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