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Home My WebLink About20030710.tiff ACORD CERTIFICATE OF LIABILITY INSURANCE CSR LE DATE(MM DDV Y) CUTLR-1 04/07/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Schifman, Remley & Assoc. , Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 5201 Johnson Drive, Suite 500 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Mission RS 66205 Phone: 913-831-1777 Fax:913-831-4730 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: The Hartford INSURER B: Hartford Fire Insurance Co Cutler Repaving, Inc. INSURER C, Twin City Fire Insurance Co. 921 E 27th Street INSURER D: Lawrence RS 66046 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSRD TYPE OF INSURANCE (MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 UAMAI,t IU HEN EU A X COMMERCIAL GENERAL LIABILITY 37CQT0536 08/01/02 08/01/03 PREMISES(Eaoccurence) $ 300,000 CLAIMS MADE X OCCUR MED EXP(Any one Person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B X ANY AUTO 37UENQT0431 08/01/02 08/01/03 (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON'OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND (TORY LIMITS I Ip R EMPLOYERS'LIABILITY 37WEQT0537 08/01/02 08/01/03 E.L.EACH ACCIDENT $500000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *except 10 days for non payment of premium. CERTIFICATE HOLDER CANCELLATION WELDCOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Weld County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR PO Box 758 1111 H Street REPRESENTATIVES. Greeley CO 80632 AU'Hl RIZ REP ESENTATV ,r1 fl ACORD 25(2001108) ©ACORD CORPORATION 1988 etn,juit,t Lzat.c/e.. -7-27,26-63 dcc3 -C7/0 3 Schifman, Remley & Associates, Inc. AUTHORIZATION TO INSERT DATE OF CONTRACT ON BONDS AND POWER OF ATTORNEY TO: Weld County, Colorado RE: Bond #37BCSBU4096 Roadway Improvements of WCR 6 as described in the Invitation for Bids, Bid No. B030052 Dear Sir or Madam: The undersigned is an authorized representative of Hartford Fire Insurance Company, the surety for Cutler Repaving, Inc., contractor for and during the entire period of construction of the project described above. Authorization is hereby given by the surety to: Weld County, CO to insert the date of the execution of the contract on the bonds and the power of attorney. HARTFORD FIRE INSURANCE COMPANY c Barbara Talty, Attorne Fact 5201 Johnson Drive, Suite 500 it Mission, Kansas 66205 t 913-831-1777 w= Fax 913-831-4730 , • POWER OF ATTORNEY THE HARTFORD HARTFORD PLAZA HARTFORD,CONNECTICUT 06115 X Hartford Fire Insurance Company Twin City Fire Insurance Company F7 X Hartford Casualty Insurance Company Hartford Insurance Company of Illinois i Hartford Accident and Indemnity Company Hartford Insurance Company of the Midwest Hartford Underwriters Insurance Company Hartford Insurance Company of the Southeast KNOW ALL PERSONS BY THESE PRESENTS THAT the Hartford Fire Insurance Company, Hartford Accident and Indemnity Company and Hartford Underwriters Insurance Company, corporations duly organized under the laws of the State of Connecticut;Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois; Hartford Casualty Insurance Company, Twin City Fire Insurance Company and Hartford Insurance Company of the Midwest, corporations duly organized under the laws of the State of Indiana; and Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida; having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the"Companies")do hereby make, constitute and appoint, up to the amount of unlimited: Gary A. Remley, William Schifman, Barbara Tatty, Deborah McClendon, LaVonne Engeman, Kevin D. Kalish of Mission, KS their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by 0, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on September 12th, 2000, the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed,duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. r4ksstTT i , �1 -V � y, .' `' F tYar fiure.\ it pm.... ��. ��rr�'•,•"�'� %�§ 'II .,, �+' ' e.1,N• ';y ;� 'a_�razov�- a is» , ' ',d O.1 " 406.5 +.,w• „. P Paul A. Bergenholtz,Assistant Secretary John P. Hyland,Assistant Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD On this 19`" day of September, 2000, before me personally came John P. Hyland, to me known,who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals;that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. ...-6-_, ,v,,tr:ox, Jean H.Wozniak Notary Public CERTIFICATE My Commission Expires June 30,2004 I,the undersigned,Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of ;1pr' / 7. c20Q3 . Signed and sealed at the City of Hartford. ni r �. '_ . -ner rt4J, • t Colleen Mastroianni,Assistant Vice President Bond #37BCSBU4096 PERFORMANCE BOND Roadway Improvements for WCR 6 KNOW ALL MEN BY THE PRESENTS;that Cutler Repaving, Inc. (Name of Contractor) 921 E. 27th St., Lawrence, KS 66046 (Address of Contractor) Corporat ion ,hereinafter called Contractor,and a (Corporation,Partnership,or Individual) Hartford Fire Insurance Company (Name of Surety) Hartford Plaza, Hartford, CT 06115 (Address of Surety) hereinafter called surety,are held and firmly bound unto Weld County,Colorado P .O.Box 758, 1111 H Street,Greeley, Colorado 80632 One Hundred Thirty Thousand One Hundred Sixty hereinafter called County,in the penal sum of & 00/100 Dollars,($ 130,160.00) in lawful money of the United States of America,for the payment of which sum well and truly to be made,we bind ourselves,successors and assigns,jointly and severally firmly by these presents. THE CONDITION OF THIS OBLIGATION is such that whereas,the Contractor entered into a certain Contract with the County, dated the day of , 20 ,a copy of which is hereto attached and made a part hereof for the construction of: The roadway improvements of WCR 6 as described in the Invitation for Bids, Bid No. B030052 NOW THEREFORE, if the Contractor shall well, truly and faithfully perform its duties, all of the undertakings, covenants,terms,conditions,and agreements of said contract during the original term thereof,and any extensions thereof which may be granted by the County,with or without notice to the Surety and during the one year guaranty period,and if he shall satisfy all claims and demands incurred under such contract,and shall fully indemnify and save harmless the County from all costs and damages which it may suffer by reason of failure to do so,and shall reimburse and repay the County all outlay and expense which the County may incur in making good any default,then this obligation shall be void; otherwise to remain in force and effect. Page 21 PERFORMANCE BOND(continue) Roadway Improvements for WCR 6 PROVIDED,FURTHER,that the said Surety for value received hereby stipulates and agrees that no change,extension of time,alteration or addition to the terms of the contract or to the Work to be performed thereunder of the Specifications accompanying the same shall in any way affect its obligation on this Bond,and it does hereby waive notice of any such change,extension of time, alteration or addition to the terms of the contract or to the Work or to the Specifications. PROVIDED,FURTHER,that no final settlement between the County and the Contractor shall abridge the right of any beneficiary hereunder,whose claim may be unsatisfied. IN WITNESS WHEREOF,this instrument is executed in five(5)counterparts,each one of which shall be deemed an original,this day of 20(-)41 _ ' arfriA-6""-- Cutler Repaving, Inc. SlainBy a.m..,Cgrhacjor (Contractor)Secretary , 7gcoi peitl7 (SEAL) i , �t d i^ r A uxw 921 E. 27th St. (Witness as to Contractor) Lawrence, (Address) gala. al''Sr KS 66046 (Address) JAWLEAACE, ks bigot/4- '491i ATTEST; �[� �i 4 a rrL CU I2fZ (Surety) Secretary KEVIN D. KALISH,ATTORNEY-IN-FACT (SEAL) Hartford� Fire Insurance Company c � / ijIQCItC_ By ccCL - Witne s as to Surety Attorney-in-Fact Barbara c/o Schifman, Remley & Assoc., Inc. 5201 Johnson Dr #500 Hartford Plaza (Address) (Address) Hartford, CT 06115 Mission, KS 66205 NOTE: Date of Bond must not be prior to date of Contract. If Contractor is Partnership,all partners should execute Bond. IMPORTANT: Surety companies executing Bonds must appear on the Treasury Department's most current list (Circular 570 as amended)and be authorized to transact business in the State where the Project is located. Page 22 Bond 1137BCSBU4096 LABOR&MATERIALS PAYMENT BOND Roadway Improvements for WCR 6 KNOW ALL MEN BY THE PRESENTS;that Cutler Repaving, Inc. (Name of Contractor) 921 E. 27th St., Lawrence, KS 66046 (Address of Contractor) Corporation ,hereinafter called Contractor, and a (Corporation,Partnership,or Individual) Hartford Fire Insurance Company Hartford Plaza, Hartford Name of Surety) CT 06115 (Address of Surety) hereinafter called surety,are held and firmly bound unto Weld County,Colorado (Name of Owner) P.O.Box 758, 1111 H Street,Greeley, Colorado 80632 (Address of Owner) hereinafter called County, in the penal sum of One Hundred Thirty Thousand One Hundred Sixty and 00/100 Dollars,($130,160.00 ), in lawful money of the United States of America, for the payment of which sum well and truly to be made,we bind ourselves,successors and assigns,jointly and severally firmly by these presents. THE CONDITION OF THIS OBLIGATION is such that whereas,the Contractor entered into a certain Contract with the County, dated the_day of , 20 ,a copy of which is hereto attached and made a part hereof for the construction of: The roadway improvements of WCR 6 Project as described in the Invitation for Bids,Bid No. B030052. NOW, THEREFORE, if the Contractor shall promptly make payment to all persons, firms, Subcontractors, and corporations furnishing materials for or performing labor in the prosecution of the Work provided for in such contract, and any authorized extension or modification thereof,including all amounts due for materials,lubricants,oil,gasoline, repairs on machinery,equipment and tools,consumed or used in connection with the construction of such Work,and all insurance premiums on said Work,and for all labor,performed in such Work whether by Subcontractor or otherwise, then this obligation shall be void,;otherwise to remain in full force and effect. PROVIDED,FURTHER,that the said Surety for value received hereby stipulates and agrees that no change,extension of time,alteration or addition to the terms of the contract or to the Work to be performed thereunder of the Specifications accompanying the same shall in any way affect its obligation on this Bond,and it does hereby waive notice of any such change,extension of time,alteration or addition to the terms of the Contract or to the Work or to the Specifications. PROVIDED,FURTHER,that no final settlement between the County and the Contractor shall abridge the right of any beneficiary hereunder,whose claim may be unsatisfied. Page 23 LABOR&MATERIALS PAYMENT BOND Roadway Improvements for WCR 6 IN WITNESS WHEREOF,this instrument is executed in five(5)counterparts,each one of which shall be deemed an original,this day of ,20_ Cutler Repaving, Inc. /J Cont/�/c�to d•tL K • 01 By a/lall.(L `7[�'7��_ (Contractor) Secretary Plata,t}k' (SEAL) 6 921 E. 27th St. (Witness as to Contractor) (Address) 9.21 E, a7r.' ST Lawrence, KS 66046 (Address) LAwtEAME kS Gbov&-vcn ATTEST: ' `�/64,4"L f�GrGY (Surety)Secretary KEVIN D. KALISH, ATTORNEY-IN-FACT (SEAL) 7 Hartford( Fire Insurance Company �.- By Y �K-ti�LGE(.C Witnesi as to Surety Attorney-in-Fact Barbara c/o Schifman, Remley & Assoc., Inc. 5201 Johnson Dr #500 Hartford Plaza (Address) (Address) Mission KS 66205 Hartford, CT 06115 NOTE: Date of Bond must not be prior to date of Contract. If Contractor is Partnership,all partners should execute Bond. IMPORTANT: Surety companies executing Bonds must appear on the Treasury Department's most current list (Circular 570 as amended)and be authorized to transact business in the State where the Project is located. Page 24 Insured's Name Cutler Repaving, Inc. Insured's Mailing Address 921 E. 27th St . Lawrence, KS 66046 Policy Number 37BCSBU4096 IMPORTANT NOTICE TO OBLIGEES/POLICYHOLDERS - TERRORISM RISK INSURANCE ACT OF 2002 You are hereby notified that, under the Terrorism Risk Insurance Act of 2002, effective November 26, 2002, we must make terrorism coverage available in your bond/policy. However, the actual coverage provided by your bond/policy for acts of terrorism, as is true for all coverages, is limited by the terms, conditions, exclusions, limits, other provisions of your bond/policy, any endorsements to the bond/policy and generally applicable rules of law. Any terrorism coverage provided by this bond/policy is partially reinsured by the United States of America under a formula established by Federal Law. Under this formula, the United States will pay 90% of covered terrorism losses exceeding a statutorily-established deductible paid by sureties/insurers until such time as insured losses under the program reach $100 billion. If that occurs, Congress will determine the procedures for, and the source of, any payments for losses in excess of$100 billion. The premium charge that has been established for terrorism coverage under this bond/policy is either shown on this form or elsewhere in the bond/policy. If there is no premium shown for terrorism on this form or elsewhere in the bond/policy, there is no premium for the coverage. Terrorism premium: $0 Form B-3333-0 Page 1 of 1 © 2002, The Hartford TaE X HARTFORD Inquiries Regarding Claims Hartford Fire Insurance Company Twin City Insurance Company Hartford Casualty Insurance Company Hartford Insurance Company of Illinois Hartford Accident and Indemnity Company Hartford Insurance Company of the Midwest Hartford Underwriters Insurance Company Hartford Insurance Company of the Southeast Please address inquiries regarding Claims for all surety and fidelity products issued by The Hartford's underwriting companies to the following: Phone Number 888-266-3488 Fax- Claims 860-757-5835 or 860-547-8265 E-mail claims@lstepsurety.com Mailing Address The Hartford The Hartford Fidelity &Bonding(BOND) Hartford Plaza 690 Asylum Avenue Hartford, CT 06115 POWER OF ATTORNEY THE HARTFORD HARTFORD PI A7A HARTFORD,CONNECTICUT 06115 X Hartford Fire Insurance Company Twin City Fire Insurance Company 1-7 X1 Hartford Casualty Insurance Company Hartford Insurance Company of Illinois Hartford Accident and Indemnity Company Hartford Insurance Company of the Midwest Hartford Underwriters Insurance Company Hartford Insurance Company of the Southeast KNOW ALL PERSONS BY THESE PRESENTS THAT the Hartford Fire Insurance Company, Hartford Accident and Indemnity Company and Hartford Underwriters Insurance Company, corporations duly organized under the laws of the State of Connecticut; Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois; Hartford Casualty Insurance Company, Twin City Fire Insurance Company and Hartford Insurance Company of the Midwest, corporations duly organized under the laws of the State of Indiana; and Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida; having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the"Companies")do hereby make, constitute and appoint, up to the amount of unlimited: Gary A. Remley, William Schifman, Barbara Talty, Deborah McClendon, LaVonne Engeman, Kevin D. Kalish of Mission, KS their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on September 12th, 2000, the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. IT IN 4r •\ i.s `1..: �,/j[ '``°l• ^ 00ittr`iM,' mot-_.,t•- '1 �� \I , 4 = ♦,oast l�!_s't"V,'• Iel +¢tii: i * . . 1.�, t J1 I . , ,`.a,}* [ '••. '• g to +cT9 .F v;tn�a s Paul A.Bergenholtz,Assistant Secretary John P. Hyland,Assistant Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD On this le day of September, 2000, before me personally came John P. Hyland, to me known,who being by me duly swom, did depose and say:that he resides in the County of Hartford, State of Connecticut; that he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals;that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. ,,//,, //'�pe.,..-Niie. � Jean H.Wozniak C Notary Public CERTIFICATE My Commission Expires June 30,2004 I,the undersigned,Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of Signed and sealed at the City of Hartford. •�j.I (� i S y0. ` _ LVA7 1 !$ 8tF1\\F A III ( N Colleen Mastroianni,Assistant Vice President Hello