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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 9103 ENGINEERING SERVICES FOR WATER RECLAMATION AND BIOSOLIDS FACILITY DESIGN AND CONSTRUCTION MANAGEMENTUtilities Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND CAROLLO ENGINEERS, INC. WORK ORDER NUMBER: H-WRF-2020-9 PROJECT TITLE: DWRF Dewatering HVAC ORIGINAL BID/RFP NUMBER & NAME: 9103, Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Management MASTER AGREEMENT EFFECTIVE DATE: June 8, 2020 ARCHITECT/ENGINEER: Carollo Engineers, Inc. OWNER’S REPRESENTATIVE: Christina Schroeder WORK ORDER COMMENCEMENT DATE: November 1, 2020 WORK ORDER COMPLETION DATE: February 28, 2021 MAXIMUM FEE: (time and reimbursable direct costs): $48,476.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: Perform air distribution analysis, develop design criteria and prioritize equipment replacement. Includes installation and safety watch during site investigation. Design documents will be developed to the 30% design level. 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 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: Carollo Engineers, Inc. By: Date: Name: Title: Page 1 of 10 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 November 11, 2020 Jason Garside Ron Burdick Vice President Senior Vice President October 29, 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: Christina Schroeder, Civil Engineer III REVIEWED: Date: Pat Johnson, Senior Buyer REQUISITION ENTERED BY: Date: Melissa Walker, Finance Coordinator ACCEPTANCE: Date: Jason Graham, Plant Director, Water Reclamation & Biosolids Division ACCEPTANCE: Date: Matt Fater, Director, Civil Engineering ACCEPTANCE: Date: Mark Kempton, Interim Deputy Director, Water Resources & Treatment Ops ACCEPTANCE: Date: Andrew Gingerich, Interim Deputy Director, Water Engineering & Field Svcs ACCEPTANCE: Date: Theresa Connor, 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) Page 2 of 10 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 October 27, 2020 October 28, 2020 October 28, 2020 November 12, 2020 November 12, 2020 November 12, 2020 November 12, 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: B866ECF0-47AA-429B-84A3-53ABF7F413A8 FINAL (9-28-20) pg. 1 Scope of Work – Dewatering Building HVAC Improvements Preliminary Design The City of Fort Collins (City) intends to implement improvements to the HVAC equipment within the Dewatering Building at the Drake Water Reclamation Facility (DWRF). The proposed improvements for the Dewatering Building HVAC Improvements project (Project) consist of the replacement 2 air handling units (AHUs), 1 make-up air unit (MAU), 1 cooling ductwork unit (CDU), and minor ductwork modifications. The purpose of this Work Order is to: • Analyze air distribution requirements within the Dewatering Building; • Define HVAC design criteria; • Identify replacement equipment for HVAC improvements; • Develop preliminary design to approximately 30 percent completion; and • Develop engineer’s cost estimate. The scope assumes that there is limited analysis of odor control system required, that ductwork and air distribution modifications are minor, and electrical supply modifications are minor. It is anticipated that this scope of work will proceed beginning October 15, 2020 and is required to be completed by February 15, 2021. At the completion of this Preliminary Design Work Order, it is intended that a future work order will be executed for Consultant to prepare final drawings and specifications, and pre- construction support for the implementation of the proposed Project. The scope of work for this Work Order is divided into the following tasks and subtasks, summarized below: Task 1 - Project Coordination Task 1.1 - Project Initiation Perform project initiation activities, including ProjectWise set up, progress report set up, etc. Review existing as-built drawings of Dewatering Building HVAC design and existing equipment specifications. Perform site visit to review existing conditions and discuss performance with staff. Prepare for and facilitate a two (2) hour project kick-off meeting. An element of the Kick-off Meeting can be to discuss lessons learned from previous projects and staff preferences. Task 1.2 - Coordination Meetings Prepare for and participate in four (4), 2-hour meetings with the Project Team to coordinate the conceptual design effort. Task 1.3 - Quality Assurance/Quality Control (QA/QC) Consultant will perform quality assurance and quality control of all deliverables in accordance with Consultant's standard QA/QC policies and procedures. Task 1.4 - Progress Reporting Invoices will be submitted monthly by Consultant's Project Manager to City's Project Manager in accordance with City payment protocols. Each invoice will be submitted with a progress report detailing the work executed during the invoice period and work remaining. Task 1 Deliverables: Kick-off Workshop Meeting Agenda and Minutes. Coordination Meeting Agenda and Minutes. Monthly Progress Reports and Invoices. Action and Decision Logs. Page 4 of 10 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 FINAL (9-28-20) pg. 2 Task 2 - Basis of Design Task 2.1 - Basis of Design Consultant will perform air flow analysis of existing facility and will define relevant design parameters for the Dewatering Building HVAC equipment replacements (2 AHUs, 1 MAU, 1 CDU). Consultant will perform initial analyses of mechanical, structural, and EI&C improvements required, and document in a written summary. Task 2 Deliverables: Summary of Design Criteria. Task 3 – Preliminary Design Task 3.1 - Preliminary Design Documentation Consultant will develop a preliminary design to 30 percent completion of the selected HVAC equipment and minor ductwork modifications. Preliminary design will consist of the following drawings: cover sheet (1 sheet); HVAC process flow diagram sheet (1 sheet); HVAC plan view sheet (1 sheet); process instrumentation diagrams (PIDs) of the four equipment units (3 sheets), and an electrical one-line diagram (1 sheet). Consultant will prepare equipment specifications for the four equipment units. Consultant will record review comments from City for incorporation into final design documentation. Task 3.2 – Engineer’s Cost Estimate Consultant will prepare an engineer’s cost estimate of the proposed improvements that includes anticipated costs for construction, final design, project management, programming, engineering services during construction and contingency. Consultant will provide a Class 3 estimate, as defined by the American Academy of Cost Engineering, based on 10-40% level of project definition and an expected accuracy range of -10% to -20% and +10% to +30%. Task 3 Deliverables: Draft Preliminary Design Documentation. Comment/Response Log of Design Review. Draft and Final Engineer’s Cost Estimate. Page 5 of 10 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER SCOPE COST DETAILS Page 6 of 10 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 FINAL - 9/28/20 DEWATERING BLDG HVAC PROJECT (PRELIMINARY DESIGN PHASE) LABOR HOURS AND ENGINEERING FEE Senior Professional Project Manager Project Professional Professional Disciplines (Structural+Arch) Disciplines (EIC) Disciplines (Civil, HVAC) Senior Technician Technician Document Processing/Clerical Billing Rate $260 $240 $226 $190 $190 $190 $166 $181 $128 $113 Task 1 - Project Coordination 2 18 16 0 0 16 16 0 0 1 69 $14,265 $200 $897 $15,362 Task 1.1 - Project Initiation 0 4 4 0 0 8 8 0 0 0 24 $4,712 $200 $312 $5,224 Task 1.2 - Coordination Meetings 0 8 8 0 0 8 8 0 0 0 32 $6,576 $0 $416 $6,992 Task 1.3 - Quality Assurance/Quality Control 2 2 4 0 0 0 0 0 0 0 8 $1,904 $0 $104 $2,008 Task 1.3 - Progress Reporting 0 4 0 0 0 0 0 0 0 1 5 $1,073 $0 $65 $1,138 Task 2 - Basis of Design and Alternative Evaluation 0 2 8 0 4 4 8 0 0 1 27 $5,249 $0 $351 $5,600 Task 2.1 - Basis of Design 0 2 8 0 4 4 8 0 0 1 27 $5,249 $0 $351 $5,600 Task 3 - Conceptual Design 0 4 18 0 4 28 40 24 24 4 146 $25,616 $0 $1,898 $27,514 Task 3.1 - Preliminary Design 0 2 16 0 4 24 24 24 24 4 122 $21,268 $0 $1,586 $22,854 Task 3.2 - Engineer's Cost Estimate 0 2 2 0 0 4 16 0 0 0 24 $4,348 $0 $312 $4,660 PROJECT TOTALS - TASKS 1-3 2 24 42 0 8 48 64 24 24 6 242 $45,130 $200 $3,146 $48,476 TOTAL COST LABOR HOURS PROJECT COSTS PECE Total Direct Labor Hours Total Labor Cost Other Direct Costs (ODCs) Page 7 of 10 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT C WORK ORDER SCHEDULE DETAIL Page 8 of 10 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 Nov-20 Dec-20 Jan-21 Feb-21 Preliminary Engineering Key Dates: Commencement Date: November 1, 2020 Completion Date: February 28, 2021 DWRF Dewatering HVAC Preliminary Engineering - Carollo SCHEDULE Project Schedule Page 9 of 10 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 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: B866ECF0-47AA-429B-84A3-53ABF7F413A8 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) 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 $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: $ COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS 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 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 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 INSURED: Carollo Engineers, Inc. PROFESSIONAL LIABILITY AND POLLUTION INCIDENT LIABILITY INSURANCE POLICY POLICY: AEH 288354410 EFFECTIVE: 7/4/2020 NOTICE ENDORSEMENT - CANCELLATION OR NON-RENEWAL We agree with you that your Policy is amended to include the following additional provisions. 1. Your Policy will not be: Canceled by us until we provide at least: 10 days prior written notice if we cancel your Policy for Non-payment of Premiums; 30 days prior written notice if we cancel your Policy for the following reasons: any reason other than non-payment of premiums ----- Non-renewed by us until at least ______ days prior written notice is given to the person or entity named in 2 below. 2. Person or Entity: All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated insurers, takes effect on the effective date of said Policy at the hour stated in said Policy and expires concurrently with said Policy unless another effective date is shown above. Attachment Code: D573119 Certificate ID: 17131369 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 Notification to Others of Cancellation, Nonrenewal or Reduction of Insurance Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. BAP 9730571 7/4/2020 7/4/2021 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 for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non-renewal: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the cancellation or non-renewal, as advised in our notice to the first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If coverage afforded by this Coverage Part is reduced or restricted, except for any reduction of Limits of Insurance due to payment of claims, we will mail or deliver notice of such reduction or restriction: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the reduction or restriction, or the longer number of days notice if indicated in the Schedule below. D. If notice as described in Paragraphs A., B. or C. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / Organization(s): Number of Days Notice: All certificate holders where notice of cancellation is required by written contract with the Named Insured 60 All other terms and conditions of this policy remain unchanged. U-CA-811-A CW (05/10) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code: D573121 Certificate ID: 17131369 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 Notification to Others of Cancellation, Nonrenewal or Reduction of Insurance Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. GLO 9730569 7/4/2020 7/4/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part Liquor Liability Coverage Part Products/Completed Operations Liability Coverage Part A. If we cancel or non-renew this Coverage Part(s) by written notice to the first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non-renewal: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the cancellation or non-renewal, as advised in our notice to the first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part(s) by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If coverage afforded by this Coverage Part(s) is reduced or restricted, except for any reduction of Limits of Insurance due to payment of claims, we will mail or deliver notice of such reduction or restriction: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the reduction or restriction, or the longer number of days notice if indicated in the Schedule below. D. If notice as described in Paragraphs A., B. or C. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / Organization(s): Number of Days Notice: All certificate holders where notice of cancellation is required by written contract with the Named Insured 60 All other terms and conditions of this policy remain unchanged. U-GL-1447-A CW (05/10) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code: D573122 Certificate ID: 17131369 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 NOTIFICATION TO OTHERS OF CANCELLATION, NONRENEWAL OR REDUCTION OF INSURANCE ENDORSEMENT This endorsement is used to add the following to Part Six of the policy. PART SIX CONDITIONS A. If we cancel or non-renew this policy by written notice to you for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non-renewal to the name and address corresponding to each person or organization shown in the Schedule below. Notification to such person or organization will be provided at least 10 days prior to the effective date of the cancellation or non-renewal, as advised in our notice to you, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this policy by written notice to you for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If coverage afforded by this policy is reduced or restricted, except for any reduction of Limits of Liability due to payment of claims, we will mail or deliver notice of such reduction or restriction to the name and address corresponding to each person or organization shown in the Schedule below. Notification to such person or organization will be provided at least 10 days prior to the effective date of the reduction or restriction, or the longer number of days notice if indicated in the Schedule below. D. If notice as described in Paragraphs A., B. or C. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / Organization(s): Number of Days Notice: All certificate holders where notice of cancellation is required by written contract with the Named Insured 60 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. WC 9730570 Endorsement No. Insured CAROLLO ENGINEERS, INC. Premium $ Insurance Company Zurich American Insurance Company WC 99 06 34 (Ed. 05-10) Includes copyrighted material of National Council on Compensation Insurance, Inc. with its permission. Page 1 of 1 Attachment Code: D573124 Certificate ID: 17131369 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 POLICY NUMBER: GLO 9730569 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 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization, other than an architect, engineer or surveyor, whom you are required to add as an additional insured under this policy under a written contract mark or written agreement executed prior to loss. Any Location or project, other than a wrap-up or other consolidated insurance program location or project for which insurance is otherwise separately provided to you by a wrap-up or other consolidated insurance program Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 Wolters Kluwer Financial Services | Uniform FormsTM Attachment Code: D573129 Certificate ID: 17131369 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © ISO Properties, Inc., 2004 CG 20 37 07 04 ooooo Attachment Code: D573129 Certificate ID: 17131369 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 POLICY NUMBER: GLO 9730569 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 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization, other than an architect, engineer or surveyor, whom you are required to add as an additional insured under this policy under a written contract or written agreement executed prior to loss. Any Location or project, other than a wrap-up or other consolidated insurance program location or project for which insurance is otherwise separately provided to you by a wrap-up or other consolidated insurance program Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a C. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 Attachment Code: D573181 Certificate ID: 17131369 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 ZURICH Other Insurance Amendment – Primary And Non-Contributory Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. GLO 9730569 7/4/2020 7/4/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 1. The following paragraph is added to the Other Insurance Condition of Section IV – Commercial General Liability Conditions: This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV – Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged. U-GL-1327-B CW (04/13) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code: D579070 Certificate ID: 17131369 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 POLICY NUMBER: BAP 9730571 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER 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" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: American Guarantee and Liab. Ins. Co. Endorsement Effective Date: 7/4/2020 SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization to whom or which you are required to provide additional insured status or additional insured status on a primary, non-contributory basis, in a written contract or written agreement executed prior to loss, except where such contract or agreement is prohibited by law. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II – Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I – Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM Attachment Code: D573125 Certificate ID: 17131369 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 principal as a part of the same project. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 Wolters Kluwer Financial Services | Uniform FormsTM Attachment Code: D573181 Certificate ID: 17131369 DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8 ACCORDANCE WITH THE POLICY PROVISIONS. 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CAROLLO ENGINEERS, INC. 2795 MITCHELL DR. WALNUT CREEK CA 94598-1601 American Guarantee and Liab. Ins. Co. 26247 Continental Casualty Company 20443 Zurich American Insurance Company 16535 X X 1,000,000 1,000,000 25,000 1,000,000 2,000,000 2,000,000 X X X 2,000,000 XXXXXXX XXXXXXX XXXXXXX DED: COMP/COLL 1,000 XXXXXXX XXXXXXX XXXXXXX N X 1,000,000 1,000,000 1,000,000 PROFESSIONAL LIABILITY UNLIMITED PRIOR ACTS EACH CLAIM: $1,000,000; AGGREGATE: $1,000,000 B BAP 9730571 7/4/2020 7/4/2021 A GLO 9730569 7/4/2020 7/4/2021 C AEH 288354410 7/4/2020 7/4/2021 A WC 9730570 7/4/2020 7/4/2021 NOT APPLICABLE 7/4/2021 1472613 Y N Y N N 11/10/2020 N N 17131369 17131369 XXXXXXX City of Fort Collins Attn: Purchasing Dept. P.O. Box 580 Fort Collins CO 80522 Professional Services Agreement - Work Orders for RFP 9103 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Management. City of Fort Collins, its officers, agents and employees are additional insureds as respects general liability and auto liability, and these coverages are primary and non-contributory, as required by written contract. X See Attachments DocuSign Envelope ID: B866ECF0-47AA-429B-84A3-53ABF7F413A8