2025-002 JPNC Office Pods RFP.pdf

Request for Proposal

RFP #2025-002

Jester Park Nature Center Office Pods

Prepared by Polk County Conservation

12130 NW 128th St Granger, IA 50109

515-323-5300 www.leadingyououtdoors.org http://www.leadingyououtdoors.org/

POLK COUNTY CONSERVATION

REQUEST FOR PROPOSAL

On behalf of the Polk County Conservation Board, Polk County Conservation is soliciting Proposals for the Jester Park Nature Center Office Pod project in Jester Park, Polk County, Iowa.

Proposals should be submitted no later than Wednesday, June 4, 2025 at 4:00 PM CST via BidNet Direct at https://www.bidnetdirect.com/

Proposals must be received on or before the date specified in the RFP to be considered.

PART 1: RFP INFORMATION

1.1 Purpose

A. The purpose of this Request for Proposal (RFP) is to provide an opportunity for a competitive response from Proposers with relevant experience in projects related to the services requests in this

RFP.

B. This RFP provides detailed instructions for Proposers interested in meeting the requirements of this proposal. It contains the specifications for the services to be provided and the terms and conditions.

1.2 Pre-Bid Meeting

Bidders may contact the following PCC staff members to schedule a one-hour or less, optional, on-site evaluation starting Monday, April 7, 2025 through Friday, May 16, 2025, between the hours of 9:00 AM – 4:00 PM CST to take measurements and review the space in question as an opportunity to create a more well-informed bid proposal:

Katie.stoklasa@polkcountyiowa.gov or missy.smith@polkcountyiowa.gov

1.3 Inquiries

Inquiries concerning this RFP must be submitted via BidNet Direct at https://www.bidnetdirect.com/ A. In all cases, no verbal communication shall override written communication or the contents of this

RFP.

B. Questions can be submitted via the posting on BidNet Direct until 12:00 PM CST on Friday, May 16, 2025. Polk County Conservation will respond on the BidNet Direct posting which will be published as addendums by 4:00 PM CST on Thursday, May 22, 2025.

1.4 Receipt of Proposals

A. Proposals will be allowed until 4:00 PM CST on Wednesday, June 4, 2025; after which, the response platform on BidNet Direct will be closed and cannot be reopened.

B. Proposals must be submitted via BidNet Direct at: https://www.bidnetdirect.com/

1.5 Filing of Proposals

A. Electronic Submittals will be accepted only via BidNetDirect.com until 4:00 PM CST on Wednesday, June 4, 2025. At one (1) minute after due date and time, the RFP posting will be closed and moved to the "Closed Bids" tab on the Polk County BidNet page. This cannot be reopened. Polk County Conservation accepts no responsibility for delays in the receipt of your proposal for any reason. If the office determines that it is in the best interest of the county to extend a due date, an addendum will be posted to the RFP on BidNet.com and the request will be re-posted

B. Iowa Code requires the Proposal form to be completely filled out including acknowledgement of receipt of addendum(s). Note: enter “zero” if no addendum(s) were issued.

1.6 Official Clock

The official clock is located on BidNetDirect.com.

mailto:Katie.stoklasa@polkcountyiowa.gov mailto:missy.smith@polkcountyiowa.gov

1.7 Delay in Receipt of Proposal

Polk County Conservation accepts no responsibility for delays in the receipt of your Proposal. The responsibility for timely Proposal delivery rests with the applicant.

1.8 Proposal Opening

Proposals will be reviewed and evaluated by Polk County Conservation staff who will then bring a recommendation to the Polk County Conservation Board. Awards will be made at the regularly scheduled board meeting on the second Wednesday of each month at 5:30 PM CST.

1.9 Rejection of Proposals

Polk County Conservation reserves the right to reject any or all Proposals in whole or in part, to waive irregularities, and to accept Proposals, which appear to be in the best interest of Polk County Conservation. Polk County Conservation will not pay for any information herein requested, nor is liable for any costs incurred by the Proposer.

1.10 Failure to Comply

Failure to supply information requested to accompany proposals may be cause for rejection of the proposal as noncompliant. Polk County Conservation reserves the right to request additional information if clarification is needed. Both the request and the response shall be in writing.

1.11 Proposal in Force

All proposals shall be firm for a period of ninety (90) days to allow the evaluation of all proposals and to make an award deemed in the best interest of Polk County Conservation.

1.12 Disclosure of Proposal Content

The laws of Iowa require that all proposals be placed in the public domain and be open to inspection by interested parties. Trade secrets or proprietary information that are recognized as such and protected by law may be withheld if clearly identified as such in the proposal. The entire proposal cannot be designated as proprietary or trade secret. If a request is received to examine portions designated as proprietary or a trade secret, the county will notify the Proposer to permit the Proposer to defend the proprietary nature of the information.

1.13 Gratuities and Gift Law

The laws of Iowa provide that it is a felony to offer, promise, or give anything of value or benefit to a county employee with the intent to influence that employee's acts, opinion, judgment or exercise of discretion with respect to that employee's duties. Evidence of violations of this statute will be turned over to the County Attorney's Office. Refer to Iowa Code 68B.22

1.14 Reporting of Anticompetitive Practices

When for any reason collusion or other anti-competitive practices are suspected among any proposers or offers, Polk County Conservation shall prepare a notice of the relevant facts, which shall be given to the Director of the Conservation Board and possible involvement of the office of the Polk County Attorney.

1.15 Award

Polk County Conservation reserves the right to not necessarily award to the respondent with the best qualifications nor the lowest cost but to the Proposer which will provide the best match to the requirements of this RFP. Final approval is at the discretion of the Polk County Conservation Board.

1.16 Conflict Between Terms

Polk County Conservation reserves the right to accept or reject any exception taken by the Proposer to the terms and conditions of this request for proposal.

1.17 Polk County Conservation Board Statement

The Polk County Conservation Board may show preference in purchasing goods and services from vendors who produce goods or maintain an office in Iowa. Preference may also be given to goods produced in Polk County or to vendors maintaining an office in Polk County. Further, the Polk County Conservation Board may actively solicit and seek out local vendors of goods and services and to encourage said vendors to stock and supply Iowa-made products.

1.18 Proposal Expenses

Expenses incurred in preparation of the proposal responses, conference attendance, site visits, or any other reason or function for the Proposer to respond to this RFP shall be the responsibility of the Proposer.

1.18 Ties

In the event that two or more equally low, responsive bids from responsible bidders are received, the vendor will be selected through a random coin toss completed by the project manager.

1.20 Intent to Award

Once PCC staff has concurred in the award decision and the PCCB has approved, PCC staff will communicate the decision in writing to all parties submitting bids.

PCC shall then allow a 3-day-waiting period to determine whether there will be any protest of the award decision. At the end of that period, if no protest has been received, PCC may proceed with issuing a contract to the winning bidder.

PART 2: RFP TERMS AND CONDITIONS

2.1 Changes

Changes in provisions or services to be furnished under this proposal may be made only in writing and must be approved mutually by the Proposer and Polk County Conservation.

2.2 Immunity from Liability

Every party to this proposal is hereby notified and agrees that Polk County Conservation, and any funding source for Polk County Conservation are immune from liability and suit for or from the Proposer arising from this proposal, included those involving third parties.

2.3 Taxes - State and Local

A. The County is exempt from federal, state, and local sales and use tax on the equipment, parts supplied, or services pursuant to this contract.

B. Iowa Code Sections 422.42(15) & (16) and 422.47(5) authorizes the approved Proposer to purchase materials incorporated solely into this project, tax free. Polk County will issue Tax Exemption Certificates to prime Proposer and authorized sub-contractors.

C. The Tax Exemption Certificates will allow the purchase of qualifying items to be made exempt from Iowa sales tax, applicable local option tax, and school infrastructure local option sales tax.

It is the prime Proposer’s responsibility to keep records identifying the materials and supplies purchased and verifying they were used on this project contract. Misuse of certificates could result in civil or criminal penalties.

2.4 Waiver of Informalities

Polk County Conservation reserves the right to waive any and all informalities in proposals if such waiver does not substantially change the offer or provide a competitive advantage to any Proposer.

2.5 Remedies Upon Default

In any case where the supplier has failed to deliver or has delivered nonconforming goods or services, Polk County Conservation shall provide a cure notice. If after notice, the supplier continues to be in default, Polk County Conservation may procure services in substitution from another source and charge the difference between the contracted price and the market price to the defaulting Proposer.

2.6 Discrimination and Affirmative Action

A. Proposers shall comply with the provisions of federal, state, and local laws and regulations to ensure that no employee or applicant for employment is discriminated against because of race, religion, color, age, sex, national origin, or disability. Proposer shall have an affirmative action plan and shall provide the County with reports required to ensure compliance with equal employment legislation and regulations if requested. Proposer shall ensure that all authorized subcontractors comply with the provisions of this clause.

B. A copy of the Proposer's "Affirmative Action Plan" must be made available to Polk County upon request.

C. Polk County, in accordance with Title VI of the Civil Rights Act of 1964, 78 Stat. 252, 42 U.S.C. 2000d to

2000d-4 and Title 49, Code of Federal Regulations, Department of Transportation, Subtitle A, Office of the Secretary, Part 21, Nondiscrimination in Federally-assisted programs of the Department of Transportation issued pursuant to such Act, hereby notifies all bidders that it will affirmatively ensure that in any contract entered into pursuant to this advertisement, minority business enterprises will be afforded full opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award.

2.7 Assignment

The successful proposer may not assign contractors or purchase orders to any party (including financial institutions) without written permission of Polk County Conservation.

2.8 Indemnification

The CONTRACTOR shall indemnify, defend and hold harmless Polk County, Iowa, its elected and appointed officials, employees, volunteers, agents, their predecessors, successors and assigns from and against any and all claims, liabilities, disputes, demands, damages, cause of actions, judgments, loss, cost and expense, including without limitation reasonable legal and accounting fees, by reason of [or resulting from] any injuries or damages to persons, personal injury, including death, [mental injury, emotional injury, loss of function of mind and/or body, loss of consortium, pain and/or suffering, loss of earnings];

or loss or damages to property, including but not limited to any loss of use thereof, loss of earnings and/or economic damages arising out of [or in connection] the Contractor’s, including Contractor’s employees, agents, or subcontractors, acts, errors, omissions, negligence, or fraud in the performance of the Contractor’s duties and/or obligations imposed by the terms of this Agreement, or required by law. This provision shall survive the expiration or termination of this Agreement.

2.9 The Resulting Contract(s)

A. All parts of the Request for Proposal, the contents of the service provider’s proposal response, the

Pre-Bid Standard Terms and Conditions, and any clarification thereto submitted by the successful proposer shall become part of the contractual obligation and incorporated by reference into the ensuing contract document.

B. There may be unannounced service quality evaluations during the contract period C. Polk County Conservation may terminate the contract resulting from this RFP with or without cause by giving thirty (30) days written notice. The Proposer will be paid for equipment provided and services completed.

2.10 Subcontractors

Proposers shall be responsible for all acts and performance of any subcontractors or secondary suppliers that the successful vendor may engage for the completion of the terms of this proposal. A delay that results from a subcontractor’s conduct, negligence, or failure to perform shall not exempt the prime Proposer from default remedies. Proposer shall be responsible for payment to all subcontractors or secondary suppliers. Proposer shall provide Lien wavers from subcontractors prior to final payment being made.

2.11 Protest Process

A. The procuring agency must make every effort to make award recommendations in a fair, open, ethical, and transparent manner. In the event that a proposer feels that an award has been made unfairly or improperly, the Proposer has the right to protest that award within three (3) days of receiving the notification of award. If a protest has been filed before the opening of bids (pre-bid protest must be submitted at least 48 business hours prior to bid opening), the procurement administrator should not open bids prior to the resolution of the protest, unless the Procurement Office has given approval to open the bids on the basis of an emergency situation.

B. Formal protests must be submitted in writing to the Director of Polk County Conservation. The director will meet with the staff administering the procurement and all evaluation team members and respond in writing with a formal decision which will include explanation of how the decision was derived. If the protest is approved, Polk County Conservation will notify all proposers and may issue an addendum to the original RFP, extend the due date, terminate the RFP and re-issue, eliminate any or all respondents based on a “Non-Responsive” and/or “Non-Responsible” determination, and/or change the award to a different respondent based on the findings of the protest investigation. The decision of the Director is final.

2.12 Liquidated Damages

None.

2.13 Certificate of Insurance

A Certificate of Insurance naming Polk County as an additional insured will be required upon award of proposal as follows: “Polk County Government, it’s elected officials, employees, agents and/or assigns are Additional Insured’s with respect to Project: “Jester Park Nature Center Office Pods”.

2.14 Deleted Items

Polk County Conservation reserves the right to delete parts or all of the contract items at no additional cost to the County.

2.15 Payment

Proposer can submit invoices every two weeks, depending on work completed.

PART 3: PROJECT INFORMATION

3.1 Project Dates

The following dates represent the proposed project schedule. If it becomes necessary to change the schedule, all known proposers will be notified via an addendum to the bid posting on BidNet Direct.

Publication Date: April 3, 2025 Optional On-Site Evaluations: 04/07/2025 – 05/16/2025 Proposal Due: June 4, 2025 Award Date: August 13th, 2025 Notification Date: TBD 2025 Project Start Date: TBD 2025 Specified Completion Date: 2025

3.2 Purpose/Background

The Jester Park Nature Center (JPNC) serves as the headquarters for Polk County Conservation leadership and additional support staff. The administrative workspace is a communal workspace that is configured with nine single-occupancy cubicle units and one double-occupancy cubicle unit, two

“islands” of lateral files with countertops in the two walking aisles between the cubicles, and storage closets on one end of the workspace. It has been determined that the following issues need to be addressed in this workspace:

a. Overpowering and disruptive sounds from adjacent conversations or office equipment

b. Protection of confidential information – both verbal and written

To resolve the above issues, PCC is requesting proposals that facilitate the installation of sound-dampening (or sound-proofed) and fully-integrated office spaces or Office Pods in the administrative work area of Jester Park Nature Center.

3.3 Scope of Work

• At a minimum, install five (5) 10’w x 8’d x 8’h office spaces or “Pods” in specified areas. At a maximum, install ten (10) 10’w x 8’d x 8’h office spaces or “Pods”.

• Each office space/pod must accommodate existing furniture in an acceptable configuration within each office space.

• Each office space/pod must either come complete with HVAC, electrical, and networking capabilities, or able to be easily integrated into existing HVAC, electrical, and networking infrastructure.

• Office space/pod components must be modular, and include the following types of wall options and customized configurations:

• Fully transparent panel

• Lower modesty panel with transparent panel

• Modesty panel with clerestory window

• Full modesty panel

• Transparent sliding door

• Ceiling or sound-dampening/proofing structure(s)

• Must accommodate for existing window structures/cleaning concerns

• Proposals submitted must include a detailed layout plan of all office spaces/pods, the components required for each configuration, and the requirements for installation, including any technical and utility specifications.

3.4 Evaluation Procedures

The County will evaluate proposals based on a variety of factors such as budget, timeline, and overall proposal elements.

Based on the materials submitted, the County may invite any or all firms to make a virtual presentation on their proposal.

3.5 Submission Contents

Interested firms shall respond in written form to this RFP and submit documentation substantiating their qualifications to perform the services required. At a minimum, the RFP shall include:

- Contact Information – Name, address, phone numbers and email.

- Statement of Qualifications – A statement of the firm’s experience and qualifications relevant to the proposed project, including public participation experience.

- Key Personnel – Names of key personnel who will be assigned to the project. For these individual(s), include their respective titles, experience and periods of service with the firm.

- Project Timeline/Availability – A brief overview of the anticipated timeline to complete the project, including a statement on the availability of key personnel to undertake the proposed project.

- Methodology - A brief overview of the key steps necessary to accomplish scope (i.e. modeling/CAD mockup, site visit, layout draft, review historical data, etc.)

- Firms Fee Structure – A summary of the firm’s fee structure for all personnel that would be involved in the project and a general cost estimate to complete the project. A detailed project budget is not necessary but an estimated budget range is requested with the RFP.

- Prior Projects – A brief overview of prior similar projects.

3.6 Submittal Instructions

Proposals must be submitted via BidNet Direct at:

https://www.bidnetdirect.com/iowa/polkcounty

Proposals submitted through other methods will not be considered. Submissions must be received by the deadline listed on BidNet Direct which is 4:00 PM CST, on Wednesday, June 4, 2025.

Submissions received after the deadline will not be considered.

https://www.bidnetdirect.com/iowa/polkcounty

Please sign and attach to your Proposal:

The undersigned, an authorized representative of (Provider), does hereby state that the Provider acknowledges, understands and certifies compliance with the following requirements.

A. NONCOLLUSION

This proposal or bid is genuine and not collusive or sham; that said Provider has not colluded, conspired, connived, or agreed, directly or indirectly, with any Provider or person to put in a sham bid or to refrain from bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference with any person, to fix the bid price of affiant or of any other Provider, and that all statements in said proposal or bid are true.

B. EQUAL EMPLOYMENT AND NONDISCRIMINATION

Provider and all subcontractors shall comply with the relevant provisions of federal, state and local laws and regulations to ensure that no employee or applicant for employment is discriminated against because of race, religion, color, sex, age, sexual orientation, gender identity, national origin, creed, genetic information, disability, veteran or military service.

C. DEBARMENT

Provider shall not have been suspended or debarred from a federal project.

I further acknowledge receipt of Addenda # through #

Name (Please Print)

Authorized Signature Note: This Proposal Form needs to be signed by an authorized person.

Title Date

Phone Email

REMINDER: Form needs to be filled out COMPLETELY or is subject to rejection.

ATTACHMENT A

Polk County, Iowa

INSURANCE REQUIREMENTS

GENERAL INSURANCE REQUIREMENTS

In order to protect both the Contractor and Polk County, Contractor shall purchase and maintain insurance throughout the term of the Agreement. This insurance shall be provided by an insurance company authorized to do business in the state of Iowa as a domestic, foreign, or surplus lines carrier, and assigned an A.M. Best Financial Strength Rating of “A-” or better.

A Certificate of Insurance evidencing the required coverage shall be submitted to Polk County for approval before any work begins. It shall be the responsibility of the Contractor to maintain the required insurance coverage at all times, and failure to do so shall not relieve the Contractor of any contractual obligation or responsibility. Failure to maintain the required insurance shall be treated as a breach of contract and shall be considered sufficient and just cause to suspend work, withhold payment(s), and/or be disqualified from receiving further contract awards.

Contractor shall provide Polk County, Iowa with thirty (30) days advanced written notice before any policy shown on the certificate of insurance is materially changed, cancelled, or non-renewed.

These insurance requirements apply with equal force, regardless of whether the work is performed by employees of the

Contractor, by a subcontractor, or by an independent contractor. Coverages and limits below shall be minimum coverage requirements and in no way limits the liability of the contractor, vendor, or service provider.

MINIMUM INSURANCE REQUIREMENTS

1. Workers’ Compensation and Employers’ Liability:

• Worker’s Compensation: Statutory limits

• Employer’s Liability Limits: $500,000/ $500,000/ $500,000

Waiver of Subrogation: Contractor’s Workers’ Compensation policy must be endorsed to add a Waiver of

Subrogation in favor of Polk County, Iowa.

2. Commercial General Liability:

• Each Occurrence Limit $ 1,000,000

• Personal & Advertising Injury Limit $ 1,000,000

• Products & Completed Operations Limit $ 1,000,000

• General Aggregate Limit $ 2,000,000

• Medical Expense Limit $ 5,000

General Liability coverage shall be no less comprehensive than the coverage provided by a standard Commercial

General Liability policy using CG0001. As such, the policy shall include contractual liability, premises and operations, completed operations, and XCU coverage. The policy shall be written on an “occurrence” basis, not

“claims-made”.

Additional Insured: “Polk County, Iowa, its elected and appointed officials, employees, agents, their successors and assigns” shall be named as an additional insured.

In order to preserve the governmental immunities available to Polk County, Contractor’s General Liability policy shall contain a Non-Waiver of Governmental Immunities endorsement containing the following language:

Non-Waiver of Governmental Immunity:

We, the insurance carrier and insured, expressly agree and state that the purchase of this policy and the naming of Polk County, Iowa as an additional insured does not waive any of the defenses of governmental immunity available to Polk County pursuant to Section 670.4 of the Iowa Code, as it now exists and as it may be amended from time to time.

We, the insurance carrier and insured, further agree that this policy shall cover only those claims not subject to the defense of governmental immunity under the Code of Iowa Section 670.4 as it now exists and as it may be amended from time to time.

We, the insurance carrier and insured, shall not deny coverage under this policy and we shall not deny any of the rights and benefits accruing to Polk County, Iowa for reasons of governmental immunity unless and until a court competent jurisdiction has ruled in favor of the defense(s) of governmental immunity asserted by Polk

County.

3. Automobile Liability:

• Combined Single Limit: $1,000,000

This insurance shall cover all vehicles used by Contractor whether they are owned, non- owned, or hired.

Waiver of subrogation applies in favor of Polk County, Iowa.

4. Excess Liability/ Umbrella:

Excess/Umbrella coverage should extend over the underlying General Liability, Auto Liability, and Employers’

Liability coverage.

The type of work or service being provided under this agreement will determine the required Excess Liability/

Umbrella limit. The line item checked below indicates the required limit:

____ $1,000,000

____ $2,000,000

____ $5,000,000

The total required limits may be achieved by any combination of underlying and Excess coverage.

ADDITIONAL INSURANCE REQUIREMENTS

If the product or service to be provided presents additional exposures not contemplated by the minimum insurance requirements listed above, the following additional insurance coverages may be required. A checked line item indicates

Contractor must provide the additional coverage.

____ Professional Liability (Errors & Omissions):

____ $1,000,000 limit

____ $2,000,000 limit

Required when professional services are rendered. If coverage is written on a “claims-made” basis, coverage must remain in force for at least three years after project is complete.

____ Performance Bond: Limit = 100% of the total contract amount.

Required for various construction projects.

____ Builder’s Risk: Limit = 100% of the replacement cost of proposed construction.

Required for various construction projects.

____ Cyber Liability: $1,000,000 limit

Required for Contractors accessing or interfacing with Polk County’s IT system.

____ Liquor Liability: $1,000,000 limit.

Required if Contractor will be serving alcohol.

MISCELLANEOUS

1. Cost of Insurance. The cost of providing any required insurance coverage is the responsibility of the

Contractor. Polk County shall make no direct payments to the Contractor for any costs associated with the purchase of any insurance coverage.

2. Personal Liability of Public Officials. In carrying out any of the provisions of the contract Agreement, or in exercising any power or authority granted to any agent or representative of Polk County thereby, there shall be no liability upon such agent or representative, including the engineer or authorized assistants, in either their personal capacity or in their official capacity as an official of Polk County. Said agents or representatives shall only be understood and considered to act in such matters as the agent and representative of the contracting authority and governmental entity and political subdivision of the State of Iowa, Polk County, Iowa.

3. Non-Waiver of Legal Rights. Polk County, Iowa shall not be precluded or estopped by any measurement, estimate, or certificate made either before or after the completion and acceptance of the work and payment thereof, from showing the true amount and character of the work performed and the materials furnished by the

Contractor, or from showing that such measurement, estimate, or certificate is untrue or incorrectly made or that the work or materials do not in fact conform to the Terms of the contract Agreement.

Polk County, Iowa shall not be precluded or estopped, notwithstanding any such measurement, estimate, or certificate and payment in accordance therewith, from recovering from the Contractor and Surety such damages as it may sustain by reason of failure to comply with the Terms of the contract Agreement. Neither the acceptance by Polk County, Iowa, nor any agent or representative(s), nor payment for acceptance of the whole or any part of the work, nor any extent of time, nor any possession taken place by Polk County, Iowa shall operate as a waiver of any portion of the contract Agreement, or any powers herein reserved, or any right to damages herein provided. A waiver of any breach of the contract Agreement shall not be held to be a waiver of any other subsequent breach.

4. Waiver of Subrogation. The Contractor hereby releases Polk County, Iowa, its elected and appointed officials, directors, employees, volunteers, agents and assigns from and against any and all liability or responsibility to

Contractor or anyone claiming through or under the Contractor by way of subrogation or otherwise, for any loss without regard to the fault of Polk County or the type of loss involved, including loss due to occupational injury.

5. OSHA Compliance. The Contractor is required to and shall be in compliance with all OSHA safety guidelines and regulations at all times during the term and duration of this agreement.

6. Certificates of Insurance. The Contractor shall provide Polk County Conservation with a Certificate of

Insurance evidencing the required insurance coverage herein, utilizing the current ACORD form. The Certificate shall be submitted with each set of contract documents.

Contract documents shall not be submitted to the Board of Supervisors for approval or execution until the

Certificate of Insurance has been received, reviewed, and approved by Polk County staff. Please note:

• Certificate should be sent to: Polk County Conservation, Iowa

Attention: Katie Stoklasa

12130 NW 128th St

Granger, IA 50109

• The project name and work order number should be clearly noted in the “description” section of the

Certificate.

• A copy of the Non-Waiver of Governmental Immunities endorsement should be attached to the Certificate.

• A properly completed sample certificate is provided for reference, showing the minimum insurance requirements with attached Non-Waiver of Governmental Immunities endorsement. Your specific insurance requirements may vary as outlined in this document.

• See attached “Sample”

(Revised 03/01/2024)

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT

CAREFULLY.

IOWA GOVERNMENTAL IMMUNITIES

ENDORSEMENT

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name of Governmental Jurisdiction(s):

Polk County, Iowa, its elected and appointed officials, employees, agents, their predecessors, successors, and assigns

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Nonwaiver of Governmental Immunity

We expressly agree and state that the purchase of this policy and including the governmental jurisdic tion(s) shown in the schedule as an additional in sured does not waive any of the defenses of gov ernmental immunity available to the jurisdiction(s) under Code of Iowa Section 670.4 as it now exists and it may be amended from time to time.

Claims Coverage

We further agree that this policy shall cover only those claims not subject to the defense of govern mental immunity under the Code of Iowa Section

670.4 as it now exists and as it may be amended from time to time.

Assertion of Government Immunity

The governmental jurisdiction(s) shown in the schedule shall be responsible for asserting any defense of governmental immunity, and may do so at any time and shall do so upon the timely written request of us. Nothing contained in this endorse ment shall prevent us from asserting the defense of governmental immunity on behalf of the governmen tal jurisdiction(s) shown in the schedule.

Non-Denial of Coverage

We shall not deny coverage under this policy and we shall not deny any of the rights and benefits accruing to the governmental jurisdiction(s) shown in the schedule under this policy for reasons of govern mental immunity unless and until a court competent jurisdiction has ruled in favor of the defense(s) of governmental immunity asserted by the governmen tal jurisdiction(s) shown in the schedule.

No Other Change in Policy

We and the governmental jurisdiction(s) shown in the schedule agree that the above preservation of governmental immunities shall not otherwise change or alter the coverage available under the policy.

EXAMPLE OF OFFICE POD

JPNC NW Corner View

JPNC SW Corner View

JPNC NE Corner View