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HomeMy WebLinkAboutPR 21230: CONTRACT TO PURCHASE RESILIENT SEAT VALVES City of ort rthu� 7esus www.PortArthurTx.gov INTEROFFICE MEMORANDUM Date: April 27,2020 To: The Honorable Mayor and City Council Through: Ron Burton, City Manager From: Donnie Stanton, Interim Utilities Director RE: Proposed Resolution No. 21230 Introduction: The intent of this Agenda Item is to seek the City Council's approval for the City Manager to enter into a contract for Resilient Seat Valves with Coburn Supply of New Caney, Texas, with a projected budgetary impact of$83,369.21. The contract would be for one year,with the option to renew for two additional one-year periods. Funds are budgeted and available in account nos. 410-1253-532.35-00, Water System Maintenance, and 410-1255-532.33-00, Sewer System Maintenance. Background: Water valves are used to isolate small portions of our water system in order to minimize service disruption to larger areas during maintenance and/or expansion. Valves are also used to isolate piping throughout our treatment plants, lift stations, and pump stations. Budget Impact: The contract for Resilient Seat Valves with Coburn Supply of New Caney, Texas, with a projected budgetary impact of$83,369.21. The contract would be for one year, with the option to renew for two additional one-year periods. Funds are budgeted and available in account nos. 410-1253-532.35-00, Water System Maintenance, and 410-1255-532.33-00, Sewer System Maintenance. Recommendation: It is recommended that City Council approve the City Manager to enter into a contract for Resilient Seat Valves with Coburn Supply of New Caney, Texas, as discussed and/or outline above. "Remember,we are here to serve the Citizens of Port Arthur" P.O.Box 1089 X Port Arthur,Texas 77641-1089 X 409.983.8101 X FAX 409.982.6743 P. R. No.21230 4/27/2020 bw Page 1 of 3 RESOLUTION NO. A RESOLUTION AUTHORIZING THE CITY MANAGER TO ENTER INTO A CONTRACT FOR THE PURCHASE OF RESILIENT SEAT VALVES, FOR THE WATER UTILITIES DEPARTMENT WITH COBURN SUPPLY OF NEW CANEY, TEXAS, WITH AN ANNUAL PROJECTED BUDGETARY IMPACT OF $83,369.21. FUNDS ARE AVAILABLE IN ACCOUNT NOS. 410-1253-532.35-00, WATER SYSTEM MAINTENANCE & 410-1255-532.33-00, SEWER SYSTEM MAINTENANCE. WHEREAS, the Utility Operations Department routinely uses Resilient Seat Valves to maintain the water system throughout the City; and, WHEREAS, valves are purchased on an 'as needed' basis and stored in inventory at the Water Utilities Warehouse; and, WHEREAS, the City of Port Arthur advertised for bids for Resilient Seat Valves and received six bids (Exhibit A); and, WHEREAS, Coburn Supply of New Caney, Texas had the lowest and most responsive bid of$83,369.21; and, WHEREAS, the Utilities Department wishes to enter into a one-year contract with Coburn Supply of New Caney, Texas, for resilient seat valves, Exhibit A, with the option to renew for two additional one-year periods. NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PORT ARTHUR: THAT, the City Council hereby authorizes the City Manager to enter into a contract between the CITY OF PORT ARTHUR and Coburn Supply of New Caney, Texas. for one (1) year with the option to renew for two (2) more additional one-year periods with a projected annual budgetary impact of$83,369.21 per year; and, P. R. No. 21230 4/27/2020 bw Page 2 of 3 THAT, the City can terminate this contract at its convenience with thirty (30) days written notice; and, THAT, funding for this material is provided for in the Water Utilities budget in Account Nos. 410-1253-532.35, Water System Maintenance, and 410-1255-532.33-00, Sewer System Maintenance; and, THAT, a copy of the caption of this resolution be spread upon the minutes of the City Council. READ, ADOPTED AND APPROVED THIS day of 2020 at a Regular Meeting of the City Council of the City of Port Arthur, Texas, by the following vote: AYES: Mayor ; Councilmembers: NOES: Thurman"Bill"Bartie Mayor ATTEST: APPROVED FOR ADMINISTRATION: Sherri Bellard Ron Burton City Secretary City Manager APPROVED AS TO FORM: Pirre- or Donnie Stanton Ys, / /� Interim Utilities Director Valecia izen City Attorney P. R. No.21230 4/27/2020 bw Page 3 of 3 APPROVED AS TO AVAILABILITY OF FUNDS: e1441., L& Kandy Dani 1 Clifton Williams Interim Dire for of Finance Purchasing Manager Exhibit A (Bid Tabulation) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 O O O O 0 0 0 _ .1 vi 0 O 06 O - C .6 O O N vi ,O et 00 eh O ,O ,D C ^' C= alJ al Q N ten 0o -- en Tr 00 O 6 et et c•n M O, yr, 00 00 O N coMv1 N ~ k E"' O ;:1,-; t M O 0 et v) 00 M - N M et N M V> c'7- n L 0 U 69 69 69 f.',1;b9 bR bA Z.7';6s 69 6A 6s 6s bs bs 6s 69 69 69 69 ., [^ C C 6 E■ O O O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O O O O O O O O O O O O O O 0 O 0 O 0 0 CA 4.- N 00 00 C\ O - CT N et C' vi ,D O' M N O ,O ,O C 4" O N N O O 00 en et O\ - et O, ,D ,D 00 O en O M - 1.�i U 2 Tr N of O 00 O en un 004 N on un 00 .0:, v'� N 00 v, i..i 69 9 O- -' 69 69 69 „Jr 69 69 Z 69 • 69 O 0 O ,D N O N 00 O O N O 00 N 00 et et 1` O N a C N N O 00 -- -- ,D 00 et N et N 1, ,D M 00 T O M O, v'� In vs Q 6. ,D 00 h c.. 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C- 4 o CC W QZ N 4 Co ^ `17 N N V ;O 00 N f+) V' :c) 00 O N 4 )O OC C^ ,O r. _✓ Q O "tc co 0 E� m W V •- N M v') �O n op C` O - N M Tr rn sO n 00 C, o Q W Q 0 :, �. 0 Z .a t r } Exhibit B (Contract) PURCHASING CONTRACT AGREEMENT FOR RESILIENT SEAT VALVES THIS AGREEMENT, made this the day of , 2020, by an individual, firm partnership or corporation, Coburn Supply of New Caney, Texas, hereinafter called"Vendor", and the City of Port Arthur, a municipal corporation organized under the laws of the State of Texas, hereinafter called the"Owner"or"City". WITNESSETH: That for and in consideration of the payments,terms, conditions and agreements set forth herein, Owner and Vendor agree as follows: 1. The term of this Contract shall be one (1) year from the date that it is signed by the City, with the option to renew for one (1) additional one-year periods. The City can terminate this contract at its convenience which includes, but not limited to, funding not being available in any budget cycle with ten(10) days written notice. 2. The Vendor will provide Resilient Seat Valves, as delineated and submitted in their bid dated April 22, 2020. 3. During the term of this Contract, the Vendor will furnish all of the materials and supplies, as stated in the advertised bid specifications, described as: Resilient Seat Valves 4. The Vendor agrees to deliver all materials on an as-needed basis during the term of this contract, in a not-to-exceed maximum amount of$83,369.21 as shown in the Bid schedule. 5. The term "Contract Documents" means and includes the following: a) Agreement b) Invitation to Bid c) Specifications d) General Information e) Bid f) Notice to Proceed 6. This Agreement shall be binding upon all parties hereto and their respective heirs, executors, administrators, successors and assigns. A- 1 IN WITNESS WHEREOF, the parties hereto have executed, or caused to be executed by their duly authorized officials, this Agreement in two (2)copies each of which shall be deemed an original on the date first above written. SIGNED AND AGREED on the day of , 2020. ATTEST CITY OF PORT ARTHUR BY CITY SECRETARY CITY MANAGER Signed on the day of 2020. ATTEST VENDOR BY CITY SECRETARY COBURN SUPPLY A- 2 CITY OF PORT ARTHUR, TEXAS BID SHEET Page 1 of 2 BID FOR: Resilient Seat Valves for Water Utilities Department BID OPENING DATE: April 22, 2020 Item Size Type Connection Qty. Unit Price Total Price Resilient Gate Valve-MJ ONLY 1 4" MJ 5 $ 29f`�, 06 $ ifri 7(9.3. 7 2 6" MJ 10 $ 3?S:24' $ VS 2"..6-631 3 8" MJ 5 $ 597,‘r $ 2°0. 44° 4 12" MJ 2 $ 1177. 27 $ 2-.35-g: -S`( 5 16" MJ 2 $ 31 32.x$ 7 8-6,(-4. 00 6 20" MJ 1 $ 76n.60 $ 76n'. 7 24" MJ 1 $ (0767.71 $ ) ()'77. 7f/ Tapping Valves , 8 4" Flg. x MJ 8 $ 37°73 $ 2..6J. ry 9 6" Flg. x MJ 10 $ 5-23.7°l $ 5 2-37, 9 10 8" Flg. x MJ 10 $ 777• 5/1 $ 777 ( 1° 11 12" Flg. x MJ 2 $ I '771.13 $ 3"3.y3. 8"6 Rising Stem - OS& Y 12 3" Flg. w/handwheel 5 $ 2.51,,77 $ 12-g3. 50- 13 4" Flg. w/handwheel 6 $ 2556 .95" $ 1 7'..l .70 14 6" Flg. w/handwheel 6 $ 3/3 .112-$ 3YO 52-- 15 8" Flg. w/handwheel 6 $ 5-41.31r $ 3 C1 C• 2-r 16 10" Flg. w/handwheel 2 $ 1 S -.37 $ 1 °f Oil- 7`7' 17 12" Flg. w/handwheel 2 $ 1 t 5-0.o2_ $ 2.3ot'• Pc/ Bidders Signature: 2 �)/ D ORIGINAL Page 6of18 CITY OF PORT ARTHUR,TEXAS BID SHEET Page 2 of 2 Item Size Type Connection Qty Unit Price Total Price Rising Stem -OS& Y con't 18 14" Flg. w/handwheel 1 $ 3- ' 'G a $ 35-7G'Go 19 16" Flg. w/handwheel 1 $ 3431a. '! $ 3 r p.C i 20 18" Flg. w/handwheel 1 $ 6' 36g:2‘$ 636t- T3, Zs Grand Total $ T3� 3 6 • Co B krn SCt PP/7 (-o. 21,371 uts ti4-y r9. W COMPANY NAME STREET ADDRESS / c't SIGNATURE •F BIDDER P.O. BOX Sc �� Y Le) P 11rs t✓cYne .�' 7.75.7 PRINT OR TYPE NAME CITY S ATE ZIP o 1-J'4V 5r 2-71 35-/ 03 azo TITLE AREA CODE TELEPHONE NO S�✓�'r++P� Co3e,r-/IS . Ca.1, 281 3s L-j o'3o2-- EMAIL FAX NO. ORIGINAL Page 7 of 18 NON-COLLUSION AFFIDAVIT CITY OF PORT ARTHUR § STATE OF TEXAS By the signature below, the signatory for the bidder certifies that neither he nor the firm, corporation, partnership or institution represented by the signatory or anyone acting for the firm bidding this project has violated the antitrust laws of this State, codified at Section 15.01, et seq., Texas Business and Commerce Code, or the Federal antitrust laws, nor communicated directly or indirectly the bid made to any competitor or any other person engaged in the same line of business, nor has the signatory or anyone acting for the firm, corporation or institution submitting a bid committed any other act of collusion related to the development and submission of this bid proposal. Signature: Printed Name: �e 2e, \N v„? Title: UL�1.n Sgee,t0AiST Company: oC,O Date: � y 1 SUBSCRIBED and sworn to before me the undersigned authority by the , of, on I behalf of said bidder. Wimp e-Cbcd41 Stye 1 Notary Public n and for the ' State of Texas '�r•.s:^..... BRENDA JANE HODGES My commission expires: /6-13-„2„0 My Notary ID#125085637 Expires October 13.2020 ORIGINAL Page 8of18 AFFIDAVIT All pages in Offeror's Responses containing statements, letters, etc., shall be signed by a duly authorized officer of the company whose signature is binding. The undersigned offers and agrees to one of the following: hereby certify that I do not have outstanding debts with the City of Port Arthur. I further agree to pay succeeding debts as they become due. I hereby certify that I do have outstanding debts with the City of Port Arthur and agree to pay said debts prior to execution of this agreement. I further agree to pay succeeding debts as they become due. I hereby certify that I do have outstanding debts with the City of Port Arthur and agree to enter into an agreement for the payment of said debts. I further agree to pay succeeding debts as they become due. Firm Name Date r( cos; Spee-i•Q\�s* Authorized Signature Title kir` 35— `1 — Name (please print) Telephone 5114 ►rt Pe, G°I3i4f'/JS, Coon Email STATE: 1---)C COUNTY: M gt17419r1 U y SUBSCRIBED AND SWORN to before me by the above named 'C"-PILeti \A1 i nvp D on this the g day of1 -0/L, l 2002D . ;tet (),2440 Ides,p,„" : . BRENDA JANE HODGES I / CPQ. '� Nota Public My Notary ID it 125085637 �' :' Expires October 13,2020 RETURN THIS AFFIDAVIT AS PART OF THE BID PROPOSAL ORIGINAL Page 9 of 18 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code,by a vendor who Date Received has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code.An offense under this section is a misdemeanor. I Name of vendor who has a business relationship with local governmental entity. 2_, 17 I I Check this box if you are filing an update to a previously filed questionnaire.(The law requires that you file an updated ' 1 completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) J Name of local government officer about whom the information is being disclosed. Name of Officer Al Describe each employment or other business relationship with the local government officer,or a family member of the officer,as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? Yes n No B. Is the vendor receiving or likely to receive taxable income,other than investment income,from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? n Yes No J Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. J Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)() excluding gifts described in Section 176.003(a-1). lure of 'endorf igg fness with the governmental entity Date Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015 1 ORIGINAL Page 10 of 18 • CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity Acomplete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/ DocsiLG/h1m/LG I76.htm.For easy reference.below are some of the sections cited on this form. Local Government Code§176.001(1-a):"Business relationship'means a connection between Iwo or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal,state.or local governmental entity or an agency of a federal,state,or local governmental entity: (B) a transaction conducted at a price and subject to terms available to the public:or (C) a purchase or lease of goods or services from a person that is chartered by a slate or federal agency and that is subject to regular examination by.and reporting lo,that agency. Local Government Code§176.003(a)(2)(A)and(B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if (2) the vendor. (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income. that exceeds$2.500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed: or (ii) the local governmental entity is considering entering into a contract with the vendor: (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than$100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed;or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code§176.006(a)and(a-1) (a) A vendor shall file a completed conflict of interest questionnaire it the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity,or a family member of the officer,described by Section 176.003(a)(2)(A): (2) has given a local government officer of that local governmental entity,or a family member of the officer,one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B).excluding any gift described by Section 176.003(a-1):or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later o1: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity:or (B) submits to the local governmental entity an application,response to a request for proposals or bids. correspondence. or another writing related to a potential contract with the local governmental entity:or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer,or a family member of the officer,described by Subsection(a): (B) that the vendor has given one or more gifts described by Subsection(a):or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethres.state.tx.us Ravisad 11!30.'2015 ORIGINAL Page 11 of 18 SB 252 CHAPTER 2252 CERTIFICATION jer 1,4/1. /9 , the undersigned and representative of Co Q u,R q .S 64 P P 1 (Company or Business Name) being an adult over the age of eighteen (18) years of age, pursuant to Texas Government Code, Chapter 2252, Section 2952.152 and Section 2252.153,certify that the company named above is not listed on the website of the Comptroller of the State of Texas concerning the listing of companies that are identified under Section 806.051, Section 807.051 or Section 2253.153. I further certify that should the above-named company enter into a contract that is on said listing of companies on the website of the Comptroller of the State of Texas which do business with Iran, Sudan or any Foreign Terrorist Organization, I will immediately notify the City of Port Arthur Purchasing Department. -Tc-f-Gr-ex 1.2,` ,M p Name of Company Representative_(P-tet) 417/e of ompany Representative [4 / Z2/ 20 Date ORIGINAL Page 12 of 18 • House Bill 89 Verification j e key L 1 /17 /_2 (Person name), the undersigned representative (hereafter referred to as "Representative") of Co i3 mfr S u Pf/y C--e),44 Pct.a (2.ocurr\ J �1y CD. (company or business name, hereafter referred to as "Business Entity"), beingan adult over the age of eighteen (18) years of age, after being duly sworn by the undersigned notary, do hereby depose and affirm the following: 1. That Representative is authorized to execute this verification on behalf of Business Entity; 2. That Business Entity does not boycott Israel and will not boycott Israel during the term of any contract that will be entered into between Business Entity and the City of Port Arthur; and 3. That Representative understands that the term "boycott Israel" is defined by Texas Government Code Section 2270.001 to mean refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. /t/ SIGNATURE OF EPRESENTATIVE SU SCRIBED AND SWORN TO BEFORE ME, the undersigned authority, on this,4day of , 20aO Yd-caopa- Notary Public?)twak-110/10, . "^ ;. BRENDA JANE HODGES My Notary ID#125085637 Expires October 13,2020 Page 13of18 ORIGINAL Client#: 2492 COBSUP ACORDI. CERTIFICATE OF LIABILITY INSURANCE DATE(MM!DDrYYYY) 04/22!2020 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 any rights to the certificate holder In Ileu of such endorsement(s). PRODUCER Cr,)p ZACT Ginny Johnson J.S.Edwards&Sherlock ITI.HONE 409_832-7736. _ _ 409-83__3-1721 _ (AIC,N Ext): (AIC,No): ___ Insurance Agency,LLP E-RSAIL inn edwardsandsherlock.com P.O.Box 22237 AODRE35: ginny@edwardsandsherlock.com Beaumont,TX 77720 INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Liberty Insurance Corporation 42404 INSUREDINSURER e:Liberty Mutual Fire Insurance Company 23035 Coburn Supply Co Inc INSURER C: P 0 Box 2177 - -- -INSURER e: Beaumont,TX 77704 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. I SSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER (MM/DDIYYYY) (MMIDDPYYYY) _ LIMITS A X COMMERCIAL GENERAL LIABILITY TB7691460237039 11/01/2019 111011202 EACH OCCURRENCE $1,000,000 PREMISES( CLAIMS-MADE X OCCUR . EaEocc:ence) S100,000 MED EXP(Any one person) S5,000 _ PERSONAL&ADV INJURY 51,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 PRO- PRODUCTS-COMP/OPAGG 52,000,000 POLICY JECT LOC _ OTHER: B AUTOMOBILEUABIUTY AS2691460237029 11/01/2019 11/01/2020{Ea MBItl�i51NGLELIMR 51,000,000 X ANY AUTO BODILY INJURY(Per penson) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY _ AUTOS PROPERTY DAMAGE HRED NON-0WNED X I AUTOS ONLY X AUTOS ONLY (Per acddent) A X UMBRELLA LIAB X OCCUR TH7691460237059 11/01/201911/O1/2020 EACH OCCURRENCE s15,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $15,000,00.0 _ DED X RETENTION$10000 5_ A wORKERS COMPENSATION WA769D460237019 11/01/2019 11/01/2020 X Mins EMPLOYERS'LIABILITY STATUTE _ER Y/N ANY PROPR:ETORIPARTNERJEXECUTIVE , E.L EACH ACCIDENT s1,000,000 I OFFICERMEMBER EXCLUDED? N N IA ,--- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 f tlewibe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT s1,000,00.0 I i ' I I DESCRIPTION OF OPERATIONS f LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schodule,may bo attached If more space Is required) The General Liability&Auto Liability policies include a blanket automatic additional insured endorsement that provides additional insured status only when there is a written contract that requires such status. Primary&Non-Contributory coverage is provided on a blanket basis when there is a written contract that requires such status with respects to the General Liability coverage. A Waiver of Subrogation is included on blanket basis with respects to the Workers'Compensation,General Liability&Auto Liability status only when there is a written contract that requires such status. Umbrella is written on follow form. CERTIFICATE HOLDER CANCELLATION Cityof Port Arthur SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P 0 Box 1089 ACCORDANCE WITH THE POLICY PROVISIONS. Port Arthur,TX 77641 AUTHORIZED REPRESENTATIVE Cfm d ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD ORIGINAL #S126696/M126695 VJ