HomeMy WebLinkAbout1480 Damon Pursell Construction Brush and Yard Waste Recycling Program Agreement Bill No. 2016-039 Ordinance No. 14 810
AN ORDINANCE AUTHORIZING THE CITY OF RIVERSIDE TO ENTER INTO A SERVICES
AGREEMENT WITH DAMON PURSELL CONSTRUCTION COMPANY IN RIVERSIDE
MISSOURI
WHEREAS, the City of Riverside and Damon Pursell have previously entered into separate
agreement pursuant to Ordinance No. 2009-165, establishing the riverside Brush and Yard Waste
Recycling Program at the Service Provider's recycling facility located at 6905 Highway 9, Riverside,
Missouri ("Facility"); and
WHEREAS, the City desires to locate a solid waste dumpster at the Facility so that City residents
may dispose of bulky solid waste items (solid waste and Brush/yard waste disposal referred to herein as
"services"); and
WHEREAS, Service Provider desires to provide the Services for the City of Riverside: and
WHEREAS, the City determines that the Services contribute to the health, safety, and welfare of
the City,as well as the economic and social potential of the City and its residents, and that the expenditure
of funds to assist in providing the Services is for a public purpose.
NOW, THEREFORE, BE IT ORDAINED, BY THE BOARD OF ALDERMEN OF RIVERSIDE,
MISSOURI, AS FOLLOWS:
Section 1. The City of Riverside and Damon Pursell Construction Company agree upon the
mutual covenants and agreements with an effective date of November 1, 2016, as set forth in the Service
Agreement attached hereto in its substantial form, is hereby authorized and approved;
Section 2. The Mayor or City Administrator are authorized and directed to execute the Damon
Pursell Construction Company/City of Riverside Services Agreement, together with any and all
documents necessary or incidental to the performance thereof, and the City Clerk is authorized to attest to
the same;
Section 3. The city staff is authorized and directed to perform all acts necessary or desirable to
effectuate the intent of this Ordinance.
PASSED AND ADOPTED by the Board of Aldermen and APPROVED by the Mayor of the City
of Riverside, Missouri, the day of September, 2016.
Ka leen L. Rose, Mayor
6 -TEST:
obih, eftid, City Clerk
SERVICE AGREEMENT
THIS SERVICE AGREEMENT is entered into by and between the City of Riverside,
Missouri ("City") and Damon Pursell Construction Co., 6305 NW River Park Dr., Riverside,
Missouri 64150 ("Service Provider").
WHEREAS, pursuant to Ordinance No. 2009-165, the City established the Riverside
Brush and Yard Waste Recycling Program in which City residents may recycle brush and yard
waste at the Service Provider's recycling facility located at 6905 Highway 9, Riverside, Missouri
("Facility"); and
WHEREAS, the City further desires to locate a solid waste dumpster at the Facility so
that City residents may dispose of bulky solid waste items (solid waste and brush/yard waste
disposal referred to herein as "Services"); and
WHEREAS, Service Provider desires to provide the Services for the City of Riverside;
and
WHEREAS, the City determines that the Services contribute to the health, safety, and
welfare of the City, as well as the economic and social potential of the City and its residents, and
that the expenditure of funds to assist in providing the Services is for a public purpose.
NOW, THEREFORE, in consideration of the mutual covenants and agreements set forth
herein, the parties agree to the following:
1. The Service Provider shall provide solid waste and brush/yard waste recycling drop off
collection support services to the City.
2. The City shall provide and pay for dumpster services provided through the current City
solid waste contract as needed. The City shall pay a management fee to the Service
provider of $20,000.00 annually, payable in one payment. Contractor shall submit an
invoice for payment with the contract amount at the time of the contract renewal annual
start date.
3. The Service Provider shall manage solid waste and brush/yard waste recycling drop off
activities at the Facility.
4. The term of this service agreement shall begin on the Effective Date of November 1,
2016, and end on October 31, 2017. This Agreement may be renewed at a rate mutually
agreed upon by both parties for up to five additional one-year terms (Nov. 1, 2017, 2018,
2019, 2020, and 2021).
5. The Service Provider shall provide sufficient on-site staff to perform the following:
a. Require persons seeking to drop off bulky solid waste or to recycle yard
waste, to show proof of City residence;
b. Ensure that the Facility is open Monday through Friday, from 7:30 a.m. to
3:30 p.m., excluding winter weather permitting and holidays;
1
c. Use reasonable efforts in monitoring usage to prevent the disposal of
household hazardous waste (as listed in Exhibit A) and providing information
to such persons regarding the Mid-America Regional Council's Household
Hazardous Waste disposal program.
d. Collect the following usage data: the number of persons using brush/yard
waste disposal by day of week; the number of persons using bulky solid waste
disposal by day of week; load category and confirmation of person's proof of
City of Riverside residency.
6. The Service Provider agrees to comply with, and provide any necessary affidavits under,
Section 285.530, RSMo to confirm that it will not knowingly employ any person who is
an unauthorized alien.
7. During the term of this Agreement, the Service Provider shall maintain commercial
liability insurance, to protect against any liability arising out of the performance of the
Service Provider's obligations under this Agreement. Such insurance shall be in amounts
at least equal to the limits of liability of $1,000,000 each occurrence, $2,000,000
aggregate, and the City shall be named as an additional named insured on all such
policies. The Service Provider shall also maintain such Worker's Compensation
insurance as is required by Missouri law.
8. The parties agree that Service Provider is an independent contractor, with full authority
and control within the constraints of this Agreement to manage and operate the Facility.
The Service Provider shall defend, indemnify and hold harmless the City from any and
all liability, and all liability and claims, including reasonable attorneys' fees, arising out
of or in any way connected with the negligent or willful misconduct performance by the
Service Provider, its employees or agents of Service Provider's obligations under this
Agreement.
9. This Agreement is the sole agreement between the parties concerning the Services.
10. This Agreement may only be amended by an agreement in writing signed by each party.
11. This Agreement is not assignable.
12. This Agreement is for the sole benefit of the parties, and nothing herein, express or
implied, is intended to or shall confer upon any other person or entity any legal or
equitable right, benefit or remedy of any nature whatsoever under or by reason of this
Agreement.
13. Nothing in this Agreement shall constitute or be construed as a waiver of the City's
sovereign immunity.
2
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date last
executed by the parties below.
City of Riverside, Missouri:
0
Mayor Kathleen L. R se
ii Dated:'o.T,.
ATTE$:1':
Ro i incaid
' Ctry.Clerk.. n K
Damon Pursed Construction Co.:
By: a1LQA
President ManjitSarai
Dated: sip �_Z�j a
ATf-
3
i
Exhibit
WORK AU[KQR1ZATIQM AFFMVIT
PURSUANT TO 2 .53,RSMo
STATE OF MISSOURI )
)ss.
COUNTY OF jl-A� )
As used in this Affidavit,the following terms shall have the following meanings:
EMPLOYEE: Any person performing work or service of any kind or characters for hire wtd►in the Stere of
Missouri.
FEDERAL WORK AUTHORIZATION PROGRAM: Any of the electronic verification of work authorization
programs operated by the United States Department of Homeland Security or an equivalent federal
work authorization program operated by the United States Department of Homeland Security to verify
information of newly hired employees,under the Immigration Reform and Control Act of 1986(IRCA),
P.L.49.603.
KNOWINGLY: A person acts knowingly or with knowledge,(a)with respect to the person's conduct or to
attendant circumstances when the person is aware of the nature of the person's conduct or that those
circumstances exist;or(b)with respect to a result of the person's conduct when the person is aware
that the person's conduct Is practically certain to cause that result.
UNAUTHORIZED ALIEN: An alien who does not have the WSW ri&or authorization under federal law to
work in the United States,as defined in 8 US.C.1324a(hK3).
BEFORE ME,the undersigned authority,personallyappeared�_ who,being duly
swom,states on his oath or affirmation as follows:
1.My name Is and i am currently the 14""17, of Damon
Pursell Construction r '(fi4einaftlar"Contractor"),whose business address is
—6� ,J. � 4� ) , qA7^ -44Z and►am authorized to make this Affidavit.
2.1 am of sound mind and capable of waking this Affidavit,and am personally acquainted with the facts
stated herein.
3.Contractor Is enrolled in and participates in a federal work authorization program with respect to the
employees working in connection with the Service Agreement.
4. Contractor does not knowingly employ any person who is an unauthorized all m in connection with
the c e►Jracted services set forth above.
A cant/
6 Ci-'I �FL t.G,✓
PrintedWarAe
Subscribed and sworn to b this day of y ,A,,2016.
Not Public
NONAJ.PENCE 5
Notary PubBc-No"Seal
at Commissioned for Clay County
My Commission EVIres:Augus114,2018
Commission Number:14428355
Exhibit A
Household Hazardous Waste List
Common HHW products that can be taken to a MARC HHW collection facility:
Acids • Lead
Adhesives and glues • Lighter fluid
• Aerosol cans (hairspray, oven cleaner, • Lubricating oils
etc.) • Mercury
Ammonia • Mothballs
Antifreeze • Motor oil
Art and hobby paints • Organic solvents
Asphalt and roofing tar • Oven cleaner
• Batteries,household, dry cell or lead • Paint: solvent- or water-based
acid • Paint strippers: alkaline-, solvent- or
Bleach water-based
• Brake fluid • Pesticides
• Capacitors • Pet spray and dip
• Caulk • Photographic chemicals
• Car wax and cleaners • Rat and mouse poison
• Charcoal lighter fluid Septic tank cleaners
• CFCs and HCFCs Shoe polish
• Disinfectants • Spot removers
• Drain opener • Swimming pool and spa chemicals
• Fabric dyes • Toilet bowl cleaner
• Fertilizer • Transmission fluid
• Fingernail polish and remover • Tub and tile cleaner
• Flea collars • Unknown substances
• Fluorescent lights • Varnish
• Furniture polish and wax • Windshield wiper fluid
• Gas cylinders (up to 51bs.) • Wood preservatives
• Gasoline • Wood stain
• Insecticide and insect repellant
• Kerosene and fuel oils
4
CITY OF
2950 NW Vivion Road
Riverside, Missouri 64150
MEMO DATE:August 29,2016
AGENDA DATE: September 6,2016
TO:The Mayor and the Board of Aldermen
FROM:Tom Wooddell
RE: Relocation Residential Dumpster Service
BACKGROUND: Relocation of the residential dumpster service and operations from the Public
Works facility to Pursell's recycle facility was presented at the 2016-2017 budget meeting. The
key points for the relocation were health,safety,security and staffing reasons. Residential
dumpster services and operations will be performed by Pursell.
Budgetary Impact:The 2016-2017 budget included$2o,000.00 for annual residential
dumpster services and operations provided and performed by the Pursell recycle facility.
REVIEWED BY AND RECOMMENDATION: Staff recommends relocation of the residential
dumpster,services and operations to the Pursell Recycle Center located at 6305 NW Riverpark
Dr., Riverside,MO.
Rte® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNMI
2/29/2016
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 NAME:
Bays Companies DNE , (816)474-3535 FAX PNNo:(016) 842-5795
1200 Main 3tr4Hat, Suite #2310 E-MAIL
ADDRESS:
�tECEIVED INSURERS AFFORDING COVERAGE NAICR
Kansas City t� 641ORECEIVE Republic Insurance Co. 24147
INSURED1IA0 p 3 'IOC INSURERS:Starr Indemnit 6 LiabilityCO 38316
Damon Pursell Construction Cc MAR L D INSURERC:
300 N Church Rd INSURER D:
INSURER E:
Liberty HO 64068 1 INSURER F:
COVERAGES CERTIFICATE NUMBER:GL/AL/WC/UL 5 16/17 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 INSURANCEPOLICY EFF POLICY EXP LIMITS
12. POLICY NUMBER
X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 1,000,000
A CLAIMS-MADE XI OCCUR PREMISES Es occurrence S 500,000
NNZY 306244 3/1/2016 3/1/2017 MED EXP(Ary one person) $ 10,000
PERSONAL&ADV INJURY $ 1,000,000
GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY O PRO- O
X PRO-
JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
OTHER: Employee BerroPos $ 2,000,000
AUTOMOBILE LU\BILfrY COMBINED 19917"[Pr—Ea accident $ 1,000,000
A
Ix
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED NTS R 306243 3/1/2016 3/1/2017 BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE
HIRED AUTOS X AUTOS Per accident $
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000
B EXCESS LIAS CLAIMS-MADE AGGREGATE $ 5,000,000
DED RETENTION 1000022529 1 3/1/2016 3/1/2017 1g
WORKERS COMPENSATION
ANDEMPLOYERV=lLrrY X A YINE ER
ANY PROPRIETORIPARTNERIEXECUTIVE E.L.E.L.EACH ACCIDENT $ 1,000,000
OFFICERIMEMBER EXCLUDED? NIA
A (Mandatory In NK) MUC 306242 00 3/1/2016 3/1/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000
U describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB I$ 11000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addidwal Remarks Schedule,may be attached N mon space Is mclulred)
30 day notice of cancellation applies.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Riverside, NO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
2950 NW Vivian Road ACCORDANCE WITH THE POLICY PROVISIONS.
Riverside, MO 64150
AUTHORIZED REPRESENTATIVE
James Hays/LROBB
®1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INS025(201401)
Old Republic Insurance Company - Company Profile - Best's Credit Rating Center Page I of 2
A.M. Best Rating Services 40 welcome Back Larissa Anderson l My Member Canted LwQu
A.M.Best I A.M.Best Rating Services I A.M.Best Information Services About I Camara I Events I Support I Contact
Rating Search: S— .Advanced Search OR Print this papa
Rating Services Home
Ratings .
a Recent Rating Activity Old Republic Insurance Company (,)
e Search for a Rating A.M.Beet a:000733 NAIC e:3147 FEIN a:260410420
Regional Centers . Mailing Address Mex Addition.[Address Information
Rating Process 8 0efinWons . P.O.Be.789 Assigned lo'Fk..nreeeealk Rag�g.
.Understanding Bear's Ratings Greensburg,PA 15601-0789 icom an es nsurance �tresT
United States n
s
Guide to Best a Ratings Mat have.
.
Issuer
Strength Rating Guide in et their ong ongoing Insurance to
s Issuer Credit Rating
Guide Web: :724-8 4-5000 cors meet Nair ongoing Insurance
w Issue Naconal Sc leetlne Guitle Phone:7834-825000 obligations-
•Natlonal Scala Rating Guide Fax:724834-8204
w Country Risk Information
e Market Segment Outlook Based on A.M.Beat's analysis,058439-Old Republic International Corporation is the AMB Ultimate Parent and identifies the
Rating Methodology . topmost entity of the corporate structure.Mew a list of operating Insurance entitles in this structure.
Industry Research Best's Credit Ratings
Industry8 Market Centers . Finanelal Strength Rating Vlaw DeMtilon 7E,
s Credit Rating Analyst
Contact an Analyst Rating: A,(Superior) Rating Issued by:A.M.Best Rating Services,Inc.
Conferences&Events . Financial Size Category: XII($1 Billion to$1.25 Billion) ior Financial Analyst Darian Ryan
Awards 6 Recognitions Outlook: Stable aiatnnt Vica President:Jennifer Marshall,CPCU,ARM
Data Submission Center . Action: Aifin ted
Regulatory Information a Effective Data: December 18,2015 Disclosure IrdormMion
Initial Rating Data: June 30,1940
— � Mew A.M.Bests Rating Disclosure Form
Finite Reel's Credit Ruling Lon -Term Mwar DrMR Ratln Vlsw DaBnition VVV
Entero Company Name Long-Term: as- 1 = A M Bet Aifi Ratings of Most Subsidiaries f Old
Outlook:
.Advanced Search lk: Stable 1I . Republic International C.m.ralion
December 18,2015
Action: Affirmed
��,�ay� Effective Data: December 18,2015
CA.M.Best Rating Services Initial Rating Date: June 20,2005
v Contact Information.
u Derives IIMn Revwx Beare net,
Rating History
A.M.Beat has provitled_ratings 8 analysis on the company since 1940.
FlnaneNl Slrentlth Long-Term issuer Credit
'Effective Dale Rating Effective Date Rating
12/182015 A+ 12/18/2015 aa-
10/32014 A+ 10/3/2014 ae-
10/3/2013 A 10/312013 is,
9282012 A 9/26/2012 8�
18/162011 A 811612011 at
Related Financial and Analytical Data
The following links provide access to related data necods Mat A.M.Best utilizes to provide financial and analytical data on a constedaed or
branch basis.
AMB R Company Name Company Description
002976 Old Republic Insurance Companies(SG) Represents the A.M.Best Consolidated financials for the Property/Casually
Retire unit business of this legal entity.
AMB Credit Reports
FJAMB Credit Report-Includes Best's Financial Strength Rating and rationale along with comprehensive analytical
_ : commentary,detailed business overview and key financial data.
Report Revision Data 7/12/2016(represents the latest significant change).
I= Historical Reports are available in AMB Credit Report Archive.
Mew additional new. reports and products for this company.
mss RahasN
DOW Title
Dec 18,2015 AM.BestAl RatingRatin,s ofid t Subsidiaries ofold Re Wi International Ct
Oct 03,2014 A M Sgt i-loorldes Ratings of Certain Subikfianes of Old Republic International Corooraflon
Oct 03,2013 A-K Best Affirme,Ratinal Qf Old Republic International Core's Subsidiaries Revises Oudpok to 5table for
TideGroup
Sep 26.2012 A M Best Afimns Ratings f Most of Old Republic International Coro C S b'd'a nes
Aug 16,2011 A.L.B^tt Downarades R t ps of Most Old Republic International Compration Subsidiaries
Dec 01.2010
http://www3.ambest.com/ratings/entities/CompanyProfile.aspx?atnbnum--733&URatingld... 09/07/2016
Starr Indemnity & Liability Company - Company Profile - Best's Credit Rating Center Page 1 of 2
A.M. Best Rating Services r Welcome Back Larmea Anderson l MV Member Center l Lou Out
A.M.Best I A.M.Best Rating Services I A.M.Best Information Services About I Careers I Events i Support I Contact
Rating Search: Searrh »Advanced Search Print this page
Rating Services Home
Ratings .
Recent Rating Activity Starr Indemnity& Liability Company e�
+Seerdt for a Rating
A.M.Best/:ptJabJ NAICR 38318 FEIN/:75161012/
Regional Centers , Administrative Office View Atldfionel Address Information
Rating Process&Definitions a 399 Park Avenue I th Floor Assigned to R»sraaayn Rwba
a Lit arstanding Dears Ratings New York,NY 10022 insurance
an es A aasT
---
»Guitle b Bests Ratings Stales h
nps that have,
a Financial Strength Rating Guide in our opinion,an excellent ability
Remit»Issuer Credit RaGuide Web:wvnvslartcompanies.cpm to meet their ongoing insurance
a Issue Credit Rating Guide Phone:646-227-6300 obligations.
•National Scale Rating Guide Fax:646227-6620
,Country Risk Information
a Market Segment Outicak Based on A.M.Best's analysis,055404-Start International Company Inc.is the AMB Ultimate Parent and identifies the topmost
Rating Memadology, . entry of the corporate structure.View a list of operating insurance entities in this structure.
Industry Research Besfe Credit Ratings
Industry It Markel Centers w Financial Strength Rating View Definition Best's Credit Rating Analyst
Contact an Analyst Rating: A(Excellent) Rating Issued by:A.M.Best Rating Services,Inc.
Conferences&Events a Financial Size Category: XV($2 Billion or greater) Senior Financial Analyst:Michael W.Russo
Awards&Recognitions Outlook: StableA( saistant Vice President Jennifer Marshall,CPCU,ARM
Dale Submission Center Action: Affirmed
Regulatory Information » Effective Date: November 20,2015 Diseloaure Inlormallon
Initial Rating Data: May 29,2008
View A.M.Bests Rating Disclosure Farm
Find a Rest's Credit Raring Lo T*nnkmuerCmdkRiddn9 VlowDefiniflon
EMera Company theme Long-Tom: e
.Advanced Search Outlook: Stable
--� Action: Affirmed
Effective Date: November 20,2015
A.M.Best Rating Services Initial Rating Data: May 29,2008
Contacl Inforntalton a
u DendU Uiwer Rmww'Berta Baum
MB Rating Unit _
Note This data record represents an AMB Rating Unit and the
fallowing Beat's Credit Ratings are based an the consolidated
financials asaigned W this record.
AMBS Company Name Bears Baafa
FSR ICA
097225 Stan Indemnity It Liability Co JPB A a
097224 Stan Indemnity&Liability A a
Company ARB
Rating History
A.M.Best has provided mtings&anaysis on this company since 2008.
F` nebl8trerngih Lon -farm laauxDMk
ERactiva Dab Rating's Effaoliva Data Rating
1 1/2 0201 5 A 17/20/2015 e
10/20/2014 A1020/2014 a
1011812013 A 10/182013 8
10/172012 A 10/17/2 a
1_0/172011 A 10/17/2 a
Related Flnancial and Analytical Data _ _
9e following links provide access b related dela records that A.M.Beet in lags to pmade Mercer and analytical data on a consolidated or
no,basis.
AMB a Company Name Company Company Description
097224 Stan Indemnity&Liability Company ARB Represents the Property/Casualty financials for me Argentina Branch of this
legal entity.
093225 Stan Indemnity&Liability Co JPB Represents the Property/Casualty financials for the Japan Branch of this
legal entity.
AMB Credit Reports
AMB Credit Report -includes Beat's Financial Strength Rating and rationale along with comprehensive analytical
`) commentary,detailed business overview and key financial date.
Report Revision Date:7/25/2016(represents the latest significant change).
Historical Reports are available in AMB Credit Recon Archive.
View additional news reports and Products for this company.
r—
http://www3.ambest.com/ratings/entities/CompanyProfile.aspx?ambnum=733&URatingId... 09/07/2016
Missouri Business Filings Page 1 of 1
JASON KANDER
MlsaUem MISSOURI ONLINE BUSINESS FILING
IKMTARV
or stATt
Insurance Company Details as of 9/7/2016
Business Entity Fees&Forms _ 41111teauyee FIad
Business Entity FAQ File occurrence.sola the ming from the"Fears Typo'eropcomn lion,tlln click FILE ONLINE.
File Regltration Regime-click FILE REGMTRATION REPORT,
Business Entity Home Page i Copies a Canlnpb-dick FILE COPIESICERTIFICATEE.
Business Entity Online Filing
Business Outreach Office RETURN To
SEARCH RESULTS
Business Entity Contact Us
OPOEfl COPIESI
UCC Online Filing CERTIFICATES
Secretary of State Home Page General Informatbn Filings AdErent Comact(s)
Names)OLD REPUBLIC INSURANCE COMPANY AUmeee
Type Ineunnm Company Cloonan Na_colossi
DomeellClly Foreign Home State PA
Rommonj Again lRepme.Ey Me Dorial.otlnaunnor, Slmus Deco sunmry
131 Oeklen0 Avenue,PO Boa]e9
Gree-tury,PA Intel 47M
Dale FanlmO VIM""
consul
Fain Monts January
Recon Dues ckllT
no Information centered on this Finite is f lW as a Public service,arts may change at any time.Tha Stab,it employees,can radm,
sYbpmllrGaore or dialer employees Oo not make any worremy,espreaserl a ImpINA,a assurna any legal liability for tine accuracy,cenplabrlss
Or usefulness d arty Information,apperaNts,procisd or prones glaclosep Or represent tial Its,use eoulrl not Inhings OR prlatetyavnre0 rlghta.
https://bsd.sos.mo.govBusinessEntityBusinessEntityDetail.aspx?page=beSearch&ID=70... 09/07/2016
Missouri Business Filings Page 1 of 1
JASON KANDER
MIS.Lal MISSOURI ONLINE BUSINESS FILING
SfClUTARP
nr+Tntl
Insurance Company Details as of 9/7/2016
Business Entity Fees 6 Forms •Irl, =u Fier
Business Entity FAO File Oocumenls-start too Iiling In.the"Filing Type"dmpEown Ins,then click FILE ONLINE.
File Registration Reports-click FILE REGISTRATION REPORT.
Business Entity Home Page Capias or Cenla-las-stick FILE COPIESICERTIFICATES.
Business Entity Online Filing - --_ --
Business Outreach Moe RETURN TO
SEARCH RESULTS
Business Entity Contact Us
ORDER OUPIESI
UCC Online Filing CERTIFICATES
Secretary of State Home Page General Information Filings Add. Conceals)
Narreel)STARR lndemnd,a LlWllily Campany Address]b Park Arms
kN Fkar
R—Ink.NY 1.22Type Insurer-Compny Chane/No.O0000Z
Oameated,ForNpn Home Slele T%
Rnionsed Aging(Angola.q the MO DNubn.1 intamp) Status Good Slardlio
lee P.rk Avenue
Mh Flaw
Ne•York.NY 1002D
Dene Forms aHeltee0
Contra
Fiscal Monts danaery
Repan Due V]Met]
TM intmmation contained on this page is pmvises as a public service,and may change at any time.The SWta,Re negotiators,contractors
tubsontracton or their employees do not nuke any seasonally,expressed or implied,or assume any legal liability for me accuracy,corllploteluss
or uwfulruse of any Information,apparatus,product or promises disclosed or represent mat Re use vvould net Wrings on pdvateiyounad rights.
https://bsd.sos.mo.govBusinessEntityBusinessEntityDetail.aspx?page=beSearch&ID=70... 09/07/2016
Missouri Business Filings Page 1 of 1
JASON KANDER
MIS.w MISSOURI ONLINE BUSINESS FILING
WWTI RY
nF)Loll
Limited Liability Company Details as of 9/712016
Business Entity Facts 6 Forms Illux,nul Ran
Business EnNry FAO FHa Da°nw^ts select me glmg bum tai'FINDS Ty kk'drepEPwn as,then click FILE ONLINE.
FlM RpiMrallon Repent-c1icF FILE REGISTRATION REPORT.
Business EOliry HOme Page Collas w Caddicalss-click FILE CCPIEMERTI "M.
Business Entity Online Filing
RETURN TO FILE
Business Outreach Office SEARCH RESULTS select fie,M1om the IN. ONLINE
,uTyq Amcndea CaNfirela of RNvddW.n of a F.dda
Business Entity Contact Us
ORDER CO%ESI
UCC Online Filing CERTIFICATES
Secretary of State Home Page (ioneral information Filings Address Contacts)
Name THE HAYS GROUP OF HANSAS CRY,LLC AWReS
Type Un Mee LL411My Cumpeny Chad.,NO.110M202e
Gelresatlly Faman Heme Slue MN
ReUnlered Alert...S—PAI status Aplre
DO MAIN STREET SURE etas
RANS0.4 CRY.MO 641M
Cate Fended!anu2lpo
Oem11On 0.rryWe1
aaewd M
The lnPo fion contained on this Page Is provided as a public Service,and may change at any time.The Slab,its employees,contrectoo,
subcontractore of Meir employees do ret make any warranty,expressed or Implied,or assume any legal liability for Me accuracy,compleftess
or usefulness of any irfomation,appareWa,product Or Process disclosed w mm sent Mat as use would not Infringe on Odvably-0Mmsd d".
https://bsd.sos.mo.gov/BusinessEntity/BusinessEntityDetail.aspx?page=beSearch&ID=55... 09/07/2016