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Home My WebLink About20241606.tiffCONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY DEPARTMENT OF FLEET SERVICES AND TEAM PETROLEUM This Agreement Extension/Renewal ("Renewal"), made and entered into this . d@y of 2025 y and between the Board of Weld County Commissioners, on behalf of the Weld County Department Fleet Services, hereinafter referred to as the "Department", and Team Petroleum, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an agreement (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2024-1606, approved on June 10. 2024. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accordance with the terms of the Original Agreement, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on June 09, 2025. • The parties agree to extend the Original Agreement for an additional one-vear _period, which will begin June 10, 2025, and will end on June 9. 2026. • The Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents, which shall be effective upon the expiration of the current term of the Original Agreement: 1. The original request for bid, Addendum, number 20 states: "to use the daily OPIS gross contract average low", as index for fuel pricing. Parties agree to change this language to "OPTS contract average" instead and utilize this index measure moving forward for pricing of fuel products. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. CONTRACTOR: /4-,1,) /,ete V Printed N e ignature BOARD OF COUNTY COMMISSIONERS WELD COUNTY, C LORADO Perry [4Buck, Chair MAY 0 5 2025 ATTEST: ied2" . Jelfn;t4C BY: Weld County Clerk to the Boar Deputy Clerk to the B CunStllkPcpcio` 5/5/Z`j CC FT M pug ckaSln9 5/5/25 7 024-1(00Lp F T000q Houstan Aragon From: Sent: To: Cc: Subject: Byron Howell Thursday, May 1, 2025 8:39 AM Houstan Aragon; David Springer; Fransisco Amparan; Adria Schiel; Bruce Barker; Diane Beckman; Karin McDougal; Matthew Conroy; William Grumet CTB; Toby Taylor RE: SIGNATURE REVIEW: TWO (2) EXTENSION RENEWAL AGREEMENTS Yes, these are okay for placement. Byron L. Howell Assistant Weld County Attorney Weld County Attorney's Office 1150 O Street Greeley, Colorado 80632 970-400-4394 STATEMENT OF CONFIDENTIALITY & DISCLAIMER: The information contained in this email message is attorney privileged and confidential, intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copy of this email is strictly prohibited. If you have received this email in error, please notify us immediately by replying and delete the message. Thank you. From: Houstan Aragon <haragon@weld.gov> Sent: Thursday, May 1, 2025 7:52 AM To: David Springer <dspringer@weld.gov>; Fransisco Amparan <famparan@weld.gov>; Adria Schiel <aschiel@weld.gov>; Bruce Barker <bbarker@weld.gov>; Byron Howell <bhowell@weld.gov>; Diane Beckman <dbeckman@weld.gov>; Karin McDougal <kmcdougal@weld.gov>; Matthew Conroy <mconroy@weld.gov>; William Grumet <wgrumet@weld.gov> Cc: CTB <CTB@co.weld.co.us>; Toby Taylor <ttaylor@weld.gov> Subject: SIGNATURE REVIEW: TWO (2) EXTENSION RENEWAL AGREEMENTS Importance: High Good morning, Please review and advise as to placement on the Monday, May 5, 2025, Consent Agenda. Please also remember to reply -all to this email. • Extension/Renewal #1 to Agreement for Fuel Supplies (B2400092) — LP Propane, LLC [2024-1604] • Extension/Renewal #1 to Agreement for Fuel Supplies (B2400092) — Team Petroleum, LLC [2024- 1606] Thank you, COUNTY, CO AGREEMENT FOR FUEL SUPPLIES BETWEEN WELD COUNTY & TEAM PETROLEUM THIS AGREEMENT is made and entered into this Kr day of Q12024, by and between the County of Weld, a body corporate and politic of the State of Colorado, by and through its Board of County Commissioners, whose address is 1150 "O" Street, Greeley, Colorado 80631 hereinafter referred to as "County," and TEAM PETROLEUM, [a limited liability company], who whose address is PO Box 1831 fort Collins CO 80524, hereinafter referred to as "Contractor". WHEREAS, Weld County requires diesel fuel petroleum supplies to run its fleet of vehicle equipment, WHEREAS, Contractor is authorized to do business in the State of Colorado and has the time, skill, expertise, and experience necessary to provide the equipment, materials/goods and services as set forth below; NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: 1. Introduction. The terms of this Agreement are contained in the terms recited in this document and in Exhibits A and B, each of which forms an integral part of this Agreement. Exhibits A and B are specifically incorporated herein by this reference. County and Contractor acknowledge and agree that this Agreement, including specifically Exhibits A and B, define the performance obligations of Contractor and Contractor's willingness and ability to meet those requirements. Exhibit A consists of County's Request for Bid (RFB) as set forth in "Bid Package No. B2400092". The RFP contains all of the specific requirements of County. Exhibit B consists of Contractor's Response to County's Request for Bid. The Response confirms Contractor's obligations under this Agreement. 2. Service or Work. Contractor agrees to procure the materials/goods, equipment and/or products necessary for supplying fuel and agrees to diligently provide all services, labor, personnel and materials/goods necessary to perform and complete the Project described in Exhibit A which is attached hereto and incorporated herein by reference. Contractor shall coordinate with, the Weld County Director Fleet Services of or other designated supervisory personnel, (the "Manager"), to perform the services described on attached Exhibits A and B. Contractor shall faithfully perform the work in accordance with the standards of professional care, skill, training, diligence, and judgment provided by highly competent Contractors performing services of a similar nature to those described in this Agreement. Contractor shall further be responsible for the timely completion and acknowledges that a failure to comply with the standards and requirements of Exhibits A and B within the time limits prescribed by County may result in County's decision to withhold payment or to terminate this Ae r1C - c c FTC OSI FA) r Puck 2024-1606 (p/1 O / 2 Oco r to I'at1 FTOOO 4 Agreement. The material and/or equipment shall be delivered to the location(s) specified herein. 3. Term. The term of this Agreement begins upon the date of the execution of this Agreement by County and shall continue through and until Contractor's completion of the responsibilities described in Exhibits A. Both of the parties to this Agreement understand and agree that the laws of the State of Colorado prohibit County from entering into Agreements which bind County for periods longer than one year. Therefore, within the thirty (30) days preceding the anniversary date of this Agreement, County shall notify Contractor if it wishes to renew this Contract. In its sole discretion, the County, by the Director of the Department of Fleet Services or his or her designee, may extend the time for the Contractor to complete the service or work, by not more than thirty (30) days. Such extension shall not increase the compensation to be paid to the Contractor nor change any other term herein. Additional/Renewal Terms. The bid is for one (1) year increments. This Contract may be renewed, subject to mutually agreed upon cost adjustments, annually. Renewal may be for four (4) additional years. Any contract renewal or extensions must be approved by the Weld County Board of Commissioners. 4. Termination. County has the right to terminate this Agreement, with or without cause on thirty (30) days written notice. Furthermore, this Agreement may be terminated at any time without notice upon a material breach of the terms of the Agreement. However, nothing herein shall be construed as giving Contractor the right to provide materials (or services) under this Agreement beyond the time when such materials (or services) become unsatisfactory to the County. If this Agreement is terminated by County, Contractor shall be compensated for, and such compensation shall be limited to, (1) the sum of the amounts contained in invoices which it has submitted and which have been approved by the County; (2) the reasonable value to County of the materials which Contractor provided prior to the date of the termination notice, but which had not yet been approved for payment; and (3) the cost of any work which the County approves in writing which it determines is needed to accomplish an orderly termination of the work. County shall be entitled to the use of all material generated pursuant to this Agreement upon termination. Upon termination, County shall take possession of all materials, equipment, tools and facilities owned by County which Contractor is using, by whatever method it deems expedient; and, Contractor shall deliver to County all drawings, drafts or other documents it has completed or partially completed under this Agreement, together with all other items, materials and documents which have been paid for by County, and these items, materials and documents shall be the property of County. Copies of work product incomplete at the time of termination shall be marked "DRAFT -INCOMPLETE." Upon termination of this Agreement by County, Contractor shall have no claim of any kind whatsoever against the County by reason of such termination or by reason of any act incidental thereto, except for compensation for work satisfactorily performed and/or materials/goods described herein properly delivered. 5. Extension or Modification. Any amendments or modifications to this agreement shall be in writing signed by both parties. No additional services or work performed by Contractor shall be the basis for additional compensation unless and until Contractor has obtained written authorization and acknowledgement by County for such additional services. Accordingly, no claim that the County has been unjustly enriched by any additional services, whether or not there is in fact any such unjust enrichment, shall be the basis of any increase in the compensation payable hereunder. 6. Compensation/Contract Amount. Upon Contractor's successful completion of the delivery or installation of the material or equipment and County's acceptance of the same, County agrees to pay an amount no greater than $ Bid Price Exhibit B, which is the bid set forth in Exhibit B. Contractor acknowledges no payment in excess of that amount will be made by County unless a "change order" authorizing such additional payment has been specifically approved by the Director of Weld County Fleet Services, or by formal resolution of the Weld County Board of County Commissioners, as required pursuant to the Weld County Code. Any other provision of this Agreement notwithstanding, in no event shall County be liable for payment for services rendered and expenses incurred by Contractor under the terms of this Agreement for any amount in excess of the sum of the bid amount set forth in Exhibit B. Contactor acknowledges that any work it performs or materials or equipment it supplies beyond that specifically authorized by County is performed at Contractor's risk and without authorization under this Agreement. County shall not be liable for the payment of taxes, late charges, or penalties of any nature other than the compensation stated herein. If, at any time during the term or after termination or expiration of this Agreement, County reasonably determines that any payment made by County to Contractor was improper because the material, service or equipment for which payment was made did not perform as set forth in this Agreement, then upon written notice of such determination and request for reimbursement from County, Contractor shall forthwith return such payment(s) to County. Upon termination or expiration of this Agreement, unexpended funds advanced by County, if any, shall forthwith be returned to County. County will not withhold any taxes from monies paid to the Contractor hereunder and Contractor agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement. Notwithstanding anything to the contrary contained in this Agreement, County shall have no obligations under this Agreement after, nor shall any payments be made to Contractor in respect of any period after December 31 of any year, without an appropriation therefore by County in accordance with a budget adopted by the Board of County Commissioners in compliance with Article 25, title 30 of the Colorado Revised Statutes, the Local Government Budget Law (C.R.S. 29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X, Sec. 20) 7. Independent Contractor. Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contractor shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contractor shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law (and as set forth in Exhibit A provide proof thereof when requested to do so by County. 8. Subcontractors. Contractor acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this Project without County's prior written consent, which may be withheld in County's sole discretion. County shall have the right in its reasonable discretion to approve all personnel assigned to the subject Project during the performance of this Agreement and no personnel to whom County has an objection, in its reasonable discretion, shall be assigned to the Project. Contractor shall require each subcontractor, as approved by County and to the extent of the Services to be performed by the subcontractor, to be bound to Contractor by the terms of this Agreement, and to assume toward Contractor all the obligations and responsibilities which Contractor, by this Agreement, assumes toward County. County shall have the right (but not the obligation) to enforce the provisions of this Agreement against any subcontractor hired by Contractor and Contractor shall cooperate in such process. The Contractor shall be responsible for the acts and omissions of its agents, employees and subcontractors. 9. Ownership. All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, data, plans, drawings, records, and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 10. Confidentiality. Confidential financial information of Contractor should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, Contractor is advised that as a public entity, Weld County must comply with the provisions of C.R.S. 24-72-201, et seq., with regard to public records, and cannot guarantee the confidentiality of all documents. Contractor agrees to keep confidential all of County's confidential information. Contractor agrees not to sell, assign, distribute, or disclose any such confidential information to any other person or entity without seeking written permission from the County. Contractor agrees to advise its employees, agents, and consultants, of the confidential and proprietary nature of this confidential information and of the restrictions imposed by this agreement. 11. Warranty. The Contractor warrants that materials/goods, equipment, and services covered under this Agreement will meet the standards governing such materials/goods, equipment, and services and the provisions of this Agreement. The Contractor further represents and warrants that all materials/goods, equipment, and services shall be performed and delivered by qualified personnel in a professional and workmanlike manner, consistent with industry standards, and that all materials, equipment, and services will conform to applicable specifications. In addition to the foregoing warranties, The Contractor is aware that all work performed on this Project pursuant to this Agreement is subject to a one-year warranty period during which the Contractor must correct any failures or deficiencies. This warranty shall commence on the date of County's final inspection and acceptance of the materials/goods or equipment. The Contractor warrants that the goods to be supplied pursuant to this bid are fit and sufficient for the purpose intended; and the goods are merchantable, of good quality, and free from defects, whether patent or latent, in material or workmanship; and the goods sold to Weld County, pursuant to this bid, conform to the minimum Weld County specifications as established herein. The Contractor shall warrant that he has title to the goods supplied and that the goods are free and clear of all liens, encumbrances, and security interests. All warranties made by the Contractor, together with service warranties and guarantees shall run to Weld County and its successors and assigns. 12. Acceptance of Services Not a Waiver. Upon completion of the work, Contractor shall submit to County originals of all test results, reports, etc., generated during completion of this work. Acceptance by County of reports, incidental material(s), and structures furnished under this Agreement shall not in any way relieve Contractor of responsibility for the quality and accuracy of the of the project. In no event shall any action by County hereunder constitute or be construed to be a waiver by County of any breach of this Agreement or default which may then exist on the part of Contractor, and County's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to County with respect to such breach or default. No assent expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the County of, or payment for, the materials, equipment, or service completed under this Agreement shall not be construed as a waiver of any of the County's rights under this Agreement or under the law generally. 13. Public Contracts for Services. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this Agreement. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under this Agreement knowingly employs or contracts with an illegal alien, Contractor shall notify the subcontractor and County within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contractor shall comply with reasonable requests made in the course of an investigation by the Colorado Department of Labor and Employment. Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee and shall comply with all the other requirements of federal or state law. If Contractor fails to comply with any requirement of this provision, County, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States, if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by federal or state law, and (c) shall produce one of the forms of identification required by federal law prior to the effective date of the contract. 14. Insurance and Indemnification. General Requirements: Contractors must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating thatthe County will be notified ofany reduction, loss, ormodification to coverage. Such notice shall be sent to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor. Contractor shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor. The County in no way warrants that the minimum limits contained herein are sufficient to protect the Contractor from liabilities that might arise out of the performance of the work under this Contract by the Contractor, its agents, representatives, employees, or subcontractors. The Contractor shall assess its own risks and if it deems appropriate and/or prudent, maintain higher limits and/or broader coverages. The Contractor is not relieved of any liability or other obligations assumed or pursuant to the Contract by reason of its failure to obtain or maintain insurance in sufficient amounts, duration, or types. The Contractor shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Any modification to these requirements must be made in writing by Weld County. The Contractor stipulates that it has met the insurance requirements identified herein. The Contractor shall be responsible for the professional quality, technical accuracy, and quantity of all materials and services provided, the timely delivery of said services, and the coordination of all services rendered by the Contractor and shall, without additional compensation, promptly remedy and correct any errors, omissions, or other deficiencies. INDEMNITY: The Contractor shall defend, indemnify and hold harmless County, its officers, agents, and employees, from and against injury, loss damage, liability, suits, actions, or claims of any type or character arising out of the work done in fulfillment of the terms of this Contract or on account of any act, claim or amount arising or recovered under workers' compensation law or arising out of the failure of the Contractor to conform to any statutes, ordinances, regulation, law or court decree. The Contractor shall be fully responsible and liable for any and all injuries or damage received or sustained by any person, persons, or property on account of its performance under this Agreement or its failure to comply with the provisions of the Agreement, or on account of or in consequence of neglect of the Contractor in its methods or procedures; or in its provisions of the materials required herein, or from any claims or amounts arising or recovered under the Worker's Compensation Act, or other law, ordinance, order, or decree. This paragraph shall survive expiration or termination hereof. It is agreed that the Contractor will be responsible for primary loss investigation, defense, and judgment costs where this contract of indemnity applies. In consideration of the award of this contract, the Contractor agrees to waive all rights of subrogation against the County its associated and/or affiliated entities, successors, or assigns, its elected officials, trustees, employees, agents, and volunteers for losses arising from the work performed by the Contractor for the County. A failure to comply with this provision shall result in County's right to immediately terminate this Agreement. Types of Insurance: The Contractor shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of the Contractor's Contract Professional's employees acting within the course and scope of their employment. Policy shall contain a waiver of subrogation against the County. This requirement shall not apply when a Contractor or subcontractor is exempt under Colorado Workers' Compensation Act., AND when such Contractor or subcontractor executes the appropriate sole proprietor waiver form. Commercial General Liability Insurance for bodily injury, property damage, and liability assumed under an insured contract, and defense costs, with the minimum limits must be as follows: $1,000,000 each occurrence; $1,000,000 general aggregate; $1,000,000 products and completed operations aggregate; Automobile Liability: Contractor shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere, for vehicles owned, hired, and non -owned vehicles used in the performance of this Contract. Contractors shall secure and deliver to the County at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. Proof of Insurance: County reserves the right to require the Contractor to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor's insurer shall name County as an additional insured. Waiver of Subrogation: For all coverages, Contractor's insurer shall waive subrogation rights against County. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor. Contractor shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. Contractors Pollution Liability Weld County requires this coverage whenever work at issue under this Contract involves potential pollution risk to the environment or losses caused by pollution conditions (including asbestos) that may arise from the operations of the Contractor described in the Contractor's scope of services. Policy shall cover the Contractor's completed operations. Coverage shall apply to sudden and gradual pollution conditions resulting from the escape of release of smoke, vapors, fumes, acids, alkalis, toxic chemicals, liquids, or gases, natural gas, waste materials, or other irritants, contaminants, or pollutants (including asbestos). If the coverage is written on a claims - made basis, the Contractor warrants that any retroactive date applicable to coverage under the policy precedes the effective date of this Contract; and that continuous coverage will be maintained, or an extended discovery period will be exercised for a period of three (3) years beginning from the time that work under this contract is completed. The policy shall be endorsed to include the following as Additional Insureds: "Weld County its subsidiary, parent, associated and/or affiliated entities, successors, or assigns, its elected officials, trustees, employees, agents, and volunteers named as an additional insured with respect to liability and defense of suits arising out of the activities performed by, or on behalf of the Contractor, including completed operations". Minimum Limits: Per Loss $ 1,000,000 Aggregate $ 1,000,000 15. Non -Assignment. Contractor may not assign or transfer this Agreement or any interest therein or claim thereunder, without the prior written approval of County. Any attempts by Contractor to assign or transfer its rights hereunder without such prior approval by County shall, at the option of County, automatically terminate this Agreement and all rights of Contractor hereunder. Such consent may be granted or denied at the sole and absolute discretion of County. 16. Examination of Records. To the extent required by law, the Contractor agrees that any duly authorized representative of County, including the County Auditor, shall have access to and the right to examine and audit any books, documents, papers and records of Contractor, involving all matters and/or transactions related to this Agreement. The Contractor agrees to maintain these documents for three years from the date of the last payment received. 17. Interruptions. Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 18. Notices. County may designate, prior to commencement of work, its project representative ("County Representative") who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the project. All requests for contract interpretations, change orders, and other clarification or instruction shall be directed to County Representative. The County Representative for purposes of this Agreement is hereby identified as, Director of Weld County Department of Public Works, or his designee. All notices or other communications (including annual maintenance made by one party to the other concerning the terms and conditions of this contract shall be deemed delivered under the following circumstances: (a) personal service by a reputable courier service requiring signature for receipt; or (b) five (5) days following delivery to the United States Postal Service, postage prepaid addressed to a party at the address set forth in this contract; or (c) electronic transmission via email at the address set forth below, where a receipt or acknowledgment is required by the sending party; or (d) transmission via facsimile, at the number set forth below, where a receipt or acknowledgment is required by the sending party. Either party may change its notice address(es) by written notice to the other. Notification Information: Contractor: TEAM PETROLEUM Attn.: GM KEVIN DOOLEY Address: r>0 i30c /s31 fl1T ebLeq Jc, SoS=•P- Address: E-mail: A red; n,wie,/ (E2cuw— Facsimile: With copy to: TEAM PETROLEUM Name: GINA BAKER Position: SALES REPRESENTATIVE Address: Address: E-mail: GBAKER@TEAMPETROLEIM.COM Facsimile: County: Name: Position: Address: Address: E-mail: Facsimile: 19. Compliance with Law. Contractor shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. 20. Non -Exclusive Agreement. This Agreement is nonexclusive, and County may engage or use other Contractors or persons to perform services of the same or similar nature. 21. Entire Agreement/Modifications. This Agreement including the Exhibits attached hereto and incorporated herein, contains the entire agreement between the parties with respect to the subject matter contained in this Agreement. This instrument supersedes all prior negotiations, representations, and understandings or agreements with respect to the subject matter contained in this Agreement. This Agreement may be changed or supplemented only by a written instrument signed by both parties. 22. Fund Availability. Financial obligations of the County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted, and otherwise made available. Execution of this Agreement by County does not create an obligation on the part of County to expend funds not otherwise appropriated in each succeeding year. 23. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24- 50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. County has no interest and shall not acquire any interest direct or indirect, that would in any manner or degree interfere with the performance of Contractor's services and Contractor shall not employ any person having such known interests. During the term of this Agreement, Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflicts with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by Contractor to ensure compliance with this provision may result, in County's sole discretion, in immediate termination of this Agreement. No employee of Contractor nor any member of Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contractor's operations, or authorizes funding to Contractor. 24. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 25. Governmental Immunity. No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. 26. No Third -Party Beneficiary. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 27. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado or its designee. 28. Choice of Law/Jurisdiction. Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 29. Attorneys Fees/Legal Costs. In the event of a dispute between County and Contractor, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 30. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra judicial body or person. Any provision to the contrary in this Agreement or incorporated herein by reference shall be null and void. Acknowledgment. County and Contractor acknowledge that each has read this Agreement, understands it and agrees to be bound by its terms. Both parties further agree that this Agreement, with the attached Exhibits A and B, is the complete and exclusive statement of agreement between the parties and supersedes all proposals or prior agreements, oral or written, and any other communications between the parties relating to the subject matter of this Agreement. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this day of , 2024. CONTRACTOR: u.L By: Na: e: _ Title: 6•" Date //Zyl WELD COUNTY: ATTEST: /.. j. � BOARD OF COUNTY COMMISSIONERS Weld County Clerk t• the Board WELD COUNT BY: Deputy Clerk to the Board vin D. Ross, Chair JUN 1 0 2024 cn2d2 2 �� I CoOC9 EXHIBIT A REQUEST FOR BID WELD COUNTY, COLORADO 1301 N 17TH AVENUE GREELEY, CO 80631 DATE: APRIL 23, 2024 BID NUMBER: B2400092 DESCRIPTION: WELD COUNTY FUEL BID DEPARTMENT: FLEET SERVICES BID OPENING DATE: MAY 7, 2024 1. NOTICE TO BIDDERS: The Board of County Commissioners of Weld County, Colorado, by and through its Controller (collectively referred to herein as, "Weld County"), wishes to purchase the following: WELD COUNTY FUEL BID Question submission deadline: April 30 , 2024 by 1:00 PM. Email questions to: bids�u.weld.gov. Answers will be posted on https //www bsdnetdirect.com/ on or before May 1 t 2024 by 5:00 PM. Bids will be received until: May 7,, 2024 at 10:00 AM (Weld County Purchasing Time Clock). The submitted bids will be read over a Microsoft Teams Conference Call on May 7s 2024 at 10:30 AM. To join, call the phone number and enter the Conference ID provided below or you are invited to attend the bid opening in person at the Weld County Purchasing Conference Room, 1301 N. 17th Avenue, Greeley, CO 80631. Phone Number: (720) 439-5261 Conference ID: 246 076 820# 2. INVITATION TO BID: Bids shall include any and all charges for delivery, less all taxes and discounts, and shall, in every way, be the total net price which the bidder will expect Weld County to pay, if awarded the bid. You can find information concerning this request on the BidNet Direct website at https.//www. bidnetdirect.com/. Weld County Government is a member of BidNet Direct, which is an online notification system being utilized by multiple non-profit and governmental entities. Participating entities post their bids, quotes, proposals, addendums, and awards on this one centralized system. Did Delivery to Weld County; A. PREFERRED: email bids to bids(&aweld.cgov If your bid exceeds 25MB please upload your bid to https://www bidnetdirect.com. The maximum file size to upload to BidNet Direct is 500 MB. If vendor does not desire email submission, sealed bids will be received at the Office of the Weld County Purchasing in the Weld County Building located at 1301 North 17th Avenue, Greeley, CO 80631 by the bid due date and time. B PDF format is required. Emailed bids must include the following statement on the email: "I hereby waive my right to a sealed bid". An email confirmation will be sent when your bid is received. Please call Purchasing at 970-400-4223 or 4222 with any questions. 3. GENERAL PROVISIONS: A. Fund Availability: Financial obligations of Weld County, payable after the current fiscal year, are contingent upon funds for that purpose being appropriated, budgeted, and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Trade Secrets and other Confidential Information: Weld County discourages bidders from submitting confidential information, including trade secrets, that cannot be disclosed to the public. If necessary, confidential information of the bidder shall be transmitted separately from the main bid submittal, clearly denoting in red on the information at the top the word, "CONFIDENTIAL.' However, the successful bidder is advised that as a public entity. Weld County must comply with the provisions of C.R.S. 24-72-201, et seq.. the Colorado Open Records Act (CORA), with regard to public records, and cannot guarantee the confidentiality of all documents. The bidder is responsible for ensuring that all information contained within the confidential portion of the submittal is exempt from disclosure pursuant to C.R.S. 24-72-204(3)(a)(IV) (Trade secrets, privileged information, and confidential commercial, financial, geological, or geophysical data). If Weld County receives a CORA request for bid information marked "CONFIDENTIAL", staff will review the confidential materials to determine whether any of them may be withheld from disclosure pursuant to CORA, and disclose those portions staff determines are not protected from disclosure. Weld County staff will not be responsible for redacting or identifying Confidential information which is included within the body of the bid and not separately identified. Any document which is incorporated as an exhibit into any contract executed by the County shall be a public document regardless of whether it is marked as confidential. C. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights. benefits, protections, or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. D. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. E. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and state laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. F. Choice of Law: Colorado law, and rules and regulations, established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. G. No Third -Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement; shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. H. Term: The term of this Agreement begins upon the date of the execution of this Agreement by County, and shall continue through and until successful bidder's completion of the responsibilities described in the Bid. I. Termination: County has the right to terminate this Agreement. with or without cause. on thirty (30) days written notice. Furthermore, this Agreement may be terminated at any time, without notice, upon a material breach of the terms of the Agreement. J. Extension or Modification: Any amendments or modifications to this agreement shall be in writing, signed by both parties. BID REQUEST #62400092 Page 2 K. Subcontractors: The successful bidder acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of the successful bidder. The successful bidder shall not enter into any subcontractor agreements for the completion of this Project without County's prior written consent, which may be withheld in County's sole discretion. L. Warranty: The successful bidder shall provide a warranty to the County as arranged by the parties. M. Non -Assignment: The successful bidder may not assign or transfer this Agreement, or any interest therein or claim thereunder, without the prior written approval of County. N. Interruptions: Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes, or Governmental actions. O. Non -Exclusive Agreement: This Agreement is nonexclusive and County may engage or use other contractors or persons to perform services of the same or similar nature. P. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24-50-507: The signatories to this Agreement agree that; to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. County has no interest and shall not acquire any interest, direct or indirect, that would in any manner or degree interfere with the performance of the successful bidder's services, and the successful bidder shall not employ any person having such known interests. Q. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. R. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners. S. Insurance. Insurance coverage must be maintained as required by law and as specified in the specifications and/or scope of work. BID REQUEST #B2400092 Page 3 SPECIFICATIONS FOR: Vehicle Fuel Supply Bid Weld County is seeking fuel supply bids for its fleet of vehicles. In addition, Weld County is seeking propane fuel for various locations. SCOPE OF WORK The successful vendor will provide fuel in accordance with the specifications listed in this scope of work at the locations described on the "pricing table" below. 1. The fuel supply bid is for the period of June 1, 2024, through May 31, 2025. 2. This is not an all -or -none bid. The County will consider partial bid for individual fuels, specifically propane, so long as the proposing vendor will service all locations. 3. The contract may be renewed annually for up to 4 additional years, on a year-to-year basis. 4. Bidders shall identify the "PADD" and "Rack" on which the bid is based and shall include in the bid the most recent PADD 4/5 Report showing the "base" price of the bid. The "base" price is the weekly average Denver rack price that is the refiner price to resellers at the terminal. The Pad 4/5 Report may be obtained from: a. Oil Price Information Service (OPIS), 11300 Rockville Pike, Suite 1100, Rockville, MD 20852-3030, b. Editorial #732-901-8800, Circulation Telephone # 301-287-2223 www.opisnet.com. 5. The selected supplier will be allowed to increase or decrease the "base price" bid during the contract period as reflected by the weekly average Denver rack price Pad 4/5 report price changes. The supplier shall furnish a copy of the Pad 415 Report and Rack invoice along with the Supplier's invoice for payment with each delivery to the County of Weld. 6. Bidders shall include a "reseller's" price in the bid which shall be fixed for the contract period. The "reseller's" price shall be that amount the bidder will add to the "base" price to cover the bidder's cost of service (delivery, overhead, profit, etc.) to the County of Weld. The "reseller's" price shall not be increased, during the contract period except for Interstate Commerce Commission approved rail and truck increases. 7. Vendor must provide state approved Oxy-Fuel during required months per the air emission requirements. Vendor may provide any type, but Weld County reserves the right to request a specific type, i.e., MTBE or Ethanol, in the event the type supplied creates problems in County vehicles. If low bidder cannot provide specific type, the county reserves the right to go to other suppliers. The vendor must be available 24 -hours a day 7 days a week to provide emergency delivery service as may be requested by Weld County. This includes delivery during snowstorms/inclement weather and or other natural disasters. 8. Additional/renewal terms. The bid is for one (1) year increment. The Contract may be renewed, subject to mutually agreed upon cost adjustments, annually. Renewal may be for four (4) additional years. Any contract renewal or extensions must be approved by the Weld County Board of Commissioners. 9. All bidders must submit with the bid Safety Data Sheet (SDS) on each product and proof that the products bid meet specifications. At any time during the one-year period of the bid, the supplier will furnish to the County upon the request and at no charge to the County, acceptable tests certifying the quality of the products delivered. Deliveries must be made no later than 3:00 p.m. Appropriate invoice, delivery ticket, and Pad 4/5 Reports shall be delivered to the Accounting Office (1150 O Street, PO Box 758, Greeley Co 80632) at least weekly. 1 0. Bids will be based on the total annual cost to furnish and deliver estimated fuel quantities to the County of Weld at the locations (Pricing Table) on demand throughout the year. 11. The vendor will measure all above ground storage tanks before filling and document this reading on forms provided at each station. This regulation is per Section 3-4-2(a(4)(B) of Colorado's Storage Tank Regulations. An example of this log is attached for your information. BID REQUEST #B2400092 t Page 4 12. Bidder will be responsible to coordinate with Weld County to obtain Mining Safety & Health Administration (MSHA) required "Hazardous Awareness Training" for all delivery personnel prior to delivering to any pit location. 13. The fuel provided must meet the current, applicable, minimum standards of the American Society of Testing and Materials (ASTM) and meet current EPA regulations, for each fuel type. Specifications for the products quoted must accompany bids and include the brand and trade names under which they are sold. Products quoted must have the same specifications as those normally sold by the vendor. 14. Contractor must maintain ability to deliver products and services throughout the State of Colorado. 15. Contractor must maintain consistent an accurate invoicing practices and provide support documentation. 16. Firm Experience/Qualifications: Provide a minimum of five (5) current government customers to include name of contact, Agency name, contact telephone number and email address. Weld County reserves the right to contact references. 17. Contractor must deliver motor fuel to all Weld County locations without subletting to other vendors or using common carriers unless pre -approved in writing by Weld County. a. Contractor must deliver fuel using their own fuel trucks with transfer pump equipment at no additional charge (tank wagons and transports). b. Contractors that do not have their own fuels trucks (tank wagons and transports) will have their bids rejected and/or contract terminated. 18. Contractor must deliver the quantities required within twenty-four (24) hours after being notified/service call. 19. Contractor must comply with all Colorado Department of Labor & Employment, Division of Oil & Public Safety requirements. To include completion of the Aboveground Storage Tank Ullage Log form (shown below) upon each delivery. 20. Contractor must have a bulk storage plant no further than 80 road miles (as determined using Google Maps) from Greeley location. 21. Weld County will only accept bids from vendors within an 80 -mile radius of Weld County locations. 22. Vendors must have a bulk plant or service stations for emergency fuel filling needs as determined by County. These additional stations shall be within 20 miles of Greeley Colorado. GENERAL INFORMATION: 1. Unleaded fuel purchased by Weld County is 87 octane with 10% ethanol blend. 2. Diesel fuel purchased is of two (2) grades: a. #2 ultra -low sulfur with 1/1500 Power Service additive package. b. Winter diesel blend ultra -low sulfur - #1 and #2 diesel blended 70/30 with 1/1000 additional Power Service additive package. 3. Sites which use diesel fuel will use #2 diesel (summer blend) from approximately March 15th to October 15th and use winter blend #2 diesel from approximately October 15th to March 15`h 4. Winter diesel products can either be blended at the pipeline or blended at the Contractor's facility. Vendors are to specify where this is blended on the Bid Form. 5. Bio-diesel products with a maximum of 2% biodiesel will be considered comparable to straight #2 diesel; however, Weld County will not pay a premium for this product. 6. All products must meet the specifications detailed in this Invitation to Bid and all winter diesel products must be approved by the Weld County Fleet Services Department prior to use. 7. The locations and types of fuel received are subject to change, Weld will notify the Contractor of those changes when they occur. FEES Provide your pricing information in the Pricing Table below. Prices will be fixed for the initial term, and the four, 1 -year renewal terms, if exercised, may contain inflation adjustment(s). For any proposed inflation adjustments please be specific as to whether the increase would be a fixed dollar amount, a fixed percentage, or BID REQUEST #B2400092 Page 5 linked to a particular index. Prices should include all services in the scope of work and requirements in this RFP. PRICING TABLE Location Fuel Storage gallons) (in Estimated Use Base (per gallon) Pace gallon) Resell Price (per gallon Total Price (per Type Annual 41150 Ault Tegan Diesel No. 1* 1,000 5,000 Diesel No. 2 15,000 • Propane 500 ---- 43950 Briggsdale SH 392 Diesel No. 1* 1,000 2,500 Diesel No. 2 7,500 Propane 1,000 ---- Dacono** 5510HWY52 Diesel No. 1* 1,000 2,000 Diesel No. 2 6,000 Unleaded Octane (Ethanol 10%) 87 — 1,000 15,000 ' 7625 Fort Lupton** CR 31 Diesel No. 1* 5,000 10,000 Diesel No. 2 30,000 Unleaded Octane (Ethanol 10%) 87 — 5,000 19,000 Propane 1,000 ---- 24980 Galeton CR 74 Diesel No. 1* 1,000 5,000 Diesel No. 2 15,000 Propane 2,000 ---- 31244 Gill 3rd St Diesel No. 1* 1,000 4,000 Diesel No. 2 12,000 Propane 2x500 ---- L BID REQUEST #82400092 Page 6 Location Fuel Type Storage gallons) (in g Estimated Use Base (per gallon) gI Price ' Resell f Price (per gallon) gallon) Total Price (per Annual 1113 Greeley** H street Diesel No. 1* 24,000 132,000 - Diesel No. 2 396,000 Unleaded Octane (Ethanol 10%) 87 12,000 ' 368,000 43339 Grover** CR 122 Diesel No. 1* 5,000 7,500 Diesel No. 2 22,500 , Unleaded Octane (Ethanol 10%) 87 5,000 2,000 ' i — Propane 500 ---- Johnstown 100 S 2nd St Diesel No. 1* 2,000 2,750 Diesel No. 2 8,250 110 Keenesburg W HWY 2 Diesel No. 1* 3,000 3,750 Diesel No. 2 11,250 515650 Keota CR 54 Diesel No. I* 2,000 3,500 Diesel No. 2 10,500 Propane 1,000 ---- 23536 Kersey CR 54 Diesel No. 1* 2,000 4,250 Diesel No. 2 12,750 ' Propane 1 000 42649 Kiowa HWY 52 Diesel No. 1* 1,000 3,000 Diesel No. 2 9,000 Propane 1,000 ---- BID REQUEST #B2400092 Page 7 Location Fuel Type Storage (in gallons) g ) Annual Estimated Use Base (per Price Resell Price �Per gallon) gallonf Total Price (per 1,500 1,000 Mead 5698 WCR 34 Diesel No. 1 * 4,500 Diesel No. 2 New 500 Raymer CR 129 Diesel No. 1* 1,000 2,500 • Diesel No. 2 4 7,500 ---r Propane 500 17065 Nunn CR 96 Diesel No. 1* 1,000 2,000 • 6,000 Diesel No. 2 --- MID Propane 1 1,000 Diesel No. 1* 1,000 3,750 Peckham 20488 CR33 11,250 Diesel No. 2 Rockport 13626 CR 126 Diesel No. 1* 1,000 4,000 12,000 Diesel No. 2 ---- Propane 1,000 41684 Stoneham Ave Marble Diesel No. 1* 2,000 2,000 6,000 Diesel No. 2 500 -•• Propane -- Vim 62376 CR 130 Diesel No. 1* 2,000 2,500 7,500 Diesel No. 2 ---- Propane 2x500 **Tanks full at is defined Dacono, as 70% Fort of Lupton, allowable Grover, storage. and Greeley will be on "Keep Full" schedule. Keep upon The following request: portable tanks will he located at different Weld County _ t gravel pits and tilled Portable 15630014 Tank Diesel No. 1* 1,200 ---- -___ Diesel No. 2 BID REQUEST #82400092 Page 8 Location Storage gallons) (in Estimated Annual Use Base (per gallon) Price gallon) Resell Price (per Fuel Type gallon) Total Price (per ---- Diesel No. 1* Portable 15690009 Tank Diesel No. 2 500 ---- Portable Tank 15690010 Diesel No. 1* ---- • Diesel No. 2 500 imsma Portable Public Works Tank Diesel No. 1* ---- Diesel No. 2 1,000 ---- *No. I diesel is blended with No. 2 diesel beginning October 15, of each year in a ratio of 70/30 until warmer temperatures prevail. ESCALATION For each additional year/term, identify any proposed inflation adjustments. Please be specific as to whether the increase would be a fixed dollar amount, a fixed percentage, or linked to a particular index. Identify Escalation: BID REQUEST #B2400092 Page 9 ABOVEGROUND STORAGE TANK ULLAGE LOG FORM - SAMPLE ABOVEGROUND STORAGE TANK ULLAGE LOG - DELIVERIES ONLY Use a Separate Log Sheet for Each Tank Use either this form or its equivalent to document ullage (available capacity*) calculations as required by §3-4-2(a)(4)(B) of Colorado's Storage Tank Regulations. Use the correct tank chart to convert from inches to gallons. If ullage is calculated by an A TG, it is acceptable to save the A TG inventory tape that shows the ullage in gallons. Keep these records at least six (6) months. However, it is advisable to keep records indefinitely since they may be required as part of the compliance review concerning a claim for reimbursement from the Petroleum Storage Tank Fund. The requirement to determine ullage before delivery begins applies to all ASTs, including ASTs equipped with overfill prevention equipment that stops delivery or sounds an audible alarm. Facility Name Fac. (if known) ID # Street Address Product Tank in City ZIP (gallons) Tank Capacity Start Date End 90 Capacity (gallons) Date • Example: If your tank is 1,000 gallons the 90% capacity would be 900 gallons. To determine the Ullage prior to a delivery you would stick your tank and then convert the inches to gallons. Then you would subtract the converted gallons from the 90% capacity to calculate the proper Ullage (ie; 900- 300= 600). Once this is complete you can add the fuel, but make sure not to exceed the 90% capacity. • Date � Gauge or Stick Reading 12/01/15 15" Conversions to Gallons 300 1 *Ullage 900-300=(600) Quantity Added 500 Initials CNN' • Date Gauge or Reading Stick Conversions Gallons to *Ullage Quantity Added Initials f I I ` I I BID REQUEST #B2400092 Page 10 1 1 I I 1 Report Suspected or Confirmed Leaks to the Div. of Oil & Public Safety Within 24 Hours: a- 303-318-8547 - axr. r..w.c__ _ -- _ _ ____ _ _ - - _=_ Colo. Dept. of Labor & Employment, Div. of Oil & Public Safety, 633 17th St., Suite #500, Denver CO 80202 303-318-8500; http:ops.cdle.state.co.us BID SUBMITTAL INSTRUCTIONS: The following items must be completed and submitted with your bid deadline of 10:00 AM on May 7, 2024: 1) Page 4 thru 12 of the Bid Specifications. 2) W9, if applicable* 3) Any future Addenda must be completed. 4) All other items as requested in the Bid Specifications. on or before the bid opening *A current W9 is required for new bidders. If you have previously worked with Weld County, only provide your W9 if there has been a change. Failure to include any of the above items upon submittal of your bid may result in your bid being incomplete and your bid being rejected. If there are any exclusions or contingencies submitted with your bid it may be disqualified. BID REQUEST #B2400092 Page 11 The undersigned, by his or her signature, hereby acknowledges and represents that: 1. The bid proposed herein meets all of the conditions, specifications and special provisions set forth in the Request for Bid for Request No. #B2400092. 2. The quotations set forth herein are exclusive of any federal excise taxes and all other state and local taxes 3. He or she is authorized to bind the below -named bidder for the amount shown on the accompanying bid sheets. 4. The signed bid submitted, all of the documents of the Request for Bid contained herein (including, but not limited to, product specifications and scope of services), and the formal acceptance of the bid by Weld County, together constitutes a contract, with the contract date being the date o' formal acceptance of the bid by Weld County. 5. Weld County reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid that, in the opinion of the Board of County Commissioners, is in the best interests of Weld County. The bid(s) may be awarded to more than one vendor. FIRM _ BY (Please print) BUSINESS ADDRESS CITY, STATE, ZIP CODE TELEPHONE NO FAX SIGNATURE EMAIL DATE TAX ID # E-MAIL DATE WELD COUNTY IS EXEMPT FROM COLORADO SALES TAXES. THE CERTIFICATE OF EXEMPTION NUMBER IS #98-03551-0000. YOU DO NOT NEED TO SEND BACK PAGES 1 - 3. ATTEST: BOARD OF COUNTY COMMISSIONERS Weld County Clerk to the Board WELD COUNTY, COLORADO BY: Deputy Clerk to the Board Kevin D. Ross, Chair APPROVED AS TO SUBSTANCE: Elected Official or Department Head Controller AE0124 BID REQUEST #B2400092 Page 12 A DENDUM#1 BID REQUEST NO B2400XXX ENTER DESCRIPTION HERE Currently Reads Change Change this to read — INSERT CHANGE HERE °°A signed copy must be submitted with your bid Thank your*** Addendum received by FIRM ADDRESS CITY AND STATE BY EMAIL June 3, 2024 Addendum # 2 Bid Request Number B2400092 WELD COUNTY FUEL BID Change #1. Changed Bid Due Date: Current: Bids will be received until May 7, 2024 at 10:00 AM (Weld County Purchasing Time Clock). The submitted bids will be read over a Microsoft Teams Conference Call on .May, 7, 2024 at 10:30 AM. To join, call the phone number and enter the Conference ID provided below or you are invited to attend the bid opening in person at the Weld County Purchasing Conference Room, 1301 N. 17th Avenue, Greeley, CO 80631. Phone Number: (720) 439-5261 Conference ID: 246 076 820# Change: Bids will be received until: May 9s 2024 at 10:00 AM (Weld County Purchasing Time Clock). The submitted bids will be read over a Microsoft Teams Conference Call on May, 912024 at 10:30 AM. To join, call the phone number and enter the Conference ID provided below or you are invited to attend the bid opening in person at the Weld County Purchasing Conference Room, 1301 N. 17th Avenue, Greeley, CO 80631. Phone Number: (720) 439-5261 Conference ID: 246 076 820# Change #2. Change Step 2 in Scope of Work Current: In the specifications, the Scope of work states: 2.This is not an all -or -none bid. The County will consider partial bid for individual fuels, specifically propane, so long as the proposing vendor will service all locations. Change: Change this to read as follows: 2.This is not an all -or -none bid. The County will consider bids for diesel and gasoline fuels (together) from one vendor. The propane fuel may be from a different vendor. However, the vendor selected must be able to service all locations listed for either diesel & gasoline (combined) and/or propane. Change #3. Change Answers to Questions posted on May 1, 2024 Current: 1. Does the County plan to award to one vendor? YES 2. Does the County plan on awarding vendors by product? NO 15. Can vendors choose to not bid on all products? NO 16. Are vendors required to bid on all locations? YES Change: 1. Does the County plan to award to one vendor? YES. One vendor for Diesel & Unleaded fuel and one vendor for Propane fuel. However. the same vendor mad be awarded for Diesel & Unleaded fuel and one vendor for Propane fuel. 2. Does the County plan on awarding vendors by product? One vendor for Diesel & Unleaded fuel and one vendor for Propane fuel. However. the same vendor may be awarded for Diesel & Unleaded fuel and one vendor for Propane fuel. 15. Can vendors choose to not bid on all products? YES. 1) Vendors may bid on Diesel & Unleaded fuel only. 2) Vendors may also bid on Propane fuel only. Or 3) Vendors may bid on both 1) Diesel & Unleaded and 2) Propane. 16. Are vendors required to bid on all locations? YES. Vendors are to supply fuel to locations listed. If a vendor is bidding on diesel & unleaded fuel, it is for all locations listed that has that fuel listed. If a vendor is bidding on only propane, it is for all locations that has that fuel listed. Addendum Acknowledgement ***A signed copy must be submitted with your bid. Thank you!*** Company Name: Signature: Name: Title: June 3, 2024 Date of Signature EXHIBIT B Carolzn Geisert From: Sent: To: Cc: Subject: Attachments: Importance: Gina Baker <gbaker@teampetroleum.com> Wednesday, May 8, 2024 5:12 PM bids Kevin Dooley Re: Weld County Fuel Bid #B2400092 Bid Number B2400092 Submittal (2).pdf High Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Please disregard submittal 1 and replace with submittal 2. Thank you, Gina Baker Team Petroleum 303-324-4200 gbaker@teampetroleum.com From: Gina Baker Sent: Wednesday, May 8, 2024 4:30 PM To: bids@weld.gov Cc: Kevin Dooley Subject: Weld County Fuel Bid #B2400092 Thank you, Gina Baker Team Petroleum 303-324-4200 gbaker@teampetroleum.com I Air Ali Art PE ROL UM tigi" Weld County Fuel Bid Bid Number B2400092 1301 N 1T'' Ave Greeley CO 80631 Team Petroleum Gina Baker 303-324-4200 Gina Baker — Sales Representative With 27 years of experience as a Distributor Sales Representative, My goal is to utilize my expertise to meet customer needs effectively. I excel in forging and sustaining robust client relationships, recognizing and seizing market trends and opportunities. My strong communication and negotiation abilities, coupled with a high level of motivation, drives me to achieve outstanding outcomes. Kevin Dooley — General Manager Being born into the business 30 years ago, I have enjoyed learning every aspect of the industry. I started out working in our bulk storage facility sweeping floors and offloading trucks. I gradually worked my way up to driving an oil truck, then fuel truck, and eventually sales. My experience has allowed me to understand and solve complex issues. I am grateful for the customers and employees that have helped build Team Petroleum into the organization it is today. gigaD c —a eine ---L— Benefits Prevents fuel gelling ... «....w Senn a EMI IM ••••••- e Protects against fuel -filter icing Boosts cetane for faster cold starts Contains Slrckdiesel® Lubricator to protect fuel pumps and injectors from increased wear caused by poor quality Ultra Low Sulfur Diesel (ULSD) fuel Effective in all diesel fuels including ULSD and biodiesel blends Endorsed by Cummins Inc. Diesel Fuel Supplement® +Cetane Boost® is a winterizer/antigel that is used in the winter to prevent fuel gelling and protect against ice and wax from plugging fuel -filters. It provides trouble -free winter operation for diesel fuel. Prevents Fuel Gelling and Protects Against Fuel -Filter Icing To maximize performance in cold temperatures, Power Service has developed the most advanced cold -flow improver technology available today 'or all diesel fuels, including Ultra Low Sulfur Diesel (ULSD) fuel and biodiesel blends. Diesel Fuel Supplement is designed to prevent fuel -filter plugging by modifying the size and shape of the wax crystals so they remain small enough to flow through fuel -filters without plugging. It also prevents the wax crystals from settling to the bottom of fuel tanks during storage. Diesel Fuel Supplement also contains a de icer to help prevent fuel -filter and fuel -line freezing caused by water. DIESE F. ELSUPPLEMENT MODIFIES .I. A,_ IN DIESEL FUELS Without Diesel Fuel Supplement, large With Diesel Fuel Supplement, small, wax crystals block filters and transfer compact wax crystals flow in suspen- lines, causing fuel gelling. sion for trouble -free winter operation. DIESEL KLEEN0 +CETANE BOOST® TECHNICAL BULLETIN 3800 Benefits Cleans dirty injectors and prevents injector sticking in both High Pressure Common Rail (HPCR) and older systems Removes both Internal Diesel Injector Deposits (IDIDs) and external deposits (nozzle coking) that decrease power and fuel economy Boosts cetane up to 6 numbers —engines run smoother with less power lag and faster cold starts Boosts power — reduces need for downshifting Restores lost power and fuel economy Contains Slickdiesel® Lubricator to protect fuel pumps and injectors from increased wear caused by poor quality Ultra Low Sulfur Diesel (ULSD) fuel Prevents asphaltene formations and thermal breakdown of diesel fuel — protects against sludge formations that plug fuel -filters and injectors Provides superior corrosion protection Effective in all diesel fuels, including ULSD, biodiesel and biodiesel blends Boosts Cetane up to 6 Numbers There is a direct relationship between a diesel fuel's cetane number and its ignition point. Delayed ignition is a primary cause of increased emissions and inferior engine performance. The lower the cetane number, the longer the ignition delay. Fuels with high cetane numbers burn more quickly and more completely, resulting in smoother -running engines with less power lag, lower emissions and easier engine starting. Endorsed by Cummins Inc Diesel Kleen® +Cetane Boost® is a total injector cleaner and performance improver that cleans injectors, boosts cetane and lubricates fuel injection components. It restores lost power and fuel economy and smooths rough -running engines. Advanced OEM -Recommended Injector Cleaning Technology Power Service Diesel Kleen +Cetane Boost is formulated with the most effective diesel injector detergent technology in the industry to provide maximum clean-up and prevention of diesel deposits found in modern direct injection diesel engines. This technology prevents and restores lost power and fuel economy caused by both Internal Diesel Injector Deposits (IDIDs) and external deposits (nozzle coking). These deposits cause injector sticking and disrupt fuel flow into the combustion chamber. Diesel Kleen +Cetane Boost provides accelerated clean-up and keeps -clean performance in all industry standard diesel injector deposit tests including: DW 10B, DW10C and XUD-9. The engine operational improvements are significant: Restoration of lost power and fuel economy Increased power and reduced need for downshifting • Smoother and quieter engine operation DW1OB DIESEL FUEL INJECTOR FOULING TEST • High Pressure Common Rail injectors before and after clean-up with fuel treated with Diesel Kleen +Cetane Boost. av PE •UM utters, Credit References 1. City of Fort Collins Jeff Brown jbrown@fcuov.com 970-988-0799 2. Platte River Power Authority Dawn Platte in i l lerdf Drpa.or2 970-229-1767 3. Poudre Fire Trent Edelmon Trent.edel nzon(Wpoudre Ore.org 970-413-3463 4. Larimer County Matth Kendall mkendal I(iblarimer.org 970-498-5697 5. Boulder County Fleet Grant Roberts arobcrts W.bouldercountv.gov 303-678-6287 12. Bidder will be responsible to coordinate with Weld County to obtain Mining Safety & Health Administration (MSHA) required "Hazardous Awareness Training" for all delivery personnel prior to delivering to any pit location. 13. The fuel provided must meet the current, applicable, minimum standards of the American Society of Testing and Materials (ASTM) and meet current EPA regulations, for each fuel type. Specifications for the products quoted must accompany bids and include the brand and trade names under which they are sold. Products quoted must have the same specifications as those normally sold by the vendor. 14. Contractor must maintain ability to deliver products and services throughout the State of Colorado. 15. Contractor must maintain consistent an accurate invoicing practices and provide support documentation. 16. Firm Experience/Qualifications: Provide a minimum of five (5) current government customers to include name of contact, Agency name, contact telephone number and email address. Weld County reserves the right to contact references. 17. Contractor must deliver motor fuel to all Weld County locations without subletting to other vendors or using common carriers unless pre -approved in writing by Weld County. a. Contractor must deliver fuel using their own fuel trucks with transfer pump equipment at no additional charge (tank wagons and transports). b. Contractors that do not have their own fuels trucks (tank wagons and transports) will have their bids rejected and/or contract terminated. 18. Contractor must deliver the quantities required within twenty-four (24) hours after being notified/service call. 19. Contractor must comply with all Colorado Department of Labor & Employment, Division of Oil & Public Safety requirements. To include completion of the Aboveground Storage Tank Ullage Log form (shown below) upon each delivery. 20. Contractor must have a bulk storage plant no further than 80 road miles (as determined using Google Maps) from Greeley location. 21. Weld County will only accept bids from vendors within an 80 -mile radius of Weld County locations. 22. Vendors must have a bulk plant or service stations for emergency fuel filling needs as determined by County. These additional stations shall be within 20 miles of Greeley Colorado. GENERAL INFORMATION: 1. Unleaded fuel purchased by Weld County is 87 octane with 10% ethanol blend. 2. Diesel fuel purchased is of two (2) grades: a. #2 ultra -low sulfur with 1/1500 Power Service additive package. b. Winter diesel blend ultra -low sulfur - #1 and #2 diesel blended 70/30 with 1/1000 additional Power Service additive package. 3. Sites which use diesel fuel will use #2 diesel (summer blend) from approximately March 15th to October 15th and use winter blend #2 diesel from approximately October 15th to March 15th. 4. Winter diesel products can either be blended at the pipeline or blended at the Contractor's facility. Vendors are to specify where this is blended on the Bid Form. 5. Bio-diesel products with a maximum of 2% biodiesel will be considered comparable to straight #2 diesel; however, Weld County will not pay a premium for this product. 6. All products must meet the specifications detailed in this Invitation to Bid and all winter diesel products must be approved by the Weld County Fleet Services Department prior to use. 7. The locations and types of fuel received are subject to change, Weld will notify the Contractor of those changes when they occur. FEES Provide your pricing information in the Pricing Table below. Prices will be fixed for the initial term, and the four, 1 -year renewal terms, if exercised, may contain inflation adjustment(s). For any proposed inflation adjustments please be specific as to whether the increase would be a fixed dollar amount, a fixed percentage, or BID REQUEST #B2400092 Page 5 Location Fuel Type Storage (in gallons) Estimated Annual Use Base (per gallon Price } )__gallon) Resell Price allon gallon) Total Price (per ' 1113 Greeley** H street Diesel No. 1* 24,000 132,000 2.9800 .085 3.0650 Diesel No. 2 396,000 2.4312 .085 2.5962 Unleaded Octane (Ethanol 10%) 87 12,000 368,000 ' 2.6115 .085 2.6965 4 43339 Grover** CR 122 Diesel No. 1* 5,000 7,500 2.9800 .215 3.1950 Diesel No. 2 22,500 2.4312 .215 2.6462 Unleaded Octane (Ethanol 10%) 87 5,000 I 2,000 ' 2.6115 .215 2.8265 — Propane 500 ---- NO BID Johnstown 100 S 2nd St Diesel No. 1* 2,000 2,750 2.9800 -165 3.1450 Diesel No. 2 8,250 2.4312 165 2.5962 110 Keenesburg W HWY Diesel No. 1* 3,000 3,750 2.9800 .165 3.1450 2 Diesel No. 2 11,250 2.4312 165 2.5962 Keota 515650 CR 54 Diesel No. 1* 2,000 3,500 2.9800 .215 3.1950 Diesel No. 2 10,500 2.4312 .215 2.6462 Propane 1,000 ---- NO BID Kersey 23536 CR 54 Diesel No. 1* 2,000 4,250 2.9800 .165 3.1450 Diesel No. 2 12,750 2.4312 165 2.5962 Propane 1000 NO B I D Kiowa 42649 52 HWY I Diesel No. 1* 1,000 3,000 2.9800 .215 3.1950 Diesel No. 2 9,000 2.4312 .215 2.6462 ` Propane 1,000 ---- NO BID BID REQUEST #B2400092 Page 7 Location Fuel 1 Type Storage gallons) (in Estimated Annual 4 Use Base (per gallon) Price gallon) Resell Price (per Total Price (per . gallon) Portable 15690009 Tank Diesel No. 1* 500 ---- 2.9800 .215 3.1950 Diesel No. 2 ---- 2.4312 215 2.6462 Portable 15690010 Tank Diesel No. 1* 500 --- 2.9800 .215 3.1950 Diesel No. 2 -""- 2.4312 .215 2.6462 Portable Public Tank Works Diesel No. 1* 1,000 ---- 2.9800 .215 3.1950 Diesel No. 2 no 2.4312 .215 A 2.6462 *No. 1 diesel is blended with No. 2 diesel beginning October 15, of each year in a ratio of 70/30 until warmer temperatures prevail. Power Service Winter & Summer Additive included in price ESCALATION For each additional year/term, identify any proposed inflation adjustments. Please be specific as to whether the increase would be a fixed dollar amount, a fixed percentage, or linked to a particular index. Identify Escalation: 3% BID REQUEST #B2400092 Page 9 I I i . f I Report Suspected or Confirmed Leaks to the Div. of 303-318-8547 Oil & Public Safety Within 24 Hours: Colo. Dept. of Labor & Employment, Div. of Oil & Public Safety, 633 17th St., Suite #500, Denver CO 80202 303-318-8500; http:r.zops.cdle.state.co.us BID SUBMITTAL INSTRUCTIONS: The following items must be completed and submitted with your bid on or before the bid opening deadline of 10:00 AM on May 7, 2024: 1) Page 4 thru 12 of the Bid Specifications. 2) W9, if applicable* 3) Any future Addenda must be completed. 4) All other items as requested in the Bid Specifications. *A current W9 is required for new bidders. If you have previously worked with Weld County, only provide your W9 if there has been a change. Failure to include any of the above items upon submittal of your bid may result in your bid being incomplete and your bid being rejected. If there are any exclusions or contingencies submitted with your bid it may be disqualified. BID REQUEST #B2400092 Page 11 Form W-9 (Rev. March 2024) Department of the Treasury Internal Revenue Service Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. Request for Taxpayer Identification Number and Certification Go to www,lrs,govIFormW9 for instructions and the latest information. Give form to the requester. Do not send to the IRS. t Name of entity/indutdual. An entry Is required. (For a sole proprietor or disregarded entity, enter the owner's name on Ilne 1, and enter the business/disregarded entity's name on line 2.) 2 Business nameldlsregarded entity name, I different from above. 3a Check the appropriate box for federal tax classification of the entity/Indevidual whose name is entered an line 1. Check only one of the following seven boxes. ❑ Individuallsole proprietor ❑ C corporation ❑ S corporation ❑ Partnership ❑ Trust/estate "LLC. Enter the tax classification (C = C corporation, S = S corporation, P. Partnership) . . . _ \F' Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. ❑ Other (see instructions) 3b If on lee 3a you checked 'Partnership" or "Trust/estate," or checked "LLC" and entered "P' as Its tax classification. and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions ❑ 4 Exemptions (codes apply only to certain entitles, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any) l 1pp/les to accounts maintained outside the United States.) 5 (number, street, and apt. or suite no.). See Instructions. 6 City, state, and ZIP code Requester's name and address (optional) 7 List account numbers) here (optional) Taxpayer Identification Number (TIN Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number or EmpbYN identification number 3 7 Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be Issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have faded to report all interest and dividends on your tax return. For real estate transactions, tern 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement ORA), and, generally, payments other than interest and dividends, you areiirot required to sign the certification, but you must provide your correct TIN. See the instructions for Pert II, later. Sign Signature of Here u,s. person Date General Instr uttlons Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs,gov/FormW9. What's New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the "LLC" box and enter its appropriate tax classification. New line 3b has been a6ded`to this form. A flow -through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow -through entity in which it has an ownership interest. This change is intended to provide a flow -through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Cat. No. 10231X Form W-9 (Rev. 3-2024) Form IN -9 (Rev. 3-2024) Page 3 Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information. See also Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding, earlier. What Is FATCA Reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all U.S. account holders that are specified U.S. persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information. Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments In the future from this person. For example, you may need to provide updated Information If you are a C corporation that elects to be an S corporation, or If you are no longer tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account, for example, if the grantor of a grantor trust dies. Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure Is due to reasonable cause and not to willful neglect. Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties. Specific Instructions Line 1 You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return. If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9, If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9. • Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name. Note for ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040 you filed with your application. • Sole proprietor. Enter your individual name as shown on your Form 1040 on line 1. Enter your business, trade, or "doing business as" (DBA) name on line 2. • Partnership, C corporation, S corporation, or LLC, other than a disregarded entity. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on line 2. • Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. Enter any business, trade, or DBA name on line 2. • Disregarded entity. In general, a business entity that has a single owner, including an LLC, and is not a corporation, is disregarded as an entity separate from Its owner (a disregarded entity). See Regulations section 301.7701-2(c)(2). A disregarded entity should check the appropriate box for the tax classification of its owner. Enter the owner's name on line 1. The name of the owner entered an line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2. If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This Is the case even if the foreign person has a U.S. TIN. Line 2 If you have a business name, trade name, DBA name, or disregarded entity name, enter it on line 2. Line 3a Check the appropriate box on line 3a for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3a. IF the entity/individual on line 1 is a(n) ... THEN check the box for ... • Corporation Corporation, • Individual or • Sole proprietorship IndividuaVsole proprietor. • LLC classified as a partnership for U.S. federal tax purposes or • LLC that has filed Form 8832 or 2553 electing to be taxed as a corporation Limited liability company and enter the appropriate tax classification_ P = Partnership, C = C corporation, or S = S corporation. • Partnership Partnership. • Trust/estate Trust/estate. Line 3b Check this box if you are a partnership (including an LLC classified as a partnership for U.S. federal tax purposes), trust, or estate that has any foreign partners, owners, or beneficiaries, and you are providing this form to a partnership, trust, or estate, in which you have an ownership interest. You must check the box on line 3b if you receive a Form W-8 (or documentary evidence) from any partner, owner, or beneficiary establishing foreign status or If you receive a Form W-9 from any partner, owner, or beneficiary that has checked the box on line 3b. Note: A partnership that provides a Form W-9 and checks box 3b may be required to complete Schedules K-2 and K-3 (Form 1065). For more information, see the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). If you are required to complete line 3b but fail to do so, you may not receive the information necessary to file a correct information return with the IRS or furnish a correct payee statement to your partners or beneficiaries. See, for example, sections 6698, 6722, and 6724 for penalties that may apply. Line 4 Exemptions If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you. Exempt payee code. • Generally, individuals (including sole proprietors) are not exempt from backup withholding. • Except as provided below, corporations are exempt from backup withholding for certain payments, including Interest and dividends. • Corporations are not exempt from backup withholding for payments made in settlement of payment card or third -party network transactions. • Corporations are not exempt from backup withholding with respect to attorneys' fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC. The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space on line 4. 1 —An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2). Form W-9 (Rev. 3-2024) Page 5 Part II. Certification To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out Item 2 in the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. "Other payments" include payments made in the course of the requester's trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third -party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). 5. Mortgage Interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or NSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification. What Name and Number To Give the Requester For this type of account: 1. Individual 2. Two or more individuals Goint account) other than an account maintained by an FFI 3. Two or more U.S. persons Goint account maintained by an FFI) 4. Custodial account of a minor (Uniform Gift to Minors Act) 5. a. The usual revocable savings trust grantor is also trustee) b. So-called trust account that is not a legal or valid trust under state law 6. Sole proprietorship or disregarded entity owned by an individual 7. Grantor trust filing under Optional Filing Method 1 (see Regulations section 1.671-4(b)(2)ff(A))' Give name and SSN of: The Individual The actual owner of the account or, it combined funds, the first individual on the account' Each holder of the account The minor2 The grantor -trustee, The actual owner' The owner, The grantor' For this type of account Give name and EIN of: 8. Disregarded entity not owned by an Individual 9. A valid trust, estate, or pension trust 10. Corporation or LLC electing corporate status on Form 8832 or Form 2553 11. Association, club, religious, charitable, The organization educational, or other tax-exempt organization 12, Partnership or multi -member LLC 13, A broker or registered nominee 14. Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments 15. Grantor trust filing Form 1041 or The trust under the Optional Filing Method 2, requiring Form 1099 (see Regulations section 1.871 -44:4(2)(I)03)) — 'List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person's number must be furnished. 2 Circle the minor's name and furnish the minor's SSN. ,You must show your individual name on line 1, and enter your business or DBA name, if any, on line 2. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN. 4 List first and circle the name of the trust, estate, or pension trust, (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) 'Note: The grantor must also provide a Form W-9 to the trustee of the trust. "For more information on optional filing methods for grantor trusts, see the Instructions for Form 1041. Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed. The owner Legal entity, The corporation The partnership The broker or nominee The public entity Secure Your Tax Records From Identity Theft Identity theft occurs when someone uses your personal information, such as your name. SSN, or other identifying information, without your permission to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax return preparer. If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter. If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity, or a questionable credit report, contact the IRS Identity Theft Hotline at 000-908-4490 or submit Form 14039. For more information, see Pub. 5027, Identity Theft Information for Taxpayers. ADDENDUM#1 BID REQUEST NO. B2400092 FUEL BID Answers to questions that were received during bid process. 1. Are you able/willing to provide the previous bid tabulations? NO 2. Does Weld County provide tank charts at each site for ullage? YES 3. Does Weld County order the fuel to ensure the keep full locations are serviced when needed? VENDOR expected to monitor tank levels. 4. Does Weld County provide the MSHA training? NO 5. What are the credit terms and method of payment (EFT or check)? 30 days 6. When you say service station for emergency fuel filling does Weld County use fleet cards and/or credit cards? (Scope of work, line 22) Weld County uses WEX cards. 7. Is Weld County expecting vendors to hold the same price as the bid for said emergency fuel filling at stations? NO 8. Can you please define "Bulk Storage Plant". Does this mean/include loading racks? (Scope of work, line 20) Tanks and or racks to fill transport trucks. See attached. 9. Does the County plan to award to one vendor? YES 10. Does the County plan on awarding vendors by product? NO 1 I . Does the County plan on awarding vendors on a site -by -site basis? NO 12. What are your payment terms? (i.e., Net 30 days?) NET 30 13. Please provide a copy of a recent Gas invoice. Attached 14. Please provide a copy of a recent Gas Bill of Lading. Attached 15. Please provide a copy of a recent Diesel invoice. Attached 16. Please provide a copy of a recent Diesel Bill of Lading. Attached. 17. Is the County requesting Dyed Diesel (off -road use) YES 18. Is the County requesting Clear Diesel (on -road use) NO 19. Will the County consider extending the bid due date? NO 20. On the price page there is a column identified as "Base Price", what base price market date would the County like to be used here? Use the daily OPIS Gross Contract average Low price on 05/03/2024. The price used must be stated. 21. Is the vendor allowed to offer an approved equal to the Power Service Additive Package? NO 22. Can vendors provide fuel cards to Weld County to be used at any fuel station to meet the emergency fueling needs? We use WEX 23. Can vendors choose to not bid on all products? NO 24. Are vendors required to bid on all locations? YES 25. Would Weld County consider switching to Daily Opis Gross Contract Average Low or Daily Opis Gross Contract Average Based pricing? Please use, Daily Opis Gross Contract Average Low. 26. Can Invoices, Delivery Tickets, Reports be emailed to Accounting office instead of mailed/dropped off? Invoices emailed to the accounting office are fine. Reports can be left in mailbox provided at site. 27. How would you like us to define the "base price" on the bid? This price could fluctuate depending on when the bid is submitted. Use the Daily Opis Gross Contract Average Low price on 05/03/2024. The price used gallon price and delivery for each location. 29. Will Power Service additive be required? Yes 30. Can you clarify where the Vim tank is located? We are having a tough time pulling it up on the map. Ship To/CustID: 92099 Weld County Public Works -Vim 40.932007,-103.872657 62376 WCR 130- CR 150 & CR 130 Grover CO 80729 SENERGY PET • 1470 N Home St Gilbert. AZ 85233 www.gosenergy.eoun CUSTOMER SERVICE: 602-27247951480462-6111I520-571-7600 Please Remit PaymentTo: SENERGY Petroleum LLC PO Box 208399 Dallas, TX 75320.6399 Bill To: Ship To/CustlD: 92098 WELD COUNTY PUBLIC WORKS 1111 H STREET GREELEY CO 80632 INVOICE INVOICE# SEN-799271 Date 4/26/2024 Terms Net 30 Due Date 5/26/2024 Weld County Public Works -5698 Wcr 34 5698 WCR 34 Platteville CO 80651 Timm toed Data BOL I PON Salta, Rep Net 30 4/26/2024 799271 Baker, Gina Quantity Item Unit Qty Unit Rata Item Prise Amount 2,100 DYED-ULSD 82 (nontaxable use only, penalty for 2,100 $2.64430 $2.64430 $5.553.03 taxable use) 2,100 COLORADO ENVIRONMENTAL FEE 2,100 $0.00938 50.00938 $19.70 2,100 FEDERAL FER FEE 2,100 $0.00214 $0.00214 $4.49 2,100 FED LUST TAX 2,100 $0.00100 $0.00100 $2.10' 2,100 FEDERAL SUPERFUND FEE 2,100 $0.00405 $0.00405 $8.51 2,100 COLORADO FUELS IMPACT REDUCTION FEE 2,100 $0.00613 $0.00613 $12.87 Sub Total 0 $0.00000 $2.66700 $5,600.70,. 298.3 87 -UNLEADED RFG 298,3 $2.82250 $2.82250 $841.95 298.3 COLORADO FUELS IMPACT REDUCTION FEE 298.3 $0.00613 $0.00613 $1.83 298,3 FEDERAL SUPERFUND FEE 298.3 $0.00405 $0.00405 $1.21 298.3 COLORADO ENVIRONMENTAL FEE 298.3 $0.00938 $0.00938 $2.80 298.3 FEDERAL FER FEE 298,3 $0.00214 $0.00214 $0.64 298.3 FED LUST TAX 298,3 $0.00100 $0.00100 $0.30 Sub Total 0 $0.00000 52.84520 $848.73, Subtotal $6,449.43 Sales Tax $0.00 Total $6,449.43 Past due after 5/26/2024. If account is unpaid within time permitted, customer agrees to pay interest at 24% PER ANNUM plus collection fees. The undersigned hereby states that he/she is authorized to bind the principal to the terms hereof. Prices reflect discounts received for payment by cash, check or EFT. Payment by other means is subject to a 3.25% convenience fee. HAZARDOUS MATERIAL EMERGENCY RESPONSE: (800) 633-8253 PERS DENVER PRODUCTS TERMINAL HOLLY ENERGY PARTNERS 8581 EAST 96TH AVE. Denver (HENDERSON), CO 80640 THIS IS TO CERTIFY THAT THE HEREIN NAMED MATERIALS ARE PROPERLY CLASSIFIED, DESCRIBED, PACKAGED, MARKED AND LABELED, AND ARE IN PROPER CONDITION FOR TRANSPORTATION, ACCORDING TO APPLICABLE REGULATIONS OF THE D.O.T. IF SHIPMENT INCLUDES UNLEADED GASOLINE THE PRODUCT CONTAINS NO MORE THWN 0.05 GRAMS OF LEAD PER GALLON AND NO MORE THAN 0.005 GRANS OF PHOSPHOROUS PER GALLON CONFORMING TO E.P.A. REGULATIONS - 40 CFR BO - RECEIVED SUBJECT TO TARIFFS OR CONTRACT IN EFFECT THIS DATE. THE CARRIER CERTIFIES THAT THE CARGO TANK SUPPLIED FOR THIS SHIPMENT IS A PROPER CONTAINER FOR THE TRANSPORTATION OF THIS COMMODITY AS DESCRIBED BY THE SHIPPER. TMdrrA. oy signing tHa lc* hb+eayc,IIde9 trW Uanspert naa Irodad as speGTad. X aanH2u04 01:10 An 319reGaa Dale Raal+adrp>antlllaa In goal arwr X Signature Data BILL OF LADING/MANIFEST "FOR CHEMICAL EMERGENCY - SPILL, LEAK, FIRE, EXPOSURE OR ACCIDENT CALL CHEMTREC 800-424-9300 DAY OR NIGHT." CCN 201319 REFORMULATED GASOLINE ALL GASOLINES ARE DETERGENT ADDITIZED FOR SALE TO THE FINAL CONSUMER. HF SINCLAIR REINING & MARKETING LLC EPA COMPANY REGISTRATION 5053 SHIPPER CERTIFIES THAT THE 0000A COVERED BY TH 15 TICKET WERE PRODUCED IN COIYPUANCE WITH ALL REDUIREMENTS OF THE FAIR LABOR STANDARDS ACT, AS AMENDED. SHIPPING DESCRIPTIONS USE EMERGENCY RESPONSE GUIDE 128 UN1203, GASOLINE, 3, FGII 1509 GALLONS NA 1993, DIESEL FUEL, 3, PG III 5298 GALLONS SONS TO SHIP TO DESTINATION Wt/o) Ck,t.,1".y ,_SA,o/LiL BRAD HALL (HF) BRAD HALL (HF) .CO SHAPE'RO,. CORM DATE SHIPPED LCAW EDICT TEE LOAD END TIME 501- SIC, 8581 EAST 96TH AVE 03116/2024 011E 02,09 j 1337833 REP 1 CUSTOMER MO, HF Sinclair Relining & Marketing 8310 501309 ORVEANe:Af" pi.R !A• CARNIA.R NA55'1,0. TIEOI8B Al TR54L r.IRWE0,S OAP POSS JONANNFS, JORDAN SENERGY PETROLEUMLLC SOPA 01196 3453 4 PRODUCT OCTANE R1EY2 RVP MAX 5 GALLONS rEMP A P.I. GRAVITY NET GALLONS Red Wtr#2D15ppm Sulfur NRLMDiesele' Red Wtr#2D15ppm SulfurNRLMDiesel " 87 OCT. E10 WINTER CG MATERIAL SAFETY DATA SHEET AVAILABLE ON REQUEST 0.0 0.0 87 10.0 2498 2800 1509 38 38 32 37.5 375 62.3 2524 2829 153? DYED DIESEL PUEL,NONTPXASI.E USE ONLY,PENALSY FOR IA%APL5 USE. 4Nnler RFG-O ass and Adt zed t3a4Slne 515 Contains lwMaen lard lC Lel% aTalnL The prcalet sold inreurm( Is not Udcater' Int usaln sny prce rl 4,e:i ated as SIC, as rL,nned In 4S.GFRaa.1500. Usa c/ I I; F+Warr In 515 re pranteltrrd by seller aril Near at' rues 115111 Is I as; ran as sell Nis produrrs marleled SS 555 Tn19 whim al rad or IJa0Otld &Wird or bodrsei la dasI9n^_lal and Mlerued'or use as tr snapoa' also, 4,O or let Nrel aIna 48 U.S. ronpguws SIU.esa'U and Hewge. Aryan -am agroring ;N55551551bjmi to I`e ',Muirunaar, d4! CFR SO 1479. No'wsignrl RNa /Fars/a-rod Change #3. Change Answers to Questions posted on May 1, 2024 Current: I. Does the County plan to award to one vendor? YES 2. Does the County plan on awarding vendors by product? NO 15. Can vendors choose to not bid on all products? NO 16. Are vendors required to bid on all locations? YES Change: 1. Does the County plan to award to one vendor? YES. One vendor for Diesel & Unleaded fuel and one vendor for Propane fuel. However, the same vendor may be awarded for Diesel & Unleaded fuel and one vendor for Propane fuel. 2. Does the County plan on awarding vendors by product? One vendor for Diesel & Unleaded fuel and one vendor for Propane fuel. However, the same vendor may be awarded for Diesel & Unleaded fuel and one vendor for Propane fuel. 15. Can vendors choose to not bid on all products? YES. 1) Vendors may bid on Diesel & Unleaded fuel only. 2) Vendors may also bid on Propane fuel only. Or 3) Vendors may bid on both 1) Diesel & Unleaded and 2) Propane. 16. Are vendors required to bid on all locations? YES. Vendors are to supply fuel to locations listed. If a vendor is bidding on diesel & unleaded fuel, it is for all locations listed that has that fuel listed. If a vendor is bidding on only propane, it is for all locations that has that fuel listed. Addendum Acknowledgement ***A signed copy must be submitted with your bid. Thank you!"' Company Name: Team Petroleum LLC Signature: A+L Vac* Name: Kevin Dooley Title: General Manager May 6, 2024 05/08/24 Date of Signature FEDERATED INSUR4NCEr Dear Policyholder, Thank you for choosing Federated Insurance to handle your insurance and risk management needs. The attached certificate document(s) have been issued or updated. Please feel free to contact us with any additional changes, additions or deletions that may be needed by contacting the Federated Client Contact Center at: E-mail: rlientcontactcenterg©fedinscom Phone: 1-888-333-4949 Fax: 507-446-4664 Thank you for your business! Client Contact Center Enclosed - Certificate Document(s) MISC-0829 (03-22) AcoRif 411iro .'"-' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) os/07/2D24 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPOM THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328. MN 55060 NAME CT CLIENT CONTACT CENTER ONxo, Ex* 888-333-4949 I FnAX PHONE c Nor. 507-446-4664 e•NsAiOWATONNA, ADDREss:CLIENTCONTACTCENTERaI FEDINS.COM INSURERS AFFORDING COVERAGE NAIC id INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 313-963-1 TEAM PETROLEUM A LIMITED LIABILITY COMPANY PO BOX 1831 FORT COLLINS, CO 80522-1831 INSURER B: INSURER Ci INSURER 0: "INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 111 REVISION NUMBER: 0 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 MY 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. TAP TYPE OF INSURANCE IIINOSDRL SWVO POLICY NUMBER IMMIEdYWY1 IMMI0D/YYYYI LIMITS A X COMMERCIAL CENERA. LIABILITY N N 9052691 02/01/2024 02/01/2025 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Es cowmen( $100,000 J CLAIMS -MADE X OCCUR MED EXP (Any one person) EXCLUDED PERSONAL N AOV IRJORY $1,000,000 GENERAL AGGREGATE $2.000.000 GENE X AGGREGATE LIMIT APPLIES PER, POUCY Deg n LOC OTHER: PRODUCTS Er COMP/OP AGO $2,000,000 A AUTOMOBILE X _OWNED _ LIABILITY ANYAUTO AUTOS ONLY HIRED AUTOS ONLY _ ORULED AUTOS ONLY Y Y 9052691 02/01/2024 02/01/2025 rypI lEE aaideell,SINGLE LIMIT $1,000,000 BODILY INJURY (Per Person) BODILY INJURY (Per Accident lEa,' Accident A X UMBRE'_LA LIAR X EXCESSLIAB OCCUR CLAIMS -MADE N N 9065929 02/01/2024 02/01/2025 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 _ DED I (RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/ EXECUTIVEE OFFICERIMEMBEREXCLUDED7 (Mandatory In NH) If yes. dePerlbe under DESCRIPTION OF OPERATIONS below N/A N 9910503 02/01/2024 02/01/2025 XI PER STATUTE I OTHER EL EACH ACCIDENT $1,000,000 E.L DISEASE HA EMPLOYEE $1,000,000 El DISEASE •POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS !VEHICLES (AGGRO 101, Additional Remarks Schedule, may be attached it more space is required) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION 313-963-1 WELD COUNTY PO BOX 758 GREELEY, CO 80632-0758 111 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE // ACORD 25 (2016/03) © 1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 313-963-1 ACGIRD,D LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY FEDERATED MUTUAL INSURANCE COMPANY NAMED INSURED TEAM PETROLEUM A LIMITED LIABILITY COMPANY PO BOX 1831 FORT COLLINS, CO 80571-1831 POLICY NUMBER SEE CERTIFICATE # 111.0 CARRIER SEE CERTIFICATE # 111.0 NAIL CODE EFFECTIVE DATE: SEE CERTIFICATE # 111.0 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE PROJECT: 113 H ST. GREELEY, CO 80631. SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY, DESIGNATED ADDITIONAL INSUREDS ALSO INCLUDES WELD COUNTY ITS SUBSIDIARY, PARENT, ASSOCIATED AND/OR AFFILIATED ENTITIES, SUCCESSORS, OR ASSIGNS, ITS ELECTED OFFICIALS, TRUSTEES, EMPLOYEES, AGENTS AND VOLUNTEERS. SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY, WAIVER OF SUBROGATION INCLUDES: WELD COUNTY, ITS ASSOCIATED AND/ OR AFFILIATED ENTITIES, SUCCESSORS, OR ASSIGNS, ITS ELECTED OFFICIALS, TRUSTEES, EMPLOYEES, AGENTS, AND VOLUNTEERS THE CERTIFICATE HOLDER IS A DESIGNATED INSURED ON BUSINESS AUTO LIABILITY SUBJECT TO THE CONDITIONS OF THE DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE. BUSINESS AUTO LIABILITY CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE CONDITIONS OF THE BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ENDORSEMENT. WORKERS COMPENSATION CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER WHERE PERMITTED BY STATE STATUTE. FOR NON-PAYMENT OF PREMIUM, 10 DAYS NOTICE WILL BE PROVIDED TO THE CERTIFICATE HOLDER IN THE EVENT THAT THE ISSUING COMPANY CANCELS THE POLICY BEFORE THE EXPIRATION DATE OF THE POLICY. FOR REASONS OTHER THAN NON-PAYMENT OF PREMIUM, 45 DAYS NOTICE WILL BE PROVIDED TO THE CERTIFICATE HOLDER IN THE EVENT THAT THE ISSUING COMPANY CANCELS THE POLICY BEFORE THE EXPIRATION DATE OF THE POLICY. ACORD 101 (2008/01) O 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 9052691 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Auto Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Team Petroleum A Limited Liability Company Endorsement Effective: 06/07/2024 SCHEDULE Name of Person(s) Or Organization(s): Weld County PO Box 758 Greeley, CO 80632 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. In the event of any payment for a loss under this Business Auto Coverage Part arising out of your ongoing operations, we agree to waive our rights under the TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US condition against any person or organization, its subsidiaries, directors, agents or employees, for which you have agreed by written contract, prior to the occurrence of any loss, to waive such rights, except when the payment results from the sole negligence of that person or organization, its subsidiaries, directors, agents or employees. Includes copyrighted material of Insurance Services Office, Inc. with its permission. CA -F-128 (03-03) Policy Number: 9052691 Transaction Effective Date: 02/01/2024 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement, effective on 06/06/2024 at 12:01 A.M. standard time, forms a part of Policy No. 9910503 Issued to Team Petroleum A Limited Liability Company Issued by Federated Mutual Insurance Company Endorsement No. 12 Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Weld County PO Box 758 Greeley, CO 80632 Additional Reference: Any coverage provided by this endorsement applies only to delivery of fuel to 113 H St. Greeley, CO 80631. If work is performed in Missouri, this waiver does not apply to any construction group of classifications as designated by the Waiver of Our Right to Recover from Others rule in our manual. Copyright 1983 National Council on Compensation Insurance. WC 00 03 13 (04-84) Issue Date: 06/06/2024 AGREEMENT FOR FUEL SUPPLIES FOR 2024 FUEL BID (#B2400092) -TEAM PETROLEUM APPROVED AS TO SUBSTANCE: Department Head, car Elegy . d O'icial APPROVED AS TO FUNDING: 664 41000 Chief Financial Officer, or Controller APPROVED AS TO FORM: County Attorney Hello