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Home My WebLink About20013105.tiff ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID DY DATEIMM°°AC H&LCD-1 10/16/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Linden/Bartels & Noe Agency-OR HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 3459 W 20th Street Suite 224 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greeley CO 80634 INSURERS AFFORDING COVERAGE Phone: 970-356-1133 Fax: 970-356-4088 INSURED NMnERw EEC Insurance Companies EM EN& Pinnacol Assurance H & L Concrete, Inc. INSURER Herman Naranjo C' 651 28th Street NNNmD. Greeley CO 80631-8436 INSURER E: COVERAGES THE POLICIES OF N&WNLE LISTED BELEM,NYE BEEN ISSUED TO THE INSURED NAIL ABOVE FOR THE POLICY PERIOD INDICATED.NOI W TffiTNCNG MY IEO'RdBR,TERM OR COMMON OF NAY CONTRACT OR OTTER DOCUMENT WITH RESPECT TO WHICH MS CERTIFICATE MAY BE ISSUED OR LAY PERTMy ME SARI AFFORDED BY TIE POI rIFE COMBED HEREIN IS SWAM TO A.THE TEPYB.E%CLVSONS AND CONDITIONS OF SUCH POLICE&AGGREGATE UNITS SHOWN MAY HAVE SEEN REDUCED BY PM)CLAIMS. NM POLICY EPPLCINE POLICY EXPIRATION L111 TYPE OF INSURANCE POLICY NURSER DATE DIM/DDMI DATE DAMGA I MOMS GENERALYNE11Y EACH ' A B 1,000,000 A X CCUMERCIALGENERALLIASILITY 2D44362 02/18/01 02/18/02 PNEDALRDEINDNNSE1 $ 100,000 ICif",wDE X OCCUR MEDDM Amm.P.NRI $ 5,000 X PER PROJECT AGGREGATE PERSONALISM NARY $ 1,000,000 X PRIMARY/NON- CONTRIBUTORY OEIEAALMOEOAE $ 2,000,000 OWL AGGREGATE LIMHIPNFS PEN: PRODUCTS•COLPIPAOO 12,000,000 POLICY n n LOC A TOMOBRE LIMIIRY CGEMFD WHOLE LIMIT $ 1,000,000 A X ANYAUTO 2644362 02/18/01 02/18/02 N1 11 AL OWED AUTOS (INCLUDES HIRED & BODILY INJURY BGEOAED AUTOS NON-OWNED AUTOS) IPBPPNLBII ISEL AUTOS WOES RIMY NON-OWNED ALTOS IPMSOtlNR) PROPERTY DAMAGE Br-m-NIB OMAE LIANl1TY AUTO ONLY-FAAO:OEMT B NW AUTO N/A MERMAN AUTO B NrtO CaY: /DO EXCESS WORM EACH OCCURRENCE B 1,000,000 A X Ioco.EE CAMAS MME 2J44362 02/18/01 02/18/02 ADOREaATE s 1,000,000 OEMCIMLB s X RETENTION $ 10,000 s WORKERS COMPENSATION AND X I T WTB ER EMPLOYERS'LIMILOY H 1452910 06/01/01 06/01/02 E.LEAOIACCC(T $ 100,000 EL.DISEASE-EABwOYEE $ 100,000 EL MUSE.POLICY MIT $ 500,000 OTHER Installation $150,000. Special A Floater 2C44362 02/18/01 02/18/02 Perils, $1,000. Ded DESCRIPTION OP OPENAROMILOCANONSNEHICLEVEXCLUSIONS ADDED BY ENDORBEMEMISPECIAL PROVISIONS WELD COUNTY, COLORADO, BY AND THROUGH THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, ITS EMPLOYEES AND AGENTS ARE ADDDITIONAL INSUREDS UNDER THE GENERAL LIABILITY, BUT ONLY WITH RESPECTS TO LIABILITY ARISING OUT OF THE INSUREDS OPERATIONS OF THE REHABILITATION OF BRIDGE ABUTMENTS PROJECT. CERTIFICATE HOLDER I Y I MOTTNA INSURED:INSURER LETTER: CANCELLATION WCPUBLI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EKNRATON DATE THEREOF.OE SUMO INSURER WILLWILLMEGNIGIAA. 30 DAYS WRITTEN NOTICE TO TIE CERTIFICATE HOLDER NAMED TO The LEFT Weld County Public Works Dept Attn: Cameron Parrott P.O. Box 758 wargateell Greeley, CO 80632 ACORD 25-S(7197) &T)v2/ 2001-3105 Bond No. 880826P PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENT: that H & L Concrete, Inc. (Name of Contractor) 651 28th Street, Greeley, CO 80631 (Address of Contractor) a Corporation hereinafter called Principal, and (Corporation, Partnership or Individual) Developers Surety and Indemnity Company (Name of Surety) 7211 S. Peoria St., Suite 290, Englewood, CO 80112 (Address of Surety) hereinafter called Surety, are held and firmly bound unto Board of Weld County Commissioners (Name of Owner) 915 10th Street, Greeley, CO 80632 (Address of Owner) hereafter called Owner,in the penal sum of dollars ($99,300.00 ) in lawful money of the United States, for the payment of which sum well and truly to be made,we bind ourselves, successors, and assigns, jointly and severally, firmly by these present.'Ninety Nine Thousand Three Hundred and 00/100 THE CONDITION OF MIN OBLIGATION is such that whereas, the Principal entered into a certain contract with the Owner, dated the day of a copy of which is hereto attached and made a part hereof for the construction of: Rehabilitation of Bridge Abutments NOW THEREFORE, if the Principal shall well, truly and faithfully perform its duties, all the undertakings„ covenants, terms, conditions, and agreements of said contract during the oriOnal term thereof, and any extensions thereof which maybe granted by the Owner, with or without notice to the Surety and during the one year warranty period, and if he shall satisfy all claims and demands incurred under such contract, and shall fully indemnify and save harmless the Owner from all costs and damages which it may suffer by reason of failure to do so, and shall reimburse and pay the Owner all outlay and expense which the Owner may incur in making good any default, then this obligation shall be void; otherwise to remain in full force and effect, CF-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 or the Specifications accompanying the same shall in any 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 Owner and the Contractor shall abridge the right of any beneficiary hereunder,whose claim may be unsatisfied. IN WITNESS WHEREOF, this instrument is executed in counterparts, eadt (number) one of which shall be deemed an original, this day of . CONTRACTOR AS PRINCIPAL (Corp. Seal) H & L Concrete, Inc. Company Name 651 28th Street, Greeley, CO 80631 Company Address Attest�kt;t r \Lai-16k,rn., By5-eNr\r--• f s) witness as tk Principal 651 28th Street, Greeley, CO 80631 .lEaa..� KiNto.,.uo 5'Fc /T¢ . Address Name and Title SURETY COMPANY (Corp. Seal) Developers Surety and Indemnity Comoanv Surety 7211 S. Peoria St Suite 7Q0 Pn0lewnnri r© 80112 Address y c 4_,L_. �\ L, By=T,�.t�•I L , , 7 ue,-- Sure y Scenery Kathryn Atjt mey- fact Rae Campbell Y. Broy s 2900 S. College Ave., #2A 7211 S. Peoria St.. Suite 290 Englewnnrc #2A 7211 S.Peoria St..Suite 290 Englewnnrt Address cn 80112 e. Fort Collins, CO 805225ress 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 fist (Circular 570 as amended) and be authorized to transact business in the State of Colorado. BID NO. N/A CF-7 Bond No. 880826P PAYMENT BOND KNOW ALL MEN BY THESE PRESENT: that H & L Concrete, Inc. 651 28th Street, Greeley, CO 80631 a Corporation hereinafter called Principal and Developers Surety and Indemnity Company 7211 S. Peoria St., Suite 290, Englewood, CO 80112 hereinafter called Surety„ are held and firmly bound unto Board of Weld County Commissioners 915 10th Street, Greeley, CO 80632 hereinafter called Owner, in the penal sum of dollars (5 99,300.00 ) in lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, successors, and assigns, jointly and severally, firmly these present. 'Ninety Nine Thousand Three Hundred and 00/100 THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the Owner, dated the day of a copy of which is hereto attached and made a part hereof for the construction of: Rehabilitation of Bridge Abutments NOW, THEREFORE, if the Principal 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, coal and coke, 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 CF-4 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 or 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 Owner and the Contractor shall abridge the right of any beneficiary hereunder,whose daim may be unsatisfied. IN WITNESS WHEREOF, this instrument is executed in counterparts, each (number) one of which shall be deemed an original, this day of CONTRACTOR AS PRINCIPAL (Corp. Seal) H & L Concrete, Inc. Company Name 651 28th Street, Greeley, CO 80631 Company Address Attest(kWt �� wt u ' ii;ii;m3 By (s) Witness asloPrincipal 651 28th Street, Greeley, CO 80631 .1 g 1 niMq,uJo Sec./4¢ , Address Name and Title SURETY COMPANY (Corp. Seal) Developers Surety and Indemnity Company Surety 7211 S. Peoria St., Suite 290, Englewood, CO 80112 Address Attest c3 1 1 By"f)a- 1 r.. (_ .C1.131/lc, Surety Secretary Att*ney4i f fact Rae Campbell Kathryn Y. Broyles 2900 S. College Ave.. #2A 7211 S. Peoria St., Suite 290. Enalewood CO 80112 Address Address Fort Collins, CO 80525 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 of Colorado. BID NO, N/A CF-5 POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO BOX 19725,IRVINE,CA 92623•(949)263-3300 KNOW ALL MEN BY THESE PRESENTS,that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each severally,but not jointly,hereby make,constitute and appoint: ***JEFFREY L. BROYLES, KATHRYN Y. BROYLES, RENEE STEIN, RAE L. CAMPBELL, MICHAEL a PIERCE, LAWRENCE E. LUTGEN, MARY M. POWELL, JOAN DELAUDER, JOINTLY OR SEVERALLY"" as the true and lawful Attorney(s)-in-Fact,to make,execute,deliver and acknowledge,for and on behalf of said corporations as sureties,bonds,undertakings and contracts of suretyship giving and granting unto said Attorney(s)-in-Fact fhll power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation,and all of the acts of said Attorneys)-in-Fact,pursuant to these presents,arc hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Board of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of November I,2000: RESOLVED,that the Chairman of the Board,the President and any Vice President of the corporation be,and that each of them hereby is,authorized to execute Powers of Attorney,qualifying the attorney(s)named in the Powers of Attorney to execute,on behalf of the corporations,bonds,undertakings and contracts of suretyship:and that the Secretary or any Assistant Secretary of the corporations be,and each of them hereby is,authorized to attest the execution of any such Power of Attorney; RESOLVED,FURTHER,that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile.and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporation when so affixed and in the future with respect to any bond, undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective Executive Vice President and attested by their respective Secretary this 8^'day of November,2000. David H.Rhodes,Executive Vice President �P�jV AND INOccZ C o OMPANY Qc JG�FiPO/�rF�,� g,` 200 �—it 1- �� / / =m: SEAL V m 0,9s. ° B,: V v � VV! To: ci o'. 1936 f05 } Walter A.Crowell, Secretary %7 '•.,,,2*P `d27, 41./E00 � STATE OF CALIFORNIA ) )SS. COUNTY OF ORANGE On November 8,2000,before me,Diane J.Kawata,personally appeared David H.Rhodes and Walter A.Crowell,personally known to me(or proved to me on the basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacities,and that by their signatures on the instrument the entity upon behalf of which the persons acted,executed the instrument. WITNESS my hand and official seal.1. DIANE J.MI 181o28 f 0 .may. COMM,.1161928 rp \ „Jt 111 ',vS� ,ate ; :NOTARY PUBLIC-CALIFORNIA Signature_' m �fwti' ORANGE COUNTY E MY GOMM FxO.Jan,B,2002 CERTIFICATE The undersigned. as Chief Operating Officer of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked,and furthermore.that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney.arc in force as of the date of this Certificate. This Certificate is executed in the City of Irvine.California,the day of By David G. Lane,Chief Operating Officer ID-I 380(I I/00) Hello