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CORRESPONDENCE - RFP - 8827 CONSULTING ENGINEERING SERVICES FOR WATER TREATMENT FACILITY DESIGN AND CONSTRUCTION FOR CAPITAL IMPROVEMENTS
Utilities Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND HDR ENGINEERING, INC. WORK ORDER NUMBER: UHDR-HTAWSGIC-121019 PROJECT TITLE: ORIGINAL BID/RFP NUMBER & NAME: WTF Horsetooth Alternative Water Supply - U Greeley Interconnect 8827, Consulting Engineering Services for Water Treatment Facility Design & Construction Services MASTER AGREEMENT EFFECTIVE DATE: UFebruary 20, 2019 ARCHITECT/ENGINEER: U HDR Engineering, Inc OWNER’S REPRESENTATIVE: USue Paquette WORK ORDER COMMENCEMENT DATE: UDecember 24, 2019 WORK ORDER COMPLETION DATE: UMay 31, 2020 MAXIMUM FEE: (time and reimbursable direct costs): U$24,730.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: UProject management and planning of finished water interconnect with Greeley Water as an alternative water supply during Northern Water and Bureau of Reclamation shutdown of Horsetooth Water scheduled to start mid- October 2020 for approximately 45 - 60 days, including meetings, documentation, scheduling, logistics and location identification, coordination with water district, IGA input, hydraulic modeling plus. See attached supporting documentations. 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 UfourU (4) 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: HDR Engineering, Inc. By: Date: Name: Title: Page 1 of 10 DocuSign Envelope ID: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 Brad Martin Senior Vice President December 20, 2019 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: Sue Paquette, Civil Engineer III REVIEWED: Date: Marisa Donegon, Buyer II REQUISITION ENTERED BY: Date: ACCEPTANCE: Date: Matt Fater, Director, Civil Engineering ACCEPTANCE: Date: Theresa Connor, Deputy Director, Water Engineering & Field Services ACCEPTANCE: Date: Mark Kempton, Director, Water Production Operations ACCEPTANCE: Date: Carol Webb, Deputy Director, Water Resources & Treatment Operations 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 10 DocuSign Envelope ID: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 Shannon Gallegos 12/10/2019 December 13, 2019 December 16, 2019 December 20, 2019 December 20, 2019 December 20, 2019 December 26, 2019 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES Page 3 of 10 DocuSign Envelope ID: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 Page 1 of 2 Scope of Work Date: Friday, November 22, 2019 Project: Horsetooth Alternative Water Supply Implementation – Greeley Interconnect To: Sue Paquette; Mark Kempton, City of Fort Collins From: Mark Beebe, HDR Engineering Task 100 – Greeley Interconnect Project Management Project Management, Accounting and Quality Control • Initiate project accounting, budget and resource management tools. • Prepare monthly invoices and progress reports. • Prepare and maintain Decision/Action Item Log. • Perform project closeout. Quality Assurance / Quality Control Reviews • Perform QA/QC reviews of calculations, drawings and supporting documents. Key Assumptions: • Approximate twelve week project schedule to complete evaluations.. Deliverables: • Monthly invoices and progress reports. Task 200 – Greeley Interconnect Project Planning and Implementation General Project Coordination • Develop and maintain an on-going Project Issues and Action Item Log. • Respond to miscellaneous coordination issues including responses to phone calls and emails. • Respond to miscellaneous requests for information. Project Planning and Coordination Meetings (assume 8) • Attend project coordination meetings required to discuss project considerations and make decisions regarding the project direction, as well as general coordination of the project team. • Prepare meeting agendas, handouts and documentation, and meeting minutes. Page 4 of 10 DocuSign Envelope ID: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 Page 2 of 2 Assist with Development of Project Schedule and Work Plan • Provide on-going input regarding the overall project schedule, as well as the work plan and project sequences. Review Interconnect Locations and Develop Pumping System Design Criteria for Interconnect • Assist with identifying potential locations for the interconnect. • Develop mapping showing utilities at the various locations. • Assist with analyzing construction issues at each site. • Perform hydraulic modeling to develop system curves and operational requirements for a pumping facility at each identified location. • Review available Greeley pump station for potential suitability, and contact a packaged pump manufacturer to receive budgetary pricing for a permanent pump station. Analysis and Input for IGAs • Provide input on IGAs such as location, operational requirements and limitations, figures indicating siting and layouts, etc. • Attend meetings with the City of Greeley to review development of the project. • Provide background information and coordination as required to assist with survey work. Prepare Summary Technical Memorandum of Evaluations • Prepare a Draft Technical Memo that summarizes the project background, alternatives development and evaluation, design criteria, conclusions on configuration, and implementation considerations and plan. Submit the Draft Tech Memo for City review. • A meeting will be held with the City to review all comments, and determine how the comments will be resolved in the Final Technical Memo. • Comments received from the City will be incorporated into the Final Technical Memo. Key Assumptions: • The City’s hydraulic model, and the hydraulic model developed by Jacobs, will be provided to HDR. • Up to three alternative interconnect locations will be considered. • Draft Memorandum to be submitted by December 20P th P, 2019. • Final Memorandum will be prepared within 10 working days of holding review meeting with City staff. Deliverables: • Decision/Action Item Log. • Meeting Agendas and Meeting Minutes. • Project documents including figures, power applications, and other similar documents as required. • Draft copy of Technical Memorandum (one electronic and three hard copies) • Final copy of Technical Memorandum (one electronic and three hard copies) Page 5 of 10 DocuSign Envelope ID: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER COST DETAIL Page 6 of 10 DocuSign Envelope ID: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 WORK BREAKDOWN STRUCTURE Fee Estimate for: Horsetooth Alternative Water Supply- Project Implementation Planning and 20% Design for Greeley Interconnect Date: 11/22/2019 Firm Name: HDR Engineering, Inc. Mark Beebe Senior Project Manager Jeff Glover/ Mike Gossett/ Rich Thornton Senior Tech Advisor / Quality Control GIS Analysis / Hydraulic Modeling Wilson Wheeler / Eric Spooner Nina Khanzadeh Staff Engineer III Allyssa Brewer Staff Engineer I Brandon Luster Site Civil Senior Engineer II Travis Moore Electrical Lead Christine Audo Elect. Engineer Staff Engineer II Ron Manske Senior Structural Justin Sass Structural Support Staff Engineer I CAD Designer Donna Velasquez Word Processing/ Clerical Elizabeth Fuller Senior Accountant Total Labor (Hours) Total Labor ($) Total Expenses ($) HDR Total Fee (Labor & Expenses) Hourly Rate* $230.00 $260.00 $135.00 $125.00 $110.00 $195.00 $255.00 $140.00 $220.00 $100.00 $120.00 $85.00 $125.00 Task 100 - Greeley Interconnect Project Management 8 1 0 0 0 0 0 0 0 0 0 0 10 19 $3,350.00 $400.00 $3,750.00 $0.00 $3,750.00 Project Management, Accounting and Quality Control Project Initiation and Closeout 4 8 12 $1,920.00 $0.00 $1,920.00 $1,920.00 Project Invoicing 2 2 4 $710.00 $0.00 $710.00 $710.00 QA/QC Reviews 21 3 $720.00 $200.00 $920.00 $920.00 Task 200 - Greeley Interconnect Project Planning and Implementation 52 2 16 22 14 0 0 2 0 0 6 0 0 114 $19,930.00 $1,050.00 $20,980.00 $0.00 $20,980.00 General Project Coordination 12 12 $2,760.00 $200.00 $2,960.00 $2,960.00 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT C WORK ORDER SCOPE DETAIL Page 8 of 10 DocuSign Envelope ID: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 2019 - 2020 December January February March April May Project Notice to Proceed Project Design Project Substantial Completion Project Final Acceptance HDR Schedule for WTF Horsetooth Alternative Water Supply - Greeley Interconnect Page 9 of 10 DocuSign Envelope ID: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 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 10 of 10 DocuSign Envelope ID: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 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: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 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: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 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: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 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: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 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: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 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$57 A. Section II – Who Is An Insured LV DPHQGHG WR LQFOXGH DV DQ DGGLWLRQDO LQVXUHG WKH SHUVRQ V CG 20 10 04 13 ,QVXUDQFH6HUYLFHV2IILFH,QF Page 2 of 2 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization with whom you have agreed, through written contract, agreement or permit to provide additional insured coverage. ,QIRUPDWLRQUHTXLUHGWRFRPSOHWHWKLV6FKHGXOHLIQRWVKRZQDERYHZLOOEHVKRZQLQWKH'HFODUDWLRQV Any location where you have agreed, through writtencontract, agreement or permit, to provide additionalinsured coverage DocuSign Envelope ID: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 CG 20 37 04 13 ,QVXUDQFH6HUYLFHV2IILFH,QF Page 1 of 1 32/,&<180%(5 7% COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – COMPLETED OPERATIONS 7KLVHQGRUVHPHQWPRGLILHVLQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ &200(5&,$/*(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. 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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: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 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: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 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: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 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: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 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: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7 Page 1 of 2 Project Planning and Coordination Meetings (assumes 8 meetings) 12 2 8 8 30 $5,160.00 $850.00 $6,010.00 $6,010.00 Assist with Development of Project Schedule and Work Plan 6 6 $1,380.00 $0.00 $1,380.00 $1,380.00 Review Interconnect Locations and Develop Pumping System Design Criteria for Interconnect 6 10 4 4 2 2 28 $4,190.00 $0.00 $4,190.00 $4,190.00 Analysis and Input for IGAs 42 2 2 2 12 $1,900.00 $0.00 $1,900.00 $1,900.00 Summary Memo of Evaluations 12 4 8 2 26 $4,540.00 $0.00 $4,540.00 $4,540.00 TOTAL HOURS 60 3 16 22 14 0 0 2 0 0 6 0 10 133 TOTAL LABOR $13,800.00 $780.00 $2,160.00 $2,750.00 $1,540.00 $0.00 $0.00 $280.00 $0.00 $0.00 $720.00 $0.00 $1,250.00 $23,280.00 $1,450.00 $24,730.00 $0.00 $24,730.00 MARK-UP ON SUB-CONSULTANTS $0.00 $0.00 TOTAL FEE (ROUNDED) $24,730.00 Subconsultants TOTAL FEE Task HDR Labor and Expenses Page 7 of 10 DocuSign Envelope ID: 9A4A32C3-B9E4-4C17-BC95-6D29898CE1C7