Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
RFP - 8115 ENGINEERING SERVICES FOR WATER RECLAMATION & BIOSOLIDS FACILITY DESIGN & CONSTRUCTION (4)
PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 1 of 17 PROFESSIONAL SERVICES AGREEMENT WORK ORDER THIS AGREEMENT made and entered into the day and year set forth below, by and between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter referred to as the "City" and CAROLLO ENGINEERS, INC., a Delaware corporation, hereinafter referred to as "Professional". WITNESSETH: In consideration of the mutual covenants and obligations herein expressed, it is agreed by and between the parties hereto as follows: 1. Scope of Services. The Professional agrees to provide services in accordance with any project Work Orders for 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services issued by the City. A blank sample of a work order is attached hereto as Exhibit A, consisting of one (1) page and is incorporated herein by this reference. The City reserves the right to independently bid any project rather than issuing a Work Order to the Professional for the same pursuant to this Agreement. Irrespective of references in Exhibit A to certain named third parties, Professional shall be solely responsible for performance of all duties hereunder. A general scope of services is attached hereto as Exhibit B, consisting of two (2) pages and is incorporated herein by this reference. 2. The Work Schedule. The services to be performed pursuant to this Agreement shall be performed in accordance with the Work Schedule stated on each Work Order. 3. Time of Commencement and Completion of Services. The services to be performed pursuant to this Agreement shall be initiated as specified on each Work Order. Time is of the essence. Any extensions of any time limit must be agreed upon in writing by the parties hereto. 4. Contract Period. This Agreement shall commence September 21, 2015, and shall continue in full force and effect until September 20, 2016, unless sooner terminated as herein provided. In addition, at the option of the City, the Agreement may be extended for additional one year periods not to exceed four (4) additional one year periods. Renewals and pricing changes shall be negotiated by and agreed to by both parties. Written notice of renewal shall be provided to the Professional and mailed no later than thirty (30) days prior to contract end. 5. Early Termination by City. Notwithstanding the time periods contained herein, the City may terminate this Agreement at any time without cause by providing written notice of termination to the Professional. Such notice shall be delivered at least fifteen (15) days prior to the termination date contained in said notice unless otherwise agreed in writing by the parties. DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 2 of 17 All notices provided under this Agreement shall be effective when mailed, postage prepaid and sent to the following addresses: Professional: City: Copy to: Carollo Engineers, Inc. Attn: Anthony Morroni 10822 W. Toller Drive, Suite 200 Littleton, CO 80127 City of Fort Collins Attn: Owen Randall PO Box 580 Fort Collins, CO 80522 City of Fort Collins Attn: Purchasing Dept. PO Box 580 Fort Collins, CO 80522 In the event of any such early termination by the City, the Professional shall be paid for services rendered prior to the date of termination, subject only to the satisfactory performance of the Professional's obligations under this Agreement. Such payment shall be the Professional's sole right and remedy for such termination. 6. Design, Project Indemnity and Insurance Responsibility. The Professional shall be responsible for the professional quality, technical accuracy, timely completion and the coordination of all services rendered by the Professional, including but not limited to designs, plans, reports, specifications, and drawings and shall, without additional compensation, promptly remedy and correct any errors, omissions, or other deficiencies. The Professional shall indemnify, save and hold harmless the City, its officers and employees in accordance with Colorado law and any limitations therein, from all damages whatsoever claimed by third parties against the City; and for the City's costs and reasonable attorney’s fees, arising directly or indirectly out of the Professional's negligent performance of any of the services furnished under this Agreement. The Professional shall maintain insurance in accordance with Exhibit D, consisting of one (1) page, attached hereto and incorporated herein. 7. Compensation. In consideration of the services to be performed pursuant to this Agreement, the City agrees to pay Professional on a time and reimbursable direct cost basis in accordance with Exhibit C, consisting of four (4) pages, attached hereto and incorporated herein by this reference. At the election of the City, each Work Order may contain a maximum fee, which shall be negotiated by the parties hereto for each such Work Order. The parties acknowledge that sub-consultants listed in the Scope of Work (Exhibit B), are not parties to this agreement. However, the rates listed for services to be provided by these sub-consultants shall be the rate paid by the City to the Professional for these services. If the amount charged by these sub-consultants exceeds the rates listed in Exhibit C, the excess amount shall not be paid or owed by the City. Monthly partial payments based upon the Professional's billings and itemized statements of reimbursable direct costs are permissible. The amounts of all such partial payments shall be based upon the Professional's City-verified progress in completing the services to be performed pursuant hereto and upon the City's approval of the Professional's reimbursable direct costs. Final payment shall be made following acceptance of the work by the City. Upon final payment, all designs, plans, reports, specifications, drawings and other services rendered by the Professional shall become the sole property of the City. DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 3 of 17 8. City Representative. The City will designate, prior to commencement of work, its project representative who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the project. All requests for contract interpretations, change orders, and other clarification or instruction shall be directed to the City Representative. 9. Project Drawings. Upon conclusion of the project and before final payment, the Professional shall provide the City with reproducible drawings of the project containing accurate information on the project as constructed. Drawings shall be of archival, prepared on stable Mylar base material using a non-fading process to provide for long storage and high quality reproduction. "CD" disc of the as-built drawings shall also be submitted to the City in an AutoCAD version no older then the established city standard. 10. Monthly Report. Commencing thirty (30) days after the date of execution of this Agreement and every thirty (30) days thereafter, Professional is required to provide the City Representative with a written report of the status of the work with respect to the Scope of Services, Work Schedule, and other material information. Failure to provide any required monthly report may, at the option of the City, suspend the processing of any partial payment request. 11. Independent Contractor. The services to be performed by Professional are those of an independent contractor and not of an employee of the City of Fort Collins. The City shall not be responsible for withholding any portion of Professional's compensation hereunder for the payment of FICA, Workers' Compensation, other taxes or benefits or for any other purpose. 12. Personal Services. It is understood that the City enters into this Agreement based on the special abilities of the Professional and that this Agreement shall be considered as an agreement for personal services. Accordingly, the Professional shall neither assign any responsibilities nor delegate any duties arising under this Agreement without the prior written consent of the City. 13. Acceptance Not Waiver. The City's approval of drawings, designs, plans, specifications, reports, and incidental work or materials furnished hereunder shall not in any way relieve the Professional of responsibility for the quality or technical accuracy of the work. The City's approval or acceptance of, or payment for, any of the services shall not be construed to operate as a waiver of any rights or benefits provided to the City under this Agreement. 14. Default. Each and every term and condition hereof shall be deemed to be a material element of this Agreement. In the event either party should fail or refuse to perform according to the terms of this agreement, such party may be declared in default. 15. Remedies. In the event a party has been declared in default, such defaulting party shall be allowed a period of ten (10) days within which to cure said default. In the event the DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 4 of 17 default remains uncorrected, the party declaring default may elect to (a) terminate the Agreement and seek damages; (b) treat the Agreement as continuing and require specific performance; or (c) avail himself of any other remedy at law or equity. If the non- defaulting party commences legal or equitable actions against the defaulting party, the defaulting party shall be liable to the non-defaulting party for the non-defaulting party's reasonable attorney fees and costs incurred because of the default. 16. Binding Effect. This writing, together with the exhibits hereto, constitutes the entire agreement between the parties and shall be binding upon said parties, their officers, employees, agents and assigns and shall inure to the benefit of the respective survivors, heirs, personal representatives, successors and assigns of said parties. 17. Law/Severability. The laws of the State of Colorado shall govern the construction, interpretation, execution and enforcement of this Agreement. In the event any provision of this Agreement shall be held invalid or unenforceable by any court of competent jurisdiction, such holding shall not invalidate or render unenforceable any other provision of this Agreement. 18. Prohibition Against Employing Illegal Aliens. Pursuant to Section 8-17.5-101, C.R.S., et. seq., Professional represents and agrees that: a. As of the date of this Agreement: 1. Professional does not knowingly employ or contract with an illegal alien who will perform work under this Agreement; and 2. Professional will participate in either the e-Verify program created in Public Law 208, 104th Congress, as amended, and expanded in Public Law 156, 108th Congress, as amended, administered by the United States Department of Homeland Security (the “e-Verify Program”) or the Department Program (the “Department Program”), an employment verification program established pursuant to Section 8-17.5-102(5)(c) C.R.S. in order to confirm the employment eligibility of all newly hired employees to perform work under this Agreement. b. Professional shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or knowingly enter into a contract with a subcontractor that knowingly employs or contracts with an illegal alien to perform work under this Agreement. c. Professional is prohibited from using the e-Verify Program or Department Program procedures to undertake pre-employment screening of job applicants while this Agreement is being performed. d. If Professional obtains actual knowledge that a subcontractor performing work under this Agreement knowingly employs or contracts with an illegal alien, Professional shall: DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 5 of 17 1. Notify such subcontractor and the City within three days that Professional has actual knowledge that the subcontractor is employing or contracting with an illegal alien; and 2. Terminate the subcontract with the subcontractor if within three days of receiving the notice required pursuant to this section the subcontractor does not cease employing or contracting with the illegal alien; except that Professional shall not terminate the contract with the subcontractor if during such three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. e. Professional shall comply with any reasonable request by the Colorado Department of Labor and Employment (the “Department”) made in the course of an investigation that the Department undertakes or is undertaking pursuant to the authority established in Subsection 8-17.5-102 (5), C.R.S. f. If Professional violates any provision of this Agreement pertaining to the duties imposed by Subsection 8-17.5-102, C.R.S. the City may terminate this Agreement. If this Agreement is so terminated, Professional shall be liable for actual and consequential damages to the City arising out of Professional’s violation of Subsection 8-17.5-102, C.R.S. g. The City will notify the Office of the Secretary of State if Professional violates this provision of this Agreement and the City terminates the Agreement for such breach. 19. Red Flags Rules. Professional must implement reasonable policies and procedures to detect, prevent and mitigate the risk of identity theft in compliance with the Identity Theft Red Flags Rules found at 16 Code of Federal Regulations part 681. Further, Professional must take appropriate steps to mitigate identity theft if it occurs with one or more of the City’s covered accounts and must as expeditiously as possible notify the City in writing of significant breeches of security or Red Flags to the Utilities or the Privacy Committee. 20. Special Provisions. Special provisions or conditions relating to the services to be performed pursuant to this Agreement are set forth in Exhibit E - Confidentiality, consisting of one (1) page, attached hereto and incorporated herein by this reference. DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 6 of 17 THE CITY OF FORT COLLINS, COLORADO By: Gerry Paul Purchasing Director DATE: ATTEST: City Clerk APPROVED AS TO FORM: Assistant City Attorney CAROLLO ENGINEERS, INC. By: Printed: Anthony L. Morroni, PE Title: SENIOR VICE PRESIDENT Date: By: Printed: Robert Morroni, PE Title: SENIOR VICE PRESIDENT Date: DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB 10/2/2015 10/2/2015 10/6/2015 PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 7 of 17 EXHIBIT A WORK ORDER FORM PURSUANT TO AN AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND DATED: Work Order Number: Purchase Order Number: Project Title: Original Bid/RFP Project Number & Name: Commencement Date: Completion Date: Maximum Fee: (time and reimbursable direct costs): Project Description: Scope of Services: Professional agrees to perform the services identified above and on the attached forms in accordance with the terms and conditions contained herein and in the Professional Services Agreement between the parties. In the event of a conflict between or ambiguity in the terms of the Professional Services Agreement and this work order (including the attached forms) the Professional Services Agreement shall control. The attached forms consisting of ( ) page(s) are hereby accepted and incorporated herein, by this reference, and Notice to Proceed is hereby given. PROFESSIONAL By:_______________________________ Date:_____________________________ CITY OF FORT COLLINS Submitted By: _________________________ Project Manager Date: _________________________ Reviewed by: _________________________ Senior Utility Engineer Date: _________________________ Approved by: _________________________ Water Engineering & Field Services Operations Manager Date: ________________________ Approved by: _________________________ Utilities General Manager (over $1,000,000) Date: ________________________ Approved by: _________________________ Purchasing Director (if over $60,000) Date: _______________________ DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 8 of 17 EXHIBIT B SCOPE OF WORK I. PURPOSE The City of Fort Collins is contracting for engineering, design and construction management services, for the Drake Water Reclamation Facility (DWRF) (including the Pollution Control Lab), the Mulberry Water Reclamation Facility (MWRF), and the Meadow Springs Ranch Biosolids facility (MSR). It is anticipated that the primary use of these engineering services will be in the areas of wastewater process engineering studies and capital improvements, plant and facility replacement projects, engineering consulting services related to plant and facility operations, or other general engineering services related to the Water Reclamation and Biosolids operations. II. SCOPE OF SERVICES A. SCOPE OF WORK The following is a list of services to be provided. While it identifies several services that are needed, it may not be all inclusive of the scope required. 1. Perform water and wastewater process modeling and master planning for all water reclamation and biosolids facilities. 2. Provide Engineering Services for all aspects of water, wastewater, and storm water facilities in and around the Water Reclamation and Biosolids properties. This includes process improvements, buildings, roads, associated drainage systems and infrastructure. Support services such as environmental analysis, permitting, and water rights services are included. 3. Perform wastewater modeling utilizing the latest version of BioWin. Such modeling may be in the context of capital improvement design or analysis of existing plant operations to assist operating staff in process troubleshooting and optimization. 4. Prepare construction contract documents and technical specifications for capital improvement projects using CSI format and the City of Fort Collins’ modified EJCDC General Conditions, standard front end. Drawings will be AutoCAD Civil 3D (Version 2014 or newer) generated, ink on Mylar. "As-Constructed drawings" will be provided to the City on CD’s or DVD’s at the completion of each project. Provide "As-Constructed" stamped, original Mylar’s at the completion of the project to become the property of the City of Fort Collins Utilities. 5. Identify all easements and properties required for any off-site construction and prepare all legal descriptions needed to assist City staff in acquiring the necessary property. 6. Prepare permit applications as required. 7. Provide resident engineering, construction administration, submittal review and field inspection services. Resident Engineer duties must be performed with experienced and qualified personnel approved by the Utility. 8. Provide all surveying required for the design of the project and baseline control for Consultant use during construction. 9. All existing utilities and structures will be identified, located and shown horizontally DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 9 of 17 and vertically in relationship to the proposed improvements, using GPS where indicated. 10. Provide all geotechnical services required for the design process and for testing during construction projects. 11. Provide detailed written monthly progress reports throughout the duration of the design and construction of all work. The progress reports will be part of the billing submitted monthly. 12. Provide Plant Engineer to serve as part of the staff of the WRF’s and the Engineering Division. This will entail providing an on-site engineer to assist and support plant staff and Capital Projects Project Manager in process optimization, equipment failure analysis, equipment replacement and repair, design and construction services. General facilities management project management (i.e. roofs, HVAC, pilot projects, pavement, concrete) and coordinating capital projects schedules with plant activities will also be required. Initially the City anticipates the Plant Engineer working out of the Drake facility 20-30 hours per week. The Plant Engineer position will be a distinct position supporting the City’s Capital Projects Project Manager and the plant. This position may be working on projects that are separate from the awarded Consultant’s team. The Plant Engineer shall remain an employee of Carollo Engineers or a subcontractor to Carollo Engineers and will not be an employee of the City of Fort Collins. Projects will be managed utilizing the Utilities’ Alternative Product Delivery System (APDS). The Consultant will be part of a project team consisting of City of Fort Collins staff, project construction contractor’s staff, and the engineering Consultant’s staff. This team will work together from day one of project conception (design phase) through the completion of construction. Each team member has significant involvement in the design and construction concepts that are utilized for the successful completion of utility capital projects. Participation by all team members throughout the project is expected to encourage innovation and enhance project quality and value. Work will be on an as needed basis with the scope of work to be defined and a work order negotiated prior to the time the work on each project is commenced. DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 10 of 17 EXHIBIT C FEE SCHEDULES DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 11 of 17 DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 12 of 17 DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 13 of 17 DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 14 of 17 EXHIBIT D INSURANCE REQUIREMENTS 1. The Professional will provide, from insurance companies acceptable to the City, the insurance coverage designated hereinafter and pay all costs. Before commencing work under this bid, the Professional shall furnish the City with certificates of insurance showing the type, amount, class of operations covered, effective dates and date of expiration of policies, and containing substantially the following statement: “The insurance evidenced by this Certificate will not reduce coverage or limits and will not be cancelled, except after thirty (30) days written notice has been received by the City of Fort Collins.” In case of the breach of any provision of the Insurance Requirements, the City, at its option, may take out and maintain, at the expense of the Professional, such insurance as the City may deem proper and may deduct the cost of such insurance from any monies which may be due or become due the Professional under this Agreement. The City, its officers, agents and employees shall be named as additional insureds on the Professional 's general liability and automobile liability insurance policies for any claims arising out of work performed under this Agreement. 2. Insurance coverages shall be as follows: A. Workers' Compensation & Employer's Liability. The Professional shall maintain during the life of this Agreement for all of the Professional's employees engaged in work performed under this agreement: 1. Workers' Compensation insurance with statutory limits as required by Colorado law. 2. Employer's Liability insurance with limits of $100,000 per accident, $500,000 disease aggregate, and $100,000 disease each employee. B. Commercial General & Vehicle Liability. The Professional shall maintain during the life of this Agreement such commercial general liability and automobile liability insurance as will provide coverage for damage claims of personal injury, including accidental death, as well as for claims for property damage, which may arise directly or indirectly from the performance of work under this Agreement. Coverage for property damage shall be on a "broad form" basis. The amount of insurance for each coverage, Commercial General and Vehicle, shall not be less than $1,000,000 combined single limits for bodily injury and property damage. In the event any work is performed by a subcontractor, the Professional shall be responsible for any liability directly or indirectly arising out of the work performed under this Agreement by a subcontractor, which liability is not covered by the subcontractor's insurance. C. Errors & Omissions. The Professional shall maintain errors and omissions insurance in the amount of $1,000,000. DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB No new insurance required PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 15 of 17 EXHIBIT E CONFIDENTIALITY IN CONNECTION WITH SERVICES provided to the City of Fort Collins (the “City”) pursuant to this Agreement (the “Agreement”), the Professional hereby acknowledges that it has been informed that the City has established policies and procedures with regard to the handling of confidential information and other sensitive materials. In consideration of access to certain information, data and material (hereinafter individually and collectively, regardless of nature, referred to as “information”) that are the property of and/or relate to the City or its employees, customers or suppliers, which access is related to the performance of services that the Professional has agreed to perform, the Professional hereby acknowledges and agrees as follows: That information that has or will come into its possession or knowledge in connection with the performance of services for the City may be confidential and/or proprietary. The Professional agrees to treat as confidential (a) all information that is owned by the City, or that relates to the business of the City, or that is used by the City in carrying on business, and (b) all information that is proprietary to a third party (including but not limited to customers and suppliers of the City). The Professional shall not disclose any such information to any person not having a legitimate need-to-know for purposes authorized by the City. Further, the Professional shall not use such information to obtain any economic or other benefit for itself, or any third party, except as specifically authorized by the City. The foregoing to the contrary notwithstanding, the Professional understands that it shall have no obligation under this Agreement with respect to information and material that (a) becomes generally known to the public by publication or some means other than a breach of duty of this Agreement, or (b) is required by law, regulation or court order to be disclosed, provided that the request for such disclosure is proper and the disclosure does not exceed that which is required. In the event of any disclosure under (b) above, the Professional shall furnish a copy of this Agreement to anyone to whom it is required to make such disclosure and shall promptly advise the City in writing of each such disclosure. In the event that the Professional ceases to perform services for the City, or the City so requests for any reason, the Professional shall promptly return to the City any and all information described hereinabove, including all copies, notes and/or summaries (handwritten or mechanically produced) thereof, in its possession or control or as to which it otherwise has access. The Professional understands and agrees that the City’s remedies at law for a breach of the Professional’s obligations under this Confidentiality Agreement may be inadequate and that the City shall, in the event of any such breach, be entitled to seek equitable relief (including without limitation preliminary and permanent injunctive relief and specific performance) in addition to all other remedies provided hereunder or available at law. DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 16 of 17 EXHIBIT F CITY OF FORT COLLINS EXPENSE GUIDELINES Lodging, Per Diem Meals and Incidentals and Other expenses: May 1, 2015 Fort Collins Policy: Lodging: Hotels will be reimbursed at $98/day provided the government rate is available. If the government rate is not available, the best available rate shall be used and a printout of the available rates at the time of the reservation provided as documentation. Hotel taxes do not count to the $98 limit, i.e. the rate is $98 plus applicable taxes. Receipts are to be provided. Actual expense will apply Meals and Incidentals: In lieu of requiring expense receipts, Fort Collins will use Federal GSA per diem guidelines. Daily rate: $56 Travel Days rate: 75% of $56 = $42 Vehicle Expenses: All costs related to rental vehicles (gas, parking, etc.) must be documented if they are to be reimbursed. The standard for vehicle size is mid-size to lower. If a private vehicle is used, mileage will be reimbursed using the mileage rate set by the IRS. The most direct route is the standard for determining total mileage. Mileage for 2 wheel drive vehicles will be at the current rate found at www.gsa.gov. The rate for 2015 is $0.575. Mileage for 4 wheel drive vehicles will be $0.78 when required by the City of Fort Collin Extra Ordinary Cost Prior authorization required. Expenses Not Allowed Liquor, movies, or entertainment (including in-room movies); Sporting events; Laundry, dry-cleaning or shoe repair; Personal phone calls, including connection and long-distance fees; Computer connections (unless required for City business); Other personal expenses not directly related to City business; Convenience charges; Rescheduling Airline Charges not related to City requirements. Excessive meal tip amounts generally over 20%; Delivery fees shall not exceed 10% of the total bill, if not already included; Hotel Cleaning Tips; Extra Baggage for one day trips; Air Travel (when local); Items that are supplied by the City. DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PSA – 8115 Engineering Services for Water Reclamation and Biosolids Facility Design and Construction Services Page 17 of 17 Time Frame for Reporting Per contract (every 30 days). Reference: The Federal GSA guidelines for Fort Collins are $98/day for hotel and $56 for meals and incidentals (M&IE). (Incidentals are defined as 1) fees and tips given to porters, baggage carriers, bellhops, hotel maids, stewards or stewardesses , and 2) transportation between places of lodging or business and places where meals are taken). Hotel taxes (i.e. lodging taxes) are not covered by per diem and are expensed as a separate line item. The M&IE is further broken down by: Breakfast: $9 Lunch: $13 Dinner: $29 Incidentals: $5 Federal guidelines further provide for the use of 75% of the M&IE rate for travel days, i.e. $42 for Fort Collins. DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) JECT LOC POLICY PRO- GEN'L AGGREGATE LIMIT APPLIES PER: CLAIMS-MADE OCCUR COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ DED RETENTION $ CLAIMS-MADE OCCUR $ AGGREGATE $ UMBRELLA LIAB EACH OCCURRENCE $ EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS PER STATUTE OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) Architects and Engineers The following policy language is from Commercial General Liability Coverage Forms The following are mandatory forms on the policy identified on the Certificate of Insurance: 421-0080(01 03) COMMERCIAL GENERAL LIABILITY SPECIAL BROADENING ENDORSEMENT • Additional Insured by Contract, Agreement or Permit Under Section II· Who Is An insured, Paragraph 4.is added as follows: 4. a. Any person or organization with whom you agreed, because of a written contract, written agreement or permit to provide Insurance Is an insured, but only with respect to: (1) "Your work" for the additional Insured(s) at the location designated in the contract, agreement or permit; or (2) Premises you own, rent, lease or occupy. This Insurance applies on a primary basis if that is required by the written contract, written agreement or permit. b. This provision does not apply: (1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily Injury”, “property damage”, “personal injury” or “advertising injury". (2) To any person or organization Included as an Insured by an endorsement Issued by us and made part of this Coverage Part. (3) To any person or organization included as an insured under item 2of this endorsement (4) To any lessor of equipment: (a) After the equipment lease expires; or (b) If the "bodily Injury", "property damage", "personal injury" or "advertising Injury'' arises out of sole negligence of the lessor. (5) To any: (a) Owners or other Interests from whom land has been leased which takes place after the lease for the land expires; or (b) Managers or lessors of premises if: (i) The occurrence takes place after you cease to be a tenant in that premises; or (ii) The “bodily injury”, “property damage”, “personal injury” or "advertising injury” arises out of structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor. Aggregate Limit Per location (1) Under Section Ill - Limits of Insurance the General Aggregate Limit applies separately to each of your "locations Owned by or rented to you. (2) Under Section V – Definitions, definition 23. is added as follows: 23. "Location" means premises involving the same or connecting lots or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. CG 2503(05 09) DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT • Aggregate Limit of Insurance (Per Project) COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: Your projects away from premises owned by or rentedtoyou A. For all sums which the Insured becomes legally obligated to pay as damages caused by "occurrences" under Section I-Coverage A, and for all medical expanses caused by accidents under Section I - Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown In the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each designated construction project, and that Limit is equal to the amount of the General Aggregate Limit shown In the Declarations. 2. The Designated Construction Project General Aggregate Limit Is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily Injury" or “property damage” included In the “products-completed operations hazard", and for medical expenses under Coverage C regardless of the number of: Includes copyrighted material of Insurance Services Offices, Inc., with its permission 25986657 | NEW 14-15 GL-AL-UL-WC 15-16 PL ($1m/$1m) | Debbie Richie | 8/14/2015 4:40:25 PM (PDT) | Page 2 of 9 DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB a. Insured’s; b. Claims made or “suits” brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Construction Project General Aggregate limit for that designated construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage to Premises Rented to You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. B. For all sums which the Insured becomes legally obligated to pay as damages caused by “occurrences” under Section 1-Coverage A, and for all medical expenses caused by accidents under Section I- Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project show in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate limit or the Products-completed Operations Aggregate Limit, whichever Is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. When coverage for liability arising out of the “products-completed operations hazard" Is provided, any payments for damages because of "bodily Injury" or “property damage” Included in the products-completed operations hazard" will reduce the Products- completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or If the authorized contracting parties deviate from plans, blueprints, designs, specifications or time tables, the project will still be deemed to be the same construction project. E. The provisions of Section Ill-Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. 421-0452 (06 07) OTHER INSURANCE-PRIMARY AND NON-CONTRIBUTORY (ADDITIONAL INSURED) • Additional Insured by Contract, Agreement or Permit Amended-Primary & Non-Contributory The following is added to Section IV -Commercial General Liability Conditions 4. Other Insurance a. Additional Insured’s If you agree in a written contract, written agreement or permit that the insurance provided to any person or organization Included as an Additional Insured under Section II-Who is An Insured, is primary and non-contributory, the following applies: If other valid and collectable Insurance is available to the Additional Insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: 1. Primary Insurance This Insurance is primary to other Insurance that is available to the Additional Insured which covers the Additional Insured as a Named Insured. We will not seek contribution from any other Insurance available to the Additional lnsured except: I. For the sole negligence of the Additional insured; II. When the Additional Insured Is an Additional Insured under another primary liability policy; or Ill. When 2. below applies. If this Insurance is primary, our obligations are not affected unless any of the other Insurance Is also primary. Then, we will share with all that other Insurance by the method described in 3.below. 2. Excess Insurance This Insurance is excess over: (1) Ally of the other Insurance, whether primary, excess, contingent or on any other basis: (a) That is fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for “your work”; (b) That is Fire insurance for premises rented to the Additional Insured or temporarily occupied by the Additional Insured with permission of the owner; (c) That is Insurance purchased by the Additional Insured to cover the Additional Insured's liability as a tenant for “property damage” to premises rented to the Additional Insured or temporarily occupied by the Additional with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section I-Coverage A -Bodily Injury And Property Damage Liability. Includes copyrighted material of Insurance Services Offices, Inc., with its permission 25986657 | NEW 14-15 GL-AL-UL-WC 15-16 PL ($1m/$1m) | Debbie Richie | 8/14/2015 4:40:25 PM (PDT) | Page 3 of 9 DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB When other we w When sum o 1) The 2) The We w and w 3. Metho If all o Insur come If any Insure CG0001 (12 0 Sepa Except with r Insured, this In a. As if e b. Separ CG 2404 (05 • Waiv COMMER PRODUC Name Of Per Persons or o that requires The following We waive an make for injur and included the Schedul Name Insur Additional In No coverage is n this insurance insurer has a d will be entitled to n this insurance is of: e total amount th e total of all dedu will share the rem was not bought s od Of Sharing of the other Insu er contributes e es first. y of the other Ins er's share is bas 07) COMMERCI aration of Insu espect to the Lim nsurance applies: each Named Insu rately to each ins 09) WAIVER OF ver of Subrogat RCIAL GENERAL Named Insured: Policy No. NOTICE OF CANCELLATION TO DESIGNATED ENTITY(S) (Including Nonpayment of Premium) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART SCHEDULE Name of Designated Entity Mailing Address or Email Address Thirty (30) Days Notice Information required to complete this Schedule, if not shown above, will be shown in the Declarations. If we cancel this policy for any reason, including nonpayment of premium, we will give written notice of such cancellation to the Designated Entity(s) shown in the Schedule. Such notice may be delivered or sent by any means of our choosing. The notice to the Designated Entity(s) will state the effective date of cancellation. Unless otherwise noted in the Schedule above, such notice will be provided to the Designated Entity(s) no less than the number of days In advance of the effective date of cancellation that we are required to provide to the Named Insured for such cancellation. If the reason for cancellation is nonpayment of premium, however, we will provide ten days notice. Such notice of cancellation is solely for the purpose of Informing the Designated Entity(s) of the effective date of cancellation and does not grant, alter, or extend any rights or obligations under this policy. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. Authorized Representative or countersignature (where required by law) Includes copyrighted materials from ISO, Inc.2003 Page 1 of 1 Carollo Engineers, Inc. ZHF894489204 City of Fort Collins Attn: Purchasing Dept. P.O. Box 580 Fort Collins CO 80522 25986657 | NEW 14-15 GL-AL-UL-WC 15-16 PL ($1m/$1m) | Debbie Richie | 8/14/2015 4:40:25 PM (PDT) | Page 5 of 9 DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB 461-0478 12 12 Includes copyrighted material of ISO Insurance Services Office, Inc., with its permission THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED – PRIMARY AND NON-CONTRIBUTORY This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. The following is added to SECTION II – LIABILITY COVERAGE, Paragraph A.1. Who Is An Insured: Additional Insured if Required by Contract If you agree in a written contract, written agreement or written permit that a person or organization be added as an additional “insured” under this Coverage Part, such person or organization is an “insured”; but only to the extent that such person or organization qualifies as an “insured” under paragraph A.1.c. of this Section. If you agree in a written contract, written agreement or written permit that a person or organization be added as an additional “insured” under this Coverage Part, the most we will pay on behalf of such additional “insured” is the lesser of: (1) The Limits of Insurance for liability coverage specified in the written contract, written agreement or written permit; or (2) The Limits of Insurance for Liability Coverage shown in the Declarations applicable to this Coverage Part. Such amount shall be part of and not in addition to the Limits of Insurance shown in the Declarations applicable to this Coverage Part. Regardless of the number of covered "autos", "insureds", premiums paid, claims made or vehicles involved in the "accident", the most we will pay for the total of all damages and "covered pollution cost or expense" combined resulting from any one "accident" is the Limit of Insurance for Liability Coverage shown in the Declarations. B. The following is added to SECTION IV – BUSINESS AUTO CONDITIONS, Paragraph B. General Conditions, subparagraph 5. Other Insurance: Primary and Non-Contributory If you agree in a written contract, written agreement or written permit that the insurance provided to a person or organization who qualifies as an additional “insured” under SECTION II – LIABILITY COVERAGE, Paragraph A.1. Who Is An Insured, subparagraph Additional Insured if Required by Contract is primary and non- contributory, the following applies: The liability coverage provided by this Coverage Part is primary to any other insurance available to the additional “insured” as a Named Insured. We will not seek contribution from any other insurance available to the additional “insured” except: (1) For the sole negligence of the additional “insured”; or (2) For negligence arising out of the ownership, maintenance or use of any “auto” not owned by the additional “insured” or by you, unless NOTICE OF CANCELLATION TO DESIGNATED ENTITY(S) INSURED: POLICY NO.: This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART BUSINESS AUTO COVERAGE FORM BUSINESSOWNERS COVERAGE FORM SCHEDULE Name of Designated Entity Mailing Address or Email Address Number Days Notice 30 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. If we cancel this policy for any reason other than nonpayment of premium, we will give written notice of such cancellation to the Designated Entity(s) shown in the Schedule. Such notice may be delivered or sent by any means of our choosing. The notice to the Designated Entity(s) will state the effective date of cancellation. Unless otherwise noted in the Schedule above, such notice will be provided to the Designated Entity(s) no less than the number of days in advance of the effective date of cancellation that we are required to provide to the Named Insured for such cancellation. Such notice of cancellation is solely for the purpose of informing the Designated Entity(s) of the effective date of cancellation and does not grant, alter, or extend any rights or obligations under this policy. Failure to provide notice in accordance with the terms of this endorsement does not: a. Alter the effective date of policy cancellation; b. Render such cancellation ineffective; c. Grant, alter, or extend any rights or obligations under this policy; or d. Extend the insurance beyond the effective date of cancellation. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. 401-1235 04 11 Includes copyrighted material of Insurance Services Office Inc., Page 1 of 1 with its permission Carollo Engineers, Inc. P.O. Box 580 Fort Collins CO 80522 ADFA48696300 Carollo Engineers, Inc. City of Fort Collins Attn: Purchasing Dept. 25986657 | NEW 14-15 GL-AL-UL-WC 15-16 PL ($1m/$1m) | Debbie Richie | 8/14/2015 4:40:25 PM (PDT) | Page 7 of 9 DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. IT IS HEREBY UNDERSTOOD AND AGREED THAT THIS POLICY SHALL NOT BE CANCELLED BY THE COMPANY WITHOUT 30 (THIRTY) DAYS WRITTEN NOTICE, TO THE ASSURED,EXCEPT THAT IN THE EVENT OF NON-PAYMENT OF PREMIUM THIS POLICY MAY BE CANCELLED WITHIN 10 (TEN) DAYS WRITTEN NOTICE. Certificate Holder: Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, agreements or limitation of the policy other than as above states. (Completion of the following, including countersignature, is required to make this endorsement effective only when it is Issued subsequent to preparation of the Policy.) Effective this endorsement forms a part of Policy No. Issued to By Date of Issue Countersigned by Authorized Representative of the Company 331-0230 1003 Page 1 of 1 Carollo Engineers, Inc. City of Fort Collins Attn: Purchasing Dept. P.O. Box 580 Fort Collins CO 80522 12/31/2014 WDF895749906 Massachusetts Bay Insurance Company 25986657 | NEW 14-15 GL-AL-UL-WC 15-16 PL ($1m/$1m) | Debbie Richie | 8/14/2015 4:40:25 PM (PDT) | Page 8 of 9 DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PROFESSIONAL LIABILITY AND POLLUTION For All the Commitments you Make INCIDENT LIABILITY INSURANCE POLICY INSURED: Policy Effective Endorsement Number 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: XX Cancelled by us until we provide at least: 10 days prior written notice if we cancel your Policy for Non-payment of Premium; 30 days prior written notice if we cancel your Policy for The following reasons: Any reason other than non-payment of premium. ___ 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. By Authorized Representative __James F. Willging_____________________ (No signature is required if issued with the Policy or if it is effective on the Policy Effective Date) James F. Willging Countersigned by Authorized Representative 256423 (Ed. 10/05) Carollo Engineers, Inc. AEH288354410 7/4/2015 City of Fort Collins Attn: Purchasing Dept. P.O. Box 580 Fort Collins CO 80522 25986657 | NEW 14-15 GL-AL-UL-WC 15-16 PL ($1m/$1m) | Debbie Richie | 8/14/2015 4:40:25 PM (PDT) | Page 9 of 9 DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB that “auto” is a “trailer” connected to an “auto” owned by the additional “insured” or by you; or (3) When the additional “insured” is also an additional “insured” under another liability policy. C. This endorsement will apply only if the “accident” occurs: 1. During the policy period; 2. Subsequent to the execution of the written contract or written agreement or the issuance of the written permit; and 3. Prior to the expiration of the period of time that the written contract, written agreement or written permit requires such insurance to be provided to the additional “insured”. D. Coverage provided to an additional “insured” will not be broader than coverage provided to any other “insured” under this Coverage Part. ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. Page 1 of 1 ADFA48696300 Carollo Engineers, Inc. 12/31/2014 25986657 | NEW 14-15 GL-AL-UL-WC 15-16 PL ($1m/$1m) | Debbie Richie | 8/14/2015 4:40:25 PM (PDT) | Page 6 of 9 POLICY NO.: DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB CTS/COMPLETE rson Or Organiza organizations with s you to waive yo is added to Par ny right of recove ry or damage ari d in the "produc e above. red: sured: Any person o s provided by this No Notice and the is excess, we w uty to defend the the Insured's righ s excess over othe hat all such other i uctible and self-In maining loss, if an specifically to app urance permits c qual amounts u urance does not sed on the ratio o IAL GENERAL L ured’s mits of Insuranc : red were the only ured against who F TRANSFER O tion L LIABILITY COV D OPERARTION ation: h whom you have our rights of reco ragraph8.Transf ery we may have sing out of your cts-completed op or organization with wh This Not otice, nor can it be co e policy (including its Includes copyrigh will have no duty e insured agains hts against all tho er Insurance, we w insurance would p nsured amounts u ny, with any oth ply In excess of t contribution by e until it has paid permit contributi of Its applicable l LIABILITY COV e, and any rights y Named Insure om claim is made OF RIGHTS OF VERAGE PART NS LIABILITY CO S e a written contr overy fer Of Rights Of R against the pers ongoing operatio perations hazard hom the named insure tice does not form a onstrued to replace a s endorsements), the hted material of Ins y under Coverag st that "suit". If n ose other Insurers will pay only our pay for the loss in under all that oth er Insurance tha the Limits of Insu equal shares, we Its applicable li on by equal sha imit of Insurance ERAGE FORM s or duties specif ed; and e or "suit' is brou F RECOVERY T OVERAGE PART SCHEDULE ract executed pr Recovery Agains on or organizatio ons or “your work ". This waiver a ed agreed in a written c part of the insuranc any provisions of the e provisions of the po surance Service Of ges A or B to de o other insurer d s. r share of the am n the absence o er Insurance. at is not describe urance shown in e will follow this imit of Insurance res, we will cont e to the total app M fically assigned i ught. TO US T rior to the "bodily st Others To Us o on shown In the S k" done under a applies only to t Authorized R Polic contract to name as a ce contract. policy (including its olicy (including its en ffices, Inc., with its efend the insure defends, we will u mount of the loss of this Insurance; ed in this Excess n the Declaration method also un e or none of the tribute by limits. plicable limits of in this Coverage Injury" or "prope of Section IV- Co Schedule above b contract with tha the person or o Representative cy NO. dditional insured. endorsements). If th ndorsements) shall p permission d against any "su undertake to do s s, if any, that ex and Insurance provi s of this Coverag nder this approa e loss remains, w Under this meth f insurance of al Part to the first rty damage," onditions: because of paym at person or orga rganization sho here is any conflict be revail. uit" if any so, but xceeds the sion ge Part. ach each whichever hod, each l insurers. Named ments we anization own in etween this ZHF894489204 12/31/2014 Carollo Engineers, Inc. 25986657 | NEW 14-15 GL-AL-UL-WC 15-16 PL ($1m/$1m) | Debbie Richie | 8/14/2015 4:40:25 PM (PDT) | Page 4 of 9 DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB PROPERTY DAMAGE $ $ $ $ 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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 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: INSURED PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 8/14/2015 Risk Strategies Company 2040 Main Street, Suite 450 Irvine, CA 92614 949-242-9240 www.risk-strategies.com CA DOI License No. 0F06675 Michael Christian Risk Strategies Company syoung@risk-strategies.com Carollo Engineers, Inc. 2700 Ygnacio Valley Road, #300 Walnut Creek CA 94598 25986657 ✓ ✓ Construction. Carollo Project #; Not yet assigned. City of Fort Collins, its officers, agents and employees are included as additional insured with City of Fort Collins Attn: Purchasing Dept. P.O. Box 580 Fort Collins CO 80522 Projects as on file with the insured including but not limited to: RFP 8092 Engineering Services for Water Reclamation and Biosolids Design and respects to General & Auto Liability. A ZHF894489204 12/31/2014 12/31/2015 $1,000,000 $1,000,000 ✓ $25,000 ✓ $1,000,000 ✓ Deductible $0 $2,000,000 ✓ $2,000,000 C ADFA48696300 12/31/2014 12/31/2015 $1,000,000 ✓ ✓ ✓ Ded: Comp/Collision $1,000 C WDF895749906 12/31/2014 12/31/2015 ✓ ✓ $1,000,000 $1,000,000 $1,000,000 Deductible: $0 D Professional Liability AEH288354410 7/4/2015 7/4/2016 Unlimited Prior Acts Each Claim: Aggregate: Deductible: $1,000,000 $1,000,000 $400,000 Hanover Insurance Company 22292 Massachusetts Bay Insurance Company 22306 Continental Casualty Company 20443 25986657 | NEW 14-15 GL-AL-UL-WC 15-16 PL ($1m/$1m) | Debbie Richie | 8/14/2015 4:40:25 PM (PDT) | Page 1 of 9 DocuSign Envelope ID: 9234C96A-41E0-45B9-9C66-D5D9D2476FAB