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Home My WebLink About730836.tiff CNC/N H PQ, INC. ARCHITECTS • ENGINEERS • PLANNERS Date: September 21, 1973 Project No. 73-1-CCA-0118 To: Board of Weld County Commissioners Project: Weld County Public Health Bldg. Weld County Courthouse Greeley, Colorado 80631 Gentlemen: We are transmitting Herewith YY Under Separate Cover No. of Copies Description or Remarks 3 Sets Contract Documents for your review and signature. Please retain the copy marked "Owner" andreturn the other copies to our office for further processing. Livingston Construction has requested new workmen's compensation certificates. They will forward these certificates to us within the next few days. We will require this coverage before construction can begin. ❑ No Exceptions Taken ❑ As Requested ❑ Make Corrections Noted For Approval ❑ Amend & Resubmit is For Your Records ❑ Rejected - Resubmit ❑ As Indicated On Each Submittal Very truly yours, CNC/NHPQ ARCHITECTS ENGINEERS PLANNERS By: l�r D nald K. g, Senior Fi d Representative Construction Contract Administration TWENTY TWENTY-ONE CLUBHOUSE DRIVE, GREELEY, COLORADO 80631 (303) 353-3434 356-4""" DKF:Ih 730836 cc: Buzz Roeth • THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A101 Standard Form of Agreement Between Owner and Contractor where the basis of payment is a STIPULATED SUM Use only with the latest Edition of AIA Document A201, General Conditions of the Contract for Construction. This document has important legal consequences; consultation with an attorney is encouraged with respect to its completion or modification. AGREEMENT made this Seventeenth day of September in the year of Nineteen Hundred and Seventy-Three BETWEEN Board of Weld County Commissioners Weld County Courthouse Greeley, Colorado 80631 the Owner, and Livingston Construction, Inc. 1717 Willax Court the Contractor. Fort Collins, Colorado 80521 The Owner and the Contractor agree as set forth below. AIA DOCUMENT A101 • OWNER-CONTRACTOR AGREEMENT• SEPTEMBER 1967 EDITION •AIA® 1 ©1967 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N. Y. AVE., N.W., WASH., D. C. 20006 .• r ARTICLE 1 THE CONTRACT DOCUMENTS The Contract Documents consist of this Agreement, Conditions of the Contract (General, Supplementary and other Conditions), Drawings, Specifications, all Addenda issued prior to execution of this Agreement and all Modifications issued subsequent thereto. These form the Contract, and all are as fully a part of the Contract as if attached to this Agreement or repeated herein. An enumeration of the Contract Documents appears in Article 8. ARTICLE 2 THE WORK The Contractor shall perform all the Work required by the Contract Documents for the complete construction of Weld County Public Health Building, Greeley, Colorado, Alternate Number 3 accepted. (Insert above the caption descriptive of the Work as used on other Contract Documents.) ARTICLE 3 ARCHITECT The Architect for this Project is CNC/NHPQ, INC. Architects Engineers Planners 2021 Clubhouse Drive Greeley, Colorado 80631 ARTICLE 4 TIME OF COMMENCEMENT AND COMPLETION The Work to be performed under this Contract shall be commenced within fifteen days from the date of this contract. and completed not later than October 1, 1974. (Here insert any special provisions for liquidated damages relating to failure to complete on time.) AIA DOCUMENT A101 • OWNER-CONTRACTOR AGREEMENT• SEPTEMBER 1967 EDITION • AIA® 2 ©1967 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N. Y. AVE., N.W., WASH., D. C. 20006 ARTICLE 5 CONTRACT SUM The Owner shall pay the Contractor for the performance of the Work, subject to additions and deductions by Change Order as provided in the Conditions of the Contract, in current funds, the Contract Sum of Six Hundred Seventy-Three Thousand, Seven Hundred Dollars ($673,700.00) (State here the lump sum amount,unit prices,or both,as desired.) Base Bid $677,700.00 Alternate No. 3 (-) 4,000.00 Total Contract Sum $673,700.00 ARTICLE 6 PROGRESS PAYMENTS Based upon Applications for Payment submitted to the Architect by the Contractor and Certificates for Payment issued by the Architect, the Owner shall make progress payments on account of the Contract Sum to the Contractor as pro- vided in the Conditions of the Contract as follows: On or about the tenth (10th) day of each month ninety (90$) per cent of the proportion of the Contract Sum properly allocable to labor, materials and equipment incorporated in the Work and ninety (b90%) per cent of the portion of the Contract Sum properly allocable to materials and equipments ita y scored at the site or at some other location agreed upon in writing by the parties, up to the first (1st) day of that month, less the aggregate of previous payments in each case; and upon Substantial Completion of the entire Work, a sum sufficient to increase the total payments to ninety (90%) per cent of the Contract Sum, less such retainages as the Architect shall determine for all incomplete Work and unsettled claims. (Here insert any provisions made for limiting or reducing the amount retained alter the Work reaches a certain stage or completion.) AIA DOCUMENT A101 • OWNER-CONTRACTOR AGREEMENT • SEPTEMBER 1967 EDITION • AIA® 3 ©1967 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N. Y. AVE., N.W., WASH., D. C. 20006 • ARTICLE 7 FINAL PAYMENT Final payment, constituting the entire unpaid balance of the Contract Sum,shall be paid by the Owner to the Contractor thirty (30) days after Substantial Completion of the Work unless otherwise stipulated in the Certificate of Substantial Completion, provided the Work has then been completed, the Contract fully performed, and a final Certificate for Payment has been issued by the Architect. ARTICLE 8 MISCELLANEOUS PROVISIONS 8.1 Terms used in this Agreement which are defined in the Conditions of the Contract shall have the meanings designated in those Conditions. 8.2 The Contract Documents,which constitute the entire agreement between the Owner and the Contractor,are listed in Article T and, except for Modifications issued after execution of this Agreement, are enumerated as follows: (List below the Agreement, Conditions of the Contract (General, Supplementary, and other Conditions), Drawings, Specifications, Addenda and accepted Alternates, showing page or sheet numbers in all cases and dales where applicable.) This Standard Form of Agreement Between Owner and Contractor, AIA Document AD1, September 1967 Edition. The General Conditions of the Contract for Construction AIA Documents A201, Twelfth Edition, April 1970, Consisting of Articles numbered 1 through 14, 18 pages. The Supplementary Conditions, pages SGC-1 through SGC-8. Specifications for the construction of Weld County Public Health Building, dated July 22, 1973, prepared by CNC/NHPQ, INC. Architects Engineers Planners, 2021 Clubhouse Drive, Greeley, Colorado 80631, Addendum No. 1, dated August 31, 1973, consisting of eight pages. Plans for the construction of Weld County Public Health Building, dated July 22, 1973, prepared by CNC/NHPQ, INC. , Architects Engineers Planners, 2021 Clubhouse Drive, Greeley, Colorado 80631, consisting of: Cover Sheet Sheets 1 through 17 Sheets P-1 through P-2 Sheets M-1 through M-2 Sheets E-1 through E-5 AIA DOCUMENT A101 • OWNER-CONTRACTOR AGREEMENT• SEPTEMBER 1967 EDITION • AIA® 4 ©1967 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N. Y. AVE., N.W., WASH., D. C. 20006 in-".. Bid Proposal from Livingston Construction, Inc. signed by R. K. Livingston, President on September 5, 1973. This Agreement executed the day and year first written above. OWNER CONTRACTOR Board of Weld County Commissioners Livingston Construction, Inc. Weld County Courthouse 1717 WillOx Court Greeley, Colorado 80631 Fort Collins, Cq3orado 80521 BY Sat-- X _ i ../� BY �'' Yi -'lJ-'C '1^-�'h Title Title j�.J�" ay v ft) a-4 By Title Title STA-. Date Date ' q 197.? ATTEST: vcitu card • va yea cis{/��" 4/�-,o. 72.e/ 2� epury County Clerk AlA DOCUMENT A101 • OWNER-CONTRACTOR AGREEMENT• SEPTEMBER 1967 EDITION • AIA® 5 ©1967 THE AMERICAN INSTITUTE OE ARCHITECTS, 1735 N. Y. AVE., N.W., WASH., D. C. 20006 . .� eAle\ SAFECO INSURANCE COMPANIES SAFECO INSURANCE COMPANY OF AMERICA GENERAL INSURANCE COMPANY OF AMERICA FIRST NATIONAL INSURANCE COMPANY OF AMERICA HOME OFFICE.4347 BROOKLYN AVE.N.E.,SEATTLE.WASHINGTON 98105 Bond No. 2385895 PERFORMANCE BOND Approved by The American Institute of Architects A.I.A. Document No. A-311 February, 1970 Edition KNOW ALL MEN BY THESE PRESENTS, That we, I IVINGSTON CONSTRUCTION , INC. . 134 West Wi 11Ox (Here insert the name and address or legal title of Contractor) lane. Fort Collins . Colorado 80521 as Principal, hereinafter called Contractor,and SAFECO INSURANCE COMPANY OF AMERICA,a Washington Corpora- tion of Seattle,Washington,as Surety,hereinafter called Surety,are held and firmly bound unto BOARD OF WELD BOUNTY COMMTSSTONFRS (Here insert the name and address or legal title of Owner) as Obligee,hereinafter called Owner,in the amount of SIX HUNDRED SEVENTY—THREE THOUSAND SEVEN H1INDRFD AND NO/100 Dollars($ 673,700,00 — — —), for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns jointly and severally,firmly by these presents. WHEREAS, Contractor has by written agreement dated Septernher 17 , 19]3_entered into a Contract with Owner for Weld County Public Health Building, Greeley, Colorado in accordance with Drawings and Specifications prepared by CNCAHPQ, Greeley, Colorado (Here insert full name and address or legal title of Architect) which Contract is by reference made a part hereof,and is hereinafter referred to as the Contract. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That, if Contractor shall promptly and faithfully perform said Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. (continued on reverse side) I 5-1219 RI 10/]2 PRINTED IN U.S.A. r Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Owner having performed Owner's obligations thereunder,the Surety may promptly remedy the default,or shall promptly 1. Complete the Contract in accordance with its terms and conditions,or 2. Obtain a bid or bids for submission to Owner for completing the Contract in accordance with its terms and conditions, and upon determination by Surety of the lowest responsible bidder, or, if the Owner elects, upon determination by Owner and the Surety jointly of the lowest responsible bidder,arrange for a contract between such bidder and Owner, and make available as Work progresses (even though there should be a default or a succession of defaults under the contract or contracts of completion arranged under this paragraph) sufficient funds to pay the cost of completion less the balance of the contract price; but not exceeding, including other costs and damages for which the Surety may be liable hereunder, the amount set forth in the first paragraph hereof.The term "balance of the contract price,"as used in this paragraph, shall mean the total amount payable by Owner to Contractor under the Contract and any amend- ments thereto,less the amount properly paid by Owner to Contractor. Any suit under this bond must be instituted before the expiration of two(2) years from the date on which final payment under the contract falls due. No right of action shall accrue on this bond to or for the use of any person or corporation other than the Owner named herein or the heirs,executors,administrators or successors of Owner. Signed and sealed this 17th day of September ,19 73. ATTEST: LIVINGSTON CONSTRUCTION , INC. (Seat) Principal (>v ) BY' I 6 , J O �o. III ✓ Title t SAFECO INSURANCE COMPANY OF AMERICA BY: jfr/44.2z, A' 7 //// Stephanie Eason, Denver, olor��'dtness) ( BY B. R. Clark Attorney-in-Fact g.a.Talbert, Inc. ONE 1-Y B H ONE LINCOLN STREET D E N VE{ , CO I O R A DO e0403 A0. 6A GOD ! 303 / 19! - 390 i� • • e0 SAFECO INSURANCE COMPANIES SAFECO INSURANCE COMPANY OF AMERICA GENERAL INSURANCE COMPANY OF AMERICA FIRST NATIONAL INSURANCE COMPANY OF AMERICA HOME OFFICE 9397 BROOKLYN AVE.N E.,SEATTLE,WASHINGTON 98105 Bond No. 2385895 LABOR AND MATERIAL PAYMENT BOND Approved by The American Institute of Architects A.I.A. Document No. A-311 February, 1970 Edition Note: This bond is issued simultaneously with it Performance Bond in favor of the Owner conditioned for the full and faithful performance of the Contract. KNOW ALL MEN BY THESE PRESENTS, That we, LIVINGSTON CONSTRUCTION, INC„ 134 West Willox Lane, Fort Collins, Colorado 80521 (Here insert the name and address or legal title of Contractor) • as Principal, hereinafter called Principal, and SAFECO INSURANCE COMPANY OF AMERICA, a Washington Corpora- tion of Seattle,Washington, as Surety,hereinafter called Surety,are held and firmly bound unto BOARS OF WFI n COUNTY COMMISSIONERS (Here insert the name and address or legal title of Owner) as Obligee, hereinafter called Owner, for the use and benefit of Claimants as hereinbelow defined, in the amount of SIX HUNDRED S Y Y-THREE THOUSAND SEVEN HUNDRED AND NO/ I I Dollars($673.700.00 - -), (Here insert a sum equal to at least one-half of the contract price) for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS, Principal has by written agreement dated CepteprPr 17, 197 _ entered into a contract with Owner for Meld County Public Health Building. Greeley. Colorado in accordance with Drawings and Specifications prepared by r.Nr-rimpq Groe]ey,r Colorado (Here insert full name and address or legal title of Architect) • which contract is by reference made a part hereof,and is hereinafter referred to as the Contract. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the Principal shall promptly make payment to all Claimants as hereinafter defined, for all labor and material used or reasonably required for use in the performance of the Contract, then this obligation shall be void; otherwise it shall remain in full force and effect,subject, however, to the following conditions: I. A Claimant is defined as one having a direct Contract with the Principal or with a Subcontractor of the Principal for labor, material, or both, used or reasonably required for use in the performance of the Contract,labor and material being construed to include that part of water, gas, power, light, heal, oil, gasoline, telephone service or rental of equipment directly applicable to the Contract. (continued on reverse side) S-1220 RI 10/72 mu��,.......,........,...,n...,........_., PRINTED IN U.S.A. 2. The above named Principal and Surety hereby jointly and severally agree with the Owner that every Claimant as herein defined, who has not been paid in full before the expiration of a period of ninety (90) days after the date on which the last of such Claimant's work or labor was done or performed, or materials were furnished by such Claimant,may sue on this bond for the use of such Claimant, prosecute the suit to final judgment for such sum or sums as may be justly due Claimant, and have execution thereon.The Owner shall not be liable for the payment of any costs or expenses of any such suit. 3. No suit or action shall be commenced hereunder by any Claimant, a) Unless Claimant, other than one having a direct Contract with the Principal, shall have given written notice to any two of the following: The Principal, the Owner, or the Surety above named, within ninety(90) days after such Claimant did or performed the last of the work or labor, or furnished the last of the materials for which said claim is made,stating with substantial accuracy the amount claimed and the name of the party to whom the materials were furnished, or for whom the work or labor was done or performed. Such notice shall be served by mailing the same by registered mail or certified mail, postage prepaid, in an envelope addressed to the Principal,Owner or Surety,at any place where an office is regularly maintained for the transaction of business, or served in any manner in which legal process may be served in the state in which the aforesaid project is located,save that such service need not be made by a public officer. b) After the expiration of one (I) year following the date on which Principal ceased work on said Contract, it being understood, however, that if any limitation embodied in this bond is prohibited by any law controlling the construction hereof such limitation shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by such law. c) Other than in a state court of competent jurisdiction in and for the county or other political subdivision of the state in which the Project, or any part thereof, is situated, or in the United States District Court for the district in which the Project,or any part thereof,is situated,and not elsewhere. 4. The amount of this bond shall be reduced by and to the extent of any payment or payments made in good faith hereunder, inclusive of the payment by Surety of mechanics' liens which may be filed of record against said improve- ment, whether or not claim for the amount of such lien be presented under and against this bond. Signed and sealed this 17th day of September , 19 73 ATTEST: I PVTNGSTON CONSTRUCTION, INC. (Seal) Principal 9411XQI . BY: � ; E ,i,ti^te)e , 2 I) rrrr� ,7 Title t SAFECO INSURANCE COMPANY OF AMERICA DY: Witness Stephanie Eason, nver, Gil orado ` zz , By B, R. Clark Attorney-in-Fact g.a.Talbert, Inc. a1ltilleNE TN FANOO4 E LINCOLN INK t[dR NCt ET ONE DENVER , NR ONE LINCOLN 0T AREAC COLORADO 3 0 3 / 80203 AREA CODE 003 / 33- 1000 SAFECO INSU ICE COMPANY OF AMERICA �' HOME OFFICE: 4347 BROOKLYN AVE. N.E., SEATTLE, WASHINGTON 98105 - POWER OF ATTORNEY No. 2120 KNOW ALL MEN BY THESE PRESENTS: That Safeco Insurance Company of America,a Washington corporation,does hereby appoint G. A. TALBERT;B. R. CLARK; CHARLES H. FLECK; COURTNEY T. PETERSON; CAROL BRONDER; ROBERT S. GILL; BEN L, MATTHESEN; NELSON D. BROWN; DARRELL C. R. OLSON; MARILYN SHRIFVARS; P. J. FARMER; ROBERT J, SDNICH, Dearer, Colorado its true and lawful attorney(s)-in-fact, with full authority to execute on behalf of the company fidelity and surety bonds or undertakings and other documents of a similar character issued by the company in the course of its business, and to bind Safeco Insurance Company of America thereby as fully as if such instruments had been duly executed by its regularly elected officers at its home office. IN WITNESS WHEREOF, Safeco Insurance Company of America has executed and attested these presents this 11th day Of APIA , 19___7_3. <S:9 lcc_..., � /55 -1Z W HAMPIERPLA SECRETARY GORDON H.SWEANY,PRESIDENT CERTIFICATE Extract from the By-Laws of Safeco Insurance Company of America: "Article VI, Section 12.—FIDELITY AND SURETY BONDS . . . the President, any Vice President, and the Secretary shall each have authority to appoint individuals as attorneys-in-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company in the course of its business . . . . On any instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced;provided,however,that the seal shall not be necessary to the validity of any such instrument or undertaking." Extract from a Resolution of the Board of Directors of Safeco Insurance Company of America adopted July 28, 1970 "On any certificate executed by the Secretary or an assistant secretary of the Company setting out, (i)The provisions of Article VI,Section 12 of the Bylaws,and (ii) A copy of the power-of-attorney appointment,executed pursuant thereto,and (iii) Certifying that said power-of-attorney appointment is in full force and effect, the signature of the certifying officer may be by facsimile,and the seal of the Company may be a facsimile thereof." I, W. D. Hammersla, Secretary of Safeco Insurance Company of America, do hereby certify that the foregoing extracts of the By-Laws and of a Resolution of the Board of Directors of this corporation,and of a Power of Attorney issued pursuant thereto, are true and correct, and that both the By-Laws,the Resolution and the Power of Attorney are still in full force and effect. IN WITNESS WHEREOF,1 have hereunto set my hand and affixed the facsimile seal of said corporation �S�oa COMP�yjo this 17th day oe September 19 73 0 POR � I * v/ SEAL - ��/ JJ��'� c� �r4\F WAS��a W.D.HAMMERSLA SECRETARY PRINTED IN V.S.A. S-1300]/72 CERTIFICATE OF v``SURANCE CONTINENTAL CASUALTY COMPANY - "'" NAME Of INSURANCE CC 'ITG705 This certifies to the addressee .,nown below that • . the following described policies, subject to their - ].Cag_O—Illinois-_—__-_ CITY AND STATE terms, conditions and exclusions, have been issued to: c) NAME AND ADDRESS hIVII�IGSTOV CONSTRUCTION, INC. o OF INSURED P. O. Box 1951, Fort Collins, Colorado 80521 ^'I COVERING (SHOW PROJECT NAME ch OI AND/OR NUMBER AND LOCATION) Weld County Public Health Building, Greeley, Colorado 1 Addressee „ September 18, 1973/jh P- PZ I Date V F co Beard of Weld County Commissioners a a This Certificate of Insurance neither affirmatively nor negatively amends, extends, or alters the coverage afforded by the policy. KIND OF INSURANCE POLICY NUMBER Inception Date Expiration Date LIMITS OF LIABILITY 1. (a) Workmen's Comp. l $ j -'Statutory Workmen's Compensation (b) Employers' Liability $ One Accident and Aggregate Disease 2.Comprehensive I ' $ Each Person Premises and Operations General Liability I $ Each Person Elevators $ -_ Each Person Independent Contractors -- PRODucts IxcLUDIeD " $ Each Person —GOMPL ETEO OPERATID x5 (a) Bodily Injury I -- 'I $ Each Person Contractual Including -- - --- -- - - Personal Injury I '_$ Each Occurrence— '$— Aggregate _p iva Du crs-i�cLu-o fxc —COMPLETED OPERATIONS �,$ Each Occurrence—P rem ises--Operations II! $ Each Occurrence—Elevators $ Each Occurrence—Independent Contractors b) Property Damage - Each [JCCUrrea Ce—P R 0 0 0 G T 5 I H C L U 0 I N G i $ COMPL ETEO OPERATIONS i $ Each Occurrence—Contractual $ Aggregate — 3. Compreh en5l Ve $ Aggregate —POF'ET NS, PROTECTIVE —PRODUCTS AND CONTRACTUAL Automobile Liability $ Each Person — (a)Bodily Injury $ Each Occurrence— _.__ ------ ---_- (b) Property Damage $ Each Accident 4 Umbrella Excess RDU 8041817 8-1-72 8-1-75 $1,000,000 Ccmbined Single Limit Third Party Liability Please answer the following questions: i-. UNDER GENERAL LIABILITY POLICY OR POLICIES Yes No 1. Does Property Damage Liability Insurance shown include coverage for XC and U hazards? 2. Is Occurrence Basis Coverage provided under Property Damage Liability? 3. Is Broad Form Property Damage Coverage provided for this project? - - - n — - n 4. Is Personal Injury Coverage Included? -...- ;o 5. Is coverage provided for Contractual Liability (Hold Harmless Clause) assumed by insured? --- (+ ‘") ,--, UNDER AUTOMOBILE LIABILITY POLICY OR POLICIES N 1. Does coverage shown above apply to non-owned and hired automobiles? - --- - - N 2. Is Occurence Basis Coverage provided under Property Damage Liability? - - --- o CONTINENTAL CASUALTY COMPANY In the event of cancellation, fifteen (15) NAME 07 INSURANCFy�COMPANY .,_— r.-% u days written notice will be given to the By: /1/2,7:(€.... 7 nx--2' "sky.-c.+•.) a party to whom this certificate is addressed. AUTHORIZED REPRESENTATIVE la IZ OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ NS g.a.Talbert, Inc. FIELD ElT YS ri, BONDI,AND ikL LXR, Htt AIA'a OTHER ON/ THOUSAND ONE LINCOLN STROT ■. DINVER, COLORADO ROROR ARIA COBB RO!/R9R.1RR0 CERTIFICATE OF `"SURANCE NAME RI I�NSURAFNPICCt�NY INSURANCE- � 5 This certifies to the addressee .,hown below that BOSt.0I1,_MdS5aChUSetteS the following described policies, subject to their CITY AND STATE - - - - -- ------- terms, conditions and exclusions, have been issued to: o! NAME AND ADDRESS LIVINGSTON CONSTRUCTION, INC. o OF INSURED P. O. BOX 1951, Fort Collins,_Colorado 80521 el COVERING (SHOW PROJECT NAME AND'OR NUMBER AND LOCATION) Weld County Public Health Building, Greeley, Colorado a ' Addressee /^ 2 Date— September 18, 1973/jh ,4 1 o I Board of Weld County Commissioners 7 a a a _, KIND OF INSURANCE POLICY NUMBER Inception Date 'Expiration Date: LIMITS OF LIABILITY 1. (a) Workmen's Comp. $ i ;Statutory Workmen's Compensation (b) Employers' Liability I$ One Accident and Aggregate Disease 2. Comprehensive '$ —Each Person Premises and Operations General Liability AC2085-82 8-1-73 8-1-74 l$ Each Person Elevators $ Each Person —Independent Contractors Each Person P7A"J- siNc0Nolt $ —� —COM PL FT EO OPERATIONS -_- (a) Bo di ly Injury $ E•EN:h Person —Contractual Including -_ _._ Personal Injury $- 500,000, Each Occurrence— PRODUCTS_ -COMPLETED OPERATIONS DINS $ 500,000.Aggregate GOMPLET ED OPERATION8 $ 100,000. Each Occurrence—Premises—Operations AC2085-82 !i 8-1-73 8-1-74 $ 100,000. Each Occurrence—Elevators $ 100,000. Each Occurrence—Independent Contractors ^ (b) Property Damage - -- --h n _- - --- $ 100,000.F ach Occurrence—COMPL ETED OPERATIONS $ 100,000.Each Occurrence—Contractual !$ 100,000.Aggregate - - — 3. Comprehensive $ 100,000.A99_ g OPERATIONS. PROTECTIVE re ate —PeooucTS AND CONTRACTUAL Automobile Liability AC2085-82 8-1-73 8-1-74 $ 500,000.Each Person — (a) Bodily Injury 1$ 500,000.Each Occurrence— (b) Property Damage $ 100r000.Each Accident 4. This Oertificate of Insurance neither affirmatively nor negatively amends, extends, or alters the coverage afforded by the policies. Please answer the following questions: UNDER GENERAL LIABILITY POLICY OR POLICIES Yes iINo 1. Does Property Damage Liability Insurance shown include coverage for XC and U hazards? X _ I 2. Is Occurrence Basis Coverage provided under Property Damage Liability? X I _ __-_- 3. Is Broad Form Property Damage Coverage provided for this project? X _ a D 4. Is Personal Injury Coverage Included? X _ 0 5. Is coverage provided for Contractual Liability (Hold Harmless Clause) assumed by insured? -- F ic .-- UNDER AUTOMOBILE LIABILITY POLICY OR POLICIES V 1. Does coverage shown above apply to non-owned and hired automobiles? _- X__ -_. — 2. Is Occurence Basis Coverage provided under Property Damage Liability? —X s AMERI EMPLOYERS' INSURANCE COMPANY_ In the event of cancellation, fifteen (15) NAME SURA7C0C u days written notice will be given to the By:_ .. lc" "-, party to whom this certificate is addressed. AUTHORIZED REPRESENTATIVE C 2 OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ g.a.Talbert, Inc. FIELD ❑ ■ . wiut rt 1LE?st)t AHP )lslt PP Aeter AIA® OTHER ONE THOUSAND ONE LINCOLN STREET DENVER , COLORADO 30103 AREA CODE 001 /191-1310 SCHEDULED PROPERTY FLOATER POLICY ';23i:97:—;.• PRODUCER POLICY NUMBER CComm ial Union Assurance Companies U0 5 514 771 A C U 2 2 5 3 0 9 Boston,Massachusetts h A i New The Company issuing this policy is indicated by the first letter in the POLICY NUMBER, \-- RENEWAL OF OR PREVIOUS NO, as follows: C-COMMERCIAL UNION INSURANCE COMPANY /A-AMERICAN EMPLOYERS' INSURANCE COMPANY Insure d's Name and Mailing Address F-THE EMPLOYERS' FIRE INSURANCE COMPANY (Number, Street, Town or City, County, Stare, Zip Code) N-THE NORTHERN ASSURANCE COMPANY OF AMERICA A STOCK COMPANY • LIVINGSTON CONSTRUCTION INC. and • BOARD OF WELD COUNTY COMMISSIONERS • P.O. Box 1951 i • Fort Collins, Colorado 80521 • g.a.Talbert, Inc. ITYPtre 1SOT4Pt AND tNtlip.Anti Policy Period: IMo. dy Yr.) ONE THOUSAND ONE LINCOLN STSEIT # From 9-17-73 to 917-74 �. ARIAlCeOOS 30iii+a'iiio } c k; Y $ 1 .395.00 PREMIUM .207 RATE $ 673,700.00 AMOUNT In consideration of the stipulations herein named and of the premium above specified the Company does insure the Insured named above, hereinafter called the Insured, whose address is shown above, from the inception date shown above, at noon, to the expiration date shown above, at noon, Standard Time at place of issuance, to an amount not exceeding the amount Is) above specified, on property described below or in schedule attached. SEE ATTACHED FORM • Loss Payee. Loss, if any, hereunder shall be adjusted with the Insured and payable to the Insured and the Loss Payee indicated herein as their respective interests may appear. Name of Loss Payee Address This policy is made and accepted subject to the foregoing provisions and stipulations and those hereinafter stated, which are hereby made a part of this policy, together with such other provisions, stipulations and agreements as may be added hereto, as provided in this policy, As part of our underwriting procedure, a routine inquiry may be made which will provide applicable information aconceming character, general reputation, personal characteristics and mode of living. Upon written request, additional information as'to the"scope of the report, if one is made, will be provided. ..� - Agency at .4- mil '../-0 -.Gr lr o�se.c) Countersigned. - Agent 6145 H3 • owrl , (Attach Schedules and Endorsements Here) Page 2 CONDITIONS • _. - 1. Misrepresentation and Fraud. This entire policy shall be void if, article or articles, but in"no event shall such loss or damage whether before or after a.Ios% the Insured has concealed or misrepre- be construed to mean total loss of theepair or set; or sented any material fact or circumstance concerning this insurance (b) any part of property covered-consisting, when complete for or the subject thereof, or the interest of the Insured therein, or in case use, of several parts, the Company shall only be liable for of any fraud or false swearing by the Insured relating thereto. the value of the part lost or damaged. 2. Notice of Loss. The Insured shall as soon as practicable report in 10. Protection of Property. In case of loss, it shall be lawful and writing to the Company or its agent every loss, damage or occurrence necessary for the Insured, his or their factors, servants and assigns, which may give rise to a claim under this policy and shall also file to sue, labor, and travel for, in and about the defense, safeguard with the Company or its agent within ninety (90) days from date of and recovery of the property insured hereunder, or any part thereof, discovery of such loss, damage or occurrence, a detailed sworn proof without prejudice to this insurance, nor shall the acts of the Insured of loss. or the Company, in recovering, saving and preserving the property insured in case of loss be considered a waiver or an acceptance of 3. Examination Under Oath. The Insured, as often as may be reason- abandonment. The expenses so incurred shall be borne by the In- ably required, shall exhibit to any person designated by the Company sured and the Company proportionately to the extent of their respec- alI that remains of any property herein described, and shall submit, tive interests. and in so far as is within his or their power cause his or their em- ployees, members of the household and others to submit to examina- 11. Suit. No suit, action or proceeding for the recovery of any claim Lions under oath by any person named by the Company and subscribe under this policy shall be sustainable in any court of law or equity the same; and, as often as may be reasonably required, shall produce unless the same be commenced within twelve (12) months next after for examination all writings, books of account, bills, invoices and other discovery by the Insured of the occurrence which gives rise to the claim, provided however, that if by the laws of the State within which vouchers, or certified copies thereof if originals be lost, at such reasonable time and place as may be designated by the Company or this polity is issued such limitation is invalid, then any such claims its representative, and shall permit extracts and copies thereof to be shall be void unless such action, suit or proceeding be commenced made. No such examination under oath or examination of books or within the shortest limit of time permitted by the laws of such State. documents, nor any other act of the Company or any of its employees 12. Appraisal. If the Insured and the Company fail to agree as to or representatives in connection with the investigation of any loss or the amount of loss, each shall, on the written demand of either, claim hereunder, shall be deemed a waiver of any defense which the made within sixty (60) days after receipt of proof of loss by the Company might otherwise have with respect to any loss or claim, Company, select a competent and disinterested appraiser, and the but all such examinations and acts shall be deemed to have been appraisal shall be made at a reasonable time and place. The apprais- made or done without prejudice to the Company's liability, ers shall first select a competent and disinterested umpire, and failing for fifteen (15) days to agree upon such umpire, then, on the request 4, Valuation. The Company shall not be liable beyond the actual cash value of the property at the time any loss or damage occurs and judge of a court of record in the State in which such appraisal is the loss or damage shall be ascertained or estimated according to such pending. The appraisers shall then appraise the loss, stating separ- actual cash value with proper deduction for depreciation, however ately the actual cash value at the time of loss and the amount of caused, and shall in no event exceed what it would then cost to repair loss, and failing to agree shall submit their differences to the umpire. or replace the same with material of like kind and quality. An award in writing of any two shall determine the amount of loss. 5. Settlement of Loss. All adjusted claims shall be paid or made The Insured and the Company shall each pay his or its chosen good to the Insured within sixty (60) days after presentation and appraiser and shall bear equally the other expenses of the appraisal and umpire. The Company shall not be held to have waived any of acceptance of satisfactory proof of interest and loss at the office of the Company. No loss shall be paid or made good if the Insured has its rights by any act relating to appraisal. collected the same from others. 13. Cancelation. This policy may be canceled by the Insured by surrender thereof to the Company or any of its authorized agents or 6. No Benefit to Bailee. This insurance shall in nowise inure directly by mailing to the Company written notice stating when thereafter such or indirectly to the benefit of any carrier or other bailee. cancelation shall be effective. This policy may be canceled by the Company by mailing to the Insured at the address shown in this 7. Subrogation or Loan. If in the event of loss or damage the Insured policy or last known address written notice stating when, not less than shall acquire any right of action against any individual, firm or five (5) days thereafter, such cancelation shall be effective. The mail- ing of notice as aforesaid shall be sufficient proof of notice. The time corporation for loss of, or damage to, property covered hereunder, the I of surrender or the effective date of the cancelation stated in the Insured will, if requested by the Company, assign and transfer such notice shall become the end of the policy period. Delivery of such claim or right of action to the Company or, at the Company's option, written notice either by the Insured or by the Company shall be execute and deliver to the Company the customary form of loan re- equivalent to mailing. teipt upon receiving an advance of funds in respect of the loss or If the Insured cancels, earned premiums shall be computed in damage; and will subrogate the Company to, or will hold in trust for accordance with the customary short rate table and procedure. If the Company, all such rights of action to the extent of the amount the Company cancels, earned premium shall be computed pro rata. paid or advanced, and will permit suit to be brought in the Insured's Premium adjustment may be made at the time cancelation is effected name under the direction of and at the expense of the Company. and, if not then made, shall be made as soon as practicable after cancelation becomes effective. The Company's check or the check 8. Loss Clause. Any loss hereunder shall not reduce the amount of this of its representative mailed or delivered as aforesaid shall be a suffi- policy, except in the event of payment of claim for total loss of an item specifically scheduled hereon. If claim is paid for total loss of one or cient tender of any refund of premium due to the Insured. more scheduled items, the unearned premium applicable to such items 14. Changes. Notice to any agent or knowledge possessed by any will be refunded to the Insured or applied to the premium due on item(s) agent or by any other person shall not effect a waiver or a change in replacing those on which the claim was paid. any part of this policy or estop the Company from asserting any right under the terms of this policy, nor shall the terms of this policy be 9. Pair, Set or Parts. In the event of loss of or damage to: waived or changed, except by endorsement issued to form a part of (a) any article or articles which are a part of a pair or set, the this policy. measure of loss of or damage to such article or articles shall 15. Conformity to Statute. Terms of this policy which are in con- be a reasonable and fair proportion of the total value of the flict with the statutes of the State wherein this policy is issued are pair or set, giving consideration to the importance of said hereby amended to conform to such statutes. In Witness Whereof, the Company has executed and attested these presents, but this policy shall not be valid unless countersigned by a duly authorized Agent of the Company at the Agency hereinbefore mentioned. Wittc;•-rte (... r "kr,/ _At-- Secretary. President. r.. ._ "� . NOTE: Do NOT cemplete,attaching clause if endorsement is issued with policy at its inception.. - This endorsement, effective_, — --- —, forms part of Policy No. _ issued to__—_- by Name of Insurance Company — ----_-- -- - �J -----i----24--- /y— ?r.s__a_L Authorized Representative ALL RISK BUILDER'S RISK FORM 1. PROPERTY COVERED: 4. LOCATIONS COVERED: Any and all building materials, building machinery, build- This policy covers the insured property while it is in due ing equipment and supplies (including labor costs), the course of transit within and between the forty-eight property of the Insured or the property of others in the (48) contiguous states of the United States of America care, custody and control of the Insured to be used in the and the District of Columbia, at points or places where fabrication and/or erection and/or installation and/or work is being performed by the Insured, during tem- repairing and/or renovating. porary storage or deposit of property designated for and awaiting specific installation, building, renovating or re- Weld County Public Health Building, pairing (hereinafter referred to as projects), and also Greeley, Colorado while awaiting tests and during testing. The insurance hereunder with respect to insured prop- 2. PROPERTY NOT COVERED: erty used in connection with any project shall cease: . en such This policy does not cover any property while contained 1 purchaser; orproject is accepted by its owner or in stocks of merchandise held for sale to the public; nor 2. Thirty days after completion of such project; or shall this policy cover accounts, bills, currency, deeds, 3. As soon as such project is in use for its intended evidence of debt, money, notes, securities, manuscripts, purpose; or records or other documents, provisions, motor vehicles, 4. Upon the expiration of this policy; trailers, or other conveyances or their appurtenances or whichever occurs first. accessories, or Insured's, Contractor's or Subcontractor's tools or equipment (other than forms and scaffolding) 5• LIMITS OF LIABILITY; used by the Insured to effect any installation, erection, This policy shall not cover nor attach for more than the following limits in any one loss either in case of partial repair, completion or property improvement project. or al loss, or salvage charges, or expenses, or all com- 3. SPECIAL LIMITATION: bined This policy does not insure steam boilers, steam pipes, A. $ lo.onn.nn with respect to insured steam turbines or steam engines against loss by bursting, property in transit; rupture or explosion of such objects (other than explo- 673,700.00 Sion of accumulated gases or unconsumed fuel within a B. $- —with respect to insured fire box or combustion chamber) ; machines or machin- property at job sites; C. $ 10,000.00 with respect to insured ery against loss by mechanical breakdown or electrical burnout, or by rupture, bursting or disintegrating of ro- property at temporary storage locations; tating or moving parts caused by centrifugal or recipro- q l� cating force. D. Subje� �/� e 8o ceding restrictions, $ 00// 0 U any one catastrophe. INSURING AGREEMENT 6. THIS POLICY INSURES AGAINST: All risks of direct physical loss or damage from any external cause (except as hereinafter provided). EXCLUSIONS 7. THIS POLICY DOES NOT INSURE AGAINST: ing) caused by electrical currents artificially gen- (a) Loss due to wear and tear or gradual deterioration, erased, unless fire ensues and then only for loss rust, marring or scratching, extremes of tempera- caused by such ensuing fire; ture, mechanical breakdown, wet or dry rot, mould, (e) Loss by earthquake, Xi(itim xmx flood waters, settling, shrinkage or expansion of foundations, waves, tide or tidal wave, aighwater or overflow of walls, floors or ceilings, unless fire or explosion en- streams or bodies of water, all whether driven by sues e liable such resulting firtesor explosion damageto the prop- t ind or not,earthquake unless ther firecor explos or ion ensues tand erty insured hereunder; ,.--., then only—,fer loss caused by, such ensuing fire or eec (b) Loss caused by or resultins om error, omission or explosio: Atuterx 1xlvo oommir(xku RX deficiency in design, specifications, workmanship orhn9� Xtft/($Of�( 9f� (f) Loss caused or occasioned by infidelity, dishonesty materials. This exclusion does not apply to loss by fire, lightning, wind, hail, explosion, riot or civil or any overt act on the part of the Insured, assn_ commotion, aircraft, vehicles, smoke, or discharge date in interest, and/or of the Insured's employees from fire.protective or bur service equipment, whetheryitiurring during the hours of employment to the extent that such pei are insured against in or other nor on the part of custodians of the this policy; property insured (common carrier's excepted) ; nor (c) Loss due to loss of market or damage or deteriora- any unexplained loss or mysterious disappearance of arising from delay, whether such delay be ri property (except property r the custody of car- caused by a peril insured against or otherwise;loss pro rt bailees for hire i; nor loss o; shortage of occasioned by enforcement of any local or state property disclosed on taking inventory; (g) Loss of property while waterborne except while on ordinance or law regulating the construction, re- pair or demolition of buildings or structures; indi- transporting land conveyances, on ferries and/or in rect or consequential loss of any kind; cars on transfers or lighters; (d) Loss resulting from electrical injury or disturbance (h) Loss occasioned by the weight of a load exceeding to electrical appliances or devices (including wir- the registered lifting or supporting capacity of any g machine; (Continued) G9699-1 (C) Commercial Undo n Assurance Companies (i) Loss caused by or resulting from: (j) Loss, if at the time of such loss, there is other valid (1) Hostile or warlike action in time of peace or and collectible insurance which would attach if this war, including action in hindering, combating insurance had not been effected, except that this or defending against an actual, impending or insurance shall apply only as excess and in no event expected attack, (a) by any government or as contributing insurance, and then only after all sovereign power (de jure or de facto), or by ( )k such other insurance has been exhausted; any authority maintaining or using military, XX%)( XXONXIM�(�1��X��X��$)�, naval or air forces; or (b) by military, naval IXIX XXXXXkX`XX f IT;XXXXX XXX XXXX or air forces; or (c) by an agent of any such j( government, power, authority or forces; (2) Any weapon of war employing atomic fission X XXXOOM5X,XXXXIXXXXXsXXXX(XkiXX44XXXXX4XXX or radioactive force whether in time of peace XXXXXXXXXX or war, contaminaticratributable to radio-, (I) Loss by lear reaction or nuclear radiation or active or fissonable ma As; radioactiv_ contamination, all whether controlled (3) Insurrection, rebellion, revolution, civil war, or uncontrolled, and whether such loss be direct or usurped power, or action taken by govern- indirect, proximate or remote, or be in whole or mental authority in hindering, combating or in part caused by, contributed to, or aggravated defending against such an occurrence, seizure by the perl(s) insured against in this policy; how- ' or destruction underrcarantine or customs ever, sul'z '''\to the foregoing and all provisions of regulations, confiscatic ,y order of any gov this polic„ direct loss by fire resulting from nuclear ernment or public authority, or risks of con- reaction or nuclear radiation or radioactive con- traband or illegal transportation or trade. tamination is insured against by this policy. DEDUCTIBLES SEE ATTACHED ENDORSEMENT 8. WINDSTORM, HURRICANE AND HAIL: ther outbuildings on the dwelling premises. In company shall be liable for loss by windstor ap ' ation of this Deductible Clause bo mg, hurn e, or hail, to insured property, only en roomin fraternity or sorority houses, and artment such loss eeds $ , and the my for buildings taining not more than t separate its proportion the excess. This De tible shall, apartments) m be considered as ellings. except in case o ellings, apply oss or damage (b) OTHER DEDUC LE: to each building or uctur eparately. In case The company shall b e only when loss to of dwellings the Deducti all apply to this Com- property covered here er xceeds $ pany's proper propo ' n o e aggregate amount in any one occurre and then 7 for its proportion of loss or damage each dwellin nd (except as to of the excess. is Deductible, ho ver, shall not structures ex ing wholly or parts over water apply to to y fire, lightning, windstor urricane, when no ' sured under this or any othe licy) its hail, si e, explosion, riot, riot attending strike, priv garage, servant's house, and if inten for civi ommotion, aircraft, falling objects, vehic solely in connection with the occupancy Cher andslide. CONDITIO S 9. REPORTING CLAUSE: Private or Contract Carriers and may accept Bills of If this policy is written as a Reporting Form, reports are Lading or Receipts from Common Carriers limiting the to be made in accordance with the Reporting Clause amount of their liability but this insurance shall not Endorsement attached. inure to the benefit of any carrier. 10. DEFINITION: 14. PROTECTION OF PROPERTY: The word "Loss" as used herein shall include damage. In case of loss, it shall be lawful and necessary for the 11. EXAMINATION UNDER OATH: Insured, his or their factors, servants and assigns, to sue, The Insured, as often as may be reasonably required, shall labor, and travel for, in and about the defense, safe- exhibit to any person designated by the Company all that guard and recovery of the property insured hereunder, remains of any property herein described, and shall sub- or any part thereof, without prejudice to this insurance, mit, and in se far as is within his or their power cause his nor shall the acts of the Insured or the Company, in or their employees, members of the household and others recovering, saving and preserving the property insured to submit to examinations under oath by any person named in case of loss be considered a waiver or an acceptance by the Company and subscribe the same; and, as often as of abandonment. The expenses so incurred shall be may be reasonably required, shall produce for examina- borne by the Insured and the Company proportionately tion all writings, books of account, bills, invoices and other to the extent of their respective interests. vouchers, or certified copies thereof if orginals be lost, at 15. SUIT: such reasonable time and place as may be designated by No suit, action or proceeding for the recovery of any the Company or its representative, and shall permit claim under this policy shall be sustainable in any court extracts and copies thereof to be made. No such examina- of law or equity unless the same be commenced within lion under oath or examination of books or documents, twelve (12) months next after discovery by the Insured nor any other act of the Company or any of its employees of the occurrence which gives rise to the claim, provided or representatives in connection with the investigation of however, that if by the laws of the State within which any loss or claim hereunder, shall be deemed a waiver of this policy is issued such limitation is invalid, then any any defense which the Company might otherwise have such claims shall be void unless such action, suit or with respect to any loss or claim,but all such examinations proceeding be commenced within the shortest limit of and acts shall be deemed to have been made or done with- time permitted by the laws of such State. out prejudice to the Company's liability. 12. VALUATION: 16. MISREPRESENTATION AND FRAUD: The Company shall not be liable beyond the actual This entire policy shall be void if, whether before or after a loss, the Insured has concealed or misrepresented cash value of the property at the time any loss or dam- age occurs and the loss or damage shall be ascertained any material fact or circumstance concerning this in- or estimated according to such actual cash value with durance or the subject thereof, or the interest of the proper deduction for depreciation, however caused, and Insured therein, or in case of any fraud or false swearing shall in no event exceed what it would then cost to by the Insured relating thereto. repair or replace the same with material of like kind 17. CONFORMITY TO STATUTE: and quality. Terms of this policy which are in conflict with the 13. AGREEMENT WITH CARRIER: statutes of the State wherein this policy is issued are The Insured may waive their right(s) of recovery against hereby amended to conform to such statutes. PRODUCER CODE G. A. TALBERT, INC. This endorsement, effective 9-17-73__, forms part of Policy NO.AC 1 q pq issued to_LIVINGSTON CONSTRUCTION-,_ ETAL by the insurance company indicated below by an "X". —_- ---- U CNSUgpNOE CO MIPA NY AL L11 ON N ANC SURIEE C0MPANYS n ;Tag COMPANY n COMPANY OF AµERINANCE It is agreed that Paragraph 1 of All Risk Builder's Risk Form, "Property Covered" is extended to include temporary structures situated on job sites, but in no event shall the liability of the Company under this extension exceed $10,000 in any one loss. It is further agreed that this policy is extended to include the interest of Sub-contractors of the Insured, but only while the property covered is situated at job sites of the Insured. Permission is hereby granted for partial and/or beneficial occupancy of buildings under construction and prior to completion or acceptance thereof by owner or purchaser. This policy is amended as herein specifically stated but not otherwise. G. A. TALBERT, INC. Agent 68010-4 (C) Part 1 PRODUGEq • P,R ODUC ER GODE� G. A. TALBERT, INC. This endorsement, effective 9-17-73 —.., forms part of Policy No. AC U22 53 09 ____ issued to__LIVINGSTON C0NSTRUCTI0N,.__ETAL ____ by the insurance company indicated below by an "X". -- --- �J COMMERCIAL UNION INSURANCE COMPANY ® NSURIANCEECOMPANYS i� NSURANCEYCOMPA NY LJ COMPANY OE p1AERICAANCE DEDUCTIBLES Each claim for loss or damage shall be adjusted separately and from the amount of each adjusted claim the sum of $250.00 shall be deducted. This deductible, however, shall not apply to loss by fire and lightning. This policy is amended as herein specifically stated but not otherwise. ' ,ems "T-�- --- G. A. TALBERT, INC. Agent Gso10-4 (C) part 1 (PRODUCER !PRODUCER CODE ! G. A. TALBERT, INC. - This endorsement, effective-9-17-73 __, forms part of Policy No.AC U22 53 09 issued to LIVINGSTON CONSTRUCTION, ETAL by the insurance company indicated below by an "X". rJ. COMMERAL UNION l SURANCE COMPANY ® N SUBANCEECOMPANY El NRURANSYCOMPANY ❑ M4247 11=4"" It is agreed that Paragraph 7 of the All Risk Builder's Risk Form #G9699-1 (C) - Exclusions - is amended as follows: (d) Loss resulting from electrical injury or disturbance to electrical appliances or devices (including wiring) caused by electrical currents artificially generated, unless fire or explosion ensues and then only for loss caused by such ensuing fire or explosion. This policy is amended as herein specifically stated but not otherwise. G. A. TALBERT, INC. Agent G8010-4 (CI part 1 NOTE: Do NOT complete attacking clause if endorsement is issued with policy at its inception: _ This endorsement, effective , forms part of Policy No. issued to by Name of Insurance C,orypany Authorized Representative BUILDER'S RISK FORM ACTUAL COMPLETED VALUE ENDORSEMENT It is hereby understood and agreed that the Estimated Completed Cost is the amount shown in this policy. The premium under this policy shall be calculated by multiplying the specified "Estimated Completed Cost" of each building or structure insured hereunder by an d'bbilfelXrate of $ Incl . Since the premium under this policy has been based on the estimated completed cost of the build- ing(s) insured hereunder, it shall be optional with the Insured or Company for the premium to be recomputed on the basis of actual completed cost and the premium adjusted accordingly. This Com- pany or its duly appointed representative shall be permitted at all reasonable times during the term of this policy or within one year after liability hereunder has ceased, to inspect the property in- sured and to examine the insured's books, records and policies insofar as they relate to any property covered hereunder, and to check actual cost of building(s) insured. This inspection and/or examina- tion shall not waiver or in any manner affect any of the terms or conditions of this policy. G9702 (C) (EMPLOYERS—COMMERCIAL UNION COMPANIES) BID FORM T0: PROJECT: BOARD OF WELD COUNTY COMMISSIONERS WELD COUNTY PUBLIC HEALTH BUILDING WELD COUNTY, COLORADO GREELEY, COLORADO ACKNOWLEDGEMENTS The undersigned, having received the Project Manual titled: Weld County Public Health Building The following Drawings: Architectural Drawings 1 through 17 Plumbing Drawings P-1 through P-2 Mechanical Drawings M-1 through M-2 Electrical Drawings E-1 through E-5 and the following numbered Addenda: And having carefully read and examined the Bidding Documents and included the provisions of each Addendum in his Bid, and having examined the site and conditions under which the work will be performed, hereby agrees to furnish all labor, materials, equipment, services , and supervision neces- sary for the construction of Weld County Public Health Building in strict conformance with the Contract Documents prepared therefore by CNC/NHPQ, Inc. , 2021 Clubhouse Drive, Greeley, Colorado AGREEMENTS In submitting this Bid the undersigned further agrees : To hold his Bid open for sixty (60) days from date of bid opening To accept the provisions of the Instructions to Bidders. To enter into and execute a Contract Agreement, if awarded on the basis of this Bid, and/or any mutually acceptable modifications thereto. To furnish Guarantee Bonds , Insurance Certificate, and all other instru- ments required by the Bidding Documents prior to commencement of the Work. To commence and complete the Work as follows : Commence work - Within 15 days from date of Contract with the Owner or receipt of official written order to proceed, or on date stipulated in such order. Substantial Completion for all Work - Not later than September 1, 1974 Final Completion for all Work - Not later than October 1, 1974 BASE BID The undersigned agrees to construct this project for the lump-sum price of 4 C ) f � 4w ,Ltn� d911ars (S 77� 700 �d2r.OJrn e-- BF-1 ALTERNATE BIDS In the event any of the following Alternate Bids are accepted, the undersigned agrees to make the following adjustments to the above Base Bid, said adjust- ments being in accord with the descriptions and requirements for each Alternate Bid given in Section 01100 - Alternates : Should Alternate No. One be accepted: DEDUCT $ 4. zoo Should Alternate No. Two be accepted: DEDUCT $ 00O , Should Alternate No. Three be accepted: DEDUCT $ 4 000 • -'-� �o Should Alternate No. Four be accepted: p DEDUCT. ;2.0O$ ;2.0O Should Alternate No. Five be accepted: DEDUCT $ / COO C70 For Alternate No. Six: ADD $ 2 OO0 fz r ria.t hb cPe r S CHANGES IN THE WORK Of(fact— �� The undersigned here indicates a single percentage for his overhead and profit to be applied on additional or extra work for work to be performed by: His own forces c e percent His subcontractors i/p percent The undersigned here indicates a single percentage for his overhead, profit, supervision, and general expenses to be applied on deleted work for work to be performed by: His own forces L percent His subcontractors L3 percent NON-RESIDENT BIDDERS The following paragraph applies only to nonresident bidders: This Bidder, as a part of this Bid, recognizing that he is a nonresident of the State of Colorado, hereby agrees that in the event this Bid is accepted, this Bidder will thereupon name an agent corporation, resident within the State of Colorado, as a condition of precedent, for service or process of notice of any kind, so that in the event any litigation or controversey re- sults between this Bidder and said Owner arising out of the contractual re- lationship thus created, the courts of the State of Colorado will have jurisdiction over this Bidder for all such purposes to the same extent as though Bidder were a resident of the State of Colorado. BF-2 ATTACHMENTS Required Bid Security is attached. List of Subcontractors is attached. Firm Name: avinpston Construction, Inc. Type of Organization: Corporation �O/0Ydd.e Corporation, Partnership, Individual, etc. Legal Business Address: P.O. Box 1951 Fort Collins, Colorado J BY• `-14a 61)Th Title or Office: President Date: Sept. 6, 1973 BF-3 CONTRACTOR'S QUALIFICATION STATEMENT The Undersigned certifies under oath the truth and correctness of all answers to questions made hereinafter. SUBMITTED TO: _ Board of Weld County Commissioners c/o CNC/NHPQ, Inc. 2021 Clubhouse Drive Greeley. Colo. SUBMITTED BY: W. K. Livingston (NAME) P.O. Box 1951. Fort Collins. Colo. (ADDRESS) President (PRINCIPAL OFFICE) [X ] Corporation [ ] Partnership [ ] Individual [ ] Joint Venture [ ] Other (NOTE: Attach separate sheets as required. ) How many years has your organization been in business as a general contractor? Twenty Six (26) Years. How many years has your organization been in business under its present business name? Three Years COS-1 r- If a corporation, answer the following: Date of incorporation: ,rely l 1970 State of incorporation: nnlnrarin President's name: W. K. Livangston Vice-President's name(p): Russell K. Livingston Secretary or Clerk's name: Rlla r.;vingc+nn Treasurer's name: Ella Livingston If individual or partnership, answer the following: Date of organization: — Name and address of all partners. (State whether general or limited partnership) : If other than corporation or partnership, describe organization and name principals: CQS-2 .- What percent of the work do you normally perform with your own forces? 38% List trades: Cement Finishers Iron Workers Carpenters Laborers Have you ever failed to complete any work awarded to you? If so, indicate when, where, and why: No Has any officer or partner of your organization ever been an officer or partner of another organization that failed to complete a construction contract? No If so, state circumstances: CQS-3 . . . . . om r a p / Cl 0 Xi nil Z 41 41 l-q Fr\ Crl 41 0 1-0(/ \ Ill ) 9 ) 1 .-.1 3 « a « F. 5 © § 4-1 id ) \ \ \ \ \ j ° / \ j j H ; 2 w w § / � 4 « ) / a. 0 • ) \ \ \ ` / C \ S CO } / § / � / / of rrl /no § k ) ( / j \ / 0 § t k -0# m 2 En u @ ) .0 / \ ) / � j ) a ] � m } \ / ) M \ / \ ` ) \ / r d 3s; r -�� O Z cn E W H g 3 6 x E a O E 3 rn H u. a O E Ca Ls7 0.'i g W O g 14. E U Z O il z U 6 O S.. C ro O N co C• E.) rx O Ca la • E W ..C .i H Z P w xE +� a o m ¢ W m or a +) v g n +- o +, b 0 NO I) W H H E ra O O m [P(..'.�� .O z 3 H q O O m •° N 43 H O m S Si nn +> f-i co o C O U O C T O N ro 4-0 CO o z •r-I S' E Hl a w O m o CI I:4 a a CQS-5 ,-- List the construction experience of the principal individuals of your organization: Asa Mason — General Field Supt. — 26 .years o£ experience. Merle Armour — Project Supt. — 26 years of experience. Pete Harras — Proiect Supt. — 20 years of experience. Nick Griego — Proiect Supt. — 35 years of experience. Henry Olson — Prolect Supt. — 25 years o£ experience. Mike Ballard - Estimator - 3 years of experience. CQS-6 List states and categories in which your organization is legally qualified to do business: Colorado — General Contractor. Kansas — General Contractor. Trade References: Poudre Pre—Mix Concrete, 418 Linden, Fort Collins. Colo. Foster Lumber, 281 N. College Ave., Fort Collins, Colo. Flatiron Materials, 1005 Riverside Dr., Fort Collins, Colo. Wray Plumbing & Heating, 132 W. Willox Ln., Fort Collins, Colo. Simpson Sheet Metal, 1721 Willox Ct., Fort Collins, Colo. Commonwealth Electric, 1228 S. Kalamath, Denver, Colo. Douglass Roofing, P.O. Box 1102, Greeley, Colo. CQS-7 . Bank References: United Bank of Fort Collins. Name of Bonding Company and Name and Address of Agent: AGENT: G. A. Talbert. Inc, 1001 Lincoln St.. Denver, Colo. BONDING CO.: Safeco, Inc. CQS-8 Attach Statement of Financial Conditions, including Contractor's latest regular dated financial statement or balance sheet. Include following items: Current Assets Cash - joint venture accounts, accounts receivable, notes receivable, accrued interest on notes, deposits, materials, prepaid expenses, net fixed assets, and other assets. Current Liabilities Accounts payable, notes payable, accrued interest on notes, provision for income taxes, advances received from Owners, accrued salaries, accrued payroll taxes, other liabilities, capital, authorized and outstanding shares of capital stock, and par values and earned surplus. Date of statement or balance sheet. Name of firm preparing statement. Dated at Fort Collins, Colorado this 5th day of September . 19 73 Name of Organization: Livingston Construction, Inc. P.O. Box 1951 Fort Collins. Colorado By: C/�L"�"`4 /19b , n W. K. Livingston Title: President M r. W.K. Livingston being duly sworn deposes and says that he ( ) is the President of Livingston Construction,I&outractor(s) and that answers to the foregoing questions and all statements therein contained are true and correct. EL' - Subscribed and sworn before me this 1 day of ,mdef t'yr 1X 19 ,/ Notary Public: 4C7ee2 27) ( l--- My Commission Expires: My commission expiros` une t, 1976 COS-9 - r - • !� fTh +1 �- LIVINGSTON CONSMUCT1ON, INC. GENERAL'CONTRACTORS 1717 win.. @our} P. O. Box 1951 . - -Fort Collins, Colorado 80521 Phone: 484-4344 April 1, 1973 QUALIFICATION DATA We submit herewith the following Qualification Data as per our files as a Licensed General Contractor in the Rocky Mountain Region since the year 1947. Our Bonding Company is Safeco Company and our Bonding Agent is G. A. Talbert, Inc., 1001 Lincoln, Denver, Colorado, phone number 292-1330. We will not attempt to list all Projects completed by our Firm but the major projects are: SCHOOLS Conrad Ball Junior High School, 2660 Monroe Avenue, Loveland, Colorado Contract $1,751,618.00 93.2% Complete April 1, 1973 Architect Wheeler & Lewis, 2201 West 32nd Ave., Denver, Colorado 433-6285 Namaqua Elementary School, 209 County Road 19—E, Loveland, Colorado Contract 5624,233.00 54% Complete April 1, 1973 Architect Wheeler & Lewis Listed above Remodel — Reed Junior High School, 370 blest 4th, Loveland, Colorado Contract 1st Phase — Construction Management Contract Estimate $112,12.6.00 11.3% Complete April 1, 1973 Architect Wheeler & Lewis Listed above Northwest Elementary School, 1631 Northwest Road, Longmont, Colorado Contract $692,374.00 8% Complete April 1, 1973 Architect Wheeler & Lewis Listed above Remodel — Fort Collins High School, 1400 Reminton Street, Fort Collins, Colorado Contract 2nd Phase — (Negotiated Contract) Cost $691,4/11 .00 Completed Remodel — Fort Collins High School, 1400 Remington Street, Fort Collins, Colorado Contract 1st Phase — $737,682.93 Completed Architect Wheeler & Lewis Listed above School Lddition — 3levins Junior High School, 2101 So. Taft Hill Rd., Fort Collins,Colo. Contract 5118.053.00 Construction Management Contract Architect Wheeler & Lewis Listed above Four El eentary School Additions, Various locations in Fort Collins, Colorado Contract $703,005.00 Architect Robb & Brenner, Federal Savings Building, Ft. Collins, Colorado • • • LIVINGSTON CONSTRUCTION, INC. GENERAL CONTRACTORS 1717 \Ooz ,our{ P. O. Box 1951 - - ,Fort Collins', Colorado 80521 Phone: 484-4344 Page 2 Poudre R-1 Administration Building, 2407 LaPorte Avenue, Fort Collins, Colorado Contract $483,792.00 Architect William Robb — listed above Engineering Research Center, Colorado State University, Fort Collins, Colorado Contract $966,080.20 Architect Ingalls & Associates, 1008 Lemay Avenue, Ft.Collins,Colo. 484-8317 Utility Tunnel Project k1620, University of Northern Colorado, Greeley, Colorado Contract $285,404.00 Architect Aubrey Brelsford, 300 E. Hampton, Englewood, Colorado 781-8722 Physical Plant Addition, Colorado State University, Fort Collins, Colorado Contract $120,706.00 Architect William Robb Listed above Calf Research Building, Colorado State University, Fort Collins, Colorado Contract $33,269.00 Architect Linn Ardus, Colorado State University North Arvada Junior High School, 7285 Ralston Road, Arvada, Colorado . Contract $1,020,000.00 Architect Harold Carver, 7710 Ralston Road, Arvada, Colorado 424-6273 Fitzmorris Elementary School, Independence, Arvada, Colorado Contract $414,000.00 Architect Harold Carver Listed above Maplegrove Elementary School, 3085 Alkire, Golden, Colorado Contract $301,000.00 Architect Harold Carver Listed above Welchester Elementary School, 1300 West 10th Avenue, Golden, Colorado Contract $243,000.00 Architect John Rogers, Symes Bldg., 820 16th, Denver Colorado 244-4211 City View Elementary School, Thornton, Colorado Contract $175,C00.00 :Architect R. W. Ditzen, 2966 Peak Ave., Boulder, Colorado 443-3510 Addition to : e..rritt Hutton High School, Thornton, Colorado Contract 560,000.00 Architect R. W. Ditzen Listed above Addition to Colorado Lutheran High School, 3201 W. Arizona,Denver, Colorado Co7`.ract S50,000.00 rchitecZ Wheeler & Lewis Listed above • • ,•� . . LIVINGSTON CONSTRUCTION, INC. • 2..GENERAL CONTRACTORS 1717 will.. @curt P. O. Box 1951 Fork Collins, Colorado 80521 Pone: 484-4344 Page 3 High School Agricultural Building, Bennett, Colorado Contract $80,000.00 Architect Byron Kaufman (deceased) PROJECTS OF VARIOUS KINDS Slim and Swim Health Club, 1760 Heath Parkway, Fort Collins, Colorado Contract $190,098.00 61% Complete April 1, 1973 Architect Bruce Keenan, 4710 South College Avenue, Fort Collins, Colorado University Motor Inn Motel, 927 Remington Street, Fort Collins, Colorado te Contract $203,526.00 973 Architect Ingalls & Associates Listed above Indoor Tennis Center, 1800 Heath Parkway, Fort Collins, Colorado Contract $190,817.00 Completed Architect Virgil Magerfleisch, 1901 Sheeley Drive, Ft.Collins,Colo. 484-0133 Residence, M: & Mrs. William Herzog, 1413 Wimbleton Court, Fort Collins, Colorado Contract $63,853.00 Completed 484-2053 Architect Dianne Kruetzer, Fort Collins, Colorado Bank — Midland Federal Savings, 300 South Howes Street, Fort Collins, Colorado Contract $250,070.00 Completed 41,9-0295 Architect Hobart Wagoner, 737 29th Street, Boulder, Colorado Good Samaritan Mussing Home Center, 2313 7th Avenue, Greeley, Colorado Contract 475,341.90 Completed Owners Pursing Home Builders, Route 2, Box 2, Broken Bow, Nebraska Colorado Ir..port Motors, 1113 North College Avenue, Fort Collins, Colorado Contract $118.952.00 Completed Architect Virgil Magerfleisch Listed Above Mountain Bell Telephone Addition, Wellington, Colorado Contract $23,947.00 Architect Don Hoskins, 450 Decatur Street, Denver, Colorado Goodyear Service Store, 2.00 East Mountain Avenue, Fort Collins, Colorado Contract, $110,010.00 Architect Robert Beach, Goodyear Tire & Rubber, Akron, Ohio 216-794-3730 City Service Ucrehoase Complex, 700 Wood Street, Fort Collins, Colorado Contract $199,124.95 Architect Magerfleisch & Burnham Listed above • 1 � `; f LIVINGSTON CONSTRUCTION, INC. • GENERAL CONTRACTORS ]717 WiIlox eau r4 P. O. Box 1951 - • for! Collins, Colorado 8052( Phone: 484.4344 Page 4 Bureau of Standards MT Transmitter Station, North of Fort Collins, Colorado Contract $176,41.0.00 Architect R. W. Ditzen, 2966 Peak Avenue, Boulder, Colorado 443-3510 Contract Officer for Bureau: Hans Rostenbacher, 2919 14th,Boulder,Colorado Low Income Housing, HUD Project, Wellington, Colorado Contract $207,751.00 Architect Leo Daly Company, 8600 Indian Hills Drive, Omaha, Nebraska Low Income Housing, HUD Project, Bird City, Kansas Contract $276,990.00 Architect Leo Daly Company Listed above CHURCHES St. John's Lutheran Church, 3815 West 20th Street, Greeley, Colorado Contract $190,315.00 Architect Donald Schmedecke, 900 East Louisana, Denver, Colorado 744-1266 Our Saviour's Lutheran Church, 2000 Lemay, Fort Collins, Colorado Contract $55,167.00 Architect Magerfleisch & Burnham Listed above Christian Science Church, 431 Scott, Fort Collins, Colorado Contract $82,043.00 Architect Don Goff, 616 South Shields, Fort Collins, Colorado 482-7071 Zion Lutheran Church, Loveland, Colorado Contract $207,000.00 Architect Donald Schmaedecke Listed Above Chairman Building Committee, Henry Deines, Loveland, Colorado 667--0264 Galilee Baptist Church, South Parker Road, Denver, Colorado Contract $411,CCO.O0 Architect J. H. Johnson, 7675 West 14th Avenue, Lakewood,Colo. 237-1373 First Methodist Church of Golden, 15000 Ford, Golden, Colorado Contract $212,000.00 Architect J. H. Johnson Listed above Garden 110 .0 Community Church, Lowell & Walsh, Denver, Colorado Contract $50,000.00 Architect Orrie Holman, 4485 Wadsworth, Wheatridge, Colorado rm • • • LIVINGSTON CONSTRUCTION, INC. GENERAL CONTRACTORS 1 1717 Wil.!ox `,cirri P. O. Box 1951 _ fed Collins. Colorado 80521 Phone: 484.4344 Page 5 Holy Cross Lutheran Church — 1st Phase, 45th & Wadsworth, Wheatridge, Colorado Contract $65,000.00 Architect Orrie Holmen Listed above Good Shepherd Lutheran Church — 2nd Phase, 770 South Federal, Denver, Colorado Contract $75,C00.00 Architect Orrie Holmen Listed above Holy Shepherd Lutheran Church — 1st phase, 920 Kipling, Lakewood, Colorado Contract $47,CCO.CO Architect Orrie Holmen Listed above Christ the King Lutheran Church — 1st Phase, 2300 Patton Street, Denver, Colorado Contract $50,000.00 Architect Orrie Holmen Listed above Lutheran Church of the Resurrection, 7100 W. Mississippi, Lakewood , Colorado Contract $49,000.00 Architect Orrie Holmen Listed abo ve St. Paul's Lutheran Church, Otis, Colorado Contract $75,000.00 Architect Orrie Holmen Listed above Advent Lutheran Church — 1st Phase, Westminster, Colorado Contract SL5,000.00 Architect Orrie Holmen Listed Above Lakewood Christian Church — 2nd Phase, 2052 Kipling, Lakewood, Colorado Contract $51,000.00 Architect Paul Rader, 6915 Lakewood Place, Lakewood, Colorado 233-4619 First Presbyterian Church — 1st Phase, 8210 West 10th Avenue, Lakewood, Colorado Contract $6510:0.00 Architect Byron Kaufman (deceased) A . . • eSAFECO INSURANCE COMPANIES SAFECO INSURANCE COMPANY OF AMERICA GENERAL INSURANCE COMPANY OF AMERICA FIRST NATIONAL INSURANCE COMPANY OF AMERICA HOME OFFICE.4347 BROOKLYN AVE.N.E.,SEATTLE.WASHINGTON 98105 Bond No. BID BOND KNOW ALL MEN BY THESE PRESENTS, That we,__ LIVINGSTON CONSTRUCTION, INC. of 134 West Willox Lane, Fort Collins, Colorado 80521 (hereinafter called the Principal), as Principal,and SAFECO INSURANCE COMPANY OF AMERICA(hereinafter called the Surety),as Surety,are held and firmly bound unto BOARD OF WELD COUNTY COMMISSIONERS (hereinafter called the Obligee) in the penal sum of_Fiv.e Per Cent (5y) of the Total Amount of the Bid Dollars($ ) for the payment of which the Principal and the Surety bind themselves,their heirs,executors, administrators, successors and assigns,jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, That WHEREAS, the Principal has submitted or is about to submit a proposal to the Obligee on a contract for Weld County Public Health Building, Greeley, Colorado NOW, THEREFORE, If the said Contract be timely awarded to the Principal and the Principal shall,within such time as may be specified, enter into the Contract in writing, and give bond, if bond is required, with surety acceptable to the Obligee for the faithful performance of the said Contract, then this obligation shall be void; otherwise to remain in full force and effect. Signed and sealed this 6th day of September , 19 73 . ATTEST: LIVINGSTON CONSTRUCTION, INC, (Seal) Principal //(/�BY: (7; c e&z.-ck, \(,))/it./ , Min BY: Iii A c-+ "L-ty, Title SAFECO INSURANCE COMPANY OF AMERICA BYcri:/ .::c41 B. R, Cl ark Attorney-in-Fact x , ° ? g.a.Talbert, Inc. III -f C,I £rY' .k�titrM1 A,ci,t5 it:SAYE.4"c ' ONE THOUSAND ONE LINCOLN STREET DENVER, COl ORI1D0 D04O] ARIA COD! 903 /492- 1330 5-53 R6 10/72 _. U.S.A. - -../N SAFECO INSU ICE COMPANY OF AMERICA S° HOME OFFICE: 4347 BROOKLYN AVE. N.E., SEATTLE, WASHINGTON 98105 POWER OF ATTORNEY No. 212O KNOW ALL MEN BY THESE PRESENTS: That Safeco Insurance Company of America,a Washington corporation,does hereby appoint G. A. TALBERT;B. R. CLARK; CHARLES H. FLECK; COURTNEY T. PETERSON; CAROL BRONDER; ROBERT S. GILL; BEN L. MATTHESEN; NELSON D. BROWN; DARRELL C. R. OLSON; MARILYN SHRIFVARS; P. J. FARMER; ROBERT J. SUNICH, Denver, Colorado its true and lawful attorney(s)-in-fact, with full authority to execute on behalf of the company fidelity and surety bonds or undertakings and other documents of a similar character issued by the company in the course of its business, and to bind Safeco Insurance Company of America thereby as fully as if such instruments had been duly executed by its regularly elected officers at its home office. IN WITNESS WHEREOF, Safeco Insurance Company of America has executed and attested these presents this 11th day of June /�Q 19� a. C=%� Ai`i / o Ada TY W O HPMMEPSLP,SELRETAflY GORDON X.SMMY,PXESIOENT CERTIFICATE Extract from the By-Laws of Safeco Insurance Company of America: "Article VI, Section 12.—FIDELITY AND SURETY BONDS . . . the President, any Vice President, and the Secretary shall each have authority to appoint individuals as attorneys-in-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company in the course of its business . . . . On any instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced;provided,however,that the seal shall not be necessary to the validity of any such instrument or undertaking." Extract from a Resolution of the Board of Directors of Safeco Insurance Company of America adopted July 28, 1970 "On any certificate executed by the Secretary or an assistant secretary of the Company setting out, (i)The provisions of Article VI,Section 12 of the Bylaws,and (ii) A copy of the power-of-attorney appointment,executed pursuant thereto,and (iii)Certifying that said power-of-attorney appointment is in full force and effect, the signature of the certifying officer may be by facsimile,and the seal of the Company may be a facsimile thereof." I. W. D. Hammersla, Secretary of Safeco Insurance Company of America, do hereby certify that the foregoing extracts of the By-Laws and of a Resolution of the Board of Directors of this corporation,and of a Power of Attorney issued pursuant thereto, are true and correct, and that both the By-Laws,the Resolution and the Power of Attorney are still in full force and effect. IN WITNESS WHEREOF,1 have hereunto set my hand and affixed the facsimile seal of said corporation att Capp,. this 6th ?SO GCRpppgrc �� day of �SSeeeptt\)ember 4,973 . Ca E' SEAL ri y / y W.O.XAMMERSLR 5ECXEl AflY 1953 A Or WAVV S-13007/72 PRINTED IN U.S.A. . 6 CNC/NHPQ, INC. ARCHITECTS • ENGINEERS • PLANNERS Date: October 1 , 1973 Project No. 73-1-CCA-0117 To: Weld County Public Health Project: Weld County Public Health Weld County Courthouse Greeley, Colorado 80631 Gentlemen: We are transmitting Herewith XX Under Separate Cover No. of Copies Description or Remarks 1 Workmen's Compensation Certificate for your records. ❑ No Exceptions Taken ❑ As Requested ❑ Make Corrections Noted ❑ For Approval ❑ Amend 8 Resubmit For Your Records ❑ Rejected - Resubmit ❑ ❑ As Indicated On Each Submittal Very truly yours, CNC/NHPQ ARCHITECTS ENGINEERS PLANNERS 13y. Donald K. (60-g-, SenitillIeeld Re` leative Construction Contract Administration DKF:1h TWENTY TWENTY-ONE CLUBHOUSE DRIVE, GREELEY, COLORADO 80631 (303) 353-3434 356-4444 p O ' tertificate of Insurance issued by the STATE COMPENSATION INSURANCE FUND 200 East Ninth Avenue Denver, Colorado 80203 TO WHOM IT MAY CONCERN: This is to certify that this Department has issued a Standard Workmen's Compensation and Employers' Liability Policy as described below covering the liability imposed upon subject employers by the Workmen's Compensation Act of Colorado and the Colorado Occupational Disease Disability Act, said policy being in good standing as of this date. POLICY NO 20835-0 _ Policy Period- AUGUST 1 , 1921__ to..-._-_ _ JULY L. 1924 ._�--- L I V 1 NGSTON CONST„--1NC..._�_-- __. _ _ -...------••------••---• takt.BOX 1.95.j FT COLLINS• COLO- ___8021 __...-_..._ �..- POLICY ENDORSEMENTS: ;All policies are subject to the following provision of the Workmen's Compensation Act with respect to cancellation: Section 81-15-12. If any employer shall be in arrears for more than twenty days in any payment required to be made by him to the State Compensation Insurance Fund as provided by this Act,he shall by virtue of such axrearage be in default of such payment and any policy issued to him by said Fund shall thereupon be cancelled without notice as of the effective date or renewal date of said policy. STATE COMPENSATION INSURANCE FUND /_ / ' - By _ _.. Undenmthex CAE:e J SEPTEMBER 19, 1973 DASD.-_.-_ Hello