HomeMy WebLinkAboutSUPPLEMENTAL AGREEMENT BETWEEN AUGUSTA, GEORGIA AND EARL L. BABBITT PLUMBING FOR SANITARY SEWER CONNECTION SERVICES TASK ORDER PROGRAM, PHASE II NOTICE OF AWARD
G E" O R G 1 A
Contractor: Earl L. Babbitt Plumbing Date: 2/14/2017
Address: 1128 Ellis Street
Augusta,GA.30901
Project: SSCP Phase 2-Group 1 Project No: AUD_2015-02
At a meeting of the Augusta, Georgia Commission held on 10/18/2016 , you were awarded the
contract for the following project:
Sanitary Sewer Connection Service Phase 2 - Group 1
Enclosed please find 4 copies of the Contract Documents for your execution. Please
complete the pages, affixing signatures, dates, notary and/or corporate seals, etc. where
necessary and return to this office within 10 days from the date of this letter, excluding Legal
Holidays.
The Certificate of Insurance must be complete.
Power of Attorney must be submitted in triplicate; an original and two copies is permissible.
Very truly yours,
Sylvester Rosier-
Project Manger
Receipt of this NOTICE OF AWARD is hereby acknowledge this_ day of ,
/52) 1'4
Contractor By Title
Please sign and return one copy of this Notice of Award Acknowledgement to:
Augusta Utilities Department
Attn: Sylvester Rosier!Marie Corbin,P.E.
360 Bay Street, Suite 180
Augusta, GA 30901
Engineering Division
360 Bay Street,Suite 180-Augusta,GA 30901
(706)312-4132—Fax(706)312-4133
WWW.AUGUSTAGA.GOV
This SUMPLEMENTAL AGREEMENT,made on the day of ,20 ,to the
AGREEMENT,made on the 19th day of JANUARY,2017
by and between
AUGUSTA,GEORGIA,BY AND THROUGH THE AUGUSTA-RICHMOND COUNTY
COMMISSION,party of the first part,hereinafter called the OWNER,and Earl L.Babbitt Plumbing,
party of the second part,hereinafter called the CONTRACTOR.
WITNESSETH,that the Contractor and the Owner, for the considerations hereinafter named,
agree as follows:
ARTICLE I- SCOPE OF THE WORK-
The Contractor hereby agrees to furnish all of the materials and all of the equipment and labor
necessary,and to perform all of the work shown on the plans and described in the specifications for the
project entitled:
SANITARY SEWER CONNECTION SERVICE—PHASE 2—GROUP 1
and in accordance with the requirements and provisions of the Contract Documents as defined in the General
and Special Conditions hereto attached,which are hereby made a part of this agreement.
ARTICLE II-TIME OF COMPLETION
The work to be performed under this Contract shall be commenced within 5 business days after the
date of written notice by the Owner to proceed.All work shall be substantially completed within 7 business
days with all such extensions of time as are provided for in the General Conditions. Substantial completion
shall be defined as all lots awarded connected to the city sewer system, all septic tanks abandoned. Final
completion shall be 9 days after substantial completion. Final completion shall be defined as a
representative of each property has signed off on the completeness and acceptance of work,example included.
It is hereby understood and mutually agreed,by and between the Contractor and the Owner,that the
date of beginning, rate of progress and the time for completion of the work to be done hereunder are
ESSENTIAL CONDITIONS of this contract. Contractor agrees that said work shall be prosecuted regularly,
diligently, and uninterruptedly at such rate of progress as will ensure full completion thereof within the time
specified.It is expressly understood and agreed by and between the Contractor and the Owner,that the time for
completion of the work described herein is a reasonable time for completion of the same, taking into
consideration the average climatic range and construction conditions prevailing in this locality.
11Page
ARTICLE III—PAYMENT
(A) The Contract Sum
The Owner shall pay to the contractor for the performance of the Contract the amount as stated in the
BID FORM and Schedule of Items. No variations shall be made in the amount except as set forth in the
specifications attached hereto.
(B) Progress Payment
On no later than the fifth day of every month,the Contractor shall submit to the Owner's Engineer an
estimate covering the percentage of the total amount of the Contract which has been completed from the start
of the job up to and including the last working day of the preceding month, together with such supporting
evidence as may be required by the Owner and/or the Engineer.This estimate shall include only the quantities
in place and at the unit prices as set forth in the Bid Schedule. On the vendor run following approval of the
invoice for payment,the Owner shall after deducting previous payments made,pay to the Contractor 90%of
the amount of the estimate on units accepted in place.The 10%retained percentage may be held by the Owner
until the final completion and acceptance of all work under the Contract.
ARTICLE IV-ACCEPTANCE AND FINAL PAYMENT
(A) Upon receipt of written notice that the work is ready for fmal inspection acceptance,the Engineer shall
within 10 days made such inspection, and when he finds the work acceptable under the Contract and the
Contract fully performed,he will promptly issue a fmal certificate,over his own signature,stating that the work
required by this Contract has been completed and is accepted by him under the terms and conditions thereof.
The contract shall then submittal a final payment request for the entire balance found to be due the Contractor
including the retained percentage. This payment shall be paid to the Contractor by the Owner within 30 days
after the date of the receipt of the final payment request.
(B) Before fmal payment is due,the Contractor shall submit evidence satisfactory to the Engineer that all
payrolls, material bills, and other indebtedness connected with work have been paid, except that in case of
disputed indebtedness of liens of evidence of payment of all such disputed amounts when adjudicated in cases
where such payment has not already been guaranteed by surety bond.
(C) The making and acceptance of the final payment shall constitute a waiver of all claims by the Owner,
other than those arising from unsettled liens,from faulty work appearing within 12 months after fmal payment,
from requirements of the specifications,or from manufacturer's guarantees.It shall also constitute a waiver of
all claims by the Contractor except those previously made and still unsettled.
(D) If after the work has been substantially completed, full completion thereof is materially delayed
through no fault of the Contractor, and the Engineer, so certifies, the Owner shall upon certification of the
Engineer,and without terminating the Contract,make payment of the balance due for that portion of the work
fully completed and accepted.
Each payment shall be made under the terms and conditions governing final payment,except that it shall not
constitute a waiver of claims.
2IPage
IN WITNESS WHEREOF,the parties hereto have executed this Agreement in three(3)counterparts,
each of which shall be deemed an original, in the year and day first mentioned above.
OWNER:AUGUSTA,GEORGIA
.
AT/ t ' •. , oti SEAL
<� . %. e p S
By: _____77_1/1"-__ __________. B : 4 /i , / I
0 �. r zS E1 o +I
The Honorable Hardie Davis,Jr. L i0 .5,, i as
Mayor "� rl °.r d r.
Cle .lof ti. .finis .i ,� ,ii
Date: Date: fr" �� ,/, •aelI lit 461,4 ®
f
APPROVED AS TO FORM: (�APROVAL:
DEPARTMENT AP
By: A BYt------,r
y:e
Thomas D. Wiedmeier
Attorney Director,Augusta Utilities Department
Date: 7211//., Date: --,f2..(117
PublicGeoia
CONTRACTOR: MytComm ssion Expires January,05,2021
ATTEST: SEAL
By:;-/-2)Z—a-,,- By: XU'/I/, r /'^
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Name: 4/A co 2/9 ;fze_ Name: 1 h o n IL POI r 4.-i' ,p y'
Title: V.P Title: A-/i A- 'e a esn K n )
Date: 3-- (q- 1'1 Date: 3//i /0
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PERFORMANCE BOND
(NOTE: THIS BOND IS ISSUED SIMULTANEOUSLY WITH PAYMENT BOND ON PAGE 6,
IN FAVOR OF THE OWNER CONDITIONED FOR THE PAYMENT OF LABOR
AND MATERIAL.)
KNOW ALL MEN BY THESE PRENSENTS:
That Ri ��' z 7,, 7-h1�. as Principal, hereinafter called
Contractor,and a0qr,, ,a corporation organized and existing under the
laws of the State of 4.1-14 .DH/c p ,with its principal office in the City of, Ic< FADS' ,State of
0q) -j- , as Surety, hereinafter called Surety, are held and firmly bound unto AUGUSTA,
GEORGIA BY AND THROUGH THE AUGUSTA COMMISSION as Obligee,herein after called the Owner,
S dB i 1i S a itVEI--W)DW
in the penal amount of/00 12 s' aoj od Dollars ($ 9,51>166 ) for the payment whereof
Contractor and Surety bind themselves,their heirs,executors,administrators,successors,and assigns,jointly
and severally,firmly by these presents for the faithful performance of a certain written agreement.
WHEREAS,Contract has by said written agreement dated entered in to a contract
with Owner for the Sanitary Sewer Connection Services Task Order Program in accordance with the
drawings and specifications issued by the Augusta Utilities Department and the Augusta-Richmond County
Commission, which contract is by reference made a part hereof, and is hereinafter referred to as the
CONTRACT.
NOW,THEREFORE,the condition of this obligation is such that,if Contractor shall promptly and faithfully
perform said CONTRACT,then this obligation shall be null and void;otherwise it shall remain in full force
and effect.
The Surety hereby waives notice of any alteration or extension of time made by the Owner.
Wage
Whenever Contractor shall be, and declared by Owner to be in default under the
CONTRACT, the Owner having performed Owner's obligations thereunder, the Surety may
promptly remedy the default,or shall promptly
(1) Complete the CONTRACT in accordance with its terms and conditions,or
(2) Obtain a bid or bids for completing the Contract in accordance with its terms and conditions,
and upon determination by Surety of the lowest responsible bidder,or,if the Owner elects,
upon determination by the Owner and the Surety jointly of the lowest responsible bidder,
arrange for a contract between such bidder and Owner, and make available as Work
progresses(even though there should be a default a succession of defaults under the contract
or contracts of completion arranged under this paragraph)sufficient funds to pay the cost of
completion less the balance of the contract price;but not exceeding, including other costs
and damages for which the Surety may be liable hereunder,the amount set forth in the first
paragraph hereof. The term"balance of the contract price,"as used in this paragraph,shall
mean the total amount payable by Owner to Contractor under the Contract and any
amendments thereto, less the amount properly paid by Owner to Contractor
Any suit under this bond must be instituted before the expiration of two(2)years from the date on which fmal
payment under the CONTRACT falls due.
No right of action shall accrue on this bond to or for the use of any person or corporation other than the Owner
named herein or the heirs,executors, administrators or successors of the Owner.
Signed and sealed this day of A. D. 20_
Witness O/? 144A L (Age-77r, (Seal)
(Contractor)
Notary Public, Richmond County, Georgia
My Commission Expires January 05,2021
Attest �• (Seal)
(Title)
Witness X77 .WE /9/40 (Seal)
(Surety)
Witness By ,S r/977/C//6v) / pE (Seal)
(Title)
5 ! Page
LABOR AND MATERIAL PAYMENT BOND
(NOTE: THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND ON
PAGE 4,IN FAVOR OF THE OWNER CONDITIONED FOR THE PAYMENT OF
LABOR AND MATERIAL.)
KNOW ALL MEN BY THESE PRENSENTS:
That Eilae_ Z . ,g,9,86.-277-7 T..h
. /�- as Principal, hereinafter called
v
Contractor,and sEv'7su Cdrrti ,a corporation organized and existing under the
lawsof the State of�6tylf k ,with its princip&l office in the City of , ,(i� 7Lj,S ,State of
Ls„,„ DR,„„A , as Surety, hereinafter called Surety, are held and firmly bound unto AUGUSTA,
GEORGIA BY AND THROUGH THE AUGUSTA COMMISSION as Obligee,herein after called the Owner,
for the use and benefit of claimants as herein below defined in the amount of n c'oa/j Qo Dollars
($ 7s ,Cl) ) for the payment whereof Contractor and Surety bind themselves, their heirs, executors,
administrators, successors,and assigns,jointly and severally, firmly by these presents.
WHEREAS,Contract has by written agreement dated entered in to a contract with
Owner for the Sanitary Sewer Connection Services Task Order Program in accordance with the drawings
and specifications issued by the Augusta Utilities Department and the Augusta-Richmond County
Commission, which contract is by reference made a part hereof, and is hereinafter referred to as the
CONTRACT.
NOW, THEREFORE, the condition of this obligation is such that, if the Contractor shall promptly make
payment to all claimants as hereinafter defined,for all labor and material used or reasonably required to use in
the performance of the CONTRACT,then this obligation shall be void;otherwise it shall remain in full force
and effect, subject,however,to the following conditions:
(1) A claimant is defined as one having a direct contract with the Contractor or with a
subcontractor of the Contractor for labor,material, or both,used or reasonably required for
use in the performance of the contract,labor and material being construed as to include that
part of water,gas,power,light,heat,oil,gasoline,telephone service or rental of equipment
directly applicable to the CONTRACT.
(2) The above named Contractor and Surety hereby jointly and severally agree with the Owner
that every claimant as herein defined,who has not been paid in full before the expiration of a
period of ninety(90) days after the date on which the last of such claimant's work or labor
was done or performed,or materials were furnished by such claimant,may sue on this bond
for the use of such claimant,prosecute the suit to final judgment for such sum or sums as may
be justly due claimant, and have execution thereon. The Owner shall not be liable for the
payment of any costs or expenses of any such suit.
6IPage
(3) No suit or action shall be commenced hereunder by any claimant,
(a) Unless claimant, other than one having a direct contract with the Contractor, shall
have given written notice to any two of the following:The Contractor,the Owner,or
the Surety above named, within ninety (90) days after such claimant did or
performed the last of the work or labor, or furnished the last of the materials for
which said claim is made,stating with substantial accuracy the amount claimed and
the name of the party to whom the materials were furnished,or for whom the work or
labor was done or performed. Such notice shall be served by mailing the same by
registered mail or certified mail,postage prepaid, in an envelope addressed to the
Contractor, Owner or Surety,at any place where an office regularly maintained for
the transaction of business,or served in any manner in which legal process may be
served in the state in which the aforesaid project is located, save that such service
need not be made by a public officer.
(b) After the expiration of one(I)year following the date on which Contractor ceased
work on said CONTRACT, it being understood, however, that if any limitation
embodied in this bond is prohibited by any law controlling the construction hereof,
such limitation shall be deemed to be amended so as to be equal to the minimum
period of limitation permitted by such law.
(c) Other than in a state court of competent jurisdiction in and for the county or other
political subdivision of the state in which the project,or any part thereof,is situated,
or in the United States District Court for the district in which the project,or any part
thereof,is situated, and not elsewhere.
(4) The amount of this bond shall be reduced by and to the extent of any payment or payments
made in good faith hereunder,inclusive of the payment by Surety of mechanics'liens which
may be filed of record against said improvement,whether or not claim for the amount of such
lien be presented under and against this bond.
Signed and sealed this day of A. D.20_
Witness 7,1Q Ct 4..0 I& 1 �� �'-41 (Seal)
V (Contractor)
AixPublic, Richmond County, Georgia
Attest Commission Expires January 05,2021 11 (Seal)
A
(Title)
Witness S'& 71C1 P'9 ' (Seal)
(Surety)
Witness By `7 /9 61147) id (Seal)
(Title)
7IPage
Earl L. Babbitt Awarded Lots-SSCP Phase 2 Group 1
Description -- Babbitt
20 2802 Harwood Dr, Hephzibah, GA, 30815 1 LS
35 3707 Clayborn Dr, Hephzibah, GA, 30815 1 LS
42 3722 Lynncrest Dr, Hephzibah,GA, 30815 1 LS
■ -
Total- $7,520.00
Blanchard & Calhoun Insurance Agency, Inc.
Western Surety Company
CONTINUATION CERTIFICATE
Western Surety Company hereby continues in force Bond No. 1,4946128 briefly
described as P,LUMAING CONTRACTOR AUGpS7A-RICair0KD couisury
for
, as Principal,
in the sum of$ TWENTY THOUSAND Apip N9J 109 Dollars, for the term beginning
February 08 , 2917 , and ending February p a_ , 2918 , subject to all
the covenants and conditions of the original bond referred to above.
This continuation is issued upon the express condition that the liability of Western Surety Company
under said Bond and this and all continuations thereof shall not be cumulative and shall in no event exceed
the total sum above written.
Dated this 09 day of January , 2017
WESTERN URETY COMPANY
4,1611 7 y
tk:\44,1;if,
By
.4t1T Paul T. B at,Vice President
°"44CAttrttOV''
THIS "Continuation Certificate"MUST BE FILED WITH THE ABOVE BOND.
Form 90-A-8-2012
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1/23/2017 1 :32:12 PIMManchard & Calhoun Insurance Agency, Inc.
Western Surety C
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY,a corporation organized and existing under the laws of the State of South Dakota,
and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado,
Conneotiout, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentuoky,
Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New
Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania,
Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia,
Wisconsin,Wyoming,and the United States of America,does hereby make,constitute and appoint
Paul T. Bruflat of Sioux Falls
• State of South Dakota ,its regularly elected Vioe President ,
as Attorney-in-Fact,with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for
and on its behalf as Surety and as its act and deed,the following bond:
One yi I. •,. : 0 i,: . 9101 • k
bond with bond number 14946],2.8
for EAR.. L. BABBITT D$A EARL BABBITT Py9MBTT4G, INC.
as Prinolpal In the penalty amount not to exceed:$20,090.00 ,
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws pf Western Surety
Company duly adopted and now in force,to-wit:
Section 7. All bonds,policies,undertakings,Powers of Attorney,or other obligations of the corporation shall be executed in the corporate
name of the Company by the President,Secretary,any Assistant Secretary,Treasurer,or any Vice President,or by such other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys-in-Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company. The corporate
seal is not necessary for the validity of any bonds,policies, undertakings, Powers of Attorney or other obligations of the corporation. The
signature of any such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Vice President with the corporate seal affixed this 09 day of Jant{4r<y , 20 1.7
ATTEST W E /N 'S'JU'�R C PAN Y
By a-••�C.- /.. 2-4,1,,,,/
L. Nelson,Assistant Secretary Pa .Bruflet,Vice President
gakiMItrF9t
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STATE OF SOUTH DAKOTA '. a A , .*-i'
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COUNTY OF MINNEHAHA
On this Q9 day of _January , 2017 ,before me,a Notary Public,personally appeared
Paul T. Bruflat and L. Nelson
who,being by me duly sworn, acknowledged that they signed the above Power of Attorney as Vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said Instrument to
be the voluntary aot and deed of said Corporation.
r
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8
s NOTARY PUBLIC s
SOUTH DAKOTA ' x Notary Public
t4.0ew00y,40bQe...y00,y40,00a40y40, + My Commission Expires June 23,2021
To validate bond authenticity, go to www.cnasurety.com > Owner/Obligee Services > Validate Bond
Coverage.
Form F1975-1-2016 411)
1/1i/1U1 /` 1 :$Z":1 z Vffil a:nch.ard & Calhoun Insurance Agency, , inc.
Western Surety
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY,a corporation organized and existing under the laws of the State of South Dakota,
and authorized and licensed to do business In the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado,
Conneotlout, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentuoky,
Louisiana, Maine, Maryland, Massachusetts, Miohigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New
Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania,
Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia,
Wisconsin,Wyoming,and the United States of America,does hereby make,constitute and appoint
Paul T. Bruflat of Sioux Falls ,
• State of South Dakota ,its regularly elected 'Vice President ,
as Attorney-in-Fact,with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for
and on its behalf as Surety and as its act and deed,the following bond:
One • ` y . . 9. Y: . er .v •► • • +
bond with bond number 1,.49461,Z8
for EARL L. BABBITT ABA EARS, BA,BB ITT PJ UMBIj4 . INC.
as Principal in the penalty amount not to exceed:$20.090.00
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws pt Western Surety
Company duly adopted and now in force,to-wit: •
Section 7. All bonds,policies,undertakings,Powers of Attorney,or other obligations of the corporation shall be executed in the corporate
name of the Company by the President,Secretary,any Assistant Secretary,Treasurer,or any Vice President,or by such other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
int
Attote
seal ms not necess-in-Fact or agents who ary for the validity ll have of any bondstyto Issue polioles, undertakings,i Powers of Ator torney s fn the name of the or other bligations of the corporatThe ion. The
signature of any such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Vioe President with the corporate seal affixed this 09 day of January 20 1,7 •
ATTEST WE N SURV C PANY
2'.VIZela—errt""/ By
• L. Nelson,Assistant Secretary Pa . 8ruflat,Vice President
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STATE OF SOUTH DAKOTA
COUNTY OF MINNEHAHA P,,,,„ if rDA-ti „N�
On this Q9 day of January , 2917 ,before L me,
a Notary
Public,personally appeared
_ Paul T. Bruflat and
who,being by me duly sworn, acknowledged that they signed the above Power of Attorney as Vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to
be the voluntary act and deed of said Corporation.
4
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s NOTARY PUBLIC �f' T �SOUTH DAKOTA f Notary Public
s MyCommission Expires June 23,2021
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To validate bond authenticity, go to www.cnasurety.com > Owner/Obligee Services > Validate Bon
Coverage.
Form F1975-1-2016
1/23/2017 1 :32:12 PM anchard & Calhoun Insurance Agency, Inc.
Western Surety
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY,a corporation organized and existing under the laws of the State of South Dakota,
and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado,
Conneotlout, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentuoky,
Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New
Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania,
Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia,
Wisconsin,Wyoming,and the United States of America,does hereby make,constitute and appoint
Paul T. Bruflat of Sioux Falls
State of South Dakota ,its regularly elected Vioe President ,
as Attorney-in-Fact,with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for
and on its behalf as Surety and as its act and deed,the following bond:
One ` 10 . . •. O.; . .-; .* ski I .
bond with bond number 14946128
for EARL L. BABB,"TS ILBA EARL, BA$.BITT 1j4JMBI , IjitC.
as Principal in the penalty amount not to exceed:$20,09(1.00
Western Surety Company further certifies that the following is a true and exact Dopy of Section 7 of the by-laws of Western Surety
Company duly adopted and now in force,to-wit: ,
Section 7. All bonds,policies,undertakings,Powers of Attorney,or other obligations of the corporation shall be executed in the corporate
name of the Company by the President,Secretary,any Assistant Secretary,Treasurer,or any Vice President,or by suoh other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys-in-Fact or agents who shall have authority to issue bonds,polioies,or undertakings In the name of the Company. The corporate
seal is not neoessary for the validity of any bonds,policies, undertakings, Powers of Attorney or other obligations of the corporation. The
signature of any such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has oaused these presents to be executed by its
Vice President with the corporate seal affixed this 09 day of January2017
ATTEST WE N SURV C PANY
ByC.)T. 741.0.42-071•"/
—
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L.Nelson,Assistant Secretary Pa . Bruflat,Vice President
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STATE OF SOUTH DAKOTA 11.'00,: A =
ss COUNTY OF MINNEHAHA 1.4 , 411 DSC} ``�
sF,r+ft;rrrsr!{�-
On this 09 day of January , 2.917 ,before me,a Notary Public,personally appeared
Paul T. Bruflat and L. Nelson
who,being by me duly sworn, acknowledged that they signed the above Power of Attorney as Vice President
and Assistant Seoretary, respeotively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to
be the voluntary act and deed of said Corporation.
+46,40, 4a0...6.4bg�sr+►r1Wvgb4gs4vh+
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� `,NOTARY PUBLIC r
J.; � 1-SOUTH DAKOTA s Notary Public
+4,40,.,00,.„,,,,,.....,,4,400,400,,000,00, + My Commission Expires June 23,2021
To validate bond authenticity, go to www.cnasurety.com > Owner/Obligee Services > Validate Bond
Coverage.
Form F1975-1-2016
,,,-...1Blanchard & Calhoun Insurance Agency, Inc.
ACO CERTIFICATE CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
3/10/2017
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(les) 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
certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT PatL.isha Phillips
_NAME:
Blanchard 8 Calhoun Insurance Agency, Inc. PHONE egAttc.E)c)G (705)650-6000 ! (706)650-6001
245 Davis Road ADO& :tphillips@blanchardcalhounins.com
PO Box 212359 INSURER,(SLAFFORDING COVERAGE NAIC#
Augusta GA 30917-2359 INSURERA:Cincinnati Insurance Company 10677
INSURED INSURER a:FHM Insurance Company
Earl L Babbitt Inc, DBA: Earl Babbitt Plumbing INSURERC:
1128 Ellis St INSURERD:
INSURER E:
Augusta GA 30901 INSURERF: ,
COVERAGES CERTIFICATE NUMBER:16-17 Master REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES-OF-INSURANCE LISTED BEIOVICHAVE 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.
"ADDL SUBR POLICY EFF- POLICY EXP
INSRLTYPE OF INSURANCE INSD,WXI3 POLICY NUMBER JMM/DD/rQ'Y),(MM/DD/YY'Y( LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
RENTED
A , CLAIMS-MADE X OCCUR PF�EM SESAGES((Ea occurrence) $ 500,000
EPP 0124577/EBA 0124577 4/1/2015 4/1/2018 MEDEXP(Anyoneperson) $ 10,000
PERSONAL&ADV INJURY $ 1,000,000
GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
X POLICY JECT
PRO- LOC �PRODUCTS-COMB/OPAGG $ 2,000,000
OTHER: Employee Benefit Liab. $ 1,000,000
AUTOMOBILE LIABILITY COMBINED
tSINGLE LIMIT $ 1,000,000
X ANY AUTO BODILY INJURY(Per person) $
A ALL OWNED SCHEDULED
AUTOS AUTOS EPP 0124577/EBA 0124577 4/1/2015 4/1/2018 BODILY INJURY(Per accident) $
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS (Per acciitenl)
Uninsured motorist combined $ 1,000,000
X UMBRELLA LIAB _ OCCUR w EACH OCCURRENCE $ 1,000,000
A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000
DED RETENTION$ EPP 0124577/EBA 0124577 4/1/2015 4/1/2018 $
WORKERS COMPENSATION X STATUTE X ERH
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? Y N/A
B (Mandatory In NH) WC30600246152016 4/1/2016 4/1/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000
IF yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
,
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION
(706) 821-2520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City Of Augusta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Finance Dept
530 Greene Street
Room 207 AUTHORIZED REPRESENTATIVE
Augusta, GA 30 901 -',.7-0-
e�-v v- ►� oa-�
Robert Moore/TRISHA
01988-2014 ACORD CORPORATION. All rights reserved
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS02517m4011
Blanchard & Calhoun Insurance Agency, Inc.
Linda,
• Attached is the COI for City of Augusta. •
J e434.4.1, 13,944410,
Commercial Lines CSR
Blanchard&Calhoun Insurance
PQ Box 212359/245 Davis Road
Augusta,GA 30917-2359
Phone(706)650-6000
Fax(706)650-6001
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