Please sign the Agreement and return it to this office no later than July 25, 1997 . In addition, please send a current Certificate of Insurance indicating your City' s gen- - bility limits . (Your Certificate of Insurance expires o 7/7/9 . ) 376d)" After the required materials are submitted, a copy of the executed Agreement and your curbside recycling grant funds will be sent to you. Please give me a call me at 430-6680 if you have any questions regarding the Agreement . Sincerely, Thomas A. Haugen Environmental Health Specialist Enclosures Printed4,V" sCle 1.7 %Post Consumer Paper e AN EQUAL EMPLOYMENT OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER w•s' • • Enclosure 6C 1997 MEMORANDUM OF AGREEMENT FOR CURBSIDE RECYCLING GRANT DISTRIBUTION THIS AGREEMENT made and entered into by and between the County of Washington, hereinafter referred to as the "County", and the City of Oak Park Heights, hereinafter referred to as the "Grantee". WHEREAS, the County desires to encourage and support residential recycling to reduce the County's reliance on solid waste disposal facilities, and WHEREAS, the Washington County Board of Commissioners has budgeted money for 1997 to be used to further develop recycling service in the County. NOW, THEREFORE, the parties hereto agree as follows: 1. Term: The term of the Agreement shall be from the date this Agreement is approved by the County to December 31, 1997. 2. The County's Obligations: a. The County will pay the Grantee the amount of$16,505.00 which is to be used for curbside recycling program expenses. • b. Indemnify and hold the Grantee harmless from any claims, suits, or damages arising out of any act or omission of the County, its officers, employees, or agents in the performance of the services provided for by this Agreement. 3. The Grantee's Obligations: a. The Grantee will sign a contract with a Recycling Contractor which specifies the responsibilities of each party and the rate of payment for curbside recycling services as provided by the Contractor. csi -1- • b. The Grantee agrees to follow their 1997 Curbside Recycling Grant Application. c. The Grantee will use all recycling grant money received in 1997 as a result of this Agreement, for recycling services and public education related to recycling. If all recycling funds are not used within the grant period, the Grantee must submit a plan to the County by December 15, 1997, which indicates how the funds will be used the following year. d. The Grantee shall sign and return this Agreement to the County by July 15, 1997. Failure to do so will result in loss of grant funds. e. The Grantee will prepare and submit semi-annual recycling reports to the County. The report covering the period from January 1 to June 30 shall be due by July 31, and the report covering the period from July 1 to December 31 shall be due by January 31 of the following year. The semi-annual reports will be made on a form provided by the County. f. The Grantee should organize a recycling committee which will assist in monitoring the curbside recycling program and provide direction on additional public education activities and other program needs. 4. Indemnification and Insurance: a. The Grantee agrees it will defend, indemnify and hold harmless the County, its officers and employees against any and all liability, loss, costs, damages and expenses which the County, its officers or employees may after sustain, incur, or be required to pay arising out of the Grantee's performance or failure to adequately perform its obligations pursuant to this Agreement. b. The Grantee will require in the contract with their Recycling Contractor that the Contractor will indemnify and hold the County and its officers, employees, and agents harmless from any claims, suits or damages arising out of any act or omission of the Contractor, its officers, agents or volunteer workers in the performance of the services provided for by this Agreement. c. The Grantee further agrees that in order to protect itself as well as the County under the indemnity provision set forth above, it will at all times during the term of this Agreement keep in force. -2- • • 1. General liability insurance in the amounts of$200,000.00 for bodily injury or property damage to any one person and $600,000.00 for total injuries or damages arising from any one incident as required by the County. 2. Any policy obtained and maintained under this clause shall provide that it shall not be canceled, materially changed, or not renewed without thirty (30) days prior notice thereof to the County. A Certificate of Insurance evidencing this coverage must be provided to the County before this Agreement is effective. d. The Grantee agrees that in the contract with their Recycling Contractor, it will require the Contractor at all times during the course of the contract to have and keep in force a general liability policy insuring itself at a level not less than the liability limits set forth above and to provide Certificates of Insurance to the Grantee and County. 5. Data Practices: All data collected, created, received, maintained, or disseminated for any purposes by the activities of Grantee because of this Agreement is governed by the Minnesota Government Data Practices Act, Minnesota Statutes Chapter 13, as amended, the Minnesota Rules implementing such Act now in force or as adopted, as well as Federal regulations on data privacy. 6. Records Availability and Retention: Pursuant to Minnesota Statute 16B.06, Subd. 4, the Grantee agrees that the County, the State Auditor, or any of their duly authorized representatives at any time during normal business hours and as often as they may reasonably deem necessary, shall have access to and the right to examine, audit, excerpt, and transcribe any books, documents,papers, records, etc. which are pertinent to the accounting practices and procedures of the Grantee and involve transactions relating to this Agreement,. Grantee agrees to maintain these records for a period of three (3) years from the date of termination of this Agreement. -3- • • 7. Independent Contractor: Nothing contained in this Agreement is intended or should be construed as creating the relationship of co-partners or joint ventures with the County or the Department. No tenure or any rights or benefits, including Worker's Compensation, Unemployment Insurance, medical care, sick leave, vacation leave, severance pay, PERA, or other benefits available to County employees, shall accrue to the Grantee or employees of the Grantee performing services under this Agreement. 8. Nondiscrimination: During the performance of this Agreement, the Grantee agrees to the following: No person shall, on the grounds of race, color, religion, age, sex, disability, marital status, public assistance status, criminal record, creed or national origin, be excluded from full employment rights in,participation in,be denied the benefits of, or be otherwise subjected to discrimination under any and all applicable Federal and State Laws against discrimination. 9. Noncompliance by Grantee: If the County fmds that there has been a failure to comply with the provisions of this Agreement,the County may terminate the Agreement at any time following seven(7) days written notice to the Grantee and upon failure of the Grantee to cure the default within the seven day period. The County will require the Grantee to repay the grant funds in full or in a portion determined by the County. Nothing herein shall be construed so as to limit the County's legal remedies to recover grant funds. 10. Termination: This Agreement may be canceled by either party upon thirty (30) days written notice. Notice to the Cities shall be mailed to the City Administrator or to the City Clerk if there is no Administrator. Notice to Townships shall be mailed to the Township Clerk. Notice shall be sent to the official business address of the City or Township. Notice to the County shall be mailed to: Department of Health,Environment &Land Management, PO Box 3803, Stillwater, MN 55082-3803. -4- S 11. Merger and Modification: a. It is understood and agreed that the entire Agreement between the parties is contained here and that this Agreement supersedes all oral agreements and negotiations between the parties relating to the subject matter. All items referred to in this Agreement are incorporated or attached and are deemed to be part of this Agreement. b. Any material alterations,variations,modifications, or waivers of provisions of this Agreement shall be valid only when they have been reduced to writing as an Amendment and signed by the parties. -5- • S IN WITNESS WHEREOF, the parties have executed this Agreement on the dates indicated below. GRANTEE WASHINGTON COUNTY B /lam" �/ j BY Chair, Washington County TITLE /// Board of Commissioners DATE 7/77 ,Z____ DATE FEDERAL ID # yl'D9 V(8'/ BY James R. Schug County Administrator DATE Recommended for action: BY Mary McGlothlin, Director Department of Health, Environment&Land Management DATE APPROVED AS TO FORM BY Ass't. Washington Co. Attorney DATE -6-