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HomeMy WebLinkAboutMarks BrothersMARKS BROTHERS, INC. 9455 N.W. 104TH STREET • MEDLEY, FLORIDA 33178 TELEPHONE 305 -805 -6900 FAX 305 -805 -4802 The attached list is presented in response to your criteria listing for the Sidewalk and Street Projects - Part I. As part of the evaluation process, the list should answer some of the questions as presented. Firms experience in the construction of concrete sidewalks, curbs and gutters. The following site development projects contained the above listed components: Arellano Construction Columbia Hospital Bascon Construction PMS Hangar Facility Centex - Rooney 701 Waterford Chase Construction Sunset Place Mall Miami -Dade Public Works Biscayne Blvd - NE 6 St to 11 St. Florida Dept. of Transportation Tamiami Trail - 42 -57 Avenues Florida Dept. of Transportation NE 125 Street Haskell Construction Boeing Flight Safety City of Miami Roads Neighborhood Curbs Odebrecht FAA Control Tower - MIA Overholt Construction Signature Air Poole & Kent American Airlines Arena - Chilled Water Tumer/Lathrop Village of Merrick Park Firms experience in subsoil excavation and landscaping All jobs listed on the attached list included some combination of the following subsoil excavation work. Site clear and grub, demuck and fill, installation of water, sewer and storm drainage systems, subgrade prep, limerock base, asphalt paving, concrete curbs, gutters and sidewalks, installation of electrical lighting systems, irrigation systems and landscaping. G'306 �NTMCTpq MARKSBROTHERSINC.COM D*M SERli-NG ,_JUTH FLORIDA SINICE EQUIPMENT RENTALS LAND DEVELOPING BUILDING DEMOLITION PAVING EXCAVATING UNDERGROUND CONSTRUCTION Recent, current and projective workloads The attached list indicates three jobs that are on going and projected finish dates. (American Airlines, Miami -Dade Aviation Department and Turner Lathrop) In addition our current work loads includes two projects at Miami Children's Hospital, Esserman Motors, FDOT SR 814 (Atlantic Boulevard, Atlas Air and various other projects with a value less than $100,000. Firms experience with governmental entities The list includes projects for the Florida Department of Transportation, City of Miami, Ft. Lauderdale Aviation Department, Miami -Dade Aviation Department, Miami -Dade Public Works. Other governmental entities include: Village of Pinecrest, City of Hialeah and City of Sunny Isles Beach. Demonstration of Construction Equipment Availability As a firm, MBI has over 120 full -time employees on staff and an equipment list that exceeds 90 pieces of all sizes and classifications. .f PARKS BROTHERS. INC. Partial Listing of Projects Completed and Under Construction Past 3 Years A = Airport Project Owner / Contractor Job Name Description Completed Amount American Airlines Conc. D. Apron & Utilities A Grading, Paving, Utilities * *Mar. 2004 $19,450,129.00 Arellano Construction Columbia Hospital Grading, Paving, Utilities Jul. 1999 $675,925.00 Bascon Construction PMS Hangar Facility A Grading, Paving, Utilities Feb. 2000 $1,915,000.00 Centex - Rooney 701 Waterford Excavating & Filling Lake Sept. 1999 $2,810,000.00 Chase Construction Sunset Place Grading, Paving, & Utilities Dec. 1998 $3,140,000.00 CRA/The Loewen Group Lakeside Memorial Park Site remediation & development Apr. 1999 $1,445,539.00 Dade County Aviation Department DCAD Z -19J - Northside Utilities A Drainage, Utilities, Paving Mar. 2002 $8,565,013.00 Miami -Dade Aviation Department MDAD B513B - Conc. H -J Storm A Drainage, Utilities, Paving * *Feb. 2003 $14,148,904.00 Miami -Dade Public Works Biscayne Blvd. N. E. 6 St. to 11 St. Roadway Reconstruction Aug. 2000 $812,724.00 ESA/JV Northside Utilities - Part C A Box Culvert, Utilities, Paving May. 1999 $925,000.00 Florida Department of Transportation Tamiami Trail - 42 Ave to 57 Ave Roadway Reconstruction Mar. 2000 $8,425,362.00 Florida Department of Transportation N.E. 125 street Roadway Reconstruction Jul. 2001 $1,131,994.00 Fort Lauderdale Aviation Department Taxiway'E' extension A Grading & Paving Feb. 2000 $668,795.00 General Asphalt Company Misc. Airfield Repairs A Excavation & Concrete Jun. 2000 $1,200,000.00 Haskell Construction Boeing Flight Safety Grading, Paving, Utilities Feb. 2000 $725,000.00 City of Miami Roads Neighborhood Curbs Concrete Curb Replacement Feb. 2000 $201,298.00 Odebrecht FAA Control Tower A Grading, Paving, Utilities Apr. 2002 $419,548.00 Odebrecht Tunnel Entrance Relocation A Grading, Paving, Utilities Aug. 2001 $1,175,000.00 Overholt Construction FP & L - Spoonbill Site Excav,Structures & Pave May 2000 $360,000.00 Overholt Construction Signature Air A Apron & Utilities Sept. 2001 $1,800,000.00 Poole & Kent American Arena - Chilled Water Excav, Structures & Pave July 1999 $917,614.00 Poole & Kent NAP of the Americas Chilled Water Excav, Structures & Pave Apr. 2001 $550,545.00 Turner /Lathrop Merrick Place Grading, Paving, Utilities * *Nov.2002 $4,158,628.00 Waldron Petroleum Tank Misc. Aviation Fuel Repairs A Excavation & Concrete Nov. 2000 $650,000.00 Note: Approximately $3,000,000 in smaller jobs (< $100,000) is not listed ** Denotes Jobs In Progress $76,272,018.00 PART III BID FORM A Project Number: BID 02 -08 -01 SEP N 7 2002 O :Obq� City of canny isi.s Seach Project Name: SIDEWALKS, CURBS, AND GUTTERS Grand Total: /�2 7G✓. �° The bidder understands and agrees that the above grand total is inclusive of all work necessary to complete the job as described in the plans and specifications. Quantities are established and are included only for the purpose of facilitating the uniform comparison of bid submitted. The county shall not be held responsible if the quantities are not accurate an all computations for compensations shall be based upon the actual worked performed, whether greater or less than the estimated quantities. Tax Identification Number: 591-26�!/� �2 D.C. Certificate of competency No.: G-" V306y Bidder's Name: lklal -� Bidder's Telephone number: BOA 6960 Bidder's address: �jl�jj� 1,1ti/ 104 21 le, 'tv 33172�5 And the undersigned agrees that in case of failure on his part to execute the said Contract and the Bond within 10(ten) days after being presented with the prescribed Contract Bid Form A Page 1 of 2 forms, the check or Bid Bond accompanying his bid, and the money payable thereon, shall be paid into the funds of the City of Sunny Isles Beach, otherwise the check or Bid Bond accompanying this proposal shall be returned to the undersigned. Attached hereto is a cashier's check on the Bank of Dollars ($ according to the conditions under Instructions to Bidders and provisions therein. WHEN THE BIDDER IS AN INDIVIDUAL: WHEN THE BIDDER IS A SOLE PROPRIETORSHIP OR OPERATES UNDER A TRADE NAME: WHEN THE BIDDER IS A PARTNERSHIP: 58-M (Name and Address of General Partner) Bid Form A Page 2 of 2 (Signature) (Address) (Name of Firm) D �� Vic% S::AI:) ( Signature of Individual' ) (Name of Firm) (General Partner) SEABOARD SURETY COMPANY& ADMINISTRATIVE OFFICES: BEDMINSTER, NEW JERSEY PROPOSAL BOND Xu am all Ain hg t4ror Fmornu: THAT WE, jf% iP /rs 19A0 717'Eld s Alc as principal, and SEABOARD SURETY COMPANY, a corporation under the laws of the State of New York, having its principal place of business in the City of New York, New York, as surety, are held and firmly bound unto as obligee, in the sum of �i ����'�"'T C7 %/ �iddtu,�TJ DOLLARS, lawful money of the United States of America, for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. SIGNED, sealed and dated this C day of SrlFeweez- -W WHEREAS, the said principal is herewith submitting its proposal for d/o Mn 02-- D S' — D( THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, that if the aforesaid principal shall be awarded the contract upon said proposal and shall within the required number of days after the notice of such award enter into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void; otherwise the principal and surety will pay unto the obligee the difference in money between the amount of the bid of the said principal and the amount for which the obligee may legally contract with another party to perform the said work if the latter amount be in excess of the former; but in no event shall the surety's liability exceed the penal sum hereof. Form 136 J6,&" S %mac___ Principal By SEABOARD SUR TY CO ANY Y- rney- in -Fac )CI / ?l f TheStftl Power of Attorney No. POWER OF ATTORNEY Seaboard Surety Company St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company 22624 United States Fidelity and Guaranty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. Certificate No. 11 35686 KNOW ALL MEN BY THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York, and that St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota, and that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland, and that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies "), and that the Companies do hereby make, constitute and appoint G. W. Fitch, Gerald J. Arch, Michael A. Holmes and James F. Murphy Ft. Lauderdale Florida of the City of , State , their true and lawful Attorney(s) -in -Fact, each in their separate capacity if more than one is named above, to sign its name as surety to, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and sealed this 9th day of July 2 Seaboard Surety Company United States Fidelity and Guaranty Company St. Paul Fire and Marine Insurance Company Fidelity and Guaranty Insurance Company St. Paul Guardian Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Mercury Insurance Company q swrlyt�Ly �,N� Qa��..�yS�9 j /up.�RSO 1� e�O�trµO ri //J� # '1� C�1E �1LOP VOR.1 >t:, f ,iW :�pPY0R4TE :,P ?IIICO'Cl�p�[p �9� BICaITEDG tt77ii 1927 K i:�i "t � 7 JOHN F. PHINNEY, Vice President au �' SEAL,`o °i SBAL r° N 1898 � 1977 � 1951 � � `�OFNEV7}" fN.: »N..� "...•.. �,. ,�� At7� `�� ilk /uv/ State of Maryland City of Baltimore THOMAS E. HUIBREGTSE, Assistant Secretary On this 9th day of July 2001 before me, the undersigned officer, personally appeared John F. Phinney and Thomas E. Huibregtse, who acknowledged themselves to be the Vice President and Assistant Secretary, respectively, of Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, United States Fidelity and Guaranty Company, Fidelity and Guaranty Insurance Company, and Fidelity and Guaranty Insurance Underwriters, Inc.; and that the seals affixed to the foregoing instrument are the corporate seals of said Companies; and that they, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the names of the corporations by themselves as duly authorized officers. �GpP EAS(Fk �0 V In Witness Whereof, I hereunto set my hand and official seal. or 4& v UBC /Q My Commission expires the 13th day of July, 2002. yO9E cav �� 86203 Rev. 7 -2000 Printed in U.S.A. REBECCA EASLEY- ONOKALA, Notary Public SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) FLORIDA STATUTES ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. I . This sworn statement is submitted to - 2 by�y fly l7»',E for whose business address is A/ Al /D-9 < f and (if applicable) its Federal Employer Identification Number (FEIN) is V /z2� (IF the entity had no FEIN, include the Social Security Number of the individual signing this sworn statement: 2. 1 understand that a "public entity crime" as defined in Paragraph 287.133(l)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or of the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 3. 1 understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statutes means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contenders. 4. I understand that an "affiliate" as defined in Paragraph 287.133(l)(a), Florida Statutes, means: a. A predecessor or successor of a person convicted of a public entity crime; or b. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity come. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of ar-public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 5. I understand that a "person" as defined in Paragraph 287.13341)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of any entity. Signature Date Page 8 of 9 RFP -Sidewalk And Street Projects PART I Requests For Proposal NON - COLLUSIVE AFFIDAVIT ' i �✓ut �ZL�2.�L State of/rrri�'� ftbik )ss County of �l �rrl�i jam) N96-4f Octa6a 11, 2W OF; %fit CC 878734 Z2 being first duly sworn, deposes and says that: (1) He /she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has submitted the attached Bid; (2) He /she is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid; (3) Such Bid is genuine and is not a collusive or sham Bid; (4) Neither the said bidder nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Bidder, firm, or person to submit a collusive or sham Bid in connection with the Work for which the attached Bid has been submitted; or to refrain from bidding in connection with such Work; or have in any manner, directly or indirectly, sought by agreement or collusion, or communication, or conference with any Bidder, firm, or person to fix the price or prices in the attached Bid or of any other Bidder, or to fix any overhead, profit, or cost elements of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against the City of Sunny Isles Beach, or any person interested in the proposed Work; (5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any other of its agents, representatives, owners, employees or parties in interest, including this affiant. Page 9 of 9 RFP -Sidewalk And Street Projects PART 1 Requests For Proposal 3C WORKS DEPARil,4EWi CONTRACTOR iii i\ Y�' ist Si REP. SUITE i! () ('605; M r, TRADE: {1. ";i1{ ENGINEERING w, CATEGCRY(S,: BUSINESS GENERAL 1ENGINEER CERTIFICATE OF COMPETENCY EXPIRES ON 09/30/2003 BARKS BROTHERS INC o C.C. NO.t E1306 U- O.A.: MARKS MARTIN 0 �s:.e.�. a .:y� cloe:i S.S. No.: 262 -19 -9982 , ",� �..c J. �J1 +. �.N R. FF -vc1sc a �_.0 AID '�, J..VY c -• Go v;r,;aror, irx: Que4:t.•:: bv::ui ._� • - jfqS 1 F,UC T i0NS PLACE PhC,T0 HERE 1. SIGN CERTIFICATE — ATTACH PICTURE — FOLD — LAMINATE 2. NOTIFY CONTRACTOR SECTION Of ANY CHANGE OF ADD 3* 3. flBIDTHEOCOBEEOFHNIAMINDAiiEGCCiU NTflNS OF CHAPTER 10 BARKS BROTHERS INC 9455 NW 104 STREET FL 33178 MEDLEY s n. a ''VIAMPTIADE COUNTY - .STATE OFFLORIDA 940 W_ EIAGLE{3.ST. EXPIRES SEPL 30, 2002 U.S. PC ti IAMI, FL 33130 �I+IUST,$E.DISPLAYED ATP.IACEDFBUS�NESS P/ MIAMI, 133y30 �P'JRS'JANTTO COUNTY CODE CHAPTER SA - 'AT3T- 9 a g0 MIAO PERMIT 199017 —b BUSINESS NAME I LOCATION MARKS BRDTH RS 1!4C <iy55 N4 104 ST 33176 *'ILDLCY RLNEWAL LICENSE NO. 025899-6 C E 1306 OWNL-R MARKS BR3THCr2.S INC Sec. Type of Business WORKERS 196 GENERAL ENGTNHE;�JNd Cr;,,,;Tp '_T;Z 60 I HiL 1`'. AV IAX 019111. It OOL; NOT PGiMiI THL LJCENSLr 70 VIOLA71 AI9Y EydSl119G REGUIJTUHI' 01, 201JI19G SAWS Or THL COUNTY OR CIT9ES. Norl DOES IT } DO NOT FORWARD EXEMPT FROM AI OTFILR IJCENSE r+ ARKS B R,"T H E R S I t; E LAPERMIT RIS 1401 BY 9d4 5 14 /'d l ©0. C T i0 E _ T LAN'. THIS' IS iJOT A 1 'i J 7 TS CERTIFICATION Or THE MEDLEY F 3-3176 LICENSEE'S OUALIRCA- TION. PAYMENT RECEIVED MIAMI -DADE COUNTY TAY. COLLECTOR: 021000080022 SEE OTHER SIDE M AMI -DADE COUNTY 2001 MUNICIPAL CONTRACTOR'S 2002 TAX COLLECTOR OCCUPATIONAL LICENSE FIRST -01 740 W. FiA+aLER ST. FLOOR MIAMI -DADE COUNTY - STATE OF FLORIDA U.S. PAS' 1A MIAMI, FL 3330 PURSUANT TO DADE COUNTY ORDINANCE fib -2 I MIAMI, EXPIRES SEPT. 30, 2002 , PERMIT N LICENSE NO. BUSINESS NAME / LOCATION IS HEREBY LICENSED TO DO BUSINESS AS A CONTRACTOF AS SPECIFIED HEREON. v ^i .._�I\11 \li L._H'f,•_ /. Licensee musl DO NOT FORWARD register in the city _ where work is to be done. PAYMENT RECEIVED MIAMI -DADE- CNTY TAX COLLECTOR: f AC ORD CERTIFICATE OF LIABILITY INSURANCE OP ID D9 DATE(MM/DDIYY) MARKS -1 08/27/02 PRODUCER Brown & Brown, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5900 N. Andrews Ave. #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5727 ALTER THE COVERAGE AFFORDED EY THE POLICIES BELOW. Ft. Lauderdale FL 33310 -5727 Phone: 954- 776 -2222 Fax: 954- 776 -4446 INSURERS AFFORDING COVERAGE INSURED nu;uerr.A Zurich Commercial Insuranc CON98516819 INbullLi�li American Guarantee && Liabilit Husulituc Michigan Mutual Insurance CO Marks Brothers Inc 9455 N.A. 104t1 Street Medley FL 33178 INSURER MFL EM' (Anyone per,Dn) INSURER E VUIYCKAIatD THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURA14CE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDYYY POLICY EXPIRATION DATE MMIDDNY LIMITS GENERAL UA9IUTY EACH OCCURRENCE b 1, 000, 000 A % COAIMERCLALGENERALLIADILITY CLAIMS MPDE F$ OCCUR CON98516819 01/01/02 01/01/03 rR[ DNAAGE (Any one fire) 1300,000 MFL EM' (Anyone per,Dn) 9 10 , OOD PERSONAL E ADV INJURY 9 1,000,000 _ GEIEPALAGGPEGA7E s:2,000,000 GEN'LACCREGATE LIMIT APPLIES PER PRODUCTS- COMP/OP ACC 12,000,000 POIJCY JE 6 LOC AUTOMOBILE LIABILITY A AmYAu7o CON98516850 01/01/02 01/01/03 COMBINED SINGLE LJMIT (ED A -deal) 9. 1, 000 000 i % ALL CANNED AUTOS SCHEDULED AUTOS BODILYINJURY (Per pmt)n) 9. % HIRED AUTOS NON- OWNCDAUTOS BODIL\'IN]URY (Per mcdam) S % Comp Ded$1, 000 % PROPERTY DAMAGE (Per emtjcnl) 5. % Coll Ded$1, 000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 4 —AUTO 07 MER THAN EA ACC S 9: AU70 ONLY AGO EXCESSUA31UTY OCCUR ❑ CLAIMS MADE EACH OCCURRENCE 5 AGGREGATE 9. 9 - DUCTIBLE - - -- 4 Fi7ENTION T 9. WO RHERS COMPENSATION AND WC STATU. 0711 - C EJVIPLOYERS'LJABILITY WC1383974 01/01/02 01/01/03 TORYLIM1IS ti: ELhACHACCIDENT 9.500000 EL DISEASE - EA EMPLOYEE 5500000 E L DISEASE - POLICY LIMIT s:500000 OTHER A Equipment Floater CON98516819 01/01/02 01/01/03 Scheduled Equipment DEF'oIp7TON DF OPERATIONS /LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PRD 1R ONE ACORD 25S (71971 \TTT.T.A'1 0 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TOTHE CERTIFICATE HDLDER NAMED TO THE LEFT, BUT FAILURE TO DO 60 SHALL IMPOSE HDOBLIGATION OR UABIUTY OF ANY HIND UPON THE INSURER, ITS AGENTS OR REPRESENYATIVES. 16'AL,URV �URI'UKAI IUN I!Jbb