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Home My WebLink AboutCORRESPONDENCE - PURCHASE ORDER - 9201701WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND DRAGADOS-PULICE JOINT VENTURE WORK ORDER NUMBER: D-HWSP-2020-13 PROJECT TITLE: Halligan Project 03 - Risk Identification Work Shop ORIGINAL BID/RFP NUMBER & NAME: 9071, Halligan Water Supply Project MASTER AGREEMENT EFFECTIVE DATE: June 22, 2020 ARCHITECT/ENGINEER: NA OWNER’S REPRESENTATIVE: Linsey Chalfant WORK ORDER COMMENCEMENT DATE: October 26, 2020 WORK ORDER COMPLETION DATE: March 31, 2021 MAXIMUM FEE: (time and reimbursable direct costs): $40,476.80 PROJECT DESCRIPTION/SCOPE OF SERVICES: Scope of work for work order 03 includes risk identification and opportunities in Land Acquisition, Permitting, Political/PR. and Design and Construction. Organize, prepare, facilitate, and document the above categories, providing output for updating the Risk Register. 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 thirteen (13) 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: Dragados-Pulice Joint Venture By: Date: Name: Title: Page 1 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B Ramon Fiuza Executive VP November 12, 2020 November 9, 2020 Steve Campbell CMGC Advisor OWNER’S ACCEPTANCE & EXECUTION: This Work Order and the attached Contract Documents are hereby accepted and incorporated herein by this reference. ACCEPTANCE: Date: Linsey Chalfant, Civil Engineer III REVIEWED: Date: Pat Johnson, Senior Buyer REQUISITION ENTERED BY: Date: Melissa Walker, Coordinator, Finance ACCEPTANCE: Date: Matt Fater, Director, Civil Engineering ACCEPTANCE: Date: Eileen Dornfest, Halligan Project Manager ACCEPTANCE: Date: Theresa Connor, Interim Utilities Executive Director 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 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B November 5, 2020 November 9, 2020 November 9, 2020 November 12, 2020 November 12, 2020 November 13, 2020 November 13, 2020 ATTACHMENT A WORK ORDER COST, SCOPE, SCHEDULE OF SERVICES Page 3 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B 555 Anton Blvd. Suite 1000 | Costa Mesa, CA. 92626 | Phone: (949) 490-1800 October 19, 2020 City of Fort Collins Water Engineering Capital Projects 700 Wood Street Fort Collins, CO 80522 Attention: Eileen Dornfest Subject: Work Order #3 Dear Eileen, Dragados-Pulice Joint Venture has reviewed the scope of work for Work Order #3 Risk & Opportunity Workshops Facilitator Services and proposes an allowance of $40,476.80; see Attachment 1. A schedule for this work order tasks is included as Attachment 2. If you have questions, please contact us. Sincerely, Dragados-Pulice Joint Venture Manuel Morejon Project Manager Attachments: (1) Green Sheets and Paradyne Quote (2) Schedule Page 4 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B PROJECT: Proposal Date: Code: 9071 PWO: 3 WO #: 3 Pay Est.: Description: Qty: Unit: Unit Price: Total $: Item 1: $ - $ 1,456.00 Item 2: $ - $ 22,131.20 Item 3: $ - $ 13,977.60 Item 4: $ - $ 2,912.00 Item 5: $ - $ - Item 6: $ - $ - Item 7: $ - $ - Item 8: $ - $ - Item 9: $ - $ - Item 10: $ - $ - Item 11: $ - $ - Item 12: $ - $ - Item 13: $ - $ - Item 14: $ - $ - Item 15: $ - $ - Item 16: $ - $ - Item 17: $ - $ - Item 18: $ - $ - Item 19: $ - $ - Item 20: $ - $ - Total: $ 40,476.80 Roll Up Workshop (participants from all 3 teams) Halligan Water Supply Project COST BREAKDOWN Organizing and Scheduling Risk & Opportunity Workshop PART 1 Risk & Opportunity Workshop PART 2 10/19/2020 Overall Description: Risk & Opportunity Workshops - Facilitator Services Risk & Opportunity Workshops - Facilitator Services Page 5 of 17 Revised: 8/19/20 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B PROJECT: Proposal Date: Code: 9071 PWO: 3 WO #: 3 Pay Est.: STAFF HOURS REG OT CODE TITLE NAME HOURS RATE HOURS RATE TOTAL ST01 Project Manager Manuel Morejon 250 250 $ - ST02 Senior Technical Advisor Rafael Ibáñez 230 230 $ - ST03 Dam Construction Expert Dwain Sanders 220 220 $ - ST05 Senior Project Engineer Stanley Ellis, PE 165 165 $ - ST08 Environmental Manager Jason Phillips 175 175 $ - ST09 Estimating and Scheduling Manager Chris Peich 230 230 $ - ST13 Field Engineer Andrea Lau 75 75 $ - STAFF TOTAL HOURS 0 0 STAFF SUBTOTAL $ - CONSULTANT HOURS ST15 Partnering Facilitator Jon Swartzentruber 139 260 260 $ 36,140.00 STAFF TOTAL HOURS 139 0 CONSULTANT SUBTOTAL $ 36,140.00 REIMBURSABLE EXPENSES TYPE UNIT RATE Allowance ALL ####### $ - Allowance ALL $ 500.00 $ - Allowance ALL ####### $ - Allowance ALL $ 300.00 $ - Allowance ALL ####### $ - Allowance ALL $ 600.00 $ - Allowance ALL ####### $ - REIMBURSABLE EXPENSES SUBTOTAL $ - LABOR REG REG OT DT OT DT Craft DESCRIPTION HOURS RATE RATE RATE TOTAL LABOR SUBTOTAL $ - 0% LABOR SURCHARGE $ - LABOR TOTAL $ - SUBCONTRACTOR UNIT RATE $ - SUBCONTRACTOR SUBTOTAL $ - EQUIPMENT REG OT HOURS RATE RATE TOTAL EQUIPMENT SUBTOTAL $ - HAUL UNIT RATE $ - TRUCKING SUBTOTAL $ - MATERIALS OR SUPPLIERS UNIT RATE $ - $ - OUTSIDE MATERIALS SUBTOTAL $ - NOTES: 17% LABOR MARKUP $ - 12% CONSULTANT MARKUP DESIGN PHASE $ 4,336.80 17% EQUIPMENT & MATERIALS MARKUP $ - 17% SUBCONTRACT MARKUP $ - 3% BOND AND INSURANCE MARKUP $ - TOTAL WORK $ 40,476.80 UNIT PRICE WORK $ - PROJECT: Proposal Date: Work Date: Code: 9071 PWO: 3 WO #: 3 Pay Est.: PRODUCTION UNITS : UOM: STAFF REG OT CODE TITLE NAME HOURS RATE RATE TOTAL STAFF SUBTOTAL $ - CONSULTANT ST15 Partnering Facilitator Jon Swartzentruber 5 260 260 $ 1,300.00 STAFF SUBTOTAL $ 1,300.00 REIMBURSABLE EXPENSES TYPE UNIT RATE REIMBURSABLE EXPENSES SUBTOTAL $ - LABOR REG REG OT DT OT DT Craft DESCRIPTION HOURS RATE RATE RATE TOTAL LABOR SUBTOTAL $ - 0% LABOR SURCHARGE $ - LABOR TOTAL $ - SUBCONTRACTOR UNIT RATE $ - SUBCONTRACTOR SUBTOTAL $ - EQUIPMENT REG OT HOURS RATE RATE TOTAL EQUIPMENT SUBTOTAL $ - HAUL UNIT RATE $ - TRUCKING SUBTOTAL $ - MATERIALS OR SUPPLIERS UNIT RATE $ - $ - $ - OUTSIDE MATERIALS SUBTOTAL $ - NOTES: 17% LABOR MARKUP $ - 12% CONSULTANT MARKUP DESIGN PHASE $ 156.00 17% EQUIPMENT & MATERIALS MARKUP $ - 17% SUBCONTRACT MARKUP $ - 3% BOND AND INSURANCE MARKUP $ - TOTAL WORK $ 1,456.00 UNIT PRICE WORK $ - Signed (Contractors Representative) Signed (City Representative) DESCRIPTION DESCRIPTION Halligan Water Supply Project COST BREAKDOWN 10/19/2020 Organizing and Scheduling Item 1 Description: HOURS OT HOURS DESCRIPTION QTY PROJECT: Proposal Date: Work Date: Code: 9071 PWO: 3 WO #: 3 Pay Est.: PRODUCTION UNITS : UOM: STAFF REG OT CODE TITLE NAME HOURS RATE RATE TOTAL STAFF SUBTOTAL $ - CONSULTANT ST15 Partnering Facilitator Jon Swartzentruber 76 260 260 $ 19,760.00 STAFF SUBTOTAL $ 19,760.00 REIMBURSABLE EXPENSES TYPE UNIT RATE REIMBURSABLE EXPENSES SUBTOTAL $ - LABOR REG REG OT DT OT DT Craft DESCRIPTION HOURS RATE RATE RATE TOTAL LABOR SUBTOTAL $ - 0% LABOR SURCHARGE $ - LABOR TOTAL $ - SUBCONTRACTOR UNIT RATE $ - SUBCONTRACTOR SUBTOTAL $ - EQUIPMENT REG OT HOURS RATE RATE TOTAL EQUIPMENT SUBTOTAL $ - HAUL UNIT RATE $ - TRUCKING SUBTOTAL $ - MATERIALS OR SUPPLIERS UNIT RATE $ - $ - $ - OUTSIDE MATERIALS SUBTOTAL $ - NOTES: 17% LABOR MARKUP $ - 12% CONSULTANT MARKUP DESIGN PHASE $ 2,371.20 17% EQUIPMENT & MATERIALS MARKUP $ - 17% SUBCONTRACT MARKUP $ - 3% BOND AND INSURANCE MARKUP $ - TOTAL WORK $ 22,131.20 UNIT PRICE WORK $ - Signed (Contractors Representative) Signed (City Representative) DESCRIPTION QTY DESCRIPTION QTY DESCRIPTION HOURS HOURS DESCRIPTION QTY OT QTY Halligan Water Supply Project COST BREAKDOWN 10/19/2020 Item 2 Description: PROJECT: Proposal Date: Work Date: Code: 9071 PWO: 3 WO #: 3 Pay Est.: PRODUCTION UNITS : UOM: STAFF REG OT CODE TITLE NAME HOURS RATE RATE TOTAL STAFF SUBTOTAL $ - CONSULTANT ST15 Partnering Facilitator Jon Swartzentruber 48 260 260 $ 12,480.00 STAFF SUBTOTAL $ 12,480.00 REIMBURSABLE EXPENSES TYPE UNIT RATE REIMBURSABLE EXPENSES SUBTOTAL $ - LABOR REG REG OT DT OT DT Craft DESCRIPTION HOURS RATE RATE RATE TOTAL LABOR SUBTOTAL $ - 0% LABOR SURCHARGE $ - LABOR TOTAL $ - SUBCONTRACTOR UNIT RATE $ - SUBCONTRACTOR SUBTOTAL $ - EQUIPMENT REG OT HOURS RATE RATE TOTAL EQUIPMENT SUBTOTAL $ - HAUL UNIT RATE $ - TRUCKING SUBTOTAL $ - MATERIALS OR SUPPLIERS UNIT RATE $ - $ - $ - OUTSIDE MATERIALS SUBTOTAL $ - NOTES: 17% LABOR MARKUP $ - 12% CONSULTANT MARKUP DESIGN PHASE $ 1,497.60 17% EQUIPMENT & MATERIALS MARKUP $ - 17% SUBCONTRACT MARKUP $ - 3% BOND AND INSURANCE MARKUP $ - TOTAL WORK $ 13,977.60 UNIT PRICE WORK $ - Signed (Contractors Representative) Signed (City Representative) DESCRIPTION QTY DESCRIPTION QTY DESCRIPTION HOURS HOURS DESCRIPTION QTY OT QTY Halligan Water Supply Project COST BREAKDOWN 10/19/2020 Item 3 Description: PROJECT: Proposal Date: Work Date: Code: 9071 PWO: 3 WO #: 3 Pay Est.: PRODUCTION UNITS : UOM: STAFF REG OT CODE TITLE NAME HOURS RATE RATE TOTAL STAFF SUBTOTAL $ - CONSULTANT ST15 Partnering Facilitator Jon Swartzentruber 10 260 260 $ 2,600.00 STAFF SUBTOTAL $ 2,600.00 REIMBURSABLE EXPENSES TYPE UNIT RATE REIMBURSABLE EXPENSES SUBTOTAL $ - LABOR REG REG OT DT OT DT Craft DESCRIPTION HOURS RATE RATE RATE TOTAL LABOR SUBTOTAL $ - 0% LABOR SURCHARGE $ - LABOR TOTAL $ - SUBCONTRACTOR UNIT RATE $ - SUBCONTRACTOR SUBTOTAL $ - EQUIPMENT REG OT HOURS RATE RATE TOTAL EQUIPMENT SUBTOTAL $ - HAUL UNIT RATE $ - TRUCKING SUBTOTAL $ - MATERIALS OR SUPPLIERS UNIT RATE $ - $ - $ - OUTSIDE MATERIALS SUBTOTAL $ - NOTES: 17% LABOR MARKUP $ - 12% CONSULTANT MARKUP DESIGN PHASE $ 312.00 17% EQUIPMENT & MATERIALS MARKUP $ - 17% SUBCONTRACT MARKUP $ - 3% BOND AND INSURANCE MARKUP $ - TOTAL WORK $ 2,912.00 UNIT PRICE WORK $ - Signed (Contractors Representative) Signed (City Representative) DESCRIPTION QTY DESCRIPTION QTY DESCRIPTION HOURS HOURS DESCRIPTION QTY OT QTY Halligan Water Supply Project COST BREAKDOWN 10/19/2020 Item 4 Description: MEMORANDUM Paradyne Consulting Works LLC 8450 Lower Scarborough Court, Suite 301, San Diego, CA 92127 858-442-4295 Date: 10/18/20 (Revision 2) To: Linsey Chalfant, Eileen Dornfest Cc: Manuel Morejon From: Jon Swartzentruber Regarding: Risk Identification Workshops Linsey and Eileen: I am pleased to provide Revision 1 to the Proposed Statement of Work for the City of Ft. Collins (“the City”) based on our recent discussions: PROPOSED STATEMENT OF WORK Goal To identify the risks and opportunities in each of the following categories for the Halligan Dam capital project, along with risk mitigation and opportunity capture strategies, with input and buy-in from key stakeholders. CATEGORIES 1. Land Acquisition 2. Permitting 3. Political / PR 4. Design and Construction Deliverables Organize, prepare, facilitate, and document a series of risk and opportunity workshops for the categories listed above. Provide workshop output to AECOM for updating of the Risk Register. The cost of 100% risk realization or opportunity capture will be computed outside of the workshop setting and is not included as a deliverable. Workplan - Summary In order to maximize productivity and attention span in a virtual workshop setting, I propose two sequential workshops for each team and one final Roll Up workshop. Prior to PART 1, a survey will be distributed to the participants inviting them to describe the risks and opportunities they perceive within the subcategories provided. These will then be organized with the risks and opportunities the City has already identified. In PART 1, we will discuss, agree on, and prioritize the risks and opportunities, identify correlations, and define impacts and probabilities. Page 11 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B MEMORANDUM Paradyne Consulting Works LLC 8450 Lower Scarborough Court, Suite 301, San Diego, CA 92127 858-442-4295 In PART 2, we will tag managers or champions, and develop mitigation and capture strategies. In the ROLL UP workshop, all 4 teams will come together to review the big picture and identify overlaps, dependencies, and coordination needed across the 4 categories. The following workplan further describes these steps, including preparation and follow up. Workplan - Detail Each of the 4 category teams follow the same sequence: A Organizing and Scheduling Consulting Hrs (est) 1 Review this SOW with the City and amend as necessary - 2 Identify risk / opportunity “sub-categories”, and agree on impact and probability scales 2.0 3 Design the survey 3.0 Total 5.0 B Risk & Opportunity Workshop PART 1 1 Identify participants and schedule the workshop 1.0 2 Identify, assemble, and send homework to the participants 3.0 3 Administer the survey 2.0 4 Merge the survey into the existing register and distribute 3.0 5 Prepare workshop materials and virtual environment 3.0 6 Conduct Workshop (agenda subject to change) ~ 3.0 A Intros, warm up, objectives, process B Project goals and status update (related to the category) C Discuss and agree on list of prioritized risks (review the list, open discussion, role-play other stakeholder perspectives) D Discuss and agree on Opportunities (ditto the above) E Correlations (if A happens, can B - or will B?) F Impact and Probability (break out, report, discuss) G Next steps 7 Document workshop output and review with City 4.0 Total 19.0 x 4 = 76.0 Page 12 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B MEMORANDUM Paradyne Consulting Works LLC 8450 Lower Scarborough Court, Suite 301, San Diego, CA 92127 858-442-4295 C Risk & Opportunity Workshop PART 2 1 Schedule the workshop 1.0 2 Prepare workshop materials and environment 3.0 3 Conduct Workshop (Agenda subject to change) ~ 2.0 A Warm up B Identify Risk Managers or Champions C Risk Mitigation Strategies (break out, report, discuss) D Opportunity Capture Strategies (break out, report, discuss) E Next Steps 3 Document workshop output and review with City 4.0 4 Provide output to AECOM to formally update the Risk Register 2.0 Total 12.0 x 4 = 48 D Roll Up Workshop (participants from all 3 teams) 1 Schedule workshop, prepare materials and environment, send to participants 4.0 2 Workshop agenda (2-3 hours) ~ 3.0 A Top Risks & Opportunities in each category B Discuss mitigation strategies; identify overlaps, dependencies, and coordination needed C Next steps 3 Document workshop output 3.0 Total 10.0 Workshop Durations Land Acquisition Permitting Political & PR Design & Construction PART 1 3 hrs 3 hrs 3 hrs 3 hrs PART 2 2 hrs 2 hrs 2 hrs 3 hrs Page 13 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B MEMORANDUM Paradyne Consulting Works LLC 8450 Lower Scarborough Court, Suite 301, San Diego, CA 92127 858-442-4295 Fee The consulting fee will be invoiced at time and materials, at an hourly rate is $260. The estimated total fee (139 hrs @ $260) is $36,140. Progress invoices will be submitted to Dragados monthly with a copy to the City. Any anticipated variances from the estimated consulting hours will be discussed and resolved as soon as they become known. Best regards, Page 14 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B ID WBS Name Duration Start Finish Predecessors 0 0 HALLIGAN WATER SUPPLY PROJECT 99 daysMon 10/26/20 Thu 3/11/21 1 1 WORK ORDER #3 Risk Identification Workshops 99 days Mon 10/26/20 Thu 3/11/21 2 1.1 Organizing and Scheduling 5 days Mon 10/26/20 Fri 10/30/20 3 1.2 Risk & Opportunity Workshop PART 1 42 days Mon 11/2/20 Tue 12/29/20 4 1.2.1 Land Adquisition 9 days Mon 11/2/20 Thu 11/12/20 5 1.2.1.1 Preparation - Land Adquisition 1 5 days Mon 11/2/20 Fri 11/6/20 6 1.2.1.2 Land Adquisition Workshop 1 1 day Mon 11/9/20 Mon 11/9/20 7 1.2.1.3 Output Documentation 2 days Wed 11/11/20 Thu 11/12/20 8 1.2.2 Permitting 9 days Mon 11/16/20 Thu 11/26/20 9 1.2.2.1 Preparation - Permitting 1 5 days Mon 11/16/20 Fri 11/20/20 10 1.2.2.2 Permitting Workshop 1 1 day Mon 11/23/20 Mon 11/23/20 11 1.2.2.3 Output Documentation 2 days Wed 11/25/20 Thu 11/26/20 12 1.2.3 Political & PR 9 days Mon 11/30/20 Thu 12/10/20 13 1.2.3.1 Preparation - Political & PR 1 5 days Mon 11/30/20 Fri 12/4/20 14 1.2.3.2 Political & PR Workshop 1 1 day Mon 12/7/20 Mon 12/7/20 15 1.2.3.3 Output Documentation 2 days Wed 12/9/20 Thu 12/10/20 16 1.2.4 Design & Construction 12 days Mon 12/14/20 Tue 12/29/20 17 1.2.4.1 Preparation - Design & Construction 1 5 days Mon 12/14/20 Fri 12/18/20 18 1.2.4.2 Design & Construction Workshop 1 1 day Mon 12/21/20 Mon 12/21/20 19 1.2.4.3 Output Documentation 5 days Wed 12/23/20 Tue 12/29/20 20 1.3 Risk & Opportunity Workshop PART 2 39 days Mon 1/4/21 Thu 2/25/21 21 1.3.1 Land Adquisition 9 days Mon 1/4/21 Thu 1/14/21 22 1.3.1.1 Preparation - Land Adquisition 2 5 days Mon 1/4/21 Fri 1/8/21 23 1.3.1.2 Land Adquisition Workshop 2 1 day Mon 1/11/21 Mon 1/11/21 1926 2 9 162330 7 142128 4 111825 1 8 1522 1 8 1522 October November December January February March 9071 Contractor Services for Halligan Water Supply Project DATE: 10-14-2020. SCHEDULE 1 / 2 Page 15 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B ID WBS Name Duration Start Finish Predecessors 24 1.3.1.3 Output Documentation 2 days Wed 1/13/21 Thu 1/14/21 25 1.3.2 Permitting 9 days Mon 1/18/21 Thu 1/28/21 26 1.3.2.1 Preparation - Permitting 2 5 days Mon 1/18/21 Fri 1/22/21 27 1.3.2.2 Permitting Workshop 2 1 day Mon 1/25/21 Mon 1/25/21 28 1.3.2.3 Output Documentation 2 days Wed 1/27/21 Thu 1/28/21 29 1.3.3 Political & PR 9 days Mon 2/1/21 Thu 2/11/21 30 1.3.3.1 Preparation - Political & PR 2 5 days Mon 2/1/21 Fri 2/5/21 31 1.3.3.2 Political & PR Workshop 2 1 day Mon 2/8/21 Mon 2/8/21 32 1.3.3.3 Output Documentation 2 days Wed 2/10/21 Thu 2/11/21 33 1.3.4 Design & Construction 9 days Mon 2/15/21 Thu 2/25/21 34 1.3.4.1 Preparation - Design & Construction 2 5 days Mon 2/15/21 Fri 2/19/21 35 1.3.4.2 Design & Construction Workshop 2 1 day Mon 2/22/21 Mon 2/22/21 36 1.3.4.3 Output Documentation 2 days Wed 2/24/21 Thu 2/25/21 37 1.4 Roll Up Workshop 9 days Mon 3/1/21 Thu 3/11/21 38 1.4.1 Preparation 5 days Mon 3/1/21 Fri 3/5/21 39 1.4.2 Workshop 1 day Mon 3/8/21 Mon 3/8/21 40 1.4.3 Output Documentation 2 days Wed 3/10/21 Thu 3/11/21 1926 2 9 162330 7 142128 4 111825 1 8 1522 1 8 1522 October November December January February March 9071 Contractor Services for Halligan Water Supply Project DATE: 10-14-2020. SCHEDULE 2 / 2 Page 16 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B ATTACHMENT B CERTIFICATE OF INSURANCE CONTRACTOR shall submit Certificate of Insurance in compliance with the Contract Documents. All Halligan Contractors - Please list the following landowners as additionally Insured. • The Landowners’ Association for Phantom Canyon Ranches • Calloway Hill Preserve, LLC • Geo. A. Henderson Co., Inc., and Chris Vandemoer • James R. and Nancy E. Carpenter • The Nature Conservancy • North Poudre Irrigation Company Page 17 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B Holder Identifier : 7777777707070700077763616065553330742516667305577407762315770625032071741557376120100777070423275733107237150310071200077404113126347500772621337443657407362031772036710077727252025773110777777707000707007 6666666606060600062606466204446200600222424006222206000226260060222060020262620402200600002626024222206022206062262000062002042622402200622200424204000206020026260002400066646062240664440666666606000606006 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/03/2020 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 Services Northeast, Inc. New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (212) 441-1000 INSURED INSURER A: Liberty Insurance Corporation 42404 INSURER B: XL Insurance America Inc 24554 INSURER C: INSURER D: INSURER E: INSURER F: FAX (A/C. No.): CONTACT NAME: Dragados-Pulice Joint Venture 555 Anton Blvd, Suite 1000 Costa Mesa CA 92626 USA COVERAGES CERTIFICATE NUMBER: 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 DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY Excess Liability Program AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER AGENCY NAMED INSURED See Certificate Number: See Certificate Number: Aon Risk Services Northeast, Inc. 980000043978 Page _ of _ Dragados USA Inc XL Insurance America Inc Policy No.US00084611LI20A $5,000,000 each occurrence/aggregate excess of underlying General Liability, Auto Liability & Workers Compensation The Ohio Casualty Insurance Company Policy No. ECO2158726153 $15,000,000 each occurrence/aggregate excess of $5,000,000 Primary Excess ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X X GEN'L AGGREGATE LIMIT APPLIES PER: $5,000,000 $1,000,000 $10,000 $5,000,000 $10,000,000 $10,000,000 A TB7611B6N3Q4030 06/01/2020 06/01/2021 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 X BODILY INJURY (Per accident) $2,000,000 A 06/01/2020 06/01/2021 Comp/Coll $5000 COMBINED SINGLE LIMIT (Ea accident) AS7-611-B6N3Q4-020 EXCESS LIAB X OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED $5,000,000 $5,000,000 UMBRELLA LIAB 06/01/2020 B US00084611LI20A 06/01/2021 RETENTION X E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER A 06/01/2020 06/01/2021 PER STATUTE $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 WC7611B6N3Q4010 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Halligan Water Supply Project - Work Order #3 Risk & Opportunity Workshops Facilitator Services The Landowners’ Association for Phantom Canyon Ranches, Calloway Hill Preserve, LLC, Geo. A. Henderson Co., Inc., and Chris Vandemoer, James R. and Nancy E. Carpenter, City of Fort Collins, The Nature Conservancy and North Poudre Irrigation Company are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies as required by written contract. City of Fort Collins is granted a Waiver of Subrogation as respects the General Liability, Auto Liability, Workers Compensation and Excess Liability in accordance with the policy provisions. CERTIFICATE HOLDER CANCELLATION CityREPRESENTATIVE of Fort Collins AUTHORIZED Attn: City's Purchasing Director P. O. Box 580 Fort Collins, Colorado 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: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B Roll Up Workshop (participants from all 3 teams) OT HOURS 1. Schedule workshop, prepare material and environment, send to participants (4hr) 2. Workshop (3 hr) 3. Document workshop output (3 hr) Page 10 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B Risk & Opportunity Workshop PART 2 OT HOURS 1. Schedule the workshop (1 hr) 2. Prepare workshop material and environment (3 hr) 3. Conduct Workshop (2 hr) 4. Document workshop output and review with City (4 hr) 5. Provide output to AECOM to formally update the Risk Register (2 hr) Page 9 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B Risk & Opportunity Workshop PART 1 OT HOURS 1. Identify participants and schedule the workshop. (1 hr) 2. Identify, assemble, and send homework to participants (3 hr) 3. Administer the survey (2 hr) 4. Merge the surver into the existing register and distribute (3 hr) 5. Prepare workshop materials and virtual environment (3 hr) 6. Conduct Workshop (3 hr) 7. Document workshop output and review with the City. (4 hr) Page 8 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B DESCRIPTION OT HOURS QTY QTY QTY 1. Review this SOW with the City and amend as necessary 2. Identify risk/opportunity sub categories and agree on impact and probability scales (2 hr) 3. Design the survey (3 hr) Page 7 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B Signed (Contractors Representative) Signed (City Representative) Fort Collins JV Office Rental (Apportioned) DESCRIPTION QTY DESCRIPTION QTY OT DESCRIPTION HOURS DESCRIPTION QTY PM Company Vehicle 4x4 (Apportioned) HOURS Hotel/Lodging/Meals Reproduction Cost Fort Collins JV Office Operations&Maintenance (Apportioned) QTY Airfare Car Rental and Fuel Halligan Water Supply Project COST BREAKDOWN 10/19/2020 Overall Description: Summary By Cost Type Risk & Opportunity Workshops - Facilitator Services Page 6 of 17 DocuSign Envelope ID: 6DCF50C3-8A28-41C8-A9DE-3C65C698593B