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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8497 STORMWATER CONSULTING ENGINEERING SERVICES (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 ICON ENGINEERING, INC. WORK ORDER NUMBER: UBLA-2020-02 PROJECT TITLE: U2020 West Vine Basin Selected Plan Update ORIGINAL BID/RFP NUMBER & NAME: U8497, Stormwater Consulting Services MASTER AGREEMENT EFFECTIVE DATE: UJune 26, 2017 ARCHITECT/ENGINEER: UIcon Engineering, Inc. OWNER’S REPRESENTATIVE: UBeck Anderson WORK ORDER COMMENCEMENT DATE: UFebruary 5, 2020 WORK ORDER COMPLETION DATE: UDecember 31, 2020 MAXIMUM FEE: (time and reimbursable direct costs): U$229,750.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: UComplete update to West Vine Basin Selected Plan prepared in 2003. Update to Selected Plan will include internal and external outreach efforts, re-developing an alternatives analysis based on updated hydrology and floodplain mapping, and then developing a Selected Plan based on stakeholder imput and a cost benefit analysis. See attached supporting documentation. Service Provider agrees to perform the services identified above and on the attached forms in accordance with the terms and conditions contained herein and in the Master Agreement between the parties. In the event of a conflict between or ambiguity in the terms of the Master Agreement and this Work Order (including the attached forms) the Master Agreement shall control. The attached forms consisting of UeightU (8) pages are hereby accepted and incorporated herein, by this reference, and Notice to Proceed is hereby given after all parties have signed this document. SERVICE PROVIDER: Icon Engineering, Inc. By: Date: Name: Title: Page 1 of 13 DocuSign Envelope ID: 67781421-8086-40B0-8C8B-B3962F18E76B Craig Jacobson Principal February 18, 2020 DocuSign Envelope ID: B2D484F5-22A1-445B-80CD-6F8FD5064002 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: Beck Anderson, Civil Engineer III REVIEWED: Date: Marisa Donegon, Buyer II REQUISITION ENTERED BY: Date: ACCEPTANCE: Date: Ken Sampley, Director, Civil Engineering ACCEPTANCE: Date: Theresa Connor, Deputy Director, Water Engineering & Field Services ACCEPTANCE: Date: Kevin Gertig, Utilities Executive Director (if greater than $1,000,000) ACCEPTANCE: Date: Gerry Paul, Purchasing Director (if greater than $60,000) ACCEPTANCE: Date: Darin Atteberry, City Manager (if greater than $1,000,000) ATTEST: Date: City Clerk (if greater than $1,000,000) Page 2 of 13 DocuSign Envelope ID: 67781421-8086-40B0-8C8B-B3962F18E76B Coordinator, Finance 2/10/20 Melissa Walker February 17, 2020 February 18, 2020 February 21, 2020 February 21, 2020 DocuSign Envelope ID: B2D484F5-22A1-445B-80CD-6F8FD5064002 February 25, 2020 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES & COST DETAILS Page 3 of 13 DocuSign Envelope ID: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002 ICONENGINEERING, INC. 7000 S. Yosemite Street, Suite 120, Centennial, CO 80112 303.221.0802 | www.iconeng.com Planning | Design | Management January 20, 2020 Mr. Beck Anderson City of Fort Collins – Stormwater Engineer 700 Wood Street Fort Collins, CO 80522 RE: Proposal for Selected Plan – West Vine Basin Dear Beck, ICON Engineering, Inc. is pleased to provide this proposal for engineering services related to developing the Selected Plan for the West Vine Basin. This work will follow our hydraulics update for the watershed. As discussed, this work will be collaborative with many stockholders located within the watershed, including Larimer County, private developers, CSU, ditch companies, and active property owner groups. The master plan is also intended to be visual in nature to assist in graphically displaying the potential alternatives and improvement plan. We have engaged DHM Design to assist in project planning, community engagement, and the presentation of the project plan. ICON shall consider the previous work completed as the basis for developing alternatives for the project. Analysis shall be developed considering existing and proposed land use, existing and proposed drainage infrastructure, known and identified flooding problems, stormwater quality enhancement, right-of-way requirements, existing documented wetlands and riparian zones, and project costs. Alternative plans shall be developed considering criteria and policies of the City of Fort Collins, Larimer County, and applicable state and federal regulations. With baseline hydrology and hydraulics data previously completed, this scope of work reflects the remaining mitigation planning efforts for the project area, focusing on: development of alternatives, development of a scoring matrix to assess alternatives; benefit cost analyses, development of project recommendations, public process support, mitigation plan write-up, and development of visual renderings and conceptual design drawings. As part of the mitigation planning efforts, outreach will be made with through a design charette held in February along with targeted stakeholder and agency meetings. Our proposed scope of services is outlined below: SCOPE OF SERVICES 1.0 Meetings, Data Collection and Site Visits ENGINEER shall meet initially, and approximately monthly thereafter with the CITY, and other interested parties. Meetings and coordination shall include: 1. Up to eight (8) in-person progress meetings or conference calls; 2. Charette stakeholder meeting 3. Up to two (2) agency meetings 4. General Correspondence Page 4 of 13 DocuSign Envelope ID: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002 ICONENGINEERING, INC. Page 2 of 3 I:\Proposal\~2019\19-PRO-041_Fort Collins West Vine\West Vine Basin Selected Plan Proposal ICON.docx 2.0 Alternatives Analysis ENGINEER shall review previously alternatives and develop new alternatives focusing on the following key items for the watershed: Life Safety, including reduction in flood risk to existing homes, schools, and critical facilities; Property Damage Mitigation; Water Quality Enhancement; Habitat Protection and Restoration; Recreation Opportunities; and Transportation needs. ENGINEER shall perform an initial screening to identify the most applicable alternatives and remove the most unfeasible or undesirable alternatives. Remaining alternatives will be evaluated based on: Costs (including benefit to cost ratio and operation/maintenance costs); Public Opinion/Community Acceptance; Project Resiliency and practicality. Alternative selection will be made with input from City Staff, impacted property owners, and the general public as appropriate for this project. Alternatives development and selection will be summarized in the alternatives report chapter of the master plan. Key deliverables include: 1. Concept Alternative Development Figures 2. Hydrology and Hydraulic Computations 3. Initial Alternative Screening 4. Selected Alternative Decision Matrix 5. Benefit vs. Cost Evaluations for Chosen Alternatives 6. Project Cost Estimating 7. Water Quality Guidance & Recommendations 8. T&E Species and Habitat Documentation (as available) 9. Identification of a Recommended Plan of Improvements 3.0 Selected Plan Development Upon selection of the recommended plan by the City Staff, ENGINEER shall prepare a Selected Plan. Through support from DHM Design, the Selected Plan will be visual in nature with graphical displays for key project elements. Concept level grading and profile layouts will be completed by the ENGINEER to support the plan development and confirm functionality of the plan recommendations. The final work products are anticipated to be: 1. Report Section describing proposed plan, implementation & phasing 2. Identification of property acquisition requirements and needs for implementation 3. Graphical overview of Selected Plan 4. Plan and profiles (graphical plan) with concept engineering profiles 5. Depiction of proposed changes to the regulatory floodplain 6. Final anticipated project costs 7. Final H&H Evaluations 8. Misc. details and exhibits for channel restoration, water quality, structural improvements, etc. Time has been included for review and revision based on stakeholder input and comments. ASSUMPTIONS & EXCUSIONS Assumptions and Exclusions, which support our proposed Scope of Services and accompanying Fee: ‐ No permits or fees of any kind will be required or the Consultant’s responsibility. ‐ Environmental assessments will be limited to currently published information. A field review will not be performed. ‐ Scope does not include geotechnical studies to identify subsurface conditions or groundwater. Page 5 of 13 DocuSign Envelope ID: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002 ICONENGINEERING, INC. Page 3 of 3 I:\Proposal\~2019\19-PRO-041_Fort Collins West Vine\West Vine Basin Selected Plan Proposal ICON.docx FEE ICON Engineering will complete the Scope of Services for a total fee of $229,750. A breakdown of our fees and hours per task is attached. Schedule ICON estimates that this project will initiate in January 2020 and be completed in the Fall of 2020. A detailed project schedule is attached. Thank you again for the opportunity to assist the City of Fort Collins with this project. Please contact me with any questions about this proposal. Sincerely, ICON Engineering Inc. Craig Jacobson, PE, CFM Principal Page 6 of 13 DocuSign Envelope ID: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002 ICON ENGINEERING, INC. PROJECT ESTIMATING SHEET PROJECT NAME: West Vine Basin Selected Plan CLIENT: CITY OF FORT COLLINS - Beck Anderson PREPARED BY: CDJ Principal Professional Professional Engineer GIS Admin GIS Misc. DHM CHECKED BY: JYM Engineer III Engineer I II Specialist Programmer Direct Direct DATE: 12/30/19 $176 $163 $140 $110 $94 $67 $105 Costs Costs Description Hours Hours Hours Hours Hours Hours Hours TOTALS 1 Meetings, Data Collection & Site Visits a. Project Meetings & Conference Calls (8) 24 32 20 $450 $7,472 $19,562 b. Charette Stakeholder Meeting 6 6 $150 $4,584 $6,768 c. Agency Meetings (2) 4 8 $100 $2,628 $4,736 d. General Correspondence 16 16 6 $20 $2,065 $8,169 e. DHM Support $1,360 $1,360 2 Alternative Analysis a. Identification of Alternatives for: - Public Safety / Flood Mitigation 4 6 10 20 8 $15 $6,049 - Property Damage Reduction 4 6 10 20 8 $15 $6,049 - Water Quality 4 6 8 14 8 $15 $5,109 - Stream Restoration 4 6 8 10 8 $15 $4,669 - Habitat & Ecology 2 2 6 10 8 $15 $3,385 - Recreation and Transportation 2 2 6 10 8 $15 $3,385 b. Development of Concept Alternative Figures 4 6 10 20 $20 $4,982 c. H&H Computations 2 10 24 20 $25 $7,567 d. Initial Alternative Screening 2 6 $10 $1,340 e. Alternative Decision Matrix 2 6 $10 $1,340 f. Benefit vs. Cost Evaluations 2 12 48 20 36 $150 $14,762 g. Project Cost Estimates 2 6 28 8 $25 $5,187 h. T&E / Habitat Documentation 2 8 $20 $1,098 i. Alternative report discussion 2 12 8 4 $20 $3,476 j. Recommended Plan Description & Figures 2 12 20 $25 $4,213 k. DHM Support $27,865 $27,865 l. Review & Revisions per Stakeholder Input 2 16 10 20 20 2 $50 $8,624 3 Selected Plan Development a. Property needs identification 2 6 $10 $1,340 b. Selected Plan Overview Presentation 4 12 $50 $2,710 c. Selected Plan - P&P Sheets 4 12 40 $50 $7,110 d. Final H&H Computations 4 10 40 36 8 $25 $12,671 e. Identification of changes to the floodplain 2 6 $10 $900 f. Final anticipated costs 2 8 8 $10 $2,546 g. Details and Exhibits 6 24 40 $25 $9,393 h. Preparation of Draft Selected Plan Document 6 32 14 4 $25 $8,105 i. Final Selected Plan Document 4 14 10 20 20 2 $50 $8,650 j. DHM Support $26,630 $26,630 TOTAL BASE SERVICES 122 298 190 364 194 12 0 1420 72604 $229,750 $21,472 $48,574 $26,600 $40,040 $18,236 $804 $0 $1,420 $72,604 $229,750 Page 7 of 13 DocuSign Envelope ID: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002 DENVER CARBONDALE DURANGO BOZEMAN WWW.DHMDESIGN.COM 900 South Broadway, suite 300 Denver, Colorado 80209 P: 303.892.5566 November 19, 2019 Craig D. Jacobson, PE, CFM Principal ICON ENGINEERING, INC. 7000 S. Yosemite Street I Suite 120 I Centennial CO 80112 Ofc I 303‐221‐0802 x 202 I Web I www.iconeng.com I Email I cjacobson@iconeng.com RE: West Vine Basin MP Mr. Jacobson; I want to thank you for this opportunity to be a part of the team to assist with planning and community vision for the development of green infrastructure and natural channel restoration features within the West Vine Basin in Fort Collins. DHM Design is pleased to provide the following approach, scope and fee. Fort Collins has identified a primary goal of developing a basin master plan that looks at integrating natural systems and natural channel design elements into natural looking drainage areas for storm water infrastructure. As we begin to strategize and look at the West Vine basin an early goal and strong preference has been identified for natural channel design and connectivity with ecological processes in the conveyance and treatment of storm water. DHM’s primary role will be to lead the planning efforts and review the drainage patterns and features within the Fort Collins West Vine Basin and identify opportunities for natural system designs and green infrastructure improvements. We understand these goals to be paramount to the success of the masterplan. Our team’s depth of experience in achieving key connectivity to natural channel design and ecological process intersection with storm water management planning is how we have been successful in the past for multiple communities. These communities are facing challenges of understanding a new era of storm water management that does not involve pipes and drains solely. It will be important to engage with all permitting and jurisdictional agencies such as the US Army Corps, flood control district, the City’s Floodplain Manager, the City, County, various ditch companies, CSU, various private property holders, FEMA and USFWS federal team members early on in the process. We want to engage with them to gain support on utilizing an ecological resilient approach to stormwater management and to gain any insights or feedback in proceeding with this vision. To be most successful this needs to be a highly collaborative process that identifies and aligns all goals with basin development into the master planning process. Our approach requires utilizing a vegetation matrix to support the design goals from both a physical flood conveyance requirement and a habitat requirement. Wetland mitigation will be reviewed as part of a Nationwide Permit to restore habitat along ponds and drainageway fringes. We will review all types and forms of approaches towards storm water management –even when vegetation seems impractical – we look for ways Page 8 of 13 DocuSign Envelope ID: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002 to incorporate structure and system elements that allow for connected water quality practices and opportunities. Our team approach will study the existing drainage system elements and the current hydraulic modeling performed by ICON in order to understand the restorative guidelines that would be required to keep the ecological restoration and hydraulic connection in context with the natural system. The first thing we do is identify in a strategic site analysis and planning effort – every area where opportunities exist to provide ecological and natural channel systems – not from just an engineering, hydraulic or physical site constraint approach– but from a natural channel, habitat, ecological, recreation, interpretive, and systems approach. The planning team will look at a combination of techniques to create natural solutions and a resilient floodplain through use of a combination of biological, mechanical, and restorative ecological structures to control erosion and stabilize soil. Bioengineered treatments can be used as a more comprehensive treatment for streambank, pond edge and floodplain restoration. Sincerely, DHM Design Corporation Mark Wilcox, PLA, ASLA Principal, Denver Studio Manager Page 9 of 13 DocuSign Envelope ID: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002 1/16/2020 4:49 PM Fee Spreadsheet_WVB_DHM_REV01162020.xlsx Page 1 PREPARED BY: Mark Wilcox Principal Sr Designer Designer Misc. Direct CHECKED BY: MarK Wilcox Associate Costs DATE: 11/20/19 - REV 01/16/2020 $170 $120 $95 $85 $1 Description Hours Hours Hours Hours TOTALS Task 1 – Project Management, Public Engagement, Coordination, Reporting Charrette Workshop in January/ walk basin 16 8 12 $84 $4,584 Stakeholder Meetings (8 assumed) 40 $672 $7,472 Miscellaneous Agency Meetings (2 assumed) 10 8 $168 $2,628 Identification of Stakeholder Goals 8 $1,360 Stakeholder coordination 12 $25 $2,065 Task 2 – Basin/ Corridor Evaluations $0 Data Collection 2 $50 $390 Review existing facilities and elements 8 12 16 $50 $3,910 ID areas within basin for WQ improvements 4 8 12 24 $150 $4,970 Task Deliverables 4 $50 $730 $0 Task 3 – Storm Water Quality/ Mitigation Opportunities $0 Identify landscape improvements for each facility (based on Basin Mapping provided by ICON) 40 12 24 48 $100 $14,700 Develop typical solutions, landscape restoration details, typical sections, etc. $0 Provide diagrams of system alternatives, describe surface components, provide graphic exhibits of improvements $0 Alternates Cost Estimates 2 8 16 $25 $2,485 Task Deliverables 4 $680 $0 Task 4 – Conceptual Design and Community Vision Development $0 Development of Conceptual Design Plan and Community Development Scenarios 16 8 40 80 $100 $14,380 Assist with maintenance and CIP program for landscape improvements 8 4 8 16 $25 $3,985 Conceptual Design Cost Estimates 2 8 16 $25 $2,485 Task Deliverables 4 $680 Task 5 – Final Master Plan Development $0 Final Deliverable of Preliminary and Final Plan Report 16 24 $100 $5,100 $0 TOTALS 196 32 152 228 $1,624 $72,604 $33,320 $3,840 $14,440 $19,380 $1,624 $72,604 DHM Sr. Associate Page 10 of 13 DocuSign Envelope ID: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER SCHEDULE DETAILS Page 11 of 13 DocuSign Envelope ID: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002 ID Task Mode Task Name 1 West Vine Selected Plan 2 3 Meetings & Correspondence 4 5 Alternatives Analysis 6 Alternative Development 7 Initial Alternative Screening & Matrix 8 BCA Evaluations 9 Project Costs Estimates 10 Alternatives Report Section & Recommended Plan 11 City Review 12 Final Alternatives Report Section 13 Selected Plan Development 14 Selected Plan Identification 15 Property needs identification 16 Selected Plan Overview Presentation 17 Selected Plan - P&P Sheets 18 Final H&H Computations 19 Identification of changes to the floodplain 20 Final anticipated costs 21 Details and Exhibits 22 Preparation of Draft Selected Plan Document 23 City Review 24 Final Selected Plan Document Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Qtr 1, 2020 Qtr 2, 2020 Qtr 3, 2020 Qtr 4, 2020 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: West Vine SP Schedule Date: Mon 12/30/19 Page 12 of 13 DocuSign Envelope ID: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002 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: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXP TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) LIMITS AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG OTHER: $ COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTIONLIMIT OF OPERATIONS below E.L. DISEASE - POLICY INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. 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) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 2/1/2020 Hall & Company 19660 10th Ave NE Poulsbo WA 98370 Jim Ledbetter 360-626-2019 360-598-3703 jledbetter@hallandcompany.com RLI Insurance Company 13056 732 Icon Engineering Inc 7000 S Yosemite Street, Suite 120 Centennial CO 80112 1263070563 A Professional Liab: Claims Made RDP0038697 1/30/2020 1/30/2021 Per Claim Aggregate $2,000,000 $2,000,000 Additional Insured Status is not available on Professional Liability Policy. Project: 8497 for Stormwater Consulting Engineering Services. City of Fort Collins 700 Wood Street Fort Collins CO 80521 DocuSign Envelope ID: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002 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. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 1/16/2020 (720) 212-2050 (303) 799-0156 22357 ICON Engineering Inc 7000 S Yosemite St #120 Centennial, CO 80112 41190 A 2,000,000 X 34SBAPD8771 1/30/2020 1/30/2021 300,000 10,000 2,000,000 4,000,000 4,000,000 A 2,000,000 X 34SBAPD8771 1/30/2020 1/30/2021 A 2,000,000 34SBAPD8771 1/30/2020 1/30/2021 2,000,000 10,000 B 4077567 2/1/2020 2/1/2021 1,000,000 1,000,000 1,000,000 RE: 8497 Stormwater Consulting Engineering Services As required by written contract or written agreement, The City of Fort Collins, its officers, Agents and employees are included as Additional Insured for ongoing operations under General Liability and Automobile Liability. City of Fort Collins 700 Wood Street Fort Collins, CO 80521 ICONENG-01 BETHF CCIG 155 Inverness Drive West Englewood, CO 80112 Beth Ficken beth.ficken@thinkccig.com The Hartford Insurance Group Pinnacol Assurance X X X X X X X X DocuSign Envelope ID: 67781421-B2D484F5-8086-22A1-40B0-445B-8C8B-80CD-B3962F18E76B 6F8FD5064002