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HomeMy WebLinkAbout2025-03-17 I01H_03 Waukee Public Safety Building_Pmt Est 15AGENDA ITEM: CITY OF WAUKEE, IOWA CITY COUNCIL MEETING COMMUNICATION MEETING DATE: March 17, 2025 AGENDA ITEM:Consideration of approval of Payment Estimate No. 15 (Combined) for the Waukee Public Safety Building Project in the amount of $1,591,390.14. FORMAT:Consent Agenda SYNOPSIS INCLUDING PRO & CON: Work continues to progress in earnest on the Waukee Public Safety Building. Pay Estimate No. 15 for the Waukee Public Safety Building project covers general construction costs, overhead doors, framing and drywall, mechanical and plumbing, electrical, and audio-visual as well as several other smaller items associated with the project. FISCAL IMPACT INCLUDING COST/BENEFIT ANALYSIS: Payment Estimate No. 15 is in the amount of $1,591,390.14. COMMISSION/BOARD/COMMITTEE COMMENT: STAFF REVIEW AND COMMENT: RECOMMENDATION: Approve Pay Estimate No. 15 ATTACHMENTS: I. Pay Estimate No. 15 PREPARED BY:Brad Deets, City Administrator REVIEWED BY: PUBLIC NOTICE INFORMATION – NAME OF PUBLICATION: DATE OF PUBLICATION: I1H3 Document G736™ – 2009 Project Application and Project Certificate for Payment, Construction Manager as Adviser Edition AIA Document G736 – 2009 (formerly G722™CMa – 1992). Copyright © 1981, 1992 and 2009. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 12:46:24 ET on 03/07/2025 under Order No.4104251064 which expires on 03/14/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA4B) 1 APPLICATION NO:15 Distribution to:TO OWNER:City of Waukee 230 W. Hickman Road Waukee, IA 50263>>>>> PROJECT: Waukee Public Safety Building 815 NW 20th Street Waukee, IA 50263>>>>> PERIOD TO: February 28, 2025 ATTENTION:Brad Deets VIA CONSTRUCTION MANAGER:Ryan Companies US, Inc.PROJECT NOS:6173-000 / 21841001 OWNER: CONSTRUCTION MANAGER: ARCHITECT: OTHER : PROJECT APPLICATION FOR PAYMENT PROJECT CERTIFICATE FOR PAYMENT Application is made for Payment, as shown below, in connection with the Project. AIA Document G737™–2009, Summary of Contractors' Applications for Payment, is attached. 1. TOTAL CONTRACT SUMS (Item A Totals)28,868,514.50 2. TOTAL NET CHANGES BY CHANGE ORDERS (Item B Totals)232,773.77 3. TOTAL CONTRACT SUM TO DATE (Item C Totals)29,101,288.27 In accordance with the Contract Documents, based on evaluation of the Work and the data comprising this Application, the Construction Manager certifies to the Owner that to the best of its knowledge, information and belief the Work has progressed as indicated; the quality of the Work is in accordance with the Contract Documents; and the Construction Manager recommends to the Owner and Architect that the Contractors be paid the AMOUNTS set forth in the attached Summary of Contractors' Applications for Payment. 4. TOTAL COMPLETED & STORED TO DATE (Item F Totals)21,747,941.61 5. RETAINAGE (Item H Totals)1,087,397.08 6. LESS PREVIOUS TOTAL PAYMENTS (Item I Totals)19,069,154.39 TOTAL OF AMOUNTS CERTIFIED ...........................................................1,591,390.14 7. CURRENT PAYMENT DUE (Item J Totals)1,591,390.14 CONSTRUCTION MANAGER: By:Date: The undersigned Construction Manager certifies that to the best of its knowledge, information and belief this Project Application for Payment is an accurate compilation of the Contractors' Applications for Payment, attached hereto. CONSTRUCTION MANAGER: By:Date: State of: In accordance with the Contract Documents, based on evaluation of the Work, the data comprising this Application, and the Construction Manager's recommendation, the Architect certifies to the Owner that to the best of its knowledge, information and belief the Work has progressed as indicated; the quality of the Work is in accordance with the Contract Documents; and the Contractors are entitled to payments of the AMOUNTS set forth in the attached Summary of Contractors' Applications for Payment. County of: ARCHITECT: Subscribed and sworn to before me this day of By:Date: Notary Public: My Commission expires: Document G737™ – 2009 Summary of Contractors' Applications for Payment, Construction Manager as Adviser Edition AIA Document G737 – 2009(formerly G723™CMa – 1992). Copyright © 1992 and 2009. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 12:46:30 ET on 03/07/2025 under Order No.4104251064 which expires on 03/14/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADAA6) 1 APPLICATION NO.:15 APPLICATION DATE:March 06, 2025 AIA Document G732, Application and Certificate for Payment, has been completed by each Contractor. The content of those G732 forms is summarized below.PERIOD FROM:February 01, 2025 PERIOD TO:February 28, 2025 In tabulations below, amounts are in US dollars.PROJECT NOS.:Ryan Co.: 6173-000 / OPN: 21841001 0 A B C D E F G H I J K L DESCRIPTION OF WORK CONTRACTOR'S NAME ORIGINAL CONTRACT SUM NET CHANGES IN THE WORK CONTRACT SUM TO DATE WORK IN PLACE TO DATE STORED MATERIALS (Not in D or I) TOTAL COMPLETED AND STORED TO DATE (D + E) RETAIN- AGE % RETAINAGE AMOUNT PREVIOUS PAYMENTS CURRENT PAYMENT (F – H – I) BALANCE TO FINISH (C – F) % COMPL. (F ÷ C) General Const DDVI 2,905,000.00 23,942.98 2,928,942.98 1,448,332.94 390,661.00 1,838,993.94 5.00%91,949.70 1,429,133.88 317,910.36 1,089,949.04 62.79% Building Concrete Jordison Const 1,271,000.00 0.00 1,271,000.00 1,231,058.40 0.00 1,231,058.40 5.00%61,552.92 1,169,505.48 0.00 39,941.60 96.86% Precast Material Enterprise Precast 1,833,316.00 -2,822.13 1,830,493.87 1,833,316.00 0.00 1,833,316.00 5.00%91,665.80 1,741,650.20 0.00 -2,822.13 100.15% Steel Material TSF Structures 1,932,100.00 6,640.00 1,938,740.00 1,938,740.00 0.00 1,938,740.00 5.00%96,937.00 1,841,803.00 0.00 0.00 100.00% Erection Northwest Steel 1,064,188.00 13,560.00 1,077,748.00 1,077,748.00 0.00 1,077,748.00 5.00%53,887.40 1,000,409.14 23,451.46 0.00 100.00% Metal Panels Forman Ford 575,239.00 0.00 575,239.00 548,105.43 0.00 548,105.43 5.00%27,405.27 520,700.16 0.00 27,133.57 95.28% Roofing Academy Roofing 998,000.00 2,130.75 1,000,130.75 999,080.75 0.00 999,080.75 5.00%49,954.04 949,126.71 0.00 1,050.00 99.90% Glass & Glazing Ford Metro 1,069,100.00 934.54 1,070,034.54 1,044,444.54 0.00 1,044,444.54 5.00%52,222.23 973,934.81 18,287.50 25,590.00 97.61% Overhead Doors Skold Door 310,000.00 1,346.00 311,346.00 294,346.00 0.00 294,346.00 5.00%14,717.30 173,850.00 105,778.70 17,000.00 94.54% Frame & Drywall Hilsabeck Schacht 2,562,500.00 11,156.88 2,573,656.88 1,295,243.48 0.00 1,295,243.48 5.00%64,762.17 941,659.95 288,821.36 1,278,413.40 50.33% Fire Protection Elite Fire Sprinkler 364,700.00 0.00 364,700.00 349,700.00 0.00 349,700.00 5.00%17,485.00 301,368.50 30,846.50 15,000.00 95.89% Mech & Plumbing Kruck Plumbing 5,947,000.00 43,450.40 5,990,450.40 4,763,523.00 120,000.00 4,883,523.00 5.00%244,176.15 4,246,046.85 393,300.00 1,106,927.40 81.52% Elec & Comm Van Maanen 4,711,425.00 137,793.35 4,849,218.35 2,726,137.10 320,436.67 3,046,573.77 5.00%152,328.69 2,654,090.11 240,154.97 1,802,644.58 62.83% Audio-Visual TriCity Electric 602,832.00 0.00 602,832.00 6,000.00 176,636.09 182,636.09 5.00%9,131.80 5,700.00 167,804.29 420,195.91 30.30% Earthwork Wenthold 803,330.50 720.00 804,050.50 610,671.93 0.00 610,671.93 5.00%30,533.60 580,138.33 0.00 193,378.58 75.95% SWPPP Absolute 155,000.00 0.00 155,000.00 25,375.00 0.00 25,375.00 5.00%1,268.75 19,071.25 5,035.00 129,625.00 16.37% Site Concrete Jordison Const 1,110,000.00 5,781.00 1,115,781.00 548,385.28 0.00 548,385.28 5.00%27,419.26 520,966.02 0.00 567,395.72 49.15% Landscape & Irrig Alpha Landscapes 653,784.00 -11,860.00 641,924.00 0.00 0.00 0.00 5.00%0.00 0.00 0.00 641,924.00 0.00% 0.00 0.00 0.00 0.00 0.00 0.00 0.00%0.00 0.00 0.00 0.00 0.00% 0.00 0.00 0.00 0.00 0.00 0.00 0.00%0.00 0.00 0.00 0.00 0.00% TOTALS $28,868,514.50 $232,773.77 $29,101,288.27 $20,740,207.85 $1,007,733.76 $21,747,941.61 5.00%$1,087,397.08 $19,069,154.39 $1,591,390.14 $7,353,346.67 74.73% Waukee Public Safety Building: Pay Application No. 15 Pay Apps Due to Ryan Co: 02/23/2025 Pay Apps Due to OPN: 3/03/2025 Council Packet Info to Waukee: 3/12/2025 by midnight Council Approval: 3/17/2025 Payment Due to Prime Contractors no later than: 3/31/2025 Prime Contractors Current (less retainage) Bid Package #1: General Construction (DDVI)$317,910.36 Bid Package #2: Building Concrete (Jordison Construction) Bid Package #3: Precast Material (Enterprise Precast) Bid Package #4: Steel Material & Misc. Metals (TSF Structures) Bid Package #5: Precast & Steel Erection (Northwest Steel)$23,451.46 Bid Package #6: Metal Panels (Forman Ford) Bid Package #7: Roofing (Academy Roofing) Bid Package #8: Glass & Glazing (Ford Metro)$18,287.50 Bid Package #9: Overhead Doors (Skold Door)$105,778.70 Bid Package #10: Framing, Drywall & Ceilings (Hilsabeck Schacht) $288,821.36 Bid Package #11: Fire Protection (Elite Fire Sprinkler)$30,846.50 Bid Package #12: Mechanical & Plumbing (Kruck Plumbing & Heating) $393,300.00 Bid Package #13: Electrical & Communications (Van Maanen Electric) $240,154.97 Bid Package #14: Audio-Visual (Tri-City Electric)$167,804.29 Bid Package #15: Earthwork & Utilities (Wenthold Excavating) Bid Package #16: SWPPP (Absolute Group)$5,035.00 Bid Package #17: Site Concrete (Jordison Construction) Bid Package #18: Landscaping & Irrigation (Alpha Landscapes) Pay Application Subtotal $1,591,390.14 APPLICATION AND CERTIFICATE FOR PAYMENT TO OWNER:City of Waukee Iowa PROJECT:Waukee Public Safety Facility APPLICATION NO.:234428-FEB25 Distribution to: 230 W Hickman Road PERIOD TO:2/28/2025 OWNER Waukee, IA 50263 VIA CONSTR MANGER: Ryan Companies, US Inc.PROJECT NOS.:ARCHITECT 111 E Grand Ave., Suite 200 CONTRACTOR FROM CONTRACTOR:SKOLD DOOR & FLOOR COMPANY Des Moines, IA 50309 5730 NE 17th Street Procore CONTRACT DATE:12/18/2023 Des Moines, IA 50313 VIA ARCHITECT: OPN Architects CONTRACT FOR:Sectional Overhead Doors The undersigned Contractor certifies that to the best of the Contractor's knowledge, infor- CONTRACTOR'S APPLICATION FOR PAYMENT mation and belief the Work covered by this Application for Payment has been completed Application is made for payment, as shown below, in connection with the Contract.in accordance with the Contract Documents, that all amounts have been paid by the Continuation Sheet, AIA Document G703, is attached.Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM……………...…………………..$310,000.00 2. Net changed by Change Orders ……………………...…….$1,346.00 CONTRACTOR: 3. CONTRACT SUM TO DATE (Line 1 + 2) …………...……………$311,346.00 4. TOTAL COMPLETED & STORED TO DATE ……...…………$294,346.00 By:_________________________________Date:__________________February 24, 2025 (Column G on G703) 5. RETAINAGE:State of: IOWA a. _5_ % of Completed Work $14,717.30 County of: POLK (Column D + E on G703)Subscribed and Sworn to before b. _5_% of Stored Material $0.00 me this day: (Column F on G703) Total Retainage (Line 5a + 5b or Total in Column I of G703)$14,717.30 6. TOTAL EARNED LESS RETAINAGE………………………..$279,628.70 (Line 6 less Line 5 Total)Notary Public: 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT CERTIFICATE FOR PAYMENT (Line 6 from prior Certificates)……………………………………………………$173,850.00 8. CURRENT PAYMENT DUE …………………………………….$105,778.70 In accordance with the Contract Documents, based on on-site observation and the data 9. BALANCE TO FINISH, INCLUDING RETAINAGE comprising this application, the Construction Manager and Architect certifies to the Owner (Line 3 less Line 6)$31,717.30 that to the best of their knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS AMOUNT CERTIFIED…………………...……………..$______________ Total changes approved in previous months by Owner $0.00 $0.00 Total approved this Month $1,346.00 $0.00 to the amount certified.) TOTALS $1,346.00 $0.00 CONSTRUCTION MANAGER: NET CHANGES by Change Order $1,346.00 By:_________________________________Date:__________________ ARCHITECT: By:_________________________________Date:__________________ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Con- tractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. (Attach explanation if amount certified differs from the amount applied for Initial all figures on this Application and on the Continuation Sheet that are changed to conform February 24, 2025 CONTINUATION SHEET AIA DOCUMENT G703 PAGE 1 OF 1 PAGE APPLICATION NO: 234428-FEB25 Skold Door & Floor Company, Inc.APPLICATION DATE:2/24/2025 5730 NE 17th Street PERIOD TO:2/28/2025 Des Moines, IA 50313 PROJECT NO: CONTRACT FOR: CONTRACT DATE: 12/18/2023 A B C D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL %BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G/C)TO FINISH APPLICATION STORED AND STORED (C-G) (D+E)(NOT IN TO DATE 5% D OR E)(D+E+F) Spec Section 08 3613 Sectional Overhead Doors 1 Shop Drawings 5,000.00 5,000.00 5,000.00 100%0.00 250.00 2 Material 110,000.00 110,000.00 110,000.00 100%0.00 5,500.00 3 Installation 8,200.00 0.00 0%8,200.00 0.00 Spec Section 08 4333 Four-Fold Doors 4 Shop Drawings 5,000.00 5,000.00 5,000.00 100%0.00 250.00 5 Material 166,900.00 166,900.00 166,900.00 100%0.00 8,345.00 6 Installation 8,800.00 0.00 0%8,800.00 0.00 7 P&P Bond 6,100.00 6,100.00 6,100.00 100%0.00 305.00 8 CR036 1,346.00 1,346.00 1,346.00 100%0.00 67.30 GRAND TOTALS 311,346.00 183,000.00 111,346.00 0.00 294,346.00 95% 17,000.00 14,717.30 Invoice #: 327972APPLICATION AND CERTIFICATE FOR PAYMENT 1Page Contractor Architect Owner Distribution to : 87A176370 City of Waukee Public Safety Contract Date:Date: Project Nos: Contract For: Via Architect: Tri City Electric Co of Iowa CorpFrom Contractor: Ryan Companies Project:To Owner: 2 Period ToTo: Application No. : 111 E Grand Ave, Suite 200 6225 N Brady St Davenport, IA 52806 Des Moines, IA 50309 Application Date 2/18/2025 Due Date :3/20/2025 $0.00 $9,131.80 day ofSubscribed and sworn to before me this County of:State of: 4. Total Completed and Stored To Date . . . . . . . . . . . . . . . Notary Public: $8,831.80 5.00%of Stored Materialb. Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet is attached. a. 5. Retainage : $300.00 ARCHITECT'S CERTIFICATE FOR PAYMENT My Commission expires: $167,804.29 5.00% By:____________________________________Date:______________$182,636.09 $602,832.00 Tri City Electric Co of Iowa CorpCONTRACTOR: $602,832.00 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information, and belief, the work covered by this Application for Payment has been completed in accordance with the Contract Documents. That all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. $5,700.00 $173,504.29 In accordance with the Contract Documents, based on on-site observations and the data comprising the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information, and belief, the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 1. Original Contract Sum . . . . . . . . . . . . . . . . . . . . . . . . . . 8. Current Payment Due . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Less Previous Certificates For Payments . . . . . . . . . . . . 6. Total Earned Less Retainage . . . . . . . . . . . . . . . . . . . . . . Total Retainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . of Completed Work 3. Contract Sum To Date . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Net Change By Change Order . . . . . . . . . . . . . . . . . . . . CONTRACTOR'S APPLICATION FOR PAYMENT CHANGE ORDER SUMMARYRY Additions Deductions Total changes approved $0.00 $0.00 Total Approved this Month TOTALS $0.00$0.00 Net Changes By Change Order $0.00 9. Balance To Finish, Plus Retainage . . . . . . . . . . . . . . . . .$429,327.71 AMOUNT CERTIFIED (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) ARCHITECT: This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment, and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. in previous months by Owner By:____________________________________Date:______________ $167,804.29 $0.00 $0.00 February 202519th October 19, 2026 ScottIowa 2/19/25 CONTINUATION SHEET Page 2 of 2 (Not in D or E)(D+E+F) To Date(D+E) Application In Place Stored and Stored No.Value From Previous This Period Presently Completed (G / C)To Finish (C-G) Item Total Description of Work Scheduled Materials %Balance RetainageWork Completed A B C D E F G H I Contract : 87A176370 City of Waukee Public Safety 327972Invoice # : Architect's Project No.: To: 2/18/2025Application Date : 2Application No. :Application and Certification for Payment, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply.Due Date : 3/20/2025 0.00 0.00 0.00% 0.00 0.00 0.00 0.00 0.001City of Waukee Public Safety 300.00 6,000.00 100.00% 6,000.00 0.00 0.00 6,000.00 0.002Submittals 1,435.35 0.00 100.00% 28,707.06 28,707.06 0.00 28,707.33 0.273AV Rough-in Material 0.00 0.00 0.00% 0.00 0.00 0.00 18,500.00 18,500.004AV Cabling 7,396.45 0.00 31.47% 147,929.03 147,929.03 0.00 470,000.00 322,070.975AV Material 0.00 0.00 0.00% 0.00 0.00 0.00 68,124.67 68,124.676AV Installation 0.00 0.00 0.00% 0.00 0.00 0.00 9,000.00 9,000.007AV Testing 0.00 0.00 0.00% 0.00 0.00 0.00 2,500.00 2,500.008Training 6,000.00 0.00 176,636.09 182,636.09 30.30% 420,195.91 9,131.80Grand Totals 602,832.00 ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( General Counsel Tri-City Electric Company of Iowa ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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 rights to the certificate holder in lieu of such endorsement(s). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANYP ROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 2/19/2025 Hub International Iowa dba Ruhl & Ruhl Insurance 212 Brady Street; Suite 4B Davenport IA 52801 Laura Foust, CPCU, AAI, CRIS, CISR 563 823 6734 866-873-6117 laura.foust@hubinternational.com Travelers Property Casualty Company of America 25674 TRI-ELE-02 Tri-City Electric Company of Iowa 6225 North Brady Street Davenport IA 52806 1559955357 X 1,000,000 X 300,000 10,000 1,000,000 2,000,000 X X X Y Y 2,000,000 1,000,000 X X X X X 10,000,000 10,000,000 X 0 N Y 1,000,000 1,000,000 1,000,000 A Stored Materials 630-1T883350 4/1/2024 4/1/2025 Limit:See Description Bx RE: Waukee Public Safety Facility Project Stored Material Value $176,636.09, Stored at 1405 Thomas Beck Rd, Des Moines, IA 50315 City of Waukee, Iowa is Loss Payee. City of Waukee Iowa 230 W Hickman Road Waukee IA 50263 DT-CO-7W579827