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HomeMy WebLinkAbout961232.tiff ACCRA05/30 . CERTIFICATE OF INSURANCE' ISSUE M/DO Y) 05/30/96 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Bartels&Noe/Crossroads CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Greeley-Windsor - Ault DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.0. Box B Greeley,CO 80632-0137 COMPANIES AFFORDING COVERAGE COMPANY LETTER A AMERICAN STATES COMPANY B UNION/DIVERSIFIED X/S UNDERWRTR IxsuRED LETTER COMPANY C LETTER Best Way Paving Co. COMPANY P.O. Box 3189 LETTER D Greeley,CO 80633 COMPANY LETTER E COVERAGES THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co TYPE OF INSURANCE - POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/OD/YY) DATE(MM/OD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGGR. $ 2,000,000 CLAIMS MADE X OCCUR. PERSONAL&ADV.INJURY $ 1,000,000 A X OWNERS&CONTRACTOR'S PROT. 01CC0315964 01/01/96 01/01/97 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one nre) $ 50,000 MED.EXPENSE(Any one person) $ N/C AUTOMOBILE LIABILITY COMBINED SINGLE $ 1,000,000 X ANY AUTO LIMIT X ALL OWNED AUTOS BODILY INJURY $ , X SCHEDULED AUTOS )Per person) A X HIRED AUTOS 01000316004 01/01/96 01/01/97 BODILY INJURY $ X NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE 3 EXCESS LIABILITY EACH OCCURENCE $ 2,000,000 B X UMBRELLA FORM ER4872485 01/01/96 01/01/97 AGGREGATE $ 2,000,000 OTHER THAN UMBRELLA FORM X STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT $ 500,000 • A AND 01WC26251940 01/01/96 01/01/97 DISEASE-POLICY LIMIT $ 500,000 EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ 500,000 OTHER A CONTRACTOR'S 01CC0315974 01/01/96 01/01/97 $1000 DED. SEE EQUIPMENT SCHEDULED BELOW DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS WELD COUNTY,COLORADO IS INCLUDED AS ADDITIONAL INSURED UNDER THE GENERAL LIABILITY POLICY IN CONNECTION WITH THE FOLLOWING PROJECT: 1996 CHIP AND SEAL PROJECT CERTIFICATE HOLDER CANCEUATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAME:D TO THE WELD COUNTY COLORADO LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 915 10TH STREET LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. P 0 BOX 758 AUTHORIZER REPRESENTATIVE GREELEY CO 80632 ' ACOND 2S-S 17/901 961232 - gelll ) 1trtiCCr7-2‘ /90 PERFORMANCE BOND Bond #589873 KNOW ALL MEN BY THESE PRESENTS : That Duplicate Original Best -Way Paving Co . Name of Contractor P . 0 . Box 3189 Greele , CO 80633 Address of Contractor. a Corooratin Corporation, Pa hereinafter hereinafter called Principal, and p, or Individual Universal Surety Company Name of Surety — — P . O . Box 80468 , Lincoln , NE 68501 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 Seven Hundred Twenty-Eight Thousand One Hundred Twenty-Five and 60/ 100 in lawful mone of Dollars (5728 , 125 . 60---- Y 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 the 3 dJune 1996, a copy of which is attached and made apart hereof afo y of the construction of: 1996 CHIP AND SEAL PROJECT NOW, THEREFORE, if the Principal shall well, truly and faithfully perform its duties, all the undertaking, covenants, terms, conditions, and agreements o:: 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 thin obligation shall be void; of herwise to remain in full force and effect . 21 PROVIDED, FURTHER, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the r terms of the Contract or to work to be performed thereunder or the specifications accompanying the same shall in any ways affect its oblicatipn 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. IN WITNESS WHEREOF, this instrument is executed in 3 day of June , 19 96 BEST-WAY PAVING CO . ATTEST /2/1 (2 Prim pal Principa4 Sec t L,L�art' BY (S) (SEAL) P . O . Box 3189 Greeley , CO 80633 Witness as to Principal Address Address ATTEST: Surety Secretary (S ) UNIVERSAL SURETY COMPANY ANY / -➢'-. '^."L 7 -1 (/� BY ce..�i�-�����"7"a"�",-" fiti/t.'. Witness as to Suety Attorney-in-Fact X' Veran K . Hansberry UUU 1301 9th Street , P . O . Box B P . O . Box 80468 Address Address Greeley , CO 80632 Lincoln . NE 68501 .— 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. 22 PAYMENT BOND Bond (/ 589873 Duplicate Original KNOW ALL MEN BY THESE PRESENTS: That Best-Way Paving Co . Name of Contractor P . O . Box 3189 , Greeley , CO 80633 Address of Contractor a Corporation hereinafter called Principal , and. Corporation, Partnership or Individual Universal Surety Company Name of Surety P . O . Box 80468 , Lincoln , NE 68501 of June 3 , 1996, a copy of which is hereto attached and made a part hereof for the construction of: 1996 CHIP AND SEAL 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 corporation 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 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 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. 23 IN WITNESS WHEREOF, this instrument is executed in 3 (number:) counterparts, each one of which shall be deemed an original, this the 3 day of June .._ . 1996X96 BEST-WAY PAVING CO . Principal ,'�// ATTEST: ��n� � (C) //// BY P{inci 1 Secretary (SEAL) P . O . Box 3189 Witness as to Principal Address Greeley , CO 80633 — Address UNIVERSAL SURETY COMPANY Surety ATT 471811121frafri BY 44 �'�/�^---� Witness as to urety Attorney-in-Fact Veran K . Hansberry 1301 9th Street , P . O . Box B P . O . Box 80468 — Address Address Greeley , CO 80632 Lincoln , NE 68501 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. 24 UNIVERSAL SURETY COMPANY LINCOLN, NEBRASKA POWER OF ATTORNEY !twin cildt en !'g (Vince Presents: That the UNIVERSAL SoeerY COMPANY,a corporation of the State of Nebraska having its principal office in the City of Lincoln, Nebraska,pursuant to the following Bylaw, which was adopted by the Board of Directors of the said Company on July 23, 1981,to wit: "Article V-Section 6.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 • Norman D. Noe or Lawrence E. Lutgen or Ronald F. Otto or Veran K. Hansberry, Greeley, Colorado its true and lawful Attorney(s)-In-Fact. to make,execute,seal and deliver for and on its behalf. as Surety: 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 Lincoln,Nebraska, in their own persons. The following Resolution was adopted at the Regular Meeting of the Board of Directors of the UNIVERSAL SURETY COMPANY.held on Ju.y 23. 1981: "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 ex- ecuted in accordance with Article V-Section 6 of the Company Bylaws: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." AU authority hereby conferred shall remain in full force and effect until terminated by the Company. IN RTTNESS WHEREOF. UNIVERSAL SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereunto affixed this 2nd day of June • t9 94 q`'� / UNIVERSAL SURETY COMPANY I .,"..„ -Seer. ry By Vice President •_4.4.,,,....,--..... t. pia; . State of Nebraska ss. County of Lancaster On this 2nd day of June 19 94 before me personally came Robert L. Prive tt So me known,who being by me duly sworn,did depose and say that(s)he resides in the County of Seward,State of Nebraska:that(s)he is the Vice President of the UNIVERSAL SURETY COMPANY,the corporation described in and which executed the above instrument:that(s)he knows the seal of the said corpora- tion; that the seal affixed to the said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said corporation: that (s)he signed(his)(her)name by like order;and that Bylaw,Article V-Section 6,adopted by the Board of Directors of said Company,referred to in the preceding instrument,is now in force. raaRuwruitzvii rm, D V OERAI 0.LEY9 My Commission Expires 8-22-97 Notary Public I. Jeanne Beno , Assistant Secretary of UNIVERSAL SURETY COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by said UNIVERSAL SURETY COMPANY, which is still in full force and effect. Signed and sealed at the City of Lincoln, Nebraska this 3 r d day of June , 19 9 6 . ''......... /_ 1 'C0RrKRATE..r_ /j� ''r SLAL Assistant Secretary — ''`�<;"�ci` Hello