| Location: | Illinois |
|---|---|
| Posted: | Jul 24, 2026 |
| Due: | Aug 11, 2026 |
| Agency: | Woodridge village |
| Type of Government: | State & Local |
| Category: |
|
| Publication URL: | To access bid details, please log in. |
| Description | Opening Date/Time | Closing Date/Time |
|
BID 2026-10
Sanitary Sewer Televising and Cleaning Services |
July 25, 2026 8:00 AM |
August 11, 2026 2:00 PM |
SPECIFICATIONS AND CONTRACT DOCUMENTS NO. 2026-11
BID# 2026 - 10
SANITARY SEWER TELEVISING AND CLEANING
(WOODRIDGE SANITARY BASIN E)
BID OPENING - DATE/TIME/LOCATION: August 11, 2026 at 2:00 p.m.
VILLAGE HALL
Five Plaza Drive
Woodridge, Illinois 60517-5014
CONTRACT PERIOD: September 1, 2026 to November 15, 2026
BID DEPOSIT: 5% of Bid Amount
(See Page 4, Item 6 - Bid Bond,
Certified Check, Bank Cashier's Check)
BOND REQUIRED: Performance Bond - 100% of Contract
(See page 4, Item 7)
ADDENDA
Request for information (RFI), questions, or clarifications on this bid document should be emailed to Jeff Moline at
jmoline@woodridgeil.gov by 3:00pm on Tuesday, August 4, 2026. Any addenda issued for this bid will be issued and posted
on the Village website by 3:00pm on Wednesday, August 5, 2026. Interested vendors are responsible to visit the website for
any addenda to this bid.
Issued by:
Village of Woodridge
5 Plaza Drive
Woodridge, Illinois 60517
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LEGAL NOTICE OF BID
WOODRIDGE BID 2026 - 10
The Village of Woodridge will be accepting sealed bids for the items listed below. Bids will be accepted at the Woodridge
Village Hall, Five Plaza Drive, Woodridge, until the date and at the time shown below, at which time they will be opened and
publicly read aloud.
Bid #2026-10 Sanitary Sewer Televising and Cleaning August 11, 2026, 2:00 p.m. (CST)
Specifications may be obtained at the Village Hall, weekdays, between 8:00 a.m. and 4:30 p.m., or online at
http://www.woodridgeil.gov under "My Government," "Finance," and "Bids Purchasing" or directly at
https://www.woodridgeil.gov/my_government/finance/bids_purchasing.php. Request for information (RFI), questions, or
clarifications on this bid document should be emailed to Jeff Moline at jmoline@woodridgeil.gov by 3:00pm on Tuesday,
August 4, 2026. Any addenda issued for this bid will be issued and posted on the Village website by 3:00pm on Wednesday,
August 5, 2026. Interested vendors are responsible to visit the website for any addenda to this bid.
A Bid Deposit of 5% of the bid amount is required with the bid submittal and is to be in the form of a bid bond, certified
check or bank cashier's check. The successful bidder will be required to furnish to the Village and pay for a satisfactory
performance bond.
In accordance with the law and the provisions of 820ILCS 130/0.01 et seq., entitled "an Act regulating wages of laborers,
mechanics, and other workers employed in any public works by the state, county, city or any public body or any political
subdivision or by anyone under contract for public works", not less than the prevailing rate of wages shall be paid to all
laborers, workmen and mechanics performing work under this contract.
The Village of Woodridge reserves the right to reject any or all bids, to waive technicalities, and to accept any bid which is
deemed to be in the best interest of the Village of Woodridge.
The Village of Woodridge does not discriminate on the basis of disability in the admission or access to, treatment or
employment in, its services, programs, or activities. Upon request, accommodation will be provided to allow individuals
with disabilities to participate in all Village of Woodridge services, programs, and activities. The Village has a designated
coordinator to facilitate compliance with the Americans with Disabilities Act of 1990 (ADA), as required by Section
35.107 of the U.S. Department of Justice regulations, and to coordinate compliance with Section 504 of the Rehabilitation
Act of 1973, as mandated by Section 8.5 of the U.S. Department of Housing and Urban Development regulations. For
information, contact the Assistant Village Administrator, Village of Woodridge, Five Plaza Drive, Woodridge, Illinois,
60517; (630) 719-4705, TDD (630) 719-2497. Upon request, this information can be made available in large print,
audiotape, and/or computer format.
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VILLAGE OF WOODRIDGE
BID# 2025 - 10
SANITARY SEWER TELEVISING AND CLEANING
GENERAL CONDITIONS
1. DEFINITIONS
The following words and phrases, as used herein, shall have the meaning ascribed to them, as follows:
A. BIDDER shall mean (Contractor/Vendor Submitting Proposal):
____________________________________________________ (List Company Name)
____________________________________________________ (List Company Street Address)
B. VILLAGE shall mean the Village of Woodridge, DuPage, Will & Cook Counties, Illinois, an Illinois Municipal Corp.
2. PREPARATION OF BID PROPOSAL
The Bidder must submit his/her proposal in duplicate on the forms furnished by the Village of Woodridge. All blank spaces
on the proposal form must be filled in if applicable. Authorized signature must be the individual owner of a proprietorship, a
general partner of a partnership or a duly authorized officer, attested to by the Corporate Secretary, of a Corporation. The
proposal is contained in these documents and must remain attached thereto when submitted. All signatures and spaces are
to be completed in ink or typewritten, where applicable. Prices/costs shall be in United States dollars. Incorrect completion,
execution or submission of bids shall be sufficient grounds for rejection of a bid. The following documents shall be
executed at the time of submission of a bid:
i) Contractor's Certification and Bid Proposal - Pages 23 - 27
ii) Exhibit A - References
iii) Exhibit B - Non-Barred from Bidding Endorsement
iv) Exhibit C - Anti-Collusion Affidavit
v) Exhibit D - Conflict of Interest Statement
vi) Exhibit E - Subcontractors
vii) Exhibit F - Tax Compliance
viii) Exhibit G - Location Map - Basin E
x) Exhibit H - Example/Resident Notification Letter
3. WITHDRAWAL OF BID PROPOSAL
Bidders may withdraw their bids at any time prior to the time specified in the Bid Notice as the closing time for the
receipt of bids.
However, no bid shall be withdrawn or cancelled for a period of sixty (60) calendar days after said advertised closing
time for the receipt of bids, nor shall the successful bid be withdrawn, cancelled, or modified after having been accepted
by the Village.
4. SUBMISSION OF BID PROPOSAL
All proposals shall be submitted in sealed envelopes carrying the following information on the face:
A) Bidder's Name and Address
3
B) Bid Number
C) Subject Matter of Bid
D) Designated Date and Time of Bid Opening
5. SUBMISSION OF ALTERNATE BIDS
Bidder may submit alternate bids provided that:
A) Cash bid proposals meet Village Specifications and are submitted separately.
B) The Village shall not consider an alternate bid which fails to meet specifications.
6. BID DEPOSIT
A) When required on Page 1 of these Specifications, all bids shall be accompanied by a bid deposit in the amount
specified. Bid deposits shall be in the form of a Bid Bond, certified check, a bank cashier's check drawn on a
responsible bank doing business in the United States and shall be made payable to the Village of Woodridge, or bid
bond.
B) The bid deposit will be returned, with the exception of the accepted Bidder, after the contract is awarded. The bid
deposit of the accepted Bidder will be returned after acceptance by the Village of satisfactory performance bond where
such bond is required or completion of contract where no performance bond is required.
7. SECURITY FOR PERFORMANCE
A) When required on Page 1 of these Specifications, the successful Bidder or Bidders shall, within ten (10) calendar
days after acceptance of the bid by the Village, furnish a performance bond in the full amount of the contract, in a form
acceptable to the Village.
B) In the event that the successful Bidder(s) fails to furnish the performance bond within ten (10) calendar days after
acceptance of the bid by the Village, then the bid deposit of the successful Bidder shall be retained by the Village as
liquidated damages and not as a penalty, it being agreed by the successful Bidder that said sum is a fair estimate of the
amount of damages that said Village will sustain due to the successful Bidder's failure to furnish said bond.
8. EQUIVALENT PRODUCTS
In cases where a specified item is identified by a manufacturer's name, trade name or other reference, it is understood
that the Bidder proposes to furnish the item as identified. If the Bidder proposes to furnish an "equal" item, the
proposed "equal" item must be so indicated in the bid proposal. The Village shall be the sole determiner of the
equalness of the substitute offered.
9. BASIS OF AWARD
The Village reserves the right to accept or reject any and all bids, in whole or in part, and to waive technicalities. The Bidders
must be qualified Contractors and demonstrate the capability to provide services required in accordance with the bid
specifications. This would include:
A. Bid Pricing
B. Compliance with specifications
C. Previous Municipality Experience
D. Submittal compliance
E. References
F. Not currently suspended from participation in any Local, State or Federal Projects
The Village shall make its determination with respect to bids within sixty (60) days from the date of opening of
bids. Should the Village fail to act within the times herein specified, all bids shall be rendered null and void.
10. BID PRICE - UNBALANCED BID
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Any bid which is materially unbalanced as to prices for the Base Bid and/or Optional Bid Items may be rejected. An
unbalanced bid is one which is based on the prices significantly less than the cost for some work and/or prices which are
significantly overstated for other work.
The Village of Woodridge will review all unit prices submitted by the apparently lowest responsible and responsive
bidder and will decide whether any of the unit prices are excessively above or below a reasonable cost analysis value
determined by the Village.
11. SCOPE REVISION - ADDITION OR DELETION OF WORK
The Village reserves the right to order additional work or reduce work at the same unit price as provided for in the
contractor's bid during the course of construction. Prior to commencing any additional work, the bidder shall submit his
charges for performing the work and shall not proceed until the Director of Public Works or his designee, has approved the
charges in writing.
12. SUBCONTRACTORS
If any Bidder submitting a bid intends on subcontracting out all or any portion of the engagement, that fact, and the name
of the proposed subcontracting firm(s) must be clearly disclosed in the bid on "Exhibit E". Failure to identify subcontractors
could result in disqualification.
In the event the Contractor requires a change of the subcontractor (s) identified, a written request from the Contractor and a
written approval from the Village of Woodridge is required.
The subcontracting, if any, shall be done by the Contractor in accordance with applicable Article 108.01 of the IDOT
Standard Specifications. No contract awarded by the Village of Woodridge shall be assigned, in whole or in part, or
any part of the same sub-contracted without the written consent of the Village Administrator. In no case shall such
consent relieve the successful Bidder from his/her obligations or change the terms of the contract. Any and all
subcontractors shall be bound by contract to the same terms as the successful Bidder. Prior to commencing any
work, subcontractors must place on file with the Village a certificate of insurance as outlined under "insurance".
13. CATALOGS
Each Bidder shall submit in DUPLICATE, catalogs, descriptive literature and detailed drawings, fully detailing features,
designs, construction, appointments, finishes and the like, in order to fully describe the material or work proposed to be
furnished.
14. DELIVERY
All materials shipped to the Village of Woodridge must be shipped F.O.B. freight prepaid, designated location
Woodridge, Illinois. The materials must then be delivered where directed, and unloaded by the successful Bidder,
or his/her agent. All deliveries shall be deemed to be "inside delivery". Truck deliveries shall be accepted before
2:30 p.m. on weekdays only. No deliveries shall be accepted on Saturdays, Sundays or holidays. The quantity of
material delivered by truck shall be ascertained from a weight certificate issued by a duly licensed public
weight-master. In the case of delivery by rail, weight will be ascertained from bill of lading from originating line,
but the Village reserves the right to re-weigh at the nearest available railroad scale.
15. GUARANTEES AND WARRANTEE
All guarantees and warrantees required shall be furnished by the successful Bidder and shall be delivered to the Village
before the final payment voucher is issued.
16. COMPETENCY OF BIDDER
No bid shall be accepted from, or contract awarded to, any person, firm or corporation that is in arrears or is in default
to the Village of Woodridge upon any debt contract, or other obligation or who has failed to perform faithfully any
previous contract with the Village.
The Bidder, if required, must present within forty-eight (48) hours evidence satisfactory to the Village of performance
ability, possession of necessary facilities, equipment, pecuniary resources and adequate insurance to comply with the
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terms of these specifications and contract documents. The Village hereby reserves the right to reject any bid submitted
by a Bidder who, in the sole and exclusive discretion of the Village, cannot completely perform the services or deliver
the goods specified in these specifications.
17. COMPLIANCE WITH OSHA STANDARDS, THE AMERICANS WITH DISABILITIES ACT, VILLAGE
ORDINANCES AND STATE LAWS
The service and equipment performed and supplied for the Village of Woodridge under the terms of this contract shall
comply with all requirements and standards as specified by the Occupational Safety and Health Act with particular
emphasis on Confined Space Entry operations and training and Hazard Communication. All guards, safety equipment
including tripods, harnesses and lanyards, caging around manholes and protectors as well as appropriate markings will
be in place and used appropriately throughout the execution of this contract. Bidder's employees must be trained in
advanced of the services provided in this contract commencing.
Each contracting agency shall ensure that every contract to which it is a party shall comply with all relevant aspects of
the Americans with Disabilities Act.
The Contractor shall fully comply with all provisions of 820 ILCS 265/) Substance Abuse Prevention on Public Works
Projects Act wherein the Act provides that no employee of the contractor or subcontractor working on this project may
use, possess, distribute, deliver, or be under the influence of a drug, or use or be under the influence of alcohol, while
performing work on a public works project. Additionally, the contractor is to maintain at all times and provide a copy
upon request of a written program which meets or exceeds the program requirements of this Act.
The Bidder will strictly comply with all ordinances of the Village of Woodridge, the laws of the State of Illinois and
United States Government.
18. SPECIAL HANDLING -TOXIC SUBSTANCES
Prior to delivery of any product which is caustic, corrosive, flammable or dangerous to handle, the successful Bidder
will provide written directions as to methods of handling such products, as well as the antidote or neutralizing material
required for first aid. Successful Bidder shall notify the Village of, and provide Safety Data Sheets for all substances
used or supplied in connection with this contract which are defined as toxic under the Illinois Toxic Substances
Disclosure to Employees Act or as required by OSHA.
Materials, components, or completed work not complying therewith, may be rejected by the Village and shall be
replaced by the successful Bidder at no cost to the Village. Any materials or components rejected shall be removed
within a reasonable time from the premises of the Village at the expense of the successful Bidder.
19. MATERIAL INSPECTION AND RESPONSIBILITY
The Village shall have a right to inspect any material to be used in carrying out this contract. The Village does not
assume any responsibility for the availability of any materials and equipment required under this contract.
20. TERMINATION OF CONTRACT
A. The Village may, by written notice of default to the successful Bidder, terminate the whole or part of this
contract in any one of the following circumstances:
1. If the successful Bidder fails to make delivery of the supplies or to perform the services within
the time specified herein or any extension thereof; or fails to provide the supplies or to perform
the service at the exact price accepted by the Village (and any charges for contract changes
mutually agreed to by the Village and the successful Bidder); or
2. If the successful Bidder fails to perform any of the other provisions of this contract, or so fails
to make progress as to endanger performance of this contract in accordance with its terms, and
in either of these two circumstances does not cure such failure within such period of time as the
Village Administrator may direct in writing.
3. If it is determined that successful Bidder knowingly falsified information provided to the
Village.
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4. If it is determined that successful Bidder offered substantial gifts or gratuities to a Village
official, employee, or agent whether in their official capacity or not.
5. Any order is entered in any proceeding against the successful Bidder decreeing the dissolution
of the successful Bidder and such order remains in effect for sixty (60) days.
6. The successful Bidder shall apply to any tribunal for the appointment of a trustee or receiver of
any part of the assets of the successful Bidder, or commence any proceedings relating to the
successful Bidder under any bankruptcy, reorganization, arrangement, insolvency, readjustment
of debt, dissolution or other liquidation law of any jurisdiction, or any such application shall be
filed, or any such proceedings shall be commenced, against the successful Bidder, and the
successful Bidder indicates its approval, consent or acquiescence, or an order shall be entered
appointing such trustee or receiver or adjudicating the successful Bidder bankrupt or insolvent,
or approving the petition in any such proceeding, and such order remains in effect for sixty (60)
days.
B. In the event the Village terminates this contract in whole or in part as provided in Paragraph (A) of this
clause, the Village may procure, upon such terms in such manner as the Village Administrator may
deem appropriate, supplies or services similar to those so terminated, and the successful Bidder
shall be liable to the Village for any excess costs for such similar supplies or service, provided that
the successful Bidder shall continue the performance of this contract to the extent not terminated
under the provisions of this clause.
21. EQUAL EMPLOYMENT OPPORTUNITY
Each contracting agency shall ensure every contract to which it is a party shall contain the following clause.
EQUAL EMPLOYMENT OPPORTUNITY
In the event of the contractor's non-compliance with the provisions of this equal employment opportunity clause, the
Illinois Human Rights Act or the Rules and Regulations of the Illinois Department of the Human Rights
("Department"), the Contractor may be declared ineligible for future contracts or subcontracts with the State of Illinois
or any of its political subdivisions or municipal corporations, and the contract may be cancelled or voided in whole or in
part, and such other sanctions or penalties may be imposed or remedies invoked as provided by statute or regulation.
During the performance of this contract, the contractor agrees as follows:
1. That it will not discriminate against any employee or applicant for employment because of race, color, religion,
sex, marital status, order of protection status, national origin, or ancestry, age, physical or mental handicap
unrelated to ability, pregnancy, or an unfavorable discharge from the military service; and further that it will
examine all job classifications to determine if minority persons or women are under-utilized and will take
appropriate affirmative action to rectify any such under-utilization.
2. That, if it hires additional employees in order to perform this contract or any portion thereof, it will determine
the availability (in accordance with the department's rules and regulations) of minorities and women in the
area(s) from which it may reasonably recruit and it will hire for each job classification for which employees are
hired in such a way that minorities and women are not under-utilized.
3. That, in all solicitations or advertisements for employees placed by it or on its behalf, it will state that all
applicants will be afforded equal opportunity without discrimination because of race, color, religion, sex,
marital status, order of protection status, national origin or ancestry, age, physical or mental handicap unrelated
to ability, pregnancy, or an unfavorable discharge from military service.
4. That it will send to each labor organization or representative of workers with which it has or is bound by a
collective bargaining or other agreement or understanding, a notice advising such labor organization or
representative of the contractor's obligations under the Illinois Human Rights Act and the Department's Rules
7
and Regulations. If any such labor organization or representative fails or refuses to cooperate with the
contractor in its efforts to comply with such act and rules and regulations, the contractor will promptly so notify
the department and the contracting agency and will recruit employees from other sources when necessary to
fulfill its obligations thereunder.
5. That it will submit reports as required by the department's rules and regulations, furnish all relevant information
as may from time to time be requested by the department or the contracting agency, and in all respects comply
with the Illinois Human Rights Act and the Department's rules and regulations.
6. That it will permit access to all relevant books, records, accounts, and work sites by personnel of the
contracting agency and the department for purposes of investigation to ascertain compliance with the Illinois
Human Rights Act and the Department's rules and regulations.
7. That it will include verbatim or by reference the provisions of this clause in every subcontract it awards under
which any portion of the contract obligations are undertaken or assumed, so that such provisions will be binding
upon such subcontractor. In the same manner as with other provisions of this contract, the contractor will be
liable for compliance with applicable provisions of this clause by such subcontractors; and further it will
promptly notify the contracting agency and the department in the event any subcontractor fails or refuses to
comply therewith. In addition, the contractor will not utilize any subcontractor declared by the Illinois Human
Rights Commission to be ineligible for contracts or subcontracts with the State of Illinois or any of its political
subdivisions or municipal corporations.
SUBCONTRACTS
Each public subcontractor shall in turn include the equal employment opportunity clause set forth within these rules and
regulations in each of its subcontracts under which any portion of the contract obligations are undertaken or assumed,
said inclusion to be either verbatim or by reference so that the provisions of the clause will be binding upon such
subcontractors.
CONTRACTS OR SUBCONTRACTS WITH RELIGIOUS ENTITIES
The requirements of the equal employment clause set forth above with respect to non-discrimination because of religion
shall not apply to a religious corporation, association, educational institution or society with respect to the employment
of individuals of a particular religion for the carrying on by such corporation, association, educational institution or
society of its activities.
22. INSURANCE SPECIFICATIONS
A. The successful Bidder shall not commence work under the contract until he/she has obtained all insurance
required herein and such insurance has been approved by the Village.
B. The successful Bidder shall maintain limits no less than:
TYPE OF INSURANCE MINIMUM INSURANCE COVERAGE
COMMERCIAL GENERAL LIABILITY
1. Comprehensive Form COMBINED SINGLE LIMIT PER OCCURRENCE
2. Premises - Operations FOR BODILY INJURY AND PROPERTY
3. Explosion & Collapse Hazard DAMAGE $1,000,000
4. Underground Hazard
5. Products/Completed Operations Hazard PERSONAL INJURY PER OCCURRENCE
6. Contractual Liability Coverage Included $1,000,000
7. Broad Form Property Damage -
construction projects only.
GENERAL AGGREGATE $2,000,000
8. Independent contractors
9. Personal Injury
8
Business Automobile Liability COMBINED SINGLE LIMIT PER OCCURRENCE
Any Auto, Owned, Non-Owned FOR BODILY INJURY AND PROPERTY DAMAGE
Rented/Borrowed $1,000,000
Worker's Compensation and Occupational Diseases STATUTORY LIMIT
Employer's Liability Insurance per Occurrence $1,000,000
Coverage shall be at least as broad as (1) Insurance Services Office Commercial General Liability occurrence form CG
0001 with the Village, its trustees, officials, and employees named as additional insured on a ISO Additional Insured
Endorsement form CG2010 07 04 or CG2037 07 04; Primary and non-contributory ISO Endorsement: CG2001 04 13; and
the Village of Woodridge named as Cancellation Notice Recipient (2) Insurance Services Office Business Auto Liability
form number CA 0001 (Ed. 10/90 or newer), Symbol 01 "Any Auto"; and (3) Workers Compensation as required by the
Labor Code of the State of Illinois and Employers' Liability insurance. Owners, partners, and officers of the contractor
must be covered by Workers Compensation Coverage if they are participating in the project.
Insurance coverages of the Contractor shall be primary as respects VILLAGE, its officials, agents, employees and
volunteers or stand in an unbroken chain of coverage excess of the successful Bidder's scheduled underlying primary
coverage. In either event, any other insurance or self-insurance maintained by the Village, its officials, agents, employees,
and volunteers shall be excess of this insurance and shall not contribute with it. Any deductibles or self-insured retentions
must be declared to and approved by the Village.
The Contractor shall furnish the Village with certificates of insurance naming the Village, it officials, agents, employees
and volunteers as additional insureds, and with original endorsements effecting coverage required prior to commencement
of any work. to liability and defense of claims arising from: (a) activities performed by or on behalf of the successful
Bidder, (b) products and completed operations of the successful Bidder, (c) premises owned, leased or used by the
successful Bidder, and (d) automobiles owned, leased, hired or borrowed by the successful Bidder. The coverage
shall contain no special limitations on the scope of protection afforded to the Village, its officials, agents, employees,
and volunteers. The insurance afforded by the policy applies separately to each insured who is seeking coverage or
against whom a claim is made or a suit is brought, except with respect to the Company's limit of liability.
The certificates and endorsements for each insurance policy are to be signed by a person authorized by that insurer to bind
coverage on its behalf and shall be in a form acceptable to the Village. The insurance afforded by the policy shall not be
suspended, voided, canceled, reduced in coverage or in limits except after prior written notice by certified mail return
receipt requested has been given to the Village. VILLAGE shall be endorsed to the policies as a Cancelation Notice
Recipient. Such notice shall be addressed as shown in the heading of the endorsement.
The successful Bidder shall include all subcontractors as insured under its policies or shall furnish separate
certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the
requirements stated in these General Conditions.
C. In the event of accidents of any kind, the successful Bidder shall furnish the Village with copies of all reports of
such accidents at the same time that the reports are forwarded to any other interested parties.
D. The insurer shall agree to waive all rights of subrogation against the Village, its officials, agents, employees, and
volunteers for losses arising from work performed by the successful Bidder for the Village.
E. Any deductibles or self-insured retentions must be declared to the Village. At the option of the Village, either: the
insurer shall reduce or eliminate such deductibles or self-insured retention as respects the Village, its officials, agents,
9
employees, and volunteers; or the successful Bidder shall procure a bond guaranteeing payment of losses and related
investigation, claim administration and defense expenses.
F. The successful Bidder assumes liability for all injury to or death of any person or persons including employees of the
successful Bidder, any subcontractor, any supplier or any other person and assumes liability for all damage to property
sustained by any person or persons occasioned by or in any way arising out of any work performed pursuant to the
contract.
23. INSURANCE POLICY(S) ENDORSEMENT
All insurance documents including endorsements shall be provided prior to the commencement of Work.
A. POLICY INFORMATION.
1. Insurance Company _____________________________________
2. Policy Number ________________________________________
3. Policy Term: (From) __________________ (To) _____________________
4. Endorsement Effective Date _____________________________
5. Named Insured _______________________________________
6. Address of Named Insured _________________________________________________________________
7. Limit of Liability Any One Occurrence/ Aggregate $ _____________________________________________
8. Deductible or Self-Insured Retention (Nil unless otherwise specified) $ _____________________________
B. VERIFICATION OF COVERAGE
When required on Page 1 of these Specifications, the successful Bidder or Bidders shall, within thirteen (13) calendar
days after acceptance of the bid by the Village, furnish the Village with certificates of insurance naming the Village, it
officials, agents, employees and volunteers as additional insureds, and with original endorsements affecting coverage
required. The certificates and endorsements for each insurance policy are to be signed by a person authorized by that
insurer to bind coverage on its behalf.
In the event that the successful Bidder(s) fails to furnish the insurance coverage within thirteen (13) calendar days after
acceptance of the bid by the Village, then the bid deposit of the successful Bidder shall be retained by the Village as
liquidated damages and not as a penalty, it being agreed by the successful Bidder that said sum is a fair estimate of the
amount of damages that said Village will sustain due to the successful Bidder's failure to furnish said insurance.
The attached Additional Insured Endorsement (Exhibit A) shall be provided to the insurer for their use in providing
coverage to the additional insured. Other additional insured endorsements may be utilized, if they provide a scope of
coverage at least as broad as the coverage stated on the attached endorsement (Exhibit A). The Village reserves the
right to request full certified copies of the insurance policies and endorsements.
C. SIGNATURE OF INSURER OR AUTHORIZED REPRESENTATIVE OF THE INSURER.
I, _______________________________ (print/type name), warrant, and by my signature hereon do so certify, that the
required coverage is in place.
Signature of: _____________________________________________________ Authorized Representative
(Original signature required on endorsement furnished to the Village).
Title: _______________________________________________
10

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