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CORRESPONDENCE - RFP - 7015 GENERAL PIPELINE CONSTRUCTION AND EMERGENCY PIPELINE REPAIR CONTRACTOR (9)
City of F6rt Collins APR 19 2011 April 12, 2011 Hydro Construction Company Attn: Mr. James E. Eurich, Vice President 301 East Lincoln Avenue Fort Collins, CO 80524 RE: 7015 General Pipeline Emergency Repair Dear Mr. Eurich: Financial Services Purchasing Division 215 North Mason Street 2nd Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707 - fax fcgov.com/Purchas/*ng The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the following: The term will be extended for one (1) additional year, April 1, 2011 through March 31, 2012. 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 Opal F. Dick, CPPO, Senior Buyer at (970) 221-6778 if you have any questions regarding this matter. Sin ely, 7 Ja a B. O'Neill II, CPPO, FNIGP /U Dire for of Purchasing and Risk Management Signature Date (Please indicate your desire to renew 7015 by signing this letter and returning it to Purchasing Division within the next fifteen days.) Rev 07/08 City of F6rt Collins APR 19 2011 April 12, 2011 Hydro Construction Company Attn: Mr. James E. Eurich, Vice President 301 East Lincoln Avenue Fort Collins, CO 80524 RE: 7015 General Pipeline Emergency Repair Dear Mr. Eurich: Financial Services Purchasing Division 215 North Mason Street 2nd Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707 - fax fcgov.com/Purchas/*ng The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the following: The term will be extended for one (1) additional year, April 1, 2011 through March 31, 2012. 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 Opal F. Dick, CPPO, Senior Buyer at (970) 221-6778 if you have any questions regarding this matter. Sin ely, 7 Ja a B. O'Neill II, CPPO, FNIGP /U Dire for of Purchasing and Risk Management Signature Date (Please indicate your desire to renew 7015 by signing this letter and returning it to Purchasing Division within the next fifteen days.) Rev 07/08 3/8/2011 18:18 Remote ID Imprint ID ❑ 2/2 CERTIFICATE OF LIABILITY INSURANCEDATE I 03/OMBM,'DOAYYYI 3/D/2D11 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, ANO 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 terns 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 endomement(s). PRODUCER 1-303-534-4567 CONTACT NONE IMA of Colorado, Inc. PHONE FAX A!C No EMI, AIC Rol: E-MAIL ADDRESS: 1550 17 th Street Suite 600 PRODUCER CUSTOMERIDII- Denver, CO 80202 INSURERS) AFFORDING COVERAGE HAD INSURED INSURERA: TRAVELERS IND CO 25658 Hydro Conatruction Company, Inc. INSURER e: TRAVELERS PROP CAS CO OF AMER 25674 INSURERC: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURERD: Fort Collins, CO 80524 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 20079027 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. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY EFF PCUCYEXP POLICY NUMBER N UD M60D UNITS A GENERAL UABIUTY DTC08743RO16IND10 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 PREMISES aocmrtenm $ 300,000 X COMMERVALGENERALLIABIUTY CLAIMS MADE 1XI OCCUR MED EXP(Any ore person) $ 10,000 X PIS Ded:$5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP ADS $ 2,000,000 POLICY X PRO- LOC JECT $ B AUTOMOBLEUABIUTY X ANV AUTO DT8108743RO16TILIO 09/30/1 09/30/11 COMBINEDSINGLE LIMIT (Ea acNtlenl) $ 1,000,000 BODILY INJURY(Par person) $ ALL OWNED AUTOS BODILY:NJURY (Per amiaen0 $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Paracticant) $ X NON -OWNED AUTOS $ B X UMBRELLA UAB X OCCUR OTSMCUP8743RO15TILIO 09/30/1 09/30/11 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS MADE MXDEDUCTIBLE $ g RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' UAMUTY YINER PROPRIETOR,PARTNENEXECUTME❑ OFFICERIMEMBER EXCLUDED? N NIA 2091550 04/01/1 04/01/12 X FCSTATUS OTH ORIANY E.L. EACH ACCIDENT $ 1, 000,000 E.L.DISEASE EAEMPLOYEe $ 1,000,000 (Mantlalory In NH) I S66m,eoeunder D SCRIPNON OF OPERATIONS 6Mmv E.I. DISEASE. -POLICY LIMB a 11000,000 DESCRIPTION OF OPERATIONS(LOCATIONS i YEHCLES IAKach ACORD 191, Atltlitional Remarks Schedule, it more space is required) 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. RE: `P1007 Water Wastewater Treatment & Site Infacture. 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. James B. O'Neill 215 North Mason Streeet AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 I USA /' Francine 01988.2009 ACORD CORPORATION. All rights reserved, /1L.Vrtv Aa (cvvo/MV) I Be AUV KU name ann logo are registered marKS Or AL,UKU 20079027 3/8/2011 18:18 Remote ID Imprint ID ❑ 2/2 CERTIFICATE OF LIABILITY INSURANCEDATE I 03/OMBM,'DOAYYYI 3/D/2D11 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, ANO 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 terns 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 endomement(s). PRODUCER 1-303-534-4567 CONTACT NONE IMA of Colorado, Inc. PHONE FAX A!C No EMI, AIC Rol: E-MAIL ADDRESS: 1550 17 th Street Suite 600 PRODUCER CUSTOMERIDII- Denver, CO 80202 INSURERS) AFFORDING COVERAGE HAD INSURED INSURERA: TRAVELERS IND CO 25658 Hydro Conatruction Company, Inc. INSURER e: TRAVELERS PROP CAS CO OF AMER 25674 INSURERC: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURERD: Fort Collins, CO 80524 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 20079027 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. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY EFF PCUCYEXP POLICY NUMBER N UD M60D UNITS A GENERAL UABIUTY DTC08743RO16IND10 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 PREMISES aocmrtenm $ 300,000 X COMMERVALGENERALLIABIUTY CLAIMS MADE 1XI OCCUR MED EXP(Any ore person) $ 10,000 X PIS Ded:$5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP ADS $ 2,000,000 POLICY X PRO- LOC JECT $ B AUTOMOBLEUABIUTY X ANV AUTO DT8108743RO16TILIO 09/30/1 09/30/11 COMBINEDSINGLE LIMIT (Ea acNtlenl) $ 1,000,000 BODILY INJURY(Par person) $ ALL OWNED AUTOS BODILY:NJURY (Per amiaen0 $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Paracticant) $ X NON -OWNED AUTOS $ B X UMBRELLA UAB X OCCUR OTSMCUP8743RO15TILIO 09/30/1 09/30/11 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS MADE MXDEDUCTIBLE $ g RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' UAMUTY YINER PROPRIETOR,PARTNENEXECUTME❑ OFFICERIMEMBER EXCLUDED? N NIA 2091550 04/01/1 04/01/12 X FCSTATUS OTH ORIANY E.L. EACH ACCIDENT $ 1, 000,000 E.L.DISEASE EAEMPLOYEe $ 1,000,000 (Mantlalory In NH) I S66m,eoeunder D SCRIPNON OF OPERATIONS 6Mmv E.I. DISEASE. -POLICY LIMB a 11000,000 DESCRIPTION OF OPERATIONS(LOCATIONS i YEHCLES IAKach ACORD 191, Atltlitional Remarks Schedule, it more space is required) 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. RE: `P1007 Water Wastewater Treatment & Site Infacture. 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. James B. O'Neill 215 North Mason Streeet AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 I USA /' Francine 01988.2009 ACORD CORPORATION. All rights reserved, /1L.Vrtv Aa (cvvo/MV) I Be AUV KU name ann logo are registered marKS Or AL,UKU 20079027 ►coRb� CERTIFICATE OF LIABILITY INSURANCE DATE (MMMD"M 03/08/2011 03/OB/2011 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: PHONE FAX AC No: INA of Colorado, Inc. E-MAILADDRESS: 1550 17 th Street Suite 600 PRODUCER Denver, CO 80202 INSURERS AFFORDING COVERAGE NAIC e INSURED INSURERA: TRAVELERS IND CO 25658 Hydro Construction Company, Inc. INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: Fort Collins, CO 80524 INSURER E NSURER F: COVERAGES CERTIFICATE NUMBER: 20078930 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. INSR LTR I OF INSURANCE ADDLTYPE INSR WaD SUER POLICY NUMBER MMIDICOY EFF MM1DD EXP LIMITS A GENERAL LIABILITY DTC08743RO16INDIO 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea oceunence $ 300,000 CLAIMS -MADE I X OCCUR MED EXP(Any one Person) $ 10,000 X PD Ded:$5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000 POLICY X PRO- JFCT LOG $ H AUTOMOBILE X LIABILITY ANY AUTO DT8108743RO16TILIO 09/30/10 09/30/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per adedent) $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ X NON -OWNED AUTOS H X UMBRELLA LIAB I X OCCUR DTSMCUP8743RO16TIL10 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ X RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE N OFFICER/MEMBER EXCLUDED? NIA 2091550 04/01/11 04/01/12 WC STATU- OTH- X TOP E.L. EACH ACCIDENT $1,000,000- E.L. DISEASE EA EMPLOYE $ 1, 000, 000 (Mandate, in NH) n yes, descrlhs under DE SCRIPTION OF OPERATIONSbelow E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 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. 3G\CDIa R14 ILIB91 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. Attn: Opal Dick 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 A` USA J" francine © 1988.2009 ACORD CORPORATION. All rights reserve AI UKU LO (4UUS/UB) I ne AL,UKU name ana logo are reglsrerea marks Or AGUMU 20078930 3:l ►coRb� CERTIFICATE OF LIABILITY INSURANCE DATE (MMMD"M 03/08/2011 03/OB/2011 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: PHONE FAX AC No: INA of Colorado, Inc. E-MAILADDRESS: 1550 17 th Street Suite 600 PRODUCER Denver, CO 80202 INSURERS AFFORDING COVERAGE NAIC e INSURED INSURERA: TRAVELERS IND CO 25658 Hydro Construction Company, Inc. INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: Fort Collins, CO 80524 INSURER E NSURER F: COVERAGES CERTIFICATE NUMBER: 20078930 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. INSR LTR I OF INSURANCE ADDLTYPE INSR WaD SUER POLICY NUMBER MMIDICOY EFF MM1DD EXP LIMITS A GENERAL LIABILITY DTC08743RO16INDIO 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea oceunence $ 300,000 CLAIMS -MADE I X OCCUR MED EXP(Any one Person) $ 10,000 X PD Ded:$5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000 POLICY X PRO- JFCT LOG $ H AUTOMOBILE X LIABILITY ANY AUTO DT8108743RO16TILIO 09/30/10 09/30/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per adedent) $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ X NON -OWNED AUTOS H X UMBRELLA LIAB I X OCCUR DTSMCUP8743RO16TIL10 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ X RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE N OFFICER/MEMBER EXCLUDED? NIA 2091550 04/01/11 04/01/12 WC STATU- OTH- X TOP E.L. EACH ACCIDENT $1,000,000- E.L. DISEASE EA EMPLOYE $ 1, 000, 000 (Mandate, in NH) n yes, descrlhs under DE SCRIPTION OF OPERATIONSbelow E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 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. 3G\CDIa R14 ILIB91 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. Attn: Opal Dick 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 A` USA J" francine © 1988.2009 ACORD CORPORATION. All rights reserve AI UKU LO (4UUS/UB) I ne AL,UKU name ana logo are reglsrerea marks Or AGUMU 20078930 3:l