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Home My WebLink AboutCORRESPONDENCE - BID - 7044 MISCELLANEOUS STREET IMPROVEMENTS (19)�2U1054 urchasing July 23, 2012 Financial Services Purchasing Division 215 N. Mason St. 2ntl Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707- fax - fcgov.com/purchasing Connell Resources AUG 2 9 2012 Attn: Mr. Doug Anderson BY: 7785 Highland Meadows Parkway Suite 100 Fort Collins, CO 80528 RE: Renewal, 7044 Miscellaneous Street Improvements Dear Mr. Anderson: The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the attached quotation dated 8/1/2012. The term will be extended for one (1) additional year, August 1, 2012 through July 31, 2013. If the renewal is acceptable to your firm, please sign this letter in the space provided include a current copy of insurance naming the City as an additional insured and return all documents to the City of Fort Collins, Purchasing Division, P. O. Box 580, Fort Collins, CO 80522, within the next fifteen days. If this extension is not agreeable with your firm, we ask that you send us a written notice stating that you do not wish to renew the contract and state the reason for non -renewal. Please contact John D. Stephen, CPPO, LEED AP, Senior Buyer at (970) 221-6777 if you have any questions regarding this matter. Sincerely-, James B. 'Neill II, CPPO, FNIGP i1+.6 irector Pur hasing and Risk Management l -t--Izl? Sig ure Date (Please indicate your desire to renew 7044 by signing this letter and returning it to Purchasing Division within the next fifteen days.) ROOM 2012-2013 Renewal Letter 7044 Misc Street Improvements Page 1 of 7 August 2, 2012 City of Fort Collins Purchasing Mr. John Stephen 215 North Mason Street Fort Collins, CO 80522 Re: 2012-2013 Miscellaneous Street Improvements COFC Job No. 7044 Dear Mr. Stephen, The price increases that you see on our attached 2012-2013 pricing quotation dated August 1, 2012 are due to raw material price changes on asphalt cement, concrete, and steel. Please let me know if you have any questions. Sincerely, JenniferA on Project Manager 2012-2013 Renewal Letter 7044 Misc Street Improvements Page 2 of 7 Connell Resources, Inc. 7785 Highland Meadows Pkwy, #100 Fort Collins, CO 80528 Phone: (970) 223-3151 Fax: (970)223-3191 Estimator: Jennifer Acton Submitted To: City Of Fort Collins - Engineering QUOTATION Date: 8/1/2012 Bid Title Miscellaneous Street Improvements 2012-2013 Address: 281 North College Avenue Bid Number: 7044 Fort Collins, CO 80522 Project Location: Contact: John Stephen Project City, State: , Phone: 970-221-6605 Fax: 970-221-6378 Engineer/Architect: We offer for your consideration the following Quotation which, if accepted, shall constitute a contract between us. Item # Item Description Estimated Quantity Unit Unit Price Total Price 202-01 Remove pipe (ADS-CMP-RCP-PVC-CLAY TILE) 30.00 LF $12.23 $366.90 202-02 Plug Existing Pipe ( 12"-36") 1.00 EACH $348.29 $348.29 202-03 Remove Standard Type II Vertical Curb 137.00 LF $3.53 $483.61 202-04 Remove Roll Over Curb And Sidewalk 100.00 LF $14.41 $1,441.00 202-05 Remove Crosspan/Driveway/Apron 150.00 SF $2.57 $385.50 202-06 Remove Concrete Paving 6" Avg Depth. 400.00 SF $2.75 $1,100.00 202-07 Remove Asphalt 8" Avg. Depth. 50.00 SY $6.60 $430.00 202-08 Rota Mill 3"-4" Asphalt. 100.00 SY $3.11 $311.00 202-09 Pro01e MITI 0-3". 600.00 SY $6.39 $3,834.00 202-10 Remove Sidewalk 4"-6" Depth. 403.00 SF $1.76 $709.28 202-11 Remove Rip Rap 20.00 SY $14.89 $297.80 202-12 Remove Fence Various Types. 100.00 LF $1.21 $121.00 202-13 Removal of Pavement Marking. 100.00 LF $5.20 $520.00 202-14 Saw Cutting Existing Asphalt. 100.00 LF $1.45 $145.00 202-15 Saw Cut Conc. 6" or Less in Depth 100.00 LF $4.05 $405.00 202-16 Saw Cut Conc. More Than 6" Depth 100.00 LF $5.80 $580.00 202-17 Saw Cut Asphalt 6" or Less in Depth 100.00 LF $1.80 $180.00 202-18 Saw Cut Asphalt More Than 6" Depth 100.00 LF $2.40 $240.00 203-01 Unclassified Excavation 115.00 CY $3.18 $365.70 203-02 Embankment ( CIP) 75.00 CY $4.18 $313.50 203-03 Borrow Suitable Fill Material 50.00 CY $16.57 $828.50 203-04 Load, Haul And Dispose 65.00 CY $10.27 $667.55 203-05 Topsoil (Stripping, Stockpiling, Placing) 75.00 CY $7.20 $540.00 203-06 Muck Excavation. 50.00 CY $24.74 $1,237.00 203-07 Borrow ABC Class 5 or 6 (CIP). 50.00 TON $22.01 $1,100.50 203-08 Borrow Fill R-25 50.00 TON $16.83 $841.50 203-09 Median Splash Block Shaping 500.00 SF $0.52 $260.00 203-10 Import Topsoil Screened 50.00 CY $38.24 $1,912.00 206-01 Structure Excavation 50.00 CY $9.56 $478.00 206-02 Structure Backfill On Site Fill 50.00 CY $15.56 $778.00 206-03 Backfill Class I 50.00 CY $29.05 $1,452.50 206-04 Backfill Class II 50.00 CY $11.76 $588.00 206-05 Haul And Leveling 50.00 CY $14.76 $738.00 206-06 Structure Backfill Flow Fill 50.00 CY $93.10 $4,655.00 206-07 Filter material 1-1/2 " washed rock 50.00 TON $19.54 $977.00 206-08 Dewatering (Min. 2" pump size) 3.00 DY $319.41 $958.23 208-002 Silt Fence Furnished And Installed 100.00 LF $3.03 $303.00 208-003 Straw Bales (Weed Free) Furnished And Installed 20.00 EACH $148.19 $2,963.80 208-004 Soil Retention Blanket 500.00 SF $0.60 $300.00 208-005 Erosion log (6" Diameter) 50.00 LF $2.60 $130.00 208-006 Rock Sock 25.00 LF $1.20 $30.00 IU I /-ZU 10 Menewal Feuer 7044 Misc Street Improvements Page 3 of 7 Item # Item Description Estimated Quantity Unit Unit Price Total Price 208-007 Sand Bag 200.00 EACH $3.80 $760.00 208-008 Concrete Washout Structure 1.00 EACH $754.51 $754.51 208-009 Storm Drain Inlet Protection 3.00 EACH $215.03 $645.09 208-01 SWMP Permit 1.00 LS $491.60 $491.60 208-010 Stabilized Const. Entrance (70'x12') 1.00 EACH $795.96 $795.96 208-011 Sediment Removal and Disposal 30.00 CY $23.24 $697.20 208-012 Erosion Control Supervisor 25.00 HR $46.34 $1,158.50 210-01 Adjust Valve Box 3.00 EACH $170.36 $511.08 210-02 Adjust Manhole Ring/Cover 2.00 EACH $461.32 $922.64 210-03 Modify Manhole 2.00 EACH $342.88 $685.76 210-04 Relocate Fire Hydrant. 1.00 EACH $3,377.43 $3,377.43 210-05 Relocate Water Meter 1.00 EACH $594.90 $594.90 210-06 Relocate C.P. Test Station 1.00 EACH $463.33 $463.33 210-07 Irrigation Service (3/4"-11 2.00 EACH $298.00 $596.00 210-08 Relocate Fence Various Types 100.00 LF $15.20 $1,520.00 210-09 Relocate Mailbox 2.00 EACH $182.67 $365.34 304-01 Aggregate Base CL 5-6 CIP (6") 50.00 TON $22.01 $1,100.50 304-02 Shouldering Base Class 5-6-(41n) CIP 50.00 TON $22.11 $1,105.50 304-03 Patch Placement Base CL-5-6 (6") CIP 50.00 TON $21.71 $1,085.50 306-01 Reconditioning (8") 50.00 SY $1.66 $83.00 403-01 Asphalt Hand Patching - Grading SX-75 (PG 64-28) (2" 3.00 TON $133.21 $399.63 -3" Depth) 403-010 Asphalt Paver Patch - Grading S-75 or S-100 (PG 58-28) 25.00 TON $116.63 $2,915.75 (3" Depth) 403-02 Asphalt Hand Patching - Grading S-75 or S100 (PG 3.00 TON $133.41 $400.23 58-28) (2"-3" Depth) 403-03 Asphalt Hand Patching - Grading SG-75 Or SG-100 (PG 6.00 TON $127.48 $764.88 64-22) (6"-10" Depth) 403-04 Hot Bituminous Pavement - Grading SX-75 (PG 64-28) 50.00 TON $89.32 $4,466.00 (2"-3" Depth) 403-05 Hot Bituminous Pavement - Grading S-75 or S-100 (PG 50.00 TON $72.83 $3,641.50 58-28)(2'-Y Depth) 403-06 Hot Bituminous Pavement - Grading SG-75 or SG-100 50.00 TON $66.90 $3,345.00 (PG 58-28)(3"-5" Depth) 403-07 Asphalt Paver Leveling Course SG-75 Or SG100 (PG 25.00 TON $71.43 $1,785.75 58-28) 403-08 Asphalt Paver Patch - Grading Sx-75 (PG 6428) (Y 25.00 TON $133.79 $3,344.75 Depth) 403-09 Asphalt Paver Patch SG-75 or SG-100 (PG58-28) (3" 25.00 TON $110.97 $2,774.25 Depth) 412-01 Concrete Pavement 10" - Class P 75.00 SY $45.99 $3,449.25 412-02 Concrete Pavement 8" -Class P 175.00 SY $41.37 $7,239.75 420-01 Geotextile Stabllization Fabric 50.00 SY $13.18 $659.00 420-02 Geogrid Reinforcement 50.00 SY $5.76 $288.00 420-03 Geotextile Paving Fabric 50.00 SY $11.60 $580.00 506-01 Riprap 12" Class M 10.00 TON $51.61 $516.10 514-01 Bridge Rail 30.00 LF $96.21 $2,886.30 514-02 Bridge Rail Post 4.00 EACH $203.08 $812.32 514-03 Masonry 50.00 SF $16.32 $816.00 601-01 Concrete, Class D (Box Culvert) 12.00 CY $640.57 $7,686.84 601-02 Concrete, Class D (Wall) 12.00 CY $557.95 $6,695.40 602-01 Reinforcing Steel 500.00 LB $1.47 $735.00 602-02 Reinforcing Steel (Epoxy Coated) 500.00 LB $1.70 $850.00 603-01 12" CMP 27.00 LF $38.34 $1,035.18 603-02 12" CMP FES 2.00 EACH $63.84 $127.68 603-03 24" CMP 30.00 LF $56.17 $1,685.10 603-04 24" CMP FES 2.00 EACH $157.33 $314.66 2012-2013 Renewal Letter 7044 Mise Street Improvements Page 4 of 7 Item # Item Description Estimated Quantity Unit Unit Price Total Price 603-05 12" Class III RCP 30.00 LF $29.91 $897.30 603-06 15" Class III RCP 30.00 LF $31.80 $954.00 603-07 18" Class III RCP 30.00 LF $35.62 $1,068.60 603-08 21" Class III RCP 30.00 LF $40.15 $1,204.50 603-09 24" Class III RCP 80.00 LF $44.82 $3,585.60 603-10 27" Class III RCP 30.00 LF $52.64 $1,579.20 603-11 30" Class III RCP 30.00 LF $59.46 $1,783.80 603-12 36" Class III RCP 30.00 LF $76.56 $2,296.80 603-13 42"Class III RCP 30.00 LF $92.85 $2,785.50 603-14 12 RCP Class III FES 2.00 EACH $246.01 $492.02 603-15 15" RCP Class III FES 2.00 EACH $262.29 $524.58 603-16 18" RCP Class III FES 2.00 EACH $343.49 $686.98 603-17 21" RCP Class III FES 2.00 EACH $431.73 $863.46 603-18 24" RCP Class III FES 2.00 EACH $458.37 $916.74 603-19 27" RCP Class III FES 2.00 EACH $609.23 $1,218.46 603-20 30" RCP Class III FES 2.00 EACH $599.95 $1,199.90 603-21 36" RCP Class III FES 2.00 EACH $835.35 $1,670.70 603-22 42" RCP Class III FES 2.00 EACH $916.68 $1,833.36 603-23 24"x 38" RCP 30.00 LF $73.11 $2,193.30 603-24 24"x 38" RCP- FES 2.00 EACH $629.95 $1,259.90 603-25 14" x23" RCP 30.00 LF $48.54 $1,456.20 603-26 14"x 23" RCP FES 2.00 EACH $342.37 $684.74 603-27 24" Trash Rack 2.00 EACH $342.33 $684.66 603-28 15" ADS N-12 30.00 LF $38.40 $1,152.00 603-29 15" ADS FES 2.00 EACH $206.58 $413.16 603-30 18" ADS Pipe N-12 30.00 LF $42.40 $1,272.00 603-31 18" ADS FES 2.00 EACH $206.20 $412.40 603-32 24" ADS PipeN-12 30.00 LF $55.44 $1,663.20 603-34 36" ADS Pipe N-12 30.00 LF $85.65 $2,569.50 603-35 36" ADS FES 2.00 EACH $830.71 $1,661.42 603-36 4" PVC Irrigation Pipe( SCH-200) 30.00 LF $23.22 $696.60 603-37 4" Sanitary Sewer Service (SDR-35) 30.00 LF $30.14 $904.20 603-36 6" Pvc Sanitary Sewer 30.00 LF $27.30 $819.00 603-39 8" Pvc Sanitary Sewer (SDR-35) 30.00 LF $29.29 $878.70 603-40 Concrete Encasement 20.00 LF $130.57 $2,611.40 603-41 Concrete Cut Off Walls (ditch crossing) 2.00 EACH $1,555.91 $3,111.82 603-42 Pipe Headwall 2.00 EACH $1,067.29 $2,134.58 603-43 4" Median Underdrain Pipe Perforated 30.00 LF $19.99 $599.70 603-44 4" Median Underdrain Pipe Solid 30.00 LF $18.68 $560.40 603-45 4" Clean Out 2.00 EACH $359.15 $718.30 604-01 Type 3 Single Inlet (6.00') 2.00 EACH $2,664.86 $5,329.72 604-02 Type 3 Double Inlet (6.00') 2.00 EACH $3,44-1.17 $6,888.34 604-03 5' Type R Inlet (6.00') 2.00 EACH $3,521.84 $7,043.68 604-04 10' Type R Inlet (6.00') 2.00 EACH $5,738.03 $11,476.06 604-05 15'Type R Inlet (6.00') 2.00 EACH $7,322.08 $14,644.16 604-06 Combination Type 13 Inlet (6.00') 2.00 EACH $2,944.54 $5,889.08 604-07 COFC Single Inlet ( Area Inlet) (6.00') 2.00 EACH $2,323.73 $4,647.46 604-08 4' Diameter Manhole 2.00 EACH $1,634.45 $3,268.90 604-09 5' Diameter Manhole 2.00 EACH $2,222.05 $4,444.10 604-10 5' Diameter Manhole Drop 2.00 EACH $2,222.05 $4,444.10 604-11 6' Diameter Manhole 2.00 EACH $3,134.75 $6,269.50 606-33 24" ADS FES 2.00 EACH $265.71 $531.42 607-01 Temporary Fence - Corral Fence 50.00 LF $12.17 $608.50 607-02 Temporary Fence - Corral Panel & Screen 50.00 LF $15.20 $760.00 607-03 Privacy Fence 8' Cedar 100.00 LF $35.24 $3,524.00 2012-2013 Renewal Letter 7044 Misc Street Improvements Page 5 of 7 Item # Item Description Estimated Quantity Unit Unit Price Total Price 607-04 Privacy Fence 6' Cedar 100.00 LF $23.74 $2,374.00 607-05 2 Rail Split Fence 100.00 LF $10.93 $1,093.00 607-06 3 Railed Dowel Fence 100.00 LF $12.17 $1,217.00 607-07 4 Strand Barbed Wire Fence 100.00 LF $4.83 $483.00 607-08 Orange Safety Fence 100.00 LF $2.76 $276.00 608-OS Concrete Sidewalk (4") 500.00 SF $3.21 $1,605.00 608-02 Concrete Sidewalk (6") 935.00 SF $3.62 $3,384.70 608-03 Concrete Access Ramps with Approved Truncated Domes 36.00 SF $62,66 $2,255.76 (611) 608-04 Concrete Drive Approach (8") 250.00 SF $4.94 $1,23S.00 608-05 Drive Over Curb and Sidewalk (6") 200.00 SF $9.01 $802.00 608-06 Concrete Crosspan and Apron (10") 390.00 SF $5.92 $2,308.80 608-07 Concrete Trickle Pan ( 4' wide x 8" thick) 760.00 SF $6.26 $4,757.60 608-08 Colored Concrete Bike Path (5" Fibermesh) (Yosemite 1,000.00 SF $3.77 $3,770.00 Brown) 608-09 Bus Stop Pad (8'� 500.00 SF $4.88 $2,440.00 608-10 Pedestrian Refuge Island (6'� 100.00 SF $4.64 $464.00 608-11 High Early Concrete (24hr) 25.00 CY $137.49 $3,437.25 608-12 Plowable Fill Concrete 50.00 CY $96.75 $4,837.50 609-01 Remove and Replace Concrete Curb and Gutter 100.00 LF $20.31 $2,031.00 609-02 Vertical Curb and Gutter (30") 66.00 LF $15.08 $995.28 609-03 Outfall Curb and Gutter (18") 50.00 LF $12.76 $638.00 609-04 Rollover Curb and Gutter 50.00 LF $17.40 $870.00 609-05 Driveway Curb Cut 4.00 EACH $580.22 $2,320.88 609-06 Asphalt Curb 150.00 LF $3.49 $523.50 610-01 Exposed Aggregate Concrete for Hardscape Medians (4") 250.00 SF $7.25 $1,812.50 610-02 Colored Patterned Concrete (Stamped) (6'1 250.00 SF $9.13 $2,282.50 610-03 Interlocking Sidewalk Pavers -Type 1 250.00 SF $15.90 $3,975.00 619-01 6" D.I.P. Class 52 w/ Poly -Wrap 30.00 LF $52.39 $1,571.70 619-02 6"x6" Tee 1.00 EACH $204.65 $204.65 619-03 6N6" Cross 1.00 EACH $273.28 $273.28 619-04 6" 45 Degree Bend 1.00 EACH $138.73 $138.73 619-05 6" Gate Valve And Box 1.00 EACH $749.64 $749.64 619-06 6" Mega Lugs Restraints 2.00 EACH $27.84 $55.68 619-07 6"x2" Blow Off 1.00 EACH $850.50 $850.50 619-08 8" D.I.P. Class 52 w/ Ploy -Wrap 30.00 LF $62.30 $1,869.00 619-09 8"x6" Tee 1.00 EACH $237.57 $237.57 619-10 8"x8" Cross 1.00 EACH $266.55 $266.55 619-11 8" 45 Degree Bend 1.00 EACH $171.46 $171.46 619-12 8"x2" Blow Off 1.00 EACH $891.22 $891.22 619-13 8" PVC C-900 30.00 LF $36.20 $1,086.00 619-14 8" Gate Valve And Box 1.00 EACH $1,097.77 $1,097.77 619-15 8" Mega Lugs Restraints 2.00 EACH $41.79 $83.58 619-16 Fire Hydrant 1.00 EACH $3,015.46 $3,015.46 619-17 6" Fire Hydrant Extension 1.00 EACH $479.26 $479.26 619-18 12" Fire Hydrant Extension 1.00 EACH $566.29 $566.29 619-19 3/4" Copper Pipe 30.00 LF $6.12 $183.60 619-20 3/4" Corp Stop 1.00 EACH $244.07 $244.07 619-21 3/4" Curb Stop 1.00 EACH $153.20 $153.20 619-22 3/4" Meter Pit with 3/4" Yoke 1.00 EACH $896.01 $896.01 619-23 1" Copper Pipe 30.00 LF $8.46 $253.80 619-24 1" Corp Stop 1.00 EACH $262.64 $262.64 619-25 1" Curb Stop 1.00 EACH $193.82 $193.82 619-26 1" Meter Pit with 3/4" Yoke 1.00 EACH $971.44 $971.44 619-27 1" Air Vac Assembly 1.00 EACH $4,705.83 $4,705.83 2012-2013 Renewal Letter 7044 Misc Street Improvements Page 6 of 7 Item # Item Description Estimated Quantity Unit Unit Price Total Price 619-28 8" Gate Valve (open left) w/ Valve Box 1.00 EACH $1,097.77 $1,097.77 619-29 8" Gate Valve (open right) w/ Valve Box 1.00 EACH $1,097.77 $1,097.77 619-30 16"x16"x8" Tapping Saddle w/ T.B. 1.00 EACH $2,297.26 $2,297.26 619-31 8" Tapping Gate Valve w/ Valve Box 1.00 EACH $1,097.77 $1,097.77 619-32 loin to Existing 8" Water Line 1.00 EACH $1,395.52 $1,395.52 619-33 Join to Existing 12" Water Line 1.00 EACH $1,700.26 $1,700.26 619-34 Join to Existing 16" Water Line 1.00 EACH $2,003.76 $2,003.76 619-35 Join to Existing 24" Water Line 1.00 EACH $3,355.25 $3,355.25 626-01 Mobilization (See Spec) 1.00 EACH $0.00 $0.00 630-01 Traffic Control Supervisor 1.00 DY $406.15 $406.15 630-02 Flagging 8.00 HR $19.70 $157.60 900-01 4" CL-200 PVC Main (4.5 cover) 100.00 LF $3.45 $345.00 900-02 6" CL-200 PVC Main (4.5 cover) 100.00 LF $5.25 $525.00 900-03 Cap Irrigation Line 2.00 EACH $19.46 $38.92 900-04 Sprinkler Line Install ( Trenching and Backfill) 100.00 LF $2.92 $292.00 900-05 Mainline PVC Class 200 ( 3" Welded) 100.00 LF $1.37 $137.00 900-06 Laterals PVC 200 ( 2"-11/2"-1") 100.00 LF $0.66 $66.00 900-07 Remote Control Zone Valves 2.00 EACH $16.32 $32.64 900-08 Isolation Gate Valves 2" Square Nut 2.00 EACH $195.48 $390.96 900-09 Valve Boxes 2.00 EACH $29.03 $58.06 900-10 Control System 18 Station 1.00 EACH $389.48 $389.48 900-11 Electric Control Wiring ( 5 Wires #14 Feed and #12 100.00 LF $0.33 $33.00 Common) 900-12 Gear Driven Rotor Heads ( Ralnbird) 2.00 EACH $36.35 $72.70 Total Price for above Items: $336,683.91 Total Bid Price: $336,683.91 2012-2013 Renewal Letter 7044 Misc Street Improvements Page 7 of 7 Client#: 14427 CONREI ACORD.. CERTIFICATE OF LIABILITY INSURANCEATE 8/23/2DIDO/YYYY) /23/2012 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(les) 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 Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356.0123 CONTACT NAME: Nikki Mosbrucker PHONE g70 266.7123 970 506-6823 A/C No El A/C, No ' DR nikki.mosbrucker@floodandpeterson.com ADDRESS: CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC is INSURED Connell Resources, Inc. 7785 Highland Meadows Parkway #100 Fort Collins, CO 80528 INSURER A: Travelers Insurance Company INSURER BPinnacol Assurance INSURER C INSURER 0: — 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER MMIDD EFF LIY MM/DD EXP LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXIOCCUR DTC04794N532- IND13 6/01/2012 06/01/2013 EACH OCCURRENCE $1 000000 PREMISES iEaoccurterice) $300,000 MED EXP (My one Penner) $10,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X Pllc�T 1-1RO LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car DT8104794N532- TIL13 6/0112012 0610112013 COMBINED SINGLE LIMIT (Ea accident) $t00g000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ X $ A I XI UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE DTSMCUP4794N- 532TIL13 '06/01/2012 06/01/201 EACH OCCURRENCE $10000000 1-1 AGGREGATE $10 000 000 HDEDUCTIBLE RETENTION $ $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICEWMEMBEER EXCLUDED? ECUTIVEY� (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4029651 06/01/2012 06/01/201 WCSTATU- OTH- XJE E.L. EACH ACCIDENT s500,000 E.L. DISEASE - EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT s500000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: CRI# 2121054 - 7044 Mist; Street Improvements The City, its officers, agents and employees are named as additional insured, but only as respects liability arising out of work performed by the named insured. A waiver of subrogation applies. City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason St, 2nd Floor PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 01988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD #S727289/M698847 KXH