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AGORA, CERTIFICATE OF LIABILITY INSURANCE 10/31/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE
INSURED INSURER A:Travelers Insurance
G.L. Hoff CO. INSURER B:Pinnacol Assurance
1815 W 12th Street INSURER C:
P .O. Box 7448
INSURER D:
Loveland, CO 80537
INSURER S
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.
IONI
LTR TYPE OF INSURANCE POLICY NUMBER PDATE(OLICY MM/ODIYYY)VE P DATE(MM/DADIIYYN LIMITS
A ' GENERAL LIABILITY DTCO324D9364TIA00 01/01/00 01/01/01 EACH OCCURRENCE $1, 000, 000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire)$ 300, 000
CLAIMS MADE XI. OCCUR MED EXP(Any one person) $ 5, 000
PERSONAL&ADV INJURY $1, 000, 000
GENERAL AGGREGATE *2 , 000, 00 0
GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OPAGG s2 , 000, 000
PRO
POLICY: LOC
JFCT
A AUTOMOBILE LIABILITY DT810784F8171TIL00 01/01/00 01/01/01 -CO BDSINGLE LIMIT $1, 000 , 000
X ANY AUTO Iaccident)
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
Xi HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS I (Per accident) $ —
Ir- PROPERTY DAMAGE $
' (Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGO $
A I EXCESS LIABILITY DTSMJCUP324D9364 01/01/00 01/01/01 EACH OCCURRENCE $2 , 000, 000
. OCCUR '.. CLAIMS MADE AGGREGATE $2 , 000, 000
B
I
' DEDUCTIBLE $
X RETENTION $0 $
B WORKERS COMPENSATION AND 2242590 01/01/00 01/01/01 IX TORYLIMITS DAR.
EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500 , 000
E.L.DISEASE-EA EMPLOYEE $500 , 000
E.L.DISEASE-POLICY LIMIT s500, 000
A I OTHER Builder' s Ri QT660584X3065TIL00 ! 01/01/00 01/01/01 300, 000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE:Rehabilitation of Bridge Abutments
Weld County, Colorado, by and through the Board of County Commissioners of
Weld County, its employees and agents are named as Additional Insured and
Loss Payee .
CERTIFICATE HOLDER X ADDMONALINSURED;INSURER LETTER _ CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POUCESBE CANCELLED BEFORE THE EXPIRATION
Weld County DATETHEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAILS 0 DAYSWRITIEN
915 10th St . NOTICETO THE CERRFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Greeley, CO 80631 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
i AUTHORIZED REPRESENTATIVE
(din&S L1 v,T ll-/3- c0 F/ood rt PelPasan lascvsa zce . �na•
ACORD25-S(7 )1 of 2 #5167773/M155488 VLB
2000-2853
THE AMERICAN INSTITUTE OF ARCHITECTS
Bond No. 5246266
•_;fit,,
AM Document A311
Performance Bond
KNOW ALL MEN BY THESE PRESENTS: that G. L. Hoff Company, 1815 W. 12th St. ,
Loveland, CO 80537 (Here insert lull name and address or legal title of Contractor)
as Principal, hereinafter called Contractor, and, Employers Mutual Casualty Company, P.O. Box
441098, Aurora, CO 80044 (Here insert lull name and address or legal title ol Surety)
as Surety, hereinafter called Surety, are held and firmly bound unto Weld County, 915 10th St. ,
Greeley, CO 80631 (Here insert full name and address or legal title of Owner)
as Obligee, hereinafter called Owner, in the amount of Seventy-two thousand eight hundred
eighty-six and 25/100
Dollars (y 72,886.25
for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
WHEREAS,
Contractor has by written agreement dated , entered into a contract with Owner for
(Here insert full name. address and description ol project)
Rehabilitation of Bridge Abutments
in accordance with Drawings and Specifications prepared by
(Here insert lull name and address or legal title of Architect)
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
AIA DOCUMENT A711 • PERrORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND • AlA
rERRUARY 1978 ED.•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.V.AVE.,N.W.,WASHINGTON,D.C. 20006 1
PERFORMANCE BOND
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contractor shall promptly and faithfully perform
said Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect.
The Surety hereby waives notice of any alteration or defaults under the contract or contracts of completion
extension of time made by the Owner. arranged under this paragraph) sufficient funds to pay the
cost of completion less the balance of the contract price;
Whenever Contractor shall be, and declared by Ownerg
to be in default under the Contract, the Owner having but whichot exceeding, may be liable other costs n and damages
t
for the Surety may be hereunder, the amount
performed Owner's obligations thereunder, the Surety set forth in the first paragraph hereof. The term "balance
may promptly remedy the default, or shall promptly of the contract price," as used in this paragraph, shall
1) Complete the Contract in accordance with its terms mean the total amount payable by Owner to Contractor
and conditions, or under the Contract and any amendments thereto, less
the amount properly paid by Owner to Contractor.
2) Obtain a bid or bids for completing the Contract in
accordance with its terms and conditions, and upon de- Any suit under this bond must be instituted before
•
termination by Surety of the lowest responsible bidder, the expiration of two (2) years from the date on which
or, if the Owner elects, upon determination by the final payment under the Contract falls due.
Owner and the Surety jointly of the lowest responsible No right of action shall accrue on this bond to or for
bidder, arrange for a contract between such bidder and the use of any person or corporation other than the
Owner, and make available as Work progresses (even Owner named herein or the heirs, executors, adminis-
though there should be a default or a succession of trators or successors of the Owner.
Signed and sealed this day of
G. L. Hoff Company
Principal( Stall
L-7 S) (1,-
(1-
not•/lee
E!/•0-e- '79
tile)
t�\\ n•^�n Employers Mutual Casualty Company
ATk NCL_. �J 1.l KCID I a
Icun.11,j Iseau(Witness)
Attorney—in—Fact"
—" 0
AIACAUTION: You should sign an original AIA document which has this caution printed In red.
An original assures that changes will not be obscured as may occur when documents are reproduced.
AIA DOCUMENT A311 • PERFORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND • AIA
FEBRUARY 1970 ED.•THE AMERICAN INSTITUTE O1 ARCHITECTS.1735 N.V.AVE.,N.W.,WASHINGTON,D. C. 20006 2
THE AMERICAN INSTITUTE OF ARCHITECTS
J
l,➢ Bond No. S246266
AIA Document A311
Labor and Material Payment Bond
THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND IN FAVOR OF THE
•
OWNER CONDITIONED ON THE FULL AND FAITHFUL PERFORMANCE OF THE CONTRACT
KNOW ALL MEN BY THESE PRESENTS: that G. L. Hoff Company, 1815 W. 12th St. ,
Loveland, CO 80537 (Here insert full name and address or legal title of Contractor)
as Principal, hereinafter called Principal, and, Employers Mutual Casualty Company, P.0.Box
441098, Aurora, CO 80044 (Here insert full name and address or legal title of Surety)
as Surety, hereinafter called Surety, are held and firmly bound unto Weld County, 915 10th St. ,
Greeley, CO 80631 (Here insert full name and address or legal tulle of Owner)
as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinbelow defined, in the
amount of Seventy—two thousand eight hundred eighty—six and 25/100
(Here insert a sum equal to at least one-half of the contract price) Dollars ($ 72,886.25 ),
for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
WHEREAS,
Principal has by written agreement dated , entered into a contract with Owner for
(Here insert full name,address and description of project)
Rehabilitation of Bridge Abutments
in accordance with Drawings and Specifications prepared by
(Mere insert lull name and.address or legal title of Architect)
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
MA DOCUMENT A311 • PERFORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND • MA 0
FEBRUARY 1970 ED.•THE AMERICAN INSTITUTE OF ARCHITECTS,17)5 N.V.AVE., N.W.,WASHINGTON, D. C. 20006 3
LABOR AND MATERIAL PAYMENT BOND
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS such that, if Principal shall promptly make payment to all
claimants as hereinafter defined,for all labor and material used or reasonably required for use in the performance of the
Contract, then this obligation shall be void; otherwise it shall remain in full force and effect,subject,however, to the fol-
lowing conditions:
1. A claimant is defined as one having a direct con- accuracy the amount claimed and the name of the party
tract with the Principal or with a Subcontractor of the to whom the materials were furnished, or for whom
Principal for labor, material, or both, used or reasonably the work or labor was done or performed. Such notice
required for use in the performance of the Contract, shall be served by mailing the same by registered mail
labor and material being construed to include that part of or certified mail, postage prepaid, in an envelope ad-
water, gas, power, light, heat, oil, gasoline, telephone dressed to the Principal, Owner or Surety, at any place
service or rental of equipment directly applicable to the where an office is regularly maintained for the trans-
Contract. action of business, or served in any manner in which
legal process may be served in the state in which the
2. The above named Principal and Surety hereby aforesaid project is located, save that such service need
jointly and severally agree with the Owner that every not be made by a public officer.
claimant as herein defined, who has not been paid in b) After the expiration of one (1) year following the
full before the expiration of a period of ninety (90) date on which Principal ceased Work on said Contract,
days after the date on which the last of such claimant's it being understood, however, that if any limitation em-
work or labor was done or performed, or materials were bodied in this bond is prohibited by any law controlling
furnished by such claimant, may sue on this bond for the construction hereof such limitation shall be deemed
the use of such claimant, prosecute the suit to final to be amended so as to be equal to the minimum period
judgment for such sum or sums as may be justly due of limitation permitted by such law.
claimant, and have execution thereon. The Owner shall c) Other than in a state court of competent jurisdiction
not be liable for the payment of any costs or expenses in and for the county or other political subdivision of
of any such suit. the state in which the Project, or any part thereof, is
3. No suit or action shall be commenced hereunder •
situated, or in the United States District Court for the
district in which the Project, or any part thereof, is sit-
by any claimant: uated, and not elsewhere.
a) Unless claimant, other than one having a direct
contract with the Principal, shall have given written 4. The amount of this bond shall be reduced by and
notice to any two of the following: the Principal, the to the extent of any payment or payments made in good
Owner, or the Surety above named, within ninety (90) faith hereunder, inclusive of the payment by Surety of
days after such claimant did or performed the last of mechanics' liens which may be filed of record against
the work or labor, or furnished the last of the materials said improvement, whether or not claim for the amount
for which said claim is made, stating with substantial of such lien be presented under and against this bond.
Signed and sealed this day of
G. L. Hoff Company
��/� /A (Principal) ISeaU
il CvVL )nerc
ti
/7 Tdlel
Employers Mutual Casualty Company
CA- `fS (Surely) (Seal!) ar��j2 �J\SC
Wrtnr V
Attorney—in—Fact (Titre)
AIACAUTION: You should sign an original AIA document which has this caution printed In red.
An original assures that changes will not be obscured as may occur when documents are reproduced.
AIA DOCUMENT A311 • PERFORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND • AIA O
FEBRUARY 1978 ED.•THE AMERICAN INSTITUTE OF ARCHITECTS,1715 N.V. AVE., NW.,WASHINGTON,0. C. 2000(, 4
•
THE:F,CE•FYHIS
III CUMENTH'S ' C•L•'E• it'CKG'II UNI •N WHITE•'.E••:ACK•FTHIS.•CUMENT H•S • SIMULATE•W•TE•MA•K-H• 1 'T •NANGLET•VIEW.
EMC Insurance Companies No 409838
P.O. Box 712•Des Moines,Iowa 50303
CERTIFICATE OF AUTHORITY INDIVIDUAL ATTORNEY-IN-FACT
KNOW ALL MEN BY THESE PRESENTS, that:
1. Employers Mutual Casualty Company,an Iowa Corporation 5. Dakota Fire Insurance Company,a North Dakota Corporation
2. EMCASCO Insurance Company,an Iowa Corporation 6. EMC Property&Casualty Company,an Iowa Corporation
3. Union Insurance Company of Providence,an Iowa Corporation. 7. The Hamilton Mutual Insurance Company,an Ohio Corporation
4. Illinois EMCASCO Insurance Company,an Illinois Corporation
hereinafter referred to severally as"Company"and collectively as 'Companies" each does,by these presents,make,constitute and appoint
CHRIS RICHMOND,RUSSELL MICHELS,DARLENE KRINGS,INDIVIDUALLY,FORT COLLINS,COLORADO
its true and lawful attorney-in-fact,with full power and authority conferred to sign,seal,and execute its lawful bonds, undertakings,and other obligatory instruments of a
similar nature as follows:
IN AN AMOUNT NOT EXCEEDING TEN MILLION DOLLARS ($10,000,000.D0)
and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such Company and all of
the acts of said attorney pursuant to the authority hereby given are hereby ratified and confirmed.
The authority hereby granted shall expire April 1,2003 unless sooner revoked.
AUTHORITY FOR POWER OF ATTORNEY
This Power-of-Attorney is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the Companies at a
regularly scheduted'meeting of each company duly called and held in 1999:'
RESOLVED:The President and Chief Executive Officer,any Vice President the Treasurer and the Secretary of Employers Mutual Casualty Company shall have power
and authority to (1) appoint attorneys-in-fact and authorize them to execute on behalf of each Company and attach the seal of the Company thereto, bonds and.
undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof,and(2)to remove any such attorney-in-fact at any time and revoke
the power and authority given to him or her.Attorneys-in-fact shall have power and authority,subject to the terms and limitations of the power-of-attorney issued to them,
to execute and deliver on behalf of the Company, and to attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and
other writings obligatory in the nature thereof,and any such instrument executed by any such attorney-in-fact shall be fully and in all respects binding upon the Company.
Certification as to the validity of any power-of-attorney authorized herein made by an officer of Employers Mutual Casualty Company shall be fully and in all respects
binding upon this Company. The facsimile or mechanically reproduced signature..of such officer, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power-of-attomeyof the Company,shall be valid and binding upon the Company with the same force and affect as though manually affixed.
IN WITNESS N WHEREOF,the Companies have caused these presents to be signed for each by their officers as shown,and the Corporate s seals to be hereto affixed this
day of January f e
Seals Bruce G.Kelley,CRRRairman Donald L.Cougheawer
5co Iesoyy••,, ;PPN`;„° oF'•.; e `;; ; of Companies 2,3,4,5&6; resident Assistant Secretary
� ,,c'4,, _O<S 55°''(.oP�°H4A o �_s"'' 44/4-2 Company 1;Vice Chairman and
F '° z a� of
SEAL 1863 1953 CEO of Company 7
5J --.3% IOWA ', --,c.:1"... `�C
yiitittsY5* ♦ w
roa•,
On this nth day of January AD 2000 before me a
o NsonaNCF PE'cisueANCF,,, pP,, unii ,`4s ; Notary Public in and for the State of Iowa, personally appeared Bruce G. Kelley and Donald
4-i....",9"°R. , .,oavori. 3: s;;AQPZR,r,o -, L. Coughennower,who, being by me duly sworn,did say that they are,and are known to me
_n: : -= to be the Chairman, President, Vice Chairman and CEO, and/or Assistant Secretary,
-W=. SEAL ;?; .x: SEAL =s., 5 SEAL o respectively, of each of The Companies above; that the seals affixed to this instrument are
�•,, ;-,.,,,,,,,•�„ ,° -, � .,,,,,,•,� ; the seals of said corporations; that said instrument was signed and sealed on behalf of each
•. iowa :e '%:°A/hoawo`;,‘ '%,"'°imes>os,,, of the Companies by authority of their respective Boards of Directors; and that the said
Bruce G :Kelley and Donald L. Coughennower, as such officers, acknowledge the execution
of said instrument to be the voluntary act and deed of each of the Companies.
UTU?" My Commission Expires November 1,2002
o t 'L ELIZABETH A.SCAVO a. _ALL.,
° n MY COMMISSION EXPIRES "�,-C-"�j-�'"-CL" '�"�•-'oi
�eL•:,`,�,2' November 1,2002 Notary Public in and for the State of Iowa
° CERTIFICATE
I,David L.Hixenbaugh,Vice President of the Companies,do hereby certify that the foregoing resolution of the Boards of Directors by each of the
Companies,and this Power of Attorney issued pursuant thereto on January 27,2000
o behalf of Chris Richmond,Russell Michels,Darlene Krings
are true and correct and are still in full force and effect.
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this day of
' - ' �� „ Vice-President ,
ra,,,,�„az nom "F.r v-rific-ti•n .f th- .uth-nticity •f th- •• - if 'tt•rn-y y•u m.y c.11 515) 2:•-2.:•."
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