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HomeMy WebLinkAboutStenstrom Petroleum Services Group - Service Center North Fuel Island Replacement (Bid 23-58) Memorandum To: Honorable Mayor and Members of the City Council CC: Members of Administration and Public Works Committee From: Stefanie Levine, Senior Project Manager. CC: Edgar Cano - Public Works Agency Director; Lara Biggs - City Engineer Subject: Contract Award with Stenstrom Petroleum Services Group for the Service Center North Fuel Island Replacement Project (Bid 23-58) Date: February 12, 2024 Recommended Action: Staff recommends the City Council authorize the City Manager to execute an agreement with Stenstrom Petroleum Services Group (2422 Center Street, Rockford, Illinois 61108) for the Service of the in 23-58) (Bid amount Replacement Island Fuel North Center Project $1,577,362.00. A waiver of the City's Local Employment Program requirements requires a 2/3 vote of the City Council. Funding Source: Funding is provided from the Capital Improvement Fund 2024 General Obligation Bonds (Account of budget 2024 FY which an has 415.40.4124.65515-623007), approved $1,700,000 and a YTD balance of $1,700,000. Council Action: For Action Summary: Constructed in 1980, the 139,566 square-foot Evanston Municipal Service Center is located at 2020 Asbury Avenue. Consisting of four interrelated building wings and two storage facilities, the complex serves as the heart of City operations, housing Public Works, Facilities and Fleet Management, and Parking Services operations. The existing complex has two fuel islands, mainly original to the facility's construction. Both islands are far beyond their useful life and in need of replacement. After an extensive master planning effort, it has been determined that the north fuel island will be replaced first. In the long term, it is hoped that the south fuel island can be eventually removed if all fueling service needs can be met at the new north island. Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb On February 27, 2023, the City Council approved the award of a contract to Greeley and Hansen to design the new north fuel island. Since that time, staff, Greeley, and Hansen have worked together to develop the project's design solution. This project is the first construction project to be awarded from the Service Center Master Plan discussed at the City Council on January 8, 2024. The project was originally bid in October 2023, but no bids were received. After discussion with prospective bidders, staff and Greeley and Hansen modified the construction documents to help make the project more palatable. Modifications to the documents included technical changes, City's the of waiver full a Local materials alternate accepting as such to Employment (LEP) and M/W/E/DBE programs. On December 20, 2023, the option of a full waiver was reviewed by the M/W/EBE Development Committee. Without a quorum present for the discussion, the Committee noted that this project's specialty work and unique hazards might merit a waiver in this case but that this should not be considered setting a precedent for other similar projects. The project was then issued for bid a second time, as described below. Analysis: This contract was advertised for bid on December 21, 2023. On January 16, 2024, the City received two bids as follows: Stenstrom Petroleum Services Group (Stenstrom) is a licensed contractor with the Illinois State Fire Marshal and has worked with the City to provide interim repairs to the north fuel island on multiple occasions. Staff has reported that Stenstrom has always been a reliable contractor Stenstrom's checked also Hansen and has well. performed and Greeley references, receiving positive reviews on installations similar to or larger than the Service Center project. Staff, therefore, recommends an award to Stenstrom Petroleum Services Group at a total cost of $1,577,362. Completion of this project is anticipated in late October 2024. As noted above, this bid included a full waiver of the City's Local Employment Program (LEP) and M/W/E/DBE programs in an effort to attract bidders following a lack of bids received during a previous bid attempt. A discussion of the waiver is included in the attached memo. Legislative History: On February 27, 2023, the City Council approved a contract with Greeley and Hansen, LLC, for engineering services related to the North Fuel Island Replacement. Attachments: 23-58 MWDEBE LEP Waiver Memo Page 2 of 3 Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Bid 23-58, Service Center North Fuel Island Project M/W/D/EBE and LEP, Waiver To: Edgar Cano, Public Works Agency Director Lara Biggs, Capital Planning & Engineering Bureau Chief Stefanie Levine, Senior Project Manager From: Tammi Nunez, Purchasing Manager Subject: Service Center North Fuel Island, Bid No. 23-58 - Waiver Date: February 12, 2024 Service Center North Fuel Island, Bid No. 23-58 project is a re-bid of Bid 23-49 originally issued October 18, 2023, that received no bid responses. In an effort to make the bidding environment more attractive for prospective vendors, staff requested 100% waivers of the MWDEBE and LEP programs during the project’s second bidding. The waiver request was based on the lack of bid response to Bid #23-49 and the subsequent direct feedback related to the MWDEBE and LEP programs PWA Staff received from multiple vendors who specialize in this work. Lara Biggs, Capital Planning and Engineering Bureau Chief attended the city’s MWEBE Development Committee meeting held December 20, 2023, to discuss the project. The Committee was informed that the replacement of the Service Center’s north fuel island is a mission critical project for the city. Ms. Biggs shared an overview of the unique project scope and work that would be performed by the vendor; the perspective and feedback from the then potential bidders of Bid 23-49; and requested guidance from the Committee. After a lengthy discussion the Committee acknowledged the replacement of the Service Center’s north fuel island project work is highly technical and specialized work in nature and recognized the limited number of potential qualified vendors. The MWDEBE Committee agreed (no quorum/ no vote) this is a critical project, and it precludes applying the city’s MWDEBE subcontracting goal and LEP participation. Cc: Hitesh Desai, Chief Financial Officer /Treasurer Memorandum Page 3 of 3 Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb 02 / 27 / 2024 Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb ADFHHolder Identifier : 7777777707070700077763616065553330772707547315556607543137663417200072651466056231120762404557076554207566415336274556075626371764323300772441157045231207344017752276112077727252025773110777777707000707007 6666666606060600062606466204446200622202426224222206022224240062220062220042402600220622002406226022206202206262040200060000240622620220622220406206000206222026062002400066646062240664440666666606000606006Certificate No : 570103971163 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/19/2024 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. PRODUCER Aon Risk Services Central, Inc. Chicago IL Office 200 East Randolph Chicago IL 60601 USA PHONE(A/C. No. Ext): E-MAILADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (866) 283-7122 INSURED 40142American Zurich Ins CoINSURER A: 16535Zurich American Ins CoINSURER B: INSURER C: INSURER D: INSURER E: INSURER F: FAX(A/C. No.):(800) 363-0105 CONTACTNAME: Stenstrom Petroleum Service Group 2422 Center Street Rockford IL 61108 USA COVERAGES CERTIFICATE NUMBER:570103971163 REVISION NUMBER: 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, Limits shown are as requested POLICY EXP (MM/DD/YYYY)POLICY EFF (MM/DD/YYYY)SUBRWVDINSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X X GEN'L AGGREGATE LIMIT APPLIES PER: $2,000,000 $500,000 $10,000 $2,000,000 $4,000,000 $4,000,000 B 04/01/2023 04/01/2024YGLO348657121 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $1,000,000B04/01/2023 04/01/2024 COMBINED SINGLE LIMIT (Ea accident)BAP 3486569-21 EXCESS LIAB OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED UMBRELLA LIAB RETENTION E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH-ERPER STATUTEA04/01/2023 04/01/2024 $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER N / AN WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 WC348657022 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Scope: North Fuel Island Replacement, Job Date: 2/19/2024, Contract: $1,577,362.00. City of Evanston is included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non-Contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions. CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVECity of Evanston 2100 Ridge Ave. Evanston IL 60201 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb U-GL-2162-A CW (02/19) Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. INTERNAL USE ONLY Additional Insured – Automatic – Owners, Lessees Or Contractors THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. Effective Date: This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II – Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph 1.a. above; or (2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, GLO348657121 4/1/2023 Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb U-GL-2162-A CW (02/19) Page 2 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. INTERNAL USE ONLY in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (i) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products-completed operations hazard" (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work" and included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb U-GL-2162-A CW (02/19) Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. INTERNAL USE ONLY B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or 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; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV – Commercial General Liability Conditions: The additional insured must see to it that: (1) We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; (2) We receive written notice of a claim or "suit" as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV – Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV – Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this endorsement, the following is added to Section III – Limits Of Insurance: Additional Insured – Automatic – Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb U-GL-2162-A CW (02/19) Page 4 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. INTERNAL USE ONLY 1. Required by the written contract or written agreement referenced in Section A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb U-GL-1521-B CW (01/19) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. INTERNAL USE ONLY Blanket Notification to Others of Cancellation or Non-Renewal THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. Effective Date: This endorsement applies to insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. Such list: 1. Must be provided to us prior to cancellation or non-renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within 10 days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non-renewal, but not including conditional notice of renewal, unless a greater number of days is shown in the Schedule of this endorsement for the mailing or delivering of such notification with respect to Paragraph B.1. or Paragraph B.2. above. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non-renewal date; 2. Negate the cancellation or non-renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. GLO348657121 4/1/2023 Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb U-GL-1521-B CW (01/19) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. INTERNAL USE ONLY D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. SCHEDULE The total number of days for mailing or delivering with respect to Paragraph B.1. of this endorsement is amended to indicate the following number of days: * The total number of days for mailing or delivering with respect to Paragraph B.2. of this endorsement is amended to indicate the following number of days: ** * If a number is not shown here, 10 days continues to apply. ** If a number is not shown here, 30 days continues to apply. All other terms and conditions of this policy remain unchanged. Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Blanket Notification to Others of Cancellation or Non-Renewal U-CA-832-A CW (01/13) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1. Must be provided to us prior to cancellation or non-renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non-renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non-renewal date; 2. Negate the cancellation or non-renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. BAP 3486569-21 4/1/20244/1/2023 4/1/2023 30-380000 Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb WC 99 06 43 Page 1 of 1 (Ed. 01-13) Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. © 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1. If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non-renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list: a. Must be provided to us prior to cancellation or non-renewal; b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non-renewed; and c. Must be in an electronic format that is acceptable to us. 2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list: a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or b. At least 30 days prior to the effective date of: (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or (2) Non-renewal, but not including conditional notice of renewal. 3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Extend the policy cancellation or non-renewal date; b. Negate the cancellation or non-renewal; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance Company Stenstrom Group 4/1/2023 WC348657022 American Zurich Ins Co Doc ID: e26629d46284e28d0a343a4cbef5061ce1e3b3bb Contract with Stenstrom Petroleum Services Group for the...... Contract Aw...Island .pdf and 3 others e26629d46284e28d0a343a4cbef5061ce1e3b3bb MM / DD / YYYY Signed 02 / 27 / 2024 14:10:17 UTC-6 Sent for signature to Alexandra Ruggie (aruggie@cityofevanston.org) and Luke Stowe (lstowe@cityofevanston.org) from lthomas@cityofevanston.org IP: 66.158.65.76 02 / 27 / 2024 14:59:07 UTC-6 Viewed by Alexandra Ruggie (aruggie@cityofevanston.org) IP: 66.158.65.76 02 / 27 / 2024 14:59:19 UTC-6 Signed by Alexandra Ruggie (aruggie@cityofevanston.org) IP: 66.158.65.76 02 / 27 / 2024 21:58:53 UTC-6 Viewed by Luke Stowe (lstowe@cityofevanston.org) IP: 73.22.112.51 02 / 27 / 2024 21:59:21 UTC-6 Signed by Luke Stowe (lstowe@cityofevanston.org) IP: 73.22.112.51 The document has been completed.02 / 27 / 2024 21:59:21 UTC-6