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HomeMy WebLinkAboutWORK ORDER - RFP - 7220 WATER WW TREATMENT & SITE INFRASTRUCTURE DESIGN CONSTRUCTION CONTRACTOR (2)Requisition Form Vendor: Hydro Construction (p+ZO Today’s Date: June 6, 2011 Requisition No.: __________________________________ Ship To: Date Entered: ________________________________ Date Required: Date Approved: Special Instructions: Date Denied: Item # Quantity Unit Description Unit Price Total Charge Numbers 1 1 for investigation and potholing along the Anhueser $49,364.00 $49,364.00 5020440901.521210.6 Busch water transmission line to determine integrity of the pipe for future cathodic protection S.ted By: Authorized By: EXHIBIT A” WORK ORDER FORM PURSUANT TO AN AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND Hydro Construction DATED: Work Order Date: Work Order Number: Purchase Order Number: Project Title: Commencement Date: May27, 2011 SCP-ABCP-05271 1 Investigation and Potholing of AB Transmission Line May 31, 2011 Completion Date: July 1.2011 Maximum Fee: (time and reimbursable direct costs): $49,634.00 Project Description: Scope of Services: for investigation and potholing along the Anhueser Busch water transmission line to determine integrity of the pipe for future cathodic protection. see attached Cost Estimate Report Service Provider agrees to perform the services identified above and on the attached forms in accordance with the terms and conditions contained herein and in the Services Agreement between the parties. In the event of a conflict between or ambiguity in the terms of the Services Agreement and this work order (including the attached forms) the Services Agreement shall control. The attached forms consisting of one Exhibit (2 pages) are hereby accepted and incorporated herein by this reference, and Notice to Proceed is hereby given. Submitted By: Reviewed By: Reviewed By: Special P5jebts Manager Date: t U Senior Utility Engineer Date: zi/,..=— Water Engineering & Operations Mgr. Date: Service rrovider: B— JyvLcr ;;e Date: Approved By: Approved By: Utilities General Manager Date: Dir. of Purchasing & Risk Management Date: CC: Purchasing City of Fort Collins: 00800 PERFORMANCE BOND Bond No. 0148000 KNOW ALL BY THESE PRESENTS: that. (Firm) Hydro Construction Company, Inc. (Address) soi East Lincoln Avenue, Fort Collins, CO 80524 (xAurSi,ddaal), aJ3artnnsIdp), (a Corporation), hereinafter referred to as ‘fthe Principal,” and (Firm) Berkley Regional Insurance Company (Address) 11201 Douglas Avenue, Urbandale, IA 50322 hereinafter referred to as “the Surety,” are held and firmly bound unto the City of Fort Collins, 300 West LaPorte Avenue, Post Office Box 580. Fort Collins, Colorado 80522, a Municipal Corporation, hereinafter referred to as “the Owner,’ in the penal sum of $49634.00 Forty Nine Thousand Six Hundred Thirty Four Dollars and 00/1 00 in lawful tnoncy of the United States, for the payment of which sunt well and truly to be made, we bind ourselves, successors and assigns, jointly and severally, firmly by these presenis. THE CONDITIONS OF THIS OBLIGATION are such that whereas the Principal entered into a certain Contract Agreement with the Owner, dated the 28th day of March , 2006 , a copy of which is hereto attached and make a part hereof for the performance of City of Fort Collins Project, Work Order Number: SCP-ABCP-05271 1, Investigation and Potholing of AB Transmission Line, Fort Collins, CC; Work Order Date: May 27, 2011 NOW, THEREFORE, if the Principal shall well, truly and faithIhity perform its duties, all the undertakings, covenants, terms, conditions aod agreements of said Contract Agreement during the original term thereof, and any extensions thereofwhichmaybegrantedby chc Owner, with or without Notice to the Surety and during the life of the guaranty period, and if he shall satisl’ all claims and demands incurred under such Contract Agreement, arid shall hilly indemnify and save hanniess the Owner from all cost and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the Owner all outlay and expense ‘which the Owner may incur in making good any default, and then this obligation shall be void; otherwise to remain in hill force and effect. PROVIDED, FURTHER, that the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract Agreement or 10 the work to be performed thereunder or the specifications accompanying the same shall in anyway affect its obligation on this bond; and it does hereby waive notice of any such change, extension of time, alteration or addition to the temis of the Contract Agreement or to the work or to the specifications. PROVIDED, FURTHER, that no final settlement between the Owner arid the Contractor shall abridge the right of any beneficiary hereunder, whose claim nrnybe unsatisfied. IN WITNESS WHEREOF, this instrument is executed in three counterparts, each one of which shall be deemed an original, this 31st dayof May , 2011 IN PRESENCE OF: Attest: 5 %, 1 e2e clb 4 ._P1I%betz.-_ 301 East Lincoln Avenue, Fort Collins, CO 80524 (Address) (CORPORATh SEAL) Hydro Construction Company, Inc. Page 1 of 2 IN PRESENCE OF: N/A By: By: By: Other Partners N/A IN PRESENCE OF: Witness: By: j c. v’ cv Philip J. Monasch Berkley Regional Insurance Company Surety By: ( . Attorney-in-Fact Nicole L. McCollam 11201 Douglas Avenue, Urbandale, IA 30322 — (Address) (SURETY SEAL) NOTE: Date of Bond must not be prior to date of Contract Agreement. If Contractor is Partnership, all partners should execute Bond. IMPORTANT: Surety Company must be authorized to transact business in the State of Colorado and be acceptable to the Owner. I 1550 17th Street, Suite 600 Denver, CO 80202-1657 Phone 303.534.4567 Page 2 of 2 00601 PAYMENT BOND Bond No. 0148000 KNOW ALL BY THESE PRESENTS: that (Firm) Hydro Construction Company, Inc. (Address) 301 East Lincoln Avenue, Fort Collins, CO 80524 (cxIRdividvaI), (<Partnership), (a Corporation), hereinafler referred to as “the Principal,” and (Firm) Berkley Regional Insurance Company (Address) 11201 Douglas Avenue 1 Urbandale, IA 50322 hereinafler referred to as “the Surety,” are held and firmly bound unto the City of Fort Collins, 300 West LaPorte Avenue, Post Office Box 580, Fort Collins, Colorado 80522, a Municipal Corporation, hereinafter referred to as “the Owner,” in the penal sum of $49, 634.00 Forty Nine Thousand Six Hundred Thirty Four Dollars and 00/1 00 in lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, successors and assigns, jointly and severally, firmly by these presents, TIlE CONDITIONS OF THIS OBLIGATION are such that whereas the Principal entered into a certain Contract Agreement with the Owner, dated the 28th day of March , 2006 , a copy ofwhich is hereto attached and make a part hereof for the pcrfonnanceofCityofFortCollrnsProject, Work Order Number: SCP-ABCP-052711, Investigation and Potholing of AS Transmission Line, Fort Collins, CO; Work Order Date: May 27, 2011 NOW, THEREFORE, if the Principal shall make payment to all pcrsons, firms, subcontractors and corporations furnishing materials for or performing labor in the prosecution of the work provided for in such Contract Agreement, and any authorized extension or modification thereof, including all amounts due for materials, lubricants, repairs on machinery, equipment and tools, consumed, rented or used in connection with the construction of such work, and all insurance premiums on said work, and for all labor, performed in such work whether by subcontractor or otherwise, then this obligation shalL be void; otherwise to remain in full force and effect. PROVIDED, FURTHER, that the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Construction Agreement or to the work to be performed thereunder or the specifications accompanying the same shall in any way affect its obligation on this bond; and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Construction Agreement or to the work or to the specifications. PROVIDED, FURTHER, that no final settlement between the Owner and the Contractor shall abridge the right of any beneficiary hereunder, whose claim inay be unsatisfied. Page 1 o12 IN WITNESS WHEREOF, this instrument is executed in three counterparts, each one of which shall be deemed an original, this 31st dayof May 2011 Principal PRSENCE OF: By: Hydro Costruction Company, Inc. j Dy:.z< Z (Title) (CORPORATE SEAL) 301 East Lincoln Avenue, Fort Collins, CO 80524 (Address) IN PRESENCE OF: N/A Other Partners By: N/A By: By: PRESENCE OF: BV:j\AL’\ AD v”. o Surety Berkley Regional Insurance Company Philip J. Monasch By: Attomey-in.Fact (SURETY SEAL) Nicole L. McCoIlam 11201 Douglas Avenue - (Address) Urbandale, IA 50322 NOTE: Date of Bond must be prior to date of Contract Agreement. If Contractor is Partnership, all partners should execute Bond. IMPORTANT: Surety Company must be authorized to transact business in the State of Colorado and be acceptable to the Owner. I 1550 17th Street, Suite 600 Denver, CO 80202-1657 phone 303.534.4567 Page 2 of 2 P()V’ER 01” Ai”I’ORNEV BERKLEY REGIONAL INSURANCE COMI’ANY WILMINGTON, DELAWARE NOTICE: The warning found elsewhere in this Power ofAttorney affects the validity thereof. Please review carefully. No. 7724a KNOW ALL MEN BY THESE PRESENTS, that BERKLEY REGIONAL INSURANCE COMPANY (the “Company”), a corporation duly organized and existing under the laws of the State of Delaware, having its principal office in Urbandale, Iowa, has made, constituted and appointed, and does by these presents iniike, constitute and appoint: Sheryll Show, Nicole L. illcCollam, Sue Wood, Bradley J. Jefjress, Krjs(e,i L. McCormick, Sarah Fi,in, Robert L. Cohen, Robert J. Reiter or Jeiinifer Bob of IM.4 of Colorado, Inc. of De,iver, CO its true and lawful Attorney-in-Fact, to sign its name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million and 00/100 U.S. Dollars (U.S.S50,000,000), to the same . extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons. ‘; This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware, without giving effect to the principles of conflicts of laws thereof’. This Power of Attorney is granted pursuant to the following resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on August 21, 2000: “RESOLVED, that the proper officers of the Company are hereby authorized to execute powers of attorney authorizing and qualifying the attomey-in-kict named therein to execute bonds, undertakings. recognizances. or other suretyship obligations on behalf of the Company, and to al’fix the corporate seal of the Company to powers of attorney executed pursuant hereto; S and further RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, ‘ or oilier suretyship obligations specifically named therein, and they have no authority to bind the Company except in the , manner and to the extent therein stated; and further RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named; and further RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or g other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or of’ficers of the Company, notwithstanding the fact that they may have ‘ , ceased to be such at the time when such instruments shall be issued.” IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate ofhcers and its corporate seal hereunto affixed this day of VV ,20l1. C --—- ---- —— ,. Attest: ,...— Berkley Regional InsLirance Company (Scil) By —- - B -1 / _____•tr, AmRD CERTIFICATE OF LIABILITY INSURANCE 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). PRODUCER 1-303-534-4567 CONTACT NAME: IMA of Colorado, Inc. PHONE IFAX INC. Np. Ext): I (NC, No): E-MAIL 1550 17th Street ADDRESS: Suite 600 PRODUCER Denver, CO 80202 CUSTOMER ID #: - - INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: TRAVELERS IND CO 25658 Ilydro Construction Company, Inc. INSURERB: TRAVELERS PROP CAS CO OF ANER 25674 301 East Lincoln Avenue INSURERC: PINNACOL ASSUR 41190 INSURER D: Fort Collins, CO 80524 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 21429664 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ,sDDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER IMMIDD!YYYY) IMM!DDIYYYY) LIMITS A GENERALUABILITY DTCO8743RO16IND1O 09/30/1 09/30/11 EACHOCCURRENCE $ 1,000,000 x DAMAGE TO RENTED CLAIMS-MADE OCCUR MED EXP (Anyone person) 5 10,000 COMMERCIALGENERALLIABILITY PREMlSESlEaoccurrence) $ 300,000 PD Ded:$5,000 PERSONAL&ADVINJURY 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY ri JLCr fl LOC — — $ B AUTOMOBILELIABILITY DT8108743RO16TIL10 09/30/1 09/30/11 COMBINEDSINGLELIMIT $ 1,000,000 — (Es accident) X ANY AUTO — BODILY INJURY IPer person) $ ALL OWNED AUTOS —-— BODILY INJURY IPer accident) $ SCHEDULED AUTOS — PROPERTY DAMAGE X $ HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ $ B X UMBRELLALIAB LJ OCCUR — — DT5MCUP8743RO1STIL1O 09/30/1 09/30/11 EACHOCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000, 000 DEDUCTIBLE $ X RETENTION $ 10,000 $ xl WCSTATU- I C 10TH- WORKERSCOMPENSATION — — 2091550 04/01/1 04/01/12 AND EMPLOYERS LIABILITY ITORYLIMITSI I ER Y I N ANY PROPRIETORJPARTNERIEXECUTIVE r—9 EL. EACH ACCIDENT $ 1, 000,000 OFFICER/MEMBEREXCLUDED? [J N!A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEI $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below — — E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 DES,..RIPTION OF OPERATIONS! LOCATIONS I VEEI (Attach ACORD 101, Additional Remarks Schedule, if more space is requiredl City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION Re: Investigation & Potholing of AS Transmission Line SCP -ABCP- 052711 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins, CO 80521-0000 USA DATE (MMIDDIYYYY) 05/27/2011 heatherw ACORD 25 (2009109) 21429664 The ACORD name and lo © 1988-2009 ACORD CORPORATION. All rights reserved. go are registered marks of ACORD Ira S. Leerman ‘ 4y -d Senior Vice President & Secretary senior Vice President WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE “BERKLEY” SECURITY PAPER. STATE OF CONNECTICUT) ) ss: COUNTY OF FAIRFIELD Sworn to before me, a Notary Public in the State of Connecticut, this day of V 2011, by Jeffrey M. Ilafter and Ira S. Lederman who are SWorn to me to be the Senior Vice President, and the Senior Vice President and Secretary, respectively, of’ Berkley Regional Insurance Company. ‘H LLE V NOT ‘ — ---—- - ‘t Notary’ Public, State of Connecticut CERTIFICATE Z I. the undersigned, Assistant Secretary of BERKIEY REGIONAL N .‘Ai’C: CO’1PANY, DO HERFBY CERTIFY that the Foregoing is a true, correct and complete copy of the original Pow ui Aitorney, that ‘aid Power of Attomney has not been revoked or rescinded and that the anihiority of the Attorney-in-Fact set for’. Fie; r., wha xecuied the bond or undertaking to hich this Power of Attorney is attached, is in full force and et’fct as of thii L 4 atc, Given under my hand and seal of the Company, this 3 1.s I day qf._ 201 1V (Seaft V ‘‘‘— toward