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CORRESPONDENCE - RFP - 8827 CONSULTING ENGINEERING SERVICES FOR WATER TREATMENT FACILITY DESIGN AND CONSTRUCTION FOR CAPITAL IMPROVEMENTS (3)
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: U27-inch Poudre Line - HDR - 1 PROJECT TITLE: U27-inch Poudre Line - Crossing 9 Mitigation ORIGINAL BID/RFP NUMBER & NAME: U8827, 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: UAmy Johnson WORK ORDER COMMENCEMENT DATE: UJanuary 31, 2020 WORK ORDER COMPLETION DATE: UJune 15, 2020 MAXIMUM FEE: (time and reimbursable direct costs): U$71,180.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: UProvide cost validation of previous alternatives, develop new alternatives, analyze with updated criteria, investigate stakeholder and permitting requirements, provide final memo of recommendations. 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 UfiveU (5) 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 11 DocuSign Envelope ID: F4295C70-721A-4AC6-99B8-E36DE77DD5DF Senior Vice President January 27, 2020 Brad Martin 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: 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 11 DocuSign Envelope ID: F4295C70-721A-4AC6-99B8-E36DE77DD5DF January 22, 2020 January 22, 2020 January 23, 2020 January 27, 2020 January 27, 2020 January 27, 2020 February 3, 2020 February 3, 2020 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES Page 3 of 11 DocuSign Envelope ID: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 1 Scope of Work Date: Wednesday, January 22, 2020 Project: Poudre 27” Waterline Exposure Mitigation Alternatives To: Amy Johnson, PE; Mark Kempton, PE From: Rich Thornton, PE Task 1 – Project Management and Meetings Task 1.1 Project Management, Accounting and Quality Control Initiate project accounting, budget and resource management tools. Prepare a project guide that clearly identifies the project work elements, deliverables, budget and schedule. Prepare monthly invoices and progress reports. Perform QA/QC reviews of calculations and supporting documents. Task 1.2 Project Coordination Meetings Hold bi-weekly meetings as needed at City offices to discuss progress, address technical issues, and review submittal comments. Approximately 12, 1-hr progress meetings (bi-weekly) during Conceptual (alternatives) Prepare meeting notes, distribute to team members, incorporate comments, and finalize. Prepare and maintain action item log. Key Assumptions: 6 month Conceptual (alternatives) design phase duration Deliverables: Meeting notes and action item log Monthly invoices Task 2 – Data Review Task 2.1 – Review Previous Study and Cost Data Obtain and review data and models from Poudre Pipeline Crossing Erosion Study, Stantec, 2018. Create AutoCAD project basemapping from Stantec GIS and AutoCAD data. Obtain and review construction cost estimate data from Stantec study and from Hydro cost review. Obtain recent, similar project construction cost data from Whitewater Park (Fort Collins) and CDOT 2013 post flood repair work. Task 2.2 – Predesign Site Visit Prepare site visit figure of the Crossing 9 improvement area limits. Page 4 of 11 DocuSign Envelope ID: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 2 Hold a 2-hr site visit of Crossing 9 to identify constructability and design opportunities and constraints. Record opportunities and constraints on maps. Identify action items from site visit. Summarize site visit results in a brief memo of findings supported by site visit observations mapping. Include project basemap and identify data gaps for additional survey and other pertinent data needs. Key Assumptions: One site visit Unit cost based construction cost estimate data is available in Excel or similar tabular format. Deliverables: Site visit observations memo, Draft and Final (PDF) Task 3 – Cost Validation and BFO Support Task 3.1 – Cost Validation Hold a scope, cost review and cost risk assessment meeting to identify areas of potential design risk, construction risk, and cost risk elements based on the Stantec Alternatives 4 and 5 improvements. Identify contingency percentages for identified risk items. Perform a construction cost review. Update unit costs to 2020 dollars, re- assess/increase pipeline lengths and associated costs needed for lowering, and contingencies. Perform a permitting investigation to assess impacts to schedule and projects cost. Summarize permits and project impacts in tabular format. Summarize key scope and risk elements in brief Cost Validation memo. Include updated cost estimate and Stantec Alternative 4 figure (updated to reflect pipeline lowering limits) for reference. Task 3.2 – BFO Support Hold a purpose and need meeting to identify key project drivers and associated risks with a do-nothing/delayed approach. Summarize purpose, need, approach and risks in a brief Project Justification memo for city staff use in the BFO process. Key Assumptions: 2-hr cost validation meeting 2-hr BFO support meeting Deliverables: Cost Validation memo, Draft and Final (PDF) Project Justification memo, Draft and Final (PDF) Page 5 of 11 DocuSign Envelope ID: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 3 Task 4 – Conceptual Design Alternatives Task 4.1 – Assessment of Erosion Study Alternatives Expand the level of detail for Alternatives 4, and 5 based on site visit observations and input from Team progress meetings. It is anticipated the river stabilization work will remain as currently depicted in Stantec alternatives. The scope will expand the level of detail of the pipeline lowering through developing alignment alternatives for the river crossing and extent of pipeline replacement. Develop/refine plan view drawings and 1 typical section for each alternative. Update/expand Decision Matrix from Stantec Erosion Study to reflect other decision criteria including stakeholder coordination, schedule, and construction cost risk, etc. Hold a 2-hr workshop to jointly develop scoping of decision support matrix including criteria weights. Evaluate alternatives with city staff using updated Decision Matrix, determine preferred alternative. Document discussions on project delivery and identify pros/cons of each alternative. Task 4.2 – Stakeholder Identification and Assessment Based on selected alternative, identify needed permits to facilitate construction and estimate schedule/timelines to obtain permits. Based on selected alternative, identify external stakeholders and develop outline engagement plan. Task 4.3 – Prepare Alternatives Memorandum Prepare a technical memo that summarizes the alternatives evaluation, selected alternative, permits, and stakeholders. Submit the draft tech memo for city review. Meet with city staff, discuss and reconcile review comments. Update tech memo, including refinement of selected alternative as Recommended Plan, and submit final. Key Assumptions: Alternatives memo mapping to use maps from pervious tasks. Deliverables: Alternatives Memorandum, Draft and Final (PDF) Page 6 of 11 DocuSign Envelope ID: F4295C70-721A-4AC6-99B8-E36DE77DD5DF Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER COST DETAIL Page 7 of 11 DocuSign Envelope ID: F4295C70-721A-4AC6-99B8-E36DE77DD5DF HDR Engineering Rich Thornton Senior Project Manager Senior Technical Advisor/ QA/QC Project Engineer III Nick Humphrey Project Engineer I Sara Race Construction Mgr John Feldhauser Senior Env Scientist Sirena Brownlee Senior CAD Designer Chuck Wittenmier Senior Project Accountant Clerical Assistant Hours Labor Total Expenses HDR Fee Total Fee WTF On-call 2020 Billing Rates $ 245 $ 260 $ 160 $ 130 $ 130 $ 145 $ 125 $ 125 $ 90 Task Description Task 1 – Management, Coordination and QA/QC 1.1 Project Management, Accounting and QA/QC 12 8 20 4 44 $ 7,880 $ 394 $ 8,274 $ 8,274 1.2 Project Coordination Meetings 12 18 30 $ 5,820 $ 291 $ 6,111 $ 930 $ 7,041 Sub-total 24 8 18 0 0 0 0 20 4 74 $ 13,700 $ 685 $ 14,385 $ 930 $ 15,315 Task 2 – Data Review Task 2.1 – Review Previous Study and Cost Data 4 8 8 2 4 16 42 $ 6,140 $ 307 $ 6,447 $ 6,447 Task 2.2 – Predesign Site Visit & Memo 4 4 2 2 2 14 $ 2,320 $ 116 $ 2,436 $ 620 $ 3,056 Sub-total 8 0 12 10 4 4 16 0 2 56 $ 8,460 $ 423 $ 8,883 $ 620 $ 9,503 Task 3 – Cost Validation and BFO Support Task 3.1 – Cost Validation 6 24 12 12 4 4 62 $ 9,510 $ 476 $ 9,986 $ 9,986 Task 3.2 – BFO Support 4 16 20 $ 3,540 $ 177 $ 3,717 $ 3,717 Sub-total 10 0 40 12 12 4 4 0 0 82 $ 13,050 $ 653 $ 13,703 $ - $ 13,703 Task 4 – Conceptual Design Alternatives Task 4.1 – Assessment of Erosion Study Alternatives 8 12 32 4 8 64 $ 9,620 $ 481 $ 10,101 $ 11,140 $ 21,241 Task 4.2 – Stakeholder Identification and Assessment 4 12 4 2 22 $ 3,710 $ 186 $ 3,896 $ 3,896 Task 4.3 – Prepare Alternatives Memorandum 8 8 16 8 4 2 46 $ 7,160 $ 358 $ 7,518 $ 7,518 Sub-total 20 0 32 52 0 14 12 0 2 132 $ 20,490 $ 1,025 $ 21,515 $ 11,140 $ 32,655 Hours 62 8 102 74 16 22 32 20 8 344 Fee $15,190 $2,080 $16,320 $9,620 $2,080 $3,190 $4,000 $2,500 $720 $ 55,700 2,785 $ 58,485 $ 12,690 $ 71,175 Note: Lithos costs increased by 3% to reflect rate changes from 2019 (original estimate) to 2020 rates TOTAL (ROUNDED) $ 71,180 City of Fort Collins Utilities Poudre River 27" Raw Waterline Erosion Mitigation Lithos 1/21/2020 Page 8 of 11 DocuSign Envelope ID: F4295C70-721A-4AC6-99B8-E36DE77DD5DF Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT C WORK ORDER SCHEDULE DETAIL Page 9 of 11 DocuSign Envelope ID: F4295C70-721A-4AC6-99B8-E36DE77DD5DF ID Task Mode Task Name Duration Start Finish 1 Notice to Proceed 1 day Mon 2/3/20 Mon 2/3/20 2 Task 1 – Management, Coordination and QA/QC 2 days Tue 2/11/20 Wed 2/12/20 3 1.1 Project Management, Accounting and QA/QC 1 day Tue 2/11/20 Tue 2/11/20 4 1.2 Project Coordination Meetings 1 day Wed 2/12/20Wed 2/12/20 5 Task 2 – Data Review 10 days Tue 2/11/20 Mon 2/24/20 6 Task 2.1 – Review Previous Study and Cost Data 5 days Tue 2/11/20 Mon 2/17/20 7 Task 2.2 – Predesign Site Visit & Memo 5 days Tue 2/18/20 Mon 2/24/20 8 Task 3 – Cost Validation and BFO Support 10 days Tue 2/25/20 Mon 3/9/20 9 Task 3.1 – Cost Validation 5 days Tue 2/25/20 Mon 3/2/20 10 Task 3.2 – BFO Support 5 days Tue 3/3/20 Mon 3/9/20 11 Task 4 – Conceptual Design Alternatives 40 days Tue 3/10/20 Mon 5/4/20 12 Task 4.1 – Assessment of Erosion Study Alternatives 15 days Tue 3/10/20 Mon 3/30/20 13 Task 4.2 – Stakeholder Identification and Assessment 10 days Tue 3/31/20 Mon 4/13/20 14 Task 4.3 – Prepare Alternatives Memorandum 15 days Tue 4/14/20 Mon 5/4/20 12 19 26 2 9 16 23 1 8 15 22 29 5 12 19 26 3 10 17 Jan '20 Feb '20 Mar '20 Apr '20 May '20 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 Poudre River 27" Pipeline Erosion Mitigation Alternaties Page 1 Project: Exhibit Date: Tue 1/21/ Page 10 of 11 DocuSign Envelope ID: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 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 11 of 11 DocuSign Envelope ID: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 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: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 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: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 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: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 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: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 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: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 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$57 A. Section II – Who Is An Insured LV DPHQGHG WR LQFOXGH DV DQ DGGLWLRQDO LQVXUHG WKH SHUVRQ V CG 20 10 04 13 ,QVXUDQFH6HUYLFHV2IILFH,QF Page 2 of 2 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization with whom you have agreed, through written contract, agreement or permit to provide additional insured coverage. ,QIRUPDWLRQUHTXLUHGWRFRPSOHWHWKLV6FKHGXOHLIQRWVKRZQDERYHZLOOEHVKRZQLQWKH'HFODUDWLRQV Any location where you have agreed, through writtencontract, agreement or permit, to provide additionalinsured coverage DocuSign Envelope ID: F4295C70-721A-4AC6-99B8-E36DE77DD5DF CG 20 37 04 13 ,QVXUDQFH6HUYLFHV2IILFH,QF Page 1 of 1 32/,&<180%(5 7% COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – COMPLETED OPERATIONS 7KLVHQGRUVHPHQWPRGLILHVLQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ &200(5&,$/*(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: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 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: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 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: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 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: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 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: F4295C70-721A-4AC6-99B8-E36DE77DD5DF 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: F4295C70-721A-4AC6-99B8-E36DE77DD5DF Page 1 of 2