HomeMy WebLinkAbout20113349.tiff $3' RESOLUTION
RE: APPROVE CANCELLATION AND RELEASE OF COLLATERAL FOR USE BY SPECIAL
REVIEW PERMIT#1614-SEMCRUDE, LP
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, by Resolution dated August 8, 2007, the Board approved the application of
Russell L. Gurtler, Jr. Family Trust and Dorthy K. Gurtler Trust, 7538 County Road 49, Hudson,
Colorado 80642, c/o SemCrude L.P., Attn: Glenn Collum, 11501 South 1-44 Service Road,
Oklahoma City, Oklahoma 73173-8315, fora Mineral Resource Development Facility, including an
Oil and Gas Storage Facility, in the A (Agricultural) Zone District on the following described real
estate, to wit:
S1/2 SE1/4 of Section 24, Township 3 North, Range
65 West of the 6th P.M., Weld County, Colorado, and
WHEREAS, on February 4, 2008, the Board of County Commissioners of Weld County,
Colorado, approved an Improvements Agreement According to Policy Regarding Collateral for
Improvements(Private Road Maintenance) between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, and SemCrude, L.P.,with terms and
conditions being as stated in said agreement, and accepted Annual Performance Bond Number
1(07110273,from Westchester Fire Insurance Company,436 Walnut Street,WA10F, Philadelphia,
Pennsylvania 19106, in the amount of$301,289.73, and
WHEREAS, the Board received a request for a possible release of collateral; however, the
Departments of Planning Services and Public Works recommended that one hundred percent
(100%) of the collateral be retained due to the fact that the non-transportation items and
transportation related items had not been completed to their satisfaction, and
WHEREAS, on January 6, 2010,the Board was presented with replacement collateral in the
form of Surety Rider to Annual Performance Bond Number K07110273 from Westchester Fire
Insurance Company, in the amount of$301,289.73, extending the termination date to January 4,
2011, and
WHEREAS, on June 7, 2010, the Board approved a partial cancellation of collateral in the
amount of$256,096.27, and approved a Decrease Rider for Bond Number K07110273, drawn on
Westchester Fire Insurance Company, c/o Marsh USA Inc.,4400 Comerica Bank Tower, 1717 Main
Street, Dallas, Texas 75201-7357, in the amount of$45,193.46, effective May 20, 2010,which was
to be retained for a period of one year as warranty collateral, and
WHEREAS, on March 31, 2011, a Continuation Rider was received from Westchester Fire
Insurance Company, c/o Marsh USA Inc., extending the termination to January 3, 2012, and
11111 nil 1111111 IIII 111111111Id County,
III Milt IIIW
3815058 12/30/2011 11:05A Weld County, CO
der
1 of 2 R 0.00 D 0.00 Steve Moreno Clerk& Recor
CC. 2011-3349
PL1918
CANCEL COLLATERAL- SEMCRUDE, LP
PAGE 2
WHEREAS,staff from the Weld County Departments of Public Works and Planning Services
have conducted a visual inspection and recommend release of remaining collateral in the amount of
$45,193.46.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Decrease Rider for Bond Number K07110273, drawn on Westchester
Fire Insurance Company, c/o Marsh USA Inc., 4400 Comerica Bank Tower, 1717 Main Street,
Dallas, Texas 75201-7357, in the amount of$45,193.46, be and hereby is, canceled and released.
BE IT FURTHER RESOLVED by the Board that the Clerk to the Board be, and hereby is,
directed to return said collateral to the appropriate issuing party, upon full release of remaining
collateral.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 28th day of December, A.D., 2011.
BOARD OF COUNTY COMMISSIONERS
WEL COUNTY, COLORADO
ATTEST: y 1� JA Li
r ara Kirkmeyer, Chair
Weld County Clerk to the Boa,;r ` 4 % /�
a
11161I n P. C Pro-Tem 9nvway
BY: `..�.♦ >, a..f} J` ;
Deputy C k to the Boar•, �r
Ono�4,,, illi.m F. Garcia
APPR E RM: % "�� EXCUSED
� �-�� David E. Long
i
County Attorney \ _
g a ademac r
Date of signature: /a_c9 8 1 l
IIIIII IIIII 1111 11.011111t1,11,11,94
IIII id Co III C0
3815058 12/30/2011 •
2 of 2 R 0.00 D 0.00 Steve Moreno Clerk& Recorder
2011-3349
PL1918
MEMORANDUM
TO: Clerk to the Board
1861 - 2011 DATE: 12/22/2011
FROM: Richard Hastings, Public Works Department
SUBJECT: BOCC Agenda Item: Final Release of Collateral
WE L DEC O U N T Y SemCrude, L.P.
I ' (PL1918, #2008-0407) USR-1614
Request for Final Release of Collateral:
The Department of Public Works received a request from the applicant, Allan L. Dye/SemCrude, L.P.,
requesting an inspection of the USR-1614 site in order to obtain the final release of collateral, for the On-
Site Improvements. The site is located on CR 30,just west of CR 49 and east of the Town of Platteville.
Weld County Public Works Department performed a site inspection, at the above mentioned site, and
observed the following:
• All Public Works related items on Exhibit A, of the Improvements Agreement According To
Policy Regarding Collateral For Improvements, Document# 2008-0407, have been completed and
are found to be acceptable.
Weld County Collateral List:
SemCrude, LP/Gurtler (2008-0407) USR #1614
Imps Agrmt (private road maintenance)
Annual Performance Bond #K07110273 from
Westchester Fire Insurance Co
Expires 01/04/2009 with add'I year $301,289.73
Expires 01/04/2010 Received 12/15/09
Expires 01/04/2011 Received 12/28/09
12/07/09 Alan Dye (405-692-5153) will send original certificates
to extend credit to 2010. He then spoke to Rich Hastings
regarding 2008-0330 and trying to finish 2008-0407 before deadline
Received Replacement Collateral 01/06/2010. Surety Rider
Termination date extended to 01/04/2011 (2010-0026)
Partial Release of Collateral 06/07/2010 #2010-1177 $-256,096.27
Decrease Rider accepted. One year warranty collateral
Termination date 05/20/2011 $45,193.46
Received Continuation Rider 3/31/11 —Term date extended to 01/03/12
Recommendation:
The Departments of Public Works and Planning Services are recommending final release of collateral, as
shown above from the Weld County Collateral List, in the amount of$45,193.46
pc: Dave Bauer,Weld County Public Works
Kim Ogle,Weld County Planning Services
C:\Documents and Settings\dbechler\Local Settings\Temporary Internet Files\Content.Outlook\HDO4AU84\Final Collateral Release(SemCrude L
P USR-1614 On-Site)-MEMO.docx
Donna Bechler
From: Richard Hastings
Sent: Thursday, December 22, 2011 3:00 PM
To: Donna Bechler
Cc: David Bauer; Kim Ogle; Francie Collins
Subject: FW: AMUSR-1614 SEMCRUDE Crude Oil Facility
Attachments: Final Collateral Release (SemCrude, L.P.. USR-1614 On-Site)-MEMO.docx
Donna,
Please place this request for final release of collateral on the December 28th BOCC Hearing Agenda.
Thanks,
Rich
Richard Hastings
Compliance Analyst &Construction Inspector
Weld County Public Works
1111 H Street, P.O. Box 758
Greeley, CO 80632
(970)304-6496 Ext. 3727
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Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
From: Dye, Allan [mailto:adye@SEMGROUPCORP.COM]
Sent: Wednesday, December 21, 2011 2:01 PM
To: Richard Hastings
Cc: Kim Ogle; Donna Bechler
Subject: RE: AMUSR-1614 SEMCRUDE Crude Oil Facility
Richard,
SemCrude is requesting that the Annual Performance Bond, #K07110273, from Westchester Fire Insurance Company,
436 Walnut Street, WA10F, Philadelphia, PA 19106, in the amended amount of $45,193.46 be released at this time.
Please let me know if you need additional information and thank you for working with us on this project.
Allan
Allan L. Dye
Manager Land Services
SemCrude, L.P.
1
11501 South 1-44 Service Road
Oklahoma City, OK 73173
Direct: (405) 692-5153
Fax: (405) 691-5192
Cell: (918)625-1760
Toll Free: (800) 522-3883
Email: ADve(c�semoroupcorp.com
From: Kim Ogle [mailto:kogle@co.weld.co.us]
Sent: Tuesday, November 08, 2011 12:01 PM
To: Dye, Allan
Cc: Richard Hastings; Kim Ogle; Donna Bechler
Subject: AMUSR-1614 DEMCRUDE POLISHING PLATNT
Good morning Allan,
Good to catch up with you on your current and future plans for the Weld County facility. I spoke to Rich
Hastings after our conversation and we have determined that the collateral held was for the one-year warranty
period and can be released upon your request. To facilitate this action, Public Works and Planning request a
written request for this action to commence. Electronic mail is acceptable. Also, Public Works will be
requesting one set of As-Builts for the project for their archives.
SemCrude, LP/Gurtler (2008-0407) USR#1614
Imps Agrmt (private road maintenance)
Annual Performance Bond #K07110273 from
Westchester Fire Insurance Co
Expires 01/04/2009 with add'I year $301,289.73
Expires 01/04/2010 Received 12/15/09
Expires 01/04/2011 Received 12/28/09
12/07/09 Alan Dye (405-692-5153) will send original certificates
to extend credit to 2010. He then spoke to Rich Hastings
regarding 2008-0330 and trying to finish 2008-0407 before deadline
Received Replacement Collateral 01/06/2010. Surety Rider
Termination date extended to 01/04/2011 (2010-0026)
Partial Release of Collateral 06/07/2010 #2010-1177 $-256,096.27
Decrease Rider accepted. One year warranty collateral
Termination date 05/20/2011 $45,193.46
Received Continuation Rider 3/31/11 —Term date extended to 01/03/12
Please contact either Rich or myself if you have any questions.
Thank you for your call this morning
Have a safe trip, and we will see you tomorrow.
Kind regards,
Kim
Kim Ogle
Planner Ill
Department of Planning
1555 North 17th Avenue
Greeley, Colorado 80631
Direct: 970.353.6100 x 3549
2
Office: 970.353.6100 x 3540
Facsimile:970.304.6498
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Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. if you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication.Any disclosure, copying,distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
Important Notice:The information contained in this email,including any attached files.may be confidential.proprietary and/or legally privileged.If you are not the
intended recipient.or have received this email in error.please notify the sender immediately and be advised that any review.disclosure.distribution or other use of
this e-mail.including any attached files.is strictly prohibited.
SemGroup.Semklaterrals Mexico.White Cliffs Pipeline.Semerude,SemGas.and SemStrearn are registered trademarks of SemGroup Corporation.
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A0t - s6:e d°Frc' er
CONTINUATION Cie ° vn e �a1
CERTIFICATE @ Id c0/ O
he 2 p y dy 1.
Westchester Fire Insurance Company , Surety upon
a certain Bond No. K07110273
dated effective January 3, 2008
(MONTH-DAY-YEAR)
on behalf of SemCrude, L.P.
(PRINCIPAL)
and in favor of County of Weld
(OBLIGEE)
does hereby continue said bond in force for the further period
beginning on January 4, 2011
(MONTH-DAY-YEAR)
and ending on January 4,2012
(MONTH-DAY-YEAR)
Amount of bond Forty Five Thousand One Hundred Ninety Three Dollars and 46/100----($45,193.46)
Description of bond Performance Bond
Premium: N/A
PROVIDED: That this continuation certificate does not create a new obligation and is executed upon the express condition and
provision that the Surety's liability under said bond and this and all Continuation Certificates issued in connection therewith shall
not be cumulative and that the said Surety's aggregate liability under said bond and this and all such Continuation Certificates on
account of all defaults committed during the period (regardless of the number of years) said bond had been and shall be in force.
shall not in any event exceed the amount of said bond as hereinhefore set forth.
Signed and dated on March 1, 2011
(MONTH-DAY-YEAR)
Westchester Fire Insurance Company
l
'O J
By t�i�,�
Attorney-in-Fact Ha dick
Marsh USA, Inc.
Agent
1000 Main Street, Suite 3000, Houston, TX 77002
Address of Agent
713-276-8537
Telephone Number of Agent
S-0157/GE 8/08
XD
Power of WESTCHESTER FIRE INSURANCE COMPANY
Attorney
Know all men by these presents:That WESTCHESTER,FIRE INSURANCE COMPANY,a corporation of the Commonwealth of Pennsylvania pursuant to the
following Resolution,adopted by the Board of Directors of the said Company on December I I,2006,to wit
RESOLVED,that the Following authonntuona relate to the execution,for and on behalf of the Company,of bonds undertakings recogniances.contracts and other wntten commitments of the Company
entered into the ordinary course of business(each a"Written Commitment")
(l) Each of the Chairmen,the Presndemand the Vice Presidents of the Company is hereby authorized to execute any Wntten Commitment for and on behalf of theCompany,under the seal of the Company or
otherwise.
(2) Each duly appointed anorney-in•ract of the Company is hereby authonred to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or otherwise la the extent that
such a t on is authorized by the grant of powers provided for in such persons smitten appointment as such attomeynn-fact.(3) Each of the Chairman,the President and the Vice Presidents of the Company In hereby authorized for and on behalf of the Company,to appoint in anung any person the attorney-m-tact of the Company with
full power and authority to execute,for and on behalf of the Company,:under the seal of the Company or otherwise,such Written Communma of the Company as may bespecified in such smitten
appointment,.which specification may be by general type or class of Wolter)Commitments or by specification of one or more particular Wntten Comnutments
(4) Each oftheChaimiah,the P ident and Vice Presidents of the Company in hereby authonzed.for and on behalf of the Company to delegme in wnungory other officer of the Company the amhonty so
execute,for and on behalf of the Company,under the Company's seal or otherwise,such Written Commitments of the Company as are specified in such written delegation,which specificauon may be by
general type or class of Written Commitments or by specification of one or more patcula Written Commitments.
(5) lie signature of any officer or other person executing any Written Comm..em o,appointment or del ga n pursuam to this Resolirnon and the seal of the Company,may be alllxed by facsimile on such
Wntten Commitment or written appoimment or delegation.
FURTHER RESOLVED,that the foregoing Resolution shall not deemed to be en cultist se statement of the powers and authon ly of officers,employees and other persons to anti for and on behalf of
Company,and such Resolution shall not limit or otherwise affeci the exercise of arty such power or anthonny otherwise validly granted or voted.
Does hereby nominate,constitute and appoint Donald R Gibson,Gina Rodriguez,Joe Martinez,Melissa Haddick,Sandra R Parker,Tennis Mattson,Tern L Morrison,.
all of the City of HOUSTON,Texas,each individually if there be more than one named,its true and lawful attorney-in-fact,to make,execute,seal and deliver on its
behalf and as its act and deed any and all bonds,undertakings,recognizances,contracts and other writings in the nature thereof in penalties not exceeding Twenty Five
million dollars&zero cents($25,00R000.00)and the execution of such writings in pursuance of these presents shall be as binding upon said Company,as fully and
amply as if they had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office,
IN WITNESS WHEREOF,the said Stephen M.Haney,Vice-President,has hereunto subscribed his name and affixed the Corporate seal of the said WESTCHESTER
FIRE INSURANCE COMPANY this 20 day of January 2011.
WESTCHESTER FIRE INSURANCE COMPANY
ar
lit lett
Stephen M.Hurry.Vice Prcndan
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF PHILADELPHIA ss.
On this 20 day of January,AD 2011 before me,a Notary Public of the Commonwealth of Pennsylvania in and for the County of Philadelphia came Stephen
M.Haney,Vice President of the WESTCHESTER FIRE INSURANCE COMPANY to me personally known to be the individual and officer who executed the
preceding instrument,and he acknowledged that he executed the same,and that the seal affixed to the preceding instrument is the corporate seal of said Company;that
the said corporate seal and his signature were duly affixed by the authority and direction of the said corporation,and;that Resolution,adopted by the Board of Directors
of said Company,referred to in the preceding instrument,is now in forces.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my official seal at the City of Philadelphia the day and year first above written.
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I,the undersigned Assistant Secretary of the WESTCHESTER FIRE INSURANCE COMPANY,do hereby cenifythat the original PO\VEIL OF ATTORNEY,of
which the foregoing is a substantially true and correct copy,:is in full force and effect 1 ,i
In witness whereof,I have hereunto subscribed my name as Assistant Secretary,and affixed the corporate seal of the Corporation,this\ day of „ n
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THIS POWER OF ATTORNEY MAY NOT BE USED TO EXECUTE ANY BOND WITH AN INCEPTION DATE AFTER January 20.2013
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2
THE BACK OF THIS DOCUMENT LISTS VARIOUS SECURITY FEATURES THAT WILL PROTECT AGAINST COPY COUNTERFEIT AND ALTERATION. U
DECREASE RIDER
To be attached to and form a part of Bond Number K07110273
issued by Westchester Fire Insurance Company
on behalf of SemCrude, L.P
as Principal in favor of County of Weld, State of Colorado
as Obligee,effective January 3, 2008
IT IS HEREBY UNDERSTOOD AND AGREED,that,
The penal sum of this bond is decreased from Three Hundred One Thousand Two Hundred Eighty-nine and 73/100 ---
Dollars ($ 301,289.73
to Forty-five Thousand one hundred ninety-three and 46/100
Dollars($45,193.46 ) effective the 20th day of May , 2010
s deft wlaiuc e,l
Principal
Westchester Fire Insurance Company
Surety
BC1
Patty PC1g Att ney-in-Fact
COM1-A:DECREASE.RID
S-2864/GE 2/98
XDP
Annual Performance Bond
Bond No. K07110273
KNOW ALL MEN BY THESE PRESENTS, that we, SemCrude, L.P., as Principal, (hereinafter called the "Principal"), and WESTCHESTER
FIRE INSURANCE COMPANY ,(hereinafter called the"Surety"),are held firmly bound unto the County of Weld,State of Colorado as Obligee,
(hereinafter called the "Obligee"), in the maximum penal sum of Three Hundred One Thousand Two Hundred Eight Nine Dollars and 73/100,
($301,289.73), good and lawful money of the United States of America,for the payment of which,well and truly to be made,we bind ourselves,our
heirs,administrators,executors,successors,assigns,jointly and severally,firmly by these presents.
WHEREAS, the above bound Principal has entered into a certain written contract with the above mentioned Obligee described as: On-Site
Improvements- Platteville Station WCR 30 and 49 in Weld County, Colorado dated November 15,2007, contract is hereby referred to and made a
part hereof as fully and to the same extent as if copied at length herein.
WHEREAS,the Obligee has agreed to accept a bond guaranteeing the performance of said contract for a period of only one year.
NOW, THEREFORE, the condition of this obligation is such that, if the Principal shall indemnify the Obligee for any and all loss that the Obligee
may sustain by reason of the Principal's failure to comply with the terms and conditions of said Contract, then this obligation shall be null and void,
otherwise it shall remain in full force and effect.
PROVIDED, HOWEVER,that:
I. The term of this bond is for the period commencing January 4,2008 and expiring on January 4, 2009, unless released by the Obligee prior
thereto. However, the term of this bond may be renewed for an additional one-year period(s) by the issuance of a Continuation Certificate
by the Surety.
2. Neither nonrenewal by the Surety nor failure of the Principal to provide the Obligee with a replacement bond shall constitute default under
this bond.
3. In the event the Principal shall be declared by the Obligee to be in default under the Contract, the Obligee shall provide the Surety with a
written statement setting forth the particular facts of said default no later than thirty(30)days from the date of said default, which notice
shall be sent to the Surety by registered mail to the address in stated in Section 6 below.
4. The Surety will have the right and opportunity,at its option, and in its sole discretion, to: a.) cure the default; b.)assume the remainder of
the Contract and to perform or sublet same;c.)or to tender to the Obligee funds sufficient to pay the cost of completion less the balance of
the Contract price up to an amount not to exceed the penal sum of the bond. In no event shall Surety be liable for fines, penalties,
liquidated damages or forfeitures assessed against the Principal.
5. The Obligee's acceptance of this bond and reliance upon it as security constitutes its acknowledgement and agreement as to the terms under
which it is offered and issued by the Surety.
6. All notices,demands and correspondence with respect to this bond shall be in writing and addressed to:
The Suretyat: 436 Walnut Sucet WAI0F, Philadelphia, PA 19106
The Principal at:la I2 OC-yr c,e,eet 't-hp roLN13la
The Obligee at:
SIGNED,SEALED AND DATED this 4th day of January,2008.
Principal: ScmC L.
By:
Surety: ��W//ESSTC��WESTCHESTER FIRE INSURANCE COMPANY
By: �1�d fi ii_€_ 7,Z Attorney-In-Fact
rev.08/06 Diane Kern ttt"�
Power of WESTCHESTER FIRE INSURANCE COMPANY
Attorney
Know all men by these presents:That WESTCHESTER FIRE INSURANCE COMPANY,a corporation of the State of New York,having its principal office in
the City of Atlanta,Georgia pursuant to the following Resolution,adopted by the Board of Directors of the said Company on December 1 I,2006,to wit:
'RESOLVED,that the follow,gauthorizations relate to the executor',for and on behalf of the Company,of bonds,undertakings,recogn zanceg contacts and other written commitments of the Company
entered Into the ordinary course of business(each a"WnttenCommitmeni')'.
(I) Each of to Chairman,the President and the Vice President of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company.under the scat of the Company or
otherwise.
(2) Each duly appointed averney-anfact of the Company is hereby autlanzed to execute any Wnuen Commlunent for and on behalf of the Company;under the seal of the Company or otherwise,to the extant that
such action is autonzed by the grant of powers provided for m such persons written appointment as such attorney-in-fact:
(3) Each of the Chanman;the President and the Vice Presidents of to Company is hereby authonad,for and on behalf of the Company,to appoint in writing any person the atwmey-rn fact of the Company with
full power and authority to execute,for and on behalf of the Company,under the seal of the Company or otherwise,such Wnuen Conumtnmt of the Company as may be specified in such written
appoiponetn which specification may be by general type or class of Wnuen Cons"neat or by specification of one or more particular Mitten Commitments
(0) Each of the Chairman,the P dent and Vice A d nt of the Company in hereby authorized,for and on behalf of the Company to delegate in wrung any other officer of the Company the authority to
execute,for and on behalf of the Company,under the Company's seal or otherwise,such Written Commitments of the Company as are specified in such written delegation,which specification maybe by
general type or class of Written Commitment or by specification of one or more particular Wnuen Commitment.
(5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant o this Resolution,and the seal of the Company may be affixed by facsimileon such..
carver Commitment nr written anpo nmient or delegation
FURTHER RESOLVED,that the foregone Resolution shall not bedeemed to bean exclms ve statement of the powers and authority of officers employees and other persons to act for and on behalf of the
Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or authority othenvse validly granted of vested:
FURTHER RESOLVED,that the Resolution of the Board of Directors of the Company adopted at the meeting held on November S 1999 relating to the authonzation of certain persons to execute,for and on
behalf of the Company,Written Comminnenie and appointment anddelegaeions,in hereby rescinded.
Does herebyinominate,constitute and appoint Bridgette S Jackson,Claudia Chavez-Ortiz,Lawrence W Waldie,Patty Penning,Phil Neighom,all of the City of
DALLAS.Texas,each individually if there be more than one named,its true and lawful attorney-in-fact,to make,execute,seal and deliver on its behalf and as its act
and deed any and all bonds,undertakings,recognizances,contracts and other writings in the nature thereof in penalties not exceeding.Ten million dollars&zero cents
($10,000,000.00)and the execution of such writings in pursuance of these presents shall be as binding upon said Company,as fully and amply as if they had been duly
executed and acknowledged by the regularly elected officers of the Company at its principal office,
IN WITNESS WHEREOF,the said Stephen M.Haney,Vice President,has hereunto subscribed his name and affixed the Corporate seal of the said WESTCHESTER
FIRE INSURANCE COMPANY.this 30 day of March 2010.
WESTCHESTER FIRE INSURANCE COMPANY
C. Or
! Stephen M Haney.Vice President
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF PHILADELPHIA :.ss.
On this 30 day of March,AD.2010 before me,a Notary Public of the Commonwealth of Pennsylvania in and for the County of Philadelphia came Stephen
M.Haney,Vice President of the WESTCHESTER FIRE INSURANCE COMPANY to me personally known to be the individual and officer who executed the
preceding instrument,and he acknowledged that he executed the same,and that the seal affixed to the preceding instrument is the corporate seal of said Company;that
the said corporate seal and his signature were duly affixed by the authority and direction of the said corporation and that Resolution adopted by the Board of Directors
of said Company,referred to in the preceding instrument,is now in force.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my official seal at the City of Philadelphia the day and year first above written.
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I,the undersigned Assistant Secretary of the WESTCHESTER FIRE INSURANCE COMPANY,do hereby certify that the original POWER ATI ORNFY,of
which the foregoing is a substantially true and correct copy,is in full force and effect
In witness whereof,I have hereunto subscribed my name as Assistant.Secretary,and affixed the corporate seal of the Corporation,tlfr5'`Qi'ty of � )
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THIS POWER OF ATTORNEY MAY NOT BE USED TO EXECUTE ANY BOND WITH AN INCEPTION DATE AFTER March 30,2012
2
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THE BACK OF THIS DOCUMENT LISTS VARIOUS SECURITY FEATURES • THAT WILL PROTECT AGAINST COPY COUNTERFEIT AND ALTERATION.
CONTINUATION CERTIFICATE
THE Westchester Fire Insurance Company (hereinafter the Surety) hereby continues in
force its Bond No. K07110273 in the sum of Three Hundred One Thousand Two Hundred
Eighty Nine Dollars and 73/100 ($301,289.73), on behalf of SemCrude, L.P. in favor of County
of Weld, State of Colorado for the (extended) term beginning on the 4th day of January, 2009
and ending on the 4th day of January, 2010 subject to all the covenants and conditions of said
bond.
This Continuation is executed upon the express condition that the Company's liability
shall not be cumulative and shall be limited at all times by the amount of the penalty stated in
the bond.
IN WITNESS WHEREOF, the Company has caused this instrument to be signed by its
duly authorized Attorney-in-fact and its corporate seal to be hereto affixed this 5th day of
January, 2009.
SemCrude, L.P. Westchester Fire Insurance Company
Principal Surety
By: et AL-tit-‘47 ess, AttLnFact
Vice President Of Operations
I
IPower of WESTCHESTER FIRF, INSURANCE COMPANY �j 1287545
1 ttorney, 1(Y
tli
1135753
Know'all men by these presents: That WESTCHESTER FIRE INSURANCE COMPANY,a corporation of the State of New York,having its
i
principal office in the City of Atlanta,Georgia,pursuant to the following Resolution,adopted by the Board of Directors of the sand Company on December I I,2006,to
I wit:
RESOLVED;that the followingauthanaauons relate to the execution,for and on behalf of the Company,of bonds,undertakings,recognmdcr,convects and other written cmmdments of the Company entered into
the ordinary course of business(each a"Written Commitment')
(1) Each of the Chairman the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or otherwise
(2) Each duly appointed attorney-in-fact of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal oldie Company or otherwise,to the extent that such
I action is authorized by the grant of powers provided for se]such pmaons written appointment as such attorney-in fact
(3) Each of the Chairman,the Presider and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company toappomt in wrung any person the attorney.iwfact of the Company with full power
and authority toexecuta for and on behalf of the Company,under the seal of Use Company or otherwise,such Written Commitments of the Company as may be specified in such wntten appoinmrent which specification
may be by general type or class of Written Commitments or by specification of One or more particular Written Commitments
(a) bach of the Chairman,the Resident and Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to delegate in writing to any other officer of the Company the audronty to execute,for
and on behalf of the Company,snider the Company's seal or otherwise,such Written Commitments of the CoTpnany aware specified in such written delegation,which specification may be by general type or class of
Written Commitments or by specification of one or more parueular Wntten Commitments.:
(5) The signature of any office]or other person execntdg any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by facaunile on such Written
Commitment orwntten appomtnent or delegation.
I FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to be an exclusive statement of the pow and authority of officers,employees and other persons to act for and on behalf of the Company and
wch Resolution anal,not I m 1 or othmw,seaffect the exercise o,any winch powei or auhwlo otherussen aridly.'!homed or eestd.
PURfiiER RESOLVED that the Resolution of the Board of Diction of the Company adopted a the meeting held on November 5 1999 relating to the authorization of certain persona to execute for and on behalf of
the Company..Wnnm Commitments and appginunenis and delegations,is hereby rescinded
Does hereby nominate,constitute and appoint JANET JENKINS,STUART F.DESELMS,DIANE KERN,BRIGETTE BURGESS WILLIAM A.GRANT,III,JEFFREY
W.HOLMES and CATHY HEILIGER all of the City of Tulsa,State of Oklahoma,each individually if there be more than one named,its true and lawful
attorney-in-fact,to make,execute,seal and deliver on its behalf,and as its act and deed any and all bonds,undertakings,recognizances,contracts and other
writings in the nature thereof in penalties not exceeding Ten Million Dollars($10,000,000)and the execution of such writings in pursuance of these
presents shall be as binding upon said Company,as fully and amply as if they had been duly executed and ackowledged by the regularly elected officers of
the Company at its principal office
IN WITNESS WHEREOF,the said Stephen M.Haney,Vice-President,has hereunto subscribed his name and affixed the corporate seal t t the
said WESTCHESTER FIRE INSURANCE COMPANY this 2nd day of January 2009
- `„Z$ S, WESTCHESTER FIRE INSURANCE COMPANY
I \s�
`�' tGE Stephen M.Haney,Vice President
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF PHILADELPHIA ss. r
On this 2nd day of January,A.D.2009 before me,a Notary Public of the Commonwealth of Pennsylvania m and for the County of Philadelphia
came Stephen M.Haney,Vice-President of the WESTCHESTER FIRE INSURANCE COMPANY to me personally known to be the individual and
officer who executed the preceding instrument,and he acknowledged that he executed the same,and that the seal affixed to the preceding instrument is the
I corporate seal of Company,that the said corporate seal and his signature were duly affixed by the authority and direction of the said corporation,and
I that Resolution,adopted by the Board of Directors of said Company,referred to in the preceding instrument,is now in force.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my official seal at the City of Philadelphia the day and year first above written
--w 4QMMQN*tALTM oyflj4pl$YLVANIA
fy: : " . NOTARIAL SEAL
EARN E.MUNDTT.Nervy Put* i-1'
friedirnislior
t',�`oa a 4: For E.rpires September otiorPtifledelebilA Mt 26,2i0tra - __
'- . Notary Public
I,the undersigned Assistant Secretary of WESTCHESTER FIRE INSURANCE COMPANY,do hereby certify that the original POWER OF
ATTORNEY,of which the foregoing as a substantially true and correct copy,is in full force and effect.
In witness whereof,I have hereunto subscribed my name as Assistant Secretary,and affixed the corporate seal of the Corporation,this:,rith day
of i rukTry 7 i'
ty' NAB
s ., .ice 4j 1� 1-,
g "tyG,e�:. William L.Kelly,Assistant Secretary
il I THIS POWER OF ATTORNEY MAY NOT BE USED TO EXECUTE ANY BOND WITH AN INCEPTION DATE AFTER January 2,2011 —
o
THE BACK OF THIS DOCUMENT LISTS VARIOUS SECURITY FEATURES THAT WILL PROTECT AGAINST COPY COUNTERFEIT AND ALTERATION.
Bridgette S.Jackson
Bond Specialist
MARSH Marsh USA Inc.
1717 Main Street
Dallas,TX 75201-7357
MARSH MERCER KROLL 214 303 8643 Fax 214 303 8649
MAC GUY CARPENTER OLIVER WYMAN
bridgette.jackson@marsh.com
www.marsh.com
December 23, 2009
Mr. Allan Dye
SemCrude, L.P.
11501 South 1-44 Service Road
Oklahoma City, OK 73173
Subject: Bond Rider
Principal: SemCrude, L.P.
Obligee: County of Weld, State of Colorado
Bond Description: Annual Performance Bond
Bond Amount: $ 301,289.73
Bond Number: K07110273
Dear Mr. Dye:
In response to your request dated December 15, 2009, enclosed is the above-referenced
bond rider that has been executed to make the following changes:
Extend the term of the bond through January 4, 2011
In the event that you do not accept and file the rider with the obligee, please return this
original document to Marsh so that we can notify the surety company that the rider was not
accepted and filed. If you have any questions, please feel free to contact me. Thank you for
allowing Marsh to service your surety needs.
Cordially,
Bridgette S. Jackson
Surety Department
Enclosure
SURETY RIDER
To be attached to and form a part of
Bond No: K07110273
Type of Annual Performance Bond-On-Site Improvements-Platteville Stations WCR 30 and 49 in Weld County,Colorado
Bond:
dated January 3,2008
effective (MONTH-DAY-YEAR)
executed by SemCrude,L.P. ,as Principal,
(PRINCIPAL)
and by Westchester Fire Insurance Company ,as Surety,
in favor of County of Weld,State of Colorado
(OBLIGEE)
in consideration of the mutual agreements herein contained the Principal and the Surety hereby consent to changing
Extending the term of the bond through January 4,2011
Nothing herein contained shall vary, alter or extend any provision or condition of this bond except as herein expressly stated.
This rider 12/21/2009
is effective (MONTH-DAY-YEAR)
Signed and Sealed 12/21/2009
(MONTH-DAY-YEAR)
SemCrude, L.P.
(PRINCIPAL)
I..4nu+-
Y Ra BY: A z/.y. . .
(PRINCIPAL)
Westchester Fire Insurance Company
(SL'RETY)
By: `6rLM cAL-O(-fit--
(ATTORNEY-iN-FACT Bridget S Jackson
S-0443/GE 7/04
XDP
a,n
i Power of WESTCHESTER FIRE INSURANCE COMPANY lir, 1245385
I Attorney 1
1142651
Know an men by these presents: That WESTCHESTER FIRE INSURANCE COMPANY,a corporation of the State of New York,having its
principal office in the City of Atlanta,Georgia<,pursuant to the following Resolution,adopted by the Board of Directors i of the said Company on December 11 2006,to
wit:
'RESOLVED.that the following ati homatmoa relate to the execution,for and on behalf ofibe Company,of bonds,undertakings,remgtuzancea,coopacts and other wnnen commitments of the Company entered into
the ordmay course of busmtsstt.ch a'Writtm Comnitupeot')
(I) Each of the Chairman the President and the Via P(aidcnu of the Company is hereby authorized to execute any Written Cotimtment(oe and on behalfofte Company,under the seal oftheCompany or oihernse.
(2) Each duly appointed attorney-in-fact of the Company f9 hereby autho�ed to execute any:Wnnen Commdmeem.for and an behalf afthe Company,ands fhe seal of the Company ur oatwtse,to the ezten rpat such
tenet in authorized by he grant of powers provided form such parsons written spPomunent as such attomcy-in fact
(3) Each of the.Chairman,to President and the Vice Presidents of the Company is hereby authorized,formed oo behalfoftheCiompany,mappomt m wrinog any person the attorney iv fact of Company with full
and authority io exmute,for v,4on behalf 0f the Company,under the seal ofihe Company or oehawae,such.Written cbmtuiimmia of the Cmitprofy as may be specified msucb written appotnunen.Which spec iftcalion
may be by general type m class of:Weittee Commitments or by apect&aton of one or more particular Wroim Commmvcros
(al Earn oftbe CGumimi,the Reslikat and Vice Prat ub of the Company u hereby authorized,for and on behalf of tteCompany,to delegate in arisingsoany other officerofte Company the authority to execute for:
sod ono behalf of tbo Company.tinder theCompany's seal or otenvne,such Wntrcn Comiuitmentsof the Campoany pare specified m sudi written dclegetioe,which specification may be by general type or class-of
Wnlim Comtpitmmis dr by apeufication of one or morepan curse Wn[lm Commipamui
(S).. Thestgaamre or any officer Mother poison esmming any Written Commimmm •or appobntmem or delegation Pursuant Ib this fteaolutiou,and theses]of he Coospany,may he atTix�by facsimile on such Written
Commitment or whiten appointment or delegation.
FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to be an exclusive statement of the powers and authority of offices,employers and otter persona to act for and on behalf of the Company,and
such Resolution shall not limit or otherwise affect the exercise of anyauch power or autho.l Y otherwise valalaY gramert or vested
I FURTHER RESOLVED that the Resolution of the Hoard ofDirectotn of the Company adopted atie meeting held An November 8.t999 relating to the authorization of certain personalo execute,for and on behalf of
the Company.Wnnm exmlud amts and appoivtmmts and delegatiot¢,ii herebyteseindad
Does hereby nominate,constitute and appoint LAWRENCE W WALDIE{BRIDGETTE S.JACKSON,PATTY PENNING,PHIL NEIGHORN and CLAUDIA
CHAVEZ-ORTIZ all of the City of Dallas,State of Texas,each individually if there be more than one named,its true and lawtul attorney-in-fact,;to make.
execute,seal and deliver on its behalf,and as its act and deed any and all bonds,undertakings,recognfzances,contracts and other writings in the nature
thereof in penalties not exceeding Ten Million Dollars($10,000,000)and the execution of such writings in pursuance of these presents shall be as binding
upon said Company,as fully and ani,Iy as if they had been duly executed and ackowledged by the regularly elected officers of the Company at its principal
oRfce.
IN WITNESS WHEREOF,the said Stephen M,Haney,Vice-President,has hereunto subscribed his name and affixed the corporate seal of the
said WESTCHESTER FIRE INSURANCE COMPANY this 5th day of February 2008.
' ' ..##,, WESTCHESTER FIRE INSURANCE COMPANY
,..us a
., Stephen:M,Haney,Vice President
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF PHILADELPHIA t ss
On this 5th day of February,Al), 20081,bofihre rue,a Notary Public of the Commonwealth of Pennsylvania in and for the County of Philadelphia
name Stephen M.Haney,Vice-President of the WESTCHESTER FIRE INSURANCE COMPANY to me personally known to be the individual and
officer who executed the preceding instrument,and he acknowledged that he executed the same,and that the seal affixed to the preceding instrument is the
corporate seal of said Company;.that the said corporate seal and has signature were duly affixed by.the authority and direction of the said corporation,and
that Resolution;adopted by the Board of Directors of said Company,referred to in the preceding instua rent,is now in.force
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my official seal at the City of Phttadelphia the day and year first above written
"- '+ COIIMKI�IW M.884 FJM Of PIIrEWANIA
rf�R `t N0TARIALSEJAL
aY;`f4a4•Y}$!rf a�y`�re„�[r,S September T'
.-,C CAtixG wP.v Notary Public
I,the undersigned Assistant Secretary:of WESTCHESTER FIRE:INSURANCE COMPANY::,do hereby certify that the original POWER OF
ATTORNEY,of which the foregoing is a substantially true and correct copy,is in full force and of cat
In ' s soh ergof,I h hereunto subscribed my name as Assistant Secretary,and affixed the corporate seat of the Corporation,thiCj4''+'day
of 1'MX
}at a et 4fix1 AC,,e. .....4„-..—._.-.- , .2
igm((,�,,� Lo. William L.Kelly,Assistant Secretary
g N. $tie, '
o THIS POWER OF ATTORNEY MAY NOT BE USED TO EXECUTE ANY BOND WITH AN INCEPTION DATE AFTER February 5,2010.
a
• THE BACK OF THIS DOCUMENT LISTS VARIOUS SECURITY FEATURES • THAT WILL PROTECT AGAINST COPY COUNTERFEIT AND ALTERATION. tr
Power of WESTCIIES'1'ER FIRE INSURANCE COMI'ANY 1233990
Attorney (�I
1135753
j Know all men by these presents: HiitWESTCHESTER FIRE INSURANCE COMPANY,a corporation of the State of New York,having its
principal office in the City of Atlanta,Georgia,pursuant to the following Resolution,adopted by the Board of Directors of the said Company on December I I,2006,to
RI SOi VEo,that the followingauthorizations relate to the execution,fin and on behalf of the Company,ofb d+,andcrtak rigs re,boa trim contracts and othei weanct commitments of the Company entered into
the ordinary course of business(eaeha"Written Commitment')
(t) Each of the Chairman,the Pgsidwt and the Vice Presidents of the Company is hereby authorized m C tame ans Wr men Canimiutamt for and on behalf of thee- mpany tdcr the mil of Company of other wise
(2) Each duly appointed'atonic, n-fact of the Company is herby authorzed toeecute Ally Written COMmtunent for and on behalf of the Company under the seal of the Conpay or otherwise,ten theexrmit that such
acnon is authorized b thegrant of powers printded for ch persons annum appointment as such tto y.infact
(1).' f ch of the Chairman.thelbeddent and the Vice Presidents of the Company isheeby authored for and on behalf cifth Cs pang to app mttu writing any person the(urn-Rey-in-fact of the Company with full power
and authority to execute,for and an behalf of the Company,under the seal ofthe Company or uthcrivise,such Written Commitments of the Company as may be specified n such written appointment, spec ricetbn
I. may he by general type or lass of Written Commitments or by spccifreat on of one or more particular Written Commitments
(4) Each of the Chairman the Ftesdent and Vice Preidents ofthe Company is hereby authorized.for and on behalf of the Company,to delega em writing o any other officer of the Company die authority to execute for
and on behalf of the Company,under the Company's seal Or otherwise,such Written:Conmirbnems of the Compoanyin are specified la such written delegation which specification may be by general type or class of
Written Commitments or by spiciftcaton of one or more paticularWritten Commitments..
(5( 'fhe signature et any officer or other person eneculing any Written Commitment or appointment or delegation pusunnl to this Resolution and the seal of the Company,may be affixed by facsimile on such Witten
Commitment or written appointment or delegation.
FURTHER RESOLVED that the foregoing Resolution shall not be deemed to bean exclnoire statement of the powers and authority of officers employees and othm persons to act for and on behalf of the Company,and
such Resolution shall not molt or otherw a affect the exercise of any such power or authority otherwise validly granted or vested
FURTHER RESOLVED that the Resoln ton of the Board of Directors of the Company adopted al the meeting held on No ember h 1999 relating to the authorize ion of certain persons to execute for and on behalf of
the Company!,Written Commitments andappnintmentsanddelegatons.Is hereby rescinded
Does hereby nominate,constitute and appoint JANET JENKINS,SWART.F DESELMS,DIANE KERN,BRIGEI 1E BURGESS;:WILLIAM A.GRANT,III,JEFFREY
W.HOLMES and CATHY HEILIGER all of the City of Tulsa,State of Oklahoma,each individually if there he more thanone tamed,its true and lawful
attorney-.in-fact,to make,execute,seal and deliver on its behalf,and as fLi act and deed any and all bonds,:undertakings,recognizances,contracts and other
writings m the nature thereof in penalties not exceeding Ten Million Dollars(S 10,000,000)and the execution of such writings in pursuance of these
presents shall be as hording upon said Company,as fully and amply as if they had been duly executed and aekowledged by the regularly elected offrceis of
the Company at its principal office
' IN WITNESS WHEREOF,the said Stephen M.Haney,Vice President,has hereunto subscribed his name and affixed the corporate seal of the
�s said WESTCHESTER FIRE INSURANCE COMPANY this 13th day of November 2007
MKT WESTCHESTER FIRE INSURANCE COMPANY
Asir e
.W tit
)
Go..Get
"na.
: Stephen M.Haney,Vice President
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF PHILADELPHIA ss
On this 13th day of November,A.D.20O7,before me,a Notary Public of the Commonwealth of Pennsylvania in and for the County of Philadelphia
came Stephen M Haney,Vice-President of the WESTCHESTER FIRE INSURANCE COMPANY to me personally known to be the individual and
officer who executed the preceding instrument,and he acknowledged that he executed the same,and that the seal affixed to the preceding instrument is the
corporate seal of said Company;that the said corporate seal and his signature were duly affixed by the authority and direction of the said corporation,and
that Resolution;adopted by the Board of Directors of said Company,referred to in the preceding instrument,is now in Corte.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my official seal at the City of Philadelphia the day and year first above written
t��K a, < C IWtAL�TpH OF PeNNISYLVJWIA
Y y44dL6 \ NOTARIALSEAI.
s , 111, RRREN E.BRANDT,Notary Public �y
,t3 .V, a/Of s ssro�e/
, tAy Cornreinsion Expires September 2010
Notary Public
I,the undersigned Assistant Secretary or WESTCHESTER FIRE INSURANCE COMPANY:!,do hereby certify that the original POWER OF
ATIORNEY,of which the foregoing is a substantially true and correct copy,is in full force and effect
In witness whereof,I have hereunto subscribed my corneas Assistant Secretary,and affixed the corporate seal of the Corporation,this 4th day
.r}s.3ntlaTy 2008.
R
ry
s "
c`F(, �o' William L Kelly,Assistant Secretary
o - THIS POWER OF ATTORNEY MAY NOT BE USED TO EXECUTE ANY BOND WITH AN INCEPTION DATE AFTER November 13,2009
THE BACK OF THIS DOCUMENT LISTS VARIOUS SECURITY FEATURES THAT WILL PROTECT AGAINST COPY COUNTERFEIT AND ALTERATION.
1861 - 2011
CLERK TO THE BOARD
PHONE (970) 336-7215, Ext. 4227
� FAX: (970) 352-0242
.` P. O. BOX 758
W E L D._C O U N T Y GREELEY, COLORADO 80632
December 29, 2011
Attn: Melissa Haddick
Marsh USA, Inc.
1000 Main Street, Suite 3000
Houston, TX 77002
RE: Cancellation and release of Collateral — SemCrude L.P.
Ms. Haddick:
Attached hereto, please find the Board of County Commissioners Resolution releasing the
Collateral for SemCrude, L.P., in the amount of $45,193.46. If you would like a recorded copy
of the resolution, please contract our Clerk and Recorders Office at 970-304-6530. I am
returning the original Annual Performance Bond for $301,289.73, and Continuation Certificate
#K07110273, in the amount of $45,193.46.
If you have questions or need additional information, please do not hesitate to contact me at
(970) 336-7215, Extension 4227.
Very truly yours,
BOARD OF COUNTY COMMISSIONERS
By:
eC 4a
Donna J. B er,
Deputy Clerk to the Board
1861 - 2011
CLERK TO THE BOARD
PHONE (970) 336-7215, Ext. 4227
FAX: (970) 352-0242
P. O. BOX 758
W E L DEC O U N T Y GREELEY, COLORADO 80632
I
December 29, 2011
Attn: Allan Dye
SemCrude, L.P.
11501 South 1-44 Service Road
Oklahoma City, Oklahoma 73173
RE: Cancellation and release of Collateral — SemCrude L.P.
Mr. Dye:
Attached hereto, please find the Board of County Commissioners Resolution releasing the
Collateral for SemCrude, L.P., in the amount of $45,193.46. If you would like a recorded copy
of the resolution, please contract our Clerk and Recorders Office at 970-304-6530. The original
Annual Performance Bond and Continuation Certificate #K07110273, have been returned to
Westchester Fire Insurance Company, do Marsh, USA, Inc., in the amount of $45,193.46.
If you have questions or need additional information, please do not hesitate to contact me at
(970) 336-7215, Extension 4227.
Very truly yours,
BOARD OF COUNTY COMMISSIONERS
By: f1�L
Donna J. Becht r,
Deputy Clerk to the Board
U.S. Postal ServiceTM
sr CERTIFIED MAIL,. RECEIPT
ru (Domestic Mail Only;No Insurance Coverage Provided)
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SENa E': C s M•LETE THIS SECTI aN C•M•LETE THIS SECTI•N •N •ELIVE•Y
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. x WILLIE FRENNY O Agent
• Print your name and address on the reverse ID Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: 1( It YES,enter delivery address below: O No
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4. Restricted Delivery?(Extra Fee) ❑Yes
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(Transfer frwn service label)
PS Form 3811,February 2004 Domestic Retum Receipt 10Psag-naa-te40
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