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Contract #: 817 - From: 05-15-2015 To: 05-14-2016 - Nichem Company - Town of North Andover
l i� ACiORV CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 8/8/2017 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(les) 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). PRODUCER O'Neill & Associates 877 Brunswick Ave8200 PO Box 5026 CONTACT NAME: PHONE 4_ FAX No - 4-8288 E -MAIL ADDRESS: uC O INSURERS AFFORDING COVERAGE NAIC # Trenton NJ 08638 INSURER A : he Hartford 30104 EACH OCCURRENCE $1,000,000 INSURED 2444 INSURERS ZENITH INS CO 13269 INSURERC:NAUTILUS INS CO7 7 Nichem Company 750 Frelinghuysen Avenue Newark NJ 07114 INSURER D: PRODUCTS - COMP/OP AGG $2,000,000 Pollution $1,000,000 INSURER E: INSURER F: LIABILITY ANY AUTO ALL OWNED x SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS COVERAGES CERTIFICATE NUMBER: 136671A1n'i 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR UBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDIYYYY LIMITS C GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE li-I OCCUR X CONTRACTUAL Y GSP202079710 2/1/2017 2/1/2018 EACH OCCURRENCE $1,000,000 _ DAMAGE TO RENTED ccurrence $100,000 PREMISES Ea occurrence) MED EXP (Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 X POLLUTION GENERAL AGGREGATE $2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $2,000,000 Pollution $1,000,000 A AUTOMOBILE X x X LIABILITY ANY AUTO ALL OWNED x SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS Y 13UECBH9972 6/1/2017 6/1/2018 Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y FFX202079910 2/1/2017 2/1/2018 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED X RETENTION $10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVEF-1 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Ifes, describe under DESCRIPTION OF OPERATIONS below NIA Z067619013 8/15/2017 8/15/2018 WC STATU- OH- Y LIMITS E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is included as Additional Insured ATIMA. .v_. � nvwcr% I,ANUMLLA I IUIV Town of North Andover 120 Main Street North Andover MA 01845 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Andrew W. Maylor Town Manager Town of North Andover Office of the Town Manager North Andover Town Hall 120 Main Street North Andover, MA 01845 amaylor@northandoverma.gov April 6, 2017 Mr. Mark Iannelli, Sales Manager Nichem Company 750 Frelinghuysen Avenue Newark, NJ 07114 Dear Mr. Iannelli: Telephone (978)688-9510 Fax (978)688-9556 In accordance with the provisions of the contract between the Town of North Andover and Nichem Company (Contract #817), the contract and the respective price ($123,500) to supply and install Virgin Granular Activated Carbon at the Water Treatment Plant is extended one last additional option year (May 15, 2017 through May 14, 2018). Please provide updated insurance certificates listing the Town of North Andover as `Additional Insured' in accordance with the contract document. The insurance certificates are to be sent to the attention of Ray Santilli, Assistant Town Manager. If you have any questions and/or concerns, please call Mr. Santilli at 978-688-9516. Sincerely el Andrew W. Maylor Town Manager cc., Ray Santilli, Assistant Town Manager Glen Alt, WTP Contract File .ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 2/24/2017 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(les) 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). PRODUCER CONTACT NAME: O'Neill & Associates 877 Brunswick Ave PO Box 5026 PHONEo. FAX - AIC No:- 394-8288 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # Trenton NJ 08638 INSURER A:The Hartford 30104 DAMAGE TO RENT D PREMISES Ea occurrence $100,000 INSURED 2444 INSURER BZENITH INS CO 13269 INSURER C:NAUTILUS INS17370 Nichem Company INSURER D: 750 Frelinghuysen Avenue Newark NJ 07114 Pollution $1,000,000 A INSURER E: INSURER F: Y COVERAGES CERTIFICATE NUMBER: 227911424 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS C GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IR -1 OCCUR X Contractual Y GSP202079710 2/1/2017 2/1/2018 EACH OCCURRENCE $1,000,000 DAMAGE TO RENT D PREMISES Ea occurrence $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $2,000,000 Pollution $1,000,000 A AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED x SCHEDULED AUTOS AUTOS X NON -OWNED HIRED AUTOS AUTOS Y 13UECBH9972 6/1/2016 6/1/2017 MBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PR P cdenDAMAGE $ C X UMBRELLA LIAROCCUR EXCESS LW XB CLAIMS -MADE Y FFX202079910 2/1/2017 2/1/2018 EACH OCCURRENCE $5,000,000 _ AGGREGATE $5,000,000 DED X RETENTION $10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE� OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA Z067619012 8/15/2016 8/15/2017 WC STATU- x OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEd $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate Holder is included as Additional Insured ATIMA. CERTIFICATE HOLDER rANrFl I OTION Town of North Andover 120 Main Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. North Andover MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ACOOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 6/3/2016 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). PRODUCER O'Neill & Associates 877 Brunswick Ave PO Box 5026 CONTACT NAME: E t 60 - TTAX PHONEUVC.No, A/C No EMAIL ADDRESS: S INSURERS AFFORDING COVERAGE NAIC # Trenton NJ 08638 INSURERA:The Hartford 30104 EACH OCCURRENCE $1,000,000 INSURED 2444 INSURER BZENITH INS CO 3 69 INSURERC:Brooks Insurance Group Nichem Company 750 Frelinghuysen Avenue New Jersey NJ 07114 INSURER D: GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $2,000,000 INSURER E INSURER F: AUTOMOBILE X COVERAGES CERTIFICATE NUMBER: 1051626752 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS C GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X Contractual Y LHA109415 12/9/2015 12/9/2016 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea) $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $2,000,000 Pollution $1,000,000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNEDX SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS Y 13UECBH9972 6/1/2016 6/1/2017 COMBINED SINGLE LIM17— Ea accident $1,000,000 BODILY INJURY (Per person) $ x X BODILY INJ$ INJURY accident ( ) PROPERTY DAMAGE $ Per accident C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y LHA074060 12/9/2015 12/9/2016 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 DED X RETENTION $10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED' ❑ (Mandatory in NH) Ifyes, describe under DESCRIPTION OF OPERATIONS below N / A Z067619011 8/15/2015 8/15/2016 WC ST T YATUT x OTH- EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is included as Additional Insured ATIMA. CERTIFICATE HOLDER CANCF1I_ATION Town of North Andover 120 Main Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. North Andover MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Andrew W. Maylor Town Manager Mr. Mark Iannelli, Sales Manager Nichem Company 750 Frelinghuysen Avenue Newark, NJ 07114 Dear Mr. Iannelli: Town of North Andover Office of the Town Manager North Andover Town Hall 120 Main Street North Andover, MA 01845 amaylor@townofnorthandover.com March 16, 2016 Telephone (978)688-9510 Fax (978)688-9556 In accordance with the provisions of the contract between the Town of North Andover and Nichem Company (Contract #817), the contract and the respective price ($117,370) to supply and install Virgin Granular Activated Carbon at the Water Treatment Plant is extended an additional option year (May 15, 2016 through May 14, 2017). Please provide updated insurance certificates including listing the Town of North Andover as `Additional Insured' in accordance with the contract document. The insurance certificates are to be sent to the attention of Ray Santilli, Assistant Town Manager. If you have any questions and/or concerns, please call Mr. Santilli at 978-688-9516. Sincerely, Andrew W. Maylor Town Manager cc., Ray Santilli, Assistant Town Manager Glen Alt, WTP Contract File y�O p 1 0 9 Imo. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 3/24/2016 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(les) 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). PRODUCER CONTAC NAME: FAX 0.-394-8200 A/C No):609-394m8288877 O'Neill & AssociatesPHONE Brunswick Ave PO Box 5026 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # Trenton NJ 08638 INSURER A:The Hartford 30104 DAMAGE TO RENTED PREMISES Ea occurrence $100,000 INSURED 2444 INSURER B:ZENITH INS CO 13269 INSURER C:BrOOkS Insurance Group Nichem Company INSURER D: 750 Frelinghuysen Avenue New Jersey NJ 07114 INSURER E INSURER F: AUTOMOBILE X X X COVERAGES CERTIFICATE NUMBER: 9119644Fin7 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR UB R WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS C .X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X Contractual Y LHA109415 12/9/2015 12/9/2016 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $2,000,000 Pollution $1,000,000 A AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNEDX SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS Y 13UECBH9972 6/1/2015 6/1/2016 COMBINED 5IN(3LE1T9rI_ Ea accident $1,000,000_ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ DAMAGE a PROPERTY t $ Per cciden C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y LHA070105 12/9/2015 12/9/2016 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 DED X I RETENTION $10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 2067619011 8/15/2015 8/15/2016 O STATIT X ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is included as Additional Insured ATIMA. Town of North Andover 120 Main Street North Andover MA 01845 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 _t a�zq ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 7,ACORD CERTIFICATE OF TM LIABILITY INSURANCEDATE(MM/DD/YYYY) 03/2312016 PRODUCER O'Neill &Associates, Inc. 877 Brunswick Ave. Trenton NJ 08638 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Nichem Company 750 Frelinghuysen Avenue Newark, NJ 07114 POLICY EFFECTIVE INSURER A: Landmark American Insurance Co. 33138 INSURER B: Zenith Insurance Company 13269 INSURER c: Hartford Accident & Indemnity Ins. Co. 22357 INSURER D: INSURER E: DAMAGE TO RENTED $ 100,000 COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DD' TYPE OF INRURANCF POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION1jqRn LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $ 100,000 rA X COMMERCIAL GENERAL LIABILITY LHA106525 12/09/15 12109/16 CLAIMS MADE FX I OCCUR MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 XContractual Liability GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 Pollution $1,000,000 X1 POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINEDaaccid SINGLE LIMIT $ 1,000,000 C X ANY AUTO 13 UECBH9972 06/01/15 06/01/16 Ea accident BODILY INJURY $ X ALL OWNED AUTOS X SCHEDULED AUTOS (Per person) BODILY INJURY $ X HIRED AUTOS X NONAWNEDAUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000 A X OCCUR EICLAIMS MADE LHA046853 12/09115 12/09/16 AGGREGATE $ 2,000,000 $ X DEDUCTIBLE $ RETENTION $ 10,000 WORKERS COMPENSATION AND X WC STATU- O R Ml E.L. EACH ACCIDENT $1,000,000 B EMPLOYERS' LIABILITY Z067619010 08/15/15 08/15/16 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? If es, describe under PE IA PR VII N below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The Town of North Andover is included as an additional insured. CERTIFICATE HOLDER CANCELLATION Town of North Andover 120 Main Street North Andover, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE Q04A.*,.. J. O 4 / t , / p <BO> ACORD 25 (2001/08) © ACORD CORPORATION 1988 r IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGUKD 25 (2001/05) M 3/16/2016 r., - I NORf.,N%OVER�assach Town of North Andover Mail -Prevailing wage schedule for Wage Request number :20160315-065U Ray Santilli <rsantilli@northandoverma.gov> Prevailing wage schedule for Wage Request number :20160315-065U i message MA Prevailing Wage <prevailingwages@state.ma.us> To: rsanti lli@townofnorthandover. corn Tue, Mar 15, 2016 at 3:27 PM THIS IS A SYSTEM -GENERATED EMAIL. PLEASE DO NOT REPLY TO THIS EMAIL. TO CONTACT DLS REGARDING PREVAILING WAGE MATTERS CALL 617.626.6953 APPROVAUDENIAL COMMENTS The Annual Update requirement is for multi-year construction contracts only! This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is strictly prohibited and may be the subject of legal action. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Thank you. https://mai I.google.com/mai 1/u/0/?ui=2&ik=f7Oe2f4909&view=pt&search=i nbox&th=1537bc44b32Of9Oc&sim 1=1537bc44b32Of9Oc 1/1 3/16/2036 Town of North Andover Mail - Ray Santilli - Annual Update Requirement Admin Assistant H 617.626.6953 The Commonwealth of Massachusetts Department of Labor Standards r Prevailing Wa6e, Floor 2 19 Staniford Street Boston, MA 02114 This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is strictly prohibited and may be the subject of legal action. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Thank you. https:Hm ai l.google.com/mail/u/0/?ui=2&i k=f7Oe2f4909&view=pt&search=inbox&th=1537bbf9dl4d01 be&sim 1=1537bbfgdl4d01 be 2/2 3/15/2016 Confirmation Request Official Wage Schedule Your request for an Annual update to Prevailing Wage Schedule has been successfully received and is being processed by DOS. The schedule will be emailed to the email address provided in your request. Please note the wage request number 20160315-065U for future inquires. Request another official Wage Schedule U 2009 Commonwealth of Massachusetts Prevailing Wage Site Policies Contact Us Help Site Map http://prevai lingwage.detma.orgNVageRequest.aspx?wr=125 1/2 TOWN OF NORTH ANDOVER 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 Raymond T Santilli Assistant Town Manager Mr. Mark Iannelli, Sales Manager Nichem Company 750 Frelinghuysen Avenue Newark, NJ 07114 Dear Mr. Iannelli: June 3, 2015 TEL (978) 688-9516 FAX (978) 688-9556 Enclosed please find the executed contract between the Town of North Andover and Nichem Company to supply and install Virgin Granular Activated Carbon at the Water Treatment Plant for the period of May 15, 2015 through May 14, 2016. In accordance with Massachusetts General Laws, you are required to pay prevailing wage for the work performed under this contract. For each week work is performed, you are required to submit certified weekly payroll records. The certified weekly payroll records are to be sent to: Mr. Glen Alt, Superintendent Water Treatment Plant 420 Great Pond Road North Andover, MA 01845 If you have any questions and/or concerns, please call me. Sincerely, Raymond T. Santilli Assistant Town Manager Enclosure cc., Glen Alt, WTP Contract File r TOWN OF NORTH ANDOVER CONTRACT CONTRACT #� DATE: Jam, 3. ao /S— This J This Contract is entered into on, or as of, this date by and between the Town of North Andover (the "Town"), and Contractor: Nichem Company Address: 750 Frelinghuysen Avenue Newark, NJ 07114 Telephone Number: 973-399-9810 Fax Number: 973-732-3669 1. This is a Contract for the procurement, of the following: Supply and install 3,360 cubic feet of Virgin Granular Activated Carbon, as well as removal and disposal of a similar quantity, at the Water Treatment Plant for the period of May 15, 2015 through May 14, 2016, with two (2) additional one-year renewals solely at the discretion of the Town, in accordance with the Invitation for Bids dated April 7, 2015 2. The Contract price to be paid to the Contractor by the Town of North Andover is: $117,370 3. Payment will be made as follows: Upon completion of work and receipt of invoice (net 30) 4. Definitions 4.1 Acceptance: All Contracts require proper acceptance of the described goods or services by the Town of North Andover. Proper acceptance shall be understood to include inspection of goods and certification of acceptable performance for services by authorized representatives of the Town to insure that the goods or services are complete and are as specified in the Contract. (Rev 5-2007) Contract by and between Town of North Andover and Nichem Company Page 1 v' 4.2 Contract Documents: All documents relative to the Contract including (where used) Instructions to Bidders, Proposal Form, General Conditions, Supplementary General Conditions, General Specifications, Other Specifications included in Project Manual, Drawings, and all Addenda issued during the bidding period. The Contract documents are complementary, and what is called for by any one shall be as binding as if called for by all. The intention of the document is to include all labor and materials, equipment and transportation necessary for the proper performance of the Contract. 4.3 The Contractor: The "other party" to any Contract with the Town. This term shall (as the sense and particular Contract so require) include Vendor, Contractor, Engineer, or other label used to identify the other party in the particular Contract. Use of the term "Contractor" shall be understood to refer to any other such label used. 4.4 Date of Substantial Performance: The date when the work is sufficiently complete, the services are performed, or the goods delivered, in accordance with Contract documents, as modified by approved Amendments and Change Orders. 4.5 Goods: Goods, Supplies or Materials. 4.6 SubContractor: Those having a direct Contract with the Contractor. The term includes one who furnished material worked to a special design according to the Drawings or Specifications of this work, but does not include one who merely furnishes material not so worked. 4.7 Work: The services or materials contracted for, or both. 5. Term of Contract and Time for Performance This Contract shall be fully performed by the Contractor in accordance with the provisions of the Contract Documents on or before May 14, 2016, unless extended pursuant to a provision for extension contained in the Contract documents at the sole discretion of the Town, and not subject to assent by the Contractor, and subject to the availability and appropriation of funds as certified by the Town Accountant. The time limits stated in the Contract documents are of the essence of the Contract. 6. Subject to Appropriation Notwithstanding anything in the Contract documents to the contrary, any and all payments which the Town is required to make under this Contract shall be subject to appropriation or other availability of funds as certified by the Town Accountant. In the absence of appropriation, this Contract shall be immediately terminated without liability for damages, penalties or other charges. 7. Permits and Approvals Permits, Licenses, Approvals and all other legal or administrative prerequisites to its performance of the Contract shall be secured and paid for by the Contractor. (Rev 5-2007) Contract by and between Town of North Andover and Nichem Company Page 2 8. Termination and Default 8.1 Without Cause. The Town may terminate this Contract on seven (7) calendar days' notice when in the best interests of the Town by providing notice to the Contractor, which shall be in writing and shall be deemed delivered and received when given in person to the Contractor, or when received by fax, express mail, certified mail return receipt requested, regular mail postage prepaid or delivered by any other appropriate method evidencing actual receipt by the Contractor. Upon termination without cause, Contractor will be paid for services rendered to the date of termination. 8.2 For Cause. If the Contractor is determined by the Town to be in default of any term or condition of this Contract, the Town may terminate this Contract on seven (7) days' notice by providing notice to the Contractor, which shall be in writing and shall be deemed delivered and received when given in person to the Contractor, or when received by fax, express mail, certified mail return receipt requested, regular mail postage prepaid or delivered by any other appropriate method evidencing actual receipt by the Contractor. 8.3 Default. The following shall constitute events of a default under the Contract: 1) any material misrepresentation made by the Contractor to the Town; 2) any failure to perform any of its obligations under this Contract including, but not limited to the following: (i) failure to commence performance of this Contract at the time specified in this Contract due to a reason or circumstance within the Contractor's reasonable control, (ii) failure to perform this Contract with sufficient personnel and equipment or with sufficient material to ensure the completion of this Contract within the specified time due to a reason or circumstance within the Contractor's reasonable control, (iii) failure to perform this Contract in a manner reasonably satisfactory to the Town, (iv) failure to promptly re -perform within a reasonable time the services that were rejected by the Town as unsatisfactory, or erroneous, (v) discontinuance of the services for reasons not beyond the Contractor's reasonable control, (vi) failure to comply with a material term of this Contract, including, but not limited to, the provision of insurance and non-discrimination, (vii) any other acts specifically and expressly stated in this Contract as constituting a basis for termination of this Contact, and (viii) failure to comply with any and all requirements of state law and/or regulations, and Town bylaw and/or regulations. 9. The Contractor's Breach and the Town's Remedies Failure of the Contractor to comply with any of the terms or conditions of this Contract shall be deemed a material breach of this Contract, and the Town of North Andover shall have all the rights and remedies provided in the Contract documents, the right to cancel, terminate, or suspend the Contract in whole or in part, the right to maintain any and all actions at law or in equity or other proceedings with respect to a breach of this Contract, including damages and specific performance, and the right to select among the remedies available to it by all of the above. (Rev 5-2007) Contract by and between Town of North Andover and Nichem Company Page 3 From any sums due to the Contractor for services, the Town may keep the whole or any part of the amount for expenses, losses and damages incurred by the Town as a consequence of procuring services as a result of any failure, omission or mistake of the Contractor in providing services as provided in this Contract. 10. Statutory Compliance 10.1 This Contract will be construed and governed by the provisions of applicable federal, state and local laws and regulations; and wherever any provision of the Contract or Contract documents shall conflict with any provision or requirement of federal, state or local law or regulation, then the provisions of law and regulation shall control. Where applicable to the Contract, the provisions of the General Laws are incorporated by reference into this Contract, including, but not limited to, the following: General Laws Chapter 30B — Procurement of Goods and Services. General Laws Chapter 30, Sec. 39, et seq: - Public Works Contracts. General Laws Chapter 149, Section 44A, et seq: Public Buildings Contracts. 10.2 Wherever applicable law mandates the inclusion of any term and provision into a municipal contract, this Section shall be understood to import such term or provision into this Contract. To whatever extent any provision of this Contract shall be inconsistent with any law or regulation limiting the power or liability of cities and towns, such law or regulation shall control. 10.3 The Contractor shall give all notices and comply with all laws and regulations bearing on the performance of the Contract. If the Contractor performs the Contract in violation of any applicable law or regulation, the Contractor shall bear all costs arising therefrom. 10.4 The Contractor shall keep itself fully informed of all existing and future State and National Laws and Municipal By-laws and Regulations and of all orders and decrees of any bodies or tribunals having jurisdiction in any manner affecting those engaged or employed in the work, of the materials used in the work or in any way affecting the conduct of the work. If any discrepancy or inconsistency is discovered in the Drawings, Specifications or Contract for this work in violation of any such law, by-law, regulation, order or decree, it shall forthwith report the same in writing to the Town. It shall, at all times, itself observe and comply with all such existing and future laws, by-laws, regulations, orders and decrees; and shall protect and indemnify the Town of North Andover, and its duly appointed agents against any claim or liability arising from or based on any violation whether by him or its agents, employees or subcontractors of any such law, by-law, regulation or decree. 11. Conflict of Interest Both the Town and the Contractor acknowledge the provisions of the State Conflict of Interest Law (General Laws Chapter 268A), and this Contract expressly prohibits any activity which shall constitute a violation of that law. The Contractor shall be deemed to have investigated the application of M.G.L. c. 268A to the performance of this Contract; and by executing the (Rev 5-2007) Contract by and between Town of North Andover and Nichem Company Page 4 0 Contract documents the Contractor certifies to the Town that neither it nor its agents, employees, or subcontractors are thereby in violation of General Laws Chapter 268A. 12. Certification of Tax Compliance This Contract must include a certification of tax compliance by the Contractor, as required by General Laws Chapter 62C, Section 49A (Requirement of Tax Compliance by All Contractors Providing Goods, Services, or Real Estate Space to the Commonwealth or Subdivision). 13. Discrimination The Contractor will carry out the obligations of this Contract in full compliance with all of the requirements imposed by or pursuant to General Laws Chapter 151B (Law Against Discrimination) and any executive orders, rules, regulations, and requirements of the Commonwealth of Massachusetts as they may from time to time be amended. 14. Assi -nent Assignment of this Contract is prohibited, unless and only to the extent that assignment is provided for expressly in the Contract documents. 15. Condition of Enforceability gainst the Town This Contract is only binding upon, and enforceable against, the Town if. (1) the Contract is signed by the Town Manager or its designee; and (2) endorsed with approval by the Town Accountant as to appropriation or availability of funds; and (3) endorsed with approval by the Town Counsel as to form. 16. Corporate Contractor If the Contractor is a corporation, it shall endorse upon this Contract (or attach hereto) its Clerk's Certificate certifying the corporate capacity and authority of the party signing this Contract for the corporation. Such certificate shall be accompanied by a letter or other instrument stating that such authority continues in full force and effect as of the date the Contract is executed by the Contractor. This Contract shall not be enforceable against the Town of North Andover unless and until the Contractor complies with this section. The Contractor, if a foreign corporation, shall comply with the provisions of the General Laws, Chapter 181, Sections 3 and 5, and any Acts and Amendments thereof, and in addition thereto, relating to the appointment of the Commissioner of Corporations as its attorney, shall file with the Commissioner of Corporations a Power of Attorney and duly authenticated copies of its Charter or Certificate of Incorporation; and said Contractor shall comply with all the laws of the Commonwealth. (Rev 5-2007) Contract by and between Town of North Andover and Nichem Company Page 5 17. Liability of Public Officials To the full extent permitted by law, no official, employee, agent or representative of the Town of North Andover shall be individually or personally liable on any obligation of the Town under this Contract. 18. Indemnification The Contractor shall indemnify, defend and save harmless the Town, the Town's officers, agents and employees, from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs, expenses, recoveries and judgments of every nature and description (including reasonable attorneys' fees) that may arise in whole or in part out of or in connection with the work being performed or to be performed, or out of any act or omission by the Contractor, its employees, agents, subcontractors, material men, and anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, regardless of whether or not it is caused in part by any party indemnified hereunder. The Contractor further agrees to reimburse the Town for damage to its property caused by the Contractor, its employees, agents, subcontractors or material men, and anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including damages caused by his, its or their use of faulty, defective, or unsuitable material or equipment, unless the damage is caused by the Town's gross negligence or willful misconduct. The existence of insurance shall in no way limit the scope of the Contractor's indemnification under this contract. 19. Workers Compensation Insurance The Contractor shall provide by insurance for the payment of compensation and the furnishing of other benefits under Chapter 152 of the General Laws of Massachusetts (The Worker's Compensation Act) to all employees of the Contractor who are subject to the provisions of Chapter 152 of the General Laws of Massachusetts. Failure to provide and continue in force such insurance during the period of this Contract shall be deemed a material breach of this Contract, shall operate as an immediate termination thereof, and Contractor shall indemnify the Town for all losses, claims, and actions resulting from the failure to provide the insurance required by this Article. The Contractor shall furnish to the Town evidence of such insurance prior to the execution of this Contract before the same shall be binding on the parties thereto, except if specifically waived by the Town. 20. Documents, Materials, Etc. Any materials, reports, information, data, etc. given to or prepared or assembled by the Contractor under this Contract are to be kept confidential and shall not be made available to any individual or organization by the Contractor (except agents, servants, or employees of the Contractor) without the prior written approval of the Town, except as otherwise required by law. The Contractor shall comply with the provisions Chapter 66A of the General Laws of (Rev 5-2007) Contract by and between Town of North Andover and Nichem Company Page 6 ri Massachusetts as it relates to public documents, and all other state and federal laws and regulations relating to confidentiality, security, privacy and use of confidential data. Any materials produced in whole or in part under this Contract shall not be subject to copyright, except by the Town, in the United States or any other country. The Town shall have unrestricted authority to, without payment of any royalty, commission, or additional fee of any type or nature, publicly disclose, reproduce, distribute and otherwise use, and authorize others to use, in whole or in part, any reports, data or other materials prepared under this Contract. All data, reports, programs, software, equipment, furnishings, and any other documentation or product paid for by the Town shall vest in the Town at the termination of this Contract. The Contractor shall at all times, during or after termination of this Contract, obtain the prior written approval of the Town before making any statement bearing on the work performed or data collected under this Contract to the press or issues any material for publication through any medium. 21. Audit, Inspection and Recordkeeping At any time during normal business hours, and as often as the Town may deem it reasonably necessary, there shall be available in the office of the Contractor for the purpose of audit, examination, and/or to make excerpts or transcript all records, contracts, invoices, materials, payrolls, records of personnel, conditions of employment and other data relating to all matters covered by this Agreement. 22. Pgyment The Town agrees to make all reasonable efforts to pay to the Contractor the sum set forth in the Contractor's bid or proposal within thirty (30) days of receipt of an invoice detailing the work completed and acceptance from the Town of the work completed. 23. Waiver and Amendment Amendments, or waivers of any additional term, condition, covenant, duty or obligation contained in this Contract may be made only by written amendment executed by all signatories to the original Agreement, prior to the effective date of the amendment. To the extent allowed by law, any conditions, duties, and obligations contained in this Contract may be waived only by written Agreement by both parties. Forbearance or indulgence in any form or manner by a party shall not be construed as a waiver, nor in any manner limit the legal or equitable remedies available to that party. No waiver by either party of any default or breach shall constitute a waiver of any subsequent default or breach of a similar or different matter. 24. Forum and Choice of Law This Contract and any performance herein shall be governed by and be construed in accordance with the laws of the Commonwealth. Any and all proceedings or actions relating to subject (Rev 5-2007) Contract by and between Town of North Andover and Nichem Company Page 7 matter herein shall be brought and maintained in the courts of the Commonwealth or the federal district court sitting in the Commonwealth, which shall have exclusive jurisdiction thereof. This paragraph shall not be construed to limit any other legal rights of the parties. 25. Notices Any notice permitted or required under the provisions of this Contract to be given or served by either of the parties hereto upon the other party hereto shall be in writing and signed in the name or on the behalf of the party giving or serving the same. Notice shall be deemed to have been received at the time of actual service or three (3) business days after the date of a certified or registered mailing properly addressed. Notice to the Contractor shall be deemed sufficient if sent to the address set forth in the Contract and to the Town of North Andover by being sent to the Town Manager, Town Hall, 120 Main Street, North Andover, Massachusetts 01845. 26. Binding on Successors This Contract shall be binding upon the Contractor, its assigns, transferees, and/or successors in interest (and where not corporate, the heirs and estate of the Contractor). 27. Complete Contract This instrument, together with its endorsed supplements, and the other components of the contract documents, constitutes the entire contract between the parties, with no agreements other than those incorporated herein. 28. implemental Conditions The foregoing provisions apply to all contracts to which the Town of North Andover shall be a party. One of the following "Supplements" must be "checked" as applicable to this Contract, shall be attached hereto, and shall in any event apply as the nature of the Contract requires. The Supplement contains additional terms governing the Contract: [ ] GOODS SUPPLEMENT "G" - Applicable to Contracts for the procurement of Goods (governed by the provisions of General Laws Chapter 30B) [ X ] SERVICES SUPPLEMENT "S" - Applicable to Contracts for the procurement of Services (governed by the provisions of General Laws Chapter 3013) [ ] CONSTRUCTION SUPPLEMENT "C" - Applicable to Contracts for Construction (Rev 5-2007) Contract by and between Town of North Andover and Nichem Company Page 8 IN WITNESS WHEREOF the parties have hereto and to two other identical instruments set forth their hands the day and year first above written. THE TOWN C— � Co�\ Division/Department Head Contract Manager l 101r)— wn Manager Date THE CONTRACTOR l i chi &� Company Name T, Signature Date "r -L, Print Name & Title CERTIFICATION AS TO AVAILABILITY OF FUNDS: & &."j, )W I Vp -0 Towawlf> n countant Date (Rev 5-2007) Contract by and between Town of North Andover and Nichem Company Page 9 • � a THE COMMONWEALTH OF MASSACHUSETTS s EXECUTIVE OFFICE OF LABOR AND WORKFORCE DEVELOPMENT DEPARTMENT OF LABOR STANDARDS Prevailing Wage Rates CHARLES D. BAKER As determined by the Director under the provisions of the RONALD L. WALKER, n Go emo Massachusetts General Laws, Chapter 149, Sections 26 to 27H Secretary JEAN ZEILER KARYN E. POLITO Acting Director Lt. Govemor Awarding Authority: Town of North Andover Contract Number: City/Town: NORTH ANDOVER Description of Work: Install 3,360 cubic feet of Virgin Granulated Activated Carbon, and remove/dispose of similar quantity, at the Water Treatment Plant Job Location: 420 Great Pond Road Information about Prevailing Wage Schedules for Awarding Authorities and Contractors • This wage schedule applies only to the specific project referenced at the top of this page and uniquely identified by the "Wage Request Number" on all pages of this schedule. • An Awarding Authority must request an updated wage schedule from the Department of Labor Standards ("DLS") if it has not opened bids or selected a contractor within 90 days of the date of issuance of the wage schedule. For CM AT RISK projects (bid pursuant to G.L. c.149A), the earlier of. (a) the execution date of the GMP Amendment, or (b) the bid for the first construction scope of work must be within 90 -days of the wage schedule issuance date. • The wage schedule shall be incorporated in any advertisement or call for bids for the project as required by M.G.L. c. 149, § 27. The wage schedule shall be made a part of the contract awarded for the project. The wage schedule must be posted in a conspicuous place at the work site for the life of the project in accordance with M.G.L. c. 149 § 27. The wages listed on the wage schedule must be paid to employees performing construction work on the project whether they are employed by the prime contractor, a filed sub -bidder, or any sub -contractor. • All apprentices working on the project are required to be registered with the Massachusetts Division of Apprentice Standards (DAS). Apprentice must keep his/her apprentice identification card on his/her person during all work hours on the project. An apprentice registered with DAS maybe paid the lower apprentice wage rate at the applicable step as provided on the prevailing wage schedule. If an apprentice rate is not listed on the prevailing wage schedule for the trade in which an apprentice is registered with the DAS, the apprentice must be paid the journeyworker's rate for the trade. • The wage rates will remain in effect for the duration of the project, except in the case of multi-year public construction projects. For construction projects lasting longer than one year, awarding authorities must request an updated wage schedule. Awarding authorities are required to request these updates no later than two weeks before the anniversary of the date the contract was executed by the awarding authority and the general contractor. Formulti-year CM AT RISK projects, awarding authority must request an annual update no later than two weeks before the anniversary date, determined as the earlier of: (a) the execution date of the GMP Amendment, or (b) the execution date of the first amendment to permit procurement of construction services. Contractors are required to obtain the wage schedules from awarding authorities, and to pay no less than these rates to covered workers. The annual update requirement is not applicable to 27F "rental of equipment" contracts. • Every contractor or subcontractor which performs construction work on the project is required to submit weekly payroll reports and a Statement of Compliance directly to the awarding authority by mail or email and keep them on file for three years. Each weekly payroll report must contain: the employee's name, address, occupational classification, hours worked, and wages paid. Do not submit weekly payroll reports to DLS. A sample of a payroll reporting form may be obtained at http://www.mass.gov/dols/pw. • Contractors with questions about the wage rates or classifications included on the wage schedule have an affirmative obligation to inquire with DLS at (617) 626-6953. • Employees not receiving the prevailing wage rate set forth on the wage schedule may report the violation to the Fair Labor Division of the office of the Attorney General at (617) 727-3465. • Failure of a contractor or subcontractor to pay the prevailing wage rates listed on the wage schedule to all employees who perform construction work on the project is a violation of the law and subjects the contractor or subcontractor to civil and criminal penalties. Issue Date: 03/26/2015 Wage Request Number: 20150326-080 Classification Effective Date Base Wage Health Pension Supplemental Total Rate Unemployment Rental of Equipment - East (2 AXLE) DRIVER - EQUIPMENT 12/01/2014 $31.30 $9.91 $0.00 $0.00 $41.21 TF,AMSTFRS JOINT COUNCIL NO. 10 ZONE B 06/01/2015 $31.65 $9.91 $0.00 $0.00 $41.56 08/01/2015 $31.65 $10.41 $0.00 $0.00 $42.06 12/01/2015 $31.65 $10.41 $0.00 $0.00 $42.06 06/01/2016 $32.15 $10.41 $0.00 $0.00 $42.56 08/01/2016 $32.15 $10.91 $0.00 $0.00 $43.06 12/01/2016 $32.15 $10.91 $0.00 $0.00 $43.06 (3 AXLE) DRIVER - EQUIPMENT 12/01/2014 $31.37 $9.91 $0.00 $0.00 $41.28 TEAMSTERS JOINT COUNCII. NO. 10 ZONE. B 06/01/2015 $31.72 $9.91 $0.00 $0.00 $41.63 08/01/2015 $31.72 $10.41 $0.00 $0.00 $42.13 12/01/2015 $31.72 $10.41 $0.00 $0.00 $42.13 06/01/2016 $32.22 $10.41 $0.00 $0.00 $42.63 08/01/2016 $32.22 $10.91 $0.00 $0.00 $43.13 12/01/2016 $32.22 $10.91 $0.00 $0.00 $43.13 (4 & 5 AXLE) DRIVER - EQUIPMENT 12/01/2014 $31.49 $9.91 $0.00 $0.00 $41.40 T FAMSTERS JOINT COUNCIL NO. 10 ZONE B 06/01./2015 $31.84 $9.91 $0.00 $0.00 $41.75 08/01/2015 $31.84 $10.41 $0.00 $0.00 $42.25 12/01/2015 $31.84 $10.41 $0.00 $0.00 $42.25 06/01/2016 $32.34 $10.41 $0.00 $0.00 $42.75 08/01/2016 $32.34 $10.91 $0.00 $0.00 $43.25 12/01/2016 $32.34 $10.91 $0.00 $0.00 $43.25 ADS/SUBMERSIBLE PILOT 08/01/2014 $87.36 $9.80 $0.00 $0.00 $97.16 PILEDRIVER LOCAL 56 (ZONE I) 08/01/2015 $90.51 $9.80 $0.00 $0.00 $100.31 ASPHALT/CONCRETE/CRUSHER PLANT -ON SITE 12/01/2014 $42.39 $10.00 $0.00 $0.00 $52.39 OPERATING ENGINEERS LOCAL 4 06/01/2015 $43.14 $10.00 $0.00 $0.00 $53.1.4 12/01/2015 $44.39 $10.00 $0.00 $0.00 $54.39 06/01/2016 $45.14 $10.00 $0.00 $0.00 $55.14 12/01/2016 $46.39 $10.00 $0.00 $0.00 $56.39 06/01/2017 $47.39 $10.00 $0.00 $0.00 $57.39 12/01/2017 $48.39 $10.00 $0.00 $0.00 $58.39 For apprentice rates see "Apprentice- OPERATING ENGINEERS" BACKHOE/FRONT-END LOADER 12/01/2014 $42.39 $10.00 $0.00 $0.00 $52.39 OPERATING ENGINEERS LOCAL 4 06/01./2015 $43.14 $10.00 $0.00 $0.00 $53.14 12/01/2015 $44.39 $10.00 $0.00 $0.00 $54.39 06/01/2016 $45.14 $10.00 $0.00 0.00 $55.14 12/01/2016 $46.39 $10.00 $0.00 $0.00 $56.39 06/01/2017 $47.39 $10.00 $0.00 $0.00 $57.39 12/01/2017 $48.39 $10.00 $0.00 $0.00 $58.39 For apprentice rates see "Apprentice- OPERATING ENGINEERS" ------------------------------------------------------------------------------------------------------------------------ - ----------------- Issue Date: 03/26/2015 Wage Request Number: 20150326-080 Page 2 of 8 Classification BULLDOZER/GRADER/SCRAPER OPERATING ENGINEERS LOCAL 4 For apprentice rates see "Apprentice- OPERATING ENGINEERS" CLAM SHELLS/SLURRY BUCKETSI E;ADING MACHINES OPERATING ENGINEERS LOCAL 4 For apprentice rates see "Apprentice- OPERATING ENGINEERS" Effective Date Base Wage Health Pension Supplemental Total Rate $39.40 OPERATING ENGINEERS LOCAL 4 Unemployment 12/01/2014 $41.99 $10.00 $0.00 $0.00 $51.99 06/01/2015 $42.73 $10.00 $0.00 $0.00 $52.73 12/01/2015 $43.97 $10.00 $0.00 $0.00 $53.97 06/01/2016 $44.72 $10.00 $0.00 $0.00 $54.72 12/01/2016 $45.95 $10.00 $0.00 $0.00 $55.95 06/01/2017 $46.94 $10.00 $0.00 $0.00 $56.94 12/01/2017 $47.93 $10.00 $0.00 $0.00 $57.93 12/01/2014 $43.39 $10.00 $0.00 $0.00 $53.39 06/01/2015 $44.14 $10.00 $0.00 $0.00 $54.14 12/01/2015 $45.39 $10.00 $0.00 $0.00 $55.39 06/01/2016 $46.14 $10.00 $0.00 $0.00 $56.14 12/01/2016 $47.39 $10.00 $0.00 $0.00 $57.39 06/01/2017 $48.39 $10.00 $0.00 $0.00 $58.39 12/01/2017 $49.39 $10.00 $0.00 $0.00 $59.39 COMPRESSOR OPERATOR 12/01/2014 $29.40 $10.00 $0.00 $0.00 $39.40 OPERATING ENGINEERS LOCAL 4 06/01/2015 $29.92 $10.00 $0.00 $0.00 $39.92 12/01/2015 $30.79 $10.00 $0.00 $0.00 $40.79 06/01/2016 $31.31 $10.00 $0.00 $0.00 $41.31 12/01/2016 $32.18 $10.00 $0.00 $0.00 $42.18 06/01/2017 $32.87 $10.00 $0.00 $0.00 $42.87 12/01/2017 $33.56 $10.00 $0.00 $0.00 $43.56 For apprentice rates see "Apprentice- OPERATING ENGINEERS" DIVER 08/01/2014 $58.24 $9.80 $0.00 $0.00 $68.04 PILE DRIVER LOCAL 56 (ZONE 1) 08/01/2015 $60.34 $9.80 $0.00 $0.00 $70.14 DIVER TENDER 08/01/2014 $41.60 $9.80 $0.00 $0.00 $51.40 PILE DRIVER LOCAL 56 (ZONE 1) 08/01/2015 $43.10 $9.80 $0.00 $0.00 $52.90 DIVER TENDER (EFFLUENT) 08/01/2014 $62.40 $9.80 $0.00 $0.00 $72.20 PILE DRIVER LOCAL 56 (ZONE 1) 08/01/2015 $64.65 $9.80 $0.00 $0.00 $74.45 DIVER/SLURRY (EFFLUENT) 08/01/2014 $87.36 $9.80 $0.00 $0.00 $97.16 PILE, DRIVER LOCAL 56 (ZONE 1) 08/01/2015 $90.51 $9.80 $0.00 $0.00 $100.31 FLAGGER & SIGNALER 12/01/2014 $20.50 $7.30 $0.00 $0.00 $27.80 LABORERS - ZONE 2 06/01/2015 $20.50 $7.30 $0.00 $0.00 $27.80 12/01/2015 $20.50 $7.30 $0.00 $0.00 $27.80 06/01/2016 $20.50 $7.30 $0.00 $0.00 $27.80 12/01/2016 $20.50 $7.30 $0.00 $0.00 $27.80 For apprentice rates see "Apprentice- LABORER" FORK LIFT/CHERRY PICKER 12/01/2014 $42.39 $10.00 $0.00 $0.00 $52.39 OPERATING ENGINEERS LOCAL 4 06/01/2015 $43.14 $10.00 $0.00 $0.00 $53.14 12/01/2015 $44.39 $10.00 $0.00 $0.00 $54.39 06/01/2016 $45.14 $10.00 $0.00 $0.00 $55.14 12/01/2016 $46.39 $10.00 $0.00 $0.00 $56.39 06/01/2017 $47.39 $10.00 $0.00 $0.00 $57.39 12/01/2017 $48.39 $10.00 $0.00 $0.00 $58.39 For apprentice rates see "Apprentice- OPERATING ENGINEERS" --------------------------------------------------------------------------------------------------------------- Issue Date: 03/26/2015 Wage Request Number: 20150326-080 ---- ------------ Page 3 of 8 Classification Effective Date Base Wage Health Pension Supplemental Total Rate 06/01/2015 $43.14 $10.00 $0.00 Unemployment $53.14 GENERATOR/LIGHTING PLANTMEATERS 12/01/2014 $29.40 $10.00 $0.00 $0.00 $39.40 OPERATING ENGINEERS LOCAL 4 06/01/2015 $29.92 $10.00 $0.00 $0.00 $39.92 12/01/2015 $30.79 $10.00 $0.00 $0.00 $40.79 06/01/2016 $31.31 $10.00 $0.00 $0.00 $41.31 12/01/2016 $32.18 $10.00 $0.00 $0.00 $42.18 06/01/2017 $32.87 $10.00 $0.00 $0.00 $42.87 12/01/2017 $33.56 $10.00 $0.00 $0.00 $43.56 For apprentice rates see "Apprentice- OPERATING ENGINEERS" HOISTING ENGINEER/CRANES/GRADALLS OPERATING ENGINEERS LOCAL 4 12/01/2014 $42.39 $10.00 $0.00 $0.00 $52.39 06/01/2015 $43.14 $10.00 $0.00 $0.00 $53.14 12/01/2015 $44.39 $10.00 $0.00 $0.00 $54.39 06/01/2016 $45.14 $10.00 $0.00 $0.00 $55.14 12/01/2016 $46.39 $10.00 $0.00 $0.00 $56.39 06/01/2017 $47.39 $10.00 $0.00 $0.00 $57.39 12/01/2017 $48.39 $10.00 $0.00 $0.00 $58.39 Apprentice- OPERATING ENGINEERS -Local 4 Effective Date - 12/01/2014 Step percent Apprentice Base Wage Health Pension Supplemental Unemployment Total Rate 1 55 $23.31 $10.00 $0.00 $0.00 $33.31 2 60 $25.43 $10.00 $0.00 $0.00 $35.43 3 65 $27.55 $10.00 $0.00 $0.00 $37.55 4 70 $29.67 $10.00 $0.00 $0.00 $39.67 5 75 $31.79 $10.00 $0.00 $0.00 $41.79 6 80 $33.91 $10.00 $0.00 $0.00 $43.91 7 85 $36.03 $10.00 $0.00 $0.00 $46.03 8 90 $38.15 $10.00 $0.00 $0.00 $48.15 Effective Date - 06/01/2015 Supplemental Step percent Apprentice Base Wage Health Pension Unemployment Total Rate 1 55 $23.73 $10.00 $0.00 $0.00 $33.73 2 60 $25.88 $10.00 $0.00 $0.00 $35.88 3 65 $28.04 $10.00 $0.00 $0.00 $38.04 4 70 $30.20 $10.00 $0.00 $0.00 $40.20 5 75 $32.36 $10.00 $0.00 $0.00 $42.36 6 80 $34.51 $10.00 $0.00 $0.00 $44.51 7 85 $36.67 $10.00 $0.00 $0.00 $46.67 8 90 $38.83 $10.00 $0.00 $0.00 $48.83 ------------._......__..._---------- Notes: --- --.mss, I -�® T..�.._.�....__----------__..__..--- Apprentice to Journeyworker Ratio:1:6 ------------------------------------------------------------------------------------------------------------------------------------------- Issue Date: 03/26/2015 Wage Request Number: 20150326-080 Page 4 of 8 Classification LABORER LABORERS - ZONE 2 Apprentice - LABORER - Zone 2 Effective Date - 12/01/2014 Step percent Effective Date Base Wage Health Pension Supplemental Total Rate 2 70 $21.46 $7.30 $0.00 Unemployment $28.76 12/01/2014 $30.65 $7.30 $0.00 $0.00 $37.95 06/01/2015 $31.15 $7.30 $0.00 $0.00 $38.45 12/01/2015 $31.65 $7.30 $0.00 $0.00 $38.95 06/01/2016 $32.15 $7.30 $0.00 $0.00 $39.45 12/01/2016 $32.90 $7.30 $0.00 $0.00 $40.20 Supplemental Apprentice Base Wage Health Pension Unemployment Total Rate 1 60 $18.39 $7.30 $0.00 $0.00 $25.69 2 70 $21.46 $7.30 $0.00 $0.00 $28.76 3 80 $24.52 $7.30 $0.00 $0.00 $31.82 4 90 $27.59 $7.30 $0.00 $0.00 $34.89 Effective Date - 06/01/2015 $28.04 $7.30 $0.00 Supplemental Step percent Apprentice Base Wage Health Pension Unemployment Total Rate 1 60 $18.69 $7.30 $0.00 $0.00 $25.99 2 70 $21.81 $7.30 $0.00 $0.00 $29.11 3 80 $24.92 $7.30 $0.00 $0.00 $32.22 4 90 $28.04 $7.30 $0.00 $0.00 $35.34 -___.-----------------------------, (Notes: ----------- Apprentice to Journeyworker Ratioatio:l:5 - - - - OILER (OTHER THAN TRUCK CRANES,GRADALLS) 12/01/2014 $21.90 $10.00 $0.00 $0.00 $31.90 OPERATING ENGINEERS LOCAL 4 06/01/2015 $22.28 $10.00 $0.00 $0.00 $32.28 12/01/2015 $22.93 $10.00 $0.00 $0.00 $32.93 06/01/2016 $23.32 $10.00 $0.00 $0.00 $33.32 12/01/2016 $23.97 $10.00 $0.00 $0.00 $33.97 06/01/2017 $24.48 $10.00 $0.00 $0.00 $34.48 12/01/2017 $25.00 $10.00 $0.00 $0.00 $35.00 For apprentice rates see "Apprentice- OPERATING ENGINEERS" OILER (TRUCK CRANES, GRADALLS) 12/01/2014 $25.54 $10.00 $0.00 $0.00 $35.54 OPERA7ING ENGINEERS LOCAL 4 06/01/2015 $25.99 $10.00 $0.00 $0.00 $35.99 12/01/2015 $26.74 $10.00 $0.00 $0.00 $36.74 06/01/2016 $27.20 $10.00 $0.00 $0.00 $37.20 12/01/2016 $27.95 $10.00 $0.00 $0.00 $37.95 06/01/2017 $28.55 $10.00 $0.00 $0.00 $38.55 12/01/2017 $29.16 $10.00 $0.00 $0.00 $39.16 For apprentice rates see "Apprentice- OPERATING ENGINEERS" ------------- ----------------------- --------------- - ------- ------- - --------------------- ------------ - ------------------------- Issue Date: 03/26/2015 Wage Request Number: 20150326-080 Page 5 of 8 Classification Effective Date Base Wage Health Pension Supplemental Total Rate $39.35 TEAMSTERS JOINT COUNCIL NO. 10 ZONE B Unemployment OTHER POWER DRIVEN EQUIPMENT - CLASS II 12/01/2014 $41.99 $10.00 $0.00 $0.00 $51.99 OPERATING ENGINEERS LOCAL 4 $0.00 $52.39 OPERATING ENGINEERS LOCAL 4 06/01/2015 $42.73 $10.00 $0.00 $0.00 $52.73 12/01/2015 $43.97 $10.00 $0.00 $0.00 $53.97 06/01/2016 $44.72 $10.00 $0.00 $0.00 $54.72 12/01/2016 $45.95 $10.00 $0.00 $0.00 $55.95 06/01/2017 $46.94 $10.00 $0.00 $0.00 $56.94 12/01/2017 $47.93 $10.00 $0.00 $0.00 $57.93 For apprentice rates see "Apprentice- OPERATING ENGINEERS" PANEL & PICKUP TRUCKS DRIVER - 12/01/2012 $30.28 $9.07 $0.00 $0.00 $39.35 TEAMSTERS JOINT COUNCIL NO. 10 ZONE B POWER SHOVEL/DERRICK/TRENCHING MACHINE 12/01/2014 $42.39 $10.00 $0.00 $0.00 $52.39 OPERATING ENGINEERS LOCAL 4 06/01/2015 $43.14 $10.00 $0.00 $0.00 $53.14 12/01/2015 $44.39 $10.00 $0.00 $0.00 $54.39 06/01/2016 $45.14 $10.00 $0.00 $0.00 $55.14 12/01/2016 $46.39 $10.00 $0.00 $0.00 $56.39 06/01/2017 $47.39 $10.00 $0.00 $0.00 $57.39 12/01/2017 $48.39 $10.00 $0.00 $0.00 $58.39 For apprentice rates see "Apprentice- OPERATING ENGINEERS" PUMP OPERATOR (CONCRETE) 12/01/2014 $42.39 $10.00 $0.00 $0.00 $52.39 OPERATING ENGINEERS LOCAL 4 06/01/2015 $43.14 $10.00 $0.00 $0.00 $53.14 12/01/2015 $44.39 $10.00 $0.00 $0.00 $54.39 06/01/2016 $45.14 $10.00 $0.00 $0.00 $55.14 12/01/2016 $46.39 $10.00 $0.00 $0.00 $56.39 06/01/2017 $47.39 $10.00 $0.00 $0.00 $57.39 12/01/2017 $48.39 $10.00 $0.00 $0.00 $58.39 For apprentice rates see "Apprentice- OPERATING ENGINEERS" PUMP OPERATOR (DEWATERING, OTHER) 12/01/2014 $29.40 $10.00 $0.00 $0:00 $39.40 OPERATING ENGINEERS LOCAL 4 06/01/2015 $29.92 $10.00 $0.00 $0.00 $39.92 12/01/2015 $30.79 $10.00 $0.00 $0.00 $40.79 06/01/2016 $31.31 $10.00 $0.00 $0.00 $41.31 12/01/2016 $32.18 $10.00 $0.00 $0.00 $42.18 06/01/2017 $32.87 $10.00 $0.00 $0.00 $42.87 12/01/2017 $33.56 $10.00 $0.00 $0.00 $43.56 For apprentice rates see "Apprentice- OPERATING ENGINEERS" ROLLER/SPREADER/MULCHING MACHINE 12/01/2014 $41.99 $10.00 $0.00 $0.00 $51.99 OPER977NG ENGINEERS LOCAL 4 06/01/2015 $42.73 $10.00 $0.00 $0.00 $52.73 12/01/2015 $43.97 $10.00 $0.00 $0.00 $53.97 06/01/2016 $44.72 $10.00 $0.00 $0.00 $54.72 12/01/2016 $45.95 $10.00 $0.00 $0.00 $55.95 06/01/2017 $46.94 $10.00 $0.00 $0.00 $56.94 12/01/2017 $47.93 $10.00 $0.00 $0.00 $57.93 For apprentice rates see "Apprentice- OPERATING ENGINEERS" ------------------------------------------------------------------------------------------------------------------------------------------ Issue Date: 03/26/2015 Wage Request Number: 20150326-080 Page 6 of 8 Classification Effective Date Base Wage Health Pension Supplemental Total Rate OPERATING ENGINEERS LOCAL 4 Unemployment $31.94 SPECIALIZED EARTH MOVING EQUIP < 35 TONS 12/01/2014 $31.59 $9.91 $0.00 $0.00 $41.50 TEAMSTERSJOINT COUNCIL NO. 10 ZONE B 12/01/2015 $43.97 $10.00 $0.00 $0.00 $53.97 $0.00 06/01/2015 $31.94 $9.91 $0.00 $0.00 $41.85 $42.85 08/01/2015 $31.94 $10.41 $0.00 $0.00 $42.35 12/01/2016 12/01/2015 $31.94 $10.41 $0.00 $0.00 $42.35 06/01/2016 $32.44 $10.41 $0.00 $0.00 $42.85 For apprentice rates see "Apprentice- OPERATING ENGINEERS" 08/01/2016 $32.44 $10.91 $0.00 $0.00 $43.35 TRAILERS FOR EARTH MOVING EQUIPMENT 12/01/2016 $32.44 $10.91 $0.00 $0.00 $43.35 SPECIALIZED EARTH MOVING EQUIP > 35 TONS 12/01/2014 $31.88 $9.91 $0.00 $0.00 $41.79 TEAMSTERS JOINT COUNCIL NO. 10 ZONE B 06/01/2015 $32.52 $9.91 $0.00 $0.00 $42.43 06/01/2015 $32.23 $9.91 $0.00 $0.00 $42.14 08/01/2015 $32.23 $10.41 $0.00 $0.00 $42.64 12/01/2015 $32.23 $10.41 $0.00 $0.00 $42.64 06/01/2016 $32.73 $10.41 $0.00 $0.00 $43.14 08/01/2016 $32.73 $10.91 $0.00 $0.00 $43.64 TREE TRIMMER 12/01/2016 $32.73 $10.91 $0.00 $0.00 $43.64 TRACTORS/PORTABLE STEAM GENERATORS 12/01/2014 $41.99 $10.00 $0.00 $0.00 $51.99 OPERATING ENGINEERS LOCAL 4 06/01/2015 $31.94 $9.91 06/01/2015 $42.73 $10.00 $0.00 $0.00 $52.73 $0.00 12/01/2015 $43.97 $10.00 $0.00 $0.00 $53.97 $0.00 06/01/2016 $44.72 $10.00 $0.00 $0.00 $54.72 $42.85 12/01/2016 $45.95 $10.00 $0.00 $0.00 $55.95 12/01/2016 06/01/2017 $46.94 $10.00 $0.00 $0.00 $56.94 12/01/2017 $47.93 $10.00 $0.00 $0.00 $57.93 For apprentice rates see "Apprentice- OPERATING ENGINEERS" TRAILERS FOR EARTH MOVING EQUIPMENT 12/01/2014 $32.17 $9.91 $0.00 $0.00 $42.08 TEAMSTERSJOINT COUNCIL NO. 10 ZONE B 06/01/2015 $32.52 $9.91 $0.00 $0.00 $42.43 08/01/2015 $32.52 $10.41 $0.00 $0.00 $42.93 12/01/2015 $32.52 $10.41 $0.00 $0.00 $42.93 06/01/2016 $33.02 $10.41 $0.00 $0.00 $43.43 08/01/2016 $33.02 $10.91 $0.00 $0.00 $43.93 12/01/2016 $33.02 $10.91 $0.00 $0.00 $43.93 TREE TRIMMER 01/29/2012 $17.18 $3.37 $0.00 $0.00 $20.55 OUTSIDE ELECTRICAL WORKERS - EAST LOCAL 104 This classification applies only to tree work done: (a) for a utility company, R.E.A, cooperative, or railroad or coal mining company, and (b) for the purpose of operating, maintaining, or repairing the utility company's equipment, and (c) by a person who is using hand or mechanical cutting methods and is not on the ground. This classification does not apply to wholesale tree removal. TREE TRIMMER GROUNDMAN 01/29/2012 $15.15 $3.37 $0.00 $0.00 $18.52 OUTSIDE ELECTRICAL WORKIiRS - EAST LOCAL 104 This classification applies only to tree work done: (a) for a utility company, R.E.A. cooperative, or railroad or coal mining company, and (b) for the purpose of operating, maintaining, or repairing the utility company's equipment, and (c) by a person who is using hand or mechanical cutting methods and is on the ground. This classification does not apply to wholesale tree removal. VAC-HAUL/CATCH BASIN CLEANING 12/01/2014 $31.59 $9.91 $0.00 $0.00 $41.50 TEAMSTERS JOINT COUNCIL NO. 10 ZONE B 06/01/2015 $31.94 $9.91 $0.00 $0.00 $41.85 08/01/2015 $31.94 $10.41 $0.00 $0.00 $42.35 12/01/2015 $31.94 $10.41 $0.00 $0.00 $42.35 06/01/2016 $32.44 $10.41 $0.00 $0.00 $42.85 08/01/2016 $32.44 $10.91 $0.00 $0.00 $43.35 12/01/2016 $32.44 $10.91 $0.00 $0.00 $43.35 ------------------------------------------------------------------------------------------- - ---------------------------------------------- Issue Date: 03/26/2015 Wage Request Number: 20150326-080 Page 7 of 8 Classification Effective Date Base Wage Health Pension Supplemental Total Rate Unemployment Additional Apprentice Information: Minimum wage rates for apprentices employed on public works projects are listed above as a percentage of the pre -determined hourly wage rate established by the Commissioner under the provisions of the M.G.L. c. 149, ss. 26-27D. Apprentice ratios are established by the Division of Apprenticeship Training pursuant to M.G.L. c. 23, ss. I IE -11L. All apprentices must be registered with the Division of Apprenticeship Training in accordance with M.G.L. c. 23, ss. 11 E -I IL All steps are six months (1000 hours.) Ratios are expressed in allowable number of apprentices to journeymen or fraction thereof, unless otherwise specified ** Multiple ratios are listed in the comment field. *** APP to JM; 1:1, 2:2, 2:3, 3:4, 4:4, 4:5, 4:6, 5:7, 6:7, 6:8, 6:9, 7:10, 8:10, 8:11, 8:12, 9:13, 10:13, 10:14, etc. *'** APP to JM; 1:1, 1:2, 2:3, 2:4, 3:5, 4:6, 4:7, 5:8, 6:9, 6:10, 7:11, 8:12, 8:13, 9:14, 10:15, 10:16, etc. -------------------------- - -------- ------------------------------------ ---------------------------------------------------------------- Issue Date: 03/26/2015 Wage Request Number: 20150326-080 Page 8 of 8 CERTIFICATE OF VOTE At a duly authorized meeting the Board of Directors of the held on 'A - Z 1- 15 it was VOTED, THAT cc..n n (Name) Oi le -5 A Com. q (Officer) of `,e \ A CMA CO, be and hereby is authorized to execute contracts and bonds in the name and on behalf of said rc_\n(V.,� &and affix its corporate seal hereto; and such execution of any contract or obligation in the name of C,, �o ti, '�N,/ on its behalf by such officer under seal of , shall be valid andb ni ding upon I hereby certify that I am the clerk of the above named Q t cln eoA CU,,, p a mA and that cL,r \ is the duly elected officer as above of said 1�J, Z , and that the above vote has not been amended or rescinded and remains in full force and effect as the date of this contract. (Date) (Clerk) Town of North Andover IFB Page 24 of 26 Supply, installation and removal of Granular Activated Carbon ACORD CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDDIYYYY) 06/01/2015 PRODUCER O'Neill & Associates, Inc. 877 Brunswick Ave. Trenton NJ 08638 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Nichem Company 750 Frelinghuysen Avenue Newark, NJ 07114 INSURER A: Landmark American Insurance Co. 33138 INSURER B: Zenith Insurance Company 13269 INSURER c: Hartford Accident & Indemnity Ins. Co. i000O 22357 INSURER D: INSURER E: nw�e a ncc vTHE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ITR NOW NQRN TVPF OF INSURANCEGENERAL POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A AUTHORIZED REPRESENTATIVE <BO> LIABILITY X COMMERCIAL GENERAL LIABILITY LHA106525 12/09/14 12/09/15 EACH OCCURRENCE $ 1,000,000 DAMAGES ( RENTED $ 100,000 MED EXP (Any oneperson) $ 5,000 CLAIMS MADE FX� OCCUR PERSONAL & ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 Pollution $1,000,000 X1 POLICY PRO LOC C AUTOMOBILE X LIABILITY ANY AUTO 13 UECBH9972 06/01/15 06/01/16 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY $ (Per person) X X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per accident) X X HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A X I OCCUR CLAIMS MADE LHA046853 12/09/14 12/09/15 $ X DEDUCTIBLE $ RETENTION $ 10,000 WORKERS COMPENSATION AND X WC STATU• 0" E.L. EACH ACCIDENT $ 1,000,000 B EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? 2067619010 08/15114 08/15/15 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 If Yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS The Town of North Andover is included as an additional insured. PCOTICICATC unI nc0 CONCFI I OTInN ACORD 25 (2001108) v AGUKU k;UKF'UKA I IUn -I UOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of North Andover DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 120 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR North Andover, MA 01845 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE <BO> ACORD 25 (2001108) v AGUKU k;UKF'UKA I IUn -I UOU I IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)