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HomeMy WebLinkAboutItem 06.n• • ☒☐ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD R&HPA01 OP ID: LH 05/27/2020 HAL TIFFANY JR., Pres./Agent HAL TIFFANY AGENCY, INC. Hal Tiffany Jr. 2573 B HAMLINE AVENUE N ROSEVILLE, MN 55113 HAL TIFFANY JR., Pres./Agent 651-484-4002 651-484-6185 WESTERN NATIONAL INS. GROUP R & H Painting LLC 15725 US Hwy 12 SW Cokato, MN 55321 A X 1,000,000 X BOP1003013 10/08/2019 10/08/2020 100,000 5,000 1,000,000 2,000,000 2,000,000 A X CPP1125013 10/08/2019 10/08/2020 1,000,000 X X X 5,000,000A UMB1020474 10/08/2019 10/08/2020 XA WCV1016195 10/08/2019 10/08/2020 1,000,000 1,000,000 1,000,000 CITYLAK CITY OF LAKEVILLE 20195 HOLYOKE AVENUE LAKEVILLE, MN 55044 651-484-4002 15377 1 Grossman, Steven From:Jason Becker <jason@coblaco.com> Sent:Thursday, June 4, 2020 2:42 PM To:Grossman, Steven Cc:Steve Davis Subject:FW: Manhole Lining RFP Mr. Grossman, We really appreciate the opportunity but I will have to pass on this one. It’s a decent project but a bit out of our travel zone for that particular scope. Thank you, Jason Becker Director of Sales & Estimating Coblaco Services, Inc./American Pipeline Services, Inc. Ofc- (303) 690-7148 Fax- (303) 750-5170 Mbl- (303) 868-7148 www.coblaco.com From: Steve Davis Sent: Thursday, June 4, 2020 1:15 PM To: Jason Becker <jason@coblaco.com> Subject: Fwd: Manhole Lining RFP Can you respond? Steve Davis O-303-690-7148 C-303-868-7132 Steve@coblaco.com Begin forwarded message: From: "Grossman, Steven" <sgrossman@lakevillemn.gov> Date: June 4, 2020 at 1:09:05 PM MDT To: Steve Davis <steve@coblaco.com> Subject: Manhole Lining RFP Hi Steve, Attached is a RFP. Would it be possible to have a bid emailed to me by Tuesday, June 9 th? Thanks, Steve 2 1 Grossman, Steven From:gjcoatings@frontiernet.net Sent:Monday, May 11, 2020 9:11 AM To:Grossman, Steven Subject:Re: Lakeville 2020 Manhole Lining RFP Steve, Thank you for inviting us to bid on your project, but unfortunately we are booked up for work for the rest of the year and will need to pass. Thanks again. Gary Johnson champion Coatings On Friday, May 8, 2020, 12:44:28 PM CDT, Grossman, Steven <sgrossman@lakevillemn.gov> wrote: Gary- Please see attached RFP for our 2020 Sanitary manhole rehabilitation project. Thank you, Steve Steven Grossman Utilities Supervisor, City of Lakeville 952-985-2742 | www.lakevillemn.gov 18400 Ipava Avenue , Lakeville, MN, 55044 Disclaimer The information contained in this communication from the sender is confidential. It is intended solely for use by the recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any disclosure, copying, distribution or taking action in relation of the contents of this information is strictly prohibited and may be unlawful. This email has been scanned for viruses and malware. 1 Grossman, Steven From:James Svoboda <james@abheonline.com> Sent:Friday, June 5, 2020 9:01 AM To:Grossman, Steven Subject:Re: Manhole Lining RFP Dear Mr. Grossman: Abhe & Svoboda, Inc. will not be submitting a bid on this project. I appreciate you reaching out to us and we wish you the best on the project. Please keep my contact information and if you have any future work that you would like bids on please send me an email. Have a great day and enjoy your summer! Sincerely, James J Svoboda Vice President Abhe & Svoboda, Inc. 18100 Dairy Lane Jordan, MN 55352 office: (952) 447-6025 fax: (952) 447-1000 http://www.abheonline.com On Wed, May 27, 2020 at 7:30 AM Grossman, Steven <sgrossman@lakevillemn.gov> wrote: Please see attached RFP. Please email a quote by Thursday, June 4 th at 3:30p.m. If you have questions, please call me at 952-985-2742. Thank you, Steve Grossman Steven Grossman Utilities Supervisor, City of Lakeville 952-985-2742 | www.lakevillemn.gov 18400 Ipava Avenue , Lakeville, MN, 55044 Disclaimer The information contained in this communication from the sender is confidential. It is intended solely for use by the recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any disclosure, copying, distribution or taking action in relation of the contents of this information is strictly prohibited and may be unlawful. This email has been scanned for viruses and malware.