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Home My WebLink AboutCHANGE ORDER - RFP - 7015 GENERAL PIPELINE CONSTRUCTION AND EMERGENCY PIPELINE REPAIR CONTRACTORCHANGE ORDER NUMBER C-1 PROJECT TITLE: Emergency Pipeline Repair Mobilization - Hydro CONTRACTOR: Hydro Construction Co, Inc P.O. NUMBER: 9122521 VENDOR NUMBER: 109420 CHARGE NUMBER: 5026415021 DESCRIPTION: 1. Reason for change: Substantial and Final Completion dates of the Contract have been exceeded 2. Description of change: Extend Contract Times 3. Change in contract cost: No Change in Contract Cost 4. Change in contract time: Add 365 calendar days to Contract Times ORIGINAL CONTRACT COST TOTAL APPROVED CHANGE ORDERS TOTAL PENDING CHANGE ORDERS TOTAL THIS CHANGE ORDER TOTAL % OF ORIGINAL CONTRACT, THIS CO: TOTAL % OF ORIGINAL CONTRACT, ALL CO'S: ADJUSTED CONTRACT COST (Assuming all change orders approved) C is rese tative REVIEWED BY: Dean,�aye, Spe ' ejects, Manager APPROVED BY: Owen Randall, Chief Engineery APPROVED BY: Field Services Operations Manager Field Services Operations Manager CC: Contractor Project File Purchasing $100, 000.00 $0.00 $0.00 $0.00 0.0% 0.0% $100, 000.00 DATE: DATE: C�?- Ob 1 0 DATE: Z l DATE: E —�// NOTE: Signature of Contractor indicates agreement herewithin, including any adjustmei in contract sum or contract time. I:Eng/pmmanual/general/forms/change order form RIDER TO CORPORATE SURETY BOND Principal: Hydro Construction Company, Inc. Obligee: City of Fort Collins, CO Bond Number: 0164021 Description: Performance and Payment Bond - Emergency Pipeline Repair Mobilization - Hydro Surety: Berkley Regional Insurance Company Date: April 23, 2012 Effective immediately, Bond Number 0164021, a Performance and Payment Bond given to the City of Fort Collins, CO, as Obligee, is hereby amended as follows: The contract term has been extended from: to: December 31, 2012 December 31, 2013 Per Change Order No. C-1 All other conditions under this bond obligation remain unchanged. Signed, sealed and delivered this 8th day of February, 2013. Hydro Construction Company, Inc. Berkley Regional Insurance Company By Nicole L. McCollam, Attorney -in -Fact, s M ,e� •�OiIAVL�G��/� lS 11550 17th Street, Suite 600 Denver, CO 80202-1657 Phone 303.534.4567 No. 7724c POWER OF ATTORNEY BERKLEY REGIONAL INSURANCE COMPANY WILMINGTON, DELAWARE NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. -Please review carefully. KNOW ALL MEN BY THESE PRESENTS, that BERKLEY REGIONAL INSURANCE COMPANY (the "Company"), a c 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 make, constitute and appoint: Sheryll Shaw, Nicole L. McCollam, Sue Wood, Bradley J. Jeffress, Kristen L. McCormick, Sarah Finn, Robert L. Cohen, Robert J. Reiter, Jennifer Bub, Michael Lischer, Jr., 'Philip J. Monasch or Jessica Talbot of IMA, Inc. of Denver, CO its true and lawful Attomey-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 a the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million and 00/100 U.S. Dollars (U.S.S50,000,000.00), 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. aThis Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware, b D without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is -granted pursuant to the following 0> resolutions which were duly and validly adopted at a.meeting of the Board of Directors of the Company held on August 21, 2000: E a "RESOLVED, that the proper officers of the Company are hereby authorized to execute powers of attorney authorizing and o qualifying the attomey-in-fact named therein to execute bonds, undertakings, recognizances, or other suretyship obligations w?? on behalf of the,Company, and to affix the corporate seal of the Company to powers of attorney executed pursuant hereto; O ° and further - 0 3 RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, 012 orothersuretyship 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 . F RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney -in -fact named; and 0 further RESOLVED, that -the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any opower of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or a. 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 0 3 person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have ceased to be such at the time when such instruments shall be issued." U a. o° E TN WTTNF.SS WHFRF(1F the Cmmmanv has caused these mesems to he signed and attested by its annronriate officers and its corporate seal hereunto affixed this day of F 2012. ca Attest: / Berkley Regional Insurance Company o x U ° (Seal) By . By Ira S. Lederman I f y . Hafter o Senior Vice President & Secretary �Semor ice President a c � h WARNING: THIS POWER INVALID IF NOT'PRINTED ON BLUE "BERKLEY" SECURITY PAPER. u O o STATE OF CONNECTICUT ) ss: o COUNTY OF FAIRFIELD ) Sworn to before me, a Notary Public in the State of Connecticut, this =1 day of _F, 2012, by Jeffrey M. Hafter and Y Ira S. Lederman who are swom to me to be the Senior Vice President, and the Senior Vice President and Secretary, respectively, of Berkley Regional Insurance Company. EILEEN KILLEEN , NOTAaF"•' PUBLIC MY COMMISSION EXPIRESJUNE30,2MF Notary Public, State of Connecticut 0 CERTIFICATE Z =u I, the i�Wdersiped, Assistant Secretary of BERKLEY REGIONAL_ INSURANCE COMPANY, DO HEREBY CERTIFY that the cC fQ.r. i7r � �a `trtie, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked cC tek rh g d °'•�yt w i A omb 's attached in full force and ffiL the authority eact set of this forth datherein, who executed the bond of undertaking to which this . aGriven un 5my hand and seal of the Company, this 8th day of Februar 2013 's � y . s Seal)} )J •. �,i�,, i�� , � �yE° Andrew M. Tuma Instructions for Inquiries and Notices Under the Bond Attached to This Power Berkley Surety Group, LLC is the affiliated underwriting manager for the surety business of: Acadia Insurance Company, Berkley Insurance Company, Berkley Regional Insurance Company, Carolina Casualty Insurance Company, Union Standard Insurance Company, Continental Western Insurance Company, and Union Insurance Company. To verify the authenticity of the bond, please call (866) 768-3534 or email BSGlnquiry@berkleysurety.com Any written notices, inquiries, claims.or demands to the surety on the bond to which this Rider is attached should be directed to: Berkley Surety Group, LLC 412 Mount Kemble Avenue Suite 310N Morristown, NJ 07960 Attention: Surety Claims Department in email BSGClaim@berkleysurety.com Please include with all notices the bond number and the name of the principal on the bond. Where a claim is being asserted, please set forth generally the basis of the claim. In the case of a payment or performance bond, please identify the project to which the bond pertains.