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Home My WebLink About2003-06-13 Standard Subcontract Agreement06/3/2003 14:39 FAX 507 025 4480 KATO INSURANCE AGENCY The Associated General Contractors of America Ski ll, Integrity, Responsibility S TANDARD SUBCONTRACT AGREEMENT Prepared by the Standard Farms Committee (Highway/Reavy/-Industrial/MunicipalfUtilities Division) Associated General Contractors of Minnesota, Inc THIS AGRB MENT, Made this day of J U n r 2003 CONTRACTOR. Burschville Construction Inc Address: 11440 8" St NE; PCB Box 65 Ph one: 763 497 - 4242 x002 Important Notice Appropriate riders should be attached to this Subcontract where applicable by and between the following parties; Hanover, MN 55341 Fax: 763-497-4266 And SUBCONTRACTOR: Empire Pipe Services, Inc Address PCB Box 387 Waseca, MT 56093-0387 Phone. 507 - 726 -6444 Fax: 507 -726 -•6399 WHEREAS, THE Contractor has entered into a contract with OWNER: City of Oak Park Heights i Address: 14168 Oak Park Blvd; PO Box 2007 Oak Park Heights, .MN 55082 Phone: 651-439-4439 Fax: 651-439-0574 To erfonn certain labor and furnish certain materials for the construction and com ieti� PROJECT: Oak Park Heights — McKean Square Utility & St Imp #23266 Pursuant to Plans andspecifications r e ared by: ENGINEER; B onestroo, Rosene, Anderlik & Associates, Inc Address: 2335 W Hwy 36 St Paul, MN 55113 Phone: 651 - 636 -4600 Fax: 651-636-1311 which contract consisting of the contract, the plans, drawings and specifications, the general conditions, the special conditions, the bond, if any, and any addenda or amendments Nos , and the(check any that apply) X invitation to bidders, x the instruction to bidders, the request for proposal, are hereinafter collectively referred to as the General Contract; and Whereas, The Contractor has made available to the Subcontractor all of the above documents, and the Subcontractor shall be responsible for obtaining copies pertinent to its work; and Whereas, The above have been carefully examined by the Subcontractor: NOW THEREFORE The Subcontractor agrees as follows I. (Work) To Furnish all labor, material, skill and equipment necessary or required and to perform all the work(callectively, the "Work ") necessary to complete the following (here describe Work covered by this Subcontract), Item # Description Quantity [knit Price Amount 23 Closed circuit TV inspection Total 4X0 LF $0.42 X 1,818,60 $1,818,60 2.(General Contract obligations) To be bound to the Contractor by the terms of the General Contract, to conform to and comply with the provisions of the General Contract, and to assume toward the Contractor all the obligations and responsibilities that the Contractor assumes in and by the General Contract toward the Owner, insofar as they applicable to this Subcontract. When any provisions of the General Contractor between the Owner and The Contractor id inconsistent with any provision of this Subcontract, this subcontract shall govern, Pagel of 4 06/23/2003 14:38 FAX 507 625 44 KATO INSURANCE AGENCY x ACORD C ERTIFICAI OF LIABILITY INSURANCE CSR SM DATE(MMIDD1YYYYI EMPIR01 06/23103 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION KATO INSURANCE .AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 802 SOUTH FRONT STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO BOX 576 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MANKATO MN 56001- Phone : 50 7 --3 8 7 -4 0 81 INSURERS AFFORDING COVERAGE NAIL # INSURED INSURER A: Owners Insurance Company 32 INSURER B: Berkley Risk Admi n .stratorJ GENERAL LIABILITY Empire Pipe Service, Inc Mark Mitchell INSURER I : $ 100 0 00 INSURER D: PO Box 7 3 6 Lake Crystal MN 56056 INSURER E: PREMISES (Ea occurenc COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR NSR TYPE OF INSURANCE POLICY NUMBER PD EFFECTI E POLICY EXPIRATION DATE MMIDWYY DATE MM1DDf Y LIMITS GENERAL LIABILITY EACH OCCURRENCE S100 $ 100 0 00 A X COMMERCIAL. GENERAL LIABILITY 08310595 0 3/ 01 / 0 3 03/ PREMISES (Ea occurenc $5 CLAIMS MADE [X] OCCUR MED EXP (Any one person) $10 00000 PERSONAL S A DV INJURY $ 2 0 0 0 0 0 0 GENERAL AGGREGATE $ 2 0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS - COMP/OP AGG POLICY A PE O LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT � A X ANY AUTO 4 0 3/ 0 1. / 0 3 03/01/0 (Ea a ccident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) 81000000 HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Par accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1000 0 0 0 $ 1000000 A X OCCUR CLAIMS MADE 08310595 0 3/ 01, / 0 3 03/01/04 AGGREGATE $ $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND WC STATU- 0TH-_ X TORY LIMITS ER B EMPLOYERS` LIABILITY WC 2 2 0 4 13 s 7 11 0 0 03/01/03, 03/01/04 E,L. EACH ACCIDENT $100000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E,L, DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E1, DISEASE POLICY LIMIT $ 50 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES l EXCLUSIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS Pro ject; Oak Park Heights _ McKean Square Util & street Improvements #23266. CERTIFICATE HOLDER CANCELLATION Ci ty of Oak Park He ights 14168 Oak Park Boulevard PO Box 2007 Oak Park Heights MN 550 CI[TYOA.K SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 [SAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHOR Scott M1Ch f3 trz ACORD 25 (2001/08 ACORD CORPORATION '1988 t3 4 e1 1 '� , �•. •t•4r ,,." .s' �.N �tr.� adfr �t ,r sYS• � M.0 w `T'i+. • •» +» .Y. a " '.t. � ��..�..;. • FAX TO From Fax. CY-) y 0 c u�) Pa including cover sheet Date L�z 23 �-C 3 C � 1 , 4 CL a (�S L I-) C�J t 14168 Oak Park Blvd. N. p,,O, 13ox 2007 Oak Park Hei MN 55082 Phone: (651) 439-4439 F= (651) 439-0574