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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 9102 SUPERVISORY CONTROL AND DATA ACQUISITION (SCADA) SYSTEM SUPPORT SERVICESUtilities Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND TETRA TECH, INC. WORK ORDER NUMBER: T-WRF-2020-6 PROJECT TITLE: DWRF Sidestream Programming ORIGINAL BID/RFP NUMBER & NAME: 9102 Supervisory Control and Data Acquisition (SCADA) System Support Services MASTER AGREEMENT EFFECTIVE DATE: June 1, 2020 ARCHITECT/ENGINEER: Carollo Engineering OWNER’S REPRESENTATIVE: Link Mueller WORK ORDER COMMENCEMENT DATE: June 29, 2020 WORK ORDER COMPLETION DATE: September 30, 2020 MAXIMUM FEE: (time and reimbursable direct costs): $53,491.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: Provide Programming Services for the Sludge Feed Pump Station associated with the Sidestream Project. See attached supporting documents. 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 four (4) pages are hereby accepted and incorporated herein, by this reference, and Notice to Proceed is hereby given after all parties have signed this document. SERVICE PROVIDER: TETRA TECH, INC. By: Date: Name: Title: Page 1 of 10 DocuSign Envelope ID: 958BD9B8-16E5-46C5-B9E3-00A28EE908BA Deborah Herman Project Manager July 5, 2020 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: Link Mueller, Civil Engineer III REVIEWED: Date: Pat Johnson, Senior Buyer REQUISITION ENTERED: Date: ACCEPTANCE: Date: Jason Graham, Director, Water Reclamation & Biosolids ACCEPTANCE: Date: Matt Fater, Director, Civil Engineering ACCEPTANCE: Date: Carol Webb, Deputy Director, Water Resources & Treatment Operations ACCEPTANCE: Date: Andrew Gingerich, Interim Deputy Director, Water Engineering & Field Services ACCEPTANCE: Date: Theresa Connor, Interim Utilities Executive Director (if greater than $1,000,000) ACCEPTANCE: Date: Gerry Paul, Purchasing Director (if greater than $60,000) ACCEPTANCE: Date: Darin Atteberry, City Manager (if greater than $1,000,000) ATTEST: Date: City Clerk (if greater than $1,000,000) Page 2 of 10 DocuSign Envelope ID: 958BD9B8-16E5-46C5-B9E3-00A28EE908BA June 30, 2020 Melissa Walker Coordinator, Finance July 1, 2020 July 1, 2020 July 5, 2020 July 6, 2020 July 6, 2020 July 6, 2020 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES Page 3 of 10 DocuSign Envelope ID: 958BD9B8-16E5-46C5-B9E3-00A28EE908BA Tetra Tech 1560 Broadway, Suite 1400 | Denver, CO 80202 Tel 303.825.5999 | Fax 303.825.0642 | tetratech.com June 26, 2020 9102 SCADA System Support Services - Work Order #1: Programming and Commissioning Support for DWRF Sidestream Sludge Feed Pump Station SCOPE OF WORK Scope Background: Drake Water Reclamation Facility (DWRF) currently is under construction with an Airprex phosphorus precipitation system. In support of the system, a new sludge feed pump station is being constructed in the digester basement to transfer digested sludge to the Airprex system. The pump station will consist of two rotary lobe pumps, a single macerator and associated instrumentation to transfer sludge to the Airprex system. PLCD42 has recently been upgraded to an M340 Modicon PLC. Tetra Tech will write the PLC programming to control the equipment, the pumping rate and rotation of feed between the digesters. Start-up and commissioning assistance of the pump station will be included. Scope: 1. SCADA System Services Contract Set up and Project Management a. Meeting between Tetra Tech, Project Team, and ICE Team to establish project goals and schedule. This meeting will be both a kick-off for the work order and the entire contract. Establishment of work order procedures and work flow for both capital projects work and PLC replacement projects will a key kick-off meeting goal. b. Development of a comprehensive project plan c. Development of a detailed communications plan d. Video conference with SCADA team, Fort Collins cybersecurity staff and Tetra Tech Senior Cybersecurity Consultant, Bob George, to identify system access and cybersecurity needs for project execution e. Review of the SCADA System Condition Assessment prepared by Carollo f. Biweekly conference calls with the Tetra Tech Project Manager and Technical Lead to track progress of all ongoing and anticipated work orders. The Tetra Tech Project Manager will prepare an agenda and minutes. The price proposal includes funding for six meetings. g. Preparation of a monthly status report and invoice for the overall project. The price proposal includes funding for three months, which is the anticipated duration of this work order. 2. Preliminary System Investigation a. Review of City Programming Standards and sample programming from similar equipment and instruments Page 4 of 10 DocuSign Envelope ID: 958BD9B8-16E5-46C5-B9E3-00A28EE908BA Tetra Tech 2 b. Review of sidestream sludge pump station P&IDs c. Review of the Process Control Description developed for system d. Review of relevant equipment and instrument submittals e. Field Investigation of existing PLC and review of drawings 3. System Confirmation Meeting a. Meeting with Project Team to resolve any questions and discrepancies b. Meeting will review control narratives with Project Team, confirm operational requirements, and include changes to the narratives 4. Design Documents a. Review and provide comments on control narratives b. Mark up existing PLCD42 drawings for the proposed improvements c. Create BOM 5. Programming a. Using the City’s PLC programming standards, incorporate the new PLC code in the existing D42 programming to execute the control narrative for the Sludge Feed Pump Station b. Test the program on the City’s test station with the final control narrative c. Provide loop drawings to contractor for wiring equipment into PLC. d. Coordinate with electrical subcontractor and provide support as needed. 6. Pre-Implementation Coordination a. Conference call to review the final workplan b. Confirm programming is complete and all necessary materials are in hand. c. Confirm project equipment and process is ready for implementation 7. PLC Program addition a. Install new program in PLCD42 b. Assist in functional testing of individual equipment associated with the program c. Assist in system commissioning including verification of start-up sequences, interlocks, and shut down sequences d. Turn equipment over to plant staff 8. Final Documentation, Training & Support a. Update the control narrative from start-up activities b. Update (if needed) drawings from start-up activities c. Turn over final PLC program to the City d. Assist Project Manager in development training for process e. Provide support as needed Page 5 of 10 DocuSign Envelope ID: 958BD9B8-16E5-46C5-B9E3-00A28EE908BA Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER SCOPE COST DETAIL Page 6 of 10 DocuSign Envelope ID: 958BD9B8-16E5-46C5-B9E3-00A28EE908BA Price Summary / Totals Task Pricing Totals 53,491 Specify Add'l Fees on Setup 0 Technology Use Fee Proj Area > 53,491 Submitted to: City of Fort Collins (Attn: Josh Monsrud / Link Mueller) Hourly Rates: $185 $185 $180 $130 $130 $230 Contract Type: T&M Project Phases / Tasks From Thru Months 325 80 101 7 117 16 4 0.00% 52,955 - 536 - - 53,491 1 2 3 4 5 6 1 Kickoff Meeting 12 4 4 4 2,000 170 2,170 2 Prelim System Investigation 32 4 11 2 15 - - 5,085 - 85 - - 5,170 Review Standards 6 2 2 2 990 990 Review P&IDs 5 1 2 2 815 815 Review Process Control Desc 5 3 1 1 870 870 Review Equip Submittal data 8 2 6 1,150 1,150 Field Investigation 8 4 4 1,260 85 1,345 3 System Confirmation Meeting 10 4 4 2 1,740 1,740 4 Design Docs 20 - 6 - 14 - - 2,930 - - - - 2,930 Review and markup narratives 8 2 6 1,150 1,150 Mark up PLC drawings 8 2 6 1,150 1,150 Create BOM 4 2 2 630 630 5 Programming 104 6 30 2 54 12 - 15,600 - 85 - - 15,685 Program Devel 68 16 2 50 9,820 9,820 Site Test 8 4 4 1,260 85 1,345 Loop Drawings 16 4 12 2,300 2,300 Contractor Coord 12 6 6 2,220 2,220 6 Pre-Implementation Coord 12 4 4 - 4 - - 2,000 - - - - 2,000 Work Plan Review - Call 6 2 2 2 1,000 1,000 Confirm Programming & Materials - Call 3 1 1 1 500 500 Confirm Equip & Process Ready - Call 3 1 1 1 500 500 7 Cutover 16 - 8 - 8 - - 2,520 - 196 - - 2,716 Load PLC Changes 2 1 1 315 315 Functional Testing Assistance 10 5 5 1,575 1,575 Commissioning Assistance 4 2 2 630 196 826 8 Final Documentation, Training, Support 13 1 4 - 4 4 - 1,965 - - - - 1,965 Update of Narratives 3 1 2 445 445 Update of Drawings 5 1 4 705 705 Document Turnover 2 2 370 370 Training Assistance 3 1 2 445 445 9 Support 16 - 4 - 12 - - 2,300 - - - - 2,300 As-needed 16 4 12 2,300 2,300 10 Project Management & Overall Contract Setup 90 57 26 3 - - 4 16,815 - - - - 16,815 Project Plan 20 16 4 3,700 3,700 Communications Plan 10 8 2 1,850 1,850 System Access & Cybersecurity 10 2 4 4 2,030 2,030 Review Condition Assessment 14 3 8 3 2,575 2,575 Biweekly Project Status Meetings 18 12 6 3,330 3,330 Invoicing & Monthly Reports 12 12 2,220 2,220 Work Order Setup 6 4 2 1,110 1,110 Totals 325 80 101 7 117 16 4 0.00% 52,955 - 536 - - 53,491 6 Resource Fort Collins - DWRF Sidestream Programming Price Proposal Labor Plan Programming & Commissioning Support for DWRF Sludge Feed Pump Station Total Price Pricing by Resource Project Manager (Deb Herman) Technical Lead (Corey Lamb) Task Pricing Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT C WORK ORDER SCOPE SCHEDULE DETAIL Page 8 of 10 DocuSign Envelope ID: 958BD9B8-16E5-46C5-B9E3-00A28EE908BA DWRF Sidestream-P Programming Project Project Set up and Coordination Comprehensive Project and Communications Planning SCADA Condition Assessment review Design Standard Review Kickoff Meeting Monthly Project Status Reporting System Confirmation and Programming Document Review & Markup Loop Drawings System Confirmation Meeting Programming Testing and Review Installation, Testing and Support Program Installation and Testing Training Assistance and Final Documentation System Support As Needed 9102 SCADA System Services Work Order #1: DWRF Sidestream Programming Services Schedule Revised: 6/26/2020 July August September 2020 Page 9 of 10 DocuSign Envelope ID: 958BD9B8-16E5-46C5-B9E3-00A28EE908BA Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT D CERTIFICATE OF INSURANCE CONTRACTOR shall submit Certificate of Insurance in compliance with the Contract Documents. Page 10 of 10 DocuSign Envelope ID: 958BD9B8-16E5-46C5-B9E3-00A28EE908BA Holder Identifier : FGHZ2 7777777707070700077761616045571110767717016204447207442027772507300072640577046230130777051513167400307533514637671103075372374631777610767115063006661207360055130076130076727242035772000777777707000707007 7777777707070700073525677115456000722011517037012007023327242073100070223372421621100703332624207211007023237253173000070333273520731100702233624306311007023327242073100077756163351765540777777707000707007 Certificate No : 570082073454 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/08/2020 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. PRODUCER Aon Risk Insurance Services West, Inc. Los Angeles CA Office 707 Wilshire Boulevard Suite 2600 Los Angeles CA 90017-0460 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (866) 283-7122 INSURED INSURER A: Zurich American Ins Co 16535 INSURER B: American International Group UK Ltd AA1120187 INSURER C: Lexington Insurance Company 19437 INSURER D: INSURER E: INSURER F: FAX (A/C. No.): (800) 363-0105 CONTACT NAME: Tetra Tech, Inc. 1560 Broadway Suite 1400 Denver CO 48226 USA COVERAGES CERTIFICATE NUMBER: 570082073454 REVISION NUMBER: 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. Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL TYPE OF INSURANCE INSD POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE WC 99 06 43 Page 1 of 1 (Ed. 01-13) Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1. If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non-renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list: a. Must be provided to us prior to cancellation or non-renewal; b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non-renewed; and c. Must be in an electronic format that is acceptable to us. 2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list: a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or b. At least 30 days prior to the effective date of: (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or (2) Non-renewal, but not including conditional notice of renewal. 3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Extend the policy cancellation or non-renewal date; b. Negate the cancellation or non-renewal; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance Company ZURICH AMERICAN INSURANCE COMPANY WC 1857087-01 DocuSign Envelope ID: 50A61C87-958BD9B8-2A80-16E5-4A7D-46C5-A636-B9E3-31BA1A7401C8 00A28EE908BA Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. GLO 1817406-01 10/01/2019 10/01/2020 75272000 INCL Blanket Notification to Others of Cancellation or Non-Renewal U-GL-1521-A CW (10/12) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1. Must be provided to us prior to cancellation or non-renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non-renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non-renewal date; 2. Negate the cancellation or non-renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. DocuSign Envelope ID: 50A61C87-958BD9B8-2A80-16E5-4A7D-46C5-A636-B9E3-31BA1A7401C8 00A28EE908BA Blanket Notification to Others of Cancellation or Non-Renewal U-CA-832-A CW (01/13) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1. Must be provided to us prior to cancellation or non-renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non-renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non-renewal date; 2. Negate the cancellation or non-renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. BAP 1857085-01 10/01/2019 10/01/2020 75272000 INCL DocuSign Envelope ID: 50A61C87-958BD9B8-2A80-16E5-4A7D-46C5-A636-B9E3-31BA1A7401C8 00A28EE908BA WC 99 06 43 Page 1 of 1 (Ed. 01-13) Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1. If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non-renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list: a. Must be provided to us prior to cancellation or non-renewal; b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non-renewed; and c. Must be in an electronic format that is acceptable to us. 2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list: a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or b. At least 30 days prior to the effective date of: (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or (2) Non-renewal, but not including conditional notice of renewal. 3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Extend the policy cancellation or non-renewal date; b. Negate the cancellation or non-renewal; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance Company ZURICH AMERICAN INSURANCE COMPANY WC 2540616-01 DocuSign Envelope ID: 50A61C87-958BD9B8-2A80-16E5-4A7D-46C5-A636-B9E3-31BA1A7401C8 00A28EE908BA 10/01/2019 028182375 DocuSign Envelope ID: 50A61C87-958BD9B8-2A80-16E5-4A7D-46C5-A636-B9E3-31BA1A7401C8 00A28EE908BA DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X X X GEN'L AGGREGATE LIMIT APPLIES PER: $2,000,000 $1,000,000 $10,000 $2,000,000 $4,000,000 $4,000,000 X,C,U Coverage A GLO181740601 10/01/2019 10/01/2020 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $5,000,000 A 10/01/2019 10/01/2020 COMBINED SINGLE LIMIT (Ea accident) BAP1857085-01 EXCESS LIAB X OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED $10,000,000 $10,000,000 $100,000 UMBRELLA LIAB 10/01/2019 B 62785232 10/01/2020 X RETENTION X E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER A 10/01/2019 10/01/2020 PER STATUTE A WC185708701 10/01/2019 10/01/2020 $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N N / A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 WC254061601 028182375 10/01/2019 10/01/2021 Each Claim Prof/Poll Liab Agggregate $1,000,000 C Env Contr Prof SIR applies per policy terms & conditions $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Job Description: 9102 SCADA System Support Services. City of Fort Collins is included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies as required by written contract. Stop Gap Coverage for the following states: OH, ND, WA, WY. CERTIFICATE HOLDER CANCELLATION CityREPRESENTATIVE of Fort Collins AUTHORIZED Attn: Purchasing Director PO Box 580 Fort Collins CO 80522 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DocuSign Envelope ID: 50A61C87-958BD9B8-2A80-16E5-4A7D-46C5-A636-B9E3-31BA1A7401C8 00A28EE908BA Schedule Totals Work Days Off Work Days Total Labor Hrs Subs Travel Mat'ls & Equip ODCs Labor Rate Esc. Labor Programming QA/QC (Astrid Fleischer) Programmer II (Phong Hoang) Senior CAD Designer (Kelly Kramer) Senior Cybersecurity Consultant (Bob George) Tetra Tech - Confidential and Proprietary Page 1 of 1 Printed 6/26/2020 Page 7 of 10 DocuSign Envelope ID: 958BD9B8-16E5-46C5-B9E3-00A28EE908BA