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Home My WebLink About20012690 09/12/2001 11:53 9702672231 COMMUNITY FIRST PAGE 01/01 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYY) N 09/12/2001 PRODUCER (970)223_0924 FAX (970)223-7438 Hits MN I IrI.'A I L IS IS5UhLI AS A MAI I i_FCOr NFORMA IRON Community First Insurance Agencies, Inc. ONLY AND CONFERS NO RIGHTS'UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 1075 W Horsetooth Rd, Ste 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins, CO 80526 INSURERS AFFORDING COVERAGE INSURED T & T Concrete Inc INSURER AI UniTrin PO Box 336790 INSURER B' Pinnacol Assurance Greeley, CO 80633 INSURER C; INSURER IT INSURER Ef COVERAGE THE POLICIES OF INSURANCELISTED,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. "TULI(:T kPfR�.Trv! PC-JULY LAYFKAI IUN— L7 TYPE OF INSURANCE POLICY NUMBER DATE(MNEDDIYY) DATE(MM/DD/VY) LIMITS GENERAL LIABILITY CPA18757480507 10/14/2001 10/14/2002 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) S 100,000 ICLAIMS MADE Q OCCUR MED EXP(Any one person) S 51,000 A PERSONAL S ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PROOUCTS-COMP/OP AGG $ 2,000,000 PEO7 POLICY RO- F-1 LOC J AUTOMOBILE LIABILITYCPA18757480507 10/14/2001. .10/14/2002 COMBINED SINGLE LIMIT ffi n 'ANY AUTO (Ea accident) 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) A HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Par accident) PROPERTY DAMAGE $ (Peracddent) --- �� GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ T ANY AUTO - OTHER THAN EA ACC $ AUTO ONLY:• AGG`$ EXCESS LIABILITY UO79970720207 10/14/2001 10/14/2002 EACH OCCURRENCE s 1,000,000 ' )71OCCUR r_1 CLAIMS MADE AGGREGATE $ 1,QQQ,QQQ A s DEDUCTIBLE I S I; RETENTION $ 10,000 y1PG 5Tn r u- v r w $ WORKERS COMPENSATION AND 3083150 07/01/2001 07/01/2002 X I TORY LIMITS I J ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT S 100000 B E.L.DISEASE-EA EMPLOYEE S 100000 E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESJE7(CLUSIONSADDED BY ENOOR$EM NT/SPECIAL PROVISIONS Weld County, Colorado is named as Additional Insured as their interests may appear as respects to ongoing operations. CE IF[CATE LDER I X I ADDITIONAL INSURED;INSURER LETTER: A •CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL _3_0__,DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Weld County Attn: Dean Dreher BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1111 H. Street OF ANY K( PON THE COMPANY,ITS O RESENTATI (/W. Greeley, CO 80631 AUTHORIZE ,:14 f . Rosemar KI-sling AUORD 2s 5("lay} FAX: 304-6497 N 1988 • ( u / 4 , Cl/-•2(/',ZO f 2001-2690 Bond No. KA1476 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENT: that T& T Concrete, Inc. (Name of Contractor) P.O. Box 336790, Greeley, CO 80633 (Address of Contractor) a Corporation hereinafter called Principal, and (Corporation, Partnership or Individual) Contractors Bonding and Insurance Company (Name of Surety) P.O3ox 9271, Seattle. WA 98109-0271 (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 ($434,389.66 ) 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. THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal Petered into a certain contract with the Owner, dated the 12 day of sEPtEMBER 2001 , a copy of which is hereto attached and made a part hereof for the construction of: Southwest Weld County Service Center Access Road Project County Road 24 1/2 NOW THEREFORE, if the Principal shall well, truly and faithfully perform its duties, all the undertald s„ covenants, terms, conditions, and agreements of said contract during the original-term thereof, and any extensions thereof which may be 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 front 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, *Four Hundred Thirty Four Thousand Three Hundred Eighty Nine and 66/100 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, each (number) one of which shall be deemed an original, this 17 day of CFPTIThiltriti. 'mot CONTRACTOR AS PRINCIPAL (Corp. Seal) T& T Concrete, Inc. Company Name P.O. Box 336790, Greeley, CO 80633 Company Address Attest�� ,%q/ By (s) �Vivus as to Principal e:::-- P.O. Box 336790, Greeley, CO 80633 TONY nxr_TWTTO/ vv T *•'irr Address Name and Title &.-- ��PNO ..„„-or _ moo,. QORA • 7' PS 'p. COMPANY Contractors Bonding and Insurance Comoanv �: U rp. Seal) Surety (� � , ' 1/ - . . c ,/., 19 ' dd- 0 P.O. Box 92171. Seattle WA QaliQ-1971 ress By Atto a in ct Rae Campbell Kathryn ryg Surety y S �etary Y. D y 2900 S. College Ave., #2A P.O. Box 9271, Seattle WA 98114-n271 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 5 as amended) and be authorized to transact business in the State of Colorado. CF-7 Bond No. KA1476 PAYMENT BOND KNOW ALL MEN BY THESE PRESENT: that T&T Concrete, Inc. P.O. Box 336790, Greeley, CO 80633 a Corporation hereinafter called Principal and • Contractors Bonding and Insurance Company P.O. Box 9271, Seattle,WA 98109-0271 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 (5 434,389.66 ) 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, firms,by these present. THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal_ entered into a certain contract with the Owner, dated the 12 day of 5EPTEMBER 2001 a copy of which is hereto attached and made a part hereof for the construction of: Southwest Weld County Service Center Access Road Project County Road 24 1/2 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 'Four Hundred Thirty Four Thousand Three Hundred Eighty Nine and 66/100 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 12 day of SEPTEMBER. 2001 CONTRACTOR AS PRINCIPAL (Corp. Seal) T& T Concrete, Inc. Company Name P.O. Box 336790, Greeley, CO 80633 Company Address ALLe5C' ` � i � -r7r4 Cns By1 "/ (s) ltness as to Principal — ----------- _ _ P.O. Box 336790, Greeley, CO 80633 TONY ARGETFTT.I/ PRRCT➢FN'I' Address Name and Title ot,INSUPA '', _ �c 'pX COMPANY oo-_. 6'(C Seal) Contractors Bonding and Insurance Company o �y - Surety o . 1 t = 2 : P.O. Box 9271, Seattle, WA 98109-0271 19 _ '�� rye' ,,,..,,.,., c> y ,� / Address ''i,.,,WASH„- k Bye / l , 1 - � �{; ¢� Surety Secretary Atto -in- ct Rae Campbell Kathryn Y. Dryg 2900 S. College Ave., #2A P.O. Box 9271, Seattle. WA 98109-0271 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, ' CF-5 ,100e e�e o�°o ____ _ "aigfo t:i oo�131.:`e°___ o..^-4o1*:: -8esoo�. e01:. eooe / eeoe BB oa � .� � °<°o°e"� .� °ff o .... .... � .� .� ...°e°o �� .► ee°eee eB a 9oee °oe a°o°�o°° � �m� °o a ee eoe °°eo°° ^'oo � � oe='o00eeoe°^ a°o°�'`+° � °ee- °°°e a° oeoo pe° — o p °oo°e°e�Boae000 ao°000-°°De°e 000°eooe 8°�at° ^'°°",eee o eee°o°op° °e°°° o° °�: oo ° o°",oeoo",°e`°°�e<, 4pe oeo eo °ee =o° icis1ee 1,fl'•oeo°oo peep ° 8gir,).°A °e °e°°o°e"e°°e' 'e oeol oo°°'97'eeee°oo°e� o°°eoeoo°'�B74$4)ee° oeopp a oo°o eoe° B, I(III' °°°%^7"°)ii00Vpp°°' e;ii000ip°°°"o.iii�p,i°°°'°oa0i, uli°.°°oo, ifin... ., ,,,°°o°v.,,,�0°°°°'..,,p00Vp, ooiVi0Cp°poo°'°ooi°i0p0i°Oo°o'000°,...°,,..,°ii0p°Vpo°e°`oifialpp0o°°°p °'°° io� uuuw� I uuw� w1 uu�uw uu�lluuuu�Vuu uu�uul w�uuuu�uuww�uuuuu�uuuuu�uuuuu�uuuu'vo!IIII'f �pes°e e� chic LIMITED POWER OF ATTORNEY n °pe ,fiu�• INSURANCE moo'° lll,, ft 1`04000°",a s= sis o oeo/ ,1746v Not Valid for Bonds Power of Attorney °° I :31I,lExecuted On or After: MARCH 31ST, 2003 Number: 647896 �°l�0) e _e o"°p ' ,Sig:>yeg,as_ ""ve e °eoo- :..): 1041 ifililliii eb40S READ CAREFULLY — to be used only with tin bond specified herein A valid original of this document must be printed on security paper with black,blue, and red ink, and must 5.-14P:1, • ° pliiii e bear the seal of Contractors Bonding and Insurance Company(the"Company").Only an unaltered original 'Qo�III') ' of this power of attorney is valid. If a photocopy, the word "VOID" should appear clearly in one or more places. This Power of Attorney is valid solely in connection with the execution and delivery of the bond p°`°°e a°s =o era°< '>°_'e v bearing the number indicated below,provided the bond is of the type indicated below,and is valid only if the "°°'° 'lliv bond is executed on or before the date indicated above. nj��I) ::°0411t :` a ' :Wit:- KNOW ALL MEN BY THESE PRESENTS, that the Company does hereby make, constitute �o�y and appoint the following: KATHRYN Y. DRYG, DAVID MEYER, R.J. MARQUARDT, RAE -aeooa°e o< T/0:/ L. CAMPBELL, RENEE STEIN and MICHAEL D. PIERCE its true and lawful Attorney(s)- tl!Iil1 !°°°° in-Fact, with full power and authority hereby conferred in its name, place and °I >I" °>°} stead, to execute, acknowledge and deliver on behalf of the Company: (1) any a o>gepe'flq ° and all bonds and undertakings of suretyship given for any purpose, provided, "°° ,��UTA however, that no such person shall be authorized to execute and deliver any �°e!nQ�;;. <°1%S: bond or undertaking that shall obligate the Company for any portion of the 1'/ e e°8eee<es `°°eve °<* penal sum thereof in excess of $6,000,000, and provided, further, that no °eee° Attorney-in-Fact shall have the authority to issue a bid or proposal bond for ifige ° rpuI". any project where, if a contract is awarded, any bond or undertaking would be I�i111I'JL 'idigg6f. required with penal sum in excess of $6,000,000; and (2) consents, releases and a ° ' Ma other similar documents required by an obligee under a contract bonded by the °aveeoe / 'r;'��I� p' Company. This appointment is made under the authority of the Board of Directors e000l' ;�; of the Company. ieeil°I "epeooseo l Co P,,,NI' 11004 **Mr °�A eoeQoeoe >ifilIIl11 es CERTIFICATE ,n��' I, the undersigned secretary of Contractors Bonding and Insurance Company, a `"°°' i((Ii"I Washington corporation, DO HEREBY CERTIFY that this Power ��oe��,of Attorney remains in full co°°II) /14 e force and effect and has not been revoked, and, furthermore, that the resolutions of the o• ne°el oo"v- Board of Directors set forth on the reverse are now in full force and effect. >'` (Ill!Eoel \ i hll�) 016 A �', Bond Number KA1476 e <°p o • 3 �7 „i"l( 4. 1'i 0 Cpe 1%%,.; 1 iZzl - V +,�'Signed and sealed this 12e,_ day of SEPTEMBER 2001 . as llll) ° f = o ° ," /Robert M.M.Ogle,Secretary ° IIt's 1 4 by �^ PollgQ; 4• fi "Sf , t:iie.n+" CBIC • 1213 Valley Street•P.O.Box 9271 •Seattle,WA 98109-0271 ",eeoe till 'Ylg'ON",- (206) 622-7053 • (800) 765-CBIC (Toll Free) • (206) 382-9623 FAX e e°e peve e eeo41;:i IIt1Sss.sss' II ° Illnn ° PoaLPOA.04-US101700 ,QUI"E�°r°in ntar°00 °I �tnrnrnp�rrrrrnm°�num us mwminurnm� rmn�nm TMnn� nmm� nn r Pa!1 ea�°. a 0°d°adeE°!°Epee_°epddddd!! oovv Ida e°ddddddlpo; tdddddd, otoimo;;g ttdddddl4;;e•e°th 101/4 ap 64dld0Edlelll e�d1 a°e ee° e,e° eta po �4, '; d!! ddddeld :`°$eo-ae oe eoe eo og-8o$eoe°oe�o8`o'°o°oeo°o°oo"=o"eooe°o°a$^�^$o°o°°°e°o°o°oe°l:e9oo°o°oo°o°poog°�.800°o°�oe°°e°°i°°e°°e°o°e°°°o°oe'8�o°o°eo°a°o°o°°^o�'odod°o°d°d°o°fie°^°B�e oeo°eie eceoego�oe%eo 1eoe^gGo o°°e a o°�o:aoe'o°oo ' �e°ee°°�a000e�goeoe'°eoo",°�oe°ooe°eeooe°° vo°°e°oo°ee°°°mo°°e°e'o� �edee °�°o°o o8�ae o°e°.',°e°or_e;°i'.',°o°°oeoo°e°e°e°;IIogo"°e°°ee°o/ °°°•eee 54-5'°e "" o'ia 0 8...°0 >°�0 8.�. e"�a .... �. a °°B�4 0 e°e eoo ee eeooe, °eooe°e° ° °eoeooeoe= °,e °eeoe °"°o° °eo° °"o"o °oo° °oo vo"oo " ee oe,e° ° e°ee°°°e°a o°e°oo°o" "o"oo"o° °oo, " " °oee °o e'> ooe<o a°o>"�°<eoe°....a a°v000....000^oe>�e>:�8so�►vo o°seo o" °° °° °° °° °°oo°° °. a °° ° o 'oeo °°g o e . e °�►'e o o°`o^'o e' o°eee°`°' "e°o,�e°"a i o eese`o°°�� B"° ��o° ACCEPTANCE OF NOTICE Receipt of the above Notice of Award is hereby acknowledged by T & T CONCRETE INC. this the 12 day of SEPTEMBER , 2001. BY: Title: PRESIDENT 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. 21 rHA St' MEMORANDUM 1 Ce TO: Clerk to the Board DATE: September 18, 2001 COLORADO FROM: Frank B. Hempen, Jr., P.E. Director of Public Works/County Engineer SUBJECT: Southwest Weld County Service Cent r Access Road Project(WCR 24.5) For your records,I am enclosing the following documentation regarding the Construction of the Southwest Weld County Service Center Access Road Project(WCR 24.5): 1) Performance Bond in the sum of$434,389.66 —T&T Concrete, Inc. 2) Acceptance of Notice signed by Tony Arguello, President of T&T Concrete, Inc. 3) Certificate of Liability Insurance for T&T Concrete, Inc. If you have questions, please give Dean Dreher or me a call. I Enclosures cc: Jeffrey J. Jerome, Operations Manager Dean Dreher, Engineering Tech III WCR 24.5 file Hello