C? t TF AT - Village of Grayslake

7F
VILIA
est: 189
LL
7
G 'LJ .
C? t TF A T
i11 t' ter
PLE, S'
PR
ampling '1 f-'#
EEL T
i
_
NE? T P/
E
VILL.AG
G GFtP YSLJ#F E
CUNTFtAC7
f#
Full Name
Cl
Birider
af
C•
V
`
1,
Address
Rrincipal. l
ice
Lc cal Offic
Address
C
ntactP
Tt7:
d'
D
Teleph
rsort'
VilEage of
ne
lumber
.{
fa
1
'°.°'"+}'
7wtner" or" Viilage"}
k ((
raysl
Y
4T
14 South Seymour A enue
rayslake, Illinois G40 f}
Miehae J.
Attentiean:
flis
Village Nlanager;
E idd
r
warrants
descrrk̀+e+
betvw
its
ar ci
eal ar
reuie
incorpvra#ed info
d
nd
errvirons
derstooa a1J dcreuments tnclrided,
has
r+fer ed tc, ar mer+frr ned in this bc ur d s t c f' dc urnen#s,
re securedy
incfu erg the foflr wing AtfachrXter ls, w ict
s apfed ' to the end crf this Gont c JF'roposal and are
arad
eq ipment, makerials, supplies. informatir n, dafa,
represe ts that Bidder has carefuldy
and
ed the t+
Vc rk Site
exar
ttais CantraeUPrt
r
y fhr
osal#
fer
ans anti iterns
other
WURK at the INbRK
ur
ne essary fc
r #
r
I.
3_
3.
Pe
Rrocure and furnish
rnits_
all
ntl
licenses.
ther govsmrr ental
ir
and author'zations necessary
nce:
pe€mit,
pqr ivals
onnecti n
therewikh;
A.
Supplementary chec u(e of Contract 1`erms
B,
Sch dule of P ic s
F' r ject Specifcations
C.
D.
ertif catians caf
4_
Bcu
rds
lnsurance Cv erage'
et
pnir
1.
Wark 1
Pr cure an tùrnish alf
Insuranc.
anc
bonds and pr cure all insuranc an furnish II
in
c rtift
tes
specifed
ttiis
insurance
5.
raposal
Taxes.
Pro}
sai;
Pay: aEl applir.aF le f+
ed ral; "siaie, and
lo al tax s;
A:
acc€:p#
Bidder
at its sole
cc
Work. If th s Gontra ttllW oprrsal is'
ses. and a rees, tha# Bi ld r shal4,
and
ontraet
d,
Miscelianeous.
propr
st
and
expense,
prr
vide,
erfQrm,
Bid
and<
fred a nd descr bed, nd upon
fvr#h, in this Contr cUPrvposal`
and # he Villaye' s wcitten natification af accept nce in the
f4rrr inctuded ir tl is bound s t t f documents, all of the
fall wing, alf of wF ich is hec' ein re" err d# a as# l e" Wcrrk";
c
mple
e, in the
the kerms
1.
manner spec
n i conditiQns set
e
erat
St r darci. A11
perforrt
d,
workman{ike
standar ds
Work
ompleted
nd
be
shaC
in
consi tent wit
f ssi nal
and
manner,
r
o
2.
7.
the
Prt v de, per prm, ancJ comptete all of
faregaing
expedition cansistent therewitt, with only n! w,
and
undamagecl,
maieri] s,
nstructimn
B.
Psrforrnance 5tandar s:
ContracftFropc sal.
roui
fe;
Eaui
e
hila#erials
rnent.
perfc rm,
and
artd
in # h
Supplies.
manner'
sp ci' ed nd described n this Corstrack/ Propa al;
a11
n
cessary w
rk,
labc
r, services,
tra
quatity
qu pment^;
I# i is
ontractlPraposai
and agrees, th t 11 W rk
p rforrned, an f cornpleted in
se,
aCG rd nct: with the sp ci cats̀t ns attached her to as
an i by ttii refe[ encs made a part oF this
A## chrnent
pr rvisiQn
N
of
any
r ferenced
standard, specifca#ivn, manual 4c ade sha0 char ge° the
use.
c rmpCete,
first
as
and with
respectsve kinds for their i tended
F
nd
nd supplies.
is aecep ed, Sidcler pr€pi
be
shati
utly provided;
LabQr.
prc et` and workmars ike
rith highest standards of
professicrnal and anstruction practices, in fu11
with, and
r quired
r
s
cc mpli nce
by
ursuant to, this Contrac#tProposal, and with
n i
reatest
th ;
efficiency,
econgmy,
onamy; efficiency, and expetli#ic r
II quipment, mat rials, and
consistent# h r with,
upplies incorp rated intfl the 41Vork sh l6 be new
and uncfamac ed and shall kie the best of t reir
greatest
irs
manr r, consist r t
taighest
nd
Qu lit}.
the
prc vided,
prc per
a
practic s and ; in full cQmplian e with,
required by or pursuant tc, t ris Contract,
ihe
C 4 all ather th[ngs ees uirec +of
c by this Co rtracflPraRosal; and
spartation,
du#ie
thos
nd
set
res
af the Vil( ag
ontr ctfi roposat:
onsibilities
fo th in# hi
or Bidd r fr rrr
Ftesponsit ititv
C antractlE rnposa6 i
agr es, that Bidder s
far L ama e - ot L ss,
lf
accepted, Bid er
rraposes,
ra[ 6
e responsibfe and
li bl
thi5
A l ccasts, rt yalt+es, and fees arising frar r the
5:
anr
fat'» and
the
on, or
us
ri r
intcr,
rp rativn
the
tNork
prvmptly and without aharge to the Vilfage repair or
repl ce, dama e done t,
and any 1c ss flr injury suffered
by tFte Uill e„ the Wvrk, the Work Site, o` tsthe3' praperty vr'
of pafented equipment, r a#er als, supplies„
prr esses, ` or
tot ls, appliances, dewi es
ir vel tior s are inclttcled in thi$ SChedule` C f
persorrs as
Prices:
shall
f the Wcsrk:
a result c
The llillag
shall
t7. JnspectianlTestin lReiection.
ri ht ta inspect all c r any part c f the Work and# o
or
ny: park of# he Work ttaat is, in ihe Vitlage' s
judgme rt, defe tive nr d'amaged ar# hat in any way fails a
requiremen#s
t is
cor forrn; # ric#ty # o
ofi
the
Cofl# ac lF' ropc sal a d ttie Village, with ut litni#ing its ather
In it e e ent ihat Bidder "rs to rer, ive per c iiic
payments Untler this GantracUPrnFas l, eact su+r pe ic di
paym t t shall# e ubject fo a it?°t old- back(" Re#ainag')
r ght
Village's
have# he
r eject
Il
aar remedies,
Bidder' s
at
ssary tca
ne
cc rnplete ca
II
correct
hat `ss i fective, dama
n or r: pl tcement
have perfarmed
or
perform
cast,
correcti
may, require
t r
any
part
ndnconf rming
ed, or
Wark
al!
of the
and
it at t re Vill c e rr ay u ilize t+ cure a y defci ncy in 8idder's
perF€ rmanc
untler # hs terms of th
Cont aGt/ Propc s l.
After
di
acaeptance of the Work by the Village, tt e
n!
th
nal payment! v Bidciec shall inelud
ork
charge
3.
ne proposal
Contract
Bidder wiih any xcess c as# ineurred thereby, or canceC all
part€
or
ny
rej
eted
arder'
any
rnay
be
urr
r
Gantrac' Propc,sal. WVork so
lc9 at lBidc er` exper se and
tt is
h
r
i!
or
risk:
A.
I
CcrntractlPrt posal
this
If thi
agr es,
and
1Nc
agr
thaf Bidder
s,
incic tling
ppliers;
A.
c
Bidder prvposes,
pted,
pravided Bidder shall h ve urnish d
Pr
tian
ns
grees, that Bidder sha11 pe csrm the Work dii ger tly and
cc
ft; tax s,
C mpletion[? a#e#n Af achment A.
contribu€ions,
and
vrnpensatic n t r all subcc nti°actors and
and
the corrrp
Gomrnenc ment Date".
If ihis
this C4ntract/Pcapos l ( t"'
d
Contractl ropvsaf is accep#ed, B dder proposes,
take in full paym nt for all
fo fh under Se kipn ' 1 above;
shal[
antl
c veihead
premiums;
sa
is
rk and other matters set
Bi der
accepted,
fha#
to C3uvner al9 bocrds ar d a!I insur nce er#ifcat s pectfied' in
ron asal
cantract/ Prt posal
is
id ier sh l3 c imrr ence # h
WQrk wiEhin i d tlays Fvl[owir g th Villag' s a+, ept hce` vF
nd
propases,
this CantractfPrc pas
Gontract Price'
the balance<
ittclu tint any rerr aining R f in g).
Cc ntrac# Pcic{
set
forf
b law.,
S NEDLILE UF PRIC S See, lftaehmerrtB'
n#inu us(y
Of carnptete the Work no later ##an
sh
and
ssenae,
B. Time is oi ihe
The # rn of begir nin.;
rate of progress. and #ime of completian of the 4Nork 1s o€
th
sse tice of tF is Con#ra t. Contr cia r shall be solety
re pc rrsible for cornplef ng the Work in a timely fashian.
pr mp#Ey,
Contract r
shall
dilig ntly,
cantinuously,
Ba
Ft
BA51
It
1.
2.
I] ETERMININ
s+expressty understc
Ali
prices stated
nd shafi not
chas
e;
b
agreed# ta t:
of
subject tr
ok
Priees
are
ta state trr l acal safes,
t a
incf ded in#
t at no sucFr taxes are
Schedut
roght
o'
ion
ccrrnpens#
x
e
is
i
es,
fo
df
clair
Prices,
hat
all
additio
al
arrd#
an
a
4.
ily
pro ride
perform the
n
inanci l Assurance
I # his
t f reauieed av Attac ment A3,
Contract F' ropc sal is accepted; 8idder prapt s s;
agrees,
i tat Biddet' s alf pro i 3e 2
and
Bonds
Performa
ac
eptable
Gontract
tc,
to
L. bcar and
nc'
Mat rial
n farms<prvuided by, or theC tise
ond;
ar:ceptable
by reason o the payrr nt af any
r by vuaived and r le sed; and.
Bc nd
ce
Paymen
C} wner. frorn a surety+ cc mpany
wner,
each
in tlie
nal sum uf the
10 days' f itcawing ?
Price, v vitt in
acceptance
3.
matir„
syst
scalation ar
subject
use, and excis
nd
V'Vcsrk, ar d all c mpanent parts tsf the Wark, withizt such`
time or tim s as m y be se##orth in this Gantraci.
A.
Qwner is
uch#
and
vigorously,
in fhe ichedule
firm
claim
ad
PF ICES
wner`s
i th s ConiracilFrvpvsal.
All c th r applicable iederat, stafe, and local
taxes c f every kintf and na#ure
the Wotk are inciuded irt the
iplicable
ch
duie
to
of
B,
nsurance.
E3idder p
h
axes
an
i
grees, tFrat f3i ider shall
prc vide certificat s af insuran ce and, if speCifie i'I y
P ices;
A, I[ ot
tf this Gc n#raeUPra flsat is, aCCepted.
vpvses,
er
ap
of
lic ble fetleral,
ev ry
kind
nd
state,
ar d
r
Viltage, copies af p sticies erriciencing that
local
Bidcier has abtained and wil! mainfain insurance
ature
c average and pali ies praviding no le s # han tiE e
taxes,
rrtinimurn in ut n e coverages ar d I"smits set f rth
fcar
in AtEachment A within t n ( 1t3), days folt+awing 3#he
ur
insuran e,
otd
einployment
age
or
r
nt t enefits,
p nsions, annuiti s.
n this'
are ir cluded
other similar b ne# s
Village' s acceptan ce af this Contract/Proposal:
retirem
Such
appli ab e'
to the V1/ c rk
ccrntribuiion's,
and
ScF edule vf Prices;
nd'
s
wtell
as
all
prerniurns
c
in a form, ' and frvm
b
Viilage; tc #
ble ` to t
cird
alt
ciaims'
damac
es tc public
or
inst
n
roteckic} ag
p! I"tcies
mpanies,
shall
acc
pt
or privafe pr
nal ac
erty, and injuries tc persc ns, arising
during # h
out af and
p#ance
policies
and
progress
pay
nent
name the Village
shall
nceliaf on natice r
ir sured an d
irr itation naming the
Vill
eneral
ltehic(
prc vide
der' s
ubcc
ge
as
an
Ctarnpref ensive
or m,c dificati n
nge of
ge witFiin
Bidder receives sueh
af#
er
ncatic
f
cc v
r prcrposes,
rage;
I
rsses
Any
8i
Ehe Village.
or damages unrler
urnbrelia p licy must
cavera9e
s, #
h
t B dd r
sY
alt be €
tely.
risen, o at of o'
to have
ged
all
aer ormance
in
af, or ' fail re ta
irm Rr rtasat
All
prices
tertns
other
and
on#ractlF?raposal
provide excess
g insur n e on a
ouer undertyi
gr
perfarm, Ehe Work rr ar y p rt fhereof.
ider' s
excess or
If this ContracUProp sat is- ac epfed
connection with Bidder`s
C ability ft r
opasat.
thi$ Ccrntract Pr+
qn
c
mplc yer's Liabitiiy an! Compreh n ive
and
be
or
ris,
may
cav rag s and limits ar d shail c t b cvns rued in
ny way es a timiEat3or on Bidd r' s duiy tn carry
insurance
its
Workers°
liable for any fines or ivil p nal#ies tha#ere rnposed b r any
gavemr e t l or` qu si- govemmen#
ge tcy t r body that
he insucance cover g s and limits: set forth in;
Att chment A shal( E e tleeme i to be minimum'
ac#equate
mc>unt of
nd
vuhicheues
Penalties<
Bidcl
fhirty^ { 3 iy days'
ram
ny
fhe
Mofor Vehicle i trility nsurance coverages equal to tha
req ired of 6idd r by ffiis c n#ract.
een g'rve
by# he insuran e camparry# o
In the uer af any sueh c r cellation ar
ior- r new 1, BItItI£ P SE1t3 I 1TOlttt.
wi#h the nvti
thereof e tidertee t f replac:ement insur nc.
Ert tt e
Bidder' shall noEify Uill
ct,
nir
Comper sa#itan and
e Vi tage.
event af:any ch
atherwise
ontinue arty park #
1, t t 0, 0(} a or the
gr at r.
is
equal # c $
rage
ll have i
sh
Unless
nt R, eitlder shall na# allcrw
rs carnrn+
ence ac
r
rrfraCt
Subc
and
shall
ta ct>m
irasurance
efFecfive eantil t e
expiration of 3{ D days after written r atice thereof
i
u
cc
Cornpreher$ ive
Matar
uability: ecsver g s. 5uch insurance shall
th t na canc llation or ncrn renewat Qf'any
Liability
Attac3
e
Work until nd unless such Subcantracto pr vides and has
in
force Campr h nsive General Liabili#y ' insuranc''
inc{uding
cipient,
t1
provided `rn
additional'
lnsurance
Subccantractor'
D.
until
illage. Such
an
as
withaut [
additianal irssur d fc r# he Bi
e Work
t1
of
by tMe
re
firm
and
or
chan
shal[
in
stated
nnt
b
th s
subject to
fhe
Il ge
proairied
withdrawal,
scalafrc n,
accepts this
c rtractt rc pos! wi#hin 6A d ys after the date
e
this sealed CantracUPrc p sal is opened.,
follnwing-
fr rm basis suc i th t yvhen ny Ic ss cover d by he:
primary palicy xcee s the limiis nd t the pri"mary<
poliey, ' the excess or ambrella palicy be omes
6.
effectir e fta+ aver such l ss. Contractar sh ll, priar
to and at ! I tirt es while prctviding, per#crrming, dr
in
and save
all pr
th
rnanstrating
ddi#icsn t , ir s
red,
A.
ha,rmtess
forming,
latent
or;
pa
of
this Cc ntra t. Bidder
nce
insur
of
or
in
and
ir
c
1l' dart
nses (
exp
y arise; Qr be
connectic
failure t a
any
def ets
design,
antl' flaws
str ctly
shalf
in
free frorr any
wnrkmanshtp,
cQnforrn
o #
Fre
as n
r
ly nfetred fro n3 ihs̀s Cont actlAr4pvsal and' khe
hereby res r`re unto the 1/ illage,
a' age
n
t
B.
a
rn
liance
r,rkth
cc
rnponen#s, shal[ be
attache i as
in
cc mpliance wi#,
l.
ws;
Ths ilVark, and ail c€, ifs
er rmed, an complete i
gidder agrees t
e bound by, all
prc vided,
and
ap iicabl; f t eral, sta#e„ and local laws or i rs,' ru[es, ancJ
Vil1 9e against
rrr
n#
execufe# he
idder' s insurer must
Bitlder sfiall indemnit r, save
lc sses,
t
and
as they may be madifred or arrEer d d from t rne
regulatian,
that
n l al if it$ cc rnpanent,
warranties express tl herein shall be in additi n te any
warranti s express d or irnplies
athe
y law, '? hich are
e time, incfuding without{ irnifatson ihe F' r uaiting W g Ac#,.
1f this Cantra tiP'rc pos f is'
indernr i calic n.
idrier peoposes, and agrees, # ha
accepted,
kh
acc pt # h9s
requirements of this Gontra UPrnposal, inckuding, vrit out
s t
f rth
in
lirriitation, # Fre per ormance standards
fi#,
Subsecticrn 1B af th€s Cc nkracUF' rQposal, and shail E<
ss ffi i i t, ar d suit ble fa' fhe purposes express d in; ot°
Exhibit.
C:
The Wvrk,
Wurk
Th
matenals,
t the ' Vil age € s name! as an
Th: poli y of insurance shaH
in Atkachment A tc
certificafion
ta
mpl tir g the Wor C are as sek fc r h
or
representatiue
Vi11 ge
sha11 be if inerchantab e quaiity; shal[ b
pe ty tocat'
contain na prouisi ns that inval date #he narning f
the Vi1lage af Grayslake as addition! insured.' Th
rnir imum insuranc
hal1
orrerages and limits that
be maintained at al1 # irnes while praviding,
pe
the
as follows:
af or about the 1Nork Site, including but tlai limitsd
t the ins ran e cavera es sp cified in AtEa chment'
A. idder sh ll ai o provi e the Uillage. wi#h a, copy
dditiorral insured
ndarsement
of ti e actual
d
induce
to
r
orcl
Warranties
Gantrac#JPrc pcesal, Bidder hereby represettts and warrants
ct mpleti g wc rk fc r th Villa e', procu e, maintairt,
oniractor' s expe se,
Il`
and keep in force, at
insurance r ecessary fo' protect
kh Vill ge, #he W k Si#, artd
Bidder's Rer eesentations an
warranties
1labi#ity,
including attom
UVnrk
meet= the
set
def
fQrth
in
or
any
part
8"
laims,;
ys'
fees)
6
13Ul0.01
ret uiring
cl
sses; # he
IL
S 56 I 1
et
s,e r,.,
dl inois Ste[
et s.,
Pr+ ailing vt+age 1aws; anji
to laborers
f spe ifi ii
Prr ducts Procur r ent Act, 3
prefe ence
any; skatutes, pr ihi ir g discrimina ion
a ma#ive action b eti cs, r c,
caf
because
ar
creed, aolor, nakir nal origin, age, sex, ar other prahibited
th r+of, or
classific tic n: and any statutes regardiny s f ty or the
e f'
of, c r
requiring
er#orm nce af tYte Wock.
repres ntations ' anc3
Secticsn
U ILCS
statutes
nd`
ta ra e risen. Q t
icider' s perTorm nce vf,
n with
tc
ages,
and
allec ec!
petform, #he
failure
harmless,
this
Cvntra tYProposa.
To the e
4
ent # ha# th
Pre railir g Wage Act
8
ILGS
In
subrr i# ting
this
GontractlFrop
ack r wl dg s ar d agre+ s ihat:'
13[ l. Q1 et seq.
Acf} appli s to th'rs C+ n#r ct, it is the'
Bidder' s ctblig tior # o pay{ ar d req4 ire very ubcorrtrA tc r
to pay) ' prev iling wa es as. est blis ed by the Illinais
epar#ment ot'
o
La
established
r
for
each
Coniraet in
cute # he
e
prevaeling;
crai# ar t
tr
t
ect,
r
a
es
e
th
sttall
slraf
uailab
pr euail ng rate ; f wages d sring' ihe #erms
nse tsf the Bidder
sh ll be at the e
f the tlwner_ Arry ch nge
eu ense
irr
The
kh
in> the
u
ch
Bidde
c
e
G ntractPF' t pusal.
at;
s applicable-
B.
o ice uf'' the
Act; Any
th
shatl"
order
ng
nf#cts
preva
any
aims arisinc
a1i
tnd
C.
Ictcal
as a
idder
iot B rted.
iing
contc
wi#h
fhe
to
r c r retated
fees,
ciamages, atkcarneys'
V[ lage s r
t
is
3he Act,
pena4ties c r
not
r
l
administer
Bidder is
nt
nd.
represents
ived payrnent or
ntC
as of ih
c afe; of
m lcaye -
s s r
r'
a s ciated with Bidder has ar y interest that rvauld t nf(ic#
oy
rnann,er
esr
tlegr
with
tF
e
f the
prmar ce +
p#
cs lic t cans uncler this C sntr ct; ind ( 3} rteith r Bidder nflr
any pers n err pic yed by or assc c3ated w th Bidder sh 0 t
any tim cturin itie term c f this Ccrntracf ok ain ar a qc uire
any inf res# th t wc uld canflict in an rnanner a r degr e'
fram
evith the per# rrmarace af the
51lgations under this Gantract.
with ariy# her unit nf si te or
for any reasQn, iricluding withcsut irr itafie h`
detinquenc r irr the payrnent af any tax
Illir pis be ar#txtent of R v nue unf s
dures'
sting, in accord r c with ihe pr
D.
f (i}
tl i y# i
ec
pr
i
this
ernment
or+
res
rmati n'
nntra E and i
f in t re 6usines of Cor tra tQ- oe
or has personally r
ideratian or this. G r ra t; (
ci, neither Bi der" nar an+
in this Ccsntract>
tncluding:
w
icider
Inferes#.
of
pe anai fir anci l inter
fines. ,
barred by I
f cts and irt
nnec#ion with this
c rtifies tt at. W th+ best csf i# s knowle ige: (1j n4 elected r!
emplayee ctr agen# vf Clwn r h s a
aPp inted' Qf6ci,
accur t r cctrds in the rxfannec s t# c rih in, nd as required
by the Ae#, Th, Bitlrier sh fl be. s lely li ble fc r ar y vi it tian
re uir d }
f t
Act aerd haSl k
p y the d erence
r
i
iv d
prevaili
wages
it ually re
wages
any
between
g
by labor rs, iu kmen ndlor mechanlcs eng g d in the
tNork an l ii d end and indems ify the Owner agalnsi nY
and
atic5n. AIP th
n
ar trus antl cc rr ct'
he
be
G rg v+rage rates. applic. ble at the
erir rmed,
Qrk Ys
ordec
chedul d io b
b sc Cely respansible tc mainfain an file
shall
Bidder
pracur ment are #ru and carr ct in all' resp ccts anct„ i
p r icuE r,#t e sfatements contat̀ned in Bidcier's ertific ti n
in tf
f this Gtanfir t;
t #
Bidder' s Gerti
submitted;# Y
anges
n
1 ilEage is relyint an all warranties,
the
r
and
Th
R liarrc.
represent ti r s, and statet' errts mac e by Bi d r in this
The
ff
prevailing wage c,aies in
ecordance wfth
incre ses in avsts fo fF e Bi
er i ue to . ci
c amputed
ct.:
s.
c€
A.
rk needed,
tt
are
H M;
Prerrail ng' Wa e#
p st or provide
www siafe. il, uslaget cyfido{Ir
contract ir deterriiir
wi#h
te s
r
wage
rpe af wr
lanc
ac or
6'tddec
sal,
R
r
g# #
law pr
f
tio
se
Ri hts. '' fhe Uilfa e reseeves the'
c# any and all bids, reserve the ri ht t reject
ce
rropvsal,
nd cese ve5 s rch ot ter r ghts as
ar set fo th in he ln tructidn tc Bidders:
y th appr c prtaie Re+enue Act, i#s li bil ty for'
stahlish
the tax 4r# t e anna nt c f t
42: 1- 1; or{ ii) a vita9atic n of
in 65 ILC
511' t33E- 3 ar Sectit n
33E 4 c# rkicle 33 csf t[ Griminal Code c f 1951, 720(
5
I33E'! et
g.;or( iii) a vicslatian +af the U A Patr at Act ofi
t11, '
7 Public L w 56{{# aber 26, 2 01) ' t "' F' atriQt'
x, as se# forth
eith
r
S
E.
ctit n
nce. 1# fhis Gc ntrac#Prtsposal is ac
Rcc#
pt d,
der sh E1 be 6csur d by e ch a n+d e+ery t rrr, condition, oi`
in thi
prt visic n , coniaine
Village"s wrritten notif ca#ic ri
ontrac l' r pc sal and i
of
ttte
fatm
in' tt
accep#anc
includ d in this bound set.e f docu€ttenls.
Act"} r r t th+er stat tes, orders, rules, and tegula#"rvns of Ehe`
States
E1nit d
dep
tr
gvvernment
er cies
artrn nts, a
and
its
var' aus
tat
and Crffices c
d
exe
to tYre
s
u# ve
currtul# ive and dditional to any crth r or fu ther rernetlies
presvidec it 1aw Qr<equiry car in this ContracG+Prv c+5al.
E idd€ r is not acting,+directly r r intlirec#ly, fa'r r an behalf sf
persan,
rc u r. enkiiy or natic n r ar ied b} r the lJnit d`
Sta#es ' Cr asu y i3ep rtm nt as
p cially L signated
htat na and Blac[ ee# Persor, or f r or t n behalE caf r y
graup, e tity t r natir rt d sic natetl in Presitlential
p er ca
def 1322
as
a
E cecutiu C r+
p ts n who cvmmits,,
threatcns fc cc>mmit, ar supptarks terrc rism; and id i r is
any
G. Penal#i s: 6iddec' sha11 be sotely, liat le ioc any fines
or' civil penal[ies that re imp s d by a y gc errtrr enfal rr
prompily
and
irlder has the
fae
t
ta
a
li i s, plank,,
perF
arm
Gor
th
7.
Acknowleciqemer# s
e
r c#
quisite
V1tc±rk
xp
r
afi,
zr
is
th
of
essenr.e csf this
H. Time
Tirna
n f,
cce t wh re skatetl c khen tise,
Con#r Ct Prc pasal
ferences irr ih s Cant ac#fPraposal fo days . sha1) # e
days_
coh truet3 o refer'to e, lend
nce,
and ° s a#f ta
success#utly
ncy t r erdy that may risc, rar be
n, CtEtt of C r in Gtsnnecti+nn With Blddet S;
liers', p rfcsrm nce
r its Subcontra t rrs° ot Su
F ilure ta perFar,
tt e Wr rk r arey aarf thereaf;
and
I.
Jt rk v, ith n,
tr ct Time Bitls s+t forth a crve:
ammer ce
C+ nt act Pn
th
r
tganiza ic n,
re ari
alt+ged to t
not ngaged in ih s tr nsactian di ectty +ar irsdirectly on
behatf f, or fa i1`stating fih s transac#iear directty or ir lire tiy
an ehalf of, ny su h p rsvn, gr up, entity r n tion_,
Quati#ied.
tat a
i- g4uernmer+
q,
r
biiiCy capi#al,
enable Bii ier
l€es
reserv d t+ the VllOag in this Cnntrac?i' ropasal sh l! be
f the f' airica# Act in luding, faut not i ite to,;
t rd r 13 4 e f five September 24, 20}.
a#ter
xecutiv
ch cif # l se rights ar zt r rn
F emsclies.
bject
artd cornPlete kh'
No
i o
Waiver.
exarr inafion,
iRSp ctian,
test. m rsua`erne t, re iew, d fetminatr"on,
decision, certi cate, or app ova by the 4litla e, whe her'
inv
sti
before
ti
rr,
aft
r
Cc nfirac IPropcas l.
the ViU
c
5-
the
Vitl
nr r an+
Irrfc
e' s
eptanc
a
rrnat c n
o
af
this
ata supp[ietl by
e, v heiher befc re ar after#h Villa e°s ac ep#a rc
f' this Coti#ra tlPropcisat; nar any
vrd
r
by
t
Uillar
f r
the
tsf
payment
poss
mc
nar
ney;
r acceptanCe t
ssion,
aray
f, #
he
for,
payment
any
park
Wnrk by the Uillage; na any extensicin c
the Villag:; nar any de9ay by the U' Ilag
r y
ther act ar
r gh# under this Cvn#ractlProp sal; nor
omiss on af th U[tlage sha[I cnr sfitufe r be deemed t be
af"
d fective,
n
damaged
or
acceptance
any
rg V11ork, ncrr perate to waive c r c+therwise
diminish# he e°[i ct vf any r presentation c r war anty mad
hy Bidder; or of a y requir ment c r prowisirsn of this
nonc snformi
lf'
nfrac
rn
osal; or c
F any remedY,
hav: full and s4le esponsibi ity ftar sdmini trat on c f#he'
1Nork. Bidder's field org liza#ion;sttall ir clude fuily qual eti
and adec u te management, supenrisary a d kechnical
personnel ta insure competent and exp ditious handiing c f
atl matters rela#ed #a the.4ktork. Bidder shail haue fu[I and'
ss
fe respi r
for ke
sibilit+
ing ; all personn l. equipment,
m terials, supplies, and other thir gs required to presvide;
and
per a rrrt.
the Wvek within the dssignate
plet
r
limi#s of ihe Work, Si e
ccinstructidrt area
an
ut of areas'
not designat d far Bidd r',s use. On a[t other lan is, Bicfd"er
f th
right
Power, o
s 7ufv t Atlrt inister#he Vlic» k. Bidder sl all'
Bidci'
use,
ar
vf the
f tirne grantet9 by'
ir e ercising'' any
wvhnle oC
Uillage.
shai! have no rights unless it abt ins them from the pro er
pai E s.
aev rabil€tv:
J:
The prou si ns of this Gorafracfl
Proposal sh l be ir kerpreted wt en pc ssiksle to sust ir their
IegaNity
and
j
ar
risd ci can,
remai in
other
way
abi
this Contr
of
provisivn
il3egal,
enfarc
ity
as
ctl' rflposal
k
unerrforceable
isr whc le
y
court
a
in part,
or
In the : ve t any
sh ll be held in ral[ d,
a whQle.
f
part of such arovision, nc r fhe
pvsal
this CantractYl
prov sions +
affected
va
f
t
e
idi#y oF any
be in any
shall
nts. .'
alferafion,
G r tractlPraposal
t
c
ll be
sh
R,
o rnodi cati
or
tltliti or,
chanc e
tY€er
u
less
deletio,
amount
Wark;
the
o
Gan r ct
f' rice
decrease in tt e
t e
b[
Time
UUark
djustrn+ent
n y
nt at
in' # h'
made.
profits,
the 1li11
t te prior
wri#ten
Acceotance as Fuit Paurt eni ind Sat sfactian. Th'
by Bitlder flf full payment for the Wc rk° hall
as a full and comp ete release t f tt e liAage of and
operat
irom any and all Iawsuits, t airr,s, demands, dar ages,
li bilities, I sses, and expense
of. by, or t a Bidder fnr
nything ton, furnished for, arisi€ g out of relating to, or in
kian with the Wcr k
ar
for
o
an accoun# o$
any act
cr
ct nf+ wner arising eaut csf,; rekating to, or in
canne i n
the Wc r, € xc pt the elairn agal"nst t ivt r f r ih
F any, sf any amaunts reta ned by C) wner
unpaid balanc;
pursuant to this Con#ract.
n
o# terwise fail t
All suhccar traetors, supplieCS, antt su corrtracts used 6y
Bidder s all k e acceptable to, and approved ir adaanc by,
pwn
r,
pwner' s,
and suhcontract
pproval of any subconfractor, suppl e,
ll nat reli ve Ridder of futl res
r sibili#y
sh
liability fpr the prc vis on, Per ormar ce, nd cvmptetian
f ihe Wor C in full compiiance with, and' as required by ar
and
an f
u6coniractor
p, l
ta
respc rasibl
Bitld
r
uppliers; sha l{ be directly
and
subject to Bidder's
b
st a11
Bi ider sha11 have the dufy ia
II 5ubcontrac#ars nd Suppliers so as t avt id
c+ orcfinat
hin iran e c r interference arnarig them and to ensur thak
supervision
t
nd cantral.
tar C will be caompi ted in full carnpli nce wit,
and
s
required by c r pursuant fo this Gor tract and with":n lt e
Gontract Time.
ge.,
t t1e
ct nne
are
their
perft rrrt that; ya rt af the
W4rk undert ken in a mann er satisfacEc ry tQ Qwn r. Any
M.
a
ta obey ins#ruci nr s; whc
thr atening,
r li ord r y ir
pursuanf to, this G ntrac#:
Neither this ConiracUPropos l, nor
suk contracted, in
nt.
r wh
condcsc,
iv,
abu
No
mak
ir terest herein, shall b assigned or
le or in part, by E idd r. excep# tapa
cs ns
F e
aused by any Chahge
any c3aim for da nages,
tothercc mpsns fion:
Bidde[ to
Assiqnm
L
any
wht
equit
ct
amount of
C? td r shail entitie
an#icipated
an
Gontr
or
refuse
esponsibilitiss,
3nccrmpeter#.
and until
is retiuceci to wri#i g anci
byfihe V'[ Ilage a d Bi# der, provided, h w ver, # hat< t e'
llillage shall t aue# h right, by writt n nrde xet: uted 6y tEte
lfillager t make change ir the Work (` Change Order°}. I€
any Ch nge t rd r causes an ir crease r r tlecre se in ihe;
change
arder Biddei- to
thi
to
sucYi
exece tec6 and delivered
effective
to
authQrii
su h E' ersan sc remc ved shall no b
mploy tl again an
th Wr rk; h e actjustment in# he Contra t F' rice or ontcact
Tim shall be trtad as a result c f'SUCh remdval.
thereby,
Amendm:
revision,
campetent
neither #h e validity c
hali haue th
Qwne
r move fram the Work Site any;€sf Bidder's ernploy es or
any Su3 ecsntraefors' employees wha ' fail to rfiseharge
gl
ners apprar al of any subcon#ractor, suppli r, and
subcc n#rac#shalf no relieve Bic+der af iu(I responsibility and
liability far the pro rision, perforrr ance, and complet'ron o€
the Work in fu1N compliar ce
rn
ith,
r d as required Y y or
M rsuant #v this Contr ct, All Work pe c rr tad under any
subcontracf shall be subject to all
f# he proVisions t# fhis
Gor trac in the sarne manner s if perf rme i by employees
of Bidtier.
with
N.
indep
Wor#c.
e atic
ndent
f the Parti: s. Bidder s a( 1 act as an
ctc r in prc vidir g and
erforrning th
nshit
contr
1 Ir th`rng in,
n
be cunstrc ed ' i) to
ent,
idder
any
p er#ners}
or{
2) to
nr
cre
ubec ntractt r
r
done
cre
pursuant tt,
te the '
j
int
fe
any
el
ti
venturers
rel#
r supplier of
nship vf principat and
befween ' Qwr
ionship
Bidd
this Gcsz tr c# shalt
r:
befvsreen i
er
snrr er
ar
d
nci'
P. Gtaims: ] f#he Vilork orar y of Bidder`s operations
or property is damaged by ny other Persan'. Bidder sh ll
make its claim directly
develops
between
g ittst such Per'sort.
E3idder
and
If
dispute
uch other F' erst n
any
ecsnc+e' ning the responsibility fc r any such damager the
di pute shall be; resol ed with such other Perst n by
wYrateUer mefhod may be a tailable and appr+pria#e, hut
such dispute shal] not be cause for delay irt# he r
vF th
torafiQn
d ra ged Work and E idder shatl rest4re the Wark
ety.
rmmedia#
Subs€ fdc
n
Fail re
hail
entitle
of
B[ lder
Owner to
to
ct>
mply
perfc+rm,
or
wikh #
ta
his
have
performed,
withhold
a(i
4 forlt necessary fc r ampliance and
frr m E3idder the sost:c f u; Vl ork.
Q. Cleaniinsss o# the Work Site and Environs. Bidder
shall K ep the Wc«rk Sife antl adj ent areas lean at a11
irnes tluring p rfvrm n
df ih War t nd shall remov'
and
prop r3y dispc
se
uf all wasfe
nd
surplus
R. Q
ta
or recover
materials
firc m# he' WQek ite each warkday in such rnanner as ma r
be ne essary ta confc rm to Law. B dder sh ll svreep' an i'
cCean fhe Wark Site, and shalt r marre' from the Wark ite;
all hases, caf fes, ext nsifln cords
nci stmilar materiats, as
may be ne+cessat+ t o l ave the Wcrr S te and a jacent;
maa
tQ the UVark, # he Wark Siie:
The Wc rk
Prv
e
be
rovided, performe.
.
sale risk
and
If Bidder fai s t
i
omply
with
ets
t5i
ligaticsn5
und
r
his Section, Cawner shal[ have the r ghf to ietforrn, ar ta
haVe perfc rme8, such oki[igations and tc' withhold or r`ecnver'
the
cost
ther
c
f'T
a[ n
Bidder,
th c
nd cast' af Biddsr from the Comr en ement a te
un#il Fir al Payrnent.
S. Governinq La
r.
righ#s of fhe parties e r
d
This ContracElRr posal, and # he
sat shall be
r this Con#r ct Pro
ir# rpreted
cccirci€ng to # F e internal t nrs. b t not the
confli t rf law rul s, af Che Sta e of Illin is. Euery piovis ora
f law , cequired
by
taw to
be
inserted
inta
t is
Cvntract Pr rposal:shall be deerned o be ins r ed t erein:
areas in a clean nd orderly cor dition at #he entl ofi ach
woCkday.
and
r3aini g thereLn shal[
cc rnple ed, and maintaineci at the
everything
t ATED# his
Y'
day
t3f, '
.
Z' 16;
i
Bid ier's S#atus:()
Corpor ii
F
Bidder's
flin
fVam:
Indiuidual Pr priet r
I artnership
y'
rn
St te}
5ta#e}
c
C
t
ti, ,'
C.
C
D'
Gt 1{ @V' c.
Busit ess As( if c!i€ferent}:
Signatur c f Bidder or A rthorized Agent:
J
Prin#* d Name:
cc rpor,
t
seal}
Tit
Bidder"s Bu siness Address;
fPosikion
f
a
Garp
71 ."
ai'
i+
a
p
U,}
Business Telephc
ratit
n c
t
r
Rartn
r e:
•
/
1
E, IW'
i s3̀
ry ; - *?
i .
J'
ati,
iC
Facskmiite: `
" ""'
list
rshi,
r'
P ..:° ,+ ;i ; : ..
ia,
GS". ' +
''"
:
Yl`_,,,,..,.
Bidders
9s[,
f corporati nj
f"} `"`.
C$'
cers c r P rtners;
Il
t
3
a"`
b ;
u-.
z'-
i
,
t
i -
,',
u: '
G _
k
ii
ak111i
/
y~
n
i.'
F
1
z:.
I#"'
p
T!° 1
ryp
LlR'
4lw.T,",.
S
5't
i
..
X" l`.
5
1
s
V'
o '
tAV`.
g_
tZ,',, °
i
5Y.
Ud
Vi
i
+
r
ACC EPTAIVC E
fhe Cont' ac##
Pra osat
acc ptect
heretn
of Gr
at ached
Sy the cart er of#he Village
This Accep#ance, f
fhe parti
r+lating
d by this
yslake("
C
efh r with the+ContractlPr ipos
ref
nce
r
vner")
ted
ciay t f `
incq
or
this
akt ct
ed hereto,
c
rerein and made;
nsti#utes: t
t
iar'
her
f is hereby:
2U.:
uiv'
entire
nd
onty
agreement
to the accor iplishrnen# of the Vllc rk and he compensatian th refor nd sup rsedes
betw
n
nd merges any
other prio tar ct ntempocaneous dis ussit rts, agreements, ar understandings, whe#her vsrritten or t r iE; and shalf pr vail
ov
r
any
ontr
dicfory
vr
in
ans sf
terms
nt
co di#ic ns
ar
ontain
d
in
any
pc rchas
tu'der,
cceptance„
ckr ow(edgem nt, inv aiae, ar ofher standard, fotm used by th parEies in th perf±armance af the ContractlPro osal. Any
such Cantradi+ctcary ot' incQnsistent t rrns or canditita s shali be deemed c bj c#ed# o by the llillage with ut fur#her nt tice of
objectac n and shall be of nv efifec n r in
y ircumstances bindir g upon the lillag unless accept t iy tY€; 1/ illage in a
writEen
docurnent plainly labeled " Arnendm nt to+
ontract/ F' ropt s
I.;° Acc ptance or rejection b r # he Vi11ag
of any such
cvntra ciictt ry or irtCOnsiste t terrns c r conditi ins shall nc t cansti u e ace ptance f r y e t t r cc ntratlictary or nconsist nt
terms or conditions>
V'1CLAt E UF URAYSLAKE
a,; u
w;
rwni
By
iuui
Mi h
V.'
'•..
..
P O!.
r
l9
rn
:
act st.
puty vi l
e
Gterk
r z
a
'•.
f:
f///'
iqirrr 7rurnnu
*\\``
et
J, l s
Viftage Man ger
i
ATTACHMENT A
ATTACHM
SUPPLEMENTARY SGH
L
Pr_,,
aject:
II.
V11nrt
fll.
Perrnifs. Licens
I7' A
G{ 7 I 7RACT TERMS
DU. E t
it,
licenses,
I t wever, t
and Authorizati€ ns:
s, l, Qpre ual;
approvals,
and
uthr
riz
tit
Biddet
btain
shall
all
requireti
go
rnrr entai
The Owner will sukamit [ r i#ial appticatinrs rnaterials far
ns.
permits,
aid permits.
Bidder will b respca sibie ft r meetinc all requirem nfs of any such permits,' including tl e posti rg any
requir d bsands anr fc r sureties:
V.
C4mr aecnc m nt Date: ' 1' ie date of execution of the Contrac#by C7uuner:
V.
Gr
VI
Insur nce Limif' Re uirements
maf
te:.
ti€ n i
1.,
June 3t?", 2
1? See quate
W' rkers' Compensatitrn
Lirnits
shall n it
ka'
r d Emplover's Li F ilitv
ess than'.
W€ rk
r's Crt mperrsatio.
StaiuEc3ry
Employer's Liabili#y:;
50}, OOt} ea. accid nt-injury
OCf, 4(}
a0t3, DCitl
ea, er plcay e- dis a
tii$
se- poticyr
Sueh insurance shal( evider ce that coverage applies ta the State t f 11lincais and pro ride a waiver af
sub a atian in fa roF af the lillage.:
2:
Cc mprehensive iv9otor V hici
Limifs for vehicl
tswned, nt
s
iabilif r
n- t wned vr
1; QC t,( 3t!£3' Bodily Injury rt l Prr perty
nt
t
less than:
amage
ombined Singl Limit
OnQ' Bodily Injury nd Property Damage
ombin d Sirtgle Limit.
C rr prehen iv
3.
rented shall
General Liabili
mits shall nat k e less tha.
1, pt?,
Caverage i5 tc be written
n an° c ccurrer"
basis.
Cover t e fc inctud;
Pr r ises tJperations
I roductslCompleted C p r tic ns
Independ nt
Personaf
c ntrac#c rs';
Injury
wiki
rr plgyment Exclu iort d Ie1: d
et d Forrn Property D mage Endors men#
Y'
fa
Y.
J
H
Gt{
6J'V f .
onkractual Liabitity
Contractua Liabiiity coverage sh ll s aecifically incfude#Fi it d mnific tic ri set fo th below;
4.
Umbrella Li ki' I
Limi#s shall nr
2,(},([
be iess than°,
l0 adily tnjury and Prvperty Qamage Cc mbin s Singte. imit:
This C€ ver
ge shalE
apply' in
xcess of
th
limits
staEstl ir ,
2, antf 3 above.
ATTACHMENT A
Can#r ct
r
is
required
to
me
the Village c f
rayslake as the additional
insureC! for
mpr hensive Gen erai Liabi[ity nd
Compreher sive Mtstt r 1/+ hicle Liability as requir d in the C r t act a d provide the Vill g with the cerkifreate of ir surar ce
and addi#it nal insured endr rsemes7ts inciuding the G mpletitan c f Attachment D( Certi catiar s af Insurance C verage).
1/ IL
Per D
A.
1/ tll.
r
Adminfstrative Charae;`
General.
Twa hundre
ontract Bor ds Reauired;
Na
n!
fifty dolfars($ 25
7. U)
per ay far eac day after the completion dafie:
ATTACHMEhJ'T B
SGH DUL.E t?F PRE Ea
PLEA
S E TH
Ft LLC} WING
f'A
E( S}
r
F'
srzar s
ss_
FC#
d
f
rtCfl£'1
tt
1` t
age
llttn:
of Gr
3B'IfCl/ I
El/[
9
QU
P' I S
d C'
3t C
Vll
1t
i$c i
GtlS/
l'
j
xpirallon
IlEl
r„¢
Pvt Fien Y
r
yffilake
7 131ft6
C3a#e:
I1: a870250
Customer CD
cal Laborata
Ana
;
Y. Ine
AGryatal lake Rd: McHenry; Ii. 6tit15i7- A31+
FeterRiggs
Phar e:( B15} 344 44d4 Fasc.( 815j 344 2{l5
a
it#S. S ymour
fiL
Grays9ake
EmaiL www, ttCh enrylaG. com
6643
1
RJPS for Goaler
Mark Muelle
ti '
Net fi0 Days
E13D117
I 3/ 18 -
w
s
.
ea
a
i
1
8
VCiCs
ty
i'
'
w
1
i i;
TF7t+
P#4` a2}. 2 R v 4 0
THMS 17Y
S95. Qti
Vf3G .
E A 524. 2 Rev. 4A
SflGbyEPA5t 4.'k- 5 J.:,
S{ 7C_ W GL
-
Radiurri 22&'by EPA 9D4A'
i
i' I'
w
r
5d. D0 ,
I,
$
85.( f0
PHQS
itAD=VUC3 U ,'
87.5
RAD_VNO U
87. 5a
N TRITE:,'„ ,;
S15.A4-;
585. 00 $
95.00
dUtf 0 $
A l[i. Q
U( S
S
S85a_aC1-'
87 89
u
587 SaH H ,- '
r^::;
i
i
by EPA94_' E
Radium 226
`
Ni# te
30
,
as
PA 300 t! Reu
sY
s d!
k
s.
Ni fra[
.
„
2: i`
a .,.
PA' 2ti0:9Rev'r2.
L+eadTcitaltiy
r
ii
PR$$ 2 T='.
t
LEA[ 7
30
CappeP#7ySAT311i621S Ed- 1939
PA9
68
Cailec4ian Fee
252
C Ul
1
FEOject Managem fit
w135.Q{ 1 $'
S1i.tiQ „ ;
r; . ;
3';
11p, tJ4'
t
Cal lert{ C+alifoim Tatt ij ;
a . . .. °
35( 7. Ofl
H"
S33tttJK; $
'
Fee
M
t 0ii" i
u ;;
G
?
a9
a.
i
Ifl—
-
Wllll}
S!`,
1
1p. fU119 3
f1; ,
1T
drinkiny Vt at r Manitorrr̀tg Required 6y 1EPA:
pr vr`' d i needed frec fcharge n c%sigr atsd days
nl ritlr ctrtd9s- schettulet cking, shlpment fhattlesandc:vvlers lecironic
o" liverables, Lead rnd aa er9f1 perce til Cafc, and Consum rtV7lific fr"nn forms.
nfad,
P€
NDtificafrsn off iqh Lead and Gopper resuJts so y€u an vti ct dditional. am,oles, High
Fluorrde resuFt rrati catit ea. G'aliform trackrizg syslem. Vl/e coe ntyaur sar» I s su ry mo sth
arrd
nalify yat of pasitive r
vt
lr y prr rarr s
suCts
tfr r
Alt casis are tias d upon
the
c arrerrt IEPA
r:
lmmettiat
UCMR4',As
manilnrin9 p nssd
ly, Resampfes at no artditioRal co. t. A
.
i e 2DBPR Stt part 1<.
of, 1
7
20761bJ'+ 9
f7
The lntorr atipn wss gatkrered fr m IEPA websit s._mtaniWring S hedufes and Drinkiny Waier Watch, as
w
il
ss
in#orrn HOn provid d by the 1EPA Campiiarrc
Sectis n. AnX unanticit
d mdnitor'in t ar teslir
required ihst was not Ilsted a##he time of quat preparak'ron+nraultl be biiled at[ he urrit Gost. No;
Hidden
b
cgesE
Pay
s ytsu go ot provisie a
PO
numhar' for
easq bi#M
g!
1'
529o.iro
2 o. Ua
FEE$ 4.79PDaY
57.48ti,tlp
52772 4D $
i
i .—'
334 Qa.
a
QuUi Uonpre{aar dby:
lC`
135. flD
S. OtI
S?, 48q. tfq
Total: .
Sc p
f
C
rS
5AQ
33fS. 40 "'
G^^ ' ,
50. 0
LEAD CQPPEC2
r^
5 ,,
3 0: 0 $
y
vlle
rt .
i..
i^
x.,..
yy
s.
87,50
i
6. 6
a,
45. i10 $
5$
S135. Q
GR{} SSAIPNAPA
GrossAlphahy
$
a 15.00. y $ 15A0
1 EOU :
COPPEFt,
ii
i ... ,.
1
"
3iS,aQ
OG
IOG dy IEPA
S
y
i
tdl? I: A7
EPA& QQ.4 Rev. 2.1
FI'+
3 87. 5D
fi'
r$`
77 flOs
w.
II i.
29o. U(#-
Sia,437.flfl
s r rE o
r ots
}
ss
couta nr v
u c
ATT'A,
o
c rt+
Analytica2
McHenry
ur
ekin
r
RA
ov.
Water
Co
cantractor' s i
MENT D
Insuranc,e
or,
aRd
G
Arthur, l Ca(lagher
r
a
a$ ,
rer"),
f
g
being fsrst duly swara on oath, depnse and
stats that aN staterrTerils h rein made ere made en behalf of Cont ctor and its insurer, that the depcsnsn#
is autharized to make fhem, and that fhe statan r ts containad herein are true and correct.
Contrador a nd Cantrattar's insurer depasff. stale, and aertify tha# Contractor has ob#aiRed nsurance
cv erage as ret uired pursuant ta SectEon 4 of this Contract and provided CertiEicates af insurance
evidenGing tiee minimum ir s€rance cover&rges and limit5 s t fvrth in Secticm VI nf Attachrrtent A to this
Contract as reqUlic c# pUrstrant t4 Seclion 4 of ihis GOntraCt.
2nd
C7ated this
August
d y
2Q' i6.
AttestNVilness
CON' l2ACTOR
By:
sy_
fitle:,_,
Tttfe:
Subscriberf
and sv orn
thls,,,
io before me
day af_--,
E
f
fic
PATRlCK J M
dG7RRY PUBLIC• S7A7 OF
IlL1N01S
J
S
Z"" , 2
i8.
My C
s
n
xpires:
R'
MY COts7MlSS N CXPlRL S:O?/ 06117
AttestlUY
rsass
G€lNTRACTOR' S NSURER ( Agent)
BY:
6Y: .
Tttle:
Subscr
Tiile:
cE and sworn to befare rne
this . Z
cfay af ..
rv
os 7-
2( i16.
y Gattmis
..
H. LaSarr
r
Nat ry ubtic- gtats af lfU;,n is
Vota y- Pdblic
s
5EAL
25/2Q19 3
i
s
i
4
YS
5
OP ID: AES
MCHENR2
1
4,_°-''$
A`
CERTIFICATE OF LIABILITY INSURANCE
MM,°°"
Y"”,
07/ 20/ 16
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(iesi 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
certi
cate holder in lieu of such endorsement(s).
PRODUCER
815- 459- 6300
KRW Insurance Agency, Inc.
338 Memorial Dr., Suite 100
Crystal Lake, IL 60014- 6262
Ashley E. Smith
815- 459- 5794
Fnx
PHONE
a,ic, Not:
ac. No. eMr.
E- Mai
ADDRESS:
NAIC#
INSURER( S) AFFORDING COVERAGE
iNSUReRa:
McHenry Analytical Water
4314- 1 Crystal Lake Rd
INSURED
24228
Pekin Insurance
INSURERB: HISCOX I 1SUY811C@ COtTlp817)/
ir,suReRC:
McHenry, IL 60050
INSURER D:
INSURER E:
INSURER F:
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
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
ADDL SUBR
INSR, pp( Q
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF
MM7DDIYYYYI (
POLICY EXP
A
X
LIMITS
MMIDD/ YYYYI
GENERAL LIABILITY
I, OOO OOO .
EACH OCCURRENCE
CLAIMS- MADE
CL92137- 0
X
COMMERCIAL GENERAL LIABILITY
11/ 08/ 15
11/ 08/ 16
OCCUR
DAMA
ET
RENTED
pREMISES( Ea occurrence)
MED EXP(
Any
. $
PERSONAL& ADV INJURY
$
GENERALAGGREGATE
GEN' L AGGREGATE LIMIT APPLIES PER:
POLICY
n jE
PRODUCTS-
X
X
EXCESSLIAB
X
DED
03/ 01/ 16
03/ 01/ 17
SCHEDULED
AUTOS
NON- OWNED
qUTOS
UMBRELLALIAB
OCCUR
CU17130- L
CLAIMS- MADE
RETENTION$
11/ 08/ 15
71l08/ 16
AND EMPLOYERS' LIABILITY
Y/ N
ANY PROPRIETOR/ PARTNER/ EXECUTIVE
OFFICERMIEMBER EXCLUDED?
Mandatory in NH)
N
A
X
OOWC4Z7OS
11/ OS/ 45
11/ 08/ 16
If yes, describe under
DESCRIPTION OF OPERATIONS below
g
Prof
Liability
BODILY INJURY( Per
5QQ, QQQ
person) $
BODILYINJURY( Peraccident) $
QQQQQQ
PROPERTY DAMAGE
Peraccidentl
25
0
EACH OCCURRENCE
2, 000, 000
AGGREGATE
2
0
O OOO
WORKERS COMPENSATION
A
Z, OOO OOU
Ea accidentl
ANY AUTO
HIREDAUTOS
X
Z, OOO, OOO
COMBINED SINGLE LIMIT
OOP604654
ALLOWNED
AUTOS
A
$
COMP/OP AGG $
5, 0
I, OOO, OOO
n LOC __
AUTOMOBILE LIABILITY
A
$ -
one person)
WC STATU-
OTH-
TORY LIMITS
ER
E. L. EACH ACCIDENT
SOO OOO
E. L DISEASE-
5,
EA EMPLOYEE $
E. L. DISEASE- POLICY LIMIT $
09/ 22/ 15
MPL148199415
09/ 22/ 16
Ea Occur
000, 000
Aggregate
000, 00a
DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES ( Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Any/ All Addl Insds must be required so by written contracUagreement
Addl Insd: Village of Grayslake
Waiver of Subrogation applies to Worker Comp policy
CERTIFICATE HOLDER
CANCELLATION
GRAY-01
CI tY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
of
Gra YSIBk@
ACCORDANCE WITH THE POLICY PROVISIONS.
Water Department
10 S Seymour
Grayslake, IL 60030
AUTHORIZEDREPRESENTATIVE
Ashley E. Smith
i
O 1988- 2010 ACORD CORPORATION. All rights reserved.
ACORD 25( 2010/ 05)
The ACORD
name and
logo
are registered marks of
ACORD
00
SOO, OOO