o o- tt- 73 fo o t's 7!R. H-n, JIM LOOKABAUGH, cHA K, RVEY P. EVEREST. vrcE F. C. HARR JIMMY -k4 -,€ l^ ,i KLAFIO a COLCORD BUILDING o 'l 5 NORTH ROBINSON . OKLAHOMA CITY, OKLAHOMA 73102 o LEPHONE 235-3771 JAMES B. WHITE ExEcUTIvE DIREcToR September ...
o o- tt- 73 fo o t's 7!R. H-n, JIM LOOKABAUGH, cHA K, RVEY P. EVEREST. vrcE F. C. HARR JIMMY -k4 -,€ l^ ,i KLAFIO a COLCORD BUILDING o 'l 5 NORTH ROBINSON . OKLAHOMA CITY, OKLAHOMA 73102 o LEPHONE 235-3771 JAMES B. WHITE ExEcUTIvE DIREcToR September 21, L979 James J. Cook, City Manager City of Oklahoma City 200 North Walker Oklahoma City, Oklahoma 73102 Attention: Community Devel-opment Department, Mr. Jeff Ray, Director Subj ect : Certi-ficate of Insurance Contract No. R-35-5 Northeast Industrial Service Center John F. Kennedy Project No. Okla. R-35 Dear Mr. Cook: Transmitted herewith is an updated copJ, of the Certificate of Insurance submitted by the Contractor fol the subject contfact. If further information is necessary, please call this office. Yours very tru1y, Engi ing icer xS* LLL/Lil./d\^, {S"'$3 Enclosure S*F (,7'l OKLAITO].{A CITY IIRBA}i RE}IEI.IAL AUTHORITY A}ID TIII CITY OF OI3,AHO].{A CITY CERTIFICATE OF I}]SUR.['ICE FOR N.E. INDUSTRIAL SERVICE CENTER JOIN F. KENNEDY PROJECT NO. O.KLA. R-35 (fo be completed and furaished the Oklahona City Urban Rener.ral Authority in con- nection with all contracEs). THIS IS TO CERTIFY to the Oklahoroa City Urban Renewal Authority and the Ciry of Oklahoma City that the policies of Insurance (including endorsenents) described herein have been issued to the insured narned below hy the DELITY & GUARANTY (Insur Conpany of MARYI,AND (Ilome O fice and State of Incorporation with Ilmits of liability as set forth he in in the State of Ok1ahoma, covaring all operations perfo:=red by :he insured for the Olilahona City Urban Renewal Authority, and further to certify that said Pollcies are in fuI1 force and effect at this time. It ls agreed that none of these Policles will be cancelled or uaterialLy changed during the perlod of coverage, as stated herein until at least thirty (30) days written notice prLor to Cancellation or material change has been given by registered raail to the Oklahoma City Urban Renewal Authority Ensineering Department 15 North Robinson. Ok-lahoaa Clty. Oklairccra 7 3rA2 (Titl-e and Address) and that the Oklahona City Urban Renewal Aurhority and the Ciry of Oklahona Ciry will be luEnediately notified of any reducfion or posslble reductlon below 757! Ln the aggregate limits of any such policy due to loss or danage applicable to work performed for Oklahona City Urban Renewal Authcrity for whlch sald insurance applies. This certificate is lssued to the certificate holder, Oklahona City Urban Renerval Authcrity and the City of Oklahona City, in conslderation of the contract or contracts to be avrarded to tbf namect insured, and it is undetstood and agreed that the certificate holder relies on this ceitificate in the award of such contract or contracts to the named lnsured. 1 Insured: Inc. Address: P. O. Box 82549 2 Co-Insured: City of Oklahona CitY - 200 North Walker CO:;TR.1CT NO. R-35-5 q 3 Status of Insured: CorPoratLon Y Partaership IndlviduaL 0ther 4. Locatlon of operations covered by the policles described herein: State of Oklahona INSURANCE POLICIES IN FORCE Policy Effectlve ExpLration Limlts of Coverage Nr:mber Date Date Liab i1lty I. A. Workmenr s 1-56-3900- 9-30-79 9-30-80 A. Statutory Llnlt.s Compensation* fi4l24 B. Employersr B. Llability ffi II. Coaprehensive Automobile** B}'P 2329L5 9-30-79 9-30-80 A. Bodily Injury A. Eaeh Person t .00 requlred) Each Accident 500 000 ($500,000. 00 required) B. Property Damage B. Each Accident s00 000 ($t00,000. 00 required) [D RECii ' v', 9 sEP 12 1979 A-20 o C r.! R A tr R1NG ENG N t DEPT lnsurance Polleie-s i.n Force - Contd. icy Ef f ectlve E:rpLratLon Limits of Coverage Nrmber Date Date Liability III. Comprehensive 1CC C 96486 9-30-79 9-30-80 General Llabll- ltY*** A. Bodlly A. Each Person InJury 500 000 100,000.00 required Each Occurrence 500 000 ($SOO'000.00 required ) B. PropertY B Each Occurrence Damage 300,000 ($100,000.00 require d) Aggregate 500,000 ($S00,000.00 required ) IV Contractual Liabil-ltYtttt:t* lCC c 96486 9-30-79 9-30-80 A. Bodtly Injury A. Each Person ($i00,000.00 required) Each Occurrence 500r000.00 require d) B. Property Each Occurrence Damege B. 300 100,000.00 requir ed RECEIVED Aggregate sEP121979w RA 5 0 OC!.J ($SOO'000.00 requi red) EN : :':-RING A-2L No deductible provlslon pertainlng to coverages certlfled to on this certLficate exceeds a deductl.ble aroount of $ nil- Per occurrence. *Workmenrs Coupensatlon Lnsuralce lncludes coverage ln conplLance with the law of the State of Oklahoma. **Comprehensive Automoblle Insuiance lncl-udes coverage of Lnsured and all employees of Lnsured maintalninBr using or operatlng any Eotor vehicle ln the perforr ante of the work under contracts with Oklaliona Clty Urban Renewal Authority. *fr:tQsnprshensLve General Liabllity Insurance prowides coverage to lnsured for lega1 ltability arl.sing from occurrenees tn the performance of the work r:nder with Oklahona City Urban Renewal Authorlty and lncludes coverage for: "ootr""ts YES NO (REQUIRED) Property damage caused by bl-asting or orplosion and collapse of or structural injury to any bullding or structure. (Required when hazards are lnherent in operations under contract to whleh lnsurance ap- pIies. ) x Property damage to underground util-ltles aud facilt- ties. (Required when hazards are Lnhereat Ln oper- ations r:nder contract to whlch lnsurance appLles.) :t:t:trtQsngyactual Liability Coverage includes coverage for the City of oklahorna City and the Oklahona Ctty Urban Renewal Authorlty in accordance w'ith the indemnity provisions contained Ln contracts between the Lnsured and the Oklahoma Clty Urban Renewal Authority. Sep tember 11,1979 Date of fnsuiance Conp-iny) By (Authorized Representative) 72 P LO2 ress RECtI'v [D A-22 Sf P121979 e OCURA ENGINEERING DEPT