RES 2001-0187 - Contract to Floors Incorporated for W Dale Clark library carpet installation project......."
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66L Administrative Services Department
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{Fl ti� n Al a� , 1819 Farnam Street,Suite 706
iri Lt. Ali U Omaha,Nebraska 68183-0706
9A�ry R1{ (402)444-3814
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M A H N.
N B��A S Patrick J.McPherson
City of Omaha Director
Hal Daub,Mayor
Honorable President
and Members of the City Council,
Transmitted herewith is a Bid Tabulation and a Resolution authorizing the award of a contract to
Floors Incorporated for W. Dale Clark Library Carpet Installation project.
•
The following bids were received on December 13, 2000.
Contractor Total Bid
Floors, Inc. $ 59,889.00 Lowest Bid
Architectural Flooring $ 93,000.00
Kelly's Carpet $133,672.95
The contractor has on file a current Annual Contract Compliance Report Form (CC-1). As is
City policy, the Human Relations Director will review the contractor to ensure compliance with.
the Contract Compliance Ordinance.
The Finance Department is authorized to pay the cost of W. Dale Clark Library Carpet
Installation project from the Library Renovation Fund 329, Agency 160, Organization 1695,
Activity 1602, Object 8010. The funding year is 2001.
The Administrative Services Department recommends the acceptance of the bid received from.
Floors Incorporated, in the amount of $59,889.00, being the lowest and best bid received, and
requests your consideration and approval of this Resolution.
Respectfully submitted, e to ity C nc l for C id ion- •
---1-:--- 16 '
o//oy/aoo1 1
Patrick J. McPherson Date is Of is 1tl 60
s Date
Director
Approved: Approved:
•
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0, \e 1,to,vu,a t&ai Doom
t tanleyP. imm Date Kellie Paris-Asaka Date
f's Acting Finance Director Human Relations Director
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CONTRACT
THIS CONTRACT, made and entered into this PI-- day of t`Q A.D.,
20 01 , by and between the City of Omaha, a Municipal Corporation in Dougl s County,
Nebraska, party of the first part and hereinafter called "OWNER", and Floors Incorporated with
principal place of business at: 10820 Mockingbird Drive, Omaha, Nebraska 68137, hereinafter
called "CONTRACTOR":
WHEREAS, said Contractor did, under date of December 13, 2000, submit a proposal to
construct as outlined in the proposal the W. Dale Clark Library Carpet Installation for the City of
Omaha, for the sum of Fifty-nine Thousand Eight Hundred Eighty-nine and no/100 Dollars
($59,889.00), to be constructed by the Contractor in accordance with drawings and specifications
for same prepared for Owner, which drawings and specifications have been filed with the City of
Omaha.
WHEREAS, the aforesaid proposal of Contractor was accepted by Resolution No.
7 , adopted, aru.�tt,y , aobi , by the City Council of the City of Omaha:
NOW, THEREFORE, in consideration of the following mutual agreements and
covenants, it is understood and agreed by and between the parties hereto that:
a. The above referred to plans, specifications and addenda, are expressly made a part
hereof the same as though fully set forth herein.
b. The Resolution of Owner ordering or authorizing the construction of the aforesaid
W. Dale Clark Library Carpet Installation, the notice inviting contractors to bid as
published, the instruction to bidders, the proposal of Contractor, the bid bond of
Contractor, the performance, payment and maintenance bond of Contractor, the
general conditions and all proceedings by the governing body of the Owner
relating to said W. Dale Clark Library Carpet Installation, are a part of this
Contract by reference thereto the same as though each had been fully set out and
attached hereto.
c. Said construction shall be on the property owned by the City of Omaha,
commonly known as, or referred to as 215 South 15th Street, in Omaha, Douglas
County, Nebraska.
d. The Contractor agrees to furnish all tools, labor, mechanics for labor, equipment
and materials to construct in a good substantial and workmanlike manner,
Contractor's part of said W. Dale Clark Library Carpet Installation, in accordance
with the aforesaid plans, specifications and addenda, and agrees to do so for the
sum of$59,889.00.
e. Owner agrees to pay Contractor said amount of$59,889.00 in accordance with the
provisions of the aforesaid specifications, addenda and proposal of the Contractor
accepted by Owner.
f. All provisions of aforesaid plans, specifications and addenda shall be strictly
complied with and conformed to by Contractor, the same as if re-written herein,
and no substitution or change in said plans, specifications and addenda shall be
made except upon written consent or written direction (the form of either of
which shall be a written "Change Order") of Owner and Owner's Architect, City
of Omaha, and any such substitution or change shall in no manner be construed to
release either party from any specified or implied obligation of the aforesaid
plans, specifications and addenda except as specifically provided for in the
Change Order.
g. This Contract is entered into subject to the following conditions:
g-l. Contractor does hereby state, warrant and covenant that it has not retained or
employed any company, or person, other than bona fide employees working for
said Contractor, to solicit or secure this Contract, and that it has not paid or agreed
To pay any company or person, other than bona fide employees working solely
for the Contractor, any fee, commission, percentage, brokerage fee, gifts, or any
other consideration, contingent upon or resulting from the award or making of this
Contract. For breach of violation of this statement, warrant, and covenant, the
City of Omaha shall have the right annul this contract without liability.
g-2. Contractor shall comply with all Municipal Ordinances and State and Federal
Laws relating to, or applicable to, this work.
g-3. Contractor shall furnish Performance, Payment and Maintenance Bond in an
amount at least equal to one hundred percent of the Contract price, and shall
maintain during the life of the Contract, Fire, Workmen's Compensation, Public
Liability and Property Damage insurance, all as required in the aforesaid
specifications and addenda.
g-4. Owner, its employees and representatives, and its Architect shall have access to
the work wherever it is in preparation or progress, and the Contractor shall
provide proper facilities for such access and inspection by them.
g-5. The Contractor shall indemnify and save harmless the City of Omaha, its officers,
employees, and agents from all claims, suits or actions of every kind and
character made upon or brought against the said City of Omaha, its officers,
employees and agents, for or on account of any injuries or damages received or
sustained by any Party or parties by or from the acts of the said Contractor or its
servants, agents and subcontractors in doing the work therein contracted for, or by
or in consequence of any negligence in guarding the same or any improper
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material used in its construction, or by or on account .of any act or omission of
said Contractor or its servants, agents, and subcontractors; and also from all
claims of damage or infringement of any patent in fulfilling this Contract.
g-6. Contractor shall pay to the Unemployment Compensation Fund of the State of
• Nebraska unemployment contributions and interest due under the laws of the
State of Nebraska on wages paid to individuals employed in the performance of
this Contract, and shall submit to the City of Omaha a written clearance from the
Commissioner of Labor of the State of Nebraska certifying that all payments due
of contributions or interest which may have arisen under this Contract have been
paid by the Contractor, or his subcontractor, to the State of Nebraska
Unemployment Compensation Fund. Payment of the final 3% of the total amount
of this Contract shall be withheld until this provision has been complied with.
g-7. The Contractor shall -not discriminate against any employee applicant for
employment because of race, religion, color, sex' or national origin. The
Contractor shall take affirmative action to insure that applicants are employed and
that employees are treated during employment, without regard to their race,
religion, color, sex, or national origin. As used herein, the word "treated" shall
mean and include, without limitation, the following: recruited (whether
advertising or by other means) compensation; selected for training, including
apprenticeship; promoted; upgraded; demoted; downgraded; transferred; laid off;
and terminated. The Contractor agrees to and shall post in conspicuous places,
available to employees and applicants for employment, notices to be provided by
the contracting officers setting forth the provisions of this nondiscrimination
clause.
g-8. The Contractor shall not discriminate on the basis of disability as defined by the
Americans with Disabilities Act of 1990 and the Omaha Municipal Code (13-82)
and shall take all actions necessary to comply with the Americans with Disability
Act of 1990 and the Omaha Municipal Code (Chapter 13) including, but not
limited to reasonable accommodation.
g-9. The Contractor shall in all solicitations or advertisements for employees placed by
or on behalf of the Contractor, state that all qualified applicants will receive
consideration for employment without regard to race, religion, color, sex, or
national origin.
g-10. The Contractor shall send to each labor union or representative of workers with
which he has a collective bargaining agreement or other contract or understanding
a notice advising the labor union or worker's representative of the Contractor's
commitments under the Equal Employment Opportunity Clause of the City of
Omaha and shall post copies of the notice in conspicuous places available to
employees and applicants for employment.
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g-11. The.Contractor shall furnish to the Contract Compliance Officer all Federal forms
containing the information and reports required by the Federal government for
Federal contracts under Federal rules and regulations, and including the
information required by Sections 10-192 to 10-194, inclusive, of the Omaha
Municipal Code 1980, and shall permit reasonable access to his records. Records
accessible to the Contract Compliance Officer shall be those which are related to
paragraphs g-7 through g-13 and only after reasonable notice is given the
Contractor. The purpose for this provision is to provide for investigation to
ascertain compliance with the program provided for herein.
g-12. The Contractor shall take such actions with respect to any subcontractor as the
City may direct as a means of enforcing the provisions of paragraphs g-7 through
g-13 herein, including penalties and sanctions for noncompliance, provided,
however, that in the event the Contractor becomes involved in or is threatened
'with litigation as the result of such directions by the City, the City will enter into
such litigation as is necessary to protect the interests bf the City to effectuate the
provisions of the Ordinance and in the case of contracts receiving Federal
assistance, the Contractor or the City may request the United States to enter into
such litigation to protect the interest of the United States.
g-13. The Contractor shall file and shall cause his subcontractors, if any, to file
compliance reports with the Contractor in the same form and to the same extent as
required by the Federal government for Federal contracts under Federal rules and
regulations. Such compliance reports shall be filed with the Contract Compliance
Officer. Compliance reports filed at such times as directed shall contain
information as to the employment practices, policies, programs and statistics of
the Contractor and his subcontractors.
g-14 The Contractor shall include the provisions of paragraphs g-7 through g-13 of
this Section, Equal Employment Opportunity Clause, and Section 10-193 in every
subcontract or purchase order so that such provisions will be binding upon each
subcontractor or vendor.
g-15. Contractor shall pay all just claims due for the payment of all employees and
mechanics for labor that shall be performed, for the payment of all material and
equipment furnished, and for the payment of material and equipment rental which
is actually used for rented in the performance of the Contract.
g-16. Contractor agrees to commence work on the date specified in the notice from the
Contract Administration Division of the Department of Administrative Services,
and to complete all the work in Ninety (90) calendar days.
g-17. The Contractor shall guarantee his work for material and workmanship for a
period of one (1) year(s) after the date of completion of his Contract, and should
any defect be discovered in any of the work included in this Contract within the
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period of one (1) year(s) from the completion of this Contract, the repair of such
defect and the cost of such repairs shall be borne by the Contractor under his
Contract.
g-18. Contractor shall maintain fair labor standards in accordance with any valid laws
of the State of Nebraska in the execution of this Contract.
h. Upon receipt of written notice by Owner and its Architect that the Construction is
ready for final inspection and acceptance, the Architect shall promptly make such
inspection and, when he find the construction acceptable under the Contract and
the Contract fully performed, he shall promptly issue a final certificate, over his
own signature, stating that the construction provided for in this Contract has been
completed and is accepted by him under the terms and conditions thereof, and that
the entire balance found to be due the Contractor, and noted in said final.
certificate, is due and payable. Before issuance of final certificate the Contractor
shall submit evidence satisfactory to the Architect that all payrolls, material bills,
and other indebtedness connected with the work have been paid. If, after the
work as been substantially completed, full completion thereof is materially
delayed through no fault of the Contractor, and the Architect so certifies, the
Owner shall, upon certificate of the Architect and without terminating the
Contract, make payment of the balance due for that portion_cf the,work fully
completed and accepted. Such payment shall be made`vndeTtl e;`,terms and
conditions governing final payment, except that it shall not constitute a W.aiver of
claims. , -1 ,, -
,,
The Contractor shall procure a policy, or policies, of insurance which shall
guarantee payment of compensation according to the.Worker's ,Comp nsation
laws of Nebraska for all workers injured in the scope of emploiymefit,-aiid further
agrees to keep said policy, or policies in full force and effect througrottf the term
of this Contract. In addition, all other forms of insurance referred to in the
specifications shall be procured by the Contractor and kept in force and effect by
it throughout the term of this Contract, and certificate or certificates of insurance
shall be filed by Contractor with the City of Omaha.
j. Pursuant to Section 8.05 of the Home Rule Charter of the City of Omaha, no
elected official or any officer or employee of the City shall have a financial
interest, direct or indirect, in any City Contract. Any violation of this section
shall render the Contract voidable by the Mayor or City Council.
k. Any subsequent agreement between the parties hereto or any matter whatsoever
shall be in writing and executed by an authorized officer.
1. The parties hereto acknowledge that, as of the date of the execution of this
agreement, Section 10-142 of the Omaha Municipal Code provides as follows:
Any amendment to contracts or purchases which taken alone increases the
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•
original bid price as awarded (a) by ten percent, if the original bid price is one
hundred fifty thousand dollars ($150,000) or more, or (b) by seventy-five
thousand dollars ($75,000) or more, shall be approved by the City Council in
advance of the acceptance of any purchase in excess of such limits or the
authorization of any additional work in excess of such limits. However, neither
contract nor purchase amendments will be split to avoid advance approval of the
City Council.
The originally approved scope and primary features of a contract or purchase will
not be significantly revised as a result of amendments not approved in advance by
the City Council. The provisions of this Section will be quoted in all future City
contracts. Nothing in this Section is intended to alter the authority of the Mayor
under Section 5.16 of the City charter to approve immediate purchases.
IN WITNESS WHEREOF, we the contracting parties, by our respective duly authorized
ents, hereto affix our signatures and seals at Omaha, Nebraska, this _360—day of
, 20 cZ , and this day of , 20 e7, respectively.
CITY OF OMAHA, A Municipal Corporation in Douglas County, Nebraska, Party of the
First Part and also designated as Owner.
ATTEST: • r • CIT S„K OMAH• unicipal Corporation
LERK 0 THE CITY OF OMAHA D TE •YOR OF THE CITY OF OMAHA DATE
- FLOORS INCORPORATED
(Seal of the City) ' B\- 324,(4.4 J/ 2G< V p ( 30 60
AUTHOCED REPRESENTATIVE DAT
APPROVED AS TO FORM:
l/ - 0
/ � J
itii-oh ATTORNEY DATE
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` s
SECTION IV
PERFORMANCE, PAYMENT AND MAINTENANCE BOND
KNOW ALL MEN BY THESE PRESENTS: That Floors, incorporated
Omaha,Nebraska, hereinafter called the Principal, and old Republic Surety Company
hereinafter called the Surety, are held and firmly
bound unto the City of Omaha, a Municipal Corporation in Douglas County,Nebraska, hereinafter
called the Owner, in the penal sum of Fifty nine thousand eight hundred eighty nine and
no/100*********************** ($ 59,889.00******)*lawful money of the United States of
America, to be paid to the Owner for the payment whereof the Principal and Surety hold themselves,
their heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these
present.
WHEREAS, the Principal has, by means of a written Contract dated the 21 s t day
of December , 20 00 , entered into a Contract with the Owner for the construction by the
Principal, as Installation of flooring for the W. Dale Clark Library Contractor, of
Carpet Installation located at W. Dale Clark Library
all in Omaha, Douglas County, Nebraska, for the City of Omaha, in accordance with the plans and
specifications prepared for Owner, which Contract is made a part hereof by reference thereto the
same as though fully set forth herein:
NOW, THEREFORE, the conditions of this obligation are such that:
FIRST: If the Principal shall faithfully perform the Contract on his part, shall satisfy all
claims and demands incurred for the same, shall fully indemnify and save harmless the Owner from
all cost and damage which said Owner may suffer by reason of failure so to do, and shall fully
reimburse and repay said Owner all outlay and expense which said Owner may incur in making good
any such default; and,
SECOND: The Principal shall indemnify and save harmless the City of Omaha, its officers,
employees, and agents from all claims, suits or actions of every kind and character or on account of
any injuries or damages received or sustained by any party or parties by or from the acts of the said
Contractor or its servants, agents and subcontractors, in performing under said Contract, or by or in
consequence of any negligence in guarding the same or any improper material used in its
construction, or by or on account of any act or omission of said Contractor or its servants, agents and
subcontractors; and, also from all claims of damage for infringement of any patent in fulfilling said
Contract; and
THIRD: The Principal and Surety on this bond hereby agree to pay all persons, firms or
corporations having Contracts directly with the Principal or with subcontractors all just claims due
them for the payment of all laborers and mechanics for labor which shall be performed, for the
payment of all materials and equipment furnished, and for the payment and equipment rental which
is actually used or rented in the performance of the Contractor on account of which this bond is
given,when the same are not satisfied out of the portion of the Contract price which the Owner may
retain until completion of the construction; and,
IV-1
FOURTH: The Principal shall guarantee all materials, workmanship, and the successful
operation of all equipment and apparatus installed by him for a period of one (1) year from the date •
of final acceptance of the whole work, and shall guarantee to repair or replace, at his own expense,
}
any part of the structures or apparatus which may show defect during the time, provided that such
defect is, in the opinion of the Architect, due to imperfect material or workmanship, and not to
careless and improper use:
Then this obligation shall be null and void; otherwise, it shall remain in full force and effect.
Any Surety on this bond shall be deemed and held, any Contract to the contrary
notwithstanding, to consent without notice:
1. To any extension of time to the Principal in which to perform the Contract.
2. To any change in the plans, specifications or Contract, when such change does not
involve an increase of more than twenty percent (20%) of the total Contract price,
and shall then be released only as to such excess increase.
3. That no provision of this bond or of any other contract shall be valid which limits to
less than five (5) years from time of acceptance of the work to sue on this bond for
defects in workmanship or material not discovered or known to the obligee at the
time such work was accepted.
SIGNED AND SEALED the day ofic • A.D., 20 C/in the presence of:
qi6Z) / 114-e '
Contractor (Firm Name)
By Vi
fitness Title
COUNTER SIGNED:
NA-LOLL/
` f ) Old Republic Surety
Resident Agent Surety
APPROVED AS TO FORM:
7 ' ` 9PfPUB(`�iiii
B 7�aaro�!
City Attorney / / ttorrl, y- - act N,,,,.•
P:AAS SIO.FMT
IV-2
7-1.,; ,,,,i�� ,.,,•„** **
• {' ';'* OLD REPI BL1C
* * surety Company POWER OF ATTORNEY
ii", i,il"1 ' ***
KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock insurance corporation,
does make, constitute and appoint
JOHN F. ZIMMER, JAMES G. ZIMMER, DEBRA D. PETERS, H. GALE WILLIAMS, CHRISTI
T. MC ADAMS, JAMES GREGORY Z I MMER, JR. , TERRI L. WATTS, MARY E. KENT, OF
LINCOLN, NE
its true and lawful Attorney(s)-in-Fact,with full power and authority for and on behalf of the company as surety,to execute and deliver and affix the seal of the
company thereto(if a seal is required),bonds,undertakings,recognizances or other written obligations in the nature thereof,(other than bail bonds,bank depository
bonds, mortgage deficiency bonds,mortgage guaranty bonds,guarantees of installment paper and note guaranty bonds.self-insurance workers compensation
bonds guaranteeing payment of benefits.asbestos abatement contract bonds,waste management bonds,hazardous waste remediation bonds or black lung bonds),
as follows:
ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO LXCEED AN AGGREGATE OF
FIVE HUNDRED THOUSAND DOLLARS ($FOO,GOO) FOR ANY SINGLE
OBLIGATION, REGARDLESS OF THE NUMBER OF INSTRUMENTS ISSUED FOR THE OBLIGATION:
and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys In-Fact, pursuant to these presents, are
ratified and confirmed. This document is not valid unless printed on Colored background and is multi-colored. This appointment is made
under and by authority of the board of directors at a special meeting held on February 18, 1982.This Power of Attorney is signed and sealed
by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY
COMPANY on February f 8, 1982,
RESOLVED that the president. any vice president, or assistant vice president in conjunction with the secretary or any assistant
secretary, may appoint attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment
in each case, for and on behalf of the company to execute and deliver and affix the seal of the company to bonds, undertakings,
recognizances, and suretyship obligations of all kinds-;and said officers may remove any such attorney-in-fact or agent and revoke
any Power of Attorney previously granted to such person.
RESOLVED FURTHER that any bond, undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company
(i) when signed by the president,any vice president or assistant vice president,and attested and sealed(if a sealer required)by any secretary or as_sistant
secretary;or
(ii) when signed by the president.any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed(if a seal
be required)by a duly authorized attorney-in-fact or agent;or
(iii) when duly executed and sealed (if a seal be required)by one or more attorneys-in-fact or agents pursuant to and within the Omits of the authority
evidenced by the Power of Attorney issued by the company to such person or persons.
RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or
certification thereof authorizing the execution and delivery of any bond, undertaking recognizance, or other suretyship obligations of the company:and such
signature and seal when so used shall have the same force and effect as though manually affixed.
IN WITNESS WHEREOF,OLf .-pFplUBLIC SUREMERNIPANY has Caused presents to be'Signed by its proper officer; and its
ITiBricorporate seal to be affixed this day of
OLD REPUBLIC SURETY COMPANY
4..02,47regy, fe.e5-fts.s.cttr..\
Asscstanr Secret "►�.:i Presitlent
STATE OF WISCONSIN, COU OF WAUKESHA—SS ""`°
27TH MARCH 2.000
On this day of _ , ,personally came before me,_ JAMES E. LEE
and DAVID G. MENZEL to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the
above instrument. and they each acknowledged the execution of the same, and being by me duly sworn, did severally dispose and say;
that they are the said officers of the corporation aforesaid, and that the seat affixed to the above instrument is the seal of the corporation,
and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority
of the board of directors of said corporation.
7 - ,0:./..-,"7"e e_I ,-64Z.
`.moo,wilk - My commission expires: _
CERTIFICATE
1, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the
foregoing and attached Power of Attorney remains in full force and has not been revoked;and furthermore,that the Resolutions of the board
of directors set forth in the Power of Attorney, are now in force.
4O-9886 ,,.0.'""'.
�,,// �,, Signed and sealed at the City of Brookfield, Wi this 21 g r day of
QEAL `�'- t
i eLt�li
A. .1,..E
JOHN F. Z I Mf+. I ,,. 4S. AGENCY INC Assistant retarj
THIS DOCUMENT IS NOT VALID UNLESS PRINTED ON COLORED BACKGROUND AND IS MULTI-COLORED
ORSC 22262 11,97)
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MOONY)
TPA 12/26/2000
PRODUCER (402)423-6262 FAX (402)423-1293 THIS CER I IHCA I t IS ISSUED AS A MAT[ER OF I FORMAL ION
Zimmer Insurance GroupONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
3230 S. 13th St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Lincoln, NE 68502-4595
INSURERS AFFORDING COVERAGE
INSURED FLOORS INC INSURER A: REGENT INSURANCE COMPANY
A NEBRASKA FURNITURE MART CO INSURER B:
BOX 22877 INSURER C:
LINCOLN, NE 68542-2877 INSURERD:
INSURER E:
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.
INSK TYPE OF INSURANCE POLICY NUMBER POEILY thl•bGTWVE F'OLIC.T tAYIRATION LIMITS
LTR DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERAL LIABILITY CCIO213877 12/31/2000 12/31/2001 EACH OCCURRENCE S 1,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 100,000
CLAIMS MADE X OCCUR MED EXP(Any one person) $ 10,000
A X CONTRACTUAL LIAB PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE S 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
—1 POLICY n 12 n LOC
AUTOMOBILE LIABILITY CBA0213877 12/31/2000 12/31/2001 COMBINED SINGLE LIMIT $
X ANY AUTO (Ea accident) 1,000,000
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS
(Per person) $
A X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY CCI0213877 12/31/2000 12/31/2001 EACH OCCURRENCE S 5,000,000
X OCCUR n CLAIMS MADE AGGREGATE S 5,000,000
A
DEDUCTIBLE
X RETENTION $ 10,000 _ $
WORKERS COMPENSATION AND CWCO213877 12/31/2000 12/31/2001 TORY LIMITS ER
EMPLOYERS'LIABILITY
E.L.EACH ACCIDENT S 1,000,000
A
E.L.DISEASE-EA EMPLOYEES 1,000,000
E.L.DISEASE-POLICY LIMIT $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
JOB: W. DALE CLARK LIBRARY APPROYEDj jt$<TO oir
LIMIT: $59,889.00
CITY OF OMAHA, OMAHA, NEBRASKA IS LISTED AS AN ADDITIONAL INSURED CC//
1/ ASSISTANT CI i r .,.ICirriN
CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
CITY OF OMAHA CONTRACT ADMINISTRATION
ATTN• DIANE NELSON BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
1819 FARNAM ST STE 706 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
OMAHA, NE 68183-0706 AUTHORIZED REPRESENTATIVE
Carla Stauffer/HIM
ACORD 25-5(l197) ACORD CORPORATION 1988
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IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACUKU 25-5(7197)
TO THE CITY OF OMAHA:
CERTIFICATE OF EQUIPMENT ASSESSMENT
Undersigned hereby certifies that all equipment to be used by undersigned in the performance of
the contract pertaining to the project for:
•
W. Dale Clark Library Carpet Installation
and pursuant to Contract between undersigned and the City of Omaha has been assessed for
taxation for the current year, except as to equipment acquired since the assessment date. Said
equipment has been assessed in Douglas County Nebraska.
This Certificate is submitted pursuant to the requirements of Section 77-1323, Reissue Revised
Statues of Nebraska, 1943, as amended.
Floors Incorporated
A z-73(2.43r. {L A Corporation
By 1
Partnership T-eeideent \f. e
By: Attest: Ctcti. W° l
Partner Secretary
Partner Corporate Sea! Attached:
•
Partner
STATE OF NEBRASKA)
LANCASTER ) SS.
COUNTY OF I31 k
JERRY TRAINER, VP and TOM AMEN being first duly
sworn on oath, depose and say that they are President and Secretary, respectively, of
FLco1s) .L r c_ . , a Corporation; that they have read the foregoing Certificate, know its
contents, and the same are true.
SUBSCRIBED and sworn to before me this 4TH day of JANUARY , A.D., 2001
otary Public •
My Commission Expires 4/6/02
9/80
GENERAL NOTARY-State of Nebraska
yN RAYMA L.McENTEE
�_ My Comm.Exp.April 6,2002
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C-25A CITY OF OMAHA
LEGISLATIVE CHAMBER
Omaha,Nebr
RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA:
WHEREAS, bids were received on December 13, 2000, for W. Dale Clark
Library Carpet Installation project; and,
WHEREAS, Floors Incorporated submitted a bid of$59,889.00, being the lowest
and best bid received for W. Dale Clark Library Carpet Installation project.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF OMAHA:
THAT, the bid of$59,889.00 from Floors Incorporated for W. Dale Clark Library
Carpet Installation project, being the lowest and best bid received be accepted and the contract
awarded.
BE IT FURTHER RESOLVED:
THAT, the Finance Department is authorized to pay the cost of W. Dale Clark
Library Carpet Installation project from the Library Renovation Fund 329, Agency 160,
Organization 1695, Activity 1602, Object 8010. The funding year is 2001.
APPROVED AS TO FO
, � � $D
_ CITY ATTORNEY DATE
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