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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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992114.tiff
LTWAT ACORDTM CERTIFICATE OF INSURANCE '' DATE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Ii\ " C ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 211 First Street (;i ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Eaton, CO 80615 COMPANIES AFFORDING COVERAGE 970-454-3381 ' 13a 1 1}� - I J �� 2: .fLM1PANV AEMC Insurance Company INSURED [-"[ COMPANY Little Thompson Water Unstrict BReliance National Insurance Drawer G COMPANY 835 E. Highway 56 C Berthoud, CO 80513 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 POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDNY) DATE(MMIDD/W) A GENERAL LIABILITY 1D47111 05/01/99 05/01/00 GENERAL AGGREGATE $2, 000, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $2, 000, 000 [CLAIMS MADE ir X OCCUR PERSONALS ADV INJURY $1, 000, 000 OWNER'S&CONTRACTOR'S PROT I EACH OCCURRENCE s1, 000 , 000 FIRE DAMAGE(Any one fire) $100 , 000 _ MED EXP(Any one person) 6, 000 A AUTOMOBILE UABIUTY 1E47111 05/01/99 05/01/00 COMBINED SINGLE LIMIT $1, 000 , 000 1-1 ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS I HIRED AUTOS I BODILY INJURY $ (Per accident) NON-OWNED AUTOS -- -PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY. _ EACH ACCIDENT $ AGGREGATE 4 A EXCESS LIABILITY 1J47111 05/01/99 05/01/00 EACH OCCURRENCE $5, 000, 000 X UMBRELLA FORM AGGREGATE $5, 000 , 000 OTHER THAN UMBRELLA FORM $ B WORKERS COMPENSATION AND NWX6006564 07/01/99 07/01/00 X I STATUTORY LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT $100 , 000 THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT ,s5 0 0 , 0 0 0 PARTNERS/EXECUTIVE I, DISEASE EACH EMPLOYEE $100 , 000 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Fax: 970-352-2868 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Weld County - Engineering EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Attn: Don Summer 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, P O Box 758 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Greeley, CO 80632 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE SE Flood* PeleAsort [/Scan.•" 4 -1:41 . ACORD2S.S(3/93)1 or 1 #911484/14131479 I: DLB E 992114 Pr�t1 aci.42(a. Ss-it 99 Form A Certificate No. 61999-15 ASSOCIATED ELECTRIC & GAS INSURANCE SERVICES LIMITED Hamilton, Bermuda CERTIFICATE OF INSURANCE (Excess Liability) This Certificate is furnished to the Certificate Holder named below as a matter of information only. Neither this Certificate nor the issuance hereof makes the Certificate Holder an additional insured under the policy of insurance identified below (the "Policy") or modifies the Policy in any manner. The Policy terms are solely as stated in the Policy or in any endorsement thereto. Any amendment, change or extension of the Policy can only be effected by a specific endorsement issued by the Company and attached to the Policy. The undersigned hereby certifies that the Policy has been issued by Associated Electric & Gas Insurance Services Limited (the "Company") to the Named Insured identified below for the coverage described and for the policy period specified. Notwithstanding any requirements, terms or conditions of any contract or other document with respect to which this Certificate may be issued or to which it may pertain, the insurance afforded by the Policy is subject to all of the terms of the Policy. NAME OF INSURED: New Century Energies, Public Service Co of Colorado 80202-5533 PRINCIPAL ADDRESS: 1225 17`" Street, Denver, Co 80202-5533 POLICY NUMBER: X0619A1A99 POLICY From: 06/01/99 PERIOD: To: 06/01/00 RETROACTIVE DATE:09/30/86 DESCRIPTION OF COVERAGE: Claims-First-Made Excess Liability Policy LIMIT OF LIABILITY: $ 25,000,000 per occurrence and in the aggregate, where applicable. DESCRIPTION OF OPERATIONS: Operations of the Insured as described in the Policy Declaration- Continental U.S. A. Should the Policy be cancelled, assigned or changed in a manner that is materially adverse to the Insured(s) under the Policy, the undersigned will endeavor to give 30 days advance written notice thereof to the Certificate Holder, but failure to give such notice will impose no obligation or liability of any kind upon the Company, the undersigned or any agent or representative of either. DATE: July 20, 1999 ISSUED TO: Weld County Colorado ("Certificate Holder') Attn: Allan Miller ADDRESS: Engineering Department P.O. Box 1948 Greeley Co 80631 AEGIS INSURANCE SERVICES, INC. BY: )dQ.r-c4uL 5b dn. 08M/99 U At Jersey City, New Jersey ACORD CERTIFICATE OF LIABILITY INSURANCIID CC - DATE(MMIDDIYV) _ IRKL-l: 07/27/99 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 COMPANIES AFFORDING COVERAGE Thomas S. App COMPANY A Travelers Indemnity Co. Phone No. 303-756-6700 Fa.No.303-756-7700 INSURED COMPANY B C.C.I.A. COMPANY Kirkland Construction R.L.L.P. C PO Box 580 COMPANY Rye CO 81069 D COVERAGES THIS IS TO CERTIFY THAT TIE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 POUCIES 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 OFINSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MMIODIYY) DATE(MMIDDNY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIALGENERALLIABILITY DTHCO261P3713TIA99 07/31/99 07/31/00 PRODUCTS-COMPIOPAGG $ 2,000,000 CLAIMS MADE X OCCUR PERSONAL S ADV INJURY $ 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 300,000 MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO DT810261P3713TIL99 07/31/99 07/31/00 ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY 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 DTSMJCUP261P3713TIL99 07/31/99 07/31/00 AGGREGATE $ 9,000,000 OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND X I TQRV IAIMNITS EMPLOYERS'UABIUTY EL EACH ACCIDENT S 100,000 B THE PROPRIETOR/ INCL 4019235 04/01/99 04/01/00 EL DISEASE POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE EL DISEASE•EA EMPLOYEE $ 100,000 PARFT OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Re: Project 1999 Chip 6 Seal #B 9900074 Weld County, Coloradb is included as Additional Insured as respects General Liability. CERTIFICATE'.HOLDER CANCELLATION WELDCOU SHOULD ANY OF THE ABOVE DESCRIBED POUCIES 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 SUCH 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 25-5(1/95) " ACORD CORPORA A1988' w7Laa,# ere-nd&. o8//Wq9 ACORD CERTIFICATE ;OF LIABILITY INSURANCE DATE(MM/DDNY) .'• : ::. :: .:< .:: :: .:. 08/09/1999 PRODUCER (3 ... ....... I..:: ..:.. (303)322-0800 FAX (303)322-0874 THIS CERlIHICAlE IS ISSUED AS AMA fl ER OF INHUHMAIIUN dadi son Insurance Croup ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 425 South Cherry Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 420 COMPANIES AFFORDING COVERAGE Denver, CO 80222 COMPANY AIC Attn: Ext: A INSURED COMPANY Colorado Compensation Ins Auth Kemp & Hoffman, Inc. B 11445 Riverdale Rd. Northglenn, CO 80233-0000 COMPANY C COMPANY • PPYRM.R.MORMINUMBNageirINIMMISHIMMASHISVINERLOIRINEMISPOSEMninaltel 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 L R:: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DDNY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE S 1000000 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1000000 'E CLAIMS MADE I X OCCUR PERSONAL Z ADV INJURY S 1000000 A OWNER'S S.CONTRACTOR'S PROT 5440413 08/08/1999 08/08/2000 EACH OCCURRENCE S 1000000 FIRE DAMAGE(Any one fire) S 50000 MEDEXP(Any one person) $ 5000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ X ANY AUTO 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) A 7202236 08/08/1999 08/08/2000 • HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ .._.THAN ... .__........ ..... , ANY AUTO OTHER THAN AUTO ONLY: ... EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S 1000000 A ! UMBRELLA FORM BE701-13-47 01/14/1999 01/14/2000 AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY EL EACH ACCIDENT S 1000 1000000 B THE PROPRIETOR/ INCL 1876130 07/01/1999 07/01/2000 EL DISEASE-POLICY LIMB E PARTNERS/EXECUTIVE 500000 OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Meld County, Dept. of Public Works are named as Additional Insureds as their Interest may appear CgRITriMAKWPWIRNI:entOSSMIPWARNMIgglISINSIONAMVIONIIIMMOWNWIgegaMEggSNME SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING COMPANY wusgrxmcwry MAIL 3(1 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Weld County Dept. of Public Works 85014)P1F#R4�NhX14RAA§(4M44)4NR9@XkRRk9lA�l4KIXX P.O. Box 758 RRNEDN IPAWKIIXII APMRATR+X8CRA9tRNRXR9($§PXRVNIKK/&XXXXXXXX Greeley, CO 80632 AUTHORIZED REPRESENTATIVE ,,' \(j' Thomas R Youn ACQRD 2$•S(?(931 ,� :. / IAACORD CORPORAT4ON 1958 MERCOM2 ACORD. CERTIFICATE OF INSURANCE 04�9 99 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 YrALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 COMPANIES AFFORDING COVERAGE COMPANY AHartford Insurance Group INSURED COMPANY Merrick & Company B 2450 S . Peoria Street COMPANY Denver, CO 80222 Q COMPANY I 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 EFFECTNE POLICY EXPIRATION LIMITS LTR DATE(MM/DONY) DATE(MMRBD/TY) A GENERALLIABIUTY 34SBKDW6156VRS 11/01/98 11/01/99 GENERAL AGGREGATE $2, 000, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $2, 0 0 0, 0 0 0 f I CLAIMS MADE I X OCCUR PERSONAL B ADV INJURY $1, 000, 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE(Any one lire) $ 300, 000 MED EXP(Any one person) $ 10, 000 A AUTOMOBILE LIABILITY 34UENES1497 UENE S 14 9 7 11/01/98 11/01/99 COMBINED SINGLE LIMIT $1, 000, 000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY I SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY (Per accident X NON-OWNED AUTOS PROPERTY DAMAGE $ GARAGE UABILT' AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY 34XHUES1203 . 11/01/98 11/01/99 EACH OCCURRENCE 6, 000, 000 =J UMBRELLA FORM AGGREGATE 6, 000, 000 OTHER THAN UMBRELLA FORM I $ A WORKERS COMPENSATION AND WBAY3311 05/01/99 11/01/99 X STATUTORY LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT $100, 000 THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT 600, 000 PARTNERS/EXECUTIVE OFFICER S ARE: EXCLI DISEASE-EACH EM PLOYEE $100, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Weld County, Colorado, by and through the Board of County Commissioners of the of the County of Weld, its officers and employees shall be named as Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Weld County Public EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Works Department 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 933 N. 11th Ave . BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Greeley, CO 80631 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTOO D REPRESENTATIVE ACORD2S-S(3/93}/1/ of 1 i #S63448/M47143 RMG O ACORDCORPORATION /� i993 .rnnna /l/Or �a. ! R - /A-y9 }r Smarr f A/C1,1r'/e. �CERTIFiCATe {)R INSU RA N E at t. xcnta,, DAtE(MM,DDNY) g. 06/30/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J&H Marsh&McLennan of PA,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 PPG Place,Suite 300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Pittsburgh, PA 15222-5499 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (412)552-5218 COMPANIES AFFORDING COVERAGE Attn: Bobby Kay Williams COMPANY 04802-MBC1C 99-00 BEI A Liberty Mutual Insurance Co. INSURED COMPANY Baker Environmental,Inc. B Reliance Insurance Co. Attn: Suzanne Thomas Airport Office Park, Bldg.3 COMPANY 420 Rouser Road C N/A Coraopolis, PA 15108 COMPANY D N/A I QQYEFIAGEN ' 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.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE Po EXPIRATION UMITS WI LTR DATE(MM/DD/ DATEATE(MM/DO/YY) GENERAL UABIUTY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY RG2681004100119 6/30/99 6/30/00 PRODUCTS-COMP/OP AGG $ 1,000,000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 1,000,000 MED EXP(Any one person) S 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE UMIT $ 1,000,000 B X ANY AUTO OA8492952-02 6/30/99 6/30/00 ALL OWNED AUTOS QA8492979-02(TX) 6/30/99 6/30/00 BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABIUTY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS UABIUTY EACH cirri IRRENCE $ UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND -. XI STATUTORY UMITS EMPLOYERS'UABIUTY A WA168D004 100069 6/30/99 6/30/00 EACH ACCIDENT S 1,000,000 THE PROPRIETOR' I X INCL I WC2681004100089 DISEASE-POLICYUMIT S L000,000 PAPTNERS/IXECUTNE OFFICERS ARE: ,IX I CL (AK,ID,WI) DISEASE-EACH EMPLOYEE S 1,000,000 OTHER DESCRIPTION Of OPERATIONSROCATIONSNEHICLES/SPECIAL ITEMS (UMITS MAY BE SUBJECT TO RETENTIONS) RE: Groundwater Monitoring Welt Installation along County Road. 2 Locations (minimum): 1) approximately 3200' and 4800' North of NCR 37 and 108 Intersection. It is agreed that Weld County, Coto rado, by and through the Board of County Commissioners of the County of Weld, its officers and employees are included as an Additional Insured with respects to General Liability, Automobile Liability, but solely in regards to work being performed by or CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Weld County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL do Office of Public Works P.O.Box 758 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Greeley,CO 80632 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABIUTY OF ANY/6-,,, KIND UPON TH PA / AGENTS OR REPRESENTATIVES. AUTHORIZED flEPRPflESENTAT 71- ACORD 254(3/93)T a�ACQAD CORPORATION 1988: f Ao.,t /,2Qo.,,dn . O�-/'-� ` ADDITIONA IINf ORMATION . '> fl x' ` :: 3 06/30/99 PRODUCER CERTIFICATE HOWER J&H Marsh&McLennan of PA, Inc. Weld County 6 PPG Place,Suite 300 do Office of Public Works Pittsburgh,PA 15222-5499 P.O.Box 758 (412)552-5218 Greeley,CO 80632 Attn: Bobby Kay Williams 04802-MBC1C 99-00 BEI INSURED Baker Environmental,Inc. Attn: Suzanne Thomas Airport Office Park,Bldg.3 420 Rouser Road Coraopolis,PA 15108 on behalf of the Named Insured in connection with the project described herein. PAGE 2 // flio..,.Jri. .17$7/IV /4cQ NLA 1 S TR ACORD.e CERTIFICATE OF INSURANCE DATE(MM/DD/YY) PRODUCER 07/09/99 HRH of Denver THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 455 Sherman Street, Suite 390 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 9364 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80209 COMPANIES AFFORDING COVERAGE COMPANY - - INSURED A Crum & Forster Insurance Neatline Structures, Inc . COMPANY 3211 South I-25 B Castle Rock, CO 80104 COMPANY c 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, SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COI EXCLUSIONS OF INSURANCE OF LTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION I LIMITS DATE(MM/DDP/Y) DATE(MM/DD/YV) A GENERAL LIABILITY 5031757071 04/01/99 04/01/00 GENERAL AGGREGATE [$2, 000, 000 ( COMMERCIAL GENERAL LIABILITY `PRODUCTS-COMP/OP AOG !$2 0 0 0 000 r_ CLAIMS MADE jXi OCCUR I I PERSONAL S ADV INJURY IC, 000, 000 OWNER'S S&CONTRACTOR PROT _EH ACH OCCURRENCE $1, 000, 000 FIRE DAMAGE(Any one fire) '$ 50, 000 A AUTOMOBILE LIABILITY MED EXP(Any one person) '$ 5, 000 1336536738 04/01/99 [04/01/00 I r�X (ANY AUTO COMBINED SINGLE LIMIT $]_, 000, 000 ALL OWNED AUTOS ISCHEDULED AUTOS Per person)URV $ X HIRED AUTOS Y - X{ NON-OWNED AUTOS BODILY INJURY III I(Per accident) IS 1 PROPERTY DAMAGE 1$ GARAGE LIABILITY (AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ A EXCESS AGGREGATE $ LIABIUTY 5530694634 04/01/99 04/01/00 IEACHOCCURRENCE I$1, 000, 000 X UMBRELLA FORM - - AGGREGATE I OTHER THAN UMBRELLA FORM $1, 000, OOO WORKERS COMPENSATION AND 1 $ EMPLOYERS'UABILITY STATUTORY LIMITS THE PROPRIETOR/ LEACH ACCIDENT $ • PARTNERS/EXECUTIVE INCL OFFICERS ARE'. I EXCL (DISEASE-POLICY LIMIT Is OTHER DISEASE-EACH EMPLOYEE I$ DESCRIPTION OF OPERATIONS/LOCATIONSN IHICLES/SPECIAL ITEMS Construction of Weld County Bridge No. WEL005 . 0-042 .OA, Weld County, CO. Additional Insured on General Liability: Weld County, CO by and through the Board of County Commissioners of Weld County, its employees & agents . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Board of Weld County EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Commissioners 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 915 10th Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Greeley, CO 80632 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 26S(3/93)1.. of 1 #5765661M70609 7, JAH © ACOROEORPORATION 7993 fl on4?At . 0a - /E'-9`? ACORD CERTIFICATE OF LIABILITY INSURANCR BR DATE(MM/DDNV) EAT -1 07/12/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Olson & Olson, Ltd. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Distinctive Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 1467 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood CO 80150 Phone: 303-761-0085 Fax:303-788-1817 INSURERS AFFORDING COVERAGE INSURED INSURER A: Colorado Compensation Ins. INSURER B: Neatline Structures, Inc. INSURER C: 3211 S 1-25 INSURER D: Castle Rock, CO 80104 INSURER E: COVERAGES 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 CONTRACTOR 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY)_ DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY n PRO-CT LOC JE AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY(Per accident) : PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE 5 RETENTION $ $ WORKERS COMPENSATION AND WC 5TAJU. EMPLOYERS'LIABILITY TORY LIMITSI X 1°a• A 1614630 10/01/98 10/01/99 E.L.EACH ACCIDENT $ 1000000 E.L.DISEASE-EA EMPLOYEE $ 1000000 E.L.DISEASE-POLICY LIMIT $1000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: # 005.0-042.OA CERTIFICATE HOLDER I N ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION 0000000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL MAIL Weld County *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Attn: Drew Scheltinga LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF P.O. Box 758 Greeley, CO 80632 ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ACORD 25-S(7/97) " ACORD CORPORATION 1988 ( n-yv.>2.. ag_up,ote-, 0? -!`d"CP pimonauqcs BOND Bond No. 19-0120-37913-99(6) KNOW ALL MEN BY THESE PRESENTS: That • NEATLINE STRUCTURES, INC. Name of Contractor 3211 South I-2S, Castle Rock. Colorado 80104 Address of Contractor a Corporation , hereinafter called Principal, and Corporation, Partnership, or Individual UNITED STATES FIDELITY AND GUARANTY COMPANY Name of Surety Baltimore, Maryland 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 THREE HUNDRED. FIFTEEN THOUSAND EIGHTY AND 33/100. Dollars ($315.080.33 ) • 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 CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the County, dated the 1st day of July 1999 , a copy of which is attached and made a part hereof for the construction of: WELD COUNTY BRIDGE WEL005.0-042_OA NOW, THEREFORE, if the Principal shall well, truly and faithfully perform its duties, all the undertaking, covenants, terms, conditions, and agreements of 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 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 addition to the terms of the contract or to work to be performed thereunder or the specifications accompanying the same shall in any ways 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 contract of the work or to the specifications. • 19 t1 f 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 Triplicate (number) counterparts, each one of which shall be deemed an original, this the 13th day of July , 19 99 ATTEST: NEATLINE STRUCTURES, INC. Pri i BY: AA • l s.*W Principal Secretary By (SEAL) - • Not Applicable 3211 South 1-25, Castle Rock, Colorado 80104 Witness as to Principal Address Not Applicable Address ATTEST: Not Applicable Surety Secretary UNITED STATES FIDELITY AND GUARANTY COMPANY (SEAL) BY: 4Sastotety orney-i ct J. R. Richards Cindy Burnett P. O. Box 9364 Address Address Denver, Colorado Denver, Colorado 80209-0364 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. 20 r.O. Box 9364 United States Fidelity and Guaranty Company I�a1^ Denver, CO 80209-0364 P.O, Box 441565 I IHANCF ® Phone 303/722-7776 Aurora, CO 80044-1565 Hilb, Fax 303/722-8862 Royal and Hamilton Company of Denver Surety Bonds and Insurance pAYIalUT BOND Bond No. 19-0120-37913-99(6) KNOW ALL MEN BY THESE PRESENTS: That NEATLINE STRUCTURES, INC. Name of Contractor 3211 South I-25, Castle Rock, Colorado 80104 Address of Contractor a Corporation , hereinafter called Principal, and Corporation, Partnership or Individual. UNITED STATES FIDELITY AND GUARANTY COMPANY Name of Surety Baltimore, Maryland _ 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 THREE HUNDRED FIFTEEN THOUSAND EIGHTY AND 33/100 Dollars ($315,080.33 —� in a lawful money of the United States, for the payment of which the 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 1st day of July , 1999 , a copy of which is hereto attached and made a part hereof of x the construction of: WELD COUNTY ARTDGE wEL005.0-042.OA 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. 21 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. IN WITNESS WHEREOF, this instrument is executed in Triplicate (number) counterparts, each one of which shall be deemed an original, this the 13th day of July 19 99. Not Applicable NEATLINE STRUCTURES, INC. Prin ATTEST. BY +)C0 La , D4,4nA n'Jn BY Principal Secretary _3211 South I-25, Castle Rock, Colorado 80104 (SEAL) r Address Not Applicable Witness as to Principal Not Applicable Address Not Applicable ATTEST: Not Applicable Surety Secretary (S ) UN LI AND GUARANTY COMPANY BY BY ss as to Surety Attorney-in-Fact J. R. Richards Cindy Burnett . O. Box 9364 Address Address Denver, Colorado Denver, Colorado 80209-0364 NOTE: Date of bond must not he 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 P.O. Box 9364 United States Fidelity and Guaranty Company lgDenver, CO 80209-0364 P.O. Box 441565 l�t,RwlL Phone 303/722-7776 Aurora, CO 80044-1565 Hilb,Rogal and Hamilton Fax 303/722-5862 Company of Denver Surety Bonds and Insurance 7TheSt u' POWER OF ATTORNEY Seaboard Surety Company United States Fidelity and Guaranty Company St.Paul Fire and Marine Insurance Company Fidelity and Guaranty Insurance Company St.Paul Guardian Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. St.Paul Mercury Insurance Company r\ Power of Attorney No. 20567 Certificate No. 2. 0 L D 6 KNOW ALL MEN BY THESE PRESENTS:That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York,and that St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company and St.Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota,and that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland,and that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters,Inc.is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the "Companies"), and that the Companies do hereby make,constitute and appoint Courtney T.Peterson,Leon B.Dartois,James S.Rosulek, J.R.Richards,Douglas J. Rothey, Susan J.Rawson and Cynthia M.Burnett Denver Colorado their true and lawful Attomey(s)-in-Fact, of the City of ,State each in their separate capacity if more than one is named above,to sign its name as surety 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 Companies in their 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. 1St June 1999 IN WITNESS WHEREOF,the Companies have caused this instrument to be signed this day of Seaboard Surety Company United States Fidelity and Guaranty Company St.Paul Fire and Marine Insurance Company Fidelity and Guaranty Insurance Company St.Paul Guardian Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. St.Paul Mercury Insurance Company $ 6; pQ, ":7a' qz....af .�` i� e x `°` q. -iOt1� MICHAELBKEEGAN,VicePresident tt}'ot SE A�1 't\SEAL �yy ®'� .tat$$$$ , 1951 a s�x+a� JJ^^ ✓s '�}0- 4° V I I 1 A State Maryland tS'" _ ^aa' City of Baltimore �� '4.*, MICHAEL R.MCKIBBEN,Assistant Secretary X19 i On this 1st day of June " ), 'ttyt. ,br 'e me,the undersigned officer,personally appeared Michael B.Keegan and Michael R.McKibben,who acknowledged themselves to 0%,,, c`e ' lj�eIttt anpd�gg;Whnt Secretary,respectively,of Seaboard Surety Company,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insur.,, txprt3'pa I nn'; ul t'kq Insurance Company,United States Fidelity and Guaranty Company,Fidelity and Guaranty Insurance Company, and Fidelity and G ~ ty I e Users, Inc. and that they, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing d*� es of the orporations by themselves as duly authorized o�fficeer�s. tiCfr"44 In Witness Whereof,I hereunto set my hand and official seal. m'�No%Wilt ? i To My Commission expires the 13th day of July,2002. 8% -'mac c.. REBECCA EASLEY-ONOKALA,Notary Public l'a4E CO This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Seaboard Surety Company,St.Paul Fire and Marine Insurance Company,St. Paul Guardian Insurance Company, St.Paul Mercury Insurance Company,United States Fidelity and Guaranty Company, Fidelity and Guaranty Insurance Company,and Fidelity and Guaranty Insurance Underwriters,Inc.on September 2, 1998,which resolutions are now in full force and effect,reading as follows: 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. Said 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 any Vice President,or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers 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 is validly attached;and RESOLVED FURTHER,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 them,to execute and deliver on behalf 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 Attorney(s)-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 R.McKibben,Assistant Secretary of Seaboard Surety Company,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company, St.Paul Mercury Insurance Company,United States Fidelity and Guaranty Company,Fidelity and Guaranty Insurance Company,and Fidelity and Guaranty Insurance Underwriters,Inc.do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I hereunto set my hand this 13th day of July , 1999 . (� \ ,� t,.' n s o e�'.o^:;`' 3/4.,....„, Y ` % R. f +— tt-� % 4n re:R s ,' n;c7 i�ae SEAL i i"--9 g�, � Michael R.McKibben,Assistant Secretary To verify the authenticity of this Power of Attorney,call 1-800-421-.3880 end ask for-the Power of Attorney clerk. Please refer to the Power of Attorney number, the above-named individuals and the details of the bond to which the power is attached. 86326 Rev.4-99 Printed in U.S.A. 2
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