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HomeMy WebLinkAbout20001582.tiff ACORD! CERTIFICATE OF LIABILITY INSURANCE.,„P RS DA IE(MM°°/,Y' CON-2 06/01/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Linden/Bartels & Noe Agency-FC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Fort Collins HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 2900 South College Ave Ste. 2A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW__ _ Fort Collins CO 80525 Phone: 970-229-9304 Fax:970-229-1398 INSURERSAFFORDINGCOVERAGE INSURED INSURER A. Travelers Indemnity Co__ INSURER B: Mountain Constructors, INSURER C: Inc. P. O. Box 405 INSURER D: Platteville CO 80651I — ---- - -- -- _-- - - -- 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. INS POLICVEFFECTIVE- POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE POLICY NUMBER ' DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000 000 A X COMMERCIAL GENERAL LIABILITY DT-CO-161E8703-IND-99 07/28/99 07/28/00 FIRE DAMAGE(Any one fire) 1 $ 300,000 __ J CLAIMS MADE [ X I OCCUR MED EXP(Anyone person)._1$ 5, 000 A X $250 PD Ded PERSONAL BADV INJURY 2 $ 1,000,000 __- __ GENERAL AGGREGATE $ 2,0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGO $ 2,000, 000 PRO- POLICY L 128,: LOC _ __- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accieenp $ 1, 000,000 A X ANY AUTO DT-810-161E8703-TIL-99 07/28/99 07/28/00 ALL OWNED AUTOS BODILY INJURY ' $ ' SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE -- - - (Per accident) GARAGE LIAEIII_ITY I AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA AU. $ AUTO ONLY: AGG , $ EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 A X OCCUR r] CLAIMS MADE DTSM-CUP-16118703-TIL-99 07/28/99 07/28/00 AGGREGATE $ 1,000,000 $ DEDUCTIBLE _ $ — RETENTION $ $ WCSIAIU- I C1 - WORKERS COMPENSATION AND I TORY LIMITSI._. ER EMPLOYERS'LIABILITY I 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: CONSTRUCTION OF WELD COUNTY BRIDGE WEL047.0-68.OB; CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY CERTIFICATE HOLDER Y ADDITIONAL INSURED;INSURER LETTER: A CANCELLATION BDWELDC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEE ORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR 10 0 MAIL BOARD OF WELD COUNTY 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE COMMISSIONERS LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OF:LIABII.I rY OF 915 10TH STREET GREELEY CO 80631 _ANY KIND UPON -' INSURER.I AGENTS OR REPRESENTATIVES1-1 _ (fewf it ' ..,fin . (k -.7,P-JftCD Jeff Broyles • K. �'0DI _ ACORD 25-S(7/972) 2000-1582 Bond No. 8506869 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That Mountain Constructors, Inc. (Name of Contractor) P.O. Box 405, Platteville, CO 80651 (Address of Contractor) a Corporation , hereinafter called Principal, Corporation,Partnership,or Individual and Fidelity and Deposit Company of Maryland (Name of Surety) 5445 DTC Parkway, Suite 1200, Englewood, CO 80111 (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 Two HundredNinety Nine Thousand Nine Hundred Eighty Six and 60/100 Dollars ($ 299,986.60 ) 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. 'FILE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the County, dated the 27th day of March , 2000 , a copy of which is attached and made a part hereof for the construction of: WELD COUNTY BRIDGE WEL047.0-068.OB NOW, THEREFORE, if the Principal shall well, truly and faithfully perform it's 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 (1) 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 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 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 final settlement between the County and the contractor shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. S-3172/GEEF11/97 Page 1 of 2 Bond No. 8506869 IN WITNESS WHEREOF, this instrument is executed in (number)counterparts, each one of which shall be deemed an original,this 1st day of June , 2000 . ATTEST: Mountain Constructors, Inc. Principal v0 Pn ipa Secrets Secretary By (5) (SE ) L1( L COL rcy n as as to Principal P.O. Box 405, Platteville, CO 80651 Address P.O_ . Box 405, Platteville, CO 80651 Address ATTEST: RuelAelealtA- Fidelity and Deposit Company of Maryland rety Secretary Surety Renee Stein (SEAL) ---- ee- I P BY l ,r�,'t/ ' .I.' (, Y., dasrely I Attome)¢ -Fact Kathryn Y. Broyles) ���UUU JJJ 2900 S. College Avenue, #2A 5445 DTC Parkway, Suite 1200 Address Address Fort Collins, CO 80525 Englewood, CO 80111 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 Department's most current list(Circular 570 as amended) and be authorized to transact business in the state where the project is located. S-3172/GEEF11/97 Page 2 of 2 Bond No. 8506869 PAYMENT BOND KNOW ALL MEN BY THESE PRESEN'T'S: That Mountain Constructors, Inc. Name of Contractor P.O. Box 405, Platteville, CO 80651 Address of Contractor a Corporation ,hereinafter called Principal, and Corporation, Partnership or Individual Fidelity and Deposit Company of Maryland Name of Surety 5445 DTC Parkway, Suite 1200, Englewood, CO 80111 Address of Surety hereinafter called "Surety", are held and firmly bound unto THE BOARD OF WELD COUNTY COMMISSIONERS. 915 - 10th Street, P. O.Box 758, Greeley,Colorado 80632,hereinafter called"County",in the penal sum of Two HundredNinety Nine Thousand Nine Hundred Eighty Six and 60/100 - - Dollars ($ 299,986.60 )in lawful money of the United States, for the payment of which sum well and truly to he 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 the 27th day of March , 2000 , a copy of which is hereto attached and made a part hereof for the construction of: WELD COUNTY BRIDGE WEL047.0-068.0B 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 premiums on said work, and for all labor,performed on such work whether subcontracted 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 the 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. 531711GEEF 11/97 Page 1 of 2 Bond No. 8506869 IN WITNESS WHEREOF,this instrument is executed in (number) counterparts. each one of which shall be deemed an original,this 1st day of June , 2000 . Mountain Constructors, Inc. Principal ATTEST: �BY: ( /e /d (S) C li 1,{n lJI tl(V Pd ' a e Lary (SEAL)C.) CI n __ P.O. Box 405, Platteville, CO 80651 Witness to Prin al Address Fidelity and Deposit Company of Maryland Renee Stein Surety ATTEST: • Witness as to Surety Attorney-in ct Kathryn Y. Broyle 2900 S. College Avenue, #2A 5445 DTC Parkway, Suite 1200 Address Address Fort Collins, CO 80525 Englewood, CO 80111 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 Department's most current list (Circular 570 as amended) and be authorized to transact business in the state where the project is located. S-3171/GEEF 11/r Page 2 of 2 Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND HOME OFFICE: P.O. BOX 1227, BALTIMORE, MD 21203-1227 Know ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland, by F. L. BORLEIS, Vice-President, and T. C. JOHNSON, Assistant Secretary. in pursuance of authority granted by Article VI, Section 2, of the By-Laws said Company, which are set forth on the reverse side hereof and are hereby certified to be in full and eff the date hereof, does hereby nominate, constitute and appoint Jeffrey L. Broyles, Michael D. , Rae L pbell, Kathryn Y. Broyles, Lawrence E. Lutgen,Mary M.Powell,Renee Stein,Laurie A.W and Da .Meyer,all of Greeley,Colorado,EACH its true and lawful agent and Attorney-in-Fact, to make te, seal liver, for, and on its behalf as surety, and as its act and deed:any and all bonds and undertakin a exec f such bonds or undertakings in pursuance of these presents, shall be as binding upon said Compan Ily and , to all intents and purposes, as if they had been duly executed and acknowledged by the regularly a officers a Company at its office in Baltimore, Md., in their own proper persons. This power of attorney rev.3tihat issue,�;behalf of Don. R. Broyles, Kathryn K. Coulson, Jeffrey L. Broyles, Kevin W. McMahon, Michael a ce, Rae jr\2$fipbell, Kathryn Y. Broyles, Lawrence E. Lutgen, and Mary M. Powell, dated June 3, 1998. The said Assistant Secretary doe by certi the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2, of the By-L said Co p y,and is now in force. IN WITNESS WHEREOF,the sid Vice- ent and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDE AND DEPOSIT COMPANY OF MARYLAND,this 14th day of April, A.D.2000. �O O ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND tz, C �/ l. . Z By: Ohe L 1�11LElu 5 jj�� 11L T. C. Johns Assistant Secretary F. L. Borleis Vice-President State of Maryland ss: County Of Harford On this 14th day of April, A.D. 2000, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came F. L. BORLEIS, Vice-President and T. C. JOHNSON, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth and saith,that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. U Patricia A. Trombetti Notary Public My Commission Expires: October 9,2002 L1428-020-5343 EXTRACT FROM BY-LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND "Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice-President, or any of the Senior Vice-Presidents or Vice-Presidents specially authorized so to do by the Board of Directors or by the Executive Committee, shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident Vice-Presidents, Assistant Vice-Presidents and Attorneys-in-Fact as the business of the Company may require, or to authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations, policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees. mortgages and instruments in the nature of mortgages,...and to affix the seal of the Company thereto." CERTIFICATE I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the original Power of Attorney of which the foregoing is a full,true and correct copy, is in full force and effect on the date of this certificate;and I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially authorized by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI, Section 2,of the By-Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed." IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company,this 1st day of June 2000 Assistant Secretary Hello