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,
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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
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