HomeMy WebLinkAbout990953.tiff ACORD CERTIFICATE OF LIABILITY INSURANCE cBR Cc DATE(MM/DD/YY)
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 - - _- _--
Phone No 303-756-6700 FaxNo. 303-756-7700 A Travelers Indemnity Co.
INSURED
COMPANY
B C.C.I.A.
COMPANY
Kirkland Construction R.L.L.P. C
P 0 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
POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MDDNY) DATE(MMIDDNY) I LIMITS
M/
GENERAL LIABILITY GENERAL AGGREGATE 82,000,000
a ' X I COMMERCIAL GENERAL LIABILITY DTHCO261P3713TIA98 07/31/98 07/31/99 II PRODUCTSCOMP/OP AGG x2,000,000
I CLAIMS MADE LX-I OCCUR . I PERSONAL&ADV INJURY $ 1,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE(Any one tire) I $ 100,000
MED EXP(Any one person) I$ 5,000
AUTOMOBILE LIABILITY III
- COMBINED SINGLE LIMIT $ 1000000
A XANYAUTO 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 I (Per accident) $
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ -ANY AUTO OTHER THAN AUTO ONLY: Ill
-.,- EACH ACCIDENT
--�-� AGGREGATE $
EXCESS LIABILITY I EACH OCCURRENCE $ 9000000
A X UMBRELLA FORM DTSMJCUP261P3713TIL98 07/31/98 07/31/99 AGGREGATE $ 9000000
OTHER THAN UMBRELLA FORM $
WC STATLL IOTH
WORKERS COMPENSATION AND X TORY LIMIT s ER
EMPLOYERS'LIABILITY r EL EACH ACCIDENT $ 100000
B THE PROPRIETOR/ L I X INCL PENDING 04/01/99 04/01/00 I EL DISEASE-POLICY LIMB $ 500000
PARTNERS/EXECUTIVE am.
OFFICERS ARE I EXCL EL DISEASE-EA EMPLOYEE I$ 100000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS
All Operations - All Locations Pro ect 1999 Chip & Seal #B 9900074
Weld County, Colorado is named as Aar +tional Insured excluding Workers'
Compensation.
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 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 AUTHORIz ESENTAllVE
l
4 Thomas S.8. App
Oc y 990953
nn
Bond No. 400KA0081
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS: That
Kirkland Construction, R.L.L.P.
(Name of Contractor)
P.O. Box 580, Rye, CO 81069
(Address of Contractor)
a Partnership _ hereinafter called Prncipal,
Corporation,Partnership,or Individual
and St. Paul Fire and Marine Insurance Company
(Name of Surety)
4100 E. Mississippi Ave., #900, Denver, CO 80246
(Address of Surety)
hereinafter called "Surelc", are held and firmly bound unto THE BOARD OF WELD COUNTY COMMISSIONERS, 915 - 10th Street.
Greeley. Colorado 8(1632 hereinafter called "County". in the penal sum of
Four Hundred Eighty Two Thousand Three Hundred Sixty Four and 00/100 - Dollars
(5 482,364.00 ) in lawful money of the United States, for the payment of which sum well and (nth 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
day of , a copy of which is attached and made a part hereof for the construction of:
1999 Chip and Seal Project, Project#B 9900074
NOW. THEREFORE, if the Principal shall well. truly and faithfully perform it's 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 tw the
Cbwnv_ with or without notice to the Surety and during the one-year (I) guarantee period, and if he shall satisfy all clai is 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 tccompanying the same shall
in am. way affect its obligation on :his bond. and it does hereby waive notice of any such change. extension of time. alteration or addition to
the terms of the Contract of the work or to the specifications.
PROVIDED. FURTHER, that no final settlement between the County and the contractor shall abridge the right of any beneficiary
hereunder. whose claim may be unsatisfied.
S-3172iGEEF11/97 Page 1 of 2
Bond No. 400KA0081
IN WITNESS WHEREOF, this instrument is executed in Three (3) (number) counterparts. each one of which
shall be deemed an original. this day of
ATTEST Kirkland Construction, R.L.L.P.
// Principal 42
Principal Secretary
( AL) , ac; ...--
k c.
Witness as to Principal
P.O. Box 580, Rye, CO 81069
Address
313/6r2 dr & fm 69
ATTEST:
tsL.`1\0\-A-slz `"I., 0 t ‘ Kh. 1 _� 1 St. Paul Fire and Marine Insurance Company
ZS Surety Secretary Surely
Sheryl E. Meurer
(SEAL)
-`� a n/11.tinr.S� By //(
/ ���IIVVV��IIVV
y�
, dress as to Surety Attorney-in-Fact
Nadine Brannon Lisa M. Loeffler / /
4100 E. Mississippi Ave., #900 4100 E. Mississippi Ave., #900
Address Address
Denver, CO 80246 Denver, CO 80246
NOTE_ Date of bond must not be prior to date of Contract. If contractor is a partnership, all partners should execute bond
IMPORTANT. Surely companies executing bonds must appear on the Treasury Department's most current list(Circular 570 as amended)
and he authorized to transact business in the state where the project is located.
S3172/GEEF11/97 Page 2 of 2
Bond No. 400KA0081
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS: That
Kirkland Construction, R.L.L.P.
Name of Contractor
P.O. Box 580, Rye, CO 81069
Address of Contractor
a Partnership , hereinafter called Principal, and
0WOOO6X. Partnership or 0aaDkaGt(X
St. Paul Fire and Marine Insurance Company
Name of Surety
4100 E. Mississippi Ave., #900, Denver, CO 80246
Address of Surety
hereinafter called "Surety", arc held and firmly bound unto THE BOARD OF WELD COUNTY COMMISSIONERS. 915 - 10th Street.
P. O. BON 758. Greeley. Colorado 80632, hereinafter called "County", in the penal sum of
Four Hundred Eighty Two Thousand Three Hundred Sixty Four and 00/100 Dollars
1S 482,364.00 ) 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 day of _ , a copy of which is hereto attached and made a part hereof for
the construction of: 1999 Chip and Seal Project, Project #B 9900074
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 corporations 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 on such work whether subcontracted or otherwise. then
this obligation shall be void: otherwise to remain full force and effect.
PROVIDED. FURTHER. that the said Surely. 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 wa} affect its obligation on time. alteration or addition to the terms of the Contract or to the work or to the specifications.
PROVIDED. FURTHER. that a final settlement between the County and the contractor shall abridge the right of any
beneficiary hereunder. ivhose chin.may be unsatisfied.
Page 1 of 2
S-3171/GEEF 11/97
Bond No. 400KA0081
IN WITNESS WHEREOF. this instrument is executed in Three (3) (number) cot interparts. each one of which
shall be deemed an original.this day of .
Kirkland Construction, R.L.L.P.
Principal
ATTEST:
r
Principal Secretary
0 ��
� P.O. Box 580, Rye, CO 81069
Witness as to Principal Address
s'1 /v4 p
P e) £p V ,L/6� �, F/O6 / St. Paul Fire and Marine Insurance Company
777 i —
Surety /
ATTEST:
iiZi-- . 7, (.--4
.liSh 9.tk x Q_ W I tress as to Sure Attorney-In-Fad
Sheryl E. Meurer Lisa M. Loeffler
4100 E. Mississippi Ave., #900 4100 E. Mississippi Ave., #900
Address Address
Denver, CO 80246 Denver, CO 80246
NOTE: Date of bond must not be p.'ior to date of Contract. If contractor is a partnership. all partners should execute bond.
IMPORTANT: Sure') companies executing bonds must appear on the Treasury Department's most current list (Circular 5711 as
amended) and be authorized to transact business in the state where the project is located.
Page 2 of 2
5-3171/GEEF 11/97
rme but POWER OF ATTORNEY
f 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 Companyy
A
Power of Attorney No. 20083 Certificate No. � 3 - --1
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 "Company c"), and that the Companies do
hereby make,constitute and appoint
Frank C.Penn,Kathryn K. Coulson,DiLynn Guern,Pamela J.Hansen,Lisa M.Loeffler,Kevin W.McMahon,
Kathryn Y.Broyles, Lawrence E.Lutgen,Jeffrey L. Broyles,Rae L.Campbell, Michael D.Pierce,Nadine Brannon,
Don R.Broyles,Sheryl E.Meurer
of the City of Denver ,State Colorado ,their true and lawful Attorney(s)-in-Fact,
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.
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed this_ 17th day of March_ - , 1999
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 w ^ / )
O
itvia 927 k 44,
g S
MICHAH.B.KEEGAN,Vice Presideul
\ / se ac `� 1951 ` /� \k1, 1/,' I�
arlw dry .., Al, n I ) I'`C-Mt�A -t-�
Stale of Maryland I_`"w+"r Ir
City of Baltimore MICHAEL I.:.MCKIBBBEN.Assistant Secretary
17th March ,, ' 5: 1999
On this day of . , before me,the undersigned officer,personally rppearel Michael B. Keegan and
Michael IC McKibben, who acknowledged themselves to be th ire Prwtdedl audAssistanl Secretary, respectively.of Seaboard Surly Company.SL Paul Fire and
Marine Insurance Company,St.Paul Guardian Insurance Cbrflpauy„ (•Paul Meiia1 Insurance Company,United States Fidelity and t ivarnty Company, Fidelity and
Guaranty Insurance Company.and Fidelity and Guaranty lnsuraoceUhderwriierKl Inc.and that they,as such,being authorized so to do,executed the foregoing instrument
for the purposes therein contained by signing the names of iiie corporations by themselves a;duly authorized officers.cos EAstek,
In Witness Whereof,I hereunto set may hand and official seal. ��`� l9
t,�/Jf�,t1/�/I 44441' 6/44d4.,
¢ NC Y
t.
My Commission expires the 13th day of July.2002. m, PUefaC f
REBECCA I.ASIAY-ONOKALA,Notary Public
SAE CiTx 4)
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 he 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 he 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 AtterneyIs1-in-Fact tar purposes
only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and subject to any limi atiants set lords therein,any
such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company.and cry 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 Attorney/DO-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 hands and undertakings,and other
writings obligatory in the nature thereof,and any such instrument executed by such Attorney(s)-in-Fact shall he 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(orapanies. which is in full force
and erred and has not been revoked.
IN TESTIMONY WHEREOF,I hereunto set my hand this_ day of _—
1927Po0.1Im -'
s ♦ dr. SPnL r it
S&AL 8 1951 Mich.,cl R.McKIA,en,Acsisant Secretary
crneN s-i- 1
To verify the authenticity of this Power of Attorney,call l-800-421-3880 and 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 Ed.3-99 Printed in U.S.A.
2
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