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Home My WebLink About991042.tiff ACOOItIP. CERTIFICATE OF INSURANCE MAS 02682 ISSGEDATE (MMD R 04/15/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE .RS, INC. POUCIES BELOW. 1720 S. BELLAIRE STE 700 COMPANIES AFFORDING COVERAGE DENVER CO 80222 COMPANY A ICW GROUP LETTER COMPANY B TRAVELERS INSURED LETTER . =1ALCO PATCHING & COMPANY C SEALING INC LETTER 1655 WEST GIRARD COMPANY D LETTER ENGLEWOOD, CO 80110 COMPANY E LETTER GCYERAGES Epp E EL E BEENgg��pgu p E T INDICATTEDCNOT ITHSTANDING ANYI REQUIREMENT.TERM OH CONE ION OF NCONTRACTO THETHER DOCUMENDT WITH RESPECT TPOLICY WH CHETHIIS EXCLUSIONS MAY CONDITIONS OMAY SUCH POLICIES.LIMITS SSHOWN MAY NAVE BEEN POLICIESEE DESCRIBED Y PAIID CLLAIMSEIN IS SUBJECT TO ALI.THE TERMS, .O POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POUCY NUMBER LIMITS TR DATE (MMIWMI) DATE (MMATDMT) g GENERAL UNARM DTC0754G0854 09/30/98 09/30/99 GENERAL AGGREGATE $ 2,000,000 MERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO. S 2,000,000 LAMS MADE ®OCCUR. PERSONALSADV.INJURY t 1,000,000 OWNERS&CONTRACTOR'S PROT. EACH OCCURRENCE t 1,000,000 K BROAD FORM VEND FIRE DAMAGE Wry one fire) S 100,000 BLKT ADDTL INS. MED°c (Any one person) t 5. 000 g AUTOMOBILE LIABILITY DT810754G0854 09/30/98 09/30/99 COMBINED SINGLE K ANY AUTO UNIT _ S 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Waco) $ — K HIRED AUTOS BODILY INJURY K NON-OWNED AUTOS (Per accident) _ S GARAGE LIABILITY PROPERTY DAMAGE S EXCESS UABIUTY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM A WDE1641869-00 10/01/98 10/01/99 ISTATUTORVUMITs WORKER'S COMPENSATION EACH ACCIDENT S 100,000 AND DISEASE-POUCY UMD t 500,000 EMPLOYERS'UABIUTY 100 .000 DISEASE-EACH EMPLOYEE S B OTHEIPROPERTY DTC0754G0854 09/30/98 09/30/99 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL.ENDEAVOR TO WELD COUNTY MAIL_10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 915 10TH STREET LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR GREELEY CO 80632 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. l AUTHO D NT ( 1 ACORD 2643(WOO) D 4 I I i ®A 991042 Bond #S239476 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That Nalco Patching and Sealing Inc. Name of Contractor 1665 W. Girard, Englewood, CO 80110 Address of Contractor a Corporation , hereinafter called Principal, and Corporation, Partnership, or Individual Employers flutual Casualty Company Name of Surety P.O. Box 441098 Aurora, CO 80044 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 Eighty Eight Thousand Nine Hundred Nine and 00/100 Dollars !S 388 , 909 . 00/100I 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 , . 19 , a copy of which is attached and made apart hereof for the construction of: 1999 SLURRY SEAL PROJECT 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 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 /5"day of Air, 199' . ATTEST: Halco Patching and Sealing Inc. Prin 'pal Principal Secr tary (S) (seAl.iS' � 1665 Gira d Avenue L9 Englewood, CO 80110 fitness as o i cipal Address Addre s ) J'� ) ATTEST: Surety Secretary (SEAL) Emp y rs utu\ sualty Company By Witness as to Surety Attorney-in-Fact 1720 S . Bellaire St. , Ste 700 Address Address Denver, CO 80222 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 Bond #S239476 PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: That Halco Patching and Sealing Inc, Name of Contractor 1665 W. Girard, Englewood, CO 80110 Address of Contractor a Corporation hereinafter called Principal,, and Corporation, Partnership or Individual Employers Mutual Casualty Company Name of Surety P.O. Box 441098 , Aurora, CO 80044 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 Eighty Eight Thousand Nine Hundred Nine and 00/100 -- -- — Dollars ($ 388 , 909 , 00/100) 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 19 , a copy of which is attached and made apart hereof for the construction of: 1999 SLURRY SEAL PROJECT NOW, THEREFORE, if the Principal shall during the entire length of said Contract and any extension thereof promptly make payment to all persons, firms, subcontractors, and corporation furnishing materials for or performing labor in the prosecution of the work provided for in such Contract, and any authorized extension or modification thereof, including all amounts due for materials, lubricants, oil, gasoline, coal and coke, repairs on machinery, equipment and tools, consumed or used in connection with the construction of such work, and all insurance premiums on said work, and for all labor, performed in such work whether subcontractor or otherwise, then this obligation shall be void; otherwise to remain full force and effect. PROVIDED, FURTHER, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract or to the work to be performed thereunder or the specifications accompanying the same shall in any way affect its obligation on time, alteration or addition to the terms of the Contract or to the work or to the specifications. PROVIDED, FURTHER, that a final settlement between the County and the Contractor shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. 21 IN WITNESS WHEREOF, this instrument is executed in (number) counterparts, each. one of which shall be deemed an original, this the day of , 1999. Nalco Patching and Sealing Inc . Principal ATTEST: 71-12, ' B Principal Sec etary (SEAL) hi ) n /, � ill/lQ[4✓`//�'aX/l.Y//// 1665 V).. Girard Witness as to Principal Address /65.) cc/ C,rcrcZ. Rnglawnod , CO R0110 Address 5„1 ,;rc z (. ('c' J.01/0 Employers Mutual Casualty Company Surety'/\�/1 ATTEST: (�BY Witness as to Surety Attorney-in-Fact 1720 S. Bellaire St. , Ste 700 Address Address Denver, CO 80222 NOTE: Date of bond must not be prior to date of Contract. If Contractor is a partnership, all partners should execute bond. IMPORTANT: Surety companies executing bonds must appear on the Treasury Department's most current list (circular 570 as amended) and be authorized to transact business in the state where the project is located. 22 T4HE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER•BACK OF THIS DOCUMENT HAS A SIMULATED WATERMARK.-HOLD AT AN ANGLE TO VIEW. EMC Insurance Companies No. 37 619 4 P.O. Box 712 • Des Moines, Iowa 50303 CERTIFICATE OF AUTHORITY INDIVIDUAL ATTORNEY-IN-FACT KNOW ALL MEN BY THESE PRESENTS, that: 1. Employers Mutual Casualty Company,an Iowa Corporation 5. Dakota Fire Insurance Company,a North Dakota Corporation 2. EMCASCO Insurance Company,an Iowa Corporation 6. American Liberty Insurance Company.an Iowa Corporation 3: Union Insurance Company of Providence,a Rhode Island Company 7. The.Hamilton Mutual Insurance Company,an Ohio Corporation 4. Illinois EMCASCO Insurance Company,an Illinois Corporation. hereinafter referred to severally as"Company"and collectively as"Companies',each does by these presents, make,constitute and app RICHARD W. SALMON, SCOTT M. WHITE, INDIVIDUALLY, DENVER, COJLORADO its true and lawful attorney-in-fact,with full power and authority conferred to sign, seal,and execute its lawful bonds,undertakings, and other obligatory instruments of a similar nature as follows: IN AN AMOUNT NOT EXCEEDING FIVE HUNDRED THOUSAND DOLLARS ($500,000.00) and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers t each such Company, and all of the acts of said attorney pursuant to the authority hereby given are hereby ratified and confirmed. The authority hereby granted shall expire April 1, 2000 unless sooner revoked. AUTHORITY FOR POWER OF ATTORNEY This Power-of-Attorney is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the Companies at the first regularly scheduled meeting of each company duly called and held in 1997: '. RESOLVED:The President and Chief Executive Officer,any Vice President,the Treasurer and the Secretary of Employers Mutual Casualty Company shalt have power and authority to (1)appoint attorneys-in-fact and authorize them to execute on behalf of each Company and attach the seal of'tle Company thereto, bonds and undertakings,recognizances contracts cf indemnity and other writings obligatory in the nature thereof,and(2)to remove any such attar'eyin-fact at any time and revoke the power and authority given to him or her.Attorneys-in-fact shall have power and authority,subject to the terms and limitations of the rower-of-attorney issued to them, to execute and deliver on behalf of the Company, and to attach the seal of the Company thereto, bonds and undertakings. recognize-ices. contracts of indemnity and other writings obligatory in the nature thereof,and any such instrument executed by any such attorney-in-fact shall he fully and in all rest ects binding upon the Company. Certification as to the validity of any power-of-attorney authorized herein made by an officer of Employers Mutual Casualty Company shall be fully end in all respects binding upon this Company. The facsimile or mechanically reproduced signature of such officer whether made heretofore or hereafter, wherever appearing upon a certified copy of any power-of-attorney of the Company,shall be valid and binding upon the Company with the same force and affect as though manually affixed. IN WITNESS WHEREOF,the Companies have caused these presents to be signed for e ach by their officers as shown,and the Corpoi ate seals to be hereto affixed this 5th da of March 19 97 �j y2 Seals 2 '� Bruce C. Kelley,Chairman Donald L.Cc aghewer sc°'"soggy N ' 1 � ` '9 t of Companies° 3,4,5&6, resident of Assistant Se retary ?: '"= of Company 1 Vice'Chairman and ft SEAL s :' 1863 -- - 1953 CEO of Company 7 `�•),"„ors` 5th March 9'7 On this __. .. day of _ — AD 19 -. _.. before me a NsunnNrE �Nsc °,"_ Notary Public in arid for the State of Iowa, personally appeared Bruce G Kelley and Donald L Coughennower who, being by me duly sworn, did say that hey are.and are known to me to be the Chairman, President, Vice Chairman and CEO, and/or Assistant Secretary, e SEAL J SEAL SEAL s respectively, of each of The Companies above, that the seals affixed to this instrument are '•., ,°,.,,,,,,,:•, ;< ,, ,,, ,,,,,,,,.•,;,,.;,,_ the seals of said corporations; that said instrument was signed and sealed on behalf of each of the '•„ gown• ,°„",;;:, Bruce C. Kelley and anies Donald authority L. Coughennower, as such oficective Boards rs. acktorwlledge the that exeexecution saidion of said instrument to be the voluntary act and deed of each of the Companies, UTD4 My Commission Expires December 8, 1999. z m `M AMY LEEPETERSEN ✓/ ..,,kk,, ¢ '' MY COMMISSION EXPIRES tJ/�11.� oC,P-2. e2Ki?A.2 t r•.try„° December 8, 1999 Notary PA;in and for the Slate'f Iowa Att CERTIFICATE I,David L.Hixenbaugh.V,ce President of the Companies,doherreby certify that51§fyregoing resolution of the Boards of Directors by each of the march Companies, and this Power of Attorney issued pursuant thereto on on behalf of Richard W. Salrron, Scott M. White are true Testimony Whereof are haveill in full force and effect. subscribed my name and affixed the facsimile seal of each Company this 16 Jay of Apri 1 _ 1999. _- . . Vice-President Form 783213'971 "For verificatio of the authenticit of the Power of Attorne ou ma call 515 280-2689." Hello