The Hickman County Finance Office will be accepting sealed bids for "Annual Paving and Patching". Bid prices must be good for July 1, 2026 - June 30, 2027. All bidders are required to submit a conflict-of-interest disclosure form that can be obtained at https://www.hickmank12.org/requestforproposal. Specifications may be found at https://www.hickmank12.org/requestforproposal, or by contacting the building maintenance office at 931-729-3391 ext 3. Bidders must meet TCA 49-5-406 and all other state, federal and local guidelines and laws regarding working on school properties. Bidders are required to attach: TN Paving contractor's license 1-million-dollar liability insurance workers compensation insurance A conflict-of-interest disclosure form can be obtained at https://ww.hickmank12.org/requestforproposal. Iran Divestment Act Certification Non-Boycott of Israel Certification Background Acknowledgement Form Sealed bids must be mailed, or hand delivered to the Hickman County Finance Office, 114 North Central Ave, Suite 203, Centerville, TN 37033 and clearly marked "Annual Paving, Patching, and Striping Bid" on the outside of the mailing envelope. Bids will be opened on May 12, 2026, at 10:30 a.m. in the Finance Office. The Hickman County Board of Education reserves the right to accept and reject any and all bids or parts of bids, and to waive any informalities that may prevent the acceptance of a better bid. 2 Bids Rec'd Present Piny Rochelle Nickell Contracting LLC CardiClar sessions Daving Company see attached bids PAVING Bid Specifications: Bid form (use this form to bid please). Scope: All paving costs include cleaning, milling, key joints, and tie ins, removal of any vegetation, cleaning of loose sand and millings and the application of the required tack coats per the standard DOT specifications and laying of topcoat as per each of the line items below. Any low drains, utility covers, riser are to be included, unless the paving grade is milled down near the level surface of the finished and final topping. There are not to be any trip hazards and water is not to pond on the surface and be subject to freezing ice hazards. Must be smooth and graded level to travel with properly pitched draining. GENERAL ANNUAL PAVING BID: OVERLAY: Price per square yard for 2-inch overlay rolled to 1.5-inch thickness $ 25.30 per square yard. BINDER /PAVING: Repaving to include 2-inch of CW grade to (220# per square yard) with binder and additional 1.5-inch finished rolled (165# per square yard) topcoat. $ 190.82 per square yard. MILLING: Sawing/Demo or Milling existing pavement by the square yard removed down to 4-inches, to include sawing and hauling off/disposal of the excess debris. $ 99.91 per square yard. PATCH PAVING: To saw cut, remove all loose broken materials, including the removal of any wet earth, ensuring solid dry compaction layer is exposed, adding back a minimum of 4-inches of pug and rock material rolled with 2-inches of CW binder, and 1.5-inches of topcoat rolled to smooth level seams to grade. $ 289.05 per square yard. GENERAL GRADING/DITCHING/DRAINS/CURTAIN DRAINS: General Earth removal "during a paving work", such as undercutting, drainpipe or curtain drains installation, ditching for removal of excess clay dirt. $ 320.12 per square yard. Page | 1 Background Check Acknowledgement Form Contractor is required to meet al TCA 49-5-406, local, state, and federal laws regarding "workers on school properties." The Hickman County Board of Education further requires that no prior felons, drug offenders, or sexual registered offenders work on any school properties. Contractors will be required to wear contractor provided identification when on school premises. The contractor may be asked to provide proof of background check. Signature: Atan Nikell Print: R. Paul Nickell Title: President Date: 5/12/2026 Page I 2 Hickman County Government Conflict of Interest Disclosure Form The County Financial Management System of 1981 contains the most stringent conflict of interest provisions. TCA $5-21-121 provides: (a) The director, purchasing agent, members of the committee, members of the county legislative body or other officials, employees, or members of the board of education or highway commission shall not be financially interested or have any personal beneficial interest, either directly or indirectly, in the purchase of any supplies, materials, equipment or contractual services for the county. (b) No firm, corporation, partnership, association or individual furnishing any such supplies, materials, equipment or contractual services, shall give or offer, nor shall the director or purchasing agent or any assistant or employee accept or receive directly or indirectly from any person, firm, corporation, partnership or association to whom any contract may be awarded, by rebate, gift or other otherwise, any money or other things of value whatsoever, or any promise, obligation or contract for future reward or compensation. Date: 5/7/2026 Name: R Paul Nickell Please describe below any relationships, transactions, positions you hold (volunteer or otherwise), or circumstances that you believe could contribute to a conflict of interest: I have no conflict of interest to report. I have the following conflict of interest to report (please specify any boards or committees you (and/or your spouse) sit on, the name of your employer and any businesses you or your spouse may own. I hereby certify that the information set forth above is true and complete to the best of my knowledge. Date: 5/7/2026 Signature: Page I 3 IRAN DIVESTMENT ACT CERTIFICATION I understand that under the Iran Divestment Act, T.C.A. 12-12-101 - 12-12-113, political subdivisions in Tennessee are prohibited from entering into any procurement or contract over $1,000 with a person who engages in investment activities in Iran. The state's chief procurement officer, as required by T.C.A. 12-12-106, has created a list of persons who engage in investment activities in Iran. Any person who is on the list is ineligible to contract with any political subdivision of the State of Tennessee, and any such contract will be considered void under T.C.A. 12-12-110. The list is published on the Tennessee Department of General Services' website at: https://www.tn.gov/content/dam/tn/generalservices/documents/cpo/library/o po-library/public-information- library/List of persons pursuant to Tenn. Code Ann. 12-12- 106 Iran Divestment Act updated with NY06-07-23.pdf CERTIFICATION By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint bid each party thereto certifies as to its own organization, under penalty of perjury, that to the best of its knowledge and belief that each bidder is not on the list created pursuant to T.C.A 12-12-106. Bidder Name: R Pal Nickell - Nichell Contracting, LLC. Bidder Signature: Date: 5/7/2026 Page I 4 State of Tennessee Non-Boycott of Israel Certification The Bidder certifies that it is not currently engaged in and will not for the duration of the contract engage in a boycott of Israel as defined by Tenn. Code § 12-4-119. This provision shall not apply to contracts with a total value of less than two hundred fifty thousand dollars ($250,000) or to contractors with less than ten (10) employees. According to the law, a boycott of Israel means engaging in refusals to deal, terminating business activities, or other commercial actions that are intended to limit commercial relations with Israel, or companies doing business in or with Israel or authorized by, licensed by, or organized under the laws of the State of Israel to do business, or persons or entities doing business in Israel, when such actions are taken: 1. In compliance with, or adherence to, calls for a boycott of Israel, or 2. In a manner that discriminates on the basis of nationality, national origin, religion, or other unreasonable basis, and is not based on a valid business reason. Tenn. Code § 12-4-119 Signature: Print: R Pal Nickell Date: 5/7/2026 Phone/Email: 331-454-6484 Tadllh@duickell.com Page I 5 Page I 6 NICKCON-01 KSTEWART ACORD DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 5/11/2026 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). CONTACT PRODUCER NAME: Athens Insurance PHONE FAX (A/C, No, Ext): (423) 745-3062 (A/C, No): (423) 745-8888 110 W. Washington Avenue E-MAIL Athens, TN 37303 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Cincinnati Specialty 13037 INSURED INSURER B : Business First Insurance Co 11697 Nickell Contracting LLC INSURER C : 785 Armstrong Lane INSURER D : Columbia, TN 38401 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) LIMITS (MM/DD/YYYY) A 1,000,000 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR CSU0236120 7/24/2025 7/24/2026 100,000 PREMISES (Ea occurrence) $ 1,000 MED EXP (Any one person) $ 1,000,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- 2,000,000 POLICY PRODUCTS - COMP/OP AGG $ JECT LOC OTHER: $ COMBINED SINGLE LIMIT A AUTOMOBILE LIABILITY (Ea accident) S 1,000,000 ANY AUTO CSU0236120 7/24/2025 7/24/2026 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE HIRED NON-OWNED (Per accident) $ AUTOS ONLY AUTOS ONLY S A UMBRELLA LIAB 2,000,000 OCCUR EACH OCCURRENCE $ CSU0261601 7/24/2025 7/24/2026 S 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION $ S PER OTH- B WORKERS COMPENSATION STATUTE ER AND EMPLOYERS' LIABILITY Y/N 521-24987 7/24/2025 7/24/2026 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? Y N/A 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE S If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hickman County ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE all Carter ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD State of Tennessee 416827 14057318 BOARD FOR LICENSING CONTRACTORS CONTRACTOR NICKELL CONTRACTING, LLC This is to certify that all requirements of the State of Tennessee have been met. ID NUMBER: 81702 LIC STATUS: ACTIVE SEALOR SEAL OF THE XVI STATEOF STATE EXPIRATION DATE: August 31. 2026 UNLIMITED; BC-B; BC-C GREAT THE AGRIC OMMERO LITURE SECURITY 7796 IN-1313 DEPARTMENT OF COMMERCE AND INSURANCE The Hickman County Finance Office will be accepting sealed bids for "Annual Paving and Patching". Bid prices must be good for July 1, 2026 - June 30, 2027. All bidders are required to submit a conflict-of-interest disclosure form that can be obtained at https://www.hickmank12.org/requestforproposal. Specifications may be found at https://www.hickmank12.org/requestforproposal, or by contacting the building maintenance office at 931-729-3391 ext 3. Bidders must meet TCA 49-5-406 and all other state, federal and local guidelines and laws regarding working on school properties. Bidders are required to attach: TN Paving contractor's license 1-million-dollar liability insurance workers compensation insurance A conflict-of-interest disclosure form can be obtained at https://ww.hickmank12.org/requestforproposal. Iran Divestment Act Certification Non-Boycott of Israel Certification Background Acknowledgement Form Sealed bids must be mailed, or hand delivered to the Hickman County Finance Office, 114 North Central Ave, Suite 203, Centerville, TN 37033 and clearly marked "Annual Paving, Patching, and Striping Bid" on the outside of the mailing envelope. Bids will be opened on May 12, 2026, at 10:30 a.m. in the Finance Office. The Hickman County Board of Education reserves the right to accept and reject any and all bids or parts of bids, and to waive any informalities that may prevent the acceptance of a better bid. PAVING Bid Specifications: Bid form (use this form to bid please). Scope: All paving costs include cleaning, milling, key joints, and tie ins, removal of any vegetation, cleaning of loose sand and millings and the application of the required tack coats per the standard DOT specifications and laying of topcoat as per each of the line items below. Any low drains, utility covers, riser are to be included, unless the paving grade is milled down near the level surface of the finished and final topping. There are not to be any trip hazards and water is not to pond on the surface and be subject to freezing ice hazards. Must be smooth and graded level to travel with properly pitched draining. GENERAL ANNUAL PAVING BID: OVERLAY: Price per square yard for 2-inch overlay rolled to 1.5-inch thickness $ 2100 per square yard. BINDER/PAVING: Repaving to include 2-inch of CW grade to (220# per square yard) with binder and additional 1.5-inch finished rolled (165# per square yard) topcoat. $ 5450 per square yard. MILLING: Sawing/Demo or Milling existing pavement by the square yard removed down to 4-inches, to include sawing and hauling off/disposal of the excess debris. $ 1850 per square yard. PATCH PAVING: To saw cut, remove all loose broken materials, including the removal of any wet earth, ensuring solid dry compaction layer is exposed, adding back a Page I 1 by Robert Hutcheson segsions Paving Company President minimum of 4-inches of pug and rock material rolled with 2-inches of CW binder, and 1.5-inches of topcoat rolled to smooth level seams to grade. $ 23500 per square yard. GENERAL GRADING/DITCHING/DRAINS/CURTAIN DRAINS: RNH General Earth removal "during a paving work", such as undercutting, drainpipe or curtain drains installation, ditching for removal of excess clay dirt. $ 21500 per square yard. NOTE: any necessary drainpipo, curtain chain installations or similar work to be negotiated, Pricing is only for undercatting DD removal OF KNH excess material to be replaced with stone. Sessions Paving Company ay Robert 1. Hutcheson President Page I 2 Background Check Acknowledgement Form Contractor is required to meet al TCA 49-5-406, local, state, and federal laws regarding "workers on school properties." The Hickman County Board of Education further requires that no prior felons, drug offenders, or sexual registered offenders work on any school properties. Contractors will be required to wear contractor provided identification when on school premises. The contractor may be asked to provide proof of background check. Sessions Paving Company Signature: Print: Robert N. Hutcheson Title: President Date: 5/12/2026 Page I 3 Hickman County Government Conflict of Interest Disclosure Form The County Financial Management System of 1981 contains the most stringent conflict of interest provisions. TCA 85-21-121 provides: (a) The director, purchasing agent, members of the committee, members of the county legislative body or other officials, employees, or members of the board of education or highway commission shall not be financially interested or have any personal beneficial interest, either directly or indirectly, in the purchase of any supplies, materials, equipment or contractual services for the county. (b) No firm, corporation, partnership, association or individual furnishing any such supplies, materials, equipment or contractual services, shall give or offer, nor shall the director or purchasing agent or any assistant or employee accept or receive directly or indirectly from any person, firm, corporation, partnership or association to whom any contract may be awarded, by rebate, gift or other otherwise, any money or other things of value whatsoever, or any promise, obligation or contract for future reward or compensation. Date: 5/12/2026 Name: Sessions PavingCorpany Please describe below any relationships, transactions, positions you hold (volunteer or otherwise), or circumstances that you believe could contribute to a conflict of interest: I have no conflict of interest to report. I have the following conflict of interest to report (please specify any boards or committees you (and/or your spouse) sit on, the name of your employer and any businesses you or your spouse may own. I hereby certify that the information set forth above is true and complete to the best of my knowledge. Page I 4 Date: 5/12/2026 Signature: President IRAN DIVESTMENT ACT CERTIFICATION I understand that under the Iran Divestment Act, T.C.A. 12-12-101 - 12-12-113, political subdivisions in Tennessee are prohibited from entering into any procurement or contract over $1,000 with a person who engages in investment activities in Iran. The state's chief procurement officer, as required by T.C.A. 12-12-106, has created a list of persons who engage in investment activities in Iran. Any person who is on the list is ineligible to contract with any political subdivision of the State of Tennessee, and any such contract will be considered void under T.C.A. 12-12-110. The list is published on the Tennessee Department of General Services' website at: https://www.tn.gov/content/dam/tn/generalservices/documents/cpo/library/c po-library/public-information- library/List of persons pursuant to Tenn. Code Ann. 12-12- 106 Iran Divestment Act updated with NY06-07-23.pdf CERTIFICATION By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint bid each party thereto certifies as to its own organization, under penalty of perjury, that to the best of its knowledge and belief that each bidder is not on the list created pursuant to T.C.A 12-12-106. Bidder Name: Sessions Paving Company Bidder Signature: Robert A. Hutcheson President Page I 5 Date: 5/12/2026 State of Tennessee Non-Boycott of Israel Certification The Bidder certifies that it is not currently engaged in and will not for the duration of the contract engage in a boycott of Israel as defined by Tenn. Code § 12-4-119. This provision shall not apply to contracts with a total value of less than two hundred fifty thousand dollars ($250,000) or to contractors with less than ten (10) employees. According to the law, a boycott of Israel means engaging in refusals to deal, terminating business activities, or other commercial actions that are intended to limit commercial relations with Israel, or companies doing business in or with Israel or authorized by, licensed by, or organized under the laws of the State of Israel to do business, or persons or entities doing business in Israel, when such actions are taken: 1. In compliance with, or adherence to, calls for a boycott of Israel, or 2. In a manner that discriminates on the basis of nationality, national origin, religion, or other unreasonable basis, and is not based on a valid business reason. Tenn. Code 12-4-119 Sessions Paving Company Signature: Robert 1. Hutheror Print: Robert N.Hutcheson President Date: 5/12/2026 Phone/Email: (615)356-0600 rnhutahesen@severspoingco Page I 6 Page I 7 CONTRACTOR DRUG-FREE WORKPLACE AFFIDAVIT STATE OF TENNESSEE COUNTY OF DAVIDSON 1. Now comes the Affiant, who being duly sworn, deposes and says: 2. He/she is the principal officer for SESSIONS PAVING COMPANY (Name and Address of Bidding Entity P.O. Box 90266 (6535 Robertson Avenue) Nashville, TN 37209 3. That the bidding entity has submitted a bid to Hickman County, TN (Owner) for the construction of Annual Paving and Patching (Name of Project) = 4. That the bidding entity employs no less than five (5) employees. 5. That the Affiant certifies that the bidding entity has in effect, at the time of submission of its bid to perform the construction referred to above, a drug-free workplace program that complies with § 50-9-113, Tennessee Code Annotated. 6. That this affidavit is made on personal knowledge. Further Affiant saith not. AFFIANT President STATE OF TENNESSEE COUNTY OF DAVIDSON Before me personally appeared Robert N. Hutcheson , with whom I am personally acquainted (or proved to me on the basis of satisfactory evidence), and who acknowledges that such person executed the foregoing affidavit for the purposes therein contained. Witness my hand and seal at office this 12th day of May , 2026. Notary Public Jean m Starkey JEAN M. STATE STARKEY OF My commission expires January 22, 2029 TENNESSEE COUNTY OF DAVIDSON NOTARY PUBLIC STATE OF TENNESSEE DEPARTMENT OF COMMERCE AND INSURANCE SESSIONS PAVING COMPANY 435324 ID NUMBER: 6962 LIC STATUS: ACTIVE EXPIRATION DATE: January 31, 2028 BOARD FOR LICENSING CONTRACTORS CONTRACTOR TIIIS IS TO CERTIFY THAT ALL REQUIREMENTS OF THE STATE OF TENNESSEE HAVE BEEN MET SESSIONS PAVING COMPANY P.O. BOX 90266 NASHVILLE, TN 37209-0266 -135324 State of Tennessee 15065470 BOARD FOR LICENSING CONTRACTORS CONTRACTOR SESSIONS PAVING COMPANY This is 10 certify that all requirements of the State of Tennessee have been mel. ID NUMBER: 6962 DEPARTMENT THE XVI STATE OF LIC STATUS: ACTIVE EXPIRATION DATE: January 31. 2028 UNLIMITED; BC; CE-A; CE-B; HC-D; HRA; MU NAME AGRICULTURE 1796 9 IN-1313 DEPARTMENT OF COMMERCE AND INSURANCE Client#: 614030 22SESSIPAV DATE (MM/DD/YYYY) ACORD™ CERTIFICATE OF LIABILITY INSURANCE 03/24/2026 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 any rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Wendy Nowlin McGriff, a MMA LLC Company PHONE FAX (A/C, No, Ext): 615 346-0323 (A/C, No): 8777677417 3322 West End Ave., Suite 300 E-MAIL ADDRESS: wmnowlin@mcgriff.com Nashville, TN 37203 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Charter Oak Fire Insurance Company 25615 INSURED INSURER B : Travelers Property Casualty Co of Amer 25674 Sessions Paving Company INSURER C : MidSouth Insurance Company 12839 6535 Robertson Avenue INSURER D : Travelers Indemnity Co of America 25666 P.O. Box 90266 INSURER E : Nashville, TN 37209 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD (MM/DD/YYYY) LIMITS POLICY NUMBER (MM/DD/YYYY) A COMMERCIAL GENERAL LIABILITY DTCO7890P35ACOF 04/01/2026 04/01/2027 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $300,000 PD Ded:500 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY JECT LOC PRODUCTS- COMP/OP AGG $2,000,000 $ OTHER: COMBINED SINGLE LIMIT D AUTOMOBILE LIABILITY 8108M9623792626G 04/01/2026 04/01/2027 (Ee accident) $1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ B UMBRELLA LIAB OCCUR CUP2J5568542626 04/01/2026 04/01/2027 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION $10000 $ WORKERS COMPENSATION PER OTH- C WC052562026 01/01/2026 01/01/2027 STATUTE ER AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Proof of Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Sessions Paving Company THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 6535 Robertson Avenue ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 90266 Nashville, TN 37209-0000 AUTHORIZED REPRESENTATIVE Mason H Pope © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S39421219/M39421081 WMN ## Table 1 | Print: | R. Paul Nickell | | --- | --- | | Title: | President | | Date: | 5/12/2026 | ## Table 2 | Signature: | | | | --- | --- | --- | | Print: | R | Pal Nickell | | Date: | | 5/7/2026 | | Phone/Email: | | 331-454-6484 Tadllh@duickell.com | ## Table 3 | CONTACT NAME: | | | --- | --- | | PHONE (A/C, No, Ext): (423) 745-3062 | FAX (A/C, No): (423) 745-8888 | | E-MAIL ADDRESS: | | ## Table 4 | | INSURER(S) AFFORDING COVERAGE | NAIC # | | --- | --- | --- | | INSURER A: | Cincinnati Specialty | 13037 | | INSURER B : | Business First Insurance Co | 11697 | | INSURER C : | | | | INSURER D : | | | | INSURER E: | | | | INSURER F : | | | ## Table 5 | LIMITS | | | --- | --- | | EACH OCCURRENCE | 1,000,000 $ | | DAMAGE TO RENTED PREMISES (Ea occurrence) | 100,000 $ | | MED EXP (Any one person) | 1,000 $ | | PERSONAL & ADV INJURY | 1,000,000 $ | | GENERAL AGGREGATE | $ 2,000,000 | | PRODUCTS - COMP/OP AGG | 2,000,000 $ | | | $ | | COMBINED SINGLE LIMIT (Ea accident) | S 1,000,000 | | BODILY INJURY (Per person) | $ | | BODILY INJURY (Per accident) | $ | | PROPERTY DAMAGE (Per accident) | $ | | | S | | EACH OCCURRENCE | 2,000,000 $ | | AGGREGATE | S 2,000,000 | | | S | | [X] PER OTH- STATUTE ER | | | E.L. EACH ACCIDENT | 1,000,000 S | | E.L. DISEASE - EA EMPLOYEE | 1,000,000 S | | E.L. DISEASE - POLICY LIMIT | 1,000,000 $ | | | | ## Table 6 | INSR LTR | TYPE OF INSURANCE | ADDL INSD | SUBR WVD | POLICY NUMBER | POLICY EFF (MM/DD/YYYY) | POLICY EXP (MM/DD/YYYY) | | --- | --- | --- | --- | --- | --- | --- | | A | [X] [X] [X] COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC OTHER: | | | CSU0236120 | 7/24/2025 | 7/24/2026 | | A | [X] [X] AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNED AUTOS ONLY AUTOS ONLY | | | CSU0236120 | 7/24/2025 | 7/24/2026 | | A | [X] [X] UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $ | | | CSU0261601 | 7/24/2025 | 7/24/2026 | | B | WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below | N/A | | 521-24987 | 7/24/2025 | 7/24/2026 | | | | | | | | | ## Table 7 | Print: | Robert N. Hutcheson | | --- | --- | | Title: | President | | Date: | 5/12/2026 | ## Table 8 | Bidder Name: | Sessions Paving Company | | --- | --- | | Bidder Signature: | Robert A. Hutcheson President | | | | ## Table 9 | Signature: | Sessions Paving Company Robert 1. Hutheror | | --- | --- | | Print: | Robert N.Hutcheson President | | Date: | 5/12/2026 | | Phone/Email: | (615)356-0600 rnhutahesen@severspoingco | ## Table 10 | 1. | Now comes the Affiant, who being duly sworn, deposes and says: | | --- | --- | | 2. | He/she is the principal officer for SESSIONS PAVING COMPANY | | | (Name and Address of Bidding Entity | | | P.O. Box 90266 (6535 Robertson Avenue) Nashville, TN 37209 | | 3. | That the bidding entity has submitted a bid to Hickman County, TN (Owner) | | | for the construction of Annual Paving and Patching | | = | (Name of Project) | | 4. | That the bidding entity employs no less than five (5) employees. | | 5. | That the Affiant certifies that the bidding entity has in effect, at the time of submission of its bid to perform the construction referred to above, a drug-free workplace program that complies with § 50-9-113, Tennessee Code Annotated. | | 6. | That this affidavit is made on personal knowledge. | ## Table 11 | ID NUMBER: | 6962 | | --- | --- | | LIC STATUS: | ACTIVE | | EXPIRATION | DATE: January 31. 2028 | | UNLIMITED; | BC; CE-A; CE-B; HC-D; HRA; MU | ## Table 12 | CONTACT NAME: Wendy Nowlin | | | --- | --- | | PHONE (A/C, No, Ext): 615 346-0323 | FAX (A/C, No): 8777677417 | | E-MAIL ADDRESS: wmnowlin@mcgriff.com | | ## Table 13 | | | | | --- | --- | --- | | | INSURER(S) AFFORDING COVERAGE | NAIC # | | INSURER A: | Charter Oak Fire Insurance Company | 25615 | | INSURER B : | Travelers Property Casualty Co of Amer | 25674 | | INSURER C : | MidSouth Insurance Company | 12839 | | INSURER D : | Travelers Indemnity Co of America | 25666 | | INSURER E : | | | | INSURER F: | | | ## Table 14 | LIMITS | | | --- | --- | | EACH OCCURRENCE | $1,000,000 | | DAMAGE TO RENTED PREMISES (Ea occurrence) | $300,000 | | MED EXP (Any one person) | $5,000 | | PERSONAL & ADV INJURY | $1,000,000 | | GENERAL AGGREGATE | $2,000,000 | | PRODUCTS- COMP/OP AGG | $2,000,000 | | | $ | | COMBINED SINGLE LIMIT (Ee accident) | $1,000,000 | | BODILY INJURY (Per person) | $ | | BODILY INJURY (Per accident) | $ | | PROPERTY DAMAGE (Per accident) | $ | | | $ | | EACH OCCURRENCE | $5,000,000 | | AGGREGATE | $5,000,000 | | | $ | | [X] PER OTH- STATUTE ER | | | E.L. EACH ACCIDENT | $1,000,000 | | E.L. DISEASE - EA EMPLOYEE | $1,000,000 | | E.L. DISEASE- POLICY LIMIT | $1,000,000 | | | | ## Table 15 | INSR LTR | TYPE OF INSURANCE | ADDL INSR | SUBR WVD | POLICY NUMBER | POLICY EFF (MM/DD/YYYY) | POLICY EXP (MM/DD/YYYY) | | --- | --- | --- | --- | --- | --- | --- | | A | [X] [X] [X] [X] COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR PD Ded:500 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC OTHER: | | | DTCO7890P35ACOF | 04/01/2026 | 04/01/2027 | | D | [X] [X] [X] AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNED AUTOS ONLY AUTOS ONLY | | | 8108M9623792626G | 04/01/2026 | 04/01/2027 | | B | [X] [X] [X] UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $10000 | | | CUP2J5568542626 | 04/01/2026 | 04/01/2027 | | C | WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below | N/A | | WC052562026 | 01/01/2026 | 01/01/2027 | | | | | | | | |