Loading...
HomeMy WebLinkAboutAGENDA REPORT 1991 0320 CC REG ITEM 08J //(./ 3C/5 ;TEM . �. CITY MANAGER APPROVED CONTRACTS et7HCbiet c ///v, 9/—/ r Contractor: Republic Fence Company Date of Contract: March 4 , 1991 Contract Amount: $2, 370 Year to Date for this Contractor: $2, 370 Purposes (s) : Repair fences at certain locations Construct fences at certain locations Location(s) : 1. N/S LA Ave. East of Shasta 2 . Bard North of First St. 3 . Fitch 4. Zachary Date(s) of Performance: March 11 - March 22 Other Information: City Council Agenda: March 20, 1991 3P7A.2K, CALIFORNIA City Cou II Mooting of ) 1991coz ACTIOIV:1� r c/r) AMBIENT FOR CONTRACT SERVICES ►I.� T I$. AGREEMENT, made and entered into this �"�` day of hlkaK , 19 `Lk , between the CITY OF MOORPARK, a municipal corporation, hereinafter referred to as "City" and REPUBLIC FENCE COMPANY, a Private Contractor, hereinafter referred to as "Contractor". WITNESSETH WHEREAS, City desires to have constructed and/or repaired certain chain link fences described in Exhibit "A," hereinafter referred to as "Project"; and WHEREAS, Contractor has reviewed a Request for Quotation issued by the City for said Project and has prepared a proposal to perform the work described therein; and, WHEREAS, Contractor possess the qualifications and licenses required by law to perform the services required in connection with said Project; and WHEREAS, City desires to retain Contractor for services hereinafter described in connection with said Project. NOW, THEREFORE, it is hereby agreed by and between the parties that: 1. DEFINITIONS: As used in this Agreement, the following definitions shall be applicable: a. Services: Services shall mean the services to be performed by Contractor pursuant to this Agreement. b. satisfactory: Satisfactory shall mean satisfactory to the City Manager of the City and designated person he has appointed to over see the project. 2. SCOPE OF SERVICES: Contractor agrees to perform for, and furnish to City, the services described in the proposal attached hereto and incorporated as Exhibit "A", dated February 15, 1991, which proposal is modified as follows: a. Location "Y" shall be deleted from the Scope of Work. b. The Total price shall be' reduced by the total amount bid for Location "Y". Contr<5000:PW/Fence.rep ul-I$ 3. PAYMENT: Upon satisfactory performance of the services hereinabove described in "SCOPE OF SERVICES" , Contractor shall receive said compensation after the final approval of completed work in the lump sum amount of $2,370.00. Should City request in writing additional services that increase the hereinabove described "SCOPE OF SERVICES", an additional fee based upon Contractor's standard hourly rates shall be paid to Contractor for such additional services as agreed to by the City. 4. TIME FOR PERFORMANCE: Contractor agrees that it shall diligently and responsibly pursue the performance of the services required of it by this Agreement and that said services shall be completed within fifteen (15) (working) (calendar) days after the execution of this Agreement in accordance with the Project Schedule attached hereto, and incorporated herein, as Exhibit A. If a delay beyond the control of Contractor is encountered, a time extension may be mutually agreed upon in writing by City Manager of City and Contractor. Contractor shall present documentation satisfactory to City Manager to substantiate any request for a time extension. 5. SUSPENSION. TERMINATION OR ABANDONMENT OF AGREEMENT: For good cause, City may, at any time, suspend, terminate or abandon this Agreement, or any portion hereof, by serving upon Contractor at least fifteen (15) days prior written notice. Upon receipt of said notice, Contractor shall immediately cease all work under this Agreement, unless the notice provides otherwise. Within thirty-five (35) days after service of said notice, City shall pay Contractor the total value of the services rendered by Contractor to the date that work is to be ceased pursuant to this section. If City suspends, terminates or abandons a portion of this Agreement such suspension, termination or abandonment shall not make void or invalidate the remainder of this Agreement. 6. BREACH OF CONTRACT: If Contractor defaults in this Agreement, it shall have ten (10) days after service upon it of written notice of such default in which to cure the default by rendering a satisfactory performance. In the event that Contractor fails to cure its default within 2 such period of time, City shall have the right, notwithstanding any other provision of this Agreement, to terminate this Agreement without further notice and without prejudice to any other remedy to which it may be entitled at law, in equity or under this Agreement. 7. BANKRUPTCY: City shall have the right, notwithstanding any other provisions of this Agreement, to terminate this Agreement, at its option and without prejudice to any other remedy to which it may be entitled at law, in equity or under this Agreement, immediately upon service . of written notice of termination on Contractor, if the latter should: a. Be adjudged a bankrupt; b. Become insolvent or have a receiver of its assets or property appointed because of insolvency; c. Make a general assignment for the benefit of creditors; d. Default in the performance of any obligation or payment of any indebtedness under this Agreement; e. Suffer any judgement against it to remain unsatisfied or unbonded of record for thirty (30) days or longer; or f. . - Institute or suffer to be instituted any procedures for reorganization or rearrangement of its affairs. 8. OWNERSHIP OF DOCUMENTS: Upon satisfactory completion of, or in the event of termination, suspension or abandonment of, this Agreement, all original documents, designs, drawings and notes if any, prepared in the course of providing the services to be performed pursuant to this Agreement shall become the sole property of City and may be used, reused or otherwise disposed of by City without the permission of Contractor. 9. INDEPENDENT CONTRACTOR: Contractor is and shall at all times remain as to City a wholly independent contractor. Neither City nor any of its officers, employees or agents shall have control over the conduct of Contractor or any of Contractor's officers, employees, servants or agents, except as herein set forth. Contractor shall jot at any time or in any manner represent that it or any of its officers, employees, servants or agents are in any manner officers, employees, servants or agents of City. 3 10. LEGAL RESPONSIBILITIES: Contractor shall keep itself informed of State and federal laws and regulations which in any manner affect those employed by it or in any way affect the performance of its service pursuant to this Agreement. Contractor shall at all times observe and comply with all such laws and regulations. The City and its officers, employees, servants and agents shall not be liable at law or in equity occasioned by failure of Contractor to comply with this section. 11. NOTICE: Whenever it shall be necessary for either party to serve notice on the other respecting this Agreement, such notice shall be served by certified mail, postage prepaid, return receipt requested,addressed to City, c/o City Manager at 799 Moorpark Avenue, Moorpark, CA 93021, and to Contractor at Republic Fence Company, 20920 Itasca Street, Chatsworth, CA 91311, unless and until different addresses may be furnished in writing by either party to the other. Notice shall be deemed to have been served seventy-two (72) hours after the same has been deposited in the United States postal service. This shall be a valid and sufficient service of notice for all purposes. 12. ASSIGNMENT: Contractor shall not assign the performance of this Agreement, nor any part thereof, nor any moneys due hereunder. 13 . LIABILITY INSURANCE: Contractor shall secure from a good and responsible company or companies doing insurance business in the State of California, pay for, and maintain in full force and effect for the duration of this Agreement a policy of comprehensive liability insurance and shall furnish a Certificate of Liability Insurance to the City Manager of City before execution of this Agreement by City. Notwithstanding any inconsistent statement in the policy or any subsequent endorsement attached thereto, the protection offered by the policy shall: a. Include City as the insured or named an additional insured covering their services to be performed under this Agreement, whether liability is attributable to Contractor or City. b. Insure City and its officers, employees, servants and agents while acting within the scope of their duties under this Agreement against all claims arising out of, or in connection with, the Agreement. 4 S abe;sod 'TTem paza;sTbaa Aq pat;t;ou aq iiegs A TO 'zanaos;eqn uoseaz Cue zo; AUTTod lions ;o uoT;eTTaaueo pasodozd zo uoTlEZTdxa JO ;Uana ag; uT 'gegg paptnozd sT ;T Agazagm zapiz a paq eq;e aneq 'Tells zo quamaszopua ue zeaq Hugs dotiod aoueznsuT uoT;esuadmoa dzaita •got;oas STgq I;TM ATdmoa o; que;TnsuoD alp ;o aznjta; Aq pauoTse000 ,L;Tnba zo MPT uT smTPTO .Cue 10; aTgTsuodsaz aq ;ou TTegs squab's pue squenzas 'saadoidma 'siaaT;;o sqT pue KyTO aqy Aq ;uamaazby sTqg ;o uoT;noaxa azo;aq ,C;TO ;o zabeueyjAgTO agq o; aauaznsuI 3o a;soT;tgza0 a gsTuzn; flags pue 'aaueznsui uoTgesuadmo0 ,szaxzoM a;aTdmoo ';uamaazby sup ;o uoT;eznp eqq zo; goa;;a pue aazo; Ting uT bUTuTequTem pue zo; buTded 'buTznoas Aq apo0 zogeq all; 30 008E uoTgoas ggiM ATdmoo osTe 'Tags zogaazguo0 •xzoM aqq ;o due buTouammoo azo;aq eouaznsuT-;Tas axa;zapun o; zo uoT;asuadmo0 ,szaxzoM ;o AgTTTgeTT gsuTebe paznsut aq o; zadoidma dzana buTzinbaz 'epo0 zogwj ell; ;o ooLE uoT;oas I;TM didmoo TTTM pue ';o aznne me I :uoT;e0T;Tgaaa paubTs buTMoiio; am; AgTO ;o zabeuew A;TO alg inTM aiT3 TTegs zogaezquo0 'AgT0 Aq queues/by sup ;o not;noaxa azo;eg :SON'd2IIISNI NOLLYSN2dNOO ,s I2 NOM 'VT •ani;aa;;a sT uoT;eTTaouao zo uoT;eztdxe azo;eq sAep Cot) ,CgzTt uagg ssaT ;ou 'pa;senbaz ;dTaoaz uzngaz 'ptedazd abegsod 'item paza;stbaz Aq paTJT;ou eq TTegs A TO 'zanaosgpgm uoseaz .Cue zo; AaTTod mans ;o uoTgeTTaoueo pesodozd zo uoT;2JTdxa ;o ;uana ettg uT 'qet. pepTAozd sT ;T Agazagn aepTa a pagae;ge anal iiels zo ;uamaszopue up nag •p maload ago gel; atom buTzanoa 'C;TO og aigegdeaae eou ansuT aTT; ,Cel zogaez;uo0 •S;TmTT mnmTuTm peiunbaa egg oq ;uaTenTnbe pazapTsuoa eq TTTM 000'005$ 3o ;uncap agq uT s;ilii a;ebazbbe q;TM ,CoTTod ;ilii aTbuTs pautgmoa Y a;ebazbbe 000'005$ aauazznoao gone 000'005$ - abemeo A;zadoad suoTgezado pa;aTdtuoa 9 s;anpozd a;ebaz5be 000'005$ eouazzn000 goes 000'005$ uoszad goea 000'005$ - ,CznCuI ,CTTpog :sgtuTT mnUTuTm buTMoiio; etp epTAozd •0 prepaid, return receipt requested, giving Contractor a sufficient time to comply with applicable law, but in no event less than thirty (30) days before expiration or cancellation is effective. 15. ATTORNEY'S FEES: If any action at law or suit in equity, including an action for declaratory relief, is brought to enforce or interpret any provision of this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and necessary disbursements, in addition to any other relief to which it may be entitled. 16. HOLD HARMLESS: Contractor agrees to indemnify, save, keep and hold harmless City and all of its officers and employees from all claims, actions, suits, damages, costs or expenses for legal services, that may at any time arise or be set up because of damage to property or injury or death to persons received or suffered by reason of, or arising out of, any act on the part of Contractor in regard to any function or activity carried out by Contractor in regard to any function or activity carried out by Contractor on behalf of City pursuant to the terms of this Agreement. 17. ENTIRE AGREEMENT: This Agreement and any documents or instrument attached hereto or referred to herein integrate all terms and conditions mentioned herein or incidental hereto and supersede all negotiations and prior writing in respect to the subject matter hereof. In the event of conflict between the terms, conditions or provisions of this Agreement and any such document or instrument, the terms and conditions of this Agreement shall prevail. 18. EFFECTIVE DATE AND NUMBER OF COPIES: This Agreement is made in two (2) duplicate originals and shall be effective from and after the date it is signed by the representatives of City. 19. GOVERNING LAW: This Agreement shall be governed by and constructed in accordance with the laws of the State of California. 20. VENUE: this agreement is made, entered into, executed and is to be performed in Moorpark, Ventura County, California, and any action filed in any court or for arbitration for interpretation, enforcement and/or otherwise of the terms, covenants and conditions referred to herein shall be filed in the applicable court in Ventura County, California. 6 • 21. CITY'S AGENT: The Moorpark City Manager shall have the right to review, coordinate and approve all work to be performed by Contractor pursuant to the terms of this Agreement and shall be the City's agent with respect to review, coordination and approval of the services to be performed by the Contractor. 22. INTERPRETATION OF AGREEMENT: Should interpretation of this Agreement, or any portion thereof, be necessary, it is deemed that this agreement was prepared jointly and equally, and shall not be interpreted against either party on the ground that the party prepared the Agreement or caused it to be prepared. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed the day and year first above written. CITY OF MOORPARK CONTRACTOR: Republic Fence Company / City Manager / z Title ES7`nnstn➢i5r Date N/ a/t-J1 4/ / 99/ Date 2- 2-5 -7/ 7 •uTazaq; peaTnba.z se s;uamnoop zaggo pue ('ISD 000'005$) aoueznsur ;o ;oozd apTAozd pus ;uamaazby ;oez;uoD a a;noaxa o} pa.zTnba.z eq TTegs zo;os.z;uop eq; ';oez;uoo a ;o p.zsMs uodp •9 •zappTq eqq ;o SUOT;eoT;TTenb ag; pus (pa;oaTas XJOM ;o adoos ag; zo;) eoTzd pTq eg; q;oq uodn paseq eq TTTM ;oez;uoo ;o p.zeme eta •g •sma;T g;oq zo; ;oez;uoo e spasms d;To ag; ;uana aqq uT pa;onpep eq o; (ARP ;T) ;unome ;Tpeio a 10; pepTAozd uaaq seg coeds y • y 'Z 4 T sma;I q;oq zo Z ma;I 'T ma;i zag;Ta zo; ;oez;uoo a piens o; ;gbTz aqq sanzeses A;To agy • £ •pasoToua mzod pTg eq; uo pa;;Tmgns eq pTnogs spTg •Z •spTq ;o uorssrmgns aq; o; zoTad s)IOM oTTgna jo zo;oaaTO eq; ;o uoT;ua;;e sq; o; Pmii PO aq mugs s;uamnoop buTppTq asaq; UT puno; saTouedalosTp zo stone Auy •sma;T Xao! alp ;o SUOT;BOOT aq; buT;eOTpuT pasoToua uaaq seq dem y *seas XzoM goes ;o e;Ts au; ;TSTA o; pue XIOM ;o adoos eq; jo uor;dTzosap pasoToua aq; auTmexa o; pabeznooua an szappTq pa;sale;ul 'T szappTg o; suoT;onz;sul uoT;onz;suop ; ITsdag aouag *in utegq List of Work Items Item Location Description la V Construct 4' high chain link fence barrier (4' long) at the east end of the sidewalk. . Fence posts to be set in dirt area at east end of Sidewalk. . Fence barrier to match similar existing barrier located approximately 1,500 feet to the east -- except City will provide N-4 warning sign. lb W Repair existing chain link fence barrier at the north end of Zachary Street. lc X Repair existing chain link fence barrier at the east end of Fitch Avenue. ld Y Repair existing chain link fence barrier at the east end of Peach Hill Road. 2 Z Construct chain link fence barrier at the north end of Bard Street. . Fence posts to be set in dirt area at east end of Sidewalk. . Fence barrier to match County Plate No. F-1 -- except City will provide N-5 warning signs. 4 al d. \\...... l 1 041.44: 1°------.. • • •N.- ate Ocs.....? © Mt Y © I Cti Lp 1P o ' 4 S....' , . f ���. 4. ` 4377YA�,a n •fFDAq CHRISTIAN I IS RONIN �+ 11°N7f,'9N Nl - GROVE STI \45„.....4" NO 37TH 7 P' ...,, " °�, $ 13 • .. \ •VISI MIBOtl AOMNS Z •'� �' �- 33tl039 NIS �.. 4 OH]Nd5 i. 3 INH3BNY ll3Nd�� • 111 ' SINO:1 o Ntl31M'130I53tl�: ' 3NI1'tlt101 \ .• . r jtl311l1B)OIud IM 74!II ti I \ rll3a • ,tows .:. ©i 1.1011 314.1 \ •e] �"' . y m © '. BIAIR.1000 4,144,"a 1 .+u: ' r{10rt9 TRH I °WHIM • 'i .•, .•O. aI �CA - Q� SY41041, 3Ar-AWl.1 " IRE • • i •f .. 31' . �. ov '�•o Y >.1rde1°°.1 f +.•u••:g.- 11V033 iiii O 3Ar H3WYfJYN a o, TISIA wrens 4/VO. .13 �ANYIp 16311 OP3133 ' I 't�� its SITS 133)001 E Cr 3Ar 113W0.7 t331, � `.w 3d01S . . § V 3C0N.ilro i © ' 17 1 13 ii .. .1319 '+-•� N31O _�u 1] ,i• i intrin _'m - kr0 •• 111. 4 .03.3.no . �. © 0In `d 4 . M31`34'r4 1T , 4. a O p G 13 ' ti 1EAOOM •S . `ate. WJ W1 1_-- v3 791 S3 4 ;;; rti .J q..a •y�i��JJ 3AY Z/71VIY' + WWW �,.�•. •F S A!c •4319413'3! i ioi ' , )'i RI SAY A3N1IM.1 . 08 TL38 1p-OWa3J 1J 4 .4 • Nr4tlif i3 NTISANSiithti 0 I17 / iJ N3ro3 •- :�; 2 1x3Ar NVM°1MJ A3Na1 .1 a. 7` 1031 801 vE . ( N3 O _ NIr1N110N 60 .: AYE y 16 )1000111133 - 4 Z1' 141 N33trur. ,...+. • \ 1. t •„ 1'p w _ \ © © ALDEHBNO°N 9T .- t S O •`4I. Y • `& _.,.•�.1.1 \ , 9NIBd6tlr03] - W 0 � % 3Ar 3383»133 13.tl3N11'311 5 © r/illi 1 Ni CO \ +�• = 3Ar_ 35011.1301 g • � �7., 1p.141l H Ca r0• TI . ..., OU 1tl3BBYO •. .• • WWI i" �1). 1 J a \\ • . 90 E af> '{31M $ , a W , • 4 °e u N003Av 5 \ h` .Pam 5 E jF ., ll1M C3dfle \ . ... MF-• �' p1lr N\ z�..}� +.� ` 5J LL Q O V `� O J " `.., © , N3lOtl3N)r3H ASIr0 1 L t>44'S FENCE REPAIR/CONSTRIICTION PROJECT Page 2 Bid Form BIDDER'S INFORMATION Bidder certifies that the representations made herein are true and correct are made/under penalty of perjury. Bidder's Name Pee c��i i- t i - C-29, -2;-7,r-• Business Address 209Z0 .Z`T sc r.( Telephone g/ 67--3`y ` 5 3 2_3 State Contractor's License No. and Class C 13 9 9 7 1/30 Original Date Issued 2- 7 ! Expiration Date Bidder: R P 7 LJ 1 iC / 'i -r 6,0 . -r/76 • I s- ' Face tatT ' N FENCE REPAIR/CONSTRUCTION PROJECT Bid Form Item Location Description Price (S) _ la V Construct 4' high fence barrier (4' long) . 1 ' 6. 97 lb W Repair existing fence �O` at Zachary Street. lc X • Repair existing fence 8 at Fitch Avenue. _ fl 4/71-• 0 0 id Y Repair existing fence at �� Q� east end of Peach Hill Rd. ; I Bid Item No. 1 Total 127 3 2 Z Construct fence barrier at the north end of Bard St. Bid Item No. 2 Total %j� 2 0 Less deduct for both items ( $M° ) COMBINED TOTAL LZCf2 ) ) R/&ee-f _ r1/61e / / Go s Ga(tuba- Q lDtevid.i0 ) / ( CC()) 2 1.10 , 66 { ' 1>1;U6 OAT (MM100JYY) AC •OIHro. CERTIFICATE F`NNS RAND: • 2/28/91 Nen T IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Agip ST, SPANC & CAPITANO I S . CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS.CERTIFICATE 193 SANTA ANITA AVE. DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE SOU H EL MONTE, CA 91733 , POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANYSAFECO INSURANCE COMPANY LETTER A INSURED LCMERNY B HIGHLANDS INSURANCECOMPANY MPANY REP BLIC FENCE CO. , INC. L TTER C 11319 DANUBE AVE. COMPANY CRA ADA HILLS , CA 91344 LETTER D COMPANY E LETTER COVE GES . �.. . ..r. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDI ATM,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER IFICATE MAY BE ISSUED OR MAY PERTAIN,T E INSURANCE AFFORDED BY THE POUCIEB DESCRIBED HEREIN IS SUBJECT TO ALL THE PERMS, EXC USIONS AND CONDITIONS OF SUCH POLICIE . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO I POLICY!FFECTIVC 1POUCY!XPIRAT10 LTR TYPE OF INSURANCE 1 POLICY NUMBER DATE(MMIDOIYY) DAT!(MMIODIYY) i LIMITS a r� A OE ,'- L LIABILITY -I GENERAL AGGREGATE `. 4 4 ,900,00 0 OMMERCUL GENERAL Ll�ILITY! ii - ROOUCT9 OOMPIOP A9G. i i 1 1 00( OO 0 . •_......avo CP 8145701 11/30/90! 11/30J9 ........_._.... _- 1 000 -000 CLAIMS&we UR,; ERBONAL i ADV.INJURY 1 ! 1 �.. _: `......:......... 1 000 '000 •WNER'i It CONTRACTOR'S PROT; IEACH OCCURRENCE 1 1 FIRE DAMAGE(MY one We) i1 50,00D MSD.EXPENSE(My one PST 1 5,000 AUTOMOBILE LIABILITY t ( COMBINED BINDLE i 500)001) Y AUTOiLIMIT A �XALLowNEDAurOB CP 8145701 11/30/90; 11/30/91.---. ---....._. . ._. . . . . i i ; BODILY INJURY 1 iSOHEDULEO AUTOS • •I I (Per person) XHIREO AUTOS , I � BODILY INJURY • VON-OWNED AUTOS i (Per toeld.nt) 1 GARAGE LIABILITY PROPERTY DAMAGE : I EXCESS LIABILITY I EACH OCCURRENCE I JUNRELLA FORM i AGGREGATE : $ : )TMER THAN UMBRELLA FORM I - • ff 1 t . STATUTORY LIMITS 1 • - B WORKIIR'ECOMPSNSAT10N i BWC 260836 5/1/90 5/1/9 EAOHAaOIDENT ` 11000,007 AND i DISEASE—POLICY LIMIT • 1 110001.00) EMPLOYERS'LIABILITY 1 ,000,00 DII!AAE—!ACM EMPLOYEE OTHER OESCRIPT ON OF OPERATIONS/LOC ATIONIIVENICLEI SPECIAL ITEMS ADDITIONAL INSURED: CITY OF n o• 'ARK REVISED — REPLACES ONE ISSUED CV 2/25/91 CERTIFICATE HOLDER • NCELLATIOH: .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ` EXPIRA3IJ�d DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO CITY OF MOORPARK .l'F MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ry. 799 MOORPARK AVENUE fi.. LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR OORPA1 (, CA 93021 ii- LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. l '. I. ORI ED REP EMIT IV! 1, ACORD 125.6 (7/90) i , 61—©ACORD CORPORATION 19801