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Home My WebLink AboutWORK ORDER - RFP - 7220 WATER WW TREATMENT & SITE INFRASTRUCTURE DESIGN CONSTRUCTION CONTRACTOR (13)WORK ORDER & NOTICE OF AWARD TO: HYDRO CONSTRUCTION COMPANY, INC. WORK ORDER NUMBER: H-WRF-2013-5 PURCHASE ORDER NUMBER: 9L3 (o WORK ORDER TITLE: DWRF 2013 Electrical Replacements ENGINEER: N/A OWNER: CITY OF FORT COLLINS (hereinafter referred to as OWNER) OWNER'S REPRESENTATIVE: Link Mueller NOTICE OF AWARD DATE: July 26, 2013 1. WORK. You are hereby notified that the Scope -of -Services dated July 8, 2013 to perform the following tasks for DWRF 2013 Electrical Replacements has been considered. Pursuant to your AGREEMENT with OWNER dated May 26, 2011, you have been awarded a Work Order for this work order description: Procurement, repair and construction as listed below: South Lift Fiber Install a. PLC 53/54 Replacement • Set up and transfer control for both PLC's to City -owned temporary PLC's. • Demo and rebuild existing PLC's with City -provided materials per the provided loop drawings • PLC 53 - 16 Analog Inputs - 0 Analog Outputs - 221 Digital Inputs - 59 Digital Outputs • PLC 54 - 20 Analog Inputs - 0 Analog Outputs - 116 Digital Inputs - 35 Digital Outputs b. DWRF Sampler Replacements • Install (2) - 1" conduits. (1) for 120 volt power. (1) for (2) analog cables to route back to city directed PLC. • Owner to provide programming & to coordinate with Hach to set up unit parameters. Samplers are provided by owner. Owner to furnish loose PH sensor & SC200 controller. • Electrical sub to mount the controller, work with plant staff to install owner provided sensor mount and furnish & terminate power & analog cabling. • (2) Electrical install of owner provide samplers at south splitter box • (1) Electrical install at Headworks building barscreen area • (1) Electrical install exterior east side of North Lift at man hole location 4/98 WORK ORDER AND NOTICE OF AWARD PAGE 00525-1 No. 7724d 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 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, ti Sue Wood, Bradley J. Jeffress, Kristen L. McCormick, Sarah Finn, Robert L. Cohen, Robert, J. Reiter, Michael Liseher, Jr., Philip J, Monasch or Jessica Talbot of IMA, Inc. of Denver, CO its true and lawful Attorney -in -Fact, to sign its name as surety 2 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 c (U.S.$50,000,000.00), 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. = This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws, of the State of Delaware, owithout 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: P "RESOLVED, that the proper officers of the Company are hereby authorized to execute powers of attorney authorizing and qualifying the attorney -in -fact named therein to execute bonds, undertakings, recognizances, or other suretyship obligations o on behalf of the Company, and to affix the corporate seal of the Company to powers of attorney executed pursuant hereto; and further o °o RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, or other 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 oRESOLVED, that such power of attomey'revokes all previous powers issued on behalf of the attorney -in -fact named; and 7 further Z RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any �o power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or ° other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as 3 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 officers of the Company, notwithstanding the fact that they may have "a ceased to be such at the time when such instruments shall be issued." 7O b IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its wo corporate seal hereunto affixed this I I day of P-�o% 2013. oV Attest: Berkley Regional Insurance Company (Seal) By / BY ro Ira S. Lederman J after Senior Vice President & Secretary S . e President o WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE "BERKLEY" SECURITY PAPER o ai STATE OF CONNECTICUT) _ - ss: . N o COUNTY OF FAIRFIELD ) N o _° Sworn to before me, a Notary Public in the State of Connecticut, this / I dayof `�� . , 2013, by Jeffrey M. Hafter and y 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. EILEEN-KILLEEN �--� � � ntrr�t:rit-once sr;ltc ��crN,vecrtcuT Notary Public;. State of Connecticut My cokImISSION EXPIRES JUNE 30. 2017 CERTIFICATE Z I, the undersigned, Assistant Secretary of BERKLEY REGIONAL INSURANCE COMPANY, 'DO HEREBY CERTIFY that the foregoing is a true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked or rescinded and that the authority of the Attorney -in -Fact set forth therein, who executed the bond or undertaking to which this y Power of Attorney is attached, is in full force and effect as of this'date. .-Given under my hand and seal of the Company, this 26th day of July ,2013 (Seal) .T a 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 Or 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. A� �® CERTIFICATE OF LIABILITY INSURANCE D07/22 /201/DOYIYV1) 07/223 1 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 IMA, Inc. - Colorado Division CONTACT NAME:HONE PFAX _(AIC-N0 ExU: (A/D No): 1550 17th Street Suite 600 E-MAIL den am@imacor com ADDRESS: P p• Denver, CO 80202 INSURER(S) AFFORDING COVERAGE NAICN INSURER A: TRAVELERS IND CO 25658 INSURED INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSUR 41190 INSURER D: 301 East Lincoln Avenue INSURER E: Fort Collins, CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: 34857499 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 7ypE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DDfYYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY DTC08743RO16IND12 09/30/1 09/30/13 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IJ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300, 000 MED EXP (Any one person) $ 10,000 X PD Ded:$5,000 PERSONAL &ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 17 POLICY I " I PRO LOC I I I I I $ E LIABILITY DT8108743RO16TIL12 09 30 1 09/30/13 COMBINED SINGLE LIMIT Ea accident 1, 000, 000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS POMOBILE BODILY INJURY (Per accident)$ HIRED AUTOS H AUUTOSWNED ROPERTY (Per axiden DAMAGE $ E X UMBRELLA LIAB X OCCUR DTSMCUP8743RO16TIL12 09/30/1 09/30/13 EACH OCCURRENCE $ 2,000,000 AGGREGATE $2,000,000 EXCESS LIAB CLAIMS -MADE O10,000DED $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N❑ N / A 2091550 09 /O1/1 04/O1/14 X WC STATU- OTH. E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE. EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional 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. l,Nl� V CLLfi 1lull RE: DWRF 2013 Electrical Replacements Job# H-WRF-2013-5. City of Fort Collins 700 Wood Street Fort Collins, CO 80524 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MW n 19RR-2010 ACORD CORPORATION All rinhtc raearvad ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD zrm2012 34857499 • Includes one 6'x6' concrete pad c. South Lift Fiber Installation • Purchasing & installing 495' of (12) strand fiber from the digester network cabinet to a new owner supplied network cabinet we install at the South Lift PLC area. • Electrical sub will pull the fiber in, mount the new cabinet, install 120 volt power to the cabinet and install the owner supplied UPS. d. TSSA Installation • Provide and install to insertion probe assemblies for a waste -activated sludge and DAFT suspended solids probe. • Install Two (2) each Electro-Chemical Devices TRITON TR8 Turbidity probes with associated controllers (4-20 mA). 2. CONTRACT PRICE, BONDS, AND CERTIFICATES. The cost for this work is ONE HUNDRED SIXTY-THREE, FOUR HUNDRED SEVENTY-SEVEN DOLLARS ($163,477). Payment Bond, Performance Bond and insurance are required. Pursuant to your AGREEMENT dated May 26, 2011 shared savings shall not pertain to this work order. 3. CONTRACT TIMES. Pursuant to the AGREEMENT and the Contract Documents, the date for Substantial Completion of this Work Order is October 30, 2013 and after Substantial Completion, the date for Final Payment and Acceptance November 29, 2013. 4. LIQUIDATED DAMAGES: Liquidated damages do not pertain to this work order. 5. EXECUTION. Three (3) copies of this proposed Work Order & Notice of Award, and accompanying amendments or supplements to the Contract Documents (except any applicable Drawings) incorporated herein, are provided. Three (3) sets of any applicable Drawings will be delivered separately or otherwise made available to you immediately. You must comply with the following conditions precedent within fifteen (15) days of the date of this Work Order & Notice of Award, that is, by August 9, 2013. A. You must deliver to OWNER three (3) fully executed counterparts of this Work Order, including all amendments or supplements to the Contract Documents incorporated herein. Each Work Order must bear your signature as provided. B. You must deliver with the executed Work Order, Payment Bond and Certificate of Insurance documents, as specified in the Agreement. Failure to comply with these conditions within the time specified will entitle OWNER to consider your Bid abandoned and to annul this Work Order & Notice of Award. Within ten (10) days after you comply with those conditions, OWNER will return to you one (1) fully signed counterpart of this Work Order with any amendments or supplements to the Contract Documents attached. CONTRACTOR'S WORK ORDER REPRESENTATION & EXECUTION: CONTRACTOR agrees to perform the services identified above, in accordance with the terms and conditions contained herein and in the AGREEMENT dated May 11, 2011, between the parties. In the event of a conflict between or ambiguity in the terms of the AGREEMENT and this Work Order (including the attached Contract Documents), the AGREEMENT shall control. 4/98 WORK ORDER AND NOTICE OF AWARD PAGE 00525-2 CONT ACTOR: HYDRO CONSTRUCTION COMPANY. INC. Date 7�e JAMES E. EURICH, COONP OWNER'S ACCEPTANCE & EXECUTION: This Work Order and the attached Contract Documents are hereby accepted and incorporated herein by this reference, and Notice to Proceed is hereby given. OWNER: CITY OF FORT COLLINS Submitted By: '100--� Date Projec anager Reviewed By: Date C i& Engineer J Approved BDate: ate ourceqatment Operations Manager Approved By: Date: Dire6tor of Purc asing and Risk Management 4/98 WORK ORDER AND NOTICE OF AWARD PAGE 00525-3 Q H YD R O Standard Estimate Report t DWRF 2013 Minor Improv. P 7/8207J B:43 :OJ AM CONSTRUCTION Project name DWRF 20Q Mmor lmprov.P Labor rate taWe Labor - Bare Equipment rate table Equipment Report format Sorted by'Slmclum[PmV Item# 'Detain summary Allocate a idons Q H YD R O Standard Estimate Report Page 2 DWRF 2013 Minor Improv. P 7/8/2013 8:43 AM CONSTRUCTION Labor Matedal Subcontract E ul manl Other Total Item Description TaMoff Oty Amount Amount Amount Name Amount Amount Amount F South Lift Fiber Install unassigned * -sub Electdcal Sub 1.00 Is - unassigned' F South Lift Fiber Install G General Conditions * unassigned * 16 Bonds 14 Piojed Manager 14 Superintendent 18 Telephone Chagas 10 Jobsila Truck ' unassigned' 80,00 Laborhours 12000 Equipment hours G General Conditions 80,00 Labor hours 12000 Equipment hours P PLC 53154 ` unassigned * -sub Electrical Sub - unassigned' P PLC 531.54 S 5,304 5,304 0 0 5,304 1.00 Is 1,00 wk 1,323 1,00 wk 1,470 1,00 wk 1,00 wk 2,793 Z793 0 0 1.00 Is - 79,560 Tll 0 0 79,560 Samplers unassigned * 10 S.0.G.Ed9e Form <V 45 4500 psi Convele 1 Truck Place Slab on Grade -sub Electrical Sub unassigned' 16000 Laborhaun s Samplers 18.000 Labor hours T TSSA's `unassigned * d 10 Pipe Connections -sub Electrical Sub 1836 at 529 0 - 122 cY - 130 - 122 cy 529 - - 1 00 Is 28,560 IAS8 IN 28,560 1,058 130 28,560 200 ea 926 714 1,071 1.00 Is 19,380 926 714 20,451 5 3ct 5,304 0 0 5, 304 0 0 255 16 1,594 265 22 1,747 218 218 1.020 1,020 1,530 256 4,5n 1,530 256 4,579 79,560 79,560 0 0 79,560 im 631 130 529 28,560 102 29,961 0 102 29,851 71 33 2,815 _ 19,380 71 33 22,195 T TSSA's 926 714 20,451 71 33 22,195 14.00 Laborhqurs Estimate Totals Description Amount Totals Hours Rate Cost Basis Cost per Unit Percent of Total Labor 4.778 110.000 hrs 2.92% Material 844 0S2% Suboontrad 133.875 81.89% Equipment 1,601 120.000 me 098% OIAa 391 024% 141AM 141,489 86.55 rmant Band - 2 vr. 3188 B 1 9S% 3,188 144,677 1.95 profit B Ovemeed 18,800 11.500 % T 11.50% Total 163,477 PERFORMANCE BOND KNOW ALL BY THESE PRESENTS: that Bond No. 0176314 (Firm) Hydro Construction Company Inc. (Address) 301 East Lincoln Avenue, Fort Collins, CO 80524 (an Individual), (a Partnership), (a Corporation), hereinafter referred to as "the 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 $163,477.00 One Hundred Sixty Three Thousand Four Hundred Seventy Seven Dollars and 00/100 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. THE CONDITIONS OF THIS OBLIGATION are such that whereas the Principal entered into a certain Contract Agreement with the Owner, dated the 26th day of May , 2011 , a copy of which is hereto attached and make a part hereof for the performance of City of Fort Collins Project, Work Order No. H-WRF-2013-5 - DWRF 2013 Electrical Replacements -Notice of Award Date: July 26, 2013 NOW, THEREFORE, if the Principal shall well, truly and faithfully perform its duties, all the undertakings, covenants, terms, conditions and agreements of said Contract Agreement during the original term thereof, and any extensions thereof which may be granted by the Owner, with or without Notice to the Surety and during the life of the guaranty period, and if he shall satisfy all claims and demands incurred under such Contract Agreement, and shall fully indemnify and save harmless 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 full force and effecL 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 to 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 terms of the Contract 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 maybe unsatisfied. IN WITNESS WHEREOF, this instrument is executed in three counterparts, each one of which shall be deemed an original, this 26th IN PRESE CE OF: Attest: day of July , 2013 (CORPORATE SEAL) Hydro Construction Company, Inc. Principal r (0 (Title) 301 East Lincoln Avenue, Fort Collins, CO 80524 (Address) Page t of 2 IN PRESENCE OF: N/A I�V PigffNCE OF: i Hess: C Philip J. Monasch (SURETY SEAL) L0 M Other Partners N/A Berkley Regional Insurance Company Surety C\/(p By: J s ica Talbot omeytin-Fact_ 11201 Douglas Avenue, Urbandale, IA 50322 (Address) 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. Page 2 of 2 00601 PAYMENT BOND KNOW ALL BY THESE PRESENTS: that Bond No. 0176314 (Firm) Hydro Construction Company Inc. (Address) 301 East Lincoln Avenue, Fort Collins, CO 80524 , (an Individual), (a Partnership), (a Corporation), hereinafter referred to as "the Principal," and (Firm) Berkley Regional Insurance Company (Address) 11201 Douglas Avenue, Urbandale, IA 50322 hereinafter referred to as "the Surety," are held and fimily 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 $163,477.00 One Hundred Sixty Three Thousand Four Hundred Seventy Seven Dollars and 00/100 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. THE CONDITIONS OF THIS OBLIGATION are such that whereas the Principal entered into a certain Contract Agreement with the Owner, dated the 26th day of May , 2011 , a copy of which is hereto attached and make a part hereof for the performance of City of Fort Collins Project, Work Order No. H-WRF-2013-5 - DWRF 2013 Electrical Replacements - Notice of Award Date: July 26, 2013 NOW, THEREFORE, if the Principal shall make payment to all persons, 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 may be unsatisfied. Page 1 of 2 IN WITNESS WHEREOF, this instrument is executed in three counterparts, each one of which shall be deemed an original, this 26th day of July 9 2013 . (CORPORATE SEAL) IN PRESENCE OF: N/A WitnRFNCE OF: eR Bv: 4 �� IMs�l�wtdi� Philip J. Monasch (SURETY SEAL) Principal Hydro Construction Company, Inc IWV Moe) 301 East Lincoln Avenue, Fort Collins, CO 80524 By: By: By: (Adder) Other Partners N/A Surety Berkl Regional Insurance Company By: Attwneydn-Fact e ica Talbot 11201 Douglas Avenue (Address) Urbandale, IA 50322 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. Page 2 of 2