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HomeMy WebLinkAboutMAJOR GEOTHERMAL INC - CONTRACT - AGREEMENT MISC - MAJOR GEOTHERMAL INCOfficial Purchasing Document Last updated 10/2017 Services Agreement Page 1 of 9 SERVICES AGREEMENT THIS AGREEMENT made and entered into the day and year set forth below by and between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter referred to as the "City" and MAJOR GEOTHERMAL, INC, hereinafter referred to as "Service Provider". WITNESSETH: In consideration of the mutual covenants and obligations herein expressed, it is agreed by and between the parties hereto as follows: 1.Scope of Services. The Service Provider agrees to provide services in accordance with the scope of services attached hereto as Exhibit A, consisting of four (4) pages and incorporated herein by this reference. Irrespective of references in Exhibit A to certain named third parties, Service Provider shall be solely responsible for performance of all duties hereunder. 2.Time of Commencement and Completion of Services. The services to be performed pursuant to this Agreement shall be initiated within fourteen (14) days following execution of this Agreement. Services shall be completed no later than April 15, 2021. Time is of the essence. Any extensions of the time limit set forth above must be agreed upon in a writing signed by the parties. 3.Contract Period. This Agreement shall commence February 16, 2021, and shall continue in full force and effect until April 15, 2021, unless sooner terminated as herein provided. 4.Delay. If either party is prevented in whole or in part from performing its obligations by unforeseeable causes beyond its reasonable control and without its fault or negligence, then the party so prevented shall be excused from whatever performance is prevented by such cause. To the extent that the performance is actually prevented, the Service Provider must provide written notice to the City of such condition within fifteen (15) days from the onset of such condition. 5.Early Termination by City/Notice. Notwithstanding the time periods contained herein, the City may terminate this Agreement at any time without cause by providing written notice of termination to the Service Provider. Such notice shall be delivered at least fifteen (15) days prior to the termination date contained in said notice unless otherwise agreed in writing by the parties. All notices provided under this Agreement shall be effective when mailed, postage prepaid and sent to the following addresses: Service Provider: City: Copy to: Major Geothermal, INC. Attn: Terry Proffer 6285 West 48th Ave. Wheat Ridge, CO 80033 City of Fort Collins Attn: Matt Schaefer PO Box 580 Fort Collins, CO 80522 City of Fort Collins Attn: Purchasing Dept. PO Box 580 Fort Collins, CO 80522 DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 Official Purchasing Document Last updated 10/2017 Services Agreement Page 2 of 9 In the event of early termination by the City, the Service Provider shall be paid for services rendered to the date of termination, subject only to the satisfactory performance of the Service Provider's obligations under this Agreement. Such payment shall be the Service Provider's sole right and remedy for such termination. 6. Contract Sum. The City shall pay the Service Provider for the performance of this Contract, subject to additions and deletions provided herein, Fifteen Thousand Five Hundred Fifty Dollars ($15,550.00) as per the attached Exhibit "A", consisting of four (4) pages, and incorporated herein by this reference. 7. City Representative. The City will designate, prior to commencement of the work, its representative who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the services provided under this agreement. All requests concerning this agreement shall be directed to the City Representative. 8. Independent Service provider. The services to be performed by Service Provider are those of an independent service provider and not of an employee of the City of Fort Collins. The City shall not be responsible for withholding any portion of Service Provider's compensation hereunder for the payment of FICA, Workmen's Compensation or other taxes or benefits or for any other purpose. 9. Subcontractors. Service Provider may not subcontract any of the Work set forth in the Exhibit A, Statement of Work without the prior written consent of the city, which shall not be unreasonably withheld. If any of the Work is subcontracted hereunder (with the consent of the City), then the following provisions shall apply: (a) the subcontractor must be a reputable, qualified firm with an established record of successful performance in its respective trade performing identical or substantially similar work, (b) the subcontractor will be required to comply with all applicable terms of this Agreement, (c) the subcontract will not create any contractual relationship between any such subcontractor and the City, nor will it obligate the City to pay or see to the payment of any subcontractor, and (d) the work of the subcontractor will be subject to inspection by the City to the same extent as the work of the Service Provider. 10. Personal Services. It is understood that the City enters into the Agreement based on the special abilities of the Service Provider and that this Agreement shall be considered as an agreement for personal services. Accordingly, the Service Provider shall neither assign any responsibilities nor delegate any duties arising under the Agreement without the prior written consent of the City. 11. Acceptance Not Waiver. The City's approval or acceptance of, or payment for any of the services shall not be construed to operate as a waiver of any rights or benefits provided to the City under this Agreement or cause of action arising out of performance of this Agreement. 12. Warranty. DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 Official Purchasing Document Last updated 10/2017 Services Agreement Page 3 of 9 a. Service Provider warrants that all work performed hereunder shall be performed with the highest degree of competence and care in accordance with accepted standards for work of a similar nature. b. Unless otherwise provided in the Agreement, all materials and equipment incorporated into any work shall be new and, where not specified, of the most suitable grade of their respective kinds for their intended use, and all workmanship shall be acceptable to City. c. Service Provider warrants all equipment, materials, labor and other work, provided under this Agreement, except City-furnished materials, equipment and labor, against defects and nonconformances in design, materials and workmanship/workwomanship for a period beginning with the start of the work and ending twelve (12) months from and after final acceptance under the Agreement, regardless whether the same were furnished or performed by Service Provider or by any of its subcontractors of any tier. Upon receipt of written notice from City of any such defect or nonconformances, the affected item or part thereof shall be redesigned, repaired or replaced by Service Provider in a manner and at a time acceptable to City. 13. Default. Each and every term and condition hereof shall be deemed to be a material element of this Agreement. In the event either party should fail or refuse to perform according to the terms of this agreement, such party may be declared in default thereof. 14. Remedies. In the event a party has been declared in default, such defaulting party shall be allowed a period of ten (10) days within which to cure said default. In the event the default remains uncorrected, the party declaring default may elect to (a) terminate the Agreement and seek damages; (b) treat the Agreement as continuing and require specific performance; or (c) avail himself of any other remedy at law or equity. If the non-defaulting party commences legal or equitable actions against the defaulting party, the defaulting party shall be liable to the non-defaulting party for the non-defaulting party's reasonable attorney fees and costs incurred because of the default. 15. Binding Effect. This writing, together with the exhibits hereto, constitutes the entire agreement between the parties and shall be binding upon said parties, their officers, employees, agents and assigns and shall inure to the benefit of the respective survivors, heirs, personal representatives, successors and assigns of said parties. 16. Indemnity/Insurance. a. The Service Provider agrees to indemnify and save harmless the City, its officers, agents and employees against and from any and all actions, suits, claims, demands or liability of any character whatsoever brought or asserted for injuries t o or death of any person or persons, or damages to property arising out of, result from or occurring in connection with the performance of any service hereunder. b. The Service Provider shall take all necessary precautions in performing the work hereunder to prevent injury to persons and property. c. Without limiting any of the Service Provider's obligations hereunder, the Service Provider DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 Official Purchasing Document Last updated 10/2017 Services Agreement Page 4 of 9 shall provide and maintain insurance coverage naming the City as an additional insured under this Agreement of the type and with the limits specified within Exhibit B, consisting of one (1) page, attached hereto and incorporated herein by this reference. The Service Provider before commencing services hereunder, shall deliver to the City's Purchasing Director, P. O. Box 580, Fort Collins, Colorado 80522, one copy of a certificate evidencing the insurance coverage required from an insurance company acceptable to the City. 17. Entire Agreement. This Agreement, along with all Exhibits and other documents incorporated herein, shall constitute the entire Agreement of the parties. Covenants or representations not contained in this Agreement shall not be binding on the parties. 18. Law/Severability. The laws of the State of Colorado shall govern the construction interpretation, execution and enforcement of this Agreement. In the event any provision of this Agreement shall be held invalid or unenforceable by any court of competent jurisdiction, such holding shall not invalidate or render unenforceable any other provision of this Agreement. 19. Prohibition Against Employing Illegal Aliens. Pursuant to Section 8-17.5-101, C.R.S., et. seq., Service Provider represents and agrees that: a. As of the date of this Agreement: 1. Service Provider does not knowingly employ or contract with an illegal alien who will perform work under this Agreement; and 2. Service Provider will participate in either the e-Verify program created in Public Law 208, 104th Congress, as amended, and expanded in Public Law 156, 108th Congress, as amended, administered by the United States Department of Homeland Security (the “e-Verify Program”) or the Department Program (the “Department Program”), an employment verification program established pursuant to Section 8- 17.5-102(5)(c) C.R.S. in order to confirm the employment eligibility of all newly hired employees to perform work under this Agreement. b. Service Provider shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or knowingly enter into a contract with a subcontractor that knowingly employs or contracts with an illegal alien to perform work under this Agreement. c. Service Provider is prohibited from using the e-Verify Program or Department Program procedures to undertake pre-employment screening of job applicants while this Agreement is being performed. d. If Service Provider obtains actual knowledge that a subcontractor performing work under this Agreement knowingly employs or contracts with an illegal alien, Service Provider shall: 1. Notify such subcontractor and the City within three days that Service Provider has actual knowledge that the subcontractor is employing or contracting with an illegal DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 Official Purchasing Document Last updated 10/2017 Services Agreement Page 5 of 9 alien; and 2. Terminate the subcontract with the subcontractor if within three days of receiving the notice required pursuant to this section the subcontractor does not cease employing or contracting with the illegal alien; except that Service Provider shall not terminate the contract with the subcontractor if during such three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. e. Service Provider shall comply with any reasonable request by the Colorado Department of Labor and Employment (the “Department”) made in the course of an investigation that the Department undertakes or is undertaking pursuant to the authority established in Subsection 8-17.5-102 (5), C.R.S. f. If Service Provider violates any provision of this Agreement pertaining to the duties imposed by Subsection 8-17.5-102, C.R.S. the City may terminate this Agreement. If this Agreement is so terminated, Service Provider shall be liable for actual and consequential damages to the City arising out of Service Provider’s violation of Subsection 8-17.5-102, C.R.S. g. The City will notify the Office of the Secretary of State if Service Provider violates this provision of this Agreement and the City terminates the Agreement for such breach. 20. Dust Control. The Service Provider shall abide by the City of Fort Collins “Dust Control and Prevention Manual,” which is available for public download at https://www.fcgov.com/airquality/pdf/dust-prevention-and-control-manual.pdf, and is incorporated herein by this reference. The City of Fort Collins has implemented this manual for all projects performed for the City of Fort Collins or located within the City of Fort Collins City limits. 21. Special Provisions. Special provisions or conditions relating to the services to be performed pursuant to this Agreement are set forth in Exhibit C - Confidentiality, consisting of one (1) page, attached hereto and incorporated herein by this reference. DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 Official Purchasing Document Last updated 10/2017 Services Agreement Page 6 of 9 THE CITY OF FORT COLLINS, COLORADO By: Gerry Paul Purchasing Director DATE: ATTEST: APPROVED AS TO FORM: MAJOR GEOTHERMAL, INC By: Printed: Title: CORPORATE PRESIDENT OR VICE PRESIDENT Date: DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 Terry Proffer Geothermal Manager 2/18/2021 Assistant City Attorney ll 2/18/2021 City Clerk Major Geothermal Major Heating 6285 West 48th Avenue, Wheat Ridge, Colorado 80033 – 303 / 424-1622 voice, 303 / 423-6795 fax Toll free - 800 / 707-9479 www.gomajornow.com Page 1 of 8 February 5, 2021 Mr. Matt Schaefer City of Fort Collins 300 LaPorte Ave., Building B Fort Collins, CO 80521 re: Thermal Conductivity Test Proposal, 500’ Bore East City Parks Maintenance Facility, Ft. Collins, CO Dear Mr. Schaefer: Thank you for considering Major Geothermal’s testing services for your project located in Ft. Collins, Colorado. This proposal describes the requirements and cost for a vertical thermal conductivity test for a 500’ borehole. This proposal is inclusive of drilling, loop installation, mobilization, data acquisition, data processing and final report. Test Program Overview ·A closed loop vertical or horizontal borehole heat exchanger specification is selected to be compatible with minimum and maximum final ground heat exchanger (GHX) designs. The GHX will be modeled using the annual hourly heating and cooling loads, anticipated peak loads, and a minimum and maximum estimated thermal performance of the host geologic conditions. ·The test loop shall be grouted with conventional high-solids bentonite grout unless otherwise required. Thermally enhanced (TE) grout is not necessary for testing purposes and makes no difference in the final results, as the test relies upon the line source method of analysis. After the initial thermal penetration phase, typically 8 to 12+ hours, the conductivity values directly reflect the actual thermal performance of the host geology. TE grout may be used but is not necessary and will not change the measured thermal conductivity value. ·The number of circuits, pipe size and grade will be selected based upon the maximum anticipated flow rate required, physical site considerations and other variables. ·For vertical heat exchangers, the borehole depth and loop parameters are maintained to be compatible with least and worst-case models so that the test bore may be later assimilated into the final ground heat exchanger system. ·Depending upon circumstances, the hole and/or trench may be logged to provide a reasonable geologic description of host conditions by depth, with any changes noted. ·The test ground heat exchanger must rest for a minimum of 5 days prior to the beginning of the thermal conductivity (TC) test, and preferably at least one week for stabilization for TC testing purposes (ASHRAE standard). Allowing the test circuit to rest for a longer period of time prior to testing is acceptable and encouraged. Exhibit A Scope of Services DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 Mr. Matt Schaefer City of Fort Collins Thermal Conductivity Test Proposal, 500’ Bore East City Parks Maintenance Facility, Ft. Collins, CO February 5, 2021 Major Geothermal Major Heating 6285 West 48th Avenue, Wheat Ridge, Colorado 80033 – 303 / 424-1622 voice, 303 / 423-6795 fax Toll free - 800 / 707-9479 www.gomajornow.com Page 2 of 8 · Should the subsurface geologic conditions be anticipated to maintain reasonable continuity between borehole locations at the site, a single test is expected to be valid for final design and installation work. · Tie-in of the data acquisition unit to the loop, charge the system with water, and select appropriate amount of energy to be induced into the borehole heat exchanger as determined by variables. · The DA unit will first sample the static temperature, and then commence measuring the rate of flow in gpm and the ΔT of the induced heat every few minutes. · Operate the test for a minimum of 48 hours (absolute minimum of 40 hours) or longer if specified. The test must operate continuously for this time period without interruption. Data turnaround is usually within 2 to 4 days depending upon current backlog. Borehole Circuit - Drill, Loop, Grout The installed test bore will be drilled to 500’ depth from surface, using a 1.25” HDPE u-bend circuit, schedule DR11. Coordination The vertical loop must be allowed to rest for at least 5 days minimum to allow the subsurface geology to return to undisturbed conditions. Major Geothermal to provide the following: · Installed borehole with grouted u-bend circuit in place · Field technician to operate test · Data acquisition unit · Diesel fuel · Diesel generator with sufficient power rating and fuel capacity for consistent, uninterrupted power supply · Loop tie-in · Operation of test · Fusion capping of u-bend assembly upon completion of data logging · Final analysis and detailed report DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 Mr. Matt Schaefer City of Fort Collins Thermal Conductivity Test Proposal, 500’ Bore East City Parks Maintenance Facility, Ft. Collins, CO February 5, 2021 Major Geothermal Major Heating 6285 West 48th Avenue, Wheat Ridge, Colorado 80033 – 303 / 424-1622 voice, 303 / 423-6795 fax Toll free - 800 / 707-9479 www.gomajornow.com Page 3 of 8 Client to provide the following: · Surveyed borehole location, staked · Site contact person for coordination of drill crew access · Borehole location is accessible for large drill truck (typically 30’ length x 8’ wide) · No access restrictions (fences, other) by drill rig and associated support vehicle(s) · No restrictions for operating drill rig on site (local ordinances, other) · Water for drilling operation – available hydrant, hose bib, other as appropriate · No restrictions for operating thermal conductivity test continuously without interruption using diesel generator, and access to quality check test progress of data acquisition unit and fuel consumption during test (48 hours continuous) · Site access for data logger and personnel · Site contact person for coordination of testing if different for site access Compensation 500’ Test & Analysis, inclusive of loop installation $15,550 48-hour duration data logging to ASHRAE standards, inclusive of drilling and loop installation. Generator housing is sound insulated, and exhaust is enhanced for low sound emissions. Sound rating is 56 dba (less than typical conversation levels). Excludes vacuum truck services for removal of excess cuttings and drill mud. Quoted price is valid for 30 days from date of proposal. We do not anticipate any standby for this project unless there are changes or delays imposed on our testing crew by issues beyond our control. Other Major Geothermal, standby, if required, caused by issues beyond our control (10 hours maximum per day), TC testing or fusion crew $75/hour or $750/day Standby, data acquisition unit Additional licensing if required, or other unforeseen administration issues, plus cost of additional licenses, permits or other 3rd party expenses $100/day $75/hour/man Quality control, test loop installation – Oversight of drilling contractor to verify loop is properly fused, installed, grouted and pressure tested. $125/hour $0.75/mile + expenses if applicable DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 Mr. Matt Schaefer City of Fort Collins Thermal Conductivity Test Proposal, 500’ Bore East City Parks Maintenance Facility, Ft. Collins, CO February 5, 2021 Major Geothermal Major Heating 6285 West 48th Avenue, Wheat Ridge, Colorado 80033 – 303 / 424-1622 voice, 303 / 423-6795 fax Toll free - 800 / 707-9479 www.gomajornow.com Page 4 of 8 Delays resulting from issues beyond our control may be subject to standby rates after we have been confirmed to start the test and have mobilized from our facility. Major Geothermal is not responsible for the loss of data resulting from power interruptions or other impacts beyond our control. Client is responsible for protection of Major Geothermal equipment from vandalism, accidental, or other physical damage while equipment is operating on the test site. Should adverse conditions prevail and the data acquisition or thermal conductivity test is not run due to circumstances or issues beyond the control of Major Geothermal, the price listed above will be prorated to those costs incurred for technician time, mobilization, shipping or other costs. Invoicing Test loop installation $11,300 48-hour thermal conductivity test, completion of test and report $4,250 Total $15,550 Due upon receipt. DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 Official Purchasing Document Last updated 10/2017 Services Agreement Page 8 of 9 EXHIBIT B INSURANCE REQUIREMENTS 1. The Service Provider will provide, from insurance companies acceptable to the City, the insurance coverage designated hereinafter and pay all costs. Before commencing work under this bid, the Service Provider shall furnish the City with certificates of insurance showing the type, amount, class of operations covered, effective dates and date of expiration of policies, and containing substantially the following statement: “The insurance evidenced by this Certificate will not reduce coverage or limits and will not be cancelled, except after thirty (30) days written notice has been received by the City of Fort Collins.” In case of the breach of any provision of the Insurance Requirements, the City, at its option, may take out and maintain, at the expense of the Service Provider, such insurance as the City may deem proper and may deduct the cost of such insurance from any monies which may be due or become due the Service Provider under this Agreement. The City, its officers, agents and employees shall be named as additional insureds on the Service Provider 's general liability and automobile liability insurance policies for any claims arising out of work performed under this Agreement. 2. Insurance coverages shall be as follows: A. Workers' Compensation & Employer's Liability. The Service Provider shall maintain during the life of this Agreement for all of the Service Provider's employees engaged in work performed under this agreement: 1. Workers' Compensation insurance with statutory limits as required by Colorado law. 2. Employer's Liability insurance with limits of $100,000 per accident, $500,000 disease aggregate, and $100,000 disease each employee. B. Commercial General & Vehicle Liability. The Service Provider shall maintain during the life of this Agreement such commercial general liability and automobile liability insurance as will provide coverage for damage claims of personal injury, including accidental death, as well as for claims for property damage, which may arise directly or indirectly from the performance of work under this Agreement. Coverage for property damage shall be on a "broad form" basis. The amount of insurance for each coverage, Commercial General and Vehicle, shall not be less than $1,000,000 combined single limits for bodily injury and property damage. In the event any work is performed by a subcontractor, the Service Provider shall be responsible for any liability directly or indirectly arising out of the work performed under this Agreement by a subcontractor, which liability is not covered by the subcontractor's insurance. DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 Official Purchasing Document Last updated 10/2017 Services Agreement Page 9 of 9 EXHIBIT C CONFIDENTIALITY IN CONNECTION WITH SERVICES provided to the City of Fort Collins (the “City”) pursuant to this Agreement (the “Agreement”), the Service Provider hereby acknowledges that it has been informed that the City has established policies and procedures with regard to the handling of confidential information and other sensitive materials. In consideration of access to certain information, data and material (hereinafter individually and collectively, regardless of nature, referred to as “information”) that are the property of and/or relate to the City or its employees, customers or suppliers, which access is related to the performance of services that the Service Provider has agreed to perform, the Service Provider hereby acknowledges and agrees as follows: That information that has or will come into its possession or knowledge in connection with the performance of services for the City may be confidential and/or proprietary. The Service Provider agrees to treat as confidential (a) all information that is owned by the City, or that relates to the business of the City, or that is used by the City in carrying on business, and (b) all information that is proprietary to a third party (including but not limited to customers and suppliers of the City). The Service Provider shall not disclose any such information to any person not having a legitimate need-to-know for purposes authorized by the City. Further, the Service Provider shall not use such information to obtain any economic or other benefit for itself, or any third party, except as specifically authorized by the City. The foregoing to the contrary notwithstanding, the Service Provider understands that it shall have no obligation under this Agreement with respect to information and material that (a) becomes generally known to the public by publication or some means other than a breach of duty of this Agreement, or (b) is required by law, regulation or court order to be disclosed, provided that the request for such disclosure is proper and the disclosure does not exceed that which is required. In the event of any disclosure under (b) above, the Service Provider shall furnish a copy of this Agreement to anyone to whom it is required to make such disclosure and shall promptly advise the City in writing of each such disclosure. In the event that the Service Provider ceases to perform services for the City, or the City so requests for any reason, the Service Provider shall promptly return to the City any and all information described hereinabove, including all copies, notes and/or summaries (handwritten or mechanically produced) thereof, in its possession or control or as to which it otherwise has access. The Service Provider understands and agrees that the City’s remedies at law for a breach of the Service Provider’s obligations under this Confidentiality Agreement may be inadequate and that the City shall, in the event of any such breach, be entitled to seek equitable relief (including without limitation preliminary and permanent injunctive relief and specific performance) in addition to all other remedies provided hereunder or available at law. DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PERSTATUTE OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOSAUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2/15/2021 Network Insurance Services,LLC 5261 S.Quebec St.Ste 100 Greenwood Village CO 80111 303-805-5000 303-708-0202 certificates@thinknis.com Lloyds of London MAJOR31 Travelers Property Casualty Co 25674MajorGeothermalInc. 6285 W.48th Avenue Wheat Ridge CO 80033 Pinnacol Assurance of CO 41190 CHARTER OAK FIRE INS CO 25615 Travelers Indemnity Company 25666 Phoenix Insurance Company 25623 407784500 E X 1,000,000 X 300,000 5,000 1,000,000 2,000,000 X Y Y DT-CO-7219X701-IND-20 4/1/2020 4/1/2021 2,000,000 F 1,000,000 X Y Y DT-810-9L093922-PHX-20 4/1/2020 4/1/2021 B X X 8,000,000 10,000 Y Y CUP-2J719346-20-26 X 8,000,000 4/1/2020 4/1/2021 C N Y 4196022 10/1/2020 10/1/2021 X 1,000,000 1,000,000 1,000,000 A D F Professional Liability Leased/Rent Equipment Hired Auto PD ANE1173639.20 QT-660-7201X132-COF-20 DT-810-9L093922-PHX-20 10/1/2020 4/1/2020 4/1/2020 10/1/2021 4/1/2021 4/1/2021 $1,000,000 Agg $50,000 Max Per Item $2,500 Comp Ded $5,000 Retention $500 Deductible $2,500 Coll Ded Installation Floater $225K Limit 4/1/20 to 4/1/21 $500 Deductible City of Fort Collins is included as Additional Inured in regard to General Liability when required by written contract. Ciry of Fort Collins PO Box 580 Fort Collins CO 80522 DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 7501 E. Lowry Blvd. Denver, CO 80230-7006 303.361.4000 / 800.873.7242 Pinnacol.com Major Geothermal Inc 6285 West 48th Avenue Wheat Ridge, CO 80033 Network Insurance Services, LLC- P O Box 910 Castle Rock, CO 80104 (303) 708-9999 7501 E. Lowry Blvd Denver, CO 80230-7006 Page 1 of 1 P HICKCOXM - Underwriter 09/15/2020 10:11:28 4196022 56573070 359-B NCCI #: WC000313B Policy #: 4196022 ENDORSEMENT:Blanket Waiver of Subrogation Effective Date:September 15, 2020 Expires on: October 1, 2021 Pinnacol Assurance has issued this endorsement September 15, 2020 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE To any person or organization when agreed to under a written contract or agreement, as defined above and with the insured, which is in effect and executed prior to any loss. DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 POLICY # DT-CO-7219X701-IND-20DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 POLICY # DT-CO-7219X701-IND-20DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 POLICY # DT-CO-7219X701-IND-20DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 POLICY #810-9L093922-PHX-20DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668 DocuSign Envelope ID: D0F8DFE1-05C0-4E2D-83E0-359AB569D668