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Home My WebLink About20200153.tiffMEMORANDUM TO: Esther Gesick, CTB DATE: January 9, 2020 FROM: Clay Kimmi, P.E., Public Works SUBJECT: On -call Engineering Services Contract Renewal for J -U -B Engineers Please place the attached contract renewal on the BOCC consent agenda for an upcoming 9 am hearing. The contract renewal is for the On -call Engineering Services Contract currently held by J -U -B Engineers. The original contract id is 2507 and the original document number is 2018-3830. The contract id for the renewal is 3365. The contract renewal is for an amount not to exceed $50,000. On January 8, 2020, the BOCC approved the recommendation to renew the contract. See attached pass around review packet. ‘::106...14--..1:4....41-'----..) Page 1 of 1 (pLo) 2020-0153 - �b gobb7$ BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Renewal of Non -Project Specific Engineering Services Contract DEPARTMENT: Public Works DATE: 01/07/2020 PERSON REQUESTING: Clay Kimmi / Don Dunker Brief description of the problem/issue: In 2019 Weld County entered into a one (1) year professional services agreement (Original Contract) with JU- B Engineers, Inc. (JUB) to provide on -call engineering support services for Public Works projects. The Original Contract indicates that at the option of Weld County, it may be extended for up to two (2) additional years. This contract renewal represents the first additional year that Public Works would like to exercise. JUB has provided professional and timely engineering support services for Public Works projects under the Contract and did not exceed the original $40,000.00 contract amount. The contract renewal is for an amount not to exceed $50,000. JUB has provided updated rate sheets for themselves and their sub -consultants. The rate sheets have been reviewed and found to be within the 2.8% increase that is allowed by the Denver -Aurora - Littleton Consumer Price Index. Public Works staff recommends renewal of the Original Contract beginning March 21t, 2020 and ending March 20th, 2021. What options exist for the Board? (include consequences, impacts, costs, etc. of options): • Approve the renewal of the Original Contract and allow it to be placed on the next available consent agenda • Deny the renewal of the Original Contract and have staff rebid this work Recommendation: Staff recommends approving renewal of the Original Contract and placing it on the next available consent agenda for approval. A& rove Recommendation Sean P. Conway Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro-Tem Schedule Work Session Other/Comments: ATTEST: Weld Co BY: CONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY DEPARTMENT OF PUBLIC WORKS AND J -U -B ENGINEERS, INC. NON -PROJECT SPECIFIC ENGINEERING SERVICES I I This Agreement Extension/Renewal ("Renewal"), made and entered into Xday of , 2020, by and between the Board of Weld County Commissioners, on behalf of the Weld County Depart t of Public irks, hereinafter referred to as the "Department", and J -U -B Engineers, Inc., hereinafter referred to as t "Contract Professional". 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. 2018-3830, Contract ID No. 2507, approved on March 20, 2019. 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 March 20, 2020. • The Original Agreement can be extended for two additional 1 -year periods and the hourly rates may be increased for this extension in accordance with the Denver -Aurora -Littleton Consumer Price Index (CPI). • The parties agree to extend the Original Agreement for the first additional one (1) -year period, which will begin March 21, 2020 and will end on March 20, 2021. • The Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents: 1. The attached Exhibit B contains the J -U -B hourly rate sheet and the rate sheets for their sub -consultants for 2020. 2. Individual Internal Accounting Form (IA) amounts may be approved up to the budgeted amount shown below. IA forms less than $25,000 can be signed by the Director of Public Works or authorized designee and IA forms greater than $25,000 must be signed by the Board of County Commissioners. The total anticipated cost for the period from March 21, 2020 to March 20, 2021 is $50,000. • 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: J -U -B Engineers, Inc. Printed Name Sig BOARD i F COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, W Deputy Clerk t ni `�.JGL%ci c2OoZO EXHIBIT B (JIM J•U•B ENGINEERS, INC. 2020 - Rate Table Weld County NPS Design Services 2019 Rates 2020 Proposed Rates % Increase Anticipated Tasks Sr. Project Manager / Principal $180 $185 2.78 All Tasks Project Manager $145 $149 2.78 All Tasks Senior Structure Engineer $170 $174.50 2.65 RB, AM Structural Engineer $157 $161 2.55 RB Senior Project Engineer $155 $159 2.58 PERM, DR, RB, AM Project Engineer $130 $133.50 2.69 PERM, DR, RB, AM Engineer $110 $113 2.73 PERM, DR, RB Designer/Technician $95 $97.50 2.63 RB Ell (<2 Year Exp) $93 $95.50 2.69 PERM, DR, RB El2 (>2 Year Exp) $102 $104.50 2.45 PERM, DR, RB Clerical/Administration $70 $71.50 2.14 AM Corporate Biller $83 $85 2.41 AM Planning, GIS, Public Involvement Planner $125 - 150 $128-$154 2.4 -2.67 RB, AM GIS Specialist $120 $123 2.5 RB, AM PI Lead $160 $164 2.5 RB, AM PI Associate $ 95 $97.50 2.63 RB, AM Construction Management Construction Supervisor $180 $185 2.78 RB, CI, AM Senior Construction Observer $98 $100.50 2.55 CI, AM Construction Observer $85 $87 2.35 CI, AM Construction Document Specialist $101 $103.50 2.48 CI, AM Subconsultants Anderson Consulting Engineers See attached HY, AM Auckland Environmental See attached ENV, AM King Surveyors See attached SRVY, AM Terracon See attached ENV, AM Legend TASK ABBREVIATION Permits PERM Development Review DR Surveying SRVY Road & Bridge Design RB Traffic Engineering TE Construction Inspection CI Administration & Meetings AM Hydrology & Hydraulics HY Geotechnical Design GEO Environmental ENV Anderson Consulting Engineers, Inc. Civil • Water Resources • Environmental WELD COUNTY ON -CALL ENGINEERING SERVICES 2020 FEE SCHEDULE Labor Category Senior Principal Engineer Principal Engineer Senior Project Manager Project Manager Senior Engineer/Scientist II Senior Engineer I Project Engineer II Project Engineer I Engineer II Engineer I Senior GIS/CAD Technician GIS/CAD Technician II GIS/CAD Technician I Senior Project Assistant Project Assistant Other Directs Costs Airfare @ cost Meals/Lodging @ cost Mileage $0.575/mile (or current IRS mileage rate) Hourly Rate $200.00 $195.00 $164.00 $143.00 $128.00 $118.00 $107.00 $97.00 $92.00 $87.00 $92.00 $87.00 $77.00 $ 66.00 $ 61.00 In-house B&W Copies In-house Color Copies In-house B&W Plotter In-house Color Plotter $0.10/copy $1.00/copy $5.00/plot $10.00/plot All other direct costs such as communications, equipment rental, materials, laboratory services, shipping and reproduction will be charged at cost. Anderson Consulting Engineers, Inc. AUCKLAND ENVIRONMENTAL CONSULTING Wetlands • Wildlife • Vegetation 2020 FEE SCHEDULE Auckland Environmental Consulting's 2020 rates for Weld County NPS On -Call are: • Hourly labor rate: $97.66 • Mileage: IRS rate ($0.575/mile for 2020) • Internal printing: No charge • Outside expenses (printing, GPS rental, file search request, etc.): Cost • Sub -consultants: Cost 3823 Winona Court Denver, Colorado 80212 303-358-2687 julia@auck-env.com If you need additional information or have any questions, please contact Julia Auckland at 303-358-2687 or julia@auck-env.com. KING SURVEYORS Weld County On -Call 2020 Standard Hourly Rate Schedule Effective: December 15, 2019 Project Surveyor Project Manager Processing: Draftsman CAD Technician I CAD Technician II Field: Crew Rate (2 -man) GPS Crew Crew Chief Rodman Expert Witness Clerical A.T.V. Boat Copies: 81/2X 11" 81/2" X 14" 11" X 17" 18" X 24" Prints 24" X 36" Prints 24" X 36" Mylars $114.00/hr. $99.00/hr. $95.00/hr $87.00/hr. $82.00/hr. $157.00/hr. $151.00/hr. $95.00/hr. $87.00/hr. $210.00/hr $52.00/hr. $37.00/hr. $37.00/hr. $0.15/copy $0.20/copy $0.25/copy $1.50/copy $2.00/copy $8.00/copy **All copies & meetings are billed in addition to estimates, unless otherwise noted. ** **All fees are subject to change without notice** 650 EAST GARDEN DRIVE I WINDSOR, COLORADO 80550 I P. 970.686.5011 I F. 970.686.5821 WWW.KI\GSURVEYORS.COM Terracon will use their 2019 rates for the 2020 project year. TERRACON CONSULTANTS, INC. 2019 GEOTECHNICAL SERVICE FEE SCHEDULE WELD COUNTY NON -PROJECT SPECIFIC ENGINEERING SERVICES FIELD INVESTIGATION Drilling services, per hour $140 - $250 (vanes depending on job requirements) Backhoe, bulldozer, and other heavy equipment rental Cost + 15 percent Drill bits and/or media, special sampling and/or monitoring equipment, air compressor, water truck, equipment for site access, special safety equipment, or other auxiliary equipment provided Cost + 15 percent Equipment rental including slope inclinometer, pressuremeter, seismometer, resistivity meter, etc Quotation on Request PROFESSIONAL SERVICES Hourly Rate Principal/Senior Principal $160 Senior Project Engineer/Department Manager $150 Project Engineer $100 Staff/Field Engineer $90 Field or Laboratory Technician $65 Clerical $50 $225 Special Consultation, Expert Testimony, & Court Appearance LABORATORY TESTING OF SOIL AND ROCK Unit Price Sieve Analysis (ASTM D422 and D1140) a. Standard Sieves 3 -inch through No. 200 $110 b. No. 200 to .005 mm, add to a $110 c. Percent passing No. 200 mesh sieve only $70 Visual Classification (ASTM D2488) $15 Liquid -Plastic Limit (ASTM D4318) $110 Specific Gravity (ASTM D854) $110 Moisture Content (ASTM D2216) $15 Density & Moisture Content (ASTM D2937) $55 Laboratory Compaction Characteristics (Proctor) Standard (ASTM D698) $140 Modified (ASTM D1557) $160 One Point Test $75 CBR Test (ASTM D1883) $390 Permeability (ASTM D2434) $390 R Value (ASTM D2844) $380 Sulfate Content $50 pH and Resistivity (Lab) $70 pH, Sulfide, Redox, Resistivity $130 Direct Shear per point (Moisture-Density/Proctor not incl.) $290 Residual Shear $290 Relative Density (ASTM D4253 & D4254) $190 Unit Price One -Dimensional Time -Rate Consolidations (ASTM D2435) $490 One -Dimensional Swell (ASTM D2435) $130 Unconfined Compression, (ASTM D2166 and D7012) $110 Triaxial Shear, per point (not including Moisture-Density/Proctor) a. Unconsolidated - Undrained, Saturated $225 b. Consolidated - Undrained $475 c. Consolidated — Drained $575 d. Recompacting fee, per point $100 Permeability Using Triaxial Cell a. Undisturbed or Remolded $350 Special Tests Quotation on Request Rush laboratory service available at 50 percent surcharge DIRECT CHARGES Per Diem and Lodging $60/day + cost of lodging Automobile or Pick-up $0.70/mile All other direct project expenses, i.e. traffic control, special equipment rental, Commercial travel, bulk reproduction, sample shipping, protective clothing, etc. Cost + 15% Provide on -site field laboratory facilities and test equipment Quotation on Request Additional copies of reports $150/report ENVIRONMENTAL AND CONSTRUCTION MATERIALS ENGINEERING SERVICES Fee Schedule Available on Request Fort Collins -Greeley, Colorado Offices Revised January 2019 llerracon_ TERRACON CONSULTANTS, INC. 2019 CONSTRUCTION MATERIALS TESTING & OBSERVATION FEE SCHEDULE WELD COUNTY NON -PROJECT SPECIFIC ENGINEERING SERVICES PROFESSIONAL SERVICES TECHNICIANS AND CLERICAL Hourly Rate Sr. Field/Lab Technician (NICET, State DOT Certification) $90 Field or Laboratory Technician 65 Floor Flatness/Levelness Technician 100 Overtime surcharge (before 7 a.m., after 5 p.m. M -F, Saturdays, Sundays, and Holidays 1.5 x's hourly rate Structural Steel -Weld -Bolted Connection & Fireproofing 95 Special Inspection (Masonry ICC Observation) 95 Clerical/Dispatch 50 FIELD AND LABORATORY TESTING SOILS Unit Price Sand Equivalent (ASTM D2419) $95 Sieve Analysis (ASTM D2217, D422 and D1140) a. Standard Sieves 3 -inch through No. 200 110 b. No. 200 to .005 mm,(ASTM D422); add to a or c 110 c. Fine No. 4 to passing No. 200 70 d. Percent passing No. 200 sieve 70 Specific Gravity & Absorption (ASTM D854) 110 Liquid -Plastic Limit (ASTM D4318) 110 Moisture -Density Determination ASTM D698 (Standard) 140 ASTM D1557 (Modified) 160 One Point Test 75 R Value (ASTM D2844) 380 CBR Test (ASTM D1883) 390 Relative Density (ASTM D4253 & D4254) 190 AGGREGATES Sieve Analysis (ASTM C136 & C117) a. Coarse aggregate Above No. 4 (ASTM C136) $70 b. Fine Aggregate No. 4 through No. 200 70 c. Coarse & Fine Aggregates through No. 200 110 d. Large Pit -Run Samples (+3 in.), per hour 65 Specific Gravity & Absorption, Coarse or Fine (ASTM C127 & C128) 110 Unit Weight (ASTM C29) 60 Los Angeles Abrasion (ASTM C131 or C535) 160 Micro-Deval (ASTM D6928 or applicable DOT) 200 Sodium or Magnesium Sulfate Soundness (ASTM C88) Coarse or Fine; 5 cycles 340 Organic Impurities (ASTM C40) 60 Clay Lumps and Friable Particles (ASTM C142) 120 Flat and Elongates (ASTM D4791) 100 Lightweight Particles-SpG 2.0 & 2.4 (ASTM C123) 400 Fractured Faces (ASTM D5821 or applicable DOT std.) 100 Alkali Silica Reactivity (ASTM C1260 or C1567) Coarse, Fine or Coarse/Fine Blend aggregate 800 Fine Aggregate Angularity, (ASTM C1252, Method C) 100 (Aggregate Specific Gravity Test is Not Included) "Rush laboratory service & less than 24 hour notice for field testing available at 50 percent surcharge based upon availability" DIRECT CHARGES Per Diem and Lodging $60/day + cost of lodging Automobile or Pick-up $0.70/mile All other direct project expenses, i.e. special equipment rental, commercial travel, sample shipping/transfer bulk reproduction, protective clothing, etc Cost + 15% Provide on -site field laboratory facilities and test equipment Quotation on Request GEOTECHNICAL AND ENVIRONMENTAL ENGINEERING SERVICES Fee Schedule Available on Request ENGINEERING Hourly Rate Principal (Sr. Engineer/Geologist) $175 Senior Project Engineer/Dept. Manager 140 Project Geotechnical Engineer/Project Manager 125 Staff Field Engineer/Geologist/Supervisor 85 Special Consultation, Expert Testimony, & Court Appearance 225 PORTLAND CEMENT CONCRETE AND MASONRY Unit Price Vapor Emission Test (ASTM F1869/F2170), per location..... $100/140 Compressive Strength Testing a. Concrete Cylinder (ASTM C39) $25 b. Grout/Mortar 2" X 2" Cubes (IBC or ASTM C109) 25 c. Grout Prism (ASTM C1019) 35 d. Concrete Core (ASTM C42) 60 e. Flexural Strength (ASTM C78) 70 f. Splitting Tensile Strength (ASTM C496) 60 Provide Cylinder Molds 5 Masonry block/prism Assemblage Compressive Strength a. 8" unit $105 b. 12" unit 120 c. Masonry unit delivery charge $65/hour + mileage Unit Weight of Cylinder or Core (ASTM C567) 25 Concrete Mix Design (Aggregate Tests & Travel Not Included) a. Compressive (lab batched) $1,500 b. Compressive (truck batched) 1,200 c. Flexural (truck batch/lab tested) 2,000 Coring Concrete (ASTM C42), per hour includes operator 75 Add Bit Charge per inch depth 5 HOT MIX ASPHALT (HMA) Extraction of Asphalt (ASTM D2172 or D6307) $110 Extraction and Gradation (ASTM D2172 or D6307) 200 HMA Properties Test (3 specimens) includes stability, flow, air voids & Marshall unit weight (ASTM D6926-6927) 340 Coring Hot Mix Asphalt (ASTM D979) a. 4" diameter cores, per each 70 Bulk Specific Gravity & Thickness (ASTM D2726) 40 HMA Trial Mix Design: (Aggregate Tests Not Included) Marshall or Hveem Method (3 bin mix max.) 1,900 Superpave SHRP Gyratory (3 bin mix max.) 3,200 Theoretical Maximum Specific Gravity (ASTM D2041) per point 100 Immersion -Compression or Lottman (ASTM D1074 & D1075/ AASHTO T283) 410 Design unit weight one -point verification (pre -mixed) 340 Tests not shown above Quotation on Request Fort Collins - Greeley Revised November 2018 lierracon TERRACON CONSULTANTS, INC. 2019 ENVIRONMENTAL SERVICES FEE SCHEDULE WELD COUNTY NON -PROJECT SPECIFIC ENGINEERING SERVICES PROFESSIONAL SERVICES Hourly Rate Principal $170.00-195.00 Senior Project Manager 145.00-165.00 Project Manager 130.00-145.00 Senior Project Professional 125.00-135.00 Project Professional 95.00-110.00 Technician 75.00-90.00 CAD/Draftsperson 65.00-95.00 Clerical 62.00-74.00 Services of Senior Principal Level/Professional Staff when dealing with high level technical and/or legal issues.......................................186.00-237.00 SAFETY EQUIPMENT PROCEDURES FIELD EQUIPMENT EQUIPMENT Unk Price2 Disposable Bailers 15.00/each Hand Auger Soil Sampling Kit 55.00/day Field Sampling Kit 25.00/day Includes Calibration solutions/Decontamination Materials Water Level Indicator, 100 feet .......................................... 26.25/day Water Level Indicator, 300 feet .......................................... 31.50/day Interface Probe, 100 feet .................................................... 31.50/day Interface Probe, 200 feet .................................................... 36.75/day Tn-meter (Temp, pH, Conductivity) .................................... 31.50/day Explosivity/O2, SC, pH, D.O. Meter ................................... 42.00/day High Range DO Meter ....................................................... 52.50/day YSI 556 Meter (ph, conductivity, ORP, temp, DO) .. 68.00/day YSI 556 Flow Cell................................................................12.00/day Horiba U-22 & Flow Cell (Multi parameter meter) ........... 105.00/day Generator (5KW) .............................................................. 100.00/day Generator (10KW )............................................................ 155.00/day Air Compressor (30 gal vertical) .........................80.00/day Air Compressor (pancake) 40.00/day Photoionizer (PID)94.50/day Solinst Datalogger System (priced per transducer) 60.00/day 55 -gallon drums............................................................... 65.00/each Pocket Testers (pH, ORP, Conductivity) 20.00/day DRILLING Unit Price Mob/demob $130/hour Drilling/Hollow Stem Auger 4.25" or 3.25" 150/hour Drilling/Geoprobe or Solid Stem Auger 4" 130/hour Air rotary or ODEX compressor 300/day plus fuel Steam Decon and Support Truck Trailer 50/day Rig Charge/Truck Mounted 365/day or 225/half-day Rig Charge/ATV 540/day or 315/half-day Well materials Cost + 15% DIRECT CHARGES Unit Price A. Personal Protective Equipment I $68.25/day (Includes standard tyvek, hard hat, safety glasses, boots, and gloves) B. Personal Protective Equipment II $78.75/day (Includes polycoated tyvek, hard hat, safety glasses, boots, and gloves) C. Supplies, additional Disposable Garments, Air Bottle Filling, Air Purifying Cartridges, etc. cost + 15% D. Specialized Monitoring & Respiratory Equipment cost + 15% SAMPLING PUMPS AND RELATED EQUIPMENT Unit Price2 Grundfos RF 2 & controller 200.00/day 5/8" Tubing 0.75/foot 5/8" Teflon Lined Tubing 2.45/foot Bladder Pump & Controller (Max Depth 200') 275.00/day Bladder Pump & Controller (Max Depth 300') 350.00/day 3/8" Dual Tubing 1.85/foot 3/8" Dual Tubing (Teflon Lined) 2.35/foot Peristaltic Pump (Max depth 30 feet) 35.00/day 3/8" Tubing 0.55/foot 3/8" Teflon Lined Tubing 2.55/foot Internal Expenses (copies, faxes, long distance calls, courier, postage, etc.) 5% of Labor Per Diem and Lodging $60.00/day + cost of lodging Automobile or light Pick-up3 $0.75/mile 4 -Wheel Drive or heavy duty Vehicle3... $0.75/mile All other direct project expenses, i.e. equipment rental, laboratory services, contract drilling, commercial travel, bulk reproduction, specialized safety equipment etccost + 15% Provide on -site field laboratory facilities and test equipment Quotation on Request Notes: 'Emergency Response Labor will be charged at a factor of two times the standard hourly rate. 2Weekly rates are available on request for equipment rental. 3 Fuel surcharge may be added if fuel costs increase by more than 10% during project duration. A 3% per year inflation factor will be added to all hourly rates, unit prices and direct charges on projects that extend longer than one year. GEOTECHNICAL AND MATERIALS ENGINEERING SERVICES Fee Schedule Available on Request Revised January 2019 lierracon J-U-ENG-01 NWEISER ACOREY CERTIFICATE OF LIABILITY INSURANCE 4....-----1 DATE D/YYYY) /6/2020 1/6/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 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 on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER The Hartwell Corporation PO Box 400 Caldwell, ID 83606 CONTACT Nancy Hughes -Weiser NAME: PHONE FAX (ac, No, E#): (208) 459-1678 (NC, No):(208) 454-1114 Mass: nancy@thehartwellcorp.com INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Co 25666 INSURED J -U -B Engineers, Inc. 250 S Beechwood Ave, Suite 201 Boise, ID 83709 INSURER B: Travelers Casualty and Surety 31194 INSURERC:XL Specialty Insurance Co. 37885 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF IMM/DD/YYYYI POLICY EXP IMMIDD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY X X 680411544308 8/1/2019 8/1/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 1 000 000 $ X CGD361 & CG2037 MED EXP (Any one person) $ 10,000 X CGD379 wos PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOS ONLY CAT353 x SCHEDULED AUTOS AUTOS yyN L9 CAT474 X X BA7776N058 8/1/2019 8/1/2020 COMBINED SINGLE LIMIT (Ea accident) 1,000 000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per accidentDAMAGE $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I J RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE IN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A X UB8K158532 8/1/2019 6/1/2020 X I STATUTE I 0TH E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C C Professional Liabili Retro Date 1/1/1969 DPR9938727 DPR9938727 4/2/2019 4/2/2019 4/2/2020 4/2/2020 Each Claim Limit Aggregate Limit 5,000,000 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) On -Call Contract 30 Days' Notice of Cancellation to County of Weld applies. CERTIFICATE HOLDER CANCELLATION County of Weld 1150 "O" Street P O Box 758 Greeley, CO 80632-0758 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 14141 '1101'6(' ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 680-4H544308-19-47 OFFICE PAC PLUS ISSUE DATE: 06/27/2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG2037 (07-04) - ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAMES OF ADDITIONAL INSURED PERSON(S) OR ORGANIZATION(S): Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part for "bodily injury" or "property damage" included in the products -completed operations hazard, provided that such contract was signed and executed by you before, and is in effect when, the "bodily injury or "property damage" occurs. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS: Any project to which a written contract with the Additional Insured Person(s) or Organization(s) in the Schedule applies. (INFORMATION REQUIRED TO COMPLETE THIS SCHEDULE, IF NOT SHOWN ABOVE, WILL BE SHOWN IN THE DECLARATIONS.) A. SECTION II - WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN ADDITIONAL INSURED THE PERSON(S) OR ORGANIZATION(S) SHOWN IN THE SCHEDULE, BUT ONLY WITH RESPECT TO LIABILITY FOR "BODILY INJURY", "PROPERTY DAMAGE" CAUSED, IN WHOLE OR IN PART, BY "YOUR WORK" AT THE LOCATION DESIGNATED AND DESCRIBED IN THE SCHEDULE OF THIS ENDORSEMENT PERFORMED FOR THAT ADDITIONAL INSURED AND INCLUDED IN THE "PRODUCTS -COMPLETED OPERATIONS HAZARD". CG 20 37 07 04 Copyright ISO Properties, Inc. 2004 CG TB 04 08 19 Page 1 of 2 GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 680-4x544308-19-47 OFFICE PAC PLUS ISSUE DATE: 06/27/2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG2037 (07-04) - ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: Page 1 of 1 CG T8 04 08 19 Page 2 of 2 GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 680-4H544308-19-47 OFFICE PAC PLUS ISSUE DATE: 06/27/2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CGD361 (03-05) - ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAMES OF ADDITIONAL INSURED PERSON(S) OR ORGANIZATION(S): Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part, provided that such written contract was signed and executed by you before,and is in effect when, the "bodily injury" or "property damage" occurs or the "personal injury" or "advertising injury" offense is committed. LOCATION OF COVERED OPERATIONS: Any project to which a written contract with the Additional Insured Person(s)or Organization(s) in the Schedule applies (INFORMATION REQUIRED TO COMPLETE THIS SCHEDULE, IFNOT SHOWN ABOVE, WILL BE SHOWN IN THE DECLARATIONS.) A. SECTION II - WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN ADDITIONAL INSURED THE PERSON(S) OR ORGANIZATION(S) SHOWN IN THE SCHEDULE, BUT ONLY WITH RESPECT TO LIABILITY FOR "BODILY INJURY", "PROPERTY DAMAGE",PERSONAL INJURY OR "ADVERTISING INJURY" CAUSED, IN WHOLE OR IN PART, BY: 1. YOUR ACTS OR OMISSIONS; OR 2. THE ACTS OR OMISSIONS OF THOSE ACTING ON YOUR BEHALF;IN THE PERFORMANCE OF YOUR ONGOING OPERATIONS FOR THE ADDITIONALINSURED(S) AT THE LOCATION(S) DESIGNATED ABOVE. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSURED, THEFOLLOWING ADDITIONAL EXCLUSIONS APPLY;This insurance does not apply to bodily injury or property damage"occurring, or personal injury or advertising injury arising out of an offense committed, after: CG T8 03 08 19 Page 1 of 2 GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 680-4H544308-19-47 OFFICE PAC PLUS ISSUE DATE: 06/27/2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CGD361 (03-05) - ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: 1. ALL WORK, INCLUDING MATERIALS, PARTS OR EQUIPMENT FURNISHED IN CONNECTION WITH SUCH WORK, ON THE PROJECT (OTHER THAN SERVICE, MAINTENANCEOR REPAIRS) TO BE PERFORMED BY OR ON BEHALF OF THE ADDITIONAL INSURED(S)AT THE LOCATION OF THE COVERED OPERATIONS HAS BEEN COMPLETED; OR 2. THAT PORTION OF "YOUR WORK" OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUBCONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR APRINCIPAL AS A PART OF THE SAME PROJECT. CGD361 0305 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights resreved.lncludes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 CG T8 03 08 19 Page 2 of 2 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT FOR ARCHITECTS, ENGINEERS AND SURVEYORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Non -Owned Watercraft — 75 Feet Long Or Less B. Who Is An Insured — Unnamed Subsidiaries C. Who Is An Insured — Retired Partners, Members, Directors And Employees D. Who Is An Insured — Employees And Volunteer Workers — Bodily Injury To Co -Employees, Co - Volunteer Workers And Retired Partners, Members, Directors And Employees E. Who Is An Insured — Newly Acquired Or Formed Limited Liability Companies F. Blanket Additional Insured — Controlling Interest G. Blanket Additional Insured — Mortgagees, Assignees, Successors Or Receivers PROVISIONS A. NON -OWNED WATERCRAFT — 75 FEET LONG OR LESS 1. The following replaces Paragraph (2) of Exclusion g., Aircraft, Auto Or Watercraft, in Paragraph 2. of SECTION I — COVERAGES — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY: (2) A watercraft you do not own that is: (a) 75 feet long or less; and (b) Not being used to carry any person or property for a charge; 2. The following replaces Paragraph 2.e. of SECTION II — WHO IS AN INSURED: e. Any person or organization that, with your express or implied consent, either H. Blanket Additional Insured — Governmental Entities — Permits Or Authorizations Relating To Premises I. Blanket Additional Insured — Governmental Entities — Permits Or Authorizations Relating To Operations J. Incidental Medical Malpractice K. Medical Payments — Increased Limit L. Amendment Of Excess Insurance Condition Professional Liability M. Blanket Waiver Of Subrogation — When Required By Written Contract Or Agreement N. Contractual Liability — Railroads uses or is responsible for the use of a watercraft that you do not own that is: (1) 75 feet long or less; and (2) Not being used to carry any person or property for a charge; B. WHO IS AN INSURED — UNNAMED SUBSIDIARIES The following is added to SECTION II — WHO IS AN INSURED: Any of your subsidiaries, other than a partnership or joint venture, that is not shown as a Named Insured in the Declarations is a Named Insured if: a. You are the sole owner of, or maintain an ownership interest of more than 50% in, such subsidiary on the first day of the policy period; and CG D3 79 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. Page 1 of 6 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY b. Such subsidiary is not an insured under similar other insurance. No such subsidiary is an insured for "bodily injury" or "property damage" that occurred, or "personal and advertising injury" caused by an offense committed: a. Before you maintained an ownership interest of more than 50% in such subsidiary; or b. After the date, if any, during the policy period that you no longer maintain an ownership interest of more than 50% in such subsidiary. For purposes of Paragraph 1. of Section II — Who Is An Insured, each such subsidiary will be deemed to be designated in the Declarations as: a. A limited liability company; b. An organization other than a partnership, joint venture or limited liability company; or c. A trust; as indicated in its name or the documents that govern its structure. C. WHO IS AN INSURED — RETIRED PARTNERS, MEMBERS, DIRECTORS AND EMPLOYEES The following is added to Paragraph 2. of SECTION II - WHO IS AN INSURED: Any person who is your retired partner, member, director or "employee" that is performing services for you under your direct supervision, but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, no such retired partner, member, director or "employee" is an insured for: (1) "Bodily injury": (a) To you, to your current partners or members (if you are a partnership or joint venture), to your current members (if you are a limited liability company) or to your current directors; (b) To the spouse, child, parent, brother or sister of that current partner, member or director as a consequence of Paragraph (1)(a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraph (1)(a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. Unless you are in the business or occupation of providing professional health care services, Paragraphs (1)(a), (b), (c) and (d) above do not apply to "bodily injury" arising out of providing or failing to provide first aid or "Good Samaritan services" by any of your retired partners, members, directors or "employees", other than a doctor. Any such retired partners, members, directors or "employees" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. (2) "Personal injury": (a) To you, to your current or retired partners or members (if you are a partnership or joint venture), to your current or retired members (if you are a limited liability company), to your other current or retired directors or "employees" while in the course of his or her employment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that current or retired partner, member, director, "employee" or "volunteer worker" as a consequence of Paragraph (2)(a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraph (2)(a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. (3) "Property damage" to property: (a) Owned, occupied or used by; or (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by; you, any of your retired partners, members or directors, your current or retired "employees" or "volunteer workers", any current partner or member (if you are a partnership or joint venture), or any current member (if you are a limited liability company) or current director. Page 2 of 6 © 2017 The Travelers Indemnity Company. All rights reserved. CG D3 79 02 19 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY D. WHO IS AN INSURED - EMPLOYEES AND VOLUNTEER WORKERS - BODILY INJURY TO CO -EMPLOYEES, CO -VOLUNTEER WORKERS AND RETIRED PARTNERS, MEMBERS, DIRECTORS AND EMPLOYEES The following is added to Paragraph 2.a.(1) of SECTION II - WHO IS AN INSURED: Paragraphs (1)(a), (b) and (c) above do not apply to "bodily injury" to a current or retired co - "employee" while in the course of the co - "employee's" employment by you or performing duties related to the conduct of your business, or to "bodily injury" to your other "volunteer workers" or retired partners, members or directors while performing duties related to the conduct of your business. E. WHO IS AN INSURED — NEWLY ACQUIRED OR FORMED LIMITED LIABILITY COMPANIES The following replaces Paragraph 3. of SECTION II - WHO IS AN INSURED: 3. Any organization you newly acquire or form, other than a partnership or joint venture, and of which you are the sole owner or in which you maintain an ownership interest of more than 50%, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only: (1) Until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, if you do not report such organization in writing to us within 180 days after you acquire or form it; or (2) Until the end of the policy period, when that date is later than 180 days after you acquire or form such organization, if you report such organization in writing to us within 180 days after you acquire or form it; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. For the purposes of Paragraph 1. of Section II — Who Is An Insured, each such CGD3790219 organization will be deemed to be designated in the Declarations as: a. A limited liability company; b. An organization other than a partnership, joint venture or limited liability company; or c. A trust; as indicated in its name or the documents that govern its structure. F. BLANKET ADDITIONAL INSURED CONTROLLING INTEREST 1. The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that has financial control of you is an insured with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" that arises out of: a. Such financial control; or b. Such person's or organization's ownership, maintenance or use of premises leased to or occupied by you. The insurance provided to such person or organization does not apply to structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. 2. The following is added to Paragraph 4. of SECTIO N II - WHO IS AN INSURED: This paragraph does not apply to any premises owner, manager or lessor that has financial control of you. G. BLANKET ADDITIONAL INSURED — MORTGAGEES, ASSIGNEES, SUCCESSORS OR RECEIVERS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is a mortgagee, assignee, successor or receiver and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to its liability as mortgagee, assignee, successor or receiver for "bodily injury", "property damage" or "personal and advertising injury" that: a. Is "bodily injury" or "property damage" that occurs, or is "personal and advertising injury" caused by an offense that is committed, © 2017 The Travelers Indemnity Company. All rights reserved. Page 3 of 6 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY subsequent to the signing of that contract or agreement; and b. Arises out of the ownership, maintenance or use of the premises for which that mortgagee, assignee, successor or receiver is required under that contract or agreement to be included as an additional insured on this Coverage Part. The insurance provided to such mortgagee, assignee, successor or receiver is subject to the following provisions: a. The limits of insurance provided to such mortgagee, assignee, successor or receiver will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. b. The insurance provided to such person or organization does not apply to: (1) Any "bodily injury" or "property damage" that occurs, or any "personal and advertising injury" caused by an offense that is committed, after such contract or agreement is no longer in effect; or (2) Any "bodily injury", "property damage" or "personal and advertising injury" arising out of any structural alterations, new construction or demolition operations performed by or on behalf of such mortgagee, assignee, successor or receiver. H. BLANKET ADDITIONAL INSURED — GOVERNMENTAL ENTITIES — PERMITS OR AUTHORIZATIONS RELATING TO PREMISES The following is added to SECTION II — WHO IS AN INSURED: Any governmental entity that has issued a permit or authorization with respect to premises owned or occupied by, or rented or loaned to, you and that you are required by any ordinance, law, building code or written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of the existence, ownership, use, maintenance, repair, construction, erection or removal of any of the following for which that governmental entity has issued such permit or authorization: advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, elevators, street banners or decorations. I. BLANKET ADDITIONAL INSURED — GOVERNMENTAL ENTITIES - PERMITS OR AUTHORIZATIONS RELATING TO OPERATIONS The following is added to SECTION II — WHO IS AN INSURED: Any governmental entity that has issued a permit or authorization with respect to operations performed by you or on your behalf and that you are required by any ordinance, law, building code or written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of such operations. The insurance provided to such governmental entity does not apply to: a. Any "bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the governmental entity; or b. Any "bodily injury" or "property damage" included in the "products -completed operations hazard". J. INCIDENTAL MEDICAL MALPRACTICE 1. The following replaces Paragraph b. of the definition of "occurrence" in the DEFINITIONS Section: b. An act or omission committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to a person, unless you are in the business or occupation of providing professional health care services. 2. The following replaces the last paragraph of Paragraph 2.a.(1) of SECTION II — WHO IS AN INSURED: Unless you are in the business or occupation of providing professional health care services, Paragraphs (1)(a), (b), (c) and (d) above do not apply to "bodily injury" arising out of providing or failing to provide: (a) "Incidental medical services" by any of your "employees" who is a nurse, nurse assistant, emergency medical technician, paramedic, athletic trainer, audiologist, dietician, nutritionist, Page 4 of 6 © 2017 The Travelers Indemnity Company. All rights reserved. CG D3 79 02 19 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY occupational therapist or occupational therapy assistant, physical therapist or speech -language pathologist; or (b) First aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an employed or volunteer doctor. Any such "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. 3. The following replaces the last sentence of Paragraph 5. of SECTION III — LIMITS OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to any one person will be deemed to be one "occurrence". 4. The following exclusion is added to Paragraph 2., Exclusions, of SECTION I — COVERAGES — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY: Sale Of Pharmaceuticals "Bodily injury" or "property damage" arising out of the violation of a penal statute or ordinance relating to the sale of pharmaceuticals committed by, or with the knowledge or consent of the insured. 5. The following is added to the DEFINITIONS Section: "Incidental medical services" means: a. Medical, surgical, dental, laboratory, x- ray or nursing service or treatment, advice or instruction, or the related furnishing of food or beverages; or b. The furnishing or dispensing of drugs or medical, dental, or surgical supplies or appliances. 6. The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, CGD3790219 that is available to any of your "employees" for "bodily injury" that arises out of providing or failing to provide "incidental medical services" to any person to the extent not subject to Paragraph 2.a.(1) of Section II — Who Is An Insured. K. MEDICAL PAYMENTS — INCREASED LIMIT The following replaces Paragraph 7. of SECTION III - LIMITS OF INSURANCE: 7. Subject to Paragraph 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person, and will be the higher of: a. $10,000; or b. The amount shown in the Declarations of this Coverage Part for Medical Expense Limit. L. AMENDMENT OF EXCESS INSURANCE CONDITION — PROFESSIONAL LIABILITY The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis, that is Professional Liability or similar coverage, to the extent the loss is not subject to the professional services exclusion of Coverage A or Coverage B. M. BLANKET WAIVER OF SUBROGATION — WHEN REQUIRED BY WRITTEN CONTRACT OR AGREEMENT The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If the insured has agreed in a written contract or agreement to waive that insured's right of recovery against any person or organization, we waive our right of recovery against such person or organization, but only for payments we make because of: a. "Bodily injury" or "property damage" that occurs; or b. "Personal and advertising injury" caused by an offense that is committed; subsequent to the signing of that contract or agreement. © 2017 The Travelers Indemnity Company. All rights reserved. Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY N. CONTRACTUAL LIABILITY — RAILROADS 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINITIONS Section: c. Any easement or license agreement; 2. Paragraph f.(1) of the definition of "insured contract" in the DEFINITIONS Section is deleted. Page 6 of 6 © 2017 The Travelers Indemnity Company. All rights reserved. CG D3 79 02 19 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS - INCREASED LIMITS F. HIRED AUTO - LIMITED WORLDWIDE COV- ERAGE - INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE - GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II - COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II - COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which H. I. J. K. L. M. N. HIRED AUTO PHYSICAL DAMAGE - LOSS OF USE - INCREASED LIMIT PHYSICAL DAMAGE - TRANSPORTATION EXPENSES - INCREASED LIMIT PERSONAL PROPERTY AIRBAGS NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS BLANKET WAIVER OF SUBROGATION UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II - COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV - BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO permission, while performing duties related to the conduct of your busi- ness. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". D. EMPLOYEES AS INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II - COVERED AUTOS LIABILITY COVERAGE: Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS - INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2), of SECTION II - COVERED AUTOS LIABIL- ITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4), of SECTION II - COVERED AUTOS LIABIL- ITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS The following replaces Subparagraph (5) in Para- graph B.7., Policy Period, Coverage Territory, of SECTION IV - BUSINESS AUTO CONDI- TIONS: (5) Anywhere in the world, except any country or jurisdiction while any trade sanction, em- bargo, or similar regulation imposed by the United States of America applies to and pro- hibits the transaction of business with or within such country or jurisdiction, for Cov- ered Autos Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company) or members of their households. (a) With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (i) You must arrange to defend the "in- sured" against, and investigate or set- tle any such claim or "suit" and keep us advised of all proceedings and ac- tions. (ii) Neither you nor any other involved "insured" will make any settlement without our consent. (iii) We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or "suit". (iv) We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in- sured" pays with our consent, but only up to the limit described in Para- graph C., Limits Of Insurance, of SECTION II - COVERED AUTOS LIABILITY COVERAGE. (v) We will reimburse the "insured" for the reasonable expenses incurred with our consent for your investiga- tion of such claims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para- graph C., Limits Of Insurance, of SECTION ll - COVERED AUTOS LIABILITY COVERAGE, and not in addition to such limit. Our duty to make such payments ends when we have used up the applicable limit of insurance in payments for damages, settlements or defense expenses. (b) This insurance is excess over any valid and collectible other insurance available to the "insured" whether primary, excess, contingent or on any other basis. (c) This insurance is not a substitute for re- quired or compulsory insurance in any country outside the United States, its ter- ritories and possessions, Puerto Rico and Canada. Page 2 of 4 © 2015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d) It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III - PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE - LOSS OF USE - INCREASED LIMIT The following replaces the last sentence of Para- graph A.4.b., Loss Of Use Expenses, of SEC- TION III - PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". I. PHYSICAL DAMAGE - TRANSPORTATION EXPENSES - INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III - PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. J. PERSONAL PROPERTY The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III - PHYSICAL DAMAGE COVERAGE: Personal Property We will pay up to $400 for "loss" to wearing ap- parel and other personal property which is: (1) Owned by an "insured"; and (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III - PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV - BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap- plies only when the "accident" or "loss" is known to: (a) You (if you are an individual); (b) A partner (if you are a partnership); (c) A member (if you are a limited liability com- pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (e) Any "employee" authorized by you to give no- tice of the "accident" or "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV - BUSINESS AUTO CONDI- TIONS: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO such contract. The waiver applies only to the person or organization designated in such contract. N. UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph B.2., Con- cealment, Misrepresentation, Or Fraud, of SECTION IV - BUSINESS AUTO CONDITIONS: Page 4 of 4 The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. How- ever this provision does not affect our right to col- lect additional premium or exercise our right of cancellation or non -renewal. © 2015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with its permission. TRAVELERS) ONE TOWER SQUARE HARTFORD CT 06183 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) - 001 POLICY NUMBER: UB-8K158532-19-47-G WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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 any one not named in the Schedule. SCHEDULE DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 08-02-19 ST ASSIGN: PAGE 1 OF1 Contract Form Entity Information Entity Name* J -U -B ENGINEERS New Contract Request Entity ID* @00015557 Contract Name* 2020 ON -CALL ENGINEERING SERVICES CONTRACT RENEWAL FOR JUB Contract Status CTB REVIEW ❑ New Entity? Contract ID 3355 Contract Lead* CKIMMI Contract Lead Email CKimmif co weld co us Parent Contract ID 2507 Requires Board Approval YES Department Project # Contract Description * CONTRACT RENEWAL FOR THE ON -CALL ENGINEERING SERVICES THAT JUB HAS WITH PUBLIC WORKS. Contract Description 2 THIS IS THE FIRST OF 2 POSSIBLE RENEWALS. Contract Type* RENEWAL Amount * $50,000.00 Renewable * YES Automatic Renewal NO Grant no County Attorney Email ICA BCHOATE@CO.WELD.CO.US no Department PUBLIC WORKS Department Email CM- PublicWorks@vreldgov.com Department Head Email CM-PublicliVorks- DeptHead@weldgov.com County Attorney BOB CHOATE If this is a renewal enter previous Contract ID 2507 If this is part of a MSA enter MSA Contract ID Requested BQCC Agenda Date * 01/112020 Due Date 01/09/2020 Will a work session with BOCC be required?* HAD Does Contract require Purchasing Dept. to be included? NO Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in C)nBase Contract Dates Effective Date Termination Notice Period Review Date* 02101/2021 Committed Delivery Date Renewal Date* 03120,'2021 Expiration Date Contact Information Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver CONSENT Approval Process Department Head JAY MCDONALD DH Approved Date 01/09/2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 01/13/2020 Originator CKIMMI Purchasing Approved Date 01/0912020 Finance Approver CONSENT Finance Approved Date 01109{20'20 Tyler Ref # AG 011320 Legal Counsel CONSENT Legal Counsel Approved Date 01/0912020 Submit Hello