HomeMy WebLinkAbout20001625.tiff ' 03/29/00 WED 13:39 FAX 229 759 6945
B-R-S_INC Z 003
_ .-r._.�.-- ma DA- i"Tr.*,
ACIMIND CERTIFICATE OF INSURANCE 03/29/2000
PRODUCER THIS CERTIFICATE IS ISSUED AS MEATIER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE ALTER CE CCOVEADOR.THISE ER I ICAY E
TE
BUSINESS RISK SERVICES DOES NOT AMEND.EXTEND
OR 1124 USA LANE POLICES 'ON.
COMPANIES AnalWING cOveneE
SCHERERVILLE,IN MEM6 COMPANY
LETTER A DRUMstIOUS INSURANCE CO.
COMPANY
INSUREDLE TER g
COMPANY
BRIAN E.KILU ON 08k LETTER C
KILLWNSSUPPLY COMPANY
FORT626 COLLINST ,
LANE LETTER D
FORT COLLINB,GO 8012M
COVEAAOE - MOVE FOR THE POLICY THIS IS TO CERTIFY THAT THE POUGIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMEDWITH FOR
TH TO
INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF MY CONTRACT OR OTHER DOCUMENT WIT RESPECT
ECT ALL THE
CERTIFICATE MAY ME ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDEDBEFNREOUCESBY THE POUCIESDESCRIBED HEREIN IS
-
EXCLUSIONS AND CCNDRiON6OF5I1CF1POLW LIMITS 5IC r SPFECIWE MOODY
�
CO La DATE i , LIMITS
L (J NUMEER DATE wow_AGGREGATE .57AW.0'JQ
68NCIMMERCIA GE PRODUCTSCOMPpP ACE. $1AOGOS
lin CLAIMSRCIAI-GENERALLJABN CLFIOSTORM EACH
SONAL y�ADV.FURY 51 i11GOB&
OCCURNENca MADE
WM DAMAGE(MWU1S e) SIC0p00
000
aOWNER'S L GANTRACTORS PRO . DIED.EXPENSE(Arty OHO M.000
a
a COMBINED SINGLE
• ODILE.LWMLm' - LIMIT
SIEALL AUTO BODILY INJURY
NB S SO
SC OWNED AUTOSAOS (Pm person)
SO
HIRED AUTOS BODILY BODILY INJURY
NM HIRED A t4E0 eo 00) m
S GARAGE R-OWNEO AUTOS PROPERTY DAMAGE so
� LIABILITY
EACH i0
lill UREMIA
LOAM �EOC� Pa
ROYM1F UREMIA FORM
■OTHER THAN UMIBREUAFORM
a WO COMPENSATION X STATUTORY Li1GTS 000.000R OS0412000 ACCIDENT
A 0- J*' WC30BL8818 BBAWSB DISFARF_POLICY LMT $500,000EMPLOYERSLM&tm DISEASE-EACH EMPLOYEE stow =
OTIMEJ
DESclePFIONOF appmnamettoranotonicasmnalitrrats
CERTIFICATE HOLDER IS AWED AS AN ADDITIONAL INSURED WITH RESPECT TO THE GENERAL LIPERO YCOVERAGE ONLY.
CERTIFICATE HOLDER CANCELLATION POLICES BE�WT'$JFTI BEFORE THE
SHOW)ANY OF THE ABOVE DESCRIBED
EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL!9 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION R
• KIND air,. THE !, I..1 AML. .i -
ACORD as GTA0I
d
07-05 - car'
2000-1625
ACCEPTANCE OF NOTICE
Receipt of the above Notice of Award is hereby acknowledged by
Skpplt/
this the 1214 day of C.J(.c.r6e, , 2000 .
BY:
Title: owner-
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.
15
FROM : KILL ION ENTERPRISES, LLC FAX N0. 9702211626 Jun. 26 2007 12:51PM P2
•
InGULF INSURANCE COMP rtj' 8C":v
ST.LOUIS MISSC•iIT NUMBER AE 6148397
POWER OF ATTORNEY - - y
ORa;1NAIS OF THIN POWER{)F:1I'TONVEy ARE PRINTED OK bl.l•e. ( NAME. ADDRESS
SAFETY PAPER WITH T(iAL 1Nd:.D{'M.fC•a.Tl;s MALI:HAVE IVY I. �1TY;STATE, ZIP
SAME JFORCE..i.DFFFa`f as.:V Oat:i e 1 t •t S'.19n1::• P.)FS ( —_•_.. •.•"'"" _ ••`_..._�•,•.•____..-....._�...�
itt$TuEtRtn;D.�At.. J
CONJUNCTION
KNOWN.ALL MEN ay 71.li52.1'.tiii...:Le:fen. Ms:,be Uui, Inn us., Coin• aan lint
SMalaidend, :i.hl'
Pon)',n carineuloa duly,onanr.i in der th it -tine , s t. . Es Aoote $ns, n
pnnelpat',Ace in the cap of firing;1 en,.. pu.hum a iht following rcautuoan. }"�• ;onto'. CO10514
adopted by the Fmmice R Ea,i) , ;'a irta ' :u )dear..n the Kaki
Company on Ore Itch day of AUgda. 7 Nd fn r
-RESOLVED.that ate Pmctdtat Freud a Vice President or any Seine Vice
President of tie Cu inwy ahsa :Wort-ovl. .o'.itt.execute ant.stl.aw i a,,._»
•
Of )',Wald:Ode({a.A'lansni.in-Tv m t..ddi: yna.£trim.ie Carpyfiaioe.aa
may be how finds.tune e to haw zMo.ty.NT.iv•.:c_•u:.i'ir:i rriy rte rimmed
ane the altheriq .:_p trantei hir..irsa7e .'n, 'Msi c,k. of an,' n
• i'Snaee vi•e I cei;cc"i'1Vc!J
Pnaideae or sty for Viet MlW_ e by Vian
ek - . she d of Ouecmm 4.4 by the
Reams cadEarrie re COeintal a of,1b 60.inl.H i r:r-I-.r:. k Juno 23rd 1000 .
RES(Y.VED.Optaethmp is du:P..al•a san•ie:'•'11:';:a Getbrbid its pare
(
or witty to the aaunxy(arin•pit:+s,.,no.s,.a:me �ck,.1 wletlgf:ckf{tee oiapy_ .
crease ise lean u policy M Icte.,i..;iaasrries on lentil of Ca::laet-.4..t.Campaun. .^..^..::'r^.A.:T.iaiiiOi.iN7
RESOLVED.O raw c7er um..>rat ?na,x:'.:=:>.yrpf•a':.:a Pre... ...r
any Seniarr\eke Pte4dnn.and the Seal or Mr t anpyrr'nay tK aainedet MY aim `� 5T,55,6°°•4:55 .
Om
Pharr of Aanney as any ceeifecate minting throw by Eli:simile.at any,ugh
pewee so e:awaad and eeidied by fresh*tuner n lent Orllmne idol Bali rte (/ BOND
valid and hinditg upon the flattest in Ile rt^nn•1,idi nn.dect to me bond tai ( AMOUNT .
doeuTCnee relining f0.sh booda to*Lich they of zit::::::s.::•" SS^,600.�
Ci.i#4ewrmut Company doe lens,Lath•:.coli,::ete nod wooer
a•—'-w Cynthia K.Jil n-lett,Teresa R.DeMonifro, 'Joan P.Folimati Jr. Douglas S.Hartmen, i•
Nancy Nigro-7-- -
•
its true said laved;Vein*"Lb-hi-last with mil power:rryt aurnurity herby cwt e,nd in iis mine.place sod a behalf,es awned.soy ttS all bath.and undertakings of nurctynbip.and m bend Gulf laawance C imd'mflan.at end TO he Wile
men,l as
f an:de:irean e,.
taint.w,d daWneapn_ataat ie•.ie!ihr,diiWine nndanakinee were.iyird by the duly alanyd�a,BEd W77ieetu Neely idvat�(In,orrw aGx uNas all
ybAct)under awmey(sMsfict.puronone the a:Meanly twain Oren are herb}ranee noo confirmed. ➢eny'uAl aliiR au..er w;d
lam ohlgation of OW Company shit not Oren!one trillion(1.g70.Olm)dollies. . .
M WITNaSS WHEREOF.ale Gaff Dinenaee(:empedy her nerrni lhatp .�.
be hues tat
PNaOolt fa he ibatd by pay raw atte Co.paay and its(brperam Sort m
year
3 GULF INSURANOR COMPANY '
' SEAL
STATE OF NEW YORK i .' •
COUNTY OF RINGS ) a Wort_. j
.' Praldent
OR Ike I7Ih Sty of Oaiobory l990 A.D.,kale,.use 1S i.C7Yi,d.Pnor C.Nrta,.a Lana io nit and
tray:at he ratite hi the Canny OfVwnen .S4w of News Ma;Sc he le me&edam%of Se Golfh ins best paiv treedutyrwoadltdescrie
as:attire neeeted the them then aeaw;atat he torn the heal Otani estyeeNdiesi that ha real Ems. ,is C •�e carbon- a ei described 5 to
.beat it woe ao abed by nett of the Beard of I reitern etaatd cer eraakm std that he egged pis MAa.therein by Ett.alo(rdr�eolr.ir web q.rparaa:vapsl:
•
ZlJ' a9 �I/j�
At ((f/lrrttss "'
•
at-ID3AFFA
V Notary Public Sipe MN?M York
STARE Of NEW YORK 1 'DrN ! No.02,IAMSIkiW
mty
COUNTY OF NEW YORK / ComwWtiepLiQuititelle,ai ,ptbKit aeJ.1W! '
•
I,the estespwd,Bnendive yid,predident
PoO der WY�� Cowpony,a Mionotri Corpuvw ,.DO lIIr tY CERTIFY that the foregoing sod
•i4M.d POWEROFATTORNEY m
Steed at Rented at the flay tattoo York. `+Wtwaoe ya+ �1
roes s
111111 MI . R an:ka 23 eft day o•
f �, Cril
AE614)1397 a1043662• • .� r.'JY „ ,,
80V6.AE(ItfYM Laanrw P.Miniver
Ennui..Vice President
FROM : KILLION ENTERPRISES, LLC FAX NO. 9702211626 Sun. 26 2000 12:52PM P3
I
",5::t 'ii„I.:a7C1 abet 90JiD*AF614a34i
LQSOW ALL frtq BY 7.N7Se I-'ss5-tif.S: ...at
't}1lias .ttatise.:, t;_('
• Mane of Contractor
$62 West Willax, Port Gil:ins, CO * 24
• abider= cf coattaetoII__.__.�. ....__._._ .........__,
a ',bolted Liabilite Geereeetion ,..,_, hereinafter called Principal, and .
Corporation, P1r'_aere p, c. Zndivld:ial
Gulf Iesasaese Casea�r .
YS,Ie oC Surety
• 10055 Sweet Valley 0riwt, Alin•Vies, ON 44115
Address o€ Surety • •
hereinafter called Surety, are and firmly bound unto THE Comm. COMMISSIONEas, 915 loth , OF er
called County *r. the �y Greeley, Colorado 806?:. .yrreiawfr_r
'Y Ti+nt.L sum o .
ELF a sae "Thousand Six Slmesed ana.s___—,10t004)(,y+y _
in lawful money of the tlnitad States, for thepaymentDollars ;gds 600.00
to be made, we bind ourselves, suecessore, andgns.Wjointly um well and truly
f firmly by these flatmate.
Y and severally,
ewe CONDITION or =ZS OSIZGATIow is such that vherean. the Principal *ntered into
a certain contract with the county; dated the day of
a copy of which to attached and made a part hereof for: "---"^-' hods,
man* =Main AND GVCQICt4si AMONA47
MC, 77.7M-nI!l, LI; :A_ Y inuipal shell, well.' truly and faithfully perform its
dvt:.aa. a.l, tbo bode-taking, covenants. terms, cttditions, and *armaments of said
contract during the original term thereof, aM nay extensions thereof which may
lei 9'tane.d by the County, with ox without notice to the Surety and during the One
I',t &ea:antes e i'u^i, and if he shall satisfy all claim* and demands incurred un.4rr such contract, and shall fu11Y insaeeetfy and save harnl,esa 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 end expecse which the County may
_friar iCt et[iag ',pod art Sella-It, ;i.e:. [I1s u2:li;lation shall be void; otherwise to remain in full farce and of€ect. •
PRCV:;D*t, F•[JRTEXA, that the said surety. for value received hereby stipulates and
agrees that no change, extension of time, alteration or addition to the terms of
Lee contract or to work to be performed thereunder or the specifications
accompanying the same shell in any ways affect its obligation on this bond, and
it�dote hereby waive notice of any such change, extension of time, alteration or.
v-3.._tion to the teams of the contract of the work .r ::o the specifications.
to
.
FROM : KILLION ENTERPRISES, LLC FRX NO. : 9702211626 Jun. 26 2000 12:52PM P4
•
PROVIDSD, FUR.T86k, teat no final settlement betwevi the County and the contractor
shall abrigge the . riehr cf ny be 2;tiChazy :tereunder. whnee r.l aim ' ty he
unsatislieu. f
IN WSTS7Ess WSfrltscr, tale instrument is edeeoted in73 delay of 3 e 2000 .
I
ATTEST:
Ji';'SYa '"tsetrires, LU)
PrSncipal sr:rerarv— 1~wiaM�i.pal
F". (S)
(9l.AL)
_ sett rolllns CI 00524
._
Wieaees as tc,�Frinrxpa"�•_._.... ...__ Aftrees
Address
AT* b.-it/1 ,i
to t.y� t
Surety y WStmas 0 _ " ny
(SEAL)
• i
faisj� ti_ 6tR.tJti� ay
�s a4=o Surety . to , _p et �' Yaw"
370 tire v£ prassf.a Roan, State lw 370 risy o£ : acad. Silt 100
Radnor, PA 39091 ma
Address Ad
1+02':;: pate cf bond must not be pr-lor to date or contract.. It contractor 1■ a
partnership, all partaeas should e,6eente bond.
.4.. Ares ': Surety companies eratutj..ny hoods must appear on the Treasury
Department's most currant list (circular 570 as amended) and be
authorised to transacr. butt .r.-nrs La cAt nt,the '0017a the :rcjuc: is
located..
•
FROM : KILLION ENTERPRISES, LLC FAX NO. : 9702211626
Jun. 26 2000 12:53PM PS
•
y},,')11.-A4 poBB asecti fa)-)9397
:(MOW ALL Jr2N BY IRIFSE PRFSANT1 s 7.'hr r
•
•
neitractor ...... __,
tsa lest. 3i.:lr,ar 9e ...... _. —
of Ca...'„
•
• a Lintel £i$bility t•.-uo:etitn hereinafter called Principal, and Corporation, Wax ac-;rr:t iy or Individual
Gut E Inass.o e C raer •
Name cf'Surety
of .a"^ a copy of which is hereto attached and made a part
hereof for the ,*.:ra:rcttttta. ^ .
gausss:cm commie?* s*, cmpr xatp UPX
ttoo?7. K'F:Ydt7:!�`::x,+5 :.C the Principal slia_`. during the entire length ..raie contract
and any extension thereof promptly rake payment to all persons,
s+a,:..•cozrrac^.:_-s, and corporation furnishing materials for or performing laborain
-n of ct,a 'n,...v ....,.,g-tend for in such contract, and any authorized
extension or moth„';.•-.s.: ; _ including all amounts due for materials,
lubricants, oil. $p ....; ." � cake. rpaira nn machinery. equipomnt and
tools, consumed or used in connection with theeroastrvctioa.of much work, and all
insurance premiums on said work, and for All labor, performed in mach work'whether subcontractor or otherwise, the!) this obligation 'hell be road: othern se
to remain full force and effect,.
psorf 3D, FvRTu.E,R, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, elesrn$ nr nr addition to the terms of
the contract or to the worn to be performed thereunder or the specifications
•
accompanying the same shall in any way affect its obligation on time, alteration •
ar addition to r,ne terms of the contract.er to the work or to the specifications.
PBovIgn, 3<Raz'SER, that a final settlement between the County and the contractor
•
shall abricase the.,right of any beneficiary hereunder, whose claim may be
unsatisfied.
•
li
20
FRTVM : KILLION ENTERPRISES, LLC FRX NO. : 97022211626 Jun. 25 20000 12:53Fr PS
SN WITNESS WE712 ei, Dais instrument is executed in IOW) ' I r..+^sbeTI
cou:iezpnt',, ti ca shall be deemed an original. this the ;ire day
of Sum ...... . ......... x000.
•
Altar rslWa_ 110
Principal
ATTEST,
(2)
Principal Secretary Pert west
n winCollins.s gna2e
(SEAL, Address
WitDesa as Lc 7.`.':.rcipal.
Address •
_..______....._...__.
•
. . • �, '�,Jad r�OiYj
Surety IIIMITOPPICOM eitness I,
Gulf Iasuraaoe
Wieners as to Surety Atto : 'T n7 ac ,. 8449r0
320 King of Prussia Road, Suite 100 320 Kist of ➢ruse .-., Suite 1
Red0mr, PA IN0W7 Radler PA 19087
Address A.`!.` ss
NOTE: Hate of bond moat not be prior to date of contract. Sf contractor .a a
partnership, all partners Should execute bond.
INPORTANTI Surety companies executing bends must appear on the Treasury
Department's most current list (circular 570 as amended) ane be
autherized to transact business in. the state where the project is
located.
•
21
•
•
Hello