EA E JIM LOOKABAUGH. cxntnuer HARVEY P, EVEREST. vrcE cHATRMAN F. C. LOVE. sEcREraRY W. M, HARRISON, assrsr^Nr sEcFEraRy Jl MMY STEWART, coMrrssroNER KLAFIO a COLCORD BUILDING . 15 NORTH ROBINSON . OKLAHOMA CITY, OKLAHOMA 73102 o TELEPHONE 235-3771 J...
EA E JIM LOOKABAUGH. cxntnuer HARVEY P, EVEREST. vrcE cHATRMAN F. C. LOVE. sEcREraRY W. M, HARRISON, assrsr^Nr sEcFEraRy Jl MMY STEWART, coMrrssroNER KLAFIO a COLCORD BUILDING . 15 NORTH ROBINSON . OKLAHOMA CITY, OKLAHOMA 73102 o TELEPHONE 235-3771 June 2J-, L979 JAMES B. WHITE ExEcuTtvE DtREcroR James J. Cook, City Manager City of Oklahona City 200 N. Walker Oklahoma City, Oklahoma 73LO2 Attention: Community Development DePt., Mr. Jeff Ray, Director Subj ect: Certificate of Insurance, Contract No. R-35-5 Demolition and Site Clearance, Phase John F. Kennedy Project No. 0k1a. R-35 Dear Mr. Cook: Transmitted herewith is an originally signed copy of the Certificate of Insurance submitted by the contractor, Waldrop Brothers, Inc., for the subject contract. This insurance certificate indemnifies the City of Oklahoma City in accordance with our indemnification agreement dated December 20, 1972. If further information is necessary, p1-ease call this office. Yours very truly, E,?:xe l: _r: _-JL] r\J - I -,'l i-J L -F '1i tj, cer --,;, t,_--( =I--, rn -rH :\5 LLLIc}j. I'rr:" -o. fi)-* '; 2( r: !€ Enclosure i; o R;Ci.l'tri,D 51979> l\ JUN 2 OFFICE OF THE (\ iirv vtnunorR 't_. V ' {rn 2L, L979 I i 1 ,n J. €o.&r C,fff th*fs Gtty of OLIrtan Clty 30O E. ILltrr €hf$m Citr, *kLm ,t1O3 Att*lar €d.t7 arlrllgmtnDcpt.l +. +ff lry' Dlrrctor t Slret: crtlflcrsr of lu*rmcr, c*dr.c Ic. l-!5-5 Dclt'tta 0a tlta Clrmrnecrllhrr J& f. fmfy ?Atrct Ia. Cl,r. f-:15 Deer l{r. Sook: trasoal.tted harevLth Lo ea orlg$nally copy of the Csrtr"ficcta of luaursrcc subsltted by the cortr*ctor, l0eldrcp Ir!G,, for the r$Ject coatract. Ihls lnsuragce ecrtlflaata l*dem{ftae Ctty of, 0hlahona Cltf in *ecatd*aee stth our tndml.ftc*tL€a Bgr&@nt dated 20, 1912. If fi,rrthar inforpatlso l,s rreeg*s*r-Tt crl.l tbls sfffce. rery truly, *liI L. LIF?E T Offlccr Ilt/gt ebct t I I a INSTRUCf,IONS TO CONTRACTORS A. The Contractor eha11 dellver the Insuraace Certlflcate to hls Insurance C,arrler. for coupletlon and return to Oklahona Clty Urbao Reaeval Authority, ln care of eerlus Dipartuent at 15 Nor th Roblnson. Oklahcma Clty, Oklahoua 73102 lhe Insurance Certlflcatp ehall be ln such forr and the lnsurance carrled lni such lasurance coropanles as tre Batlsfactory to the OLlahooa Clty Urban Renesal Authorlty. B. Ttre Contractor shall furnlsh the Certlflcate descrlbed bereln to the Oklahona Clty Urban Renewal Authorlty for lts approval and acceptance before corTo'rencl'ng any uork under any contract to whlch thls lusuraace applies. Coatract No. ' <-:,- " A- 18 q OKI.AHO}.IA CITY URBAN RE}JR^IAI, AUTHORITY A}ID TIII CITY OF OiS,AHO}I,A CITY CERTIFICATE OF I}ISURA'ICE for CENTER FOR OKLAHOMA CITY NORTHEAST, INC. JOHN F. KENNEDY PROJECT NO. OKLA. R-35 (To be coropleted and furnlshed the oklahoma City Urban Rener.ral Authority ln con- nection with all contracts). THIS Is To CERTIFY to the oklahoma City Urban Renewal Authority and the City of oklahona City that the policies of rnsuranoe (including endorsLrDenrs) described herein have been issued to the lnsured named be.low ty tire (l) l-^'rTm s?A'i'E$ F:}l:!-ITY & t!:&ilAarTl' fo. (?) itourlton c*u,*ral" 1n*. r1n" i (rnsurance Conpany) (l) }o.Ltt*roro .;il. (?) Fort ',:ertlr. of Tx. o fice and State of Incorporatlon wtth llaits of 1iabillty as set forth herein in the State of oklahona, covering all operations performed by:he Lnsured for the oklahona City Urban Renewal Authority, and further to certify that said Pollcies are in full force and effect at this time. It ls agreed that none of these Policles will be cancelled or naterially changed during the perlod of coverage, as stated herein until at least thirty (30) days written notlce prLor to cancellation or material change has been glven by registered uall to the Oklahoma City Urban Renewal Authority lneer in De artment 15 North Robinson Oklahona Cit Oklal:oru 73L02 itle and Address) and that the Oklahona City Urban Renewal Authorlty and rhe City of Oklahona City will be lmmediately notified of any reduct lon or posslble reductlon be\ow 752 ln the aggregate limits of any such polley due to loss or danage applicable to work performed for Oklahorna City Urban Ren ewal Authority for which sald insurance applies. This certificat.e is issued to th,e certlficate holder, Oklahona City Urban Renerval Authoriry and the Ciry of Oklahoma City, ln consideratlon of the contract or contracts to be avrarded to the naped lnsured, and 1t is understood and agreed that the certificate holder re1:ies on this certiflcate in the award of such contrac t roJ,,;;lti;o"i1-i*ttf tnli. named insured. Tr, $_ l}*r "lrl/rq .rtrldrorrra i1! ty 1. Insured: Address: 2, Co-Insured: City of Oklahoma City - 200 North Walker CONTRACT NO. -- 9- '- 3. Status of Insured: Corporation PartnershLp Individual Other 4. Locatlon of operations covered by the pollcl.es descrlbed herein: State of Oklahoma INSURAI{CE POLICIES IN FORCE Policy Effective Explration Llnlts of Coveraqe Nr:mber Date Date Liabtli tv l. I'{ ?q$fi *fi$*/;f I. A. Workmenrs A. Statutory Llmits Compensation* 'e[l llt' .alr17? B. Enployersr B. 3l"{ *ilit.$rt Liab11lty C$f00,000. 00 required) { l} {,n!ieol it,.lrias t! lol!.ty {:o {lr:Rr&r:tty Cn. II. Comprehensive i.i.1|. at,.!{".r. 9lt l7') ?l I AutomobLle** /?s A. Bodlly InJury A. Each Person $I'r# rlQ|t (forebi.n+d " " ')n 91nr1o ($100,000. 00 required) 1.!.n{t) Each Accident Inc'!.uda;3 ($S00,000. 00 requlred) B Property Damage B. Each AccLdent Ine 1iliad ($tOOr000.'00 required) (t) 1t*dt*,1 lltat.rr F!rial:!.t.t, l* .'.ltsrrnty Co, ixcasr Lt.alitttty (?) Iarbrlr Tns" fn. frf,x677 )'$ e tt !?" lll.llrtt SI fitrr 1nf1.i!+ L{rqlt A-20 lnsurance Poltci.es iIr Force - Contd. Poltcy Ef f ectlve E:rplratLon Lin:its o f Coverage Nrober Date Date Liability III. Comprehensive lCC C ?}rX), qllll\ e lt 17* General LlablL- itYtt*l' A. Bodily A. fffi| r',ff.?ef InJury ($tOO,OOO. 00 required) Each Occurrence $lno 0q4.oo ($s00,000.00 required ) B. Property B Each Occurrence Damage 9!ff!. nnn,1')ll $100,000.00 required Aggregate ,loo +40"oc ($SOO'000.00 require d) (l) Ilnltod $tatct Ftdrf,ltf & {,"uafinty eo. IV Contractual LiabilltYtttt't* A. Bodl1y InJury A. Each Person t10q tn{} , f}n ($100,000.00 requi red) Each Occurrence t1n,!, *04.,)tJ ($5oo,ooo.oo require d) B. PropertY Damage B Each Occurrence $lo0 nno.no ($100,000.00 required ) Aggregate tl*r.' nno.0o ($5oo,ooo.oo required ) (1) Ijnlt.d $titts !'d.rleltty & Cuetmty Co. A-21 No deductible provisLon pertain lng to coverages certified to on this certiflcate exceeds a deductlble amount of ( :iTI, Per occurrenee. *Workmenf s Compensatlon Lnsura.sce lncl-udes coverage ln coopliance with the lav of the State of Oklahoraa. **Coroprehensive Autornoblle Insurance includes coverage of Lnsured and all employees of insured nalntaining, uslng or operatLng any motor vehicle ln the perforrn- ance of the work under contracts with Oklahoma City Urban Renewal Authorlty. *fr:tQs!0prghenslve General Liabllity Insurance prowldes coverage to insured for 1egal llability arLsing fron occurrences ln the performance of the work r:nder contracts wlth Oklahoma City Urban Renewal Authorlty and Lncludes coverage for: -Gaur[Et)YES NO Property damage caused by blasting or orplosion and collapse of or structural- inJury to any butlding or structure. (Required when hazards are Lnherent ln operations under contract to whlch tnsurance ap- Y plies. ) Property damage to underground utilltl.es atrd facili- tf"". inequiied when hazards are lnherentl ln oper- ations under contract to whlch Lnsurance applles.) rt:trtrtQeng3actual Liabiltty Coverage incl-udes coverage for the Clty of Oklahona City and the Oklahorna City Urban Renewal Authority in accordance with the indemtity provisions contained in contracts between the insured and the Oklahoma City Urban Renewal Authority. trl llerhor lat, ro. !'g,e 7. 19rq (tt Iulto.l statra tf .iellty fi {'uarnr:ty fo. Date CNane of Insurance Company ) ,) t lzed Rep resenta tive Ali Lr-1u,,,.r,,-- - i -J;iiiits orffifiofif8,?'SktrlFlna S A-22