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HomeMy WebLinkAbout991374.tiff AcoRD, CERTIFICATE OF LIABILITY INSURANCEDP ID CC DATE(MM/DDIVY) KIRKL1 05/12/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Linden Company HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4100 E. Mississippi Ave, #900 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80246 COMPANIESAFFORDING COVERAGE Thomas S. App COMPANY Phone No. 303-756-6700 Fax No 303-756-7700 A Travelers Indemnity Co. INSURED - COMPANY B C.C.I.A. - i COMPANY Kirkland Construction R.L.L.P. C --_4411 ' PO Box 580 COMPANY Rye CO 81069 D - 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/DD/YY) DATE IMM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A I X COMMERCIAL GENERAL LIABILITY DTHCO261P3713TIA98 07/31/98 07/31/99 PRODUCTS COMP/OPAGG $ 2,000,000 CLAIMS MADE L_XJ OCCUR PERSONAL SAOV INJURY $ 1,000,000 �L.. OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(An/one fire) $ 100,000 MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO DTJ810261P3713TIL98 07/31/98 07/31/99 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) - - -- PROPERTY DAMAGE — $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ 'ANY AUTO OTHER THAN AUTO ONLY. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 9,000, 000 A X UMBRELLA FORM DTSMJCUP261P3713TIL98 07/31/98 07/31/99 AGGREGATE $ 9,000 000 1 _.. -_. OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND a TO Y LIMITS [ ER TORS I_ER EMPLOYERS'LIABILITY [L EACH ACCIDENT $ 100,000 THE PROPRIETOR/ B X INCL 4019235 04/01/99 04/01/00 EL DISEASE POLICYLIMIT $ 500,000 PARTNERS/EXECUTIVE --- -- - -- -OFFICERS AREEXCL EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Re: Project 1999 Chip & Seal #B 9900074 Weld County, Colorado is included as Additional Insured as respects General Liability. CERTIFICATE HOLDER CANCELLATION WELDCOU 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 NAMED TO THE LEFT. Weld County, Colorado BUT FAILURE TO MAIL SIJCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Public Works 915 10th Street OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Greeley CO 80632 AUTHORIZED REPRESENTATIVE Thomas S. App ACORD 25-S(1/95) '. ACORD CORPOR/ 991374 �F1L��t 44 tip:( /O4/99 /,' $ aR Rb a °< 03/11/1999 aaaollcER (303)442-1484 FAX (303)442-8822 THIS CERTIFICATE IS ISSUED AS A MATTIER OF INFORMATION Taggart & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 1600 Canyon Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 147 COMPANIES AFFORDING COVERAGE Boulder, CO 80306 COMPANY CNA Insurance Group Attu: Robben Roe, CIC Ext: 229 A BISURED Loris And Associates Inc COMPANY Victor 0. Schinnerer e • 2735 Iris Avenue, Suite B Boulder, CO 80304 COMPANY . . • - C .....vim .._ COMPANY -.D :5:t'i �...:..... ...... ...:...:... �,'��'S;f.:e�`'.,wu,..�v.S. :. .:.v..n,......:..J:nU:.Cn:.:n.>:a9..F...P:n::.:..vs..n,.n..::.b.. .C:nv. nrow.aw.. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE—. LISTED BELOW WAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD' I ICATED,NOTWITHSTANDING MY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHICH 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 POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. 1-�CO TYPE OF INSURANCE POLICY NUMIIBI POLICY ECTNE POLICY EXPIRATION LIMITS LTR DATE(MLVDDIYY) DATE(MM XIFEE GENERAL LIABILITY GENERAL AGGREGATE $ 2000000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG $ 2000000 z4-3 CLAIMS MADE X ':OCCUR 1 68919560 03/01/1999 03/01/2000 PERSONAL SAOVNUURY $ 1000000 A OWNERS&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE(Any one fire) $ 100000 MED EXP(Any one person) $ 10000 AUTOMOBILE LIABILITY X ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (PE person) A 81 68919574 03/01/1999 03/01/2000 HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT S AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WCSIAN- oaf- WORKERS COMPENSATION AND ........TORY LIMITS._... ER EMPLOYERS'LIABILITY ..............>.......___ >. 0.EACH ACCIDENT $ THE PROPRIETOR/ BICL EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUT1VE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ Architects/Engineers Liab Limit Per Claim 1,000,000 B Professional LiabilityAEN 006161163 05/08/1999 05/08/2000 Aggregate Limit 2,000,000 Deductible 5,000 RRION OF OPERAT OCA 4e County, Colorado, y ain tBI hrourr the Board of Weld County Commissi one Ts, including its agents and employes are included as Additional Insureds for projects performed by the Named Insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES LIE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Weld County Colorado Engineering Dept. P.O. Box 758 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Greeley, CO 80632-0758 AUTIIDRI�DREPREEENTATNE John Neill CIC CPCU • I . .. t1<ro ,.>* tear l< b\" .,aI:?c't::;>." +.b -++t>'.y'sa,.i5.1..<,<,> n Writ .... '* r ;z ACORD CERTIFICATE OF LIABILITY I N S U RAN C E P ID RS DATE(MM/DD/YY) FARNE-3 04/22/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Linden Co. of Northern Co. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 2900 South College Avenue-#2A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 COMPANIES AFFORDING COVERAGE Jeff Broyles COMPANY Phone No. 970-229-9304 Fax No. 970-229-1398 A Bituminous Insurance INSURED COMPANY B Business Insurance---t Company COMPANY -" Farmer Enterprises, Inc. C ' y)-n ' .�1 ' r:7 s 12280 Sable Blvd. COMPANY' ; .,la —, � Brighton CO 80601 D • COVERAGES •1 i .- 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 � R ' CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU&'ECT TO ALL THE TERMS, CD EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _f TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DOM') DATE(MMIDD/YY) GENERAL LIABILITY GENERAL AGGREGATE 5 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLP2315033 04/25/99 04/25/00 PRODUCTS•COMP/OP AGG $2,000,000 ICLAIMS MADE C]OCCUR PERSONAL&ADV INJURY S 1,000,000 OWNER'S Si CONTRACTORS PROT EACH OCCURRENCE S 1,000,000 FIRE DAMAGE(Any one fire) 5100,000 MEDEXP(Any one person) 510,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO CAP3057794 04/25/99 04/25/00 ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY S (Per accident)X NON-OWNED AUTOS PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY. EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND X!QRYTLI TAW S I I OER EMPLOYERS'LIABILITY EL EACH ACCIDENT S 1000000 B THE PROPRIETOR/ INCL W987160505 07/01/98 07/01/99 EL DISEASE•POLICY LIMIT S 1000000 PARTNERS/EXECUTIVE -- OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE S 1000 000 OTHER DESCRIPTION OF OP£RATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ALL OPERATIONS/ALL LOCATIONS CERTIFICATE HOLDER CANCELLATION WELD-02 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 NAMED TO THE LEFT, WELD COUNTY ENGINEER BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ATTN: ALAN MILLER Y P.O. BOX 758 OF ANY KIND UPON THE COMP ITS A NTS OR REPRESENTATNES. AUTHORIZED REPRESENTATIVE 4e ''�,T' GREELEY Co 80632 a ( t�-i• Jeff Broyles 'L•-..� 0�-r--•- ACORD 25-S(1/95) " ACORD CORPORATION 1988 HRSWAT ACORD TM CERTIFICATE OF INSURANCE DATE IMM/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 Broadway, Suite 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 COMPANIES AFFORDING COVERAGE 1 COMPANY I ASt . Paul Insurance INSURED COMPANY HRS Water Consultants, Inc . B Kemper Ins Cos ,.- 8885 West 14th Avenue COMPANY Lakewood, CO 80215 I DSecurity Ins Co of Hartford COMPANY D COVERAGES. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORME POLIC9,PERIOD INDICATED, NOTWITHSTANDING AN'( REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESREAT TO WFTICH THIS CERTIRCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT T ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE I POLICY NUMBER I PDALICY TE(MMIDDNY)E POLICY EXPIRATION LIMITS GATE(MM/DO/YY) G IERAL LABIAL GENERAL LIABILITY ILITYIli RP06612545 04/08/99 ' 04/08/00 GENERAL AGGREGATE $2 X000, 000 �rPRODUCTS-COMP/OP AGG I$2 , 000, 000 A CLAIMS MADE X OCCUR PERSONAL&ADV INJURY I$1, 0001 000 I 1 OWNER'S&CONTRACTOR'S PROT l EACH OCCURRENCE I$1 000 , 000 FIRE DAMAGE(Any one fire) $Included MEDEXP(Any one person) $ 5, 000 A AUTOMOBILE LIABILITY RP06612545 04/08/99 04/08/00 I COMBINED SINGLE LIMIT Si 0 0 0 0 0 0 ' ANY AUTO ALL OWNED AUTOS I BODILY INJURY $ (Per person) SCHEDULED AUTOS I_ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ ---. --- - - -- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 11 UMBRELLA FORM AGGREGATE �$ O OTHER THAN UMBRELLA FORM $ B WO RKERS COMPENSATION AND 7CQ26278708 05/01/99 05/01/001 X STATUTORRYLiMITS EMPLOYERS'LIABILITY ''I EACH ACCIDENT $ 100 , 000 THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $ 500 , 000 PARTNERS/EXECUTIVE -- - -- -_ --- - OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE I$ 100 , 000 C OTHER Architects/ PL512842 04/01/98 04/01/01 $1, 000, 000 Per Claim Engineers $1, 000 , 000 Aggregate Professional $15 , 000 Ded. Ea. Clm. Liability 1 DESCRIPTION OF OPERAI1ONS/LOCATIONSNEHICLES/SPECIAL ITEMS RE : Ground Water Exploration The Certificate Holder is listed as an Additional Insured, under General (See Attached Schedule . ) CERTIFICATE HOLDER - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Weld County Dept . of Public EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Works 3 Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Mr. Don Somers BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 933 N. 11th Ave. OF ANY KI r PON THE COMPANY, ITS GENTS OR REPRESENTATIVES. Greeley, CO 80631 AUTHO REP NTAnVC ` ACORD 25S(3193)1 of 2 #M4 7 7.3:8 - JJC 0 ACORD CORPORATION 1993 DESCRIPTIONS (Continued from page 1.) Liability only, in respects to their interest in work performed by the insured as per written specified contracts . CISGEM 25.2(3!93).2 of 2 #M47738 ATE(MM/DDIYY) ACORD. CERTIFICA7_ OF LIABILITY INSUF._ .NCE D 03/05/99 ?RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION THOMAS MC GEE, L. C. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 BOX 419013 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. KANSAS CITY MO 64141-6013 COMPANIES AFFORDING COVERAGE ( 816) 8424800 COMPANY A CGU INSURANCE CO INSURED COMPANY GARNEY COMPAN=:ES, INC. B COMPANY - 1331 N.W . VIV::ON ROAD C KANSAS CITY, MO 64118 C i COMPANY D 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/DD/YY) DATE(MWDD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE -J OCCUR PERSONAL&ADV INJURY S OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(My one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE:LIMIT $ ANY AUTO — — ALL OWNED AUTOS -- ---- - - --�_ BODILY INJURY $ SCHEDULED AUTOS (Per parson) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) _ _ - I PROPERTY DAMAGE �$ GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT i S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND TORY LIMI TS ER ORSTATUIL I ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ I-- - PARTNERS/EXECUTIVE k INCL EL DISEASE-POLICY LIMIT `$ OFFICERS ARE: ) EXCL I EL DISEASE-EA EMPLOYEE I$ A OTHER 1CTR604961 01/01/99 01/O1/00 : 5 , 000 , 000 PER LOC . BUILDER' S RISK 3 , 000 , 000 TEMP/TRAN 25 , 000 DEDUCT . DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE : TREATED WATER TRANSMISSION PIPELINES PROPERTY COVERAGES INCLUDE THE INTERESTS OF OWNER, ENGINEER, CONTRACTOR, SUBCONTRACTORS . FLOOD/EARTHQUAKE : $1 , 000, 000 LIMIT/$25 , 000 DED. CO-8 _ CERTIFICATE HOLDER CANCEi.LATi4y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF ERIE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL PUBLIC WORKS DEPARTMENT 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 645 HOLBROOK BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ERIE, CO 80516-010 0 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHOR REPRESENTATIVE - c ACORD 25-S (1195) ACORD CORPORATION 1988 Rivergate Business Center• 600 Broadway,Suite 600 P.O. Box 419013• Kansas City,MO 64141-6013 816-842-4800• FAX 616-472-5018 rr " IY Website:www.thomasmcgee.com - - - - �r Thomas McGee, L.C. INSURANCE AGENCY • SINCE 1910 CI ER; TO T,. March 8, 1999 Town of Erie Public Works Department 645 Holbrook Erie, CO 80516-0100 RE: GARNEY COMPANIES, INC. PROJECT: Treated Water Transmission Pipelines BOND NO: 36-0120-08295-99-2 BOND AMOUNT: $3,755,631.00 SURETY: United States Fidelity and Guaranty Company Please accept this letter as your authority to date the following regarding the captioned: Performance Bonds, Payment Bonds and Powers of Attorney. Sincerely, UNITED STATES FIDELITY AND GUARANTY COMPANY by dft Linda L. Nutt Attorney-in-Fact cc: United States Fidelity and Guaranty Company 10777 Sunset Office Drive St.Louis,MO 63127-1019 . United States Fidelity and Guaranty Company t% U S F+GI Power of Attorney INSURANCE No. 111239 Know all men by these preserts: That United States Fidelity and Guaranty Company, a corporation organized and existing under the laws of the State of Maryland and having its principal office at the City of Baltimore, in the State of Maryland. does hereby constitute and appoint J. Douglas Joyce, Jerome J. Reardon, Eric Van Buskirk,Linda L,Nutt,Barbara A. Miller and Michael T. Kelly . of Kansas City,Missouri; Eugene A. Klein, Thomas P. Latz, Lawrence S. Kaminsky, Thomas M. English and Christine A. Holloway of Shawnee Mission, Kansas of the City of ,State of its true and lawful Attorney(s)-in-Fact each in their separate capacity if more than one named above,to sign its name as surety to.and to execute,seal and acknowledge any and all bonds, undertakings, contracts and other written insruments in the nature thereof on behalf of the Company in its business of guaranteeing the fidelity of persons; guaranteeing the performance of contracts; and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof.the said United States Fidelity and Guaranty Company, has caused this instrument to be sealed with its corporate seal, duly attested by the signatures of its Assistant Vice President and Assistant Corporate Secretary,this day of .A.D.19 United t Rd lily and arm, any rr// (Signed) By .......... ..._'r/.. s_..._ __.V.-._/..__.__.nt \....1—:-.1$ Assi ant Vice}Prreessiiddent(Signed) By. __._. - `.—..-c—--- .g, A sistant Corporate Secretary State of Maryland 1 SS: ,{ \S N9 Baltimore City 1 y .� On this day of A0.19�� before me Rpetkonally came Michalg�li egan, Assistant Assistant Vice President of United States Fidelity and Guaranty Company,and Michael MCKibber Assistant Corporate. ectetary of said Compact .-wit both of whom I am personally acquainted, who being by me severally duly sworn, said,that they, the Faii ,ichael Keegan azk'ltyic el McKibben wereirespectively the Assistant Vice President and the Assistant Corporate Secretary of the said United States FidelitAitnd Guaranty Compaefy ifie corporation describe n and which executed the foregoing Power of Attorney; that they each knew the seal of said corporation; that the seal affixed to aaid.S er of AttorneyArCatioeh corporate seal, that it was so affixed by order of the Board of Directors of said corporation,and that they signed their names there;by like order as Assistant Vice President and Assistant Corporate Secretary. respectively. of the Company. �a r .,-{c*N SI My Commission expires the 13th daygT-July ,,.cA.D?18 2002. (Signed) B-k >>.4./LcG.1 ,G b Tr .V�1+.r-/24-Q--aJ. \C Y Notary Public This Power of Attorney is granted under and by authority of the following Resolutions adopted by the Board of Directors of the United States Fidelity and Guaranty Company,September 24, 1992: Resolved,that in connection with the fidelity and surety insurance business of the Company,all bonds, undertakings,contracts and other instruments relating to said business may be signed, executed, and acknowledged by persons or entities appointed as Attorney(s)-in-Fact pursuant to a Power of Attorney issued in accordance with these resolutions. Saic Power(s)of Attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company. either by the Chairman, or the President or an Executive Vice President or a Senior Vice President, or a Vice President, or an Assistant Vice President, jointly with the Secretary or an Assistant Corporate Secretary, under their respective designations. The signature of such offices may be engraved, printed or lithographed. The signature of each of the foregoing officers and the seal of the Company may be affixed by facsimile to any Power of Attorney or to am/ certificate relating thereto appointing Attorney(s)-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and subject to any limitations set forth therein, any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the company with respect to any bond or undertaking to which it is validly attached. Resolved,That Attomey(s)-in-Fact shall have the power and authority,and,in any case.subject to the terms and limitations of the Power of Attorney issued to them,to execute and deliver on behal' of the Company and to attach the seal of the Company to any and all bonds and undertakings, and other writings obligatory in the nature thereof,and any such instrument executed by such Attorneylsl-in-Fact shall be as binding upon the company as if signed by an Executive Officer and sealed and attested to by the Secretary of the Company. I,Michael McKibben,an Assistant Corporate Secretary of the United States Fidelity and Guaranty Company, do hereby certify that the foregoing are true excerpts from the Resolutions of the said Company as adopted by its Board of Directors on September 24,1992 and that these Resolutions are in full force and effect. I. the undersigned Assistant Corporate Secretary of the United States Fidelity and Guaranty Company do hereby certify that the foregoing Power of Attorney is in full force and effect and has not been revoked. In Testimony Whereof,I have hereunto set my hand and the seat oft United States Fidelity and Guaranty Company, on this 8th day of March .t9 ii \., x VA ` "" C Assistant Corporate Secretary FS 3(10/98) J 1HK-U4- d I hU Ub• 1 b rl1 UHKINLY UUIIYHIN I CJ MIA Ptu, u U v Y JJti 4 If t SECTION 00610 7 , PERFORMANCE BOND Bond No.36-0120-08295-59-2 KNOW ALL MEN BY THESE PRESENTS: that . (Firm) Garney Companies, Inc. (Address) 1331 N.W. Vivion Road, Kansas City, MO 64118 _ Missouri (a4NtitiNfkC141(pa(Raatigentdaip , la Corporation), hereinafter referred to as "the Principal", and (Firm) United Sat_e_S Fidel..ty and Guaranty Company (Address) 10777 Sunset Office Drive, St. Louis, MO 63127-1019 314/909-2613 hereinafter referred to as "the Surety", are held and firmly bound unto the Town of Erie, Colorado a Municipal Corporation hereinafter referred to as "the Owner, in the penal sum of Three Million Seven Hundred • • Fifty Five Thousand Six Hundred Thirty One It no/100 ($3,7 ,5,631.00) ._Dollars in lawful money of the United States, for the payment of which sum well and truly to be made, we bind our-selves, successors and assigns,jointly and severally, firmly by these presents. _ _ THE CONDITIONS OF THIS OBLIGATION are such that whereas the Principal entered into a certain Agreement with • the Owner, dated the day of , 19_, a copy of which is hereto attached and • made a part hereof for the performance-of the Work, Treated Water Transmission Pipelines NOW, THEREFORE, f the Principal shall well, truly and faithfully perform its duties, all the undertakings, covenants. terms and conditions of said Agreement during the original Contract Time thereof, and any extensions thereof which may be granted by the Owner,with or without Notice to the Surety and during the life of the warranty period. and it shall satisfy all claims and demands incurred under such Agreement,and shall fully indemnify and save harmless the Owner from all cost and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the Owner • all outlay and expense which the Owner may incur in making good any default, and then this obligation shall be void: . otherwise to remain in full force and effect. PROVIDED,FURTHER.Mat the:said Surety,for value received,hereby stipulates and agrees that no chance,extension of time, alteration or addition to the terms of the Agreement or to the Work to be performed thereunder or the Contract Documents 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 Agreement or to the Work or to the . Contract Documents. PROVIDED, FURTHER, that no final settlement between the Owner and the Contractor shall abridge the right of any • beneficiary hereunder, whose claim may be unsatisfied. . IN WITNESS WHEREOF, this instrument is executed in five (5) counterparts, each one of which shall be deemed an original, this day of , 19, • c • 11/93 Section 00610 - Page 1 of 2 MAN-U(I-99 THU all la PM UAkNEY COMP NIES FAX NU. bib(IF4UU4 r. ut 1 PRINCIPAL Garney Companies, Inc. ATTEST: Principal: j7 By. /1l`a/u�✓ By'— o/' ✓ Y THOMAS J. DAHL Stephen Id., McCandless., Vice President Title: Title:_._ ASSISTANT li 1331 N.W. Vivion Road (Address) Kansas City, MO 6'+118 (Corporate S≥al) aSURETY United States Fidelity and ATTEST: Surety Guaranty Company 4 ( , B �� 44Y1 yam. By: y'a Attorney-tn-Fact: Christine A. Holloway Title: Linda L. Nutt, Attorney-in-Fact c/o Thomas McGee, L.C. THOS. FdcfEE, 1.0. 600 BROADWAY $tIt (Address) P.0.BOX 419013 KANSAS CITY,MO 64141.6013 Sat - 816/842-4800 (Surety Seal)is NOTE: Date of Bond must not be prior to date of Agreement. - IMPORTANT: Surety Company must be authorized to transact business in the State of Colorado and be acceptable to the Owner. 11/93 Section 00610 - Page 2 of 2 HK U4 yy I11U Ub lb ail uhKkt..Y Win-MI Lb III-IA INC. oiurv• ivo�4 r �J •I SECTION 00615 PAYMENT BOND • Bond No.,16._0120-08295-99.-2 KNOW ALL MEN,BY THESE PRESENTS: that (Firm)__— Garney Companies, Inc. (Address) 1331 N.W. Vivian Bead. Kansas City. MO 64118 Missouri (oxpoixaimat,)x(z atlatojtS), (a Corporation), hereinafter referred to as"the Principal", and (Firm) United States Fidelity and Guaranty Company (Address)—_ 10777 Sunset Office Drive, St. Louis, MO 63127-1019 314/898-2613 hereinafter referred to as "the Surety", are held and firmly bound unto the Town of Erie, Colorado a Municipal Corporation, hereinafter referred to as "the Owner'. in the penal sum of Three Million Seven Hundred Fifty Five Thousand Six Hundred Thirty One & no/1001$3.755,631.00) Dollars 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. • THE CONDITIONS OF THIS OBLIGATION are such that whereas the Principal entered into a certain Agreement with the Owner, dated the day of ,19_, a copy of which is hereto attached and made a part hereof for the performance of the Work, Treated Water Transmission Pipelines NOW, THEREFORE, if the Principal shall make payment to all persons. firms, subcontractors and corporations furnishing materials for or perfo-rning labor in the prosecution of the Work provided for in such Agreement, and any authorized extension or modification thereof, including all amounts due for materials,lubricants, repairs on machinery, equipment and tools, consumed, rented or used in connection with the execution of such Work, and all insurance premiums on said Work, and for all labor, performed in such Work whether by Subcontractor or otherwise, 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 acdition to the terms of the Agreement or to the Work to be performed thereunder or the Contract Documents 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 Agreement or to the Work or to the Contract Documents. t PROVIDED, FURTHER, that no final settlement between the Owner and the Contractor shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied_ INWITNESS WHEREOF, this instrument is executed in five (5)counterparts, each one of which shall be deemed an original, this day of , 19_ 11/93 Section 00615 -Page 1 of 2 . f1AK-U9-9d THU lib: lb FM UAKIVEY UUMMFANIFS h1X NU. UIb '414by4 i . ' 1 PRINCIPAL Principal:. Carney Companies,. Inc. ATTEST: / _ �/ /� � /(.(-01v1,}3 :.y. By: A'1,D'1'7/�r�/t By: Title: Stephen M., McCand.Tesa_Vice. President T,t1e: AS DAHL THOMAS .) 1331 N.W. Vivion Road SF_..... Y (Address) ASSISTANT Kansas City,) MO 641 1 8 III (Corporate Seal) 0 SURETY United States Fidelity and Surety: Guaranty Company By: oAkx 10,1 By: Christine A. Holloway Tiue: Linda L. Nutt, Attorney-in-Fact A orney-In-Pact c/o Thomas McGee, L.C. THOS. McGEE, L.C. 600 BROADWAY-SHiTf-600-- (Address) P.0.BOX 419013 KANSAS CITY,MO 64141.6013 816/842-4800 • (Surety Seal) le i nia NOTE: Date of Bond must not be prior to date of Agreement. N IMPORTANT: Surety Company must be authorized to transact business in the State of Colorado and be acceptable to the Owner. (Surety Seal) tt/93 Section 00615 - Page 2 of 2 C 1777500 United States Fidelity and Guaranty Company U S F+G. Power of Attorney INSNRANCE No. 110916 Know all men by these presents: That United States Fidelity and Guaranty Company,a corporation organized and existing under the laws of the State of Maryland and having its principal office at the City of Baltimore, in the State of Maryland, does hereby constitute and appoint Eugene A. Klein, Overland Park, KS; J. Douglas Joyce, Blue Springs, MO; Eric Van Buskirk, Kansas City, MO; Michael T. Kelly, Prairie Village, KS; Thomas M. English, Overland Park, KS; Linda L. Nutt, Kansas City, MO and Christine A. Holloway of the City of Olathe .State of Kansas it true and lawful Attorneylsl-in-Fact,each in their separate capacity if more than one s named above,to sign its name as surett to. and to execute,seal and acknowledge any and all bonds. undertakings.contracts and other written instruments in the nature thereof on behalf of the Company in it; business of guaranteeing the fidelity of persons: guaranteeing the performance of contracts: and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof,the said United States Fidelity and Guaranty Company,has caused this instrument to be sealed with its corporate seal, duly attested by the signatures of its Vice President and Assistant Secretary, this 22nd day of May A.D.19 98. United Stet-, 'u-1 and Guaranty Company _�ytrMb igned) By. f�'" �jJ { Vice President • q'lil (Signed) By J.._ L�O't•-g-Cl._4._!:' ....-..._.... ........ _-C,D". ''' As tam Secretary State of Maryland 1 - '—"`. Baltimore City I h" t On this 22nd day of May ,AD..19 98'/ before me y personally came PeterCarman, Vice President of United States Fidelity and Guaranty Company,and Thomas E. Huibregtse, Assistant—Secretary of said Company, with both of whom.Iarn`personally acquainted, who being by me severally duly sworn, said,that they, the said Peter Carman and Thomas-E.Huibregtse were`respectively the Vice President and the Assistant Secretary of the said United States Fidelity and Guaranty Company,the corporation-described in and which executed the foregoing'Power of Attorney; that they each knew the seal of said corporation; that the seal affixed to said Power of Attorney was such corporate seal,that it was so affixed W order of the Board of Directors of said corporation, and that they signed their names thereto by like order as Vice President and Assistant Secretary, respectively,of the'Company. My Commission expires the 1St day of Au ust A.D. '98. ID (Signed) BY ........ Cary Pu.r This Power of Attorney is granted under and by authority of the following Resolutions adopted by the Board of Directors of the United States Fidelity and Guaranty Company,September 24. 1992: Resolved,that in connection with the fidelity and surety insurance business of the Company,all bonds,undertakings, contracts and other instruments relating to said business may be signed, executed, and acknowledged by persons or entities appointed as Attorney(s)-in-Fact pursuant to a Power of Attomey issued in accordance with these resolutions. Sa d Poweds)of Attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman, or the President, or an Executive Vice President, or a Senior Vice President, or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such offices may be engraved, printed or lithographed. The signature of each of the foregoing officers and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Attorney(s)-in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and subject to any limitations set forth therein, any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the company with respect to any bond or undertaking to which it s validly attached.Resolved,That Attorneylsl issued shall have the power and authority.and.in any case,subject to the terms and limitations of the Power of Attorney to them.to execute and deliver on behs.If of the Company and to attach the seal of the Company to any and all bonds and undertakings, and other writings obligatory in the nature thereof.and any such instrument executed by such Attorneylsl-in-Fact shall be as binding upon the company as if signed by an Executive Officer and sealed and attested to by the Secretary of the Company. I.Thomas E.Huibregtse, an Assistant Secretary of the United States Fidelity and Guaranty Company, do hereby certify that the foregoing are true excerpts from the Resolutions of the said Company as adopted by its Board of Directors on September 24,1992 and that these Resolutions are in full force and effect. I.the undersigned Assistant Secretary of the United States Fidelity and Guaranty Company do hereby certify that the foregoing Power of Attorney is in full force and effect and has not been revoked. in Testimony Whereof,I have hereunto set my hand and the seal of the United States Fidelity and Guaranty Company. on this day of 19 ¢v' ssistant Secretary ~ay ®, FS 3(41981 Certificate of Insurance 1 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INEL. .ATION ONLY AND CONFERS NO RIGHTS UPON YOU THE L .FICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. a- This is to Certify that — Garrey Companies,Inc. 7 Name and LIBERTY r�',; 4- address of MUTUAL® �- 1331 NW Vmon Road Insured. I Kansas City,MO 64118 i Is,at the issue date of this certificate,insured by the Company.under the policy(ies)listed below. The insurance afforded by the listed policy(ies)is subiect to all their terms,exclusions and condtions and is not altered by any requirement term or comedian of any contract or other document with respect to which this certificate may be s EXP.DATE ❑ CONTINUOUS TYPE OF POLICY O EXTENDED POLICY NUMBER LIMIT OF LIABILITY POLICY TERM COVERAGE AFFORDED UNDER WC EMPLOYERS UABIUTY WORKERS 1/1/Oil WA2-14D-426942-149 LAW OF THE FOLLOWING STATES: BodiiY Injury BY Accident COMPENSATION $500,000 Each AL,AR,FL,IA,KS,LA,MD,MO,N Accident E OK,TN,TX,VA Bodily Injury By Disease $500,000 PolicyLimit Bodily Injury By Disease $500,000 Each Person ' General Aggregate-Other than Products/Completed Operations GENERAL 1/1/JO T62-141-047635-059 $2 000,000 LIABILITY Products/Completed Operations Aggregate ® OCCURRENCE $1,000,000 ❑ CLAIMS MADE Bodily Injury and Property Damage Liability Per $1,000,000 Occurrence Personal Injury Per Person/ $1,000,000 Organization RE"RO DATE — Other COVERAGE FOR Omer XCU IS PROVIDED BLASTING,COLLAPSE AND UNDERGROUND AUTOMOBILE AS2-141.047635-019 Each Accident-Single Limit 1/1.00 $1,000,000 B.I-and P,D.Centred LIABILITY ® OWNED Each Person • Accident or f�ramence ® NON-OWNED Each Accident Each Accident or nrence ® HIRED Oa OTHER 1/1/00 THI.141-426942-029 $5,000,000 EACH OCCURRENCE/AGGREGATE UMBRELLA EXCESS ADDITIONAL COMMENTS Town of Erie, Colorado-Treated Water Transmission Pipelines- ISSUED BY INSURED: Additional Insured: The Town of Erie, Rocky Mountain Consultants and each of their consultants, agents and employees. •If the certificate expiration date is continuous or extended term,you will be nodded it coverage is terminated or reduced before the certificate expiration date. SPECIAL NOTICE-OHIO: ANY PERSON WHO,WITH INTENT TO DEFRAUD OR KNOWING MAT HE IS FACILITATING A FRAUD AGAINST AN INSURER.SUBMITS •AN APPLICATION OR FILES A CLAIM CON-'AINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. IMPORTANT NOTICE TO FLORIDA POLICYHOLDERS AND CERTIFICATE HOLDERS:IN THE EVENT YOU HAVE ANY QUESTIONS OR NEED INFORMATION ABOUT THIS CERTIFICATE FOR ANY REASON,PLEASE CONTACT YOUR LOCAL SALES PRODUCER,WHOSE NAME AND TELEPHONE NUMBER APPEARS IN THE LOWER RI�GHHTT HA D CORNER Of MIS CERTIFICATE. THE APPROPRIATE LOCAL SALES OFFICE MAILING ADDRESS MAY ALSO BE OBTAINED BY CALLING THIS NUMBER. Liberty Mutua Group NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST al DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: •\c‘)\c‘)\ r 4-4-8-I Michelle Kopf Town of b Erie AUTHORIZED FtEPRESENTATNE 1�1E 645 Holbr • Erie, Colorado 80518 Overland Park. KS (913) 648-5900 01/01/99 L I OFFICE PHONE NUMBER DATE ISSUE( J oclge, 21 Thic certificate is executed by LIBERTY N UTUAL GROUP as respects such insurance as is afforded by Those Companies Hello