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CORRESPONDENCE - RFP - 8827 CONSULTING ENGINEERING SERVICES FOR WATER TREATMENT FACILITY DESIGN AND CONSTRUCTION FOR CAPITAL IMPROVEMENTS (2)
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: UFoothills Tank - HDR - 1 PROJECT TITLE: UFoothills Tank Drain ORIGINAL BID/RFP NUMBER & NAME: 8827, Consulting Engineering Services for Water Treatment MASTER AGREEMENT EFFECTIVE DATE: February U 20, 2019 ARCHITECT/ENGINEER: U HDR Engineering, Inc OWNER’S REPRESENTATIVE: UAmy Johnson WORK ORDER COMMENCEMENT DATE: UJanuary 22, 2020 WORK ORDER COMPLETION DATE: UApril 30, 2020 MAXIMUM FEE: (time and reimbursable direct costs): U$29,590.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: UIdentify and assess alternatives to mitigate the current issues related to the annual drain operation and determine the preferred alternative. 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 UeightU (8) 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: OWNER’S ACCEPTANCE & EXECUTION: This Work Order and the attached Contract Documents are hereby accepted and incorporated herein by this reference. Page 1 of 13 Facility Design & Construction Services DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 Brad Martin Senior Vice President January 22, 2020 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ACCEPTANCE: Date: Amy Johnson, 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 13 Shannon Gallegos January 14, 2020 DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 January 21, 2020 January 21, 2020 January 22, 2020 January 22, 2020 January 22, 2020 January 23, 2020 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES & COST DETAIL Page 3 of 13 DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 January 6, 2020 Fort Collins Utilities Attn: Ms. Amy Johnson 700 Wood Street Fort Collins, CO 80521 Re: Foothills Tank Drain Alternatives Analysis Dear Ms. Johnson, We are grateful for the opportunity to partner with the City of Fort Collins and Fort Collins Utilities to evaluate different alternatives for improving the drain at the Foothills water storage tank. We understand that improving the tank drain will assist Water Resources & Treatment Operations staff when they perform annual maintenance on the water storage tank and will result in far fewer impacts to the natural drainage paths through the adjacent neighborhood. To deliver this alternatives analysis, we propose to perform the work in two main tasks as follows: Task 1 – Project management and administration Task 2 – Alternatives Analysis We propose to provide this scope of services on a time and materials basis under our master agreement 8827 - Consulting Engineering Services Water Treatment Facility Design and Construction for Capital Improvements for a fee not to exceed $29,590. The scope of work is included in exhibit A. Detailed hours estimates for each task in the scope of work are included in exhibit B. If you have any questions about any of the information presented in the attached scope of work or fee proposal, please contact me at our earliest convenience. Sincerely, Chris Parton, P.E. Project Manager Page 4 of 13 DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 Exhibit A Scope of Services Page 5 of 13 DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 Scope of Work Project Understanding and Approach Fort Collins Utilities (FCU) performs annual maintenance on its Foothills water storage tank. This maintenance requires Water Resources & Treatment Operations staff to drain the tank in order to access the inside of the tank. When staff drains the tank, they receive a number of complaints from members of the public as well as residents of the adjacent neighborhood regarding portions of the existing walking trail remaining wet and/or muddy during and for some time after the tank is drained. FCU would like to identify alternatives to mitigate the current issues related to the drain operation and select the preferred alternative to design and implement. The scope of services to support FCU on this project includes the following tasks: Task 1: Project management and Administration Task 2: Alternatives Analysis 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. HDR will perform the following activities in this task. 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. Key Assumptions: Three (3) month project duration Deliverables: Project Management Plan Meeting agenda and minutes Monthly invoices and status reports Task 2. Alternatives Analysis Objective: Perform analysis of alternatives available to the City for improving the drain operation downstream of the Foothills water storage tank. HDR will perform the following activities in this task. Identify alternatives for improving the drain operation downstream of the Foothills tank. Page 6 of 13 DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 Prepare for and conduct a workshop with City staff to vet the different alternatives. Prepare meeting minutes from workshop. Identify alternative evaluation criteria. Develop conceptual level plan view of each alternative. Prepare for and attend five (5) 1-hour coordination meetings with various stakeholder groups. The HDR project manager will be in attendance at these meetings. FCU will prepare meeting minutes for these meetings. Perform field assessment to determine if wetlands are present in natural drainage channel downstream of the tank. Research permitting requirements for different alternatives. Permitting agencies are expected to include the Colorado State Historic Preservation Office (SHPO) for cultural requirements and the United States Army Corps of Engineers for jurisdictional wetlands. Prepare an opinion of construction cost for each alternative. Develop multi-criteria decision analysis (MCDA) model and populate with alternative information. Prepare for and conduct a workshop with City staff to review results of the MCDA model and identify a preferred alternative. Prepare meeting minutes from workshop. Prepare a technical memorandum summarizing the alternatives analysis and revise as needed. Key Assumptions: Between 5 and 7 alternatives will be evaluated. FCU staff will perform coordination with internal and external agencies such as City of Fort Collins Natural Areas, Northern Water, and The Ponds Homeowners Association. Drawings for each alternative will be conceptual in nature and will include a plan view only. No wetlands are present and that preparation of a nationwide permit for approval by the US Army Corps of Engineers will not be required. GIS-based, conceptual level plan views will be prepared for each alternative. No plan and profile sheets will be prepared in this phase of the project. Permitting through the Colorado State Historic Preservation Office will not be required based on initial research. Opinions of cost will be at an AACE class 5 level. FCU will provide the following items for the alternatives analysis: o Aerial imagery o Topographic survey o Utility locations (City Utilities as well as Fort Collins-Loveland Water District) Deliverables: Workshop agenda and meeting minutes for all meetings. MCDA tool for alternatives analysis. Draft and final technical memorandum summarizing the recommended alternative. Page 7 of 13 DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 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. Design of Selected Alternative Topographic Surveys Permitting coordination Design Drawings Construction Documents Construction Support Services Field observation Record Drawings Pay application review Project closeout Page 8 of 13 DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 Exhibit B Fee Estimate Page 9 of 13 DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 Fee Estimate for: Fort Collins Utilities Foothills Tank Drain Alternatives Analysis Date: January 6, 2020 HDR Engineering, Inc. Chris Parton Project Manager Mark Beebe Principal in Charge Sara Race Design Engineer Sirena Brownlee Permitting Lead Kaitlin Rainsberger Permitting Assistance Mike Austin CAD Designer Elizabeth Fuller Project Accountant Donna Velasquez Admin Support Total Labor (Hours) Total Labor ($) Subconsultants Total Expenses ($) Total Labor & Expenses ($) Hourly Rate $230.00 $235.00 $110.00 $165.00 $105.00 $125.00 $125.00 $95.00 Task 1 - Project Management and Administration 12 0 0 0 0 0 8 2 22 $3,950.00 $0.00 $0.00 $3,950.00 Project Initiation (PMP, QA/QC Plan, Health & Safety Plan) 4 2 2 8 $1,360.00 $0.00 $1,360.00 Project Status and Reporting 6 4 10 $1,880.00 $0.00 $1,880.00 Project Closeout 2 2 4 $710.00 $0.00 $710.00 Task 2 - Alternatives Analysis 55 8 59 28 0 0 0 0 132 $25,640.00 $0.00 $0.00 $25,640.00 Identify alternatives for improving the drain operation downstream of the Foothills tank. 1 1 2 $340.00 $0.00 $340.00 Conduct a workshop to identify prioritization criteria and vet the different alternatives. 2 2 2 6 $1,150.00 $0.00 $1,150.00 Workshop prep, agenda, and meeting minutes 4 $920.00 $920.00 Miscellaneous meetings and site visits 4 4 $1,360.00 $1,360.00 Develop conceptual level plan view of each alternative. 4 24 28 $3,560.00 $0.00 $3,560.00 Prepare for and attend five 1-hour coordination meetings with stakeholder groups. 8 8 $1,840.00 $0.00 $1,840.00 Perform field assessment to determine if wetlands are present in natural drainage near tank. Document findings in memorandum. 1 24 25 $4,190.00 $0.00 $4,190.00 Research permitting requirements for different alternatives to include State Historic Preservation Office and US Army Corps of Engineers. 1 4 5 $890.00 $0.00 $890.00 Prepare an opinion of cost for each alternative. 8 2 8 18 $3,190.00 $0.00 $3,190.00 Develop multi-criteria decision analysis model and populate with alternative information. 8 8 $1,840.00 $0.00 $1,840.00 Conduct a workshop with City staff to review results of the MCDA model and identify a preferred alternaive. 2 2 2 6 $1,150.00 $0.00 $1,150.00 Workshop prep, agenda, and meeting minutes 4 2 $1,140.00 $1,140.00 Prepare a technical memorandum summarizing the alternatives analysis and revise as needed. 8 2 16 26 $4,070.00 $0.00 $4,070.00 0 $0.00 $0.00 $0.00 TOTAL HOURS 67 8 59 28 0 0 8 2 154 TOTAL LABOR $15,410 $1,880 $6,490 $4,620 $0 $0 $1,000 $190 $29,590 $0 $0 $29,590 Task ProjectExpenses Team Labor and Page 10 of 13 DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER SCOPE DETAIL Page 11 of 13 DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 ID Task Name Duration Start Finish Predecessors Resource Names 1 Fort Collins Utilities Foothills Tank Drain Alternatives Analysis 94 days Tue 1/21/20 Fri 5/29/20 2 Project Management & Administration 52 days Mon 1/20/20 Tue 3/31/20 3 Alternatives Analysis 29 days Wed 1/22/20 Mon 3/2/20 4 Task Closeout 22 days Mon 3/2/20 Tue 3/31/20 3 Jan Feb Mar Apr 1st Quarter 2nd Quarter Task Split Milestone Summary Project Summary Inactive Task Inactive Milestone Inactive Summary Manual Task Duration-only Manual Summary Rollup Manual Summary Start-only Finish-only External Tasks External Milestone Deadline Progress Manual Progress Page 1 Project: Schedule Date: Fri 1/10/20 Page 12 of 13 DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT C CERTIFICATE OF INSURANCE CONTRACTOR shall submit Certificate of Insurance in compliance with the Contract Documents. Page 13 of 13 DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 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: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 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: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 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: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 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: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 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: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 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$57 A. Section II – Who Is An Insured LV DPHQGHG WR LQFOXGH DV DQ DGGLWLRQDO LQVXUHG WKH SHUVRQ V CG 20 10 04 13 ,QVXUDQFH6HUYLFHV2IILFH,QF Page 2 of 2 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization with whom you have agreed, through written contract, agreement or permit to provide additional insured coverage. ,QIRUPDWLRQUHTXLUHGWRFRPSOHWHWKLV6FKHGXOHLIQRWVKRZQDERYHZLOOEHVKRZQLQWKH'HFODUDWLRQV Any location where you have agreed, through writtencontract, agreement or permit, to provide additionalinsured coverage DocuSign Envelope ID: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 CG 20 37 04 13 ,QVXUDQFH6HUYLFHV2IILFH,QF Page 1 of 1 32/,&<180%(5 7% COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – COMPLETED OPERATIONS 7KLVHQGRUVHPHQWPRGLILHVLQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ &200(5&,$/*(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: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 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: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 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: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 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: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 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: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 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: F50BDD21-42BC-413F-BF80-5F9BEC3FE2B9 Page 1 of 2