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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8497 STORMWATER CONSULTING ENGINEERING SERVICESUtilities Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND ENGINUITY ENGINEERING SOLUTIONS, LLC. WORK ORDER NUMBER: UDLE-2019-02 PROJECT TITLE: U2019 Foothills Basin Master Plan Update ORIGINAL BID/RFP NUMBER & NAME: U8497, Stormwater Consulting Services MASTER AGREEMENT EFFECTIVE DATE: UJune 26, 2017 ARCHITECT/ENGINEER: UEnginuity Engineering Solutions, LLC OWNER’S REPRESENTATIVE: UDan Evans WORK ORDER COMMENCEMENT DATE: UJune 3, 2019 WORK ORDER COMPLETION DATE: UDecember 31, 2019 MAXIMUM FEE: (time and reimbursable direct costs): $72,250.00 U PROJECT DESCRIPTION/SCOPE OF SERVICES: UProvide engineering services to update the hydrologic modeling for the Foothills Basin, using this information to provide preliminary design of the Lemay Outfall. See the attached supporting documents. 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 Master Agreement between the parties. In the event of a conflict between or ambiguity in the terms of the Master Agreement and this Work Order (including the attached forms) the Master Agreement shall control. The attached forms consisting of UsevenU (7) pages are hereby accepted and incorporated herein, by this reference, and Notice to Proceed is hereby given after all parties have signed this document. SERVICE PROVIDER: Enginuity Engineering Solutions, LLC. By: Date: Name: Title: Page 1 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E June 20, 2019 Jeffrey Sickles Principal Utilities Work Order Form Official Purchasing Form Last updated 10/2017 OWNER’S ACCEPTANCE & EXECUTION: This Work Order and the attached Contract Documents are hereby accepted and incorporated herein by this reference. ACCEPTANCE: Date: Dan Evans, Civil Engineer III REVIEWED: Date: Marisa Donegan, Buyer APPROVED AS TO FORM: Date: Name,City Attorney's Title (if greater than $1,000,000) ACCEPTANCE: Date: Ken Sampley, Director, Civil Engineering ACCEPTANCE: Date: Theresa Connor, Deputy Director, Water Engineering and Field Services ACCEPTANCE: Date: Kevin Gertig, Utilities Executive Director (if greater than $1,000,000) ACCEPTANCE: Date: Gerry Paul, Purchasing Director (if greater than $60,000) ACCEPTANCE: Date: Darin Atteberry, City Manager (if greater than $1,000,000) ATTEST: Date: City Clerk (if greater than $1,000,000) Page 2 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E June 12, 2019 June 12, 2019 June 20, 2019 June 20, 2019 June 20, 2019 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES Page 3 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E Talent On Demand 10106 W. San Juan Way, Ste 215 • Littleton, CO 80127 • Tel: 303.872.9112 • Fax: 303.972.9104 • www.enginuity-es.com May 15, 2019 Mr. Dan Evans City of Fort Collins Utilities 700 Wood St. FT Collins, CO 80521 RE: Hydrology Update and Preliminary Design (Lemay and Drake Drainage Analysis) Dear Dan, Thank you for the opportunity to have us at your office and present some of the work we have been doing over the past year. We appreciate the time to share ideas. We are also excited to kick off this project, which involves updating the old MODSWMM hydrology to EPA SWMM5 Dynamic and developing a preliminary design for a storm sewer from Drake Road to Parkwood Pond. Attached you will find a scope of work (SOW) and fee estimate for this project. If you have any questions about the enclosed scope of work or fee estimate, please do not hesitate to contact me. Sincerely, Gerald Blackler, Ph.D, P.E., D.WRE Email: gblackler@enginuity-es.com Work: 720.239.1355 Cell: 303.514.7672 Page 4 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E May 15, 2019 Lemay Ave. and Drake Rd. Drainage Analysis - 2019 Scope of Work Page 1 of 3 Scope of Work Lemay Ave. and Drake Rd. Drainage Analysis Introduction The purpose of this project is to provide updated hydrology and preliminary design for the City of Fort Collins (CITY) near the Lemay Ave. and Drake Rd. Intersection. Scope of Work The following narrative provides itemized scoping tasks including specific work products to be provided by Enginuity Engineering Solutions, LLC (Enginuity), hereafter referred to as ENGINEER, as well as assumptions related to the proposed work. Attached is a manpower estimate that presents hours and costs associated with each task. TASK 1 – PROJECT MANAGEMENT The following tasks will be completed as part of the overall management of the project. 1.1 Project Management. ENGINEER will prepare and submit monthly progress reports and invoices to the CITY. A written summary of progress presented as percent complete for specific work tasks will be included with the monthly invoices. Project manager will coordinate with the CITY and project staff to ensure that project meets schedule, budget and quality control constraints. 1.2 Coordination and Progress Meetings. ENGINEER will attend up to 4 progress meetings with the CITY during the estimated 5 month project duration. In addition, ENGINEER will attend up to 4 additional conference calls. The work plan associated with this task is based on attending one monthly progress meetings and one monthly conference call. 1.3 Stakeholder Coordination. No hours have been assigned to this task. If needed, scope will be negotiated at a future date. 1.4 Other Direct Costs. Other direct costs to include mileage, printing, copies, etc. TASK 2 – HYDROLOGIC UPDATES The following tasks will be completed to provide updated hydrology for the basin based on previous master plan modeling 2.1 Obtain and Review Related Reports. ENGINEER will obtain and review all relevant reports to fully understand the previous planning studies. 2.2 Update Master Plan Hydrology. ENGINEER will update the current ModSWMM hydrologic model to the latest version of EPA-SWMM. As part of the work, the following tasks will be completed: 2.2.1. ModSWMM Conversion. ENGINEER will convert existing ModSWMM model to EPA-SWMM and will run dynamic wave routing to compare results to previous planning study. Elevations will be added to the EPA-SWMM modeling based on LiDAR data. Rating curves will be extracted from ModSWMM modeling and updated to meet model input requirements. Page 5 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E May 15, 2019 Lemay Ave. and Drake Rd. Drainage Analysis - 2019 Scope of Work Page 2 of 3 2.2.2 Update Modeling Parameters. ENGINEER will update the basin delineations including the the percent impervious, length, slope and other parameters. The detention basin parameters are will also be reviewed to determine if they are appropriate. This effort will include gathering and verifying the information required to convert the model from kinematic to dynamic wave routing with EPA SWMM. 2.2.3 Update Routing Element & GIS Database from As-Builts. ENGINEER will review the existing as-built documents related to the project area, georeferenced them, and then will update the CITY’s GIS database to reflect the as-builts. This data will be incorporated in the routing of the existing and proposed models. 2.2.4 2D Preliminary Hydrologic Analysis. ENGINEER develop a 2D model within HEC-RAS 2D to evaluate the overland flows within the area, including Parkwood Pond. This effort will guide the later Drainage Analysis and potential use of streets for conveyance during the 100-yr design storm. This effort will be limited to all the limitations inherent within HEC RAS 2D, and will only include one storm (100-year), rainfall excess (no infiltration), and will only account for surface flow (no 1D hydraulic sections). 2.4 Review / Compare Masterplan Hydrology from Previous Modeling. ENGINEER will compare and evaluate the hydrology and design flows from the previous models with the current effort. Differences will be determined and explained to ensure that the modeling within this effort adequately portrays the area. 2.5 Summary Memorandum. ENGINEER will provide a summary memorandum outlining findings of hydrologic model conversion. TASK 3 – DRAINAGE ANALYSIS OF LEMAY AVE. AND DRAKE RD. OUTFALL TO INCLUDE OXFORD LN The following tasks will be completed for plan preparation of the storm drain improvements. 3.1 Parkwood Pond Capacity Analysis. ENGINEER will use LiDAR data to determine the capacity of the pond above the current water surface elevation. Additional investigation of the outlet structure and stage-discharge curves of the pond will likely be required. 3.2 Design Storm Alternative Analysis. ENGINEER will use the pond capacity topography, and available right-of-way in the area to size the storm sewer per the City’s design standards and required flows. 3.3 Preliminary Design. Based on the findings from Task 2 and 3 and after review and comment from the CITY, the Engineer will develop a preliminary design of the preferred improvements. This preliminary design will be limited to 4 sheets accompanied by a preliminary design memorandum including concept level cost estimates. Plans will include enough detail to provide a preliminary cost estimate. This layout will be based on LiDAR data only. It is anticipated that design survey will be obtained for the site by the CITY following completion of Task 3. 3.4 Preliminary Design Memorandum. ENGINEER will prepare a memorandum providing a narrative of design. This will include a preliminary cost estimate for the improvements. Page 6 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E May 15, 2019 Lemay Ave. and Drake Rd. Drainage Analysis - 2019 Scope of Work Page 3 of 3 Design Criteria and Standards All planning and conceptual design will be based on current City of Fort Collins criteria. Quality Assurance/Quality Control ENGINEER will perform QA/QC on all analysis and for all documents formally submitted to the CITY. The five-step process outlined in the Enginuity Quality Control and Assurance for Projects (QCAP) will be followed. Schedule It is anticipated that this project will have a duration of six (6) months from NTP. Work Products and Deliverables Completion of the scope will result in the following work products:  Converted EPA-SWMM model for Foothills Basin  2D modeling output (grid map)  Summary memorandum for hydrology  Lemay Ave. and Drake Rd. Preliminary Design, Memo, Sheets, and Costs Invoicing ENGINEER will prepare and submit monthly invoices to the CITY. A written summary of progress presented as percent complete for specific work tasks will be included with the monthly invoices. EXCLUSIONS/LIMITATIONS This agreement is for site-related improvements as defined in this scope of work. Should additional improvements be required beyond the original scope of work, design of those improvements will be the subject to a separate agreement or addendum. Furthermore, this agreement does not include services for:  Utility potholing.  Permit Application Fees.  Landscape architecture  Geotechnical evaluation  Project surveying services (to be provided by CITY)  Design for utility relocation (need to be determined)  Service for the design of pumps for storm water, water supply or sanitary sewer.  Construction management or observation services. Page 7 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER COST DETAIL Page 8 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E FEE PROPOSAL - HOUR ESTIMATE Lemay Ave & Drake Rd. Drainage Analysis May 15, 2019 Task ID Task Proj Mgr As. Prin. PM IV Eng. IV Totals Enginuity Precision Lithos Total Cost Comments $165.00 $155.00 $145.00 $115.00 1 Project Management 1.1 Project Management 16 16 $2,640 $2,640 4 hrs/mo for 4 months 1.2 Coordination and Progress Meetings 12 12 12 36 $5,220 $5,220 2 hrs/mo for in-person/1 hr/mo for confenece calls 1.3 Stakeholder Coordination 0$0 $0 Reserved. No hours estimated for this task. 1.4 Other Direct Costs $310 $300 Subtotal Project Management 28 12 0 12 52 $8,170 $0 $0 $8,170 2 Hydrology Update 2.1 Obtain and Review Related Reports 4 8 12 $1,580 $1,580 Includes project area boundary for Fort Collins Survey 2.2 Update Masterplan Hydrology No hours this line. 2.2.1 ModSWMM Conversion 8 40 40 88 $12,120 $12,120 Converting to dynamic wave EPA SWMM model 2.2.2 Update Modeling Parameters 40 40 80 $10,800 $0 $10,800 Update basin delineations and parameters 2.2.3 Update Routing Element & GIS Database from As-Builts 8 30 38 $4,610 $0 $4,610 Georeference and Update City's Data 2.2.4 2D Preliminary Hydrologic Analysis 4 8 12 24 $3,280 $0 $3,280 Evaluation of overland flow 2.4 Review / Comparison Masterplan Hydrology from Previous Modeling 4 4 8 16 $2,200 $2,200 2.5 Summary Memorandum 12 24 36 $4,740 $4,740 Subtotal Hydrology Update 32 92 8 162 294 $39,330 $0 $0 $39,330 3 Lemay Ave. & Drake Rd. Drainage Analysis 3.1 Parkwood Pond Capacity Analysis 8 24 32 $4,000 $4,000 LiDAR Evaluation of Capacity above existing WSE 3.2 Design Storm Alternative Analysis 10 40 50 $6,150 $6,150 Determination of most appropriate design flows 3.3 Preliminary Design 8 80 88 $10,520 $10,520 Drake Rd. crossing up to Oxford Ln 3.4 Preliminary Design Memorandum 8 24 32 $4,080 $4,080 Subtotal Lemay Ave. & Drake Rd. Drainage Analysis 16 18 0 168 202 $24,750 $0 $0 $24,750 Totals 76 122 8 342 548 $72,250 $0 $0 $72,250 Enginuity (Subcontractor Costs) Hours by Staff Member Costs by Firms Enginuity Engineering Solutions, LLC 10106 W San Juan Way Littleton, CO 80127 PH : 303-872-9109 Page 9 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E FEE PROPOSAL - COST SUMMARY PROJECT COST WORKSHEET PROJECT NAME : Lemay Ave & Drake Rd. Drainage Analysis PREPARED BY : Gerald Blackler LOCATION : Fort Collins, CO DATE : May 15, 2019 CLIENT NAME : City of Fort Collins PHONE : 303-872-9109 TYPE OF PROPOSAL : Time and Materials CONTRACT TIME : 5 months 1. LABOR EMPLOYEE EMPLOYEE WORK HOURLY TOTAL NAME CLASSIFICATION HOURS RATE LABOR FEE Jeff Sickles, PE., CFM Principal Engineer 76 $ 165.00 $ 12,540.00 Gerald Blackler, PE, PhD Associate Principal Engineer 122 $ 155.00 $ 18,910.00 Sarah Houghland Project Manager IV 8 $ 145.00 $ 1,160.00 Colin Barry Engineer IV 342 $ 115.00 $ 39,330.00 $ - TOTAL LABOR 548 $ 71,940.00 2. OTHER DIRECT COSTS DIRECT RATE PER UNITS QUANTITY TOTAL EXPENSE UNIT DIRECT COSTS B&W Plots $ 1.00 square foot 0 $ - Color Plots $ 5.00 square foot 24 $ 120.00 Copies (B&W) 8-1/2 x 11 $ 0.10 copy 100 $ 10.00 Copies (Color) 8-1/2 x 11 $ 1.00 copy 25 $ 25.00 Copies (B&W) 11 x 17 $ 0.15 copy 50 $ 7.50 Copies (Color) 11 x 17 $ 1.50 copy 25 $ 37.50 Vehicle Expense* $ 0.550 miles 200 $ 110.00 TOTAL DIRECT EXPENSES $ 310.00 *Vehicle expense will only be charged for travel within Fort Collins City Limits 3. SUBCONSULTANTS COMPANY GENERAL DESCRIPTION OF SERVICES METHOD OF COMPENSATION TOTAL SUBCONSULTANT $ - $ - $ - $ - TOTAL SUBCONSULTANTS $ - 4. CONTINGENCY $ - 5. TOTAL COST: (Sum of sections 1, 2, 3, & 4) $ 72,250.00 Enginuity Engineering Solutions, LLC 10106 W. San Juan Way, Ste 215 Littleton, CO 80127 PH : 303-872-9109 jsickles@enginuity-es.com Page 10 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT C WORK ORDER SCHEDULE DETAIL Page 11 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E SCHEDULE - Lemay & Drake Drainage Improvements TASK ID TASK DESCRIPTION 6/7/2019 6/14/2019 6/21/2019 6/28/2019 7/5/2019 7/12/2019 7/19/2019 7/26/2019 8/2/2019 8/9/2019 8/16/2019 8/23/2019 8/30/2019 9/6/2019 9/13/2019 9/20/2019 9/27/2019 10/4/2019 10/11/2019 10/18/2019 10/25/2019 11/1/2019 11/8/2019 11/15/2019 11/22/2019 11/29/2019 Task 1 - Project Management Coordination and Progress Meetings         Task 2 - Hydrology Update Obtain and Review Related Reports Update Masterplan Hydrology Review / Comparison Masterplan Hydrology from Previous Modeling  Summary Memorandum  Task 3 - Lemay & Drake Drainage Design Analysis Parkwood Pond Capacity Analysis Design Storm Alternative Analysis Preliminary Design  Preliminary Design Memorandum  2019 Week Ending Call Call Call Call Page 12 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT D CERTIFICATE OF INSURANCE CONTRACTOR shall submit Certificate of Insurance in compliance with the Contract Documents. Page 13 of 13 DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/18/19 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 have ADDITIONAL INSURED provisions or 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 Aon Risk Services, Inc of Florida 1001 Brickell Bay Drive, Suite #1100 Miami, FL 33131-4937 CONTACT NAME: Aon Risk Services, Inc of Florida PHONE (A/C, No, Ext): 800-743-8130 FAX (A/C, No): 800-522-7514 EMAIL ADDRESS: ADP.COI.Center@Aon.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : New Hampshire Ins Co 23841 INSURED ADP TotalSource CO XXI, Inc. 10200 Sunset Drive Miami, FL 33173 ALTERNATE EMPLOYER Enginuity Engineering Solutions LLC 10106 W San Juan Way Suite 215 Littleton, CO 80127-6348 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 2043328 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. LIMITS SHOWN ARE AS REQUESTED. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/18/19 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 have ADDITIONAL INSURED provisions or 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 Aon Risk Services, Inc of Florida 1001 Brickell Bay Drive, Suite #1100 Miami, FL 33131-4937 CONTACT NAME: Aon Risk Services, Inc of Florida PHONE (A/C, No, Ext): 800-743-8130 FAX (A/C, No): 800-522-7514 EMAIL ADDRESS: ADP.COI.Center@Aon.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : New Hampshire Ins Co 23841 INSURED ADP TotalSource CO XXI, Inc. 10200 Sunset Drive Miami, FL 33173 ALTERNATE EMPLOYER Enginuity Engineering Solutions LLC 10106 W San Juan Way Suite 215 Littleton, CO 80127-6348 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 2414832 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. LIMITS SHOWN ARE AS REQUESTED. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEC RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC 080371929 CO 07/01/19 07/01/20 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All worksite employees working for ENGINUITY ENGINEERING SOLUTIONS LLC, paid under ADP TOTALSOURCE, INC.'s payroll, are covered under the above stated policy. ENGINUITY ENGINEERING SOLUTIONS LLC is an alternate employer under this policy. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: Purchasing Department PO Box 580 Fort Collins, CO 80522 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEC RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC 047014227 CO 07/01/18 07/01/19 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All worksite employees working for ENGINUITY ENGINEERING SOLUTIONS LLC, paid under ADP TOTALSOURCE, INC.'s payroll, are covered under the above stated policy. ENGINUITY ENGINEERING SOLUTIONS LLC is an alternate employer under this policy. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: Purchasing Department PO Box 580 Fort Collins, CO 80522 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 3F2B86B5-A8AA-41E7-ACCA-9D93A406526E