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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8115 ENGINEERING SERVICES FOR WATER RECLAMATION & BIOSOLIDS FACILITY DESIGN & CONSTRUCTION (15)June 28, 2016 Carollo Engineers Attn: Anthony Morroni amorroni@carollo.com 10822 W Toller Ste 200 Littleton, CO 80127 RE: 2016 Renewal, Engineering Services for Water Reclamation & Biosolids Design & Construction Dear Mr. Morroni: The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the following: 1) The term will be extended for one (1) additional year, September 21, 2016 through September 20, 2017. If the renewal is acceptable to your firm, please sign this letter in the space provided and include a current copy of insurance certificate naming the City as an additional insured for General and Automotive Liability within the next fifteen (15) days. If this extension is not agreeable with your firm, we ask that you send us a written notice stating that you do not wish to renew the contract and state the reason for non-renewal. Please contact Pat Johnson, CPPB, Senior Buyer at (970) 221-6816 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew 8115 by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP:jg Financial Services Purchasing Division 215 N. Mason St. 2nd Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707- fax fcgov.com/purchasing DocuSign Envelope ID: D11616AD-431A-4A3D-944E-BF61064BC915 7/6/2016 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ PROPERTY DAMAGE $ BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? 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 30774430 | *NEW 15-16 GL-AL-UL-WC 16-17 PL ($1m/$1m) | Debbie Richie | 7/5/2016 2:36:39 PM (PDT) | Page 2 of 9 DocuSign Envelope ID: D11616AD-431A-4A3D-944E-BF61064BC915 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 30774430 | *NEW 15-16 GL-AL-UL-WC 16-17 PL ($1m/$1m) | Debbie Richie | 7/5/2016 2:36:39 PM (PDT) | Page 3 of 9 DocuSign Envelope ID: D11616AD-431A-4A3D-944E-BF61064BC915 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. ZHF8944892 City of Fort Collins P.O. Box 580 Fort Collins CO 80522 30774430 | *NEW 15-16 GL-AL-UL-WC 16-17 PL ($1m/$1m) | Debbie Richie | 7/5/2016 2:36:39 PM (PDT) | Page 5 of 9 DocuSign Envelope ID: D11616AD-431A-4A3D-944E-BF61064BC915 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 ADFA486963 Carollo Engineers, Inc. City of Fort Collins 30774430 | *NEW 15-16 GL-AL-UL-WC 16-17 PL ($1m/$1m) | Debbie Richie | 7/5/2016 2:36:39 PM (PDT) | Page 7 of 9 DocuSign Envelope ID: D11616AD-431A-4A3D-944E-BF61064BC915 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 P.O. Box 580 Fort Collins CO 80522 12/31/2015 WDF8957499 Massachusetts Bay Insurance Company 30774430 | *NEW 15-16 GL-AL-UL-WC 16-17 PL ($1m/$1m) | Debbie Richie | 7/5/2016 2:36:39 PM (PDT) | Page 8 of 9 DocuSign Envelope ID: D11616AD-431A-4A3D-944E-BF61064BC915 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 7/4/2016 City of Fort Collins P.O. Box 580 Fort Collins CO 80522 30774430 | *NEW 15-16 GL-AL-UL-WC 16-17 PL ($1m/$1m) | Debbie Richie | 7/5/2016 2:36:39 PM (PDT) | Page 9 of 9 DocuSign Envelope ID: D11616AD-431A-4A3D-944E-BF61064BC915 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 ADFA486963 Carollo Engineers, Inc. 12/31/2015 30774430 | *NEW 15-16 GL-AL-UL-WC 16-17 PL ($1m/$1m) | Debbie Richie | 7/5/2016 2:36:39 PM (PDT) | Page 6 of 9 POLICY NO.: DocuSign Envelope ID: D11616AD-431A-4A3D-944E-BF61064BC915 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 ZHF8944892 12/31/2015 Carollo Engineers, Inc. 30774430 | *NEW 15-16 GL-AL-UL-WC 16-17 PL ($1m/$1m) | Debbie Richie | 7/5/2016 2:36:39 PM (PDT) | Page 4 of 9 DocuSign Envelope ID: D11616AD-431A-4A3D-944E-BF61064BC915 (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER (MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY) POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $ $ OCCUR CLAIMS-MADE DED RETENTION $ PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $ EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 7/5/2016 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 30774430 ✓ ✓ Construction Services. Carollo Project #: 10103A.00. City of Fort Collins, its officers, agents and employees are included as additional insured as City of Fort Collins P.O. Box 580 Fort Collins CO 80522 Projects as on file with the insured including but not limited to: 8115 Engineering Services for Water Reclamation and Biosolids Facility Design & additional insureds with respects to General & Auto Liability. A ZHF8944892 12/31/2015 12/31/2016 $1,000,000 $1,000,000 ✓ $25,000 ✓ $1,000,000 ✓ Deductible $0 $2,000,000 ✓ $2,000,000 C ADFA486963 12/31/2015 12/31/2016 $1,000,000 ✓ ✓ ✓ Ded: Comp/Collision $1,000 C WDF8957499 12/31/2015 12/31/2016 ✓ ✓ $1,000,000 N $1,000,000 $1,000,000 Deductible: $0 D Professional Liability AEH288354410 7/4/2016 7/4/2017 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 30774430 | *NEW 15-16 GL-AL-UL-WC 16-17 PL ($1m/$1m) | Debbie Richie | 7/5/2016 2:36:39 PM (PDT) | Page 1 of 9 DocuSign Envelope ID: D11616AD-431A-4A3D-944E-BF61064BC915