The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin

Similar documents
State of West Virginia Solicitation Response

State of West Virginia Solicitation Response

State of West Virginia Solicitation Response


CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE

UMBRELLA LIAB EXCESS LIAB CERTIFICATE OF LIABILITY INSURANCE OCCUR CLAIMS-MADE DATE (MM/DD/YYYY) 11/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF I

CONTACT NAME: PHONE (A/C, No, Ext): ADDRESS: INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F :

SPECIAL EVENTS INSURANCE REQUIREMENTS

CERTIFICATE OF LIABILITY INSURANCE

Insurance Requirement Sheet

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE

DocuSign Envelope ID: E7-5F1C-4156-BC4E C6B

Note on Idaho Private Investigator License

CERTIFICATE.OF.LIABILITY.INSURANCE

CERTIFICATE OF LIABILITY INSURANCE


Subcontractor Insurance Requirements

Crandall Corporation. Permit Package


Note on Alaska Private Investigator License

STATE OF ALABAMA ALCOHOLIC BEVERAGE CONTROL BOARD MONTGOMERY, ALABAMA

NOTICE OF AWARD. RE: Bid #4183RP-Painting & Pressure Washing Services-Contact Labor


CERTIFICATE OF LIABILITY INSURANCE


Chad M. Buchanan, C.F.O. (260) , Ext Alan Scherer, Operations Department

Exhibit E-1: Insurance Requirements

CERTIFICATE OF LIABILITY INSURANCE

EVIDENCE OF PROPERTY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFI

SUBCONTRACTOR QUALIFICATION FORM For J. RAYMOND CONSTRUCTION CORP

[COMPANY INFORMATION]

PARADE APPLICATION RULES

You can reproduce this certificate as needed. Ohio Bureau of Workers' Compensation. Required Posting

Dear Transportation Manager:

CITY OF ROHNERT PARK CITY COUNCIL AGENDA REPORT

CERTIFICATE OF LIABILITY INSURANCE

The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the following:

Purpose of Training. Disclaimer

18 November 2015

CERTIFICATE OF LIABILITY INSURANCE

INVITATION TO BID RSU-21 Schools Additions and Renovations (Referendum 6-10) Bid Package Concrete - Mildred L Day School Sprinkler and Pump Room

CERTIFICATE OF LIABILITY INSURANCE



Proposal For: 917 Alabama Avenue S. Bremen, Georgia Phone: (770) Fax: (770)

MC DATH

WASHTENAW COUNTY ROAD COMMISSION Permit Engineering Section 555 N. Zeeb Road Ann Arbor, MI 48103

WASHTENAW COUNTY ROAD COMMISSION Permit Engineering Section 555 N. Zeeb Road Ann Arbor, MI 48103

D.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI

INSURANCE REQUIREMENTS

Travel Demand Model Development and Improvements

The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin

October 1, To all Owners of. 66 Cleary Court Condominium Owners Association 66 Cleary Court San Francisco, CA

June 22, To the Owners of. Solair Wilshire Homeowners Association 3785 Wilshire Boulevard Los Angeles, CA Re: Insurance Renewal

Subcontractor Insurance Requirements Certificate Holder VCI Construction, LLC 1921 W. Eleventh Street, Upland CA 91786

The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin

Established in 2006, serving US and Canada with TL, LTL. Our team working 24/7 to provide all the support that you need.

The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin

29. Cisco Technology Products

Thank you for your interest in joining the LiteGear family!

OVERSIZE LOADS TYPES OF PERMITS ISSUED

BLUEPRINT 2010 ACORD CERTIFICATE OF INSURANCE CHANGES CONSTRUCTION PRACTICE LIKELY ISSUES CONSTRUCTION CONTRACTS

Vendor Management Program (VMP)

Industrial Equipment Campers Flat Beds Mobile Homes Heavy Equipment RVs Motor Homes Trailers

CITY OF SARATOGA SPRINGS City Council Meeting

ANC 1B TRANSPORTATION COMMITTEE Thursday, November 19, :00-8:15 p.m. Columbia Heights Recreation Center 1480 Girard Street, NW AGENDA

CERTIFICATE OF LIABILITY INSURANCE

WORLDWIDE EXPRESS TRUCKLOAD

The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin

SCANA Corporation. AEGIS Insurance Services, Inc.

Summit Management Services, Inc. Vendor Management Program Requirements

Countrywide Express Inc.


ï

NEW VENDOR INFORMATION

Tax ID: MC C SCAC: BWCD DOT:

Rudolph Libbe Inc Subcontractor / Vendor Prequalification Instructions

CERTIFICATE OF LIABILITY INSURANCE

CONTRACTOR NETWORK. Application & Program Fundamentals

CERTIFICATE OF LIABILITY INSURANCE

VENDOR INSURANCE REQUIREMENTS

Case KJC Doc 64 Filed 12/21/17 Page 1 of 16

ON-SITE VENDOR ~DOES COME ON A UPA MANAGED PROPERTY TO PROVIDE SERVICE~

RFP - FCPA Conference Video

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE

ATLAS TRUCKING AND LOGISTICS, LLC

EFFECTIVE JULY 1, 2009

CERTIFICATE OF LIABILITY INSURANCE

APPLICATION TO OBTAIN BUILDING PERMIT

PLUM BOROUGH MUNICIPAL AUTHORITY CONSULTING ENGINEERS WATER DEPARTMENT


CERTIFICATE OF LIABILITY INSURANCE

SOIL INVESTIGATION REPORT

Transcription:

The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin within the Vendor Self Service portal at wvoasis.gov. As part of the State of West Virginia s procurement process, and to maintain the transparency of the bid opening process, this documentation submitted online is publicly posted by the West Virginia Purchasing Division at WVPurchasing.gov with any other vendor responses to this solicitation submitted to the Purchasing Division in hard copy format.

Purchasing Division 2019 Washington Street East Post Office Box 50130 Charleston, WV 25305-0130 State of West Virginia Solicitation Response Proc Folder : 313311 Solicitation Description : Addendum No.02; Security Project to Shell Juvenile Center Proc Type : Central Purchase Order Date issued Solicitation Closes Solicitation Response Version 2017-05-04 13:30:00 SR 0621 ESR05041700000005353 1 VENDOR 000000205174 DANHILL CONSTRUCTION COMPANY Solicitation Number: CRFQ 0621 DJS1700000010 Total Bid : $418,956.00 Response Date: 2017-05-04 Response Time: 12:48:17 Comments: FOR INFORMATION CONTACT THE BUYER Guy Nisbet (304) 558-2596 guy.l.nisbet@wv.gov Signature on File FEIN # All offers subject to all terms and conditions contained in this solicitation DATE Page : 1 FORM ID : WV-PRC-SR-001

Line Comm Ln Desc Qty Unit Issue Unit Price Ln Total Or Contract Amount 1 Security Renovations-Enhancements $418,956.00 Comm Code Manufacturer Specification Model # 72120000 Extended Description : See attached Exhibit A pricing page. Vendor must submit Exhibit A Pricing Page with their submitted bid response. Vendors submitting online are to enter their Base Bid in the commodity line when submitting. Page : 2

$418,956.00

Four Hundred Eighteen Thousand Nine Hundred Fifty Six Dollars 418,956.00 32,428.00 Thirty Two Thousand Four Hundred Twenty Eight Dollars 63,401.00 Sixty Three Thousand Four Hudred One Dollars 84,008.00 Eighty Four Thousand Eight Dollars 126,862.00 One Hundred Twenty Six Thousand Eight Hundred Sixty Two Dollars 19,456.00 Nineteen Thousand Four Hundred Fifty Six Dollars

PRODUCER INSURED CONTACT NAME: PHONE (A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: DATE (MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 3/30/2017 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 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). BB&T-Carson Insurance Services 601 Tennessee Avenue Charleston, WV 25302 304 346-0806 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. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X TRA0548113 07/01/2016 07/01/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES (Ea occurrence) $ 500,000 A OTHER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS A X UMBRELLA LIAB X B A Danhill Construction Company P O Box 685 Gauley Bridge, WV 25085 X XCU Included X X EXCESS LIAB SCHEDULED AUTOS NON-OWNED AUTOS GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC DED RETENTION$ $ WORKERS COMPENSATION PER OTH- X WCB1008781 09/20/2016 09/20/2017 X AND EMPLOYERS' LIABILITY STATUTE ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Y N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Builders Risk Special Form X X 0 Client#: 1638974 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Shelley Newman FAX 304 340-6960 (A/C, No): 8887513002 shelley.newman@bbandt.com INSURER(S) AFFORDING COVERAGE NAIC # Westfield Insurance Company Brickstreet Mutual Insurance Co MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ $ $ $ 24112 12372 5,000 1,000,000 2,000,000 2,000,000 X X TRA0548113 07/01/2016 07/01/2017 1,000,000 X X TRA0548113 07/01/2016 07/01/2017 7,000,000 7,000,000 TRA0548113 $5,000 Ded $500,000 Temp ** Workers Comp Information ** Voluntary Compensation ; Other States Coverage Proprietors/Partners/Executive Officers/Members Excluded: Robert Hill, President Rebecca Hill, Secretary/Treasurer (See Attached Descriptions) 07/01/2016 Location 18DANHICON 07/01/2017 5,000,000 Any One Loc 10,000,000 CAT Limit 500,000 In Transit 1,000,000 1,000,000 1,000,000 CERTIFICATE HOLDER Danhill Construction Company P O Box 685 Gauley Bridge, WV 25085 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) 1 of 2 #S17906469/M16858812 The ACORD name and logo are registered marks of ACORD 1988-2014 ACORD CORPORATION. All rights reserved. SAN

DESCRIPTIONS (Continued from Page 1) Broad Form Employers Liability Form# WC990304 Edt Date: 01/01/06 Blanket Waiver of Subrogation Form# WC000313 Edt Date: 04/01/84 Evidence of Coverage SAGITTA 25.3 (2014/01) 2 of 2 #S17906469/M16858812