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Home My WebLink About20011207.tiff ACORD CERTIFICATE OF LIABILITY INSURANCILA RS C- DATE(WAIDD/YY) LAIC-1 04/17/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Linden/Bartels & Noe Agency-GR 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 Phone: 970-356-1133 Fax:970-356-4088 INSURERS AFFORDING COVERAGE INSURED INSURER A: Ohio Casualty Group INSURER B: Flat Coat Asphalt Specialists INSURER C: 601A Innovation Drive INSURER D: Windsor CO 80550 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. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDNY) DATE(PAM/DDNY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIALGENERALLIABILITY 52730892 03/03/01 03/03/02 FIREDAMAGE(Anyonefire) $ 100,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL MN INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY I 7& ri LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,000 A X ANY AUTO 52730892 03/03/01 03/03/02 ALL OWNED AUTOS BODILY INJURY f SCHEDULED AUTOS (Per Person) X HIRED AUTOS BODILY INJURY f X 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 LIABILITY EACH OCCURRENCE $ I OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I TORY LIMITS I IOER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: 2001 SEAL COAT PROJECT; CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY. CERTIFICATE HOLDER I Y I ADDITIONAL INSURED;INSURER LETTER: A CANCELLATION WELD-02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN WELD COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL ATTN: ENGINEERING DEPT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR P.O. BOX 758 GREELEY CO 80632 REPI;ESENTAT Michas . ACORD25S(7/97) OOnAelLt /)y„n,/,, 0...5/Q 7 -200/ 4 2001-1207 PERFORMANCE BOND Bond No. 31100 KNOW ALL MEN BY THESE PRESENTS: That FLAT COAT ASPHALT SPECIALISTS, LLC Name of Contractor 601 A INNOVATION CIRCLE, WINDSOR, CO 80550 Address of Contractor a Corporation , hereinafter called Principal, and Corporation, Partnership, or Individual PIONEER GENERAL INSURANCE COMPANY Name of Surety 6780 E. HAMPDEN AVENUE, DENVER, CO 80224 Address of Surety hereinafter called Surety are held and firmly bound unto THE BOARD OF WELD COUNTY COMMISSIONERS, 915 10th Street, Greeley, Colorado 80632, hereinafter called County, in the penal sum of THIRTY ONE THOUSAND TWO HUNDRED TWENTY NINE AND 59/100 Dollars ($ 31,229.59) 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 presents. THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain Contract with the County, dated , a copy of which is attached and made apart hereof for the construction of: 2001 SEAL COAT PROJECT NOW, THEREFORE, if the Principal shall well, truly and faithfully perform its duties, all the undertaking, 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 guarantee 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 if 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 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 of the work or to the specifications. PROVIDED, FURTHER, that no fmal 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 on day of , FLAT COAT ASPHALT SPECIALISTS, LLC Principal ATTEST: Principal Secretary (SE¢_L) By ej _ p` (Th ,-) /1 601 A INNOVATION CIRCLE, WINDSOR, CO 80550 Witness as to Principal Address 601 A INNOVATION CIRCLE'- Address WINDSOR, CO 80550 A Surety ecr�� RR e�t e 3 n PIONEER GENERAL INSURANCE COMPANY (SEA 9 ' t WeltStitt BY t,V 1,0,�., l '4 L Witness��ss to Surety Kathryn Y. Dryg, Attprney-i4Fact 2900 S . College Ave . , #2A 6780 E. HAMPDENAVENUE Address Address Fort Collins , CO 80525 DENVER, CO 80224 NOTE: Date of bond must not be prior to date of Contract. If Contractor is a partnership, all partners should execute bond. IMPORTANT: Surety Companies executing bonds must appear on the Treasury Departments most current list (Circular 570 as amended)and be authorized to transact business in the state where the project is located. PAYMENT BOND Bond No. 31100 KNOW ALL MEN BY THESE PRESENTS: That FLAT COAT ASPHALT SPECIALISTS, LLC Name of Contractor 601 A INNOVATION CIRCLE, WINDSOR, CO 80550 Address of Contractor a Corporation , hereinafter called Principal, and Corporation, Partnership, or Individual PIONEER GENERAL INSURANCE COMPANY Name of Surety 6780 E. HAMPDEN AVENUE, DENVER, CO 80224 Address of Surety hereinafter called Surety are held and firmly bound unto THE BOARD OF WELD COUNTY COMMISSIONERS, 915 10th Street, Greeley, Colorado 80632, hereinafter called County, in the penal sum of 1'Ii1RTY ONE THOUSAND TWO HUNDRED TWENTY NINE AND 59/100 Dollars ($ 31,229.59) 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 presents. THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain Contract with the County, dated , a copy of which is attached and made apart hereof for the construction of: 2001 SEAL COAT PROJECT NOW, THEREFORE, if the Principal shall, during the entire length of said Contract and any extension thereof, 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 premium on said work, and for all labor, performed in such work whether subcontractor or otherwise, then this obligation shall be void; otherwise to remain 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 work to be performed thereunder or the specifications accompanying the same shall in any way affect its obligation on time, alteration or addition to the terms of the Contract or to the work or to the specifications. PROVIDED, FURTHER, that a 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 (number) counterparts, each one of which shall be deemed an original, this the day of ° AT COAT ASP: SPECIALISTS LLC Princip./ ATTEST: t Jr\p AAsThl n. Q-U vJ By Principal Secretary (SEAL)L 0•---) ckx )\o&3 601 A INNOVATION CIRCLE,WINDSOR, CO 80550 Witness as to Principal Address 601 A INNOVATION CIRCLE Address WINDSOR, CO 80550 PIONEER GENERAL INSURANCE COMPANY Surety Witness to Surety Renee Stein Kathryn Dryg, Atto4 ey-in-Fa� 2900 S . College Ave. , #2A 6780 E. HAMPDENAVENUE UUU Address Address Fort Collins , CO 80525 DENVER, CO 80224 NOTE: Date of bond must not be prior to date of Contract. If Contractor is a partnership, all partners should execute bond. IMPORTANT: Surety Companies executing bonds must appear on the Treasury Departments most current list (Circular 570 as amended)and be authorized to transact business in the state where the project is located. PIONEER GENERAL INSURANCE COMPANY Denver, Colorado POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the PIONEER GENERAL INSURANCE COMPANY,a corporation of the State of Colorado has its principal office in the City of Denver,Colorado pursuant to the following By-law,which was adopted by the Board of Directors of the said Company in 1990,to wit: 'Article VI-Section 2-RESIDENT OFFICERS AND ATTORNEYS-IN-FACT.The President or any Vice-President,acting with any Secretary or Assistant Secretary,shall have the authority to appoint Resident Vice-Presidents and Attorneys-In-Fact,with the power and authority to sign,execute,acknowledge and deliver on its behalf,as Surety: Any and all undertakings of suretyship and to affix thereto the corporate seal of the corporation.The President or any Vice-President,acting with any Secretary or Assistant Secretary,shall also have the authority to remove and revoke the authority of any such appointee at any time,does hereby make,constitute and appoint *** JEFFREY L. BROYLES, MICHAEL D. PIERCE, RAE L. CAMPBELL *** *** KATHRYN Y. DRYG, LAWRENCE E. LUTGEN, JOAN DELAUDER *** *** RENEE STEIN, MARY M. POWELL *** its true and lawful Attorney(s)-In-Fact,to make,execute,seal and deliver for and on its behalf,as Surety: And any and all undertakings of suretyship And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Company,as fully and amply,to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the Company at its offices in Denver,Colorado,in their own persons. The following Resolution was adopted at the Regular Meeting of the Board of Directors of the Pioneer General Insurance Company,held on June 1,1990. 'RESOLVED,That the signatures of officers of the Company and the seal of the Company may be affixed by facsimile to any Power of Attorney executed in a=rdance with Article VI-'Section 2 of the Company By-laws;and that any such Power of Attorney bearing such facsimile signatures,including the facsimile signature of a certifying Assistant Secretary and facsimile seal shall be valid and binding upon the Company with respect to any bond,undertaking or contract of suretyship to which it is attached.' All authority hereby conferred shall remain in MI force and effect until terminated by the Company. IN WITNESS WHEREOF,PIONEER GENERAL INSURANCE COMPANY has caused these presents to be signed by its President and its corporate seal to be hereunto affixed this 08 day of DECEMBER , 2000 PIONEER GENERAL INSURANCE COMPANY L F>l .11± lri^.1 nsl� ��/��//�I�j,t�/ .4 J Secretary d _d /fK1/w""' "t _ a 1- _\ L € State of Colorado ) ss. By PRESIDENT .' County of Arapahoe ) On this 08 day of DECEMBER 2000 before me personally came Robert H.Warburton to me known,who being by me duly sworn,did depose and say that(s)he resides in the County of Adams,State of Colorado;that(s)he is the President of the PIONEER GENERAL INSURANCE COMPANY,the corporation described in which executed the above instrument;that(s)he knows the seal of the said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed by ord of Directors of said corporation;that(s)he signed(his)(her)name by like order;and that By-law,Artide VI-Section 2,adopted by the Board of Directors o ntsr in the preceding instrument,is now in force. • • • ;:o • My Commission Expires L'h • tSfj';A% V \G' Publicrtf�yv2J PF “• • OF COO I. M. J. FRTCX ,Secretary of PIONEER GENERAL INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy S a Power of Attorney executed by said PIONEER GENERAL INSURANCE COMPANY,which is still in full force and effect. Signed and sealed at the City of Denver,Colorado this day of P133 —Rye) _e Secretary Hello