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CORRESPONDENCE - RFP - 8073 ENGINEERING SERVICES FOR WATER, WASTEWATER & STORMWATER FACILITIES CAPITAL IMPROVEMENTS PROJECTS
WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND HDR Engineering Inc. WORK ORDER NUMBER: UHDR-10292019 PROJECT TITLE: UEast Mulberry Annexation Stormwater Asset Management Support ORIGINAL BID/RFP NUMBER & NAME: U8073, Engineering Services for Water, WW and Stormwater Facilities Capital Improvements MASTER AGREEMENT EFFECTIVE DATE: UMay 15, 2015 ARCHITECT/ENGINEER: UHDR Engineering Inc. OWNER’S REPRESENTATIVE: UDouglas Groves WORK ORDER COMMENCEMENT DATE: UNovember 4, 2019 WORK ORDER COMPLETION DATE: UFebruary 4, 2020 MAXIMUM FEE: (time and reimbursable direct costs): $U50,000.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: UProvide assistance to accomplish the following tasks related to East Mulberry Annexation Asset Management Project; • Task 1: Project management and Administration • Task 2: Review Existing Data Sources • Task 3: Data Collection of Existing Stormwater Infrastructure USee attached supporting documentation. 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 UeightU (8) pages are hereby accepted and incorporated here in, by this reference, and Notice to Proceed is hereby given after all parties have signed this document. SERVICE PROVIDER: HDR Engineering Inc. By: Date: Name: Title: Page 1 of 12 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 November 5, 2019 Brad Martin Senior Vice President OWNER’S ACCEPTANCE & EXECUTION: This Work Order and the attached Contract Documents are hereby accepted and incorporated herein by this reference. ACCEPTANCE: Date: Douglas Groves, Manager, Stormwater Division REVIEWED: Date: Pat Johnson, Senior Buyer REQUISITION ENTERED: Date: ACCEPTANCE: Date: Sandra Bratlie, Civil Engineer III ACCEPTANCE: Date: Andrew Gingerich, Director, Water Field Operations ACCEPTANCE: Date: Theresa Connor, Deputy Director, Water Engineering & 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 12 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 10/30/19 Melissa Walker Coordinator, Finance October 31, 2019 October 31, 2019 October 31, 2019 November 5, 2019 November 5, 2019 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES AND COST DETAIL Page 3 of 12 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 October 2, 2019 Mr. Andrew Gingerich, P.E., CWP Director, Water Field Operations Fort Collins Utilities 700 Wood Street Fort Collins, CO 80521 Re: East Mulberry Annexation Stormwater Asset Management Support Scope of Services and Fee Estimate Dear Andrew: Thank you for the opportunity to present this scope of services and fee proposal to support the City of Fort Collins and Fort Collins Utilities as it prepares to annex portions of Larimer County along the East Mulberry Corridor. We are excited to partner with the City to assist in data collection efforts around in the annexation area. Specifically, we have provided a scope of services to accomplish the following tasks related to this development: Task 1: Project management and Administration Task 2: Review Existing Data Sources Task 3: Data Collection of Existing Stormwater Infrastructure We propose to complete this scope of services on a time and materials basis under HDR’s master service agreement 8073 with the City of Fort Collins for a fee not to exceed $50,000. Should you have any questions about any of the information included herein, please contact me at your earliest convenience. Sincerely, Chris Parton, P.E. Project Manager Page 4 of 12 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 Exhibit A Scope of Services Page 5 of 12 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 Scope of Work Date: Tuesday, September 17, 2019 Project: East Mulberry Annexation Stormwater Utility Support Project Understanding and Approach The City of Fort Collins expects to annex into its City Limits the land along the Colorado Highway 14 (East Mulberry Street) corridor from a point east of the Mulberry Street and Lemay Avenue intersection to Interstate 25. Figure 1 shows the approximate location of the area to be annexed. Figure 1 – East Mulberry Annexation Vicinity Map As part of this annexation, the City will assume ownership of the stormwater system along the East Mulberry corridor from the various agencies. Fort Collins Utilities (FCU) would like to gather information on the existing stormwater system in the annexation area so that it can better understand the condition of the system, any long-range needs for infrastructure improvements, operations and maintenance requirements, and other items related to assuming ownership of the stormwater system. Other utilities such as potable water and wastewater are owned by special districts adjacent to the City’s service area, and data gathering for those other utilities is not included in this scope of services. The scope of services to support this project includes the following tasks: Task 1: Project management, coordination, and QA/QC Task 2: Review Existing Data Sources Page 6 of 12 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 Task 3: Data Collection of Existing Stormwater Infrastructure Activities to complete each of these tasks are provided below. Task 1. Project Management and Administration Objective: Manage scope, schedule, and staff, coordinate project technical elements, and provide quality reviews of work products. Task 1.1 Project Management, Accounting and Quality Control Initiate project accounting, budget and resource management tools. Prepare a project management plan that identifies the project work elements, deliverables, budget and schedule. Prepare a health and safety plan. Prepare monthly invoices and progress reports. Perform QA/QC reviews of calculations and supporting documents. Task 1.2 Project Initiation Meeting Prepare for and conduct project initiation meeting Prepare meeting minutes Key Assumptions: 3 month project duration Deliverables: Project Management Plan Meeting agenda and minutes Monthly invoices and status reports Task 2. Review Existing Data Sources Objective: Determine the extent of existing data for the stormwater network in the annexation area and develop a plan for filling data gaps. Task 2.1 Review Existing Data Sources Prepare for and conduct project initiation meeting Prepare meeting minutes Task 2.2 Review Existing Data Sources Review information from Larimer County Review information from Colorado Department of Transportation Review information from City of Fort Collins for developments in the City’s Growth Management Area Review floodplain information Review GIS schema Incorporate outside data sources into GIS database Page 7 of 12 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 Task 2.3 Develop Data Collection Plan Identify gaps in dataset Prioritize data collection efforts Prepare technical memorandum documenting data collection plan Review data collection plan with FCU Key Assumptions: Data review to be limited to annexation area. Project initiation meeting will be attended by two HDR staff members. Deliverables: Data collection plan documenting existing data sources, data gaps to be closed, and the order in which we’ll close those gaps. Task 3. Data Collection of Existing Stormwater Infrastructure Objective: Collect data on existing stormwater assets Task 3.1 Data Collection of Existing Stormwater Infrastructure Identify the extent of data collection along each portion of the existing network, i.e. survey to limit of annexation area or to outfall of network if outfall is outside of the annexation area. Perform field survey of existing stormwater network Process data for basemap preparation Task 3.2 Expand Basemap of Existing Stormwater Infrastructure Incorporate data from field surveys in task 3.1 Prepare technical memorandum summarizing surveyed infrastructure to include length of storwmater system, size and material delineation of stormwater mains, number of inlets, and other ancillary pieces of data. Key Assumptions: City survey control network will be the basis of control for the survey. City to provide traffic control for surveys in roadways. Collector for ArcGIS will be used for data collection purposes. The tool will be configured based on the City’s stormwater GIS schema. Surveying will be limited to the annexation area and to the existing stormwater system. Additional utilities such as potable water, wastewater, natural gas, and electric will not be located. Roadway features will also not be located. Concrete drain pans are not included in this survey effort. One hundred (100) hours of 2-person field survey time are included in this scope of work. At the end of this allotted time, if additional work is desired by the City, then HDR can continue with data collection upon approval by the City. Page 8 of 12 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 Data from other agencies is to be provided in ArcGIS. HDR has not included efforts to recreate this information in AutoCAD or ArcGIS. City stormwater GIS to be provided in ESRI ArcGIS. The City will secure License to Enter where surveying is needed on private property. Deliverables: Updated GIS database using City stormwater GIS schema. Technical memorandum summarizing surveyed items. Future Tasks (Not Included in This Work Order) The following additional tasks can be included in future phases of this project. These are not included in this scope of work and the associated fee estimate. Establish Level of Service for Annexed Area Identify level of service for stormwater system in annexation area. Identify key performance indicators for stormwater network. Evaluate Capacity of Existing Network and Identify Improvements Needed to Meet Level of Service Model existing stormwater network Identify areas that are unable to meet level of service Identify necessary improvements and associated costs to meet level of service CCTV Inspection of Existing Pipelines Develop prioritized plan for closed circuit inspection of stormwater infrastructure. Management of CCTV contractor. Quality control of CCTV data. GIS map showing CCTV inspection results Geodatabase of CCTV results Risk Assessment of Existing Stormwater Infrastructure Determine risk distribution of existing stormwater infrastructure Identify strategies for mitigation and managing assets based on risk Identify costs associated with managing risk Identify risk-based operations and maintenance strategies Identify Cost of Stormwater Service for Annexed Area Identify capital and operations costs for annexed area Identify any additional staffing needs for annexed area Determine cost for Fort Collins Utilities to serve annexed area Page 9 of 12 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 Exhibit B Fee Estimate Page 10 of 12 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 WORK BREAKDOWN STRUCTURE Fee Estimate for: East Mulberry Annexation - Stormwater Asset Management Support Date: September 23, 2019 Firm Name: HDR Engineering, Inc. Chris Parton Project Manager Rich Thornton Principal in Charge Jeff Christopherson Senior Engineer 1 Wilson Wheeler GIS Lead Sarah Race Staff Engineer 2 Kaitlin Rainsberger Staff Engineer 1 Debbie Cevallos Staff Engineer 1 Elizabeth Fuller Project Accountant Donna Velasquez Admin Support Total Labor (Hours) Total Labor ($) Subconsultants Total Expenses ($) Total Labor & Expenses ($) Hourly Rate $225.00 $250.00 $160.00 $170.00 $110.00 $105.00 $100.00 $125.00 $90.00 Task 1 - Project Management and Administration 13 1 1 1 1 1 1 8 2 29 $5,000.00 $0.00 $0.00 $5,000.00 Project Initiation (PMP, QA/QC Plan, Health & Safety Plan) 4 2 2 8 $1,330.00 $0.00 $1,330.00 Project Status and Reporting 6 4 10 $1,850.00 $0.00 $1,850.00 Project Closeout 2 2 4 $700.00 $0.00 $700.00 Internal team initiation meeting 1 1 1 1 1 1 1 7 $1,120.00 $0.00 $1,120.00 Task 2 - Review Existing Data Sources 18 0 13 0 19 29 0 0 0 79 $11,265.00 $0.00 $0.00 $11,265.00 Project initiation meeting agenda and prep 2 2 $450.00 $0.00 $450.00 Project initiation meeting 2 2 2 6 $990.00 $0.00 $990.00 Prepare meeting minutes 2 2 $450.00 $0.00 $450.00 Review information from Larimer County 1 4 5 $530.00 $0.00 $530.00 Review information from CDOT 1 4 5 $530.00 $0.00 $530.00 Review information from COFC development plans 1 4 5 $530.00 $0.00 $530.00 Review floodplain information 1 4 5 $530.00 $0.00 $530.00 Review GIS Schema 1 1 1 1 4 $600.00 $0.00 $600.00 Incorporate outside data sources into City GIS 1 4 5 $665.00 $0.00 $665.00 Identify gaps in existing data sources 1 1 1 1 4 $600.00 $0.00 $600.00 Identify ways to close data gaps 1 1 1 1 4 $600.00 $0.00 $600.00 Prioritize data collection efforts 2 2 2 2 8 $1,200.00 $0.00 $1,200.00 Prepare tech memo on data collection plan 2 2 8 12 $1,610.00 $0.00 $1,610.00 Meeting to review data findings & discuss data collection plan 4 4 4 12 $1,980.00 $0.00 $1,980.00 Task 3 - Data Collection of Existing Stormwater Infrastructure 12 2 8 24 40 100 90 0 0 276 $32,460.00 $0.00 $1,275.00 $33,735.00 Setup Collector for ArcGIS Forms 2 12 2 16 $2,700.00 $0.00 $2,700.00 Coordination with COFC Traffic Control Ops 12 12 $1,320.00 $0.00 $1,320.00 Data collection of existing storwmater infrastructure 2 2 4 16 90 90 204 $21,660.00 $0.00 $1,275.00 $22,935.00 Incorporate data into existing GIS 2 8 8 18 $2,690.00 $0.00 $2,690.00 Prepare data summary (size, type, length, material, etc.) 2 2 8 12 $1,610.00 $0.00 $1,610.00 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B CERTIFICATE OF INSURANCE CONTRACTOR shall submit Certificate of Insurance in compliance with the Contract Documents. Page 12 of 12 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ PROPERTY DAMAGE $ BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: HDR Engineering, Inc. 1917 South 67th Street Omaha, NE 68106 Additional Insureds: The City, its officers, agents and employees. 22 Willis Towers Watson Midwest, Inc. fka Willis of Minnesota, Inc. See Page 1 See Page 1 See Page 1 See Page 1 25 Certificate of Liability Insurance SR ID: 17984041 BATCH: 1204863 CERT: W11280651 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 CG 25 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED LOCATION(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Location(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I – Coverage C, which can be attributed only to operations at a single designated "loca- tion" shown in the Schedule above: 1. A separate Designated Location General Aggregate Limit applies to each designated "location", and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Location General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damag- es because of "bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Loca- tion General Aggregate Limit for that desig- nated "location". Such payments shall not re- duce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Location General Aggre- gate Limit for any other designated "location" shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Decla- rations, such limits will be subject to the appli- cable Designated Location General Aggre- gate Limit. All locations owned by or rented to the Named Insured Policy Number: TB2-641-444950-039 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 Page 2 of 2 © Insurance Services Office, Inc., 2008 CG 25 04 05 09 B. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I – Coverage C, which cannot be at- tributed only to operations at a single designated "location" shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Desig- nated Location General Aggregate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-completed Operations Ag- gregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Location Gen- eral Aggregate Limit. D. For the purposes of this endorsement, the Defi- nitions Section is amended by the addition of the following definition: "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. E. The provisions of Section III – Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 CG 25 03 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I – Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each des- ignated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, ex- cept damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard", and for medi- cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Con- struction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Ag- gregate Limit shown in the Declarations nor shall they reduce any other Designated Con- struction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Decla- rations, such limits will be subject to the appli- cable Designated Construction Project Gen- eral Aggregate Limit. Policy Number: TB2-641-444950-039 All construction projects not located at premises owned, leased or rented by a Named Insured DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 Page 2 of 2 © Insurance Services Office, Inc., 2008 CG 25 03 05 09 B. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I – Coverage C, which cannot be at- tributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Desig- nated Construction Project General Aggre- gate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-completed Operations Ag- gregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction pro- ject. E. The provisions of Section III – Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 CG 20 10 04 13 ,623URSHUWLHV,QF Page 1 of 2 32/,&<180%(5 7% COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – SCHEDULED PERSON OR ORGANIZATION 7KLVHQGRUVHPHQWPRGLILHVLQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ &200(5&,$/*(1(5$//,$%,/,7<&29(5$*(3$57 A. Section II – Who Is An Insured LV DPHQGHG WR LQFOXGH DV DQ DGGLWLRQDO LQVXUHG WKH SHUVRQ V CG 20 10 04 13 ,QVXUDQFH6HUYLFHV2IILFH,QF Page 2 of 2 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization with whom you have agreed, through written contract, agreement or permit to provide additional insured coverage. ,QIRUPDWLRQUHTXLUHGWRFRPSOHWHWKLV6FKHGXOHLIQRWVKRZQDERYHZLOOEHVKRZQLQWKH'HFODUDWLRQV Any location where you have agreed, through writtencontract, agreement or permit, to provide additionalinsured coverage DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 CG 20 37 04 13 ,QVXUDQFH6HUYLFHV2IILFH,QF Page 1 of 1 32/,&<180%(5 7% COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – COMPLETED OPERATIONS 7KLVHQGRUVHPHQWPRGLILHVLQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ &200(5&,$/*(1(5$//,$%,/,7<&29(5$*(3$57 352'8&76&203/(7('23(5$7,216/,$%,/,7<&29(5$*(3$57 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization to whom or to which you are required to provide additional insured status in a written contract, agreement or permit except where such contract or agreement is prohibited. Any location where you have agreed, through written, contract, agreement or permit, to provide additional insured coverage for completed operations. ,QIRUPDWLRQUHTXLUHGWRFRPSOHWHWKLV6FKHGXOHLIQRWVKRZQDERYHZLOOEHVKRZQLQWKH'HFODUDWLRQV A. Section II – Who Is An Insured LVDPHQGHGWR LQFOXGHDVDQDGGLWLRQDOLQVXUHGWKHSHUVRQ V LC 24 20 02 13 /LEHUW\0XWXDO,QVXUDQFH$OOULJKWVUHVHUYHG ,QFOXGHVFRS\ULJKWHGPDWHULDORI,QVXUDQFH6HUYLFHV2IILFH,QFZLWKLWVSHUPLVVLRQ 3DJHRI 3ROLF\1XPEHU 7% ,VVXHGE\ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE AMENDMENT – SCHEDULED ADDITIONAL INSURED 7KLVHQGRUVHPHQWPRGLILHVLQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ &200(5&,$/*(1(5$//,$%,/,7<&29(5$*(3$57 352'8&76&203/(7('23(5$7,216/,$%,/,7<&29(5$*(3$57 /,4825/,$%,/,7<&29(5$*(3$57 Schedule Person or Organization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ocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 CA 20 48 10 13 ,QVXUDQFH6HUYLFHV2IILFH,QF Page 1 of 1 32/,&<180%(5 $6 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE 7KLVHQGRUVHPHQWPRGLILHVLQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ $872'($/(56&29(5$*()250 %86,1(66$872&29(5$*()250 02725&$55,(5&29(5$*()250 :LWK UHVSHFW WR FRYHUDJH SURYLGHG E\ WKLV HQGRUVHPHQW WKH SURYLVLRQV RI WKH &RYHUDJH )RUP DSSO\ XQOHVV PRGLILHGE\WKLVHQGRUVHPHQW 7KLVHQGRUVHPHQWLGHQWLILHVSHUVRQ V Policy Number: AS2-641-444950-049 Issued by: Liberty Mutual Fire Insurance Co. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED - NONCONTRIBUTING This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIERS COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage form. Schedule Name of Person(s) or Organizations(s): Any person or organization where the Named Insured has agreed by written contract to include such person or organization Regarding Designated Contract or Project: Any Each person or organization shown in the Schedule of this endorsement is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. The following is added to the Other Insurance Condition: If you have agreed in a written agreement that this policy will be primary and without right of contribution from any insurance in force for an Additional Insured for liability arising out of your operations, and the agreement was executed prior to the "bodily injury" or "property damage", then this insurance will be primary and we will not seek contribution from such insurance. © 2010, Liberty Mutual Group of Companies. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. AC 84 23 08 11 Page 1 of 1 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 CG 24 04 05 09 ,QVXUDQFH6HUYLFHV2IILFH,QF Page 1 of 1 32/,&<180%(5 7% WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US 7KLVHQGRUVHPHQWPRGLILHVLQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ &200(5&,$/*(1(5$//,$%,/,7<&29(5$*(3$57 352'8&76&203/(7('23(5$7,216 /,$%,/,7< &29(5$*(3$57 SCHEDULE Name Of Person Or Organization: As required by written contract or agreement ,QIRUPDWLRQUHTXLUHGWRFRPSOHWHWKLV6FKHGXOHLIQRWVKRZQDERYHZLOOEHVKRZQLQWKH'HFODUDWLRQV 7KHIROORZLQJLVDGGHGWR3DUDJUDSK8. Transfer Of Rights Of Recovery Against Others To UsRI Section IV – Conditions: :HZDLYHDQ\ULJKWRIUHFRYHU\ZHPD\KDYHDJDLQVW WKH SHUVRQ RU RUJDQL]DWLRQ VKRZQ LQ WKH 6FKHGXOH DERYH EHFDXVH RI SD\PHQWVZHPDNH IRU LQMXU\ RU GDPDJH DULVLQJ RXW RI \RXU RQJRLQJ RSHUDWLRQV RU \RXUZRUNGRQHXQGHUDFRQWUDFWZLWKWKDWSHUVRQ RU RUJDQL]DWLRQ DQG LQFOXGHG LQ WKH SURGXFWV FRPSOHWHG RSHUDWLRQV KD]DUG 7KLV ZDLYHU DSSOLHV RQO\ WR WKH SHUVRQ RU RUJDQL]DWLRQ VKRZQ LQ WKH 6FKHGXOHDERYH DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 CA 04 44 10 13 ,QVXUDQFH6HUYLFHV2IILFH,QF Page 1 of 1 32/,&<180%(5 $6 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) 7KLVHQGRUVHPHQWPRGLILHVLQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ $872'($/(56&29(5$*()250 %86,1(66$872&29(5$*()250 02725&$55,(5&29(5$*()250 :LWK UHVSHFW WR FRYHUDJH SURYLGHG E\ WKLV HQGRUVHPHQW WKH SURYLVLRQV RI WKH &RYHUDJH )RUP DSSO\ XQOHVV PRGLILHGE\WKHHQGRUVHPHQW SCHEDULE Name(s) Of Person(s) Or Organization(s): $Q\SHUVRQRURUJDQL]DWLRQIRUZKRP\RXSHUIRUPZRUNXQGHUDZULWWHQFRQWUDFWRIWKHFRQWUDFWUHTXLUHV\RXWR REWDLQWKLVDJUHHPHQWIURPXVEXWRQO\LIWKHFRQWUDFWLVH[HFXWHGSULRUWRWKHLQMXU\RUGDPDJHRFFXUULQJ ,QIRUPDWLRQUHTXLUHGWRFRPSOHWHWKLV6FKHGXOHLIQRWVKRZQDERYHZLOOEHVKRZQLQWKH'HFODUDWLRQV 7KH Transfer Of Rights Of Recovery Against Others To Us FRQGLWLRQ GRHV QRW DSSO\ WR WKH SHUVRQ V WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT WC 00 03 13 1DWLRQDO&RXQFLORQ&RPSHQVDWLRQ,QVXUDQFH,QF3DJHRI Ed. 4/1/1984 :HKDYHWKHULJKWWRUHFRYHURXUSD\PHQWVIURPDQ\RQHOLDEOHIRUDQLQMXU\FRYHUHGE\WKLVSROLF\:HZLOOQRW HQIRUFHRXUULJKWDJDLQVWWKHSHUVRQRURUJDQL]DWLRQQDPHGLQWKH6FKHGXOH 7KLVDJUHHPHQWDSSOLHVRQO\WRWKH H[WHQWWKDW\RXSHUIRUPZRUNXQGHUDZULWWHQFRQWUDFWWKDWUHTXLUHV\RXWRREWDLQWKLVDJUHHPHQWIURPXV LIM 99 04 03 14 © 2014 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 Policy Number TB2-641-444950-039 Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY – UMBRELLA COVERAGE FORM Schedule Name of Other Person(s) / Organization(s): Email Address or mailing address: Number Days Notice: As required by written contract or written agreement As required by written contract or written agreement 30 A. If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 LIM 99 04 03 14 © 2014 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 Policy Number AS2-641-444950-049 Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY – UMBRELLA COVERAGE FORM Schedule Name of Other Person(s) / Organization(s): Email Address or mailing address: Number Days Notice: Per Schedule on File 30 A. If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER (MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY) POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $ $ OCCUR CLAIMS-MADE DED RETENTION $ PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $ EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Willis Towers Watson Midwest, Inc. fka Willis of Minnesota, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA HDR Engineering, Inc. 1917 South 67th Street Omaha, NE 68106 Certificate Holder is named as Additional Insured on General Liability, Automobile Liability and Umbrella/Excess Liability on a Primary, Non-contributory basis where required by written contract. Waiver of Subrogation applies on General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation where required by written contract. Umbrella/Excess policy is Follows Form over General Liability, Auto Liability and Employers Liability. Project: 8073 Engineering Services for Water, Wastewater & Storm Facilities Capital Improvements. City of Fort Collins, Colorado Attn: Purchasing Department P. O. Box 580 Fort Collins, CO 80522 05/17/2019 1-877-945-7378 1-888-467-2378 certificates@willis.com Liberty Mutual Fire Insurance Company 23035 Ohio Casualty Insurance Company Liberty Insurance Corporation 24074 42404 W11280651 A 2,000,000 1,000,000 Contractual Liability 10,000 2,000,000 4,000,000 4,000,000 YY TB2-641-444950-039 06/01/2019 06/01/2020 A 2,000,000 YY AS2-641-444950-049 06/01/2019 06/01/2020 B 5,000,000 Y Y EUO(20) 57919363 06/01/2019 06/01/2020 5,000,000 C WA7-64D-444950-019 Y 1,000,000 No 06/01/2019 06/01/2020 1,000,000 1,000,000 SR ID: 17984041 BATCH: 1204863 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301 Page 1 of 2 Review information with FCU 4 2 4 4 14 $2,480.00 $0.00 $2,480.00 TOTAL HOURS 43 3 22 25 60 130 91 8 2 384 TOTAL LABOR $9,675 $750 $3,520 $4,250 $6,600 $13,650 $9,100 $1,000 $180 $48,725 $0 $1,275 $50,000 Task EastExpenses Mulberry Annexation Project Team Labor and Page 11 of 12 DocuSign Envelope ID: 7DA59B2D-C165-4CE0-91E9-307191255301