Qae JIM LOOKABAUGH, cxatnuex HARVEY P. EVEREST. vrcE cHATRMAN F. C, LOVE. sEcREraRY W. M. HARRISON, Assrsradr sEcRErARy Jl M MY STEWART, couutsstoxEn I tr ITY I P a COLC,ORD BUILDING . 15 NORTH ROBINSON . OKLAHOMA CITY, OKLAHOMA 73102 . TELEPHONE 235...
Qae JIM LOOKABAUGH, cxatnuex HARVEY P. EVEREST. vrcE cHATRMAN F. C, LOVE. sEcREraRY W. M. HARRISON, Assrsradr sEcRErARy Jl M MY STEWART, couutsstoxEn I tr ITY I P a COLC,ORD BUILDING . 15 NORTH ROBINSON . OKLAHOMA CITY, OKLAHOMA 73102 . TELEPHONE 235-3771 JAMES B. WHITE June 26, L979 o ExEcUTIvE DIREcToR 5 =f. f !t Lfl Mr. James J. Cook, City Manager '-l t:J (3 .-. 'ai i.4F-' rir9l r City of Oklahona City J \) rn . 1 tEt 200 North Walker :)' r'l*'-c: E :* irl "o Oklahoma City, Oklahoma 73L02 *t3-<-l --." 2\a ,"L- 71 1-O Attention: Conmunity Development Dept., Mr. Jeff Ray, Director -t Y .J2 Subject: Certificate of Insurance Contract No. R-35-224 8th Street to 10th Street Diagonal John F. Kennedy Project No. Ok1a. R-35 Dear Mr. Cook: Transmitted herer,ri-th is an updated copy of the Certificate of Insurance submitted by the Contractor for the subject contract. Should you require additional infornation please contact this office. Yours very truly, LEHMAN L Engineeri-ng 'f icer LLL/gh Entlosure ft^dil,,' ') JUru P B lg7g.- :oFFtcE oF rpr- CITY l{,',,,: - .; ,,(; INETRUCf,IONS TO CONIRACTORS & Ihe Coatractor ahall dellver the Iusuraace Certlflcace to his Insurance Carrler for co4letlon and returD to OLleboaa Clty Urban Reoeval Authorlty, 1n eare of Englneerlag Departoent rt 15 North RobLoson. Oklahcnoa Cltv. Oklahooa 73L02 the Iasurance CertlfleEte ghall be ln auch foto asd the Losurance carrled ln such lasuraDce coopaules as are Betlsfactory to the OLlahooa Clty Urban Reoewal Authorlty. B. The Coatractor shall furalsh the Certlficate described bcretn to the Oklahoua Clty Urban Renewal Authorlty for 1ts approval and acceptance before comenclng any rork under any coatract to rhlch thls lasuraace appll.es. .R--35-224 Coutract No. I A-18 I OKI.AEO].{A CIIY UREA}J RE}IE]^IAL AUTHORITY A}ID TIII CITY OF OI:LAHO]"IA CITY CERTIFICATE OF I}ISURA'ICE for 8th to 10th Street Diagonal John F. Kennedy Project No. Ok1a. R-35 (To be completed and furnlshed the Oklahoma City Urban Renewal Authority nection r.rith all contracts). in con- THrs Is ro CERTTFY to the oklahoma city urban Renewal Authority and oklahoma the city of citv that the pollcies of rnslrance (includin;-;;;;;;;roenrs) described herein have been issued to the rnsured named belorg t,y tire INDEMNITY COMPANY surance Conpany of HARTFORD CT Office and State of Incorporatlon wlth ltnits of 1labi'1ity as set forth herein in the state of okrahona, covering all operations perforaed by the insured for the olilahona Authority, city urban Renewal and further to certify thar said poli;il";; i"-iri, force and effect at this tiEe. It ls agreed that none of these policies DaterialLy wlll be cancelled or changed during the perlod of coverage, as stated hereln until at leasr thirty (30) days written notlce prLor to ean""ilation given or material change has been by registered oail to the oklahoma City Urban Renewal Authority En lneer i De artDent 15 North Robinson Oklahona Cl Oklahona 73LA2 (ritle and Address) and that the Oklahona City Urban Renewal Authority and the City of Oklahona City wlll be lnoediately notified of any reduc tlon or possible reductlon ln the aggregare belov 75iZ lirnits of any such pollcy due to loss or danage applicable to work performed for Oklahona Cir y Urban applies. Renewal Authoritv f or which said insurance This certificate ls 1 ssued to the certlficate holder, Oklahoma Urban Renerual Citv Authoritv and the City of homa City, 1n consideratlon of the contract or contracts to be avrarded to t named lnsured, and and agreed it is understood that the certiflcate holder ies on this certlficate in the award of such contract or cclntracts to the Lnsured. I. Insured. SHELL CONSTRUCTION CO. 'Address: 5024 N.W. 16th., 0k1a. City, 0k1a 2 Co-Insured: CITY OF OKI/,HOMA CITY - 200 North Walker coMRr\cT No. R-35-224 .-t-- 3 Status of Insured: CorPoratlon x Partnership Individual 0ther 4 Location of operatLons covered by the po1lcies described hereLn: State of Oklahoma INSURANCE POLICIES IN FORCE Policy Effective Expiration Lin:its of Coverage Nr:mber Date Date Liabill tv I A. Workmenr s uB 982A238-2-79 A. Statutory Llnits Compensat ion* 4-r-79 4- 1-80 B. Employersl tt B. loo-ooo- Llability ($100,000. 00 required) II. Comprehensive Automoblle** 650-982A23 8-2-rND-79 4-t-79 4-1-80 A. Bodily Injury A. Each Person Each Accident 500 - 00O. s:insl.e-Linit B. Property Danage B. Each Aceident loo,000. required) See Certificate of Umbrella Policy for increased limits. A-20 I Ipsurairce Pollcies i.n Force - Contd. Po3-icy Ef f ectlve E:rpLration Liuits of Coverage Nuober Date Date Liability III. Coroprehensive General Ltabil- 650-982L238-2-rND- 7 9 ltY't** 4-l-79 4- 1-80 A. Bodily A. Each Person InJury ($100,000. 00 required) Each Oecurrence 300 000. ($soO, 000. 0o required) B. Property B. Each Occurrence Danage 1 00 , 000. ( 100,000.00 required Aggregate 1 00, 000 . ($500'000. 00 required) See Umbre1la policy certificate for increased linits IV Contractual LiabiLitY't't** 650-982A238-2-rND-7 g 4-L-79 4- 1-80 A. Bodl1y InJury A. Each Person ($i00,000. 00 required) Each Occurrence 300,000. ($s00,000. 00 required) B. Property Daoage B Each Occurrence 100, 000. ($100, 000. 00 requlred) Aggregate 100,000. See Umbrella Certificate for increased lirnits ($SOO'000. 00 required) A-21 a No deductlble p rovlslon pertaLnlng to coverages certifled to on thls certlficate none exceeds a deductl.ble anount of $ per occurrenee. *Workments Compensatlon Lnsurance lncludes coverage ln conpliance with the law of the State of Oklahoaa. **Comprehenslve AutoooblLe Insurance Lncludes coverage of lnsured and all employees of insured rnaintaLnl.ng, using or operatlng any Eotor vehicle ln.the perforr ance of the work under contracts with Oklahona Clty Urban Renewal Authority. :tJrrtQenpsshensive General Ltabtltty Insurance provLdes coverage to insured for legal 1labiLity arlsLng from oceurrences tn the performance of the work under contracts with Oklahona Clty Urban Renewal Authortty and includes coverage for: YES NO -Tnrqutnrol and Property damage caused byr{tlca&16&rg* e:cplloston . collapse of or structural tnJury to any b{tldlng or structure. (Required when hazards are Lnherent in operatlons under contract to whLch tnsurance ap- p1tes. ) x Property damage to underground utilltles md facill- ties. (Requlred when hazards are inherent in oper- ations under contract to which {nsurance applles.) x rtrtrtrtf,onlaactual Liablltty Coverage Lncludes coverage for the City of Oklahoma Ctty and the Oklahoua Clty Urban Renewal Authority ln accordance with the indernnity provisions contained ln contracts between the insured and the Oklahoma City Urban Renewal Aut.hority. 6-L9-79 The Travelers Indemnitv Companlz Date (Nane of Insurance Company) I By 5..- /-''2'2 (Authorized Representat ive ) 3035 N.W.63rd. St. 7 ress A-22