Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
R2023-052 2023-03-06
RESOLUTION NO. R2023-52 A Resolution of the City Council of the City of Pearland, Texas, authorizing a contract with Ardurra Group, Inc., for Owner’s Advisor services associated with the Barry Rose Water Reclamation Facility Expansion and the Longwood Water Reclamation Facility Decommissioning Projects, in the estimated amount of $6,896,585.00. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PEARLAND, TEXAS: Section 1. That certain contract for Owner’s Advisor services associated with the Barry Rose Water Reclamation Facility Expansion and the Longwood Water Reclamation Facility Decommissioning Projects, a copy of which is attached hereto as Exhibit “A” and made a part hereof for all purposes, is hereby authorized and approved. Section 2. That the City Manager or his designee is hereby authorized to execute and the City Secretary to attest a contract for Owner’s Advisor services associated with Barry Rose Water Reclamation Facility Expansion and the Longwood Water Reclamation Facility Decommissioning Projects. PASSED, APPROVED and ADOPTED this the 6th day of March, A.D., 2023. ________________________________ J.KEVIN COLE MAYOR ATTEST: ________________________________ FRANCES AGUILAR, TRMC, MMC CITY SECRETARY APPROVED AS TO FORM: ________________________________ DARRIN M. COKER CITY ATTORNEY DocuSign Envelope ID: 2FF1F313-1DA6-4BE9-B3C7-F76906610774 Design 1 of 7 D2. Revised 04/2019 CONTRACT FOR PROFESSIONAL SERVICES THIS CONTRACT is entered into upon final execution by and between the City of Pearland ("CITY") and Ardurra Group, LLC ("CONSULTANT"). The CITY engages the CONSULTANT to perform professional services for a project known and described as Barry Rose WRF Replacement and Expansion and Longwood WRF Decommissioning ("PROJECT"). (Project #WW1502 and WW1906) SECTION I - SERVICES OF THE CONSULTANT The CONSULTANT shall perform the following professional services to CITY standards and in accordance with the degree of care and skill that a professional in Texas would exercise under the same or similar circumstances: A. The CONSULTANT shall perform professional engineering services. See Exhibit A, attached, for a detailed SCOPE OF WORK and PROJECT schedule. The PROJECT schedule shall be submitted in digital and hard copy form in the Microsoft Project for Windows format. B. The CONSULTANT shall prepare and submit a detailed opinion of estimated cost of the PROJECT. C. The CONSULTANT acknowledges that the CITY (through its employee handbook) considers the following to be misconduct that is grounds for termination of a CITY employee: Any fraud, forgery, misappropriation of funds, receiving payment for services not performed or for hours not worked, mishandling or untruthful reporting of money transactions, destruction of assets, embezzlement, accepting materials of value from vendors, or consultants, and/or collecting reimbursement of expenses made for the benefit of the CITY. The CONSULTANT agrees that it will not, directly or indirectly; encourage a CITY employee to engage in such misconduct. D. The CONSULTANT shall submit all final construction documents in both hard copy and electronic format. Plans shall be AutoCAD compatible and all other documents shall be Microsoft Office compatible. The software version used shall be compatible to current CITY standards. Other support documents, for example, structural calculations, drainage reports and geotechnical reports, shall be submitted in hard copy only. All Record Drawings electronic files shall be submitted to the CITY in TIF format. E. The CONSULTANT recognizes that all drawings, special provisions, field survey notes, reports, estimates and any and all other documents or work product generated by the CONSULTANT under the CONTRACT shall be delivered to the CITY upon request, shall become subject to the Open Records Laws of this State. F. The CONSULTANT shall procure and maintain for the duration of this Agreement, insurance against claims for injuries to persons, damages to property, or any errors DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB Design 2 of 7 D2 Revised 04/2019 and omissions relating to the performance of any work by the CONSULTANT, its agents, employees or subcontractors under this Agreement, as follows: (1) Workers’ Compensation as required by law. (2) Professional Liability Insurance in an amount not less than $1,000,000 in the aggregate. (3) Comprehensive General Liability and Property Damage Insurance with minimum limits of $1,000,000 for injury or death of any one person, $1,000,000 for each occurrence, and $1,000,000 for each occurrence of damage to or destruction of property. (4) Comprehensive Automobile and Truck Liability Insurance covering owned, hired, and non-owned vehicles, with minimum limits of $1,000,000 for injury or death of any one person, $1,000,000 for each occurrence, and $1,000,000 for property damage. The CONSULTANT shall include the CITY as an additional insured under the policies, with the exception of the Professional Liability Insurance and Workers’ Compensation. The CONSULTANT shall agree to waive its Right to Subrogation. Certificates of Insurance and endorsements shall be furnished to the CITY before work commences. Each insurance policy shall be endorsed to state that coverage shall not be suspended, voided, canceled, and/or reduced in coverage or in limits (“Change in Coverage”) except with prior written consent of the CITY and only after the CITY has been provided with written notice of such Change in Coverage, such notice to be sent to the CITY either by hand delivery to the City Manager or by certified mail, return receipt requested, and received by the City no fewer than thirty (30) days prior to the effective date of such Change in Coverage. Prior to commencing services under this CONTRACT, CONSULTANT shall furnish CITY with Certificates of Insurance, or formal endorsements as required by this CONTRACT, issued by CONSULTANT’S insurer(s), as evidence that policies providing the required coverage, conditions, and limits required by this CONTRACT are in full force and effect. G. The CONSULTANT shall indemnify and hold the CITY, its officers, agents, and employees, harmless from any claim, loss, damage, suit, and liability of every kind for which CONSULTANT is legally liable, including all expenses of litigation, court costs, and attorney's fees, for injury to or death of any person, for damage to any property, or errors in design, any of which are caused by the negligent act or omission of the CONSULTANT, his officers, employees, agents, or subcontractors under this CONTRACT. H. All parties intend that the CONSULTANT, in performing services pursuant to this CONTRACT, shall act as an independent contractor and shall have control of its own work and the manner in which it is performed. The CONSULTANT is not to be considered an agent or employee of the CITY. DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB Design 3 of 7 D2 Revised 04/2019 SECTION II - PERIOD OF SERVICE This CONTRACT will be binding upon execution and end December 31, 2027. SECTION III - CONSULTANT'S COMPENSATION A. The total compensation for the services performed shall not exceed the total noted in Section B. B. The CITY shall pay the CONSULTANT in installments based upon monthly progress reports and detailed invoices submitted by the CONSULTANT based upon the following: Barry Rose WRF Expansion (WW1502) 1. Basic Services (Not to Exceed) $2,016,982.00 2. Additional Services shall require independent and specific authorization and shall be billed as (Not to Exceed): $636,000.00 3. Bid Phase Services (Hourly Not to Exceed) $0.00 4. Construction Phase Services (Hourly Not to Exceed) $2,678,603.00 5. Reimbursable Expenses (Not to Exceed) $0.00 6. Total: $5,331,585.00 Longwood WRF Decommissioning Lift Station, and Force Main (WW1906) 1. Basic Services (Not to Exceed) $573,000.00 2. Additional Services shall require independent and specific authorization and shall be billed as (Not to Exceed): $204,000.00 3. Bid Phase Services (Hourly Not to Exceed) $0.00 4. Construction Phase Services (Hourly Not to Exceed) $788,000.00 5. Reimbursable Expenses (Not to Exceed) $0.00 6. Total: $1,565,000.00 DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB Design 4 of 7 D2 Revised 04/2019 B. The CITY shall make payments to the CONSULTANT within thirty (30) days after receipt and approval of a detailed invoice. Invoices shall be submitted on a monthly basis. C. CONSULTANT shall invoice for work performed during the preceding thirty day period (“Billing Period”). The Billing Period shall run from the 26th day to the 25th day of each consecutive month. Invoices shall be submitted to CITY not more frequently than once every 30 days. CONSULTANT shall be responsible for timely submittal of all invoices and CONSULTANT shall not be entitled to payment for invoices in arrears. All invoices shall reflect most recent single Billing Period only and represent the true, correct and accurate account of work performed during the Billing Period. D. For an agreed contract amount identified as “Lump Sum”, Not to Exceed” and “Reimbursable” the CONSULTANT shall not exceed the fixed contractual amount without written authorization in the form of a Contract Amendment. CONSULTANT shall provide 45 days prior notice to the CITY in the event contract fees may exceed the fixed contract amount. CONSULTANT shall be responsible for ensuring that such authorization is complete and executed by all parties performing any work or submitting any invoices for work that exceeds the fixed contract amount under any expense category. E. Allowable Reimbursable Expenses CONSULTANT shall identify and include in the proposal any anticipated Reimbursable Expenses, and shall itemize Reimbursable Expenses by work category. Reimbursable Expenses shall be invoiced AT COST without subsequent markup by the CONSULTANT. All invoices containing a request for Reimbursable Expenses shall include copies of the original expense receipts itemized per the allowable category. Allowable Reimbursable Expenses include: • Hard copy reproductions, copies and/ or binding costs • Postage • Mileage, for travel from Consultant’s local office (within a 25 mile radius) to meetings at the City or job-site. Mileage shall be charged at the current IRS rates. • Travel expenses, mileage from local office to State or federal regulatory agency office beyond 100 miles. • Lodging expenses, for destinations beyond 100 miles from the Consultant’s local office AND when business hours exceed eight hours within one business day OR requires more than one eight hour day. F.2. Disallowed Expenses DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB Design 5 of 7 D2 Revised 04/2019 Disallowed Expenses include travel expenses for professional expertise traveling into the greater Houston area from Consultant offices outside of the greater Houston area. SECTION IV - THE CITY'S RESPONSIBILITIES A. The CITY shall designate a project manager during the term of this CONTRACT. The project manager has the authority to administer this CONTRACT and shall monitor compliance with all terms and conditions stated herein. All requests for information from or a decision by the CITY on any aspect of the work shall be directed to the project manager. B. The CITY shall review submittals by the CONSULTANT and provide prompt response to questions and rendering of decisions pertaining thereto, to minimize delay in the progress of the CONSULTANT'S work. The CITY will keep the CONSULTANT advised concerning the progress of the CITY'S review of the work. The CONSULTANT agrees that the CITY'S inspection, review, acceptance or approval of CONSULTANT'S work shall not relieve CONSULTANT'S responsibility for errors or omissions of the CONSULTANT or its sub- consultant(s) or in any way affect the CONSULTANT’S status as an independent contractor of the CITY. SECTION V - TERMINATION A. The CITY, at its sole discretion, may terminate this CONTRACT for any reason -- with or without cause -- by delivering written notice to CONSULTANT personally or by certified mail at 3115 Allen Parkway, Ste 300, Houston, TX 77019. Immediately after receiving such written notice, the CONSULTANT shall discontinue providing the services under this CONTRACT. B. If this CONTRACT is terminated, CONSULTANT shall deliver to the CITY all drawings, special provisions, field survey notes, reports, estimates and any and all other documents or work product generated by the CONSULTANT under the CONTRACT, entirely or partially completed, together with all unused materials supplied by the CITY on or before the 15th day following termination of the CONTRACT. C. In the event of such termination, the CONSULTANT shall be paid for services performed prior to receipt of the written notice of termination. The CITY shall make final payment within sixty (60) days after the CONSULTANT has delivered to the CITY a detailed invoice for services rendered and the documents or work product generated by the CONSULTANT under the CONTRACT. D. If the remuneration scheduled under this contract is based upon a fixed fee or definitely ascertainable sum, the portion of such sum payable shall be proportionate to the percentage of services completed by the CONSULTANT based upon the scope of work. DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB Design 6 of 7 D2 Revised 04/2019 E. In the event this CONTRACT is terminated, the CITY shall have the option of completing the work, or entering into a CONTRACT with another party for the completion of the work. F. If the CITY terminates this CONTRACT for cause and/or if the CONSULTANT breaches any provision of this CONTRACT, then the CITY shall have all rights and remedies in law and/or equity against CONSULTANT. Venue for any action or dispute arising out of or relating to this CONTRACT shall be in Brazoria County, Texas. The laws of the State of Texas shall govern the terms of this CONTRACT. The prevailing party in the action shall be entitled to recover its actual damages with interest, attorney’s fees, costs and expenses incurred in connection with the dispute and/or action. CONSULTANT and CITY desire an expeditious means to resolve any disputes that may arise between under this CONTRACT. To accomplish this, the parties agree to mediation as follows: If a dispute arises out of or relates to this CONTRACT, or the breach thereof, and if the dispute cannot be settled through negotiation, then the parties agree first to try in good faith, and before pursuing any legal remedies, to settle the dispute by mediation of a third party who will be selected by agreement of the parties. SECTION VI – ENTIRE AGREEMENT This CONTRACT represents the entire agreement between the CITY and the CONSULTANT and supersedes all prior negotiations, representations, or contracts, either written or oral. This CONTRACT may be amended only by written instrument signed by both parties. SECTION VII – COVENANT AGAINST CONTINGENT FEES The CONSULTANT affirms that he has not employed or retained any company or person, other than a bona fide employee working for the CONSULTANT to solicit or secure this CONTRACT, and that he has not paid or agreed to pay any company or person, other than a bona fide employee, any fee, commission, percentage brokerage fee, gift, or any other consideration, contingent upon or resulting from the award or making of the CONTRACT. For breach or violation of this clause, the CITY may terminate this CONTRACT without liability, and in its discretion, may deduct from the CONTRACT price or consideration, or otherwise recover, the full amount of such fee, commission, percentage brokerage fee, gift, or contingent fee that has been paid. SECTION VIII- SUCCESSORS AND ASSIGNS This CONTRACT shall not be assignable except upon the written consent of the parties hereto. ____________________________ CITY OF PEARLAND, TEXAS DATE ____________________________ CONSULTANT DATE 02/14/2023 DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB 3/7/2023 | 7:07 AM PST DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 1 January 25, 2023 Scope of Services For Owner’s Advisor Services For The Barry Rose WRF Expansion, Longwood WRF and New FM The Engineer will execute tasks necessary to perform Owner’s Advisor (OA) duties and responsibilities for planning and development, design and construction phase activities related to the proposed Barry Rose WRF Expansion, Longwood WRF Demolition & New Pump Station, and New Force Main for the City of Pearland as defined in this Exhibit A. The tasks associated with these engineering services is separated into the following services and tasks: 1. PROJECT MANAGEMENT SERVICES 1.1. Coordinate with staff and project personnel to complete project tasks and meet project objectives. 1.2. OA will conduct monthly progress meetings throughout the project with City staff to review work completed to date, project schedule, and other issues. OA will provide appropriate and necessary documentation. 1.3. Coordinate lead/conduct project workshops needed throughout the course of the project and prepare agendas, materials, exhibits or coordinate production of same as necessary to execute required tasks. 1.4. Coordinate, lead/conduct, and/or participate in site visits as necessary in the execution of or required tasks. 1.5. Develop and maintain a project schedule with detailed milestones. 1.6. Generate monthly status reports and preparation of invoices to be submitted together for review and approval. 1.7. Provide quality control reviews and technical reviews of all evaluations and recommendations, technical memoranda, reports, and design packages. 1.8. Work with City Project Manager (and other designated City personnel) to coordinate City reviews of work products. Work with internal project team to document and incorporate City comments. 1.9. Prepare for, present at, and attend public meetings as may be required through the design and construction of the early work package(s) and balance of project construction phases. 1.10. Procurement of material testing firm in accordance with City of Pearland’s standards and procurement procedures. DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 2 1.11. Coordination and meetings with TCEQ for obtaining and / or expediting approvals and exceptions specific to the project. 1.12. Owner’s Advisor Progress Meetings – OA will conduct monthly progress meetings pertaining to Design Consultant’s work efforts throughout the project with City staff to review work completed to date, project schedule, and other issues. OA will provide appropriate and necessary documentation (meeting agenda and meeting notes). 1.13. Budget Tracking, Analysis and Management – track and update master program costs based on actual contract values and estimated costs to complete the work through substantial completion. 1.14. Public Outreach assistance/support – support City and program as needed. Provide project status reports, project schedule, and other supporting documents for City to use and post on the city website 1.15. OA will work with the City to confirm/establish electronic document system/repository for use in the BR WRF, LW WRF and FM Project, including support and/or additional services. Selected criteria and/or protocols will try to maintain the City’s Document Management system (Master Works) as the official project electronic document repository. 1.16. Workshop meetings with the City to determine communication protocols, establish project controls, generally define OA’s limits of authority. 1.17. Define minimum requirements for Quality Program for design of all design packages including quality control and quality assurance procedures to be implemented during the permitting, design, and all subsequent phases of project. 2. OWNER’S ADVISOR SERVICES FOR DESIGN, EARLY WORK PACKAGES AND BALANCE OF WORK 2.1. Monthly Progress Meetings Participate in and facilitate Design Consultant monthly progress meetings from the start of the project into basis of design, final design, early work packages and balance of construction phases. Design Consultant will prepare meeting notes and OA will review prior to distribution. Specialty Coordination & Joint Workshops Meetings: Coordinate, lead and/or conduct project workshops between the various design deliverables and design elements needed throughout the course of the project and prepare agendas in conjunction with consultants, materials, exhibits or coordinate production of same as necessary to execute required tasks. OA will prepare meeting agenda and minutes to be reviewed by the design consultant prior to distribution. Specialty meetings may include the following: 2.1.1. Coordinating, tracking, and managing critical repair items by CMAR 2.1.2. Process control, instrumentation, and SCADA system architecture coordination workshop 2.1.3. Electrical power distribution coordination meeting 2.1.4. Plant security coordination meeting 2.1.5. Architectural standards and design coordination meeting 2.1.6. Coordination meetings as needed with regulatory or permitting agencies (led by the OA). OA will prepare and distribute meeting agenda and meeting minutes. DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 3 2.1.7. Coordination meetings with CMAR and design consultant. OA will facilitate the coordination of CMAR recommendations with design consultant, and track changes and their respective impacts on cost and schedule. The resulting implication of any revisions will be updated on CMAR’s cost estimate and schedule. 2.1.8. Attend, lead, and/or participate in undefined program meetings and conference calls as required by the execution of the work and directed by the City. 2.1.9. Phase I and II Environmental Studies: Coordinate, perform reviews and provide comments for the completion of this activity to be performed by the design consultant 2.2. Design Criteria Memorandum (DCM) and Technical Guidelines OA will coordinate with the design consultant in developing and maintaining a DCM document for the design deliverables for consideration including capacity requirements, design criteria, equipment and piping sizing, service life, operating ranges and conditions, integration with existing infrastructure, treatment process considerations to achieve treated water quality goals, control narrative description, and other details of the design, along with regulatory requirements, constructability, and non-monetary factors. Non-monetary factors could include operations and maintenance considerations, safety, schedule considerations, constructability, start-up, commissioning, and acceptance testing. OA will receive the composite DCM including each of the design deliverables, review, and provide comments. We anticipate the design consultant will be updating the DCM with the 60% and 100% deliverables, at a minimum. 2.3. Deliverable Review OA proposes to provide quality control reviews and technical reviews of all deliverables (exception requests, technical memorandum, design deliverables, etc.) for completeness, constructability, coordination with the other city facilities and standards, and lastly review of value engineering options and recommendations for each of these documents as prepared by others: 2.3.1. Barry Rose Wastewater Treatment Plant Expansion 2.3.1.1. Basis of design document (BODR) 2.3.1.2. 30% Design Deliverable 2.3.1.3. 60% Design Deliverable 2.3.1.4. 90% Design Deliverable 2.3.1.5. 100% Design Deliverable 2.3.2. Force Main 2.3.2.1. 30% Design Deliverable 2.3.2.2. 60% Design Deliverable 2.3.2.3. 90% Design Deliverable DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 4 2.3.2.4. 100% Design Deliverable 2.3.3. Longwood Plant Demolition and New Pump Station 2.3.3.1. 30% Design Deliverable 2.3.3.2. 60% Design Deliverable 2.3.3.3. 90% Design Deliverable 2.3.3.4. 100% Design Deliverable. 3. CONSTRUCTION / PROCUREMENT STRATEGY 3.1. Conduct one workshop with the design consultant for each of the three design deliverables along with the Owner and CMAR to review available construction packaging, timelines, schedules, risks, and delivery methods. 3.2. Work with the Design Consultant and CMAR to prepare a memorandum on options for construction procurement strategy with pros and cons for: 3.2.1. How to break work in logical construction packages 3.2.2. What construction delivery methods are most applicable to each desired package 3.2.3. Schedule and supply chain impact of construction schedule 3.3. Conduct follow-up workshop with the Owner, CMAR & design consultant to review findings on construction procurement options. 3.4. Deliverable – Produce a technical memorandum summarizing the findings, recommendations, and path forward. 4. CMAR Coordination and Dissemination of CMAR Input 4.1. CMAR Progress Meetings - Participate in and facilitate CMAR monthly progress meetings for the pre-construction phase and early work package phases. CMAR will prepare meeting minutes and OA will review prior to distribution. 4.2. 30%, 60%, 90% & 100% Design Deliverable Reviews – Coordinate with CMAR and City for review of interim deliverables and distribute review comments to design consultant prior to review meeting workshop to review all comments with the design consultant. 4.3. Common Equipment Selection and Coordination- Identify equipment which may be common within individual bid packages and develop a mechanism in which the City can choose like manufacturers between certain equipment types on the project and provide continuity with throughout and with other facilities. 4.4. Constructability and VE review / recommendation by CMAR – Coordinate the dissemination of CMAR review comments and recommendation related to cost, schedule, and constructability impact for each bid package. This process should be completed early in the design process to minimize or mitigate rework by the design consultant. DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 5 4.5. Review 30%, 60%, 90% & 100% cost estimate prepared by CMAR; Evaluate and compare with Engineer’s OPCC to reconcile project construction cost and propose cost-effective alternatives as needed. 4.6. Review project planning and scheduling prepared by CMAR and evaluate impacts on construction schedule. Look for opportunities to optimize the schedule. 4.7. Review other construction management and quality control plans (construction emergency response plan, construction site safety plan, quality management plan, environmental management plan, etc.) prepared by CMAR. 5. CMAR PACKAGE PROCUREMENT (BIDDING) 5.1. Construction Procurement Plan Coordination and Review 5.1.1. Procurement Packaging Process and Implementation Coordination and Review 5.1.1.1. Conduct workshops with the CMAR and design consultant as well as the Owner to review available construction bid packaging, timelines, schedules, risks, and delivery methods. 5.1.1.2. Review and compare proposed vendors with Owner approved vendor list. 5.1.2. Assist in preparation, review, and comment on procurement process by the CMAR 5.1.2.1. Breaking work into logical construction packages. 5.1.2.2. Construction delivery methods most applicable to each desired bid package. 5.1.2.3. Pre-procurement plan; and 5.1.2.4. The need for and number of early works packages. 5.1.3. Conduct follow-up workshop with Owner & CMAR to finalize construction procurement plan. 5.1.4. Procurement Assistance Review. Support the Owner and CMAR in developing the technical requirements and the selection criteria to be used in preparing the Procurement bid packages; review the completed bid documents and participate in the analysis and selection of most responsive bidder. 5.1.5. Review Early Work Packages. Review Bid documents/Bids/Subcontractor recommendations/Selections. 5.1.6. Review Balance of Plant Packages. Review Bid Documents//Bids/Subcontractor recommendations/Selections. 5.1.7. Review GMP proposal prepared by CMAR. Assist the city to negotiate final GMP and contingency with CMAR. 5.2. Regulatory Coordination and Oversight 5.2.1. Regulatory Approval Oversight Coordination with staff and project personnel to complete project tasks and meet project objectives. 5.2.2. Attend meetings with regulatory agencies such as TCEQ for providing support in obtaining approvals and exceptions. 5.2.3. Regulatory Requirements: Review documents generated by the design consultant for each of the three design deliverables to update previously identified applicable local, DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 6 state, and federal regulatory requirements and parameters including references for all aspects of design for all components of project. 5.2.4. Permitting and Approval Requirements: Review documents generated by the design consultant for each of the three design deliverables to update previously identified applicable local, state, and federal regulatory permits and approvals and associated processes as they apply to the project. Assist the City in updating previously identified key permits required for the project and parties’ roles and responsible for securing permits and approvals. 6. CONSTRUCTION MANAGEMENT OF EARLY WORKS AND BALANCE OF PLANT PACKAGES 6.1.1. Pre-Construction 6.1.1.1. Schedule and conduct the pre-construction meeting; record and disseminate minutes from pre-construction meeting. 6.1.1.2. Utilize the City’s Project Management information system (Master Works): set communications protocol and contract administration procedures, establish progress meeting schedule and submittal schedule. 6.1.1.3. Provide agenda for meeting: Key milestone dates, pay application procedures, schedule, public notification issues and procedures, utility coordination issues, traffic control, permitting, property owner notification and coordination, temporary facilities, contractor’s use of City’s Master Works management system, etc. 6.1.2. Construction Administration and Management Services 6.1.2.1. Act as the City’s on-site representative administering the contract for construction and providing overall project oversight, maintain record of decisions and changes made. 6.1.2.2. Meetings: Schedule and conduct construction progress meetings; record minutes from construction progress meetings and distribute via Master Works to: City Project Manager, Design Consultant and CMAR throughout the duration of the project. 6.1.2.2.1. Schedule monthly progress meetings to review the following: work progress and schedule, outstanding issues, status of submittals and responses shop drawings unforeseen issues and changes to the work. 6.1.2.2.2. Coordinate additional meetings as necessary to discuss and resolve problems and provide guidance in a timely manner. 6.1.2.2.3. Coordinate/monitor the following: utility relocation activities for compliance, utility installation verification, reporting, record management and as-built drawings. 6.1.2.2.4. Attend all utility coordination, construction, and scheduling meetings. 6.1.2.3. Manage Construction DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 7 6.1.2.3.1. All final documentation is required in electronic/digital format, utilizing Master Works as is feasible. 6.1.2.3.2. As field problems arise, notify the Design Consultant and City Project Manager of proposed solutions to resolve problems. 6.1.2.3.3. Review and update as-built documents regularly with contractor. 6.1.2.3.4. Monitor and ensure adherence to approved project baseline schedule. Review contractor’s schedule monthly, ensure compliance with City’s intended schedule, and provide recommendations as needed to retain and regain schedule if needed. 6.1.2.3.5. Recommend alternate project sequencing/scheduling to keep project on schedule. 6.1.2.3.6. Prepare monthly summary report of construction activities with outstanding issues outlined for review. Monthly progress information associated with the project will be submitted to the Project Manager for review and approval. 6.1.2.3.7. Record weather conditions on jobsite daily. 6.1.2.3.8. Monitor, on an on-going basis, cost impacts (both increase and decrease) and track with schedule of values. Identify any potential cost impacts related to project delays and/or potential change orders and notify Owner as appropriate. 6.1.2.4. Coordinate work of contractor with external agencies and utility companies. Coordinate contractor’s operations with regard to other City contracts and construction as well as with property owners for planned service outages, street closures, and access control issues to properties including notifications. 6.1.2.4.1. Verify construction conformance and compliance with TCEQ, NOI and NOT. 6.1.2.4.2. Verify construction conformance with permitted activities such as: City of Pearland permits, U.S. Army Corps of Engineers permits, TxDOT roadway permits, and any Railroad agreements. 6.1.2.5. Maintain records of all decisions, actions, and activities with regard to construction operations via the City’s Master Works system (i.e. Daily Reports, Change Orders, RFIs and responses, Submittals and responses, Request for Proposals, correspondence, SWPPP inspections.) 6.1.3. Construction Inspection Services 6.1.3.1. Provide full-time on-site technical observation of Contractor’s activities to verify and ensure all work materials, structures, equipment, and workmanship comply with the Contract Documents including Addenda, and Change Orders. Confirm that Contractor maintains good construction practices and DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 8 professional standards prevailing in the local, City, County, and State of Texas. Utilize City’s Master Works system for all inspection reports. 6.1.3.1.1. Notify the City Project Manager if Contractor’s work is not in compliance with the Contract Documents or specifications. Notify the City Project Manager and Design Consultant of any failure of the Contractor to take measures to repair and bring work in compliance. 6.1.3.1.2. Issue Advisory Notices to Contractor for work that is not in compliance with approved construction documents. 6.1.3.1.3. Issue Non-Compliance Reports to Contractor if non-conforming work is not brought into compliance or if plan of action to bring work into compliance is not conducted in timely manner. 6.1.3.1.4. Inspect and observe the materials and equipment being incorporated into the work, according to furnished submittal data, to assure that they are handled, stored, and installed in accordance with the Contract Documents and specifications. Report to the City Project Manager regarding these activities. 6.1.3.1.5. Inspect and observe electrical and instrumentation installation utilizing personnel specifically trained in those disciplines. 6.1.3.2. Identify, record, and notify Design Consultant of any problems or failures to meet performance requirements in a timely manner to minimize delay in the progress of the project, make recommendation(s) for appropriate solution to the City Project Manager and Design Consultant. 6.1.3.3. Prepare and maintain daily progress log or daily construction reports, photographs, records and track quantities installed that day utilizing the City’s Master Works system. 6.1.3.4. Ensure contractor reviews and approves daily reports and quantities. 6.1.3.5. Verify contractor has obtained necessary permits and is maintaining any Traffic Control, public notification and Storm Water Pollution Prevention Plans, facilities, equipment, or arrangements in accordance with contract documents. 6.1.3.6. Attend and participate in progress meetings. 6.1.3.7. Create contacts for your record for: names, addresses, telephone numbers and email of all contractors, subcontractors, sub consultants and major suppliers of material and equipment; store in City’s Master Works system. 6.1.3.8. Immediately notify the City Project Manager and Design Consultant in the event of an on-site accident. Record and note conditions, activities, and witnesses to the event. DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 9 6.1.3.9. Maintain Resolution Log and respond to citizen complaints in Master Works system. 6.1.3.10. Consult with City Project Manager and Design Consultant in advance of scheduled major work operations, tests, inspections or start of important phases of project. 6.1.4. Pay Applications 6.1.4.1. Pay applications will be generated by the City’s Master Works system based on quantities approved in the daily reports. Review, verify and enter quantities provided by contractor for all work in compliance with contract documents. 6.1.4.1.1. Review work conducted daily on daily inspection reports and material installed measurements submitted by contractor; verify work conducted and bid item quantities via Master Works; meet monthly to review pay estimate and quantities with contractor 6.1.4.1.2. Review progress pay application with OA for approval or revision prior to submittal to City. Collect certified payroll for compliance with Davis Bacon requirements and upload to Master Works for City review. 6.1.4.1.3. Finalize pay application with signatures from Contractor, OA and Construction Manager certifying quantities and amounts via Master Works. 6.1.4.1.4. Notify City Project Manager when all electronic signatures are completed in the Master Works system for invoice processing. 6.1.4.1.5. Track and record requests for rain or other delays with potential to add to Contract Time in Daily Reports in Master Works via Daily Reports. 6.1.4.2. Provide an independent quantity forecast bid items to identify potential quantity over-runs as part of pay estimate review. Upon completion of the work, prepare a final progress payment including a balancing change order zeroing out all unused quantities utilizing Master Works. Identify and add additional quantities and make any approved changes to the Contract Time. 6.1.4.2.1. Review and coordinate with Design Consultant to provide recommendation for Substantial Completion or Final Acceptance. (See Close-out Section) 6.1.5. Document Control 6.1.5.1. Utilize the City’s Master Works system to: receive, route, track and log all Contractor communications, Submittals, Change Orders, RFIs, Pay Applications and Citizen Complaint/Resolution Log; communicate with Contractor the status of submittal reviews; review submittal and RFI log in Master Works to ensure timely responses; notify City Project Manager, Contractor, and Design Consultant of time critical issues. DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 10 6.1.5.1.1. Respond to RFIs when such response does not require the Design Consultant’s opinion or expertise or direction from City. 6.1.5.1.2. Assemble and maintain notes, comments, sketches, and supportive data relative to the Project to facilitate the revision of drawings to conform to the final as-built conditions. Review Contractor’s record keeping periodically to ensure completeness, timeliness, and progress. 6.1.6. Change Orders 6.1.6.1. Prepare and issue request for proposals in a timely manner via Master Works. Review RFP and contractor proposal for additional work with City Project Manager and OA for approval. Ensure the status of RFP and Responses from Contractor, City and OA are uploaded/logged and tracked in the Master Works system. 6.1.6.2. Provide recommendation on technical matters as an advocate for the City. Evaluate Contractor’s response/proposal for merit, cost, time, accuracy, and price practicality. Negotiate with Contractor on City’s behalf if required. 6.1.6.3. Prepare Change Order and documentation including signatures of Contractor, OA, and Construction Manager for City review in Master Works. 6.1.7. Testing Laboratory Services 6.1.7.1. Coordinate testing laboratory activities with Contractor’s activities. Review test reports for compliance with Contract Documents. Log, track and retain test reports in Master Works. Review results with Contractor. Monitor any corrective action and re-testing for compliance. Maintain compliance with City’s specifications 6.1.7.2. Review lab test reports and log any failures. 6.1.7.3. Review Invoicing from Laboratory to daily activities. 6.1.7.4. Project Completion and Close out 6.1.7.5. Provide list of deliverables for substantial completion walk through/inspection. Schedule and conduct project walk through upon receipt of Contractor’s notification of substantial completion. Include City Project Manager, Design Consultant and others as directed. Prepare a list of non- conforming work based on visual inspections via Master Works. Record and monitor contractor’s corrective efforts and schedule. Schedule final completion inspection for any remaining corrections. 6.1.7.6. Coordinate and obtain Design Consultant’s signature and seal on Substantial Completion certificate and Final Completion and Acceptance certificate via Master Works. 6.1.7.7. Review and compile any Operation and Maintenance documents required from the Contractor – forward to Design Consultant for review. Ensure Contractor’s closeout documents are uploaded to Master Works. Review for DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 11 completeness and accuracy, including affidavits of final payment, final pay estimates, as built records, redlines and drawings. Once received, notify the Design Consultant and City Project Manager when completed, upload to Master Works. 6.1.7.7.1. Upon completion of close out items, provide recommendation for City’s Substantial Completion/Final Acceptance certificate. 6.1.7.7.2. Provide indexed project files, redline plans, and as built or record drawings to City via Master Works. 6.1.7.8. Conduct Project Close-Out Meeting. 6.1.7.9. Prepare and recommend final payment application. (Prepare job record logs transmittals, and correspondence reports in an organized file for delivery to City.) 6.1.7.10. Consult with City on any potential Warranty items requiring repair or replacement. 6.2. Staff Augmentation for City Project Management: Provide the services of Skipper Jones in the role of supporting the City of Pearland project manager for the project commencing in March 2023 and extending through April 2026. He will assume similar role and responsibilities as he had while working for the City. His proposed level of effort will ramp up from 20 hours per week through August 2023 to 30-hours per week through January 2026 and reduce to approx. 12-hours a week through the balance of the project (April 2026). 7. ADDITIONAL SERVICES 7.1. Overall Plant Startup & Commissioning Plan 7.1.1. Plant Start-up and Acceptance Testing Plan Guidance Documents OA will develop plant start-up and acceptance testing guidance documents for CMAR to prepare a testing plan for use during plant start-up and commissioning. The Acceptance Testing will be performed after equipment checkout, field testing, and functional testing are completed and each process system has been demonstrated operational and functional. The Acceptance Testing guidance is the initial operation and maintenance manual of the completed work by CMAR. The purpose of the Acceptance Testing is to demonstrate that the wastewater treatment plant and processes, as designed and constructed, operate reliably and repeatedly to meet permitted water treatment standards and city internal treatment goals. A demonstration of successful acceptance testing is required. The following activities are included in development of the Acceptance Testing Guidance documents: 7.1.1.1. Define testing phases which may include pre-startup phase and acceptance testing phase. For each testing phase, outline key components, testing procedure, testing schedule and duration, and quality control/quality assurance procedures. It is envisioned that the Acceptance Testing phase may DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 12 include start-up transition stage, acceptance testing stage, and punch list/warranty stage. 7.1.1.2. Prepare an initial inventory of testing consumable products. 7.1.1.3. Coordinate with design consultants to develop initial process settings to be used during testing by the CMAR. This may include flow rates, chemical dosages, number of equipment units to be tested and other related settings. 7.1.1.4. Coordinate with regulatory agencies and identify any permits that may be required for CMAR to obtain during the testing, such as discharge of off- permit effluent, and disposal of waste materials etc. 7.1.1.5. Develop a Water Quality Monitoring and Sampling plan including all sampling parameters, sampling locations, frequency, and analyses to be performed. 7.1.1.6. Develop testing requirements to simulate emergency power operation. 7.1.1.7. Define roles and responsibilities of CMAR, OA, , and city during pre-startup and acceptance testing. It is anticipated that CMAR will provide all necessary staff to provide technical support for the testing. These key personnel may include startup operators, laboratory chemist, manufacturers, and electrical, instrumentation and programming, and HVAC subcontractor. The guidance documents will define roles, responsibilities, and qualification requirements of such key personnel to support the testing and correction activities as needed. Identify city staff (Plant Manager, Chief Operator, Laboratory Supervisor, etc.) who may be required for participating in the pre-startup and acceptance testing and their responsibilities and roles. 7.1.1.8. OA will prepare Plant Start-up and Acceptance Testing Plan Guidance in a Technical Memorandum format and provide a Presentation summarizing findings and recommendations for each sub-task performed. 7.2. Materials Testing – See Exhibit B for scope of services. 7.3. Specialty Inspections – TDI and COMcheck Inspections, and other specialty inspections as required by the contract documents and/or codes. 7.4. System O&M Manual Development - TBD 7.5. SCADA Programming & Implementation - TBD 7.6. 12 Month Contractor Warranty Period Support Provide ongoing support to lingering or problematic issues with equipment and/or failure of Contractor to resolve in an appropriate time period. Coordinate list of warranty issues with plant as noted by Owner, Operator, Design Consultants, and Owner’s representative(s) warranty issues list. DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 13 TABLE A-1 TO AGREEMENT BETWEEN ENGINEER AND OWNER FOR PROFESSIONAL SERVICES FOR CITY OF PEARLAND OWNER’S ADVISOR SERVICES FOR BARRY ROSE WRF, LONGWOOD WRF & FORCE MAIN FEE SCHEDULE 1.0 Project Management Services Longwood WRF & Force Main Barry Rose WRF 1.1 Project Management $123,000.00 $435,000.00 Subtotal – Task 1 $123,000.00 $435,000.00 2.0 Owner’s Advisor Services 2.1 Owner’s Advisor $450,000.00 $1,581,982.00 Subtotal – Task 2 $450,000.00 $1,581,982.00 3.0 – 6.0 Construction Management & Inspection (CM/RI) and Staff Augmentation in Support of City Project Management 3.1 CM / RI $570,000.00 $1,908,134.00 6.2 Skipper Jones $218,000.00 $770,469.00 Subtotal – Task 3 – Task 6 $778,000.00 $2,678,603.00 7.0 Additional Services 7.1 Overall Plant Startup & Commissioning Plan & Implementation $25,000.00 $75,000.00 7.2 Materials Testing Services $150,000.00 $450,000.00 7.3 Specialty Inspections – TDI, COMcheck, etc. $20,000.00 $80,000.00 7.4 O&M Manual Preparation TBD TBD 7.5 SCADA Programming TBD TBD 4.6 12 Month Contractor Warranty Period Support $9,000.00 $31,000.00 Subtotal – Task 7 $204,000.00 $636,000.00 SUB-TOTALS $1,565,000.00 $5,331,585.00 TOTAL $6,896,585.00 Hourly Not to Exceed; Sub Consultants Mark-up – 5% DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB https://ardurra.sharepoint.com/shared documents/projects/00000 pearland/00000-00 barry rose wrf/01 project mgmt/02 contract/01 ardurra/01 scope/task order 1 draft scope final.docx 14 TABLE A-2 TO AGREEMENT BETWEEN ENGINEER AND OWNER FOR PROFESSIONAL SERVICES FOR CITY OF PEARLAND OWNER’S ADVISOR SERVICES FOR BARRY ROSE WRF, LONGWOOD WRF & FORCE MAIN HOURLY LABOR RATES LABOR CATEGORY Hourly Rate Principal/Project Director $320 Sr. Tech Specialist (QA/QC) $300 Engineer 7/8 $270 Engineer 5/6 $200 Engineer 3/4 $175 Engineer 1/2 $150 Skipper Jones $215 Construction Manager $185 Senior Project Representative $155 Resident Representative $145 Sr. Administrative / Accounting $135 An $8.50 technology charge is applied to each hour billed. DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB Exhibit A-1 Level of Effort Projections Start Date: 3/1/2023 Hour Budget (hr / week)March April May June July Aug Sept Oct Nov Dec Jan Feb March April May June July Aug Sept Oct Nov Dec Jan Feb March April May June July Aug Sept Oct Nov Dec Jan Feb March April Total Hours Rate Total Amount Curtis M (CM) 50 20 20.0 20.00 20 20 20 40 80 220 210 230 210 210 220 230 200 230 220 210 230 210 220 230 200 210 220 220 210 230 210 220 230 200 230 220 100 100 80 6400 $185 $1,185,203 RI Plant 40 0 0 0 0 0 0 0 0 0 0 184 168 168 176 184 160 184 176 168 184 168 176 184 160 168 176 176 168 184 168 176 184 160 184 176 0 0 0 4360 $155 $674,056 RI FM 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176 168 184 168 176 184 160 168 176 176 168 184 168 176 184 160 0 0 0 0 0 2776 $145 $401,933 D DiCenso (PD) 30 80 80 80 80 80 80 126 132 132 126 138 126 126 132 138 120 138 132 126 138 126 132 138 120 126 132 132 126 138 126 132 138 120 138 132 100 100 80 4546 $320 $1,454,851 J Peters 8 37 32 37 35 34 37 34 35 35 34 37 34 34 35 37 32 37 35 34 37 34 35 37 32 34 35 35 34 37 34 35 37 32 37 35 20 16 12 1269 $318 $403,515 Document Management 24 20 20 20 20 20 20 40 80 106 101 110 101 101 106 110 96 110 106 101 110 101 106 110 96 101 106 106 101 110 101 106 110 96 110 106 60 60 40 3222 $140 $451,136 S Jones (Staff Augmentation)30 80 80 80 80 80 80 126 132 132 126 138 126 126 132 138 120 138 132 126 138 126 132 138 120 126 132 132 126 138 126 132 138 120 138 132 60 60 40 4426 $215 $950,848 Senior Technical Review 160 160 160 160 120 760 $300 $228,000 Eng 3/4 (Technical Review)80 80 80 80 60 380 $175 $66,500 Tech Charge / Expenses 28299 $8.50 $240,543 Startup & Commisioning Plan and Implementation $100,000 Materials Testing $600,000 TDI, COMcheck & Storefront, etc. Inspection $100,000 12 Month Construction Warranty support 160 $250 $40,000 TOTAL 28299 $6,896,585 Owner’s Advisor Services For The Barry Rose WRF Expansion, Longwood WRF and New FM 2025 202620232024 DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB Controlling Name of Interested Party4 Nature of interest City, State, Country (place of business) Intermediary (check applicable) CERTIFICATE OF INTERESTED PARTIES 1295FORM 1 of 1 1 OFFICE USE ONLY 2 02/13/2023 Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. Name of business entity filing form, and the city, state and country of the business entity's place of business. Ardurra Group Houston, TX United States Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 3 City of Pearland Owners Advisor WW1502 and WW1906 2023-982913 Date Filed: Date Acknowledged: Certificate Number: CERTIFICATION OF FILING 6 Signature of authorized agent of contracting business entity My name is _______________________________________________________________, UNSWORN DECLARATION Check only if there is NO Interested Party.5 X My address is _______________________________________________, _______________________, and my date of birth is _______________________. Executed in ________________________________________County, I declare under penalty of perjury that the foregoing is true and correct. (street)(state)(zip code)(country) (year)(month) _______, ______________, _________. State of ________________, on the _____day of ___________, 20_____. (city) (Declarant) Version V3.5.1.3ac88bc0www.ethics.state.tx.usForms provided by Texas Ethics Commission Chris Canonico 5/6/1972 4321 Jonathan Bellaire Tx 77401 USA HARRIS Texas 13th February 23 DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 2/13/2023 (703) 827-2277 (703) 827-2279 20508 Ardurra Group, Inc. 4921 Memorial Highway Suite 300 Tampa, FL 33634 20478 35289 20079 A 1,000,000 6075640222 1/1/2023 1/1/2024 1,000,000 Contractual Liab.15,000 1,000,000 2,000,000 2,000,000 1,000,000B 6075640236 1/1/2023 1/1/2024 15,000,000C 6075640270 1/1/2023 1/1/2024 15,000,000 10,000 C 6075640267 1/1/2023 1/1/2024 1,000,000 N 1,000,000 1,000,000 D Professional Liab.42-EPP-306878-05 1/1/2023 Per Claim/Aggregate 2,000,000 RE: PROJECTS #WW1502 & #WW1906, BARRY ROSE WRF REPLACEMENT AND EXPANSION AND LONGWOOD WRF DECOMMISSIONING The City of Pearland, TX is included as additional insured with respect to General Liability, Automobile Liability, and Umbrella Liability when required by written contract. General Liability includes Additional Insured coverage for Completed Operations as required by written contract. General Liability, Automobile Liability, and Umbrella Liability are primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and when required by written contract. General Liability, Automobile Liability, Workers Compensation, and Umbrella Liability policies include a waiver of subrogation in favor of the additional insureds where permissible by state law and when required by written contract. Umbrella Liability SEE ATTACHED ACORD 101 City of Pearland, TX 3519 Liberty Drive Pearland, TX 77581 ARDURRA-01 KGODWIN Ames & Gough 8300 Greensboro Drive Suite 980 McLean, VA 22102 admin@amesgough.com Valley Forge Insurance Company A(XV) National Fire Insurance Company of Hartford A(XV) Continental Insurance Company A(XV) National Fire & Marine Insurance Company X 1/1/2024 X X X X X X X X DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB FORM NUMBER: EFFECTIVE DATE: The ACORD name and logo are registered marks of ACORD ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE FORM TITLE: Page of THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01) AGENCY CUSTOMER ID: LOC #: AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE © 2008 ACORD CORPORATION. All rights reserved. Ames & Gough ARDURRA-01 SEE PAGE 1 1 SEE PAGE 1 ACORD 25 Certificate of Liability Insurance 2 SEE P 1 Ardurra Group, Inc. 4921 Memorial Highway Suite 300 Tampa, FL 33634 SEE PAGE 1 KGODWIN 1 Description of Operations/Locations/Vehicles: coverage sits excess over General Liability, Automobile Liability and Employers’ Liability coverage. 30-day Notice of Cancellation will be issued for the General Liability, Automobile Liability, Umbrella Liability, Workers Compensation and Professional Liability policies in accordance with policy terms and conditions. DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB CNA PARAMOUNT Blanket Additional Insured -Owners,Lessees or Contractors -with Products-Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I.WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part,but only with respect to liability for bodily injury,property damage or personal and advertising injury caused in whole or in part by your acts or omissions,or the acts or omissions of those acting on your behalf: A.in the performance of your ongoing operations subject to such written contract;or B.in the performance of your work subject to such written contract,but only with respect to bodily injury or property damage included in the products-completed operations hazard,and only if: 1.the written contract requires you to provide the additional insured such coverage;and 2.this coverage part provides such coverage. II.But if the written contract requires: A.additional insured coverage under the 11-85 edition,10-93 edition,or 10-01 edition of CG2010,or under the 10- 01 edition of CG2037;or B.additional insured coverage with "arising out of"language;or C.additional insured coverage to the greatest extent permissible by law; then paragraph I.above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part,but only with respect to liability for bodily injury,property damage or personal and advertising injury arising out of your work that is subject to such written contract. III.Subject always to the terms and conditions of this policy,including the limits of insurance,the Insurer will not provide such additional insured with: A.coverage broader than required by the written contract;or B.a higher limit of insurance than required by the written contract. IV.The insurance granted by this endorsement to the additional insured does not apply to bodily injury,property damage,or personal and advertising injury arising out of: A.the rendering of,or the failure to render,any professional architectural,engineering,or surveying services, including: 1.the preparing,approving,or failing to prepare or approve maps,shop drawings,opinions,reports,surveys, field orders,change orders or drawings and specifications;and 2.supervisory,inspection,architectural or engineering activities;or B.any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V.Under COMMERCIAL GENERAL LIABILITY CONDITIONS,the Condition entitled Other Insurance is amended to add the following,which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: 6075640222CNA75079XX(10-16)Policy No: 13Page1of2EndorsementNo: The Continental Insurance Co.Effective Date: 01/01/2023 ARDURRA GROUP, INC.Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.20020002260756402222362DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB CNA PARAMOUNT Blanket Additional Insured -Owners,Lessees or Contractors -with Products-Completed Operations Coverage Endorsement Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named insured,this insurance is primary to and will not seek contribution from such other insurance,provided that a written contract requires the insurance provided by this policy to be: 1.primary and non-contributing with other insurance available to the additional insured;or 2.primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above,this insurance will be excess of all other insurance available to the additional insured. VI.Solely with respect to the insurance granted by this endorsement,the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence,Offense,Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1.give the Insurer written notice of any claim,or any occurrence or offense which may result in a claim; 2.send the Insurer copies of all legal papers received,and otherwise cooperate with the Insurer in the investigation, defense,or settlement of the claim;and 3.make available any other insurance,and tender the defense and indemnity of any claim to any other insurer or self-insurer,whose policy or program applies to a loss that the Insurer covers under this coverage part.However, if the written contract requires this insurance to be primary and non-contributory,this paragraph 3.does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII.Solely with respect to the insurance granted by this endorsement,the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part,provided the contract or agreement: A.is currently in effect or becomes effective during the term of this policy;and B.was executed prior to: 1.the bodily injury or property damage;or 2.the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy,unless another effective date is shown below,and expires concurrently with said Policy. 6075640222CNA75079XX(10-16)Policy No: 13Page2of2EndorsementNo: The Continental Insurance Co.Effective Date: 01/01/2023 ARDURRA GROUP, INC.Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. DocuSign Envelope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±([WHQGHG &RYHUDJH %RDWV %RGLO\,QMXU\±([SDQGHG 'HILQLWLRQ %URDG .QRZOHGJH RI 2FFXUUHQFH1RWLFH RI 2FFXUUHQFH %URDG 1DPHG ,QVXUHG &RQWUDFWXDO /LDELOLW\±5DLOURDGV (VWDWHV/HJDO 5HSUHVHQWDWLYHV DQG 6SRXVHV ([SHFWHG 2U ,QWHQGHG ,QMXU\±([FHSWLRQ IRU 5HDVRQDEOH )RUFH *HQHUDO $JJUHJDWH /LPLWV RI ,QVXUDQFH ±3HU /RFDWLRQ ,Q 5HP $FWLRQV ,QFLGHQWDO +HDOWK &DUH 0DOSUDFWLFH &RYHUDJH -RLQW 9HQWXUHV3DUWQHUVKLS/LPLWHG /LDELOLW\&RPSDQLHV /HJDO /LDELOLW\±'DPDJH 7R 3UHPLVHV /LTXRU /LDELOLW\ 0HGLFDO 3D\PHQWV 1RQRZQHG $LUFUDIW &RYHUDJH 1RQRZQHG :DWHUFUDIW 3HUVRQDO $QG $GYHUWLVLQJ ,QMXU\±'LVFULPLQDWLRQ RU +XPLOLDWLRQ 3HUVRQDO $QG $GYHUWLVLQJ ,QMXU\&RQWUDFWXDO /LDELOLW\ 3URSHUW\'DPDJH ±(OHYDWRUV 5HWLUHG 3DUWQHUV0HPEHUV'LUHFWRUV $QG (PSOR\HHV 6XSSOHPHQWDU\3D\PHQWV 8QLQWHQWLRQDO )DLOXUH 7R 'LVFORVH +D]DUGV :DLYHU RI 6XEURJDWLRQ ±%ODQNHW :UDS8S ([WHQVLRQ2&,3&&,3 RU &RQVROLGDWHG :UDS8S,QVXUDQFH 3URJUDPV &1$;; 3DJH RI3ROLF\ 1R 6075640222 (QGRUVHPHQW 1R CONTINENTAL CASUALTY COMPANY (IIHFWLYH 'DWH 01/01/2023 KING ENGINEERING ASSOCIATES, INC.,QVXUHG 1DPH &RS\ULJKW &1$$OO 5LJKWV 5HVHUYHG ,QFOXGHV FRS\ULJKWHG PDWHULDO RI ,QVXUDQFH 6HUYLFHV 2IILFH ,QF ZLWK LWV SHUPLVVLRQDocuSign Envelope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ocuSign Envelope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±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ocuSign Envelope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±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ocuSign Envelope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±%RGLO\,QMXU\$QG 3URSHUW\'DPDJH /LDELOLW\WKH SDUDJUDSK HQWLWOHG ([FOXVLRQV LV DPHQGHG WR DGG WKH IROORZLQJ DGGLWLRQDO H[FHSWLRQ WR WKH H[FOXVLRQ HQWLWOHG $LUFUDIW$XWR RU :DWHUFUDIW 7KLV H[FOXVLRQ GRHV QRW DSSO\WR $Q\ZDWHUFUDIW RZQHG E\WKH 1DPHG ,QVXUHG WKDW LV OHVV WKDQ IHHW ORQJ ZKLOH EHLQJ XVHG LQ WKH FRXUVH RI WKH 1DPHG ,QVXUHG V LQVSHFWLRQ RU VXUYH\LQJ ZRUN %2',/<,1-85<±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ocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB &1$3$5$02817 $UFKLWHFWV(QJLQHHUV DQG 6XUYH\RUV *HQHUDO /LDELOLW\ ([WHQVLRQ (QGRUVHPHQW SURYLGHG FRYHUDJH EXW IRU WKH H[KDXVWLRQ RI LWV OLPLWDQG ZLWKRXW UHJDUG WR ZKHWKHU LWV FRYHUDJH LV EURDGHU RU QDUURZHU WKDQ WKDW SURYLGHG E\WKLV LQVXUDQFH %XW WKLV %52$'1$0(',1685('SURYLVLRQ GRHV QRW DSSO\WR DDQ\SDUWQHUVKLSOLPLWHG OLDELOLW\FRPSDQ\RU MRLQW YHQWXUHRU EDQ\RUJDQL]DWLRQ IRU ZKLFK FRYHUDJH LV H[FOXGHG E\DQRWKHU HQGRUVHPHQW DWWDFKHG WR WKLV &RYHUDJH 3DUW )RU WKH SXUSRVH RI WKLV SURYLVLRQPDQDJHPHQW FRQWURO PHDQV $RZQLQJ LQWHUHVWV UHSUHVHQWLQJ PRUH WKDQ RI WKH YRWLQJDSSRLQWPHQW RU GHVLJQDWLRQ SRZHU IRU WKH VHOHFWLRQ RI D PDMRULW\RI WKH %RDUG RI 'LUHFWRUV RI D FRUSRUDWLRQRU %KDYLQJ WKH ULJKWSXUVXDQW WR D ZULWWHQ WUXVW DJUHHPHQWWR SURWHFWFRQWURO WKH XVH RIHQFXPEHU RU WUDQVIHU RU VHOO SURSHUW\KHOG E\D WUXVW :LWK UHVSHFW WR RUJDQL]DWLRQV ZKLFK TXDOLI\DV 1DPHG ,QVXUHGV E\YLUWXH RI 3DUDJUDSK DERYHWKLV LQVXUDQFH GRHV QRW DSSO\WR DERGLO\LQMXU\RU SURSHUW\GDPDJH WKDW ILUVW RFFXUUHG SULRU WR WKH GDWH RI PDQDJHPHQW FRQWURORU WKDW ILUVW RFFXUV DIWHU PDQDJHPHQW FRQWURO FHDVHVQRU ESHUVRQDO RU DGYHUWLVLQJ LQMXU\FDXVHG E\DQ RIIHQVH WKDW ILUVW RFFXUUHG SULRU WR WKH GDWH RI PDQDJHPHQW FRQWURO RU WKDW ILUVW RFFXUV DIWHU PDQDJHPHQW FRQWURO FHDVHV 7KH LQVXUDQFH SURYLGHG E\WKLV &RYHUDJH 3DUW DSSOLHV WR 1DPHG ,QVXUHGV ZKHQ WUDGLQJ XQGHU WKHLU RZQ QDPHV RU XQGHU VXFK RWKHU WUDGLQJ QDPHV RU GRLQJEXVLQHVVDV QDPHV GEDDV DQ\1DPHG ,QVXUHG VKRXOG FKRRVH WR HPSOR\ &2175$&78$//,$%,/,7<±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ocuSign Envelope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±(;&(37,21 )25 5($621$%/( )25&( 8QGHU &29(5$*(6&RYHUDJH $±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ocuSign Envelope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±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ocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB &1$3$5$02817 $UFKLWHFWV(QJLQHHUV DQG 6XUYH\RUV *HQHUDO /LDELOLW\ ([WHQVLRQ (QGRUVHPHQW %8QGHU &29(5$*(6&RYHUDJH $±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ocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB &1$3$5$02817 $UFKLWHFWV(QJLQHHUV DQG 6XUYH\RUV *HQHUDO /LDELOLW\ ([WHQVLRQ (QGRUVHPHQW E1XUVH F1XUVH SUDFWLWLRQHU G(PHUJHQF\PHGLFDO WHFKQLFLDQ H3DUDPHGLF I'HQWLVW J3K\VLFDO WKHUDSLVW K3V\FKRORJLVW L6SHHFK WKHUDSLVW M2WKHU DOOLHG KHDOWK SURIHVVLRQDORU 3URIHVVLRQDO KHDOWK FDUH VHUYLFHV GRHV QRW LQFOXGH DQ\VHUYLFHV UHQGHUHG LQ FRQQHFWLRQ ZLWK KXPDQ FOLQLFDO WULDOV RU SURGXFW WHVWLQJ LLGHOHWH WKH GHILQLWLRQ RI RFFXUUHQFH DQG UHSODFH LW ZLWK WKH IROORZLQJ 2FFXUUHQFH PHDQV D KHDOWK FDUH LQFLGHQW$OODFWVHUURUV RU RPLVVLRQV WKDW DUH ORJLFDOO\FRQQHFWHG E\DQ\ FRPPRQ IDFWFLUFXPVWDQFHVLWXDWLRQWUDQVDFWLRQHYHQWDGYLFH RU GHFLVLRQ ZLOO EH FRQVLGHUHG WR FRQVWLWXWH D VLQJOH RFFXUUHQFH LLLDPHQG WKH GHILQLWLRQ RI ,QVXUHG WR DDGG WKH IROORZLQJ WKH 1DPHG ,QVXUHG V HPSOR\HHV DUH ,QVXUHGV ZLWK UHVSHFW WR ERGLO\LQMXU\WR D FRHPSOR\HH ZKLOH LQ WKH FRXUVH RI WKH FRHPSOR\HH V HPSOR\PHQW E\WKH 1DPHG ,QVXUHG RU ZKLOH SHUIRUPLQJ GXWLHV UHODWHG WR WKH FRQGXFW RI WKH 1DPHG ,QVXUHG V EXVLQHVVDQG ERGLO\LQMXU\WR D YROXQWHHU ZRUNHU ZKLOH SHUIRUPLQJ GXWLHV UHODWHG WR WKH FRQGXFW RI WKH 1DPHG ,QVXUHG V EXVLQHVV ZKHQ VXFK ERGLO\LQMXU\DULVHV RXW RI D KHDOWK FDUH LQFLGHQW WKH 1DPHG ,QVXUHG V YROXQWHHU ZRUNHUV DUH ,QVXUHGV ZLWK UHVSHFW WR ERGLO\LQMXU\WR D FRYROXQWHHU ZRUNHU ZKLOH SHUIRUPLQJ GXWLHV UHODWHG WR WKH FRQGXFW RI WKH 1DPHG ,QVXUHG V EXVLQHVVDQG ERGLO\LQMXU\WR DQ HPSOR\HH ZKLOH LQ WKH FRXUVH RI WKH HPSOR\HH V HPSOR\PHQW E\WKH 1DPHG ,QVXUHG RU ZKLOH SHUIRUPLQJ GXWLHV UHODWHG WR WKH FRQGXFW RI WKH 1DPHG ,QVXUHG V EXVLQHVV ZKHQ VXFK ERGLO\LQMXU\DULVHV RXW RI D KHDOWK FDUH LQFLGHQW EGHOHWH 6XESDUDJUDSKV DEFDQG GRI 3DUDJUDSK DRI :+2 ,6 $1 ,1685(' '7KH 2WKHU ,QVXUDQFH FRQGLWLRQ LV DPHQGHG WR GHOHWH 3DUDJUDSK ELQ LWV HQWLUHW\DQG UHSODFH LW ZLWK WKH IROORZLQJ 2WKHU ,QVXUDQFH &1$;; 3DJH RI 3ROLF\ 1R 6075640222 (QGRUVHPHQW 1R CONTINENTAL CASUALTY COMPANY (IIHFWLYH 'DWH 01/01/2023 KING ENGINEERING ASSOCIATES, INC.,QVXUHG 1DPH &RS\ULJKW &1$$OO 5LJKWV 5HVHUYHG ,QFOXGHV FRS\ULJKWHG PDWHULDO RI ,QVXUDQFH 6HUYLFHV 2IILFH ,QF ZLWK LWV SHUPLVVLRQ DocuSign Envelope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ocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB &1$3$5$02817 $UFKLWHFWV(QJLQHHUV DQG 6XUYH\RUV *HQHUDO /LDELOLW\ ([WHQVLRQ (QGRUVHPHQW /(*$//,$%,/,7<±'$0$*(72 35(0,6(6 $/,(1$7('35(0,6(6 3523(57<,1 7+(1$0(' ,1685(' 6 &$5(&8672'<25 &21752/ $8QGHU &29(5$*(6&RYHUDJH $±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ocuSign Envelope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±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±%RGLO\,QMXU\DQG 3URSHUW\'DPDJH /LDELOLW\WKH SDUDJUDSK HQWLWOHG ([FOXVLRQV LV DPHQGHG WR GHOHWH WKH H[FOXVLRQ HQWLWOHG /LTXRU /LDELOLW\ 7KLV /,4825 /,$%,/,7<3URYLVLRQ GRHV QRW DSSO\WR DQ\SHUVRQ RU RUJDQL]DWLRQ ZKR RWKHUZLVH TXDOLILHV DV DQ DGGLWLRQDO LQVXUHG RQ WKLV &RYHUDJH 3DUW &1$;; 3DJH RI 3ROLF\ 1R 6075640222 (QGRUVHPHQW 1R CONTINENTAL CASUALTY COMPANY (IIHFWLYH 'DWH 01/01/2023 KING ENGINEERING ASSOCIATES, INC.,QVXUHG 1DPH &RS\ULJKW &1$$OO 5LJKWV 5HVHUYHG ,QFOXGHV FRS\ULJKWHG PDWHULDO RI ,QVXUDQFH 6HUYLFHV 2IILFH ,QF ZLWK LWV SHUPLVVLRQDocuSign Envelope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±0HGLFDO 3D\PHQWV LV DPHQGHG WR UHSODFH 3DUDJUDSK DEZLWK WKH IROORZLQJ E7KH H[SHQVHV DUH LQFXUUHG DQG UHSRUWHG WR WKH ,QVXUHU ZLWKLQ WKUHH \HDUV RI WKH GDWH RI WKH DFFLGHQWDQG 1212:1('$,5&5$)7 8QGHU &29(5$*(6&RYHUDJH $±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±%RGLO\,QMXU\DQG 3URSHUW\'DPDJH /LDELOLW\WKH SDUDJUDSK HQWLWOHG ([FOXVLRQV LV DPHQGHG WR GHOHWH VXESDUDJUDSK RI WKH H[FOXVLRQ HQWLWOHG $LUFUDIW$XWR RU :DWHUFUDIWDQG UHSODFH LW ZLWK WKH IROORZLQJ 7KLV H[FOXVLRQ GRHV QRW DSSO\WR D ZDWHUFUDIW WKDW LV QRW RZQHG E\DQ\1DPHG ,QVXUHGSURYLGHG WKH ZDWHUFUDIW LV DOHVV WKDQ IHHW ORQJDQG EQRW EHLQJ XVHG WR FDUU\SHUVRQV RU SURSHUW\IRU D FKDUJH 3(5621$/$1'$'9(57,6,1*,1-85<±',6&5,0,1$7,21 25 +80,/,$7,21 $8QGHU '(),1,7,216WKH GHILQLWLRQ RI SHUVRQDO DQG DGYHUWLVLQJ LQMXU\LV DPHQGHG WR DGG WKH IROORZLQJ WRUW 'LVFULPLQDWLRQ RU KXPLOLDWLRQ WKDW UHVXOWV LQ LQMXU\WR WKH IHHOLQJV RU UHSXWDWLRQ RI D QDWXUDO SHUVRQ %8QGHU &29(5$*(6&RYHUDJH %±3HUVRQDO DQG $GYHUWLVLQJ ,QMXU\/LDELOLW\WKH SDUDJUDSK HQWLWOHG ([FOXVLRQV LV DPHQGHG WR GHOHWH WKH ([FOXVLRQ HQWLWOHG .QRZLQJ 9LRODWLRQ 2I 5LJKWV 2I $QRWKHU DQG UHSODFH LW ZLWK WKH IROORZLQJ &1$;; 3DJH RI 3ROLF\ 1R 6075640222 (QGRUVHPHQW 1R CONTINENTAL CASUALTY COMPANY (IIHFWLYH 'DWH 01/01/2023 KING ENGINEERING ASSOCIATES, INC.,QVXUHG 1DPH &RS\ULJKW &1$$OO 5LJKWV 5HVHUYHG ,QFOXGHV FRS\ULJKWHG PDWHULDO RI ,QVXUDQFH 6HUYLFHV 2IILFH ,QF ZLWK LWV SHUPLVVLRQ DocuSign Envelope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±',6&5,0,1$7,21 25 +80,/,$7,21 3URYLVLRQ GRHV QRW DSSO\WR DQ\SHUVRQ RU RUJDQL]DWLRQ ZKRVH VWDWXV DV DQ ,QVXUHG GHULYHV VROHO\IURP 3URYLVLRQ $'',7,21$/,1685('RI WKLV HQGRUVHPHQWRU DWWDFKPHQW RI DQ DGGLWLRQDO LQVXUHG HQGRUVHPHQW WR WKLV &RYHUDJH 3DUW 3(5621$/$1'$'9(57,6,1*,1-85<&2175$&78$//,$%,/,7< $8QGHU &29(5$*(6&RYHUDJH %±3HUVRQDO DQG $GYHUWLVLQJ ,QMXU\/LDELOLW\WKH SDUDJUDSK HQWLWOHG ([FOXVLRQV LV DPHQGHG WR GHOHWH WKH H[FOXVLRQ HQWLWOHG &RQWUDFWXDO /LDELOLW\ %6ROHO\IRU WKH SXUSRVH RI WKH FRYHUDJH SURYLGHG E\WKLV 3(5621$/$1'$'9(57,6,1*,1-85</,0,7(' &2175$&78$//,$%,/,7<SURYLVLRQWKH IROORZLQJ FKDQJHV DUH PDGH WR WKH VHFWLRQ HQWLWOHG 6833/(0(17$5<3$<0(176 ±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ocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB &1$3$5$02817 $UFKLWHFWV(QJLQHHUV DQG 6XUYH\RUV *HQHUDO /LDELOLW\ ([WHQVLRQ (QGRUVHPHQW E\WKH LQGHPQLWHH DW WKH ,QVXUHU V UHTXHVW ZLOO EH SDLG DV GHIHQVH FRVWV6XFK SD\PHQWV ZLOO QRW EH GHHPHG WR EH GDPDJHV IRU SHUVRQDO DQG DGYHUWLVLQJ LQMXU\DQG ZLOO QRW UHGXFH WKH OLPLWV RI LQVXUDQFH &7KLV 3(5621$/$1'$'9(57,6,1*,1-85</,0,7('&2175$&78$//,$%,/,7<3URYLVLRQ GRHV QRW DSSO\ LI &RYHUDJH %±3HUVRQDO DQG $GYHUWLVLQJ ,QMXU\/LDELOLW\LV H[FOXGHG E\DQRWKHU HQGRUVHPHQW DWWDFKHG WR WKLV &RYHUDJH 3DUW 7KLV 3(5621$/$1'$'9(57,6,1*,1-85<&2175$&78$//,$%,/,7<3URYLVLRQ GRHV QRW DSSO\WR DQ\ SHUVRQ RU RUJDQL]DWLRQ ZKR RWKHUZLVH TXDOLILHV DV DQ DGGLWLRQDO LQVXUHG RQ WKLV &RYHUDJH 3DUW 3523(57<'$0$*(±(/(9$7256 $8QGHU &29(5$*(6&RYHUDJH $±%RGLO\,QMXU\DQG 3URSHUW\'DPDJH /LDELOLW\WKH SDUDJUDSK HQWLWOHG ([FOXVLRQV LV DPHQGHG VXFK WKDW WKH 'DPDJH WR <RXU 3URGXFW ([FOXVLRQ DQG VXESDUDJUDSKV DQG RI WKH 'DPDJH WR 3URSHUW\([FOXVLRQ GR QRW DSSO\WR SURSHUW\GDPDJH WKDW UHVXOWV IURP WKH XVH RI HOHYDWRUV %6ROHO\IRU WKH SXUSRVH RI WKH FRYHUDJH SURYLGHG E\WKLV 3523(57<'$0$*(±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±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ocuSign Envelope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±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ocuSign Envelope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ocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB 6&$' (G 7+,6 (1'256(0(17 &+$1*(6 7+(32/,&< 3/($6(5($',7 &$5()8//< (;7(1'('&29(5$*((1'256(0(17 ±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olicy: 6075640236DocuSign Envelope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olicy: 6075640236 DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB 6&$' (G G7KH PRVW ZH ZLOO SD\IRU ORVVWR D FRYHUHG 7KH IROORZLQJ LV DGGHG WR 6HFWLRQ ,93DUDJUDSK DXWRLQ DQ\RQH DFFLGHQW LV WKH OHVVHU RI$D RU <RXU HPSOR\HHVPD\NQRZ RI DQ DFFLGHQW RU ORVV7KLV ZLOO QRW PHDQ WKDW \RX KDYHRI WKH DXWR VDFWXDO FDVK YDOXH VXFK NQRZOHGJHXQOHVV VXFK DFFLGHQWRU$&9ORVV LV NQRZQ WR \RX RU LI \RX DUH QRW DQ LQGLYLGXDOWR DQ\RI \RXU H[HFXWLYH RIILFHUV RU,,,'ULYH 2WKHU &DU &RYHUDJH ±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olicy: 6075640236 DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB CNA71527XX (Ed. 10/12) Policy No: 75640236 Endorsement No: Effective Date:0123 CNA71527XX (10/12) Page 1 of 1 Insured Name:.LQJ(QJLQHHULQJ$VVRFLDWHV,QF Copyright CNA All Rights Reserved. ADDITIONAL INSURED – PRIMARY AND NON-CONTRIBUTORY It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Persons Or Organizations Any person or organization with whom you are required to add as and additional insured or primary and non- contributory on this policy under a written contract or agreement. You must agree to these contracts prior to the date of loss. 1.In conformance with paragraph A.1.c.of Who Is An Insured of Section II – LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2.The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy. All other terms and conditions of the Policy remain unchanged. DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB Business Auto Policy Policy Endorsement WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: ARDURRA GROUP, INC. Endorsement Effective Date: 01/01/2023 SCHEDULE Name(s) Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. YOU MUST AGREE TO THAT REQUIREMENT PRIOR TO LOSS. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. Endorsement No: 12; Page: 1 of 1 Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL 60606 Form No: CA 04 44 10 13 Endorsement Effective Date: Policy No: BUA 6075640236 Policy Effective Date: 01/01/2023 Policy Page: 75 of 345 Endorsement Expiration Date: © Copyright Insurance Services Office, Inc., 2011 DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB CNA Workers Compensation And Employers Liability Insurance Policy Endorsement II TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. Schedule 1 . D Specific Waiver Name of person or organization IBJ Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2.Operations: All Texas Operations 3.Premium: The premium charge for this endorsement shall be 2% percent of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4.Advance Premium: Refer to Schedule of Operations All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: WC 42 03 04 B (06-2014) Endorsement Effective Date: Endorsement Expiration Date: Endorsement No: 45; Page: 1 of 1 Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy No: WC 6075640267 Policy Effective Date: 01/01/2023 Policy Page: 175 of 180 © Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. DocuSign Envelope ID: C277DB93-E0D5-4AAA-9DAD-0FB1A6266CBB