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CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)
05/07/2021

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER BONTACT Tara Dean, CIC
PHONE - FAX Z
FIAI/Cross Insurance TAG No, Ext): (603) 669-3218 (AIC, No): (603) 645-4331
E-MAIL
1100 Elm Street Appress: Manch.Certs@crossagency.com
INSURER(S) AFFORDING COVERAGE NAIC #
Manchester NH 03101 INSURERA: Massachusetts Bay Ins Co 22306
INSURED INSURER B: Hanover Ins Co. 22292
Hoyle, Tanner & Assoc., Inc. INSURERC: MEMIC Indemnity Company 11030
150 Dow Street INSURER D:
INSURER E:
Manchester NH 03101 INSURER F:
COVERAGES CERTIFICATE NUMBER: — 20-21/21-22WC 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 ADDL|SUBR POLICY EFF_| POLICY EXP
LTR TYPE OF INSURANCE INSD | WD POLICY NUMBER (MMIDDIYYYY) | (MM/DD/YYYY) LIMITS
x< COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED
| CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ 100,000
MED EXP (Any one person) $ 10,000
A ZDVH087921 10/01/2020 | 10/01/2021 | peRconaL & ADV INJURY g 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE g_ 2,000,000
POLICY aE [| Loc propucts-compiopace | 5 2:000,000
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $s 1,000,000
(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED |
A OWNED ly | | SCHED ZDVH087921 10/01/2020 | 10/01/2021 | BODILY INJURY (Per accident) | $
S¢| HIRED 5<| NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
$
><) UMBRELLA LIAB ><! occur EACH OCCURRENCE g 10,000,000
B EXCESS LIAB CLAIMS-MADE UHVH057400 10/01/2020 | 10/01/2021 | ,corecate g 10,000,000
DED | | RETENTION $ $
WORKERS COMPENSATION | PER OTH-
AND EMPLOYERS' LIABILITY YIN STATUTE ER 7000000
© |OPMCERMEMBER EXCLUDED? NIA 3102807127 05/01/2021 | 05/01/2022 [EL EACHACCIDENT Sa
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE | $ ~~?
If yes, describe under 1.000.000
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ 0 ~~?
WC (3a.) States: CT DE FL MA ME NH
NY RIVA VT

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Project: Engineering Services for Highway, Bridge, Traffic and Bicycle/Pedestrian Infrastructure. City of Nashua is included as additional insured with
respects to CGL as required by wirtten contract with named insured. Notice of cancellation to the certificate holder is 30 days, 10 days for non-payment, with

respects to CGL.

CERTIFICATE HOLDER

CANCELLATION

City of Nashua
229 Main St

Nashua
l

NH 03060

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

Lun KZ

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

—_)
a

CERTIFICATE OF LIABILITY INSURANCE

HOYLTAN-02 CJOHNSON
DATE (MM/DDIYYYY)

5/6/2021

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

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

IMPORTANT:

If the certificate holder is an ADDITIONAL INSURED, the policy(ies} must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER

Ames & Gough
859 Willard Street
Suite 320

Quincy, MA 02169

CONTACT
NAME:

(Ale. No, Ext); (617) 328-6555 | FAX no).(617) 328-6888

EMAIL .., boston@amesgough.com

INSURER(S) AFFORDING COVERAGE NAIC #

INSURERA: Continental Casualty Company (CNA) A, XV_ (20443

INSURED INSURER B:
Hoyle, Tanner & Associates, Inc. INSURER C:
150 Dow Street INSURERD:
Manchester, NH 03101
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER HOA) | CIR ay) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE [] OCCUR PREMISES (Ea occurrence) _| $
MED EXP (Any one person) $
PERSONAL & ADVINJURY | $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY BS: LOG PRODUCTS - COMP/OP AGG | $
OTHER: $
AUTOMOBILE LIABILITY & Siacedent) INGLE LIMIT $
ANY AUTO BODILY INJURY (Per person) | $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident) | $
HIRED NON-QWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident) $
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED | | RETENTION $ $
WORKERS COMPENSATION PER | OTH-
AND EMPLOYERS' LIABILITY YIN STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE! $
If yes, describe under
DESGRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $
A |Prof. Liability AAEHO006161277 6/1/2020 6/1/2021 |Per Claim Limit 5,000,000
A AAEHO006161277 6/1/2020 6/1/2021 |Aggregate Limit 5,000,000

All Coverages are in accordance with the policy terms and conditions.

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

RE: Engineering Services for Highway, Bridge, Traffic and Bicycle/Pedestrian Infrastructure

30 Day Notice of Cancellation will be issued in accordance with policy terms and condtions.

CERTIFICATE HOLDER

CANCELLATION

City of Nashua

229 Main Street

Attn: Kathleen Carragan-Toland
Nashua, NH 03060

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

fr t ig.

|
ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

City of Nashua

Purchasing Department

Administrative Services Division (603) 589-3330
229 Main Street - Nashua, NH 03060 Fax (603) 594-3233
May 13, 2021
Memo #21-125
TO: Mayor Donchess
Finance Committee
SUBJECT: 2019 CIPP Lining Project Change Order #5 in the amount not to exceed $200,000 funded

from account 81700 Infrastructure Improvements

Please see attached communications from Daniel Hudson, City Engineer, dated April 29, 2021 for project
specific details related to this purchase. Below please find a summary of the purchase approval request:

Item: Video Inspection of Sewer Pipes & Lining of Deteriorated Sewers (as needed)
Value: $200,000 (not to exceed)
Vendor: Kenyon Pipeline Inspection

Department: 169 Wastewater
Source Fund: 81700 Infrastructure Improvements

Ordinance: Pursuant to § 5-78 Major purchases (greater than $10,000) A. All supplies and
contractual services, except as otherwise provided herein, when the estimated
cost thereof shall exceed $10,000 shall be purchased by formal, written contract
from the lowest responsible bidder, after due notice inviting bids.

In 2019, a competitive bidding IFB for the 2019 CIPP Lining project was issued & Kenyon Pipeline Inspection
was selected. The original contract was issued for $2,825,132 and this change request will bring the total
to $4,849,635.

The Board of Public Works (4/29/21 BPW Meeting), the Engineering Department, and the Purchasing
Department respectfully request your approval of this contract.

Regards,
Kelly Parkinson

Purchasing Manager

Ce: C O'Connor
D Hudson

To:

From:

Re:

E. Motion:

Discussion:

City of Nashua, Public Works Division

Board of Public Works Meeting Date: April 29, 2021

Daniel Hudson, P.E., City Engineer
Engineering Department

2019 CIPP Lining Project
Change Order No. 5

To approve Change Order No. 5 for the 2019 CIPP Lining Project with Kenyon Pipeline
Inspection of Queensbury, NY in the amount of $200,000. Funding will be through
Department: 169 Wastewater; Fund: Wastewater; Activity: Stormwater Abatement.

Kenyon Pipeline Inspection was the low bidder of the 2019 CIPP Lining Project and has
performed well over the course of the contract completing CCTV inspection and lining
of both sewer and drain pipes. Four previous change orders have been approved to extend
their services.

The Engineering Department would like to continue to use the services of Kenyon to
identify pipes that need rehabilitation until the contractor for the 2021 CIPP Lining
contract can begin work in early June. CCTV inspection of sewers in roads proposed to
be paved in the Paving Program would be included in this work. Deteriorated sewers may
also be lined under this change order, as needed.

With this change order, the amended contract value will be $4,849,635.

CHANGE ORDER

No. 5
PROJECT: 2019 CIPP Lining Project
OWNER’S CONTRACT NO: IFB1087-021219
EXECUTED CONTRACT DATE: 04/19/19
DATE OF ISSUANCE: 04/29/21 EFFECTIVE DATE: Upon City Approval
OWNER: City of Nashua, NH
OWNER’s Purchase Order NO.:: 148060
CONTRACTOR: Kenyon Pipeline Inspection, LLC
ENGINEER: DPW Engineering

You are directed to make the following changes in the Contract Documents:

Description:

Kenyon Pipeline Inspection has continued to provide video and pipe lining services to the City into 2021. The
funds in the contract and subsequent change orders have been nearly exhausted but the need for these services
continues to exist. A change order is appropriate until the winner of the 2021 lining and inspection contract can
begin work around June 1, 2021.

A new pay item #13 will need to be established to pay for work previously not identified. Item 13—CCTV
Video Inspection of Catch Basin Laterals Pipe sizes 6” to 12” Including Light Cleaning and Root Cutting will be
paid at $5.00 per linear foot.

Justification:

In order to continue to identify and line ageing sewer pipes, the Division of Public Works Engineering
Department proposes to extend Kenyon’s existing 2019 CIPP Lining Contract further into 2021 by awarding a
$200,000 Change Order. This is a stop-gap change order until Green Mountain Pipeline Services can begin work
on their 2021 contract around June 1, 2021.

Change Order # 5
IFB01087-021219
2019 CIPP Lining Project 1 of 2

Summary

CHANGE IN CONTRACT PRICE:
Onginal Contract Price

$2,825,135.00

CHANGE IN CONTRACT TIMES:
Onginal Contract Times

Substantial completion: October 30, 2019
Ready for final payment: _November 29, 2019

Net changes from previous Change Orders

$1,824,500

Net change from previous Change Orders

575 days

Contract Price prior to this Change Order

$4,649,635.00

Contract Times prior to this Change Order

Substantial completion: May 30, 2021
Ready for final payment: June 30, 2021

Net Increase (deerease} of this Change Order

$200,000

Net Increase (deerease} of this Change Order

0 days

Contract Price with all approved Change Orders

Contract Times with all approved Change Orders

$4,849,635.00 Substantial completion: May 30, 2021
Ready for final payment: June 30, 2021

RECOMMENDED: ACCEPTED: APPROVED:

VPA SY VV f sa
By; Tay ohn By: /ony. £6, By
DPW ontractor Mayor Jim Donchess
Engineer Owner
(Authorized Signature) (Authorized Signature) (Authorized Signature)
Date; O9MAY21 Date: 5/6/2020 Date:
Change Order # 5

IFB01087-021219

2019 CIPP Lining Project 2 of 2

City of Nashua

Purchasing Department
Administrative Services Division (603) 589-3330
229 Main Street - Nashua, NH 03060 Fax (603) 594-3233

May 13, 2021
Memo #21-126

TO: Mayor Donchess
Finance Committee

SUBJECT: Pavement Management Consulting Change Order #2 in the amount not to exceed
$31,600 funded from accounts 81704 Paving Bond

Please see attached communications from Daniel Hudson, City Engineer, dated April 29, 2021 for project
specific details related to this purchase. Below please find a summary of the purchase approval request:

Item: Funding for year 3 of a 3-year contract to support paving management program.
Value: not to exceed $31,600
Original contract approved 6/13/19 under Finance Memo 19-162

Change Value Project Total
Original Contract Value $28,900
Change Order #1 $30,100 $59,000
Change Order #2 $31,600 $90,600
Vendor: Stantec Corporation

Department: 160 Engineering
Source Fund: 81704 Paving Bond

Ordinance: § 5-83. Professional services. In the purchase of accounting, architectural, auditing,
engineering, legal, medical and ambulance services and purchases of independent
professional consultant services for personnel, data processing, actuarial,
planning, management and other comparable purchases competitive bidding shall
not be required. Competitive bidding is required in the procurement of insurance
agents and consultants.

The Board of Public Works (4/29/21 BPW meeting}, The Division of Public Works: Engineering, and
the Purchasing Department respectfully request your approval of this contract.

Regards,
Kelly Parkinson

Purchasing Manager

Ce: D Hudson
C O'Connor

To:

From:

Re:

D. Motion:

Discussion:

City of Nashua, Public Works Division

Board of Public Works Meeting Date: April 29, 2021

Daniel Hudson, P.E., City Engineer
Engineering Department

Pavement Management Support Services

To approve Change Order No. 2 to the Pavement Management Service Contract
with Stantec Consulting Services, Inc. of Burlington, MA in an amount not to
exceed $31,600. Funding will be through Department: 160 Admin/Engineering;
Fund: Bond; Activity: Paving.

The City has contracted Stantec Consulting Services, Inc. since 2016 to provide
assistance in evaluating the pavement condition of our 300 mile road network and
to make recommendations on rehabilitation and preservation methods. Using their
expertise, Stantec has provided assistance in developing the necessary protocols for
preventative maintenance, including updating costs and decision trees for selecting
prioritized lists of roadways to pave. This request is for $31,600 to fund the third
year of the three-year contract and survey 33 percent of the City’s roadway
network.

Last year Stantec satisfactorily performed a condition survey of the middle-third of
the City, this year it is proposed to survey the northern-third. Stantec will continue
to use Cartegraph’s pavement condition assessment software while evaluating
approximately 101 miles of roadway, and updating the Pavement Condition Index
(PCI) rating for each road segment. This information enables the City to assess the
paving program’s performance over time, monitor conditions, and select
appropriate treatments in an objective and transparent way.

CHANGE ORDER

PROJECT: Pavement Management Services

OWNER’S CONTRACT NO:__ Contract for Professional Services — Pavement Management Service

EXECUTED CONTRACT DATE: July 29, 2019

DATE OF ISSUANCE; Upon City Approval — EFFECTIVE DATE: Upon City Approval
OWNER: City of Nashua, NH

OWNER’s Purchase Order NO.: 158373

CONTRACTOR: Stantec Consulting Services, Inc.
ENGINEER: DPW Engineering

You are directed to make the following changes in the Contract Documents:

Description:

To execute the 2021 Pavement Management System 33% update from the 3-Year Pavement Management
Support Services Proposal.

Justification:

The City has contracted Stantec Consulting Services, Inc. since 2016 to provide assistance in updating the City’s
pavement condition records. This annual effort updates the condition of each roadway and provides a
recommendation on what rehabilitation and preservation methods should be used.

Stantec annually re-surveys 33% of the City’s roadways network, or approximately 101 centerline miles,
updating the Pavement Condition Index (PCI) rating using Cartegrpah’s PAVEMENTview Plus Software. Last
year Stantec preformed a condition survey on the middle-third of the City. The 2021 survey is planned for the
northern-third of the City.

Attached:
3-Year Optional Pavement Management Support Services Proposal, Attached as Exhibit A

Change Order #2 Pavement Management Services 1 of 2

Summary

CHANGE IN CONTRACT PRICE:
Onginal Contract Price

$28,900.00

CHANGE IN CONTRACT TIMES:
Original Contract Times

Substantial completion: Dec 15, 2019
Ready for final payment: Dec 31,2019

Net changes from previous Change Orders

$30,100.00

Net change from previous Change Orders

366 Days

Contract Price prior to this Change Order

$59,000.00

Contract Times prior to this Change Order

Substantial completion: Dec 15, 2020
Ready for final payment: Dec 31, 2020

Net Increase (deerease} of this Change Order

$31,600.00

Net Increase (decrease) of this Change Order

365 Days

Contract Price with all approved Change Orders

$90,600.00

Contract Times with all approved Change Orders

Substantial completion: Dec 15, 2021
Ready for final payment: Dec 31, 2021

ACCEPTED: APPROVED:
By: By: Wham a By:
William P. Scarpati Mayor Jim Donchess
gineer Owner
(Authorized Signature) (Authorized Signature)
Frederick Moseley, ae
Stantec Consulting Services, Inc.
(Authorized Signature)
Date: 04/29/2021 Date: Date:

Change Order #2 Pavement Management Services 2 of 2