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119979 QUALITY TRAFFIC CONTROL - CONTRACT - BID - 8300 TRAFFIC CONTROL SERVICES
Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 1 of 23 SERVICES AGREEMENT WORK ORDER TYPE 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 QUALITY TRAFFIC CONTROL INC. hereinafter referred to as "Service Provider". WITNESSETH: In consideration of the mutual covenants and obligations herein expressed, it is agreed by and between the parties hereto as follows: 1. Services to be Performed. a. This Agreement shall constitute the basic agreement between the parties for 8300 Traffic Control Services. The conditions set forth herein shall apply to all services performed by the Service Provider on behalf of the City and particularly described in Work Orders agreed upon in writing by the parties from time to time. Such Work Orders, a sample of which is attached hereto as Exhibit "A", consisting of one (1) page and incorporated herein by this reference, shall include a description of the services to be performed, the location and time for performance, the amount of payment, any materials to be supplied by the City and any other special circumstances relating to the performance of services. No Work Order shall exceed $75,000. A general scope of services is attached hereto as Exhibit “B”, consisting of eight (8) pages, and incorporated herein by this reference. The only services authorized under this Agreement are those which are performed after receipt of such Work Order, except in emergency circumstances where oral work requests may be issued. Oral requests for emergency actions will be confirmed by issuance of a written Work Order within two (2) working days. Irrespective of references in Exhibit A to certain named third parties, Service Provider shall be solely responsible for performance of all duties hereunder. b. The City may, at any time during the term of a particular Work Order and without invalidating the Agreement, make changes within the general scope of the particular services assigned and the Service Provider agrees to perform such changed services. 2. Changes in the Work. The City reserves the right to independently bid any services rather than issuing work to the Service Provider pursuant to this Agreement. Nothing within this Agreement shall obligate the City to have any particular service performed by the Service Provider. 3. Time of Commencement and Completion of Services. The services to be performed pursuant to this Agreement shall be initiated as specified by each written Work Order or oral emergency service request. Oral emergency service requests will be acted upon without waiting for a written Work Order. Time is of the essence. DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 2 of 23 4. Contract Period. This Agreement shall commence June 1, 2016 and shall continue in full force and effect until May 31, 2017, 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 Service Provider and mailed no later than thirty (30) days prior to contract end. 5. Delay. If either party is prevented in whole or in part from performing its obligations by unforeseeable causes beyond its reasonable control and without is fault or negligence, then the party so prevented shall be excused from whatever performance is prevented by such cause. To the extent that the performance is actually prevented, the Service Provider must provide written notice to the City of such condition within fifteen (15) days from the onset of such condition. 6. Early Termination by City/Notices. 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 Service Provider. Such notice shall be mailed at least fifteen (15) days prior to the termination date contained in said notice unless otherwise agreed in writing by the parties. All notices provided under this Agreement shall be effective when mailed, postage prepaid and sent to the following address: Service Provider: City: Copy to: Quality Traffic Control Inc. Attn: Mike Obester 209 Racquette Drive Fort Collins, CO 80524 City of Fort Collins Attn: Steve Varnell 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 early termination by the City, the Service Provider shall be paid for services rendered to the termination date, subject only to the satisfactory performance of the Service Provider's obligations under this Agreement. Such payment shall be the Service Provider's sole right and remedy for such termination. 7. Contract Sum. This is an open-end indefinite quantity Agreement with no fixed price. The actual amount of work to be performed will be stated on the individual Work Orders. The City makes no guarantee as to the number of Work Orders that may be issued or the actual amount of services which will in fact be requested. 8. Payments. a. The City agrees to pay and the Service Provider agrees to accept as full payment for all work done and all materials furnished and for all costs and expenses incurred in performance of the work the sums set forth for the hourly labor rate and material costs, with markups, stated within the Bid Schedule Proposal Form, attached hereto as Exhibit "C", consisting of five (5) pages, and incorporated herein by this reference. Payment shall be made by the City only upon acceptance of the work by the City and DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 3 of 23 upon the Service Provider furnishing satisfactory evidence of payment of all wages, taxes, supplies and materials, and other costs incurred in connection with the performance of such work. 9. City Representative. The City's representative will be shown on the specific Work Order and shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the work requested. All requests concerning this Agreement shall be directed to the City Representative. 10. Independent Contractor. It is agreed that in the performance of any services hereunder, the Service Provider is an independent contractor responsible to the City only as to the results to be obtained in the particular work assignment and to the extent that the work shall be done in accordance with the terms, plans and specifications furnished by the City. 11. Subcontractors. Service Provider may not subcontract any of the Work set forth in any Work Order without the prior written consent of the City, which shall not be unreasonably withheld. If any of the Work is subcontracted hereunder (with the consent of the City), then the following provisions shall apply: (a) the subcontractor must be a reputable, qualified firm with an established record of successful performance in its respective trade performing identical or substantially similar work, (b) the subcontractor will be required to comply with all applicable terms of this Agreement, (c) the subcontract will not create any contractual relationship between any such subcontractor and the City, nor will it obligate the City to pay or see to the payment of any subcontractor, and (d) the work of the subcontractor will be subject to inspection by the City to the same extent as the work of the Service Provider. 12. Personal Services. It is understood that the City enters into the Agreement based on the special abilities of the Service Provider and that this Agreement shall be considered as an agreement for personal services. Accordingly, the Service Provider shall neither assign any responsibilities nor delegate any duties arising under the Agreement without the prior written consent of the city. 13. Acceptance Not Waiver. 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 under the Agreement or of any cause of action arising out of the performance of this Agreement. 14. Warranty. a. Service Provider warrants that all work performed hereunder shall be performed with the highest degree of competence and care in accordance with accepted standards for work of a similar nature. b. Unless otherwise provided in the Agreement, all materials and equipment incorporated into any work shall be new and, where not specified, of the most suitable grade of their respective kinds for their intended use, and all workmanship shall be acceptable to City. DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 4 of 23 c. Service Provider warrants all equipment, materials, labor and other work, provided under this Agreement, except City-furnished materials, equipment and labor, against defects and nonconformances in design, materials and workmanship/workwomanship for a period beginning with the start of the work and ending twelve (12) months from and after final acceptance under the Agreement, regardless whether the same were furnished or performed by Service Provider or by any of its subcontractors of any tier. Upon receipt of written notice from City of any such defect or nonconformances, the affected item or part thereof shall be redesigned, repaired or replaced by Service Provider in a manner and at a time acceptable to City. 15. 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 thereof. 16. 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 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. 17. 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 representative, successors and assigns of said parties. 18. Indemnity/Insurance. a. The Service Provider agrees to indemnify and save harmless the City, its officers, agents and employees against and from any and all actions, suits, claims, demands or liability of any character whatsoever, brought or asserted for injuries to or death of any person or persons, or damages to property arising out of, result from or occurring in connection with the performance of any service hereunder. b. The Service Provider shall take all necessary precautions in performing the work hereunder to prevent injury to persons and property. c. Without limiting any of the Service Provider's obligations hereunder, the Service Provider shall provide and maintain insurance coverage naming the City as an additional insured under this Agreement of the type and with the limits specified within Exhibit "D", consisting of one (1) page, attached hereto and incorporated herein by this reference. The Service Provider before commencing services hereunder shall deliver to the City's Purchasing Director, P. O. Box 580, Fort Collins, Colorado 80522 one copy of a certificate evidencing the insurance coverage required from an insurance company acceptable to the City. DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 5 of 23 19. Entire Agreement. This Agreement, along with all Exhibits and other documents incorporated herein, shall constitute the entire Agreement of the parties. Covenants or representations not contained in this Agreement shall not be binding on the parties. 20. Law/Severability. This Agreement shall be governed in all respect by the laws of the State of Colorado. 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. 21. Prohibition Against Employing Illegal Aliens. Pursuant to Section 8-17.5-101, C.R.S., et. seq., Service Provider represents and agrees that: a. As of the date of this Agreement: 1) Service Provider does not knowingly employ or contract with an illegal alien who will perform work under this Agreement; and 2) Service Provider 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. Service Provider 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. Service Provider 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 Service Provider obtains actual knowledge that a subcontractor performing work under this Agreement knowingly employs or contracts with an illegal alien, Service Provider shall: 1) Notify such subcontractor and the City within three days that Service Provider 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 Service Provider 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. Service Provider shall comply with any reasonable request by the Colorado Department DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 6 of 23 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 Service Provider 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, Service Provider shall be liable for actual and consequential damages to the City arising out of Service Provider’s violation of Subsection 8-17.5-102, C.R.S. g. The City will notify the Office of the Secretary of State if Service Provider violates this provision of this Agreement and the City terminates the Agreement for such breach. 22. 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: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 7 of 23 THE CITY OF FORT COLLINS, COLORADO By: Gerry Paul Purchasing Director DATE: ATTEST: City Clerk APPROVED AS TO FORM: Senior Assistant City Attorney QUALITY TRAFFIC CONTROL INC By: Printed: Title: CORPORATE PRESIDENT OR VICE PRESIDENT Date: DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Mike Obester President 7/13/2016 7/25/2016 Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 8 of 23 EXHIBIT A WORK ORDER FORM PURSUANT TO AN AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND QUALITY TRAFFIC CONTROL INC AGREEMENT DATED: JUNE 1, 2016 Work Order Number: Purchase Order Number: Project Title: 8300 Traffic Control Services Commencement Date: Completion Date: Maximum Fee: (time and reimbursable direct costs): Project Description: Scope of Services: 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 Services Agreement between the parties. In the event of a conflict between or ambiguity in the terms of the Services Agreement and this Work Order (including the attached forms) the Services Agreement shall control. The attached forms consisting of ___ (_) pages are hereby accepted and incorporated herein, by this reference, and Notice to Proceed is hereby given. SERVICE PROVIDER By:_______________________________ Date:_____________________________ CITY OF FORT COLLINS By:_________________________________ Project Manager Date: ______________________________ By: _______________________________ Gerry Paul Purchasing Director (over $60,000.00) Date: ____________________________ DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 9 of 23 EXHIBIT B GENERAL SCOPE OF SERVICES The Scope of Services covers the requirements for providing Traffic Control Devices and Services for the City of Fort Collins at each City Departments’ discretion on an annual basis reference Bid Schedules A, B & C. All of these requirements and provisions shall be incorporated in the signed Services Agreement when the bid is awarded. Also as part of the City’s Open Streets events – Schedule D & E must be complete with the appropriate costs and required equipment that would be needed per a developed Traffic Control Plan (TCP). Here is the information related to the two events planned for 2016: Open Streets, June 5, 2016: Event time is from 10:00am to 3:00pm along Corbett Drive from Timberwood Drive to Sage Creek Rd. Road closure will be in effect from 6:00am to 4:00pm. Intersections with Corbett that will remain open to cross traffic and controlled with police will include Timberwood Drive, Rock Creek Drive, and Sage Creek Rd. A local detour will be in place from Ninebark Drive to the NE corner of the Preston Middle School parking lot. Poudre School District has confirmed that we can convert the one-way drive to a two-way access for local traffic only. Open Streets, September 18, 2016: Event time is from 10:00am to 3:00pm along Linden and Redwood Drives, from Willox Ln to Willow St or Walnut St. Road closure will be in effect from 6:00am to 4:00pm. Intersections with Corbett that will remain open to cross traffic and controlled with police will include Jefferson St, Buckingham St, Vine Drive, and Conifer St. Local detours will be in place for Lupine Drive across Linden St. A. Certificates and TCS Duties All work area traffic control placed within City of Fort Collins right of way, under the terms of this Agreement, shall be under the direct supervision of a Traffic Control Supervisor (TCS). The TCS shall possess a current American Traffic Safety Services Association certification or a C.C.A. Colorado Contractors Association certification as a work site traffic control supervisor this certification shall be on file with the City. Valid certification card shall be presented to the City Traffic Control Manager for each person employed to perform as a TCS. When new TCS's are hired their certification card must be presented and the new TCS briefed by the City Traffic Control Manager prior to putting that person on the job. A TCS must be on site when traffic control devices are placed, modified and removed. The hourly and daily rate charged for TCS personnel shall include a properly equipped vehicle and a cellular telephone. The TCS's duties shall include, but not be limited to: (1) Coordination of all traffic control related operations, including those of Subcontractors and Suppliers. (2) Preparing and revising Traffic Control Plans as required. (3) Direct supervision of project flaggers. (4) Supervise the notification of businesses, Schools, and residents prior to construction as directed. (The notification of businesses and residents may be accomplished by a representative of the TCS.) DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 10 of 23 (5) Maintaining a daily traffic control log which shall become part of the City's project records. (6) Inspecting traffic control devices on every calendar day for the duration of the project. (7) Insuring that traffic control devices are functioning as required. (8) Overseeing all requirements covered by the plans and specifications which contribute to the convenience, safety and orderly movement of traffic. (9) Flagging. (10) Setting up traffic control devices. For all street closures, the Contractor shall be responsible for the notification of businesses and residents. The notification shall consist of distributing letters indicating the nature of the work to be completed, any special instructions (i.e. limits on lawn watering during concrete pouring, etc.), the dates and times of the work, and the parking and access restrictions that will apply. Sample letters will be provided by City personnel. Letters shall be submitted with the Traffic Control Plans for City approval. After approval, the letters shall be distributed a minimum of 24 hours prior or as required by City of Ft. Collins Traffic Operations to the commencement of each phase of the work. (Note: The time frame criterion for distributing letters is the same as for posting "NO PARKING" signs.) The cost for preparing and distributing the letters shall be included in the cost for TCS hour or day rate. Please refer to City Work Area Traffic Control Handbook. Time spent maintaining signs on the weekends, holidays, bad weather days, and other days shall be included in the unit prices for the equipment. All traffic control devices shall be placed under the supervision of a Traffic Control Supervisor. Failure to have a TCS during placement, changes or removal or failure to have a certified Flagger shall remove all liability from the City for any adverse consequences and the City will not pay the cost of any non-certified personnel. Flag people must be certified through the Colorado Department of Highways Flagger Certification Program or other City approved certification programs. The Contractor must certify their employees as required by this contract without expense to the City. All flag people must carry proof of certification and present it when requested by a City representative. If the onsite TCS performs flagging duties the City will pay for flagging price only. B. Conformity All traffic control devices placed in the City right of way under the terms of the Agreement must meet or exceed the minimum standards set forth in the most current issue of the City of Fort Collins Handbook for Traffic Control. Additionally, any sign blank with signs faces on both sides must have the back sign face completely covered when in use to avoid confusion to motorists traveling in the opposite direction. Company identification must not be placed on the front of traffic control devices and all identification must comply with current Manual on Uniform Traffic Control Devices (MUTCD) regulations. C. Service Call Requirements Delivery and set-up of the traffic control devices shall occur per date and time agreed upon by Contractor and City Representative for day to day type activities between the hours as requested by City of Ft. Collins, if a TCP has previously been approved. Delivery and set-up of traffic control devices shall occur within 2 hours for minor set-ups as requested by City of Ft. Collins. Delivery DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 11 of 23 and set-up of the traffic control devices shall occur within 30 minutes in an emergency. Emergency requests must be responded to immediately with personnel and equipment on site within 30 minutes of notification. City personnel shall give the Contractor as much notice as practical for work requiring traffic control, except in the event of an emergency. City personnel shall endeavor to give reasonable advance notice, even for day to day requests on minor set-ups. Contractor cannot refuse delivery and set-up of traffic control devices and or traffic control personnel as requested by City of Ft. Collins various departments. D. Traffic Control Plan Preparation and Approval If same TCP or a slightly modified TCP is used more than once for same set-up per job, the TCP is paid for only once. The awarded Contractor will be required to prepare a TCP for all projects, except emergencies lasting less than 24 hours. The TCPs must be prepared by a certified TCS, and presented to the City's Traffic Control Manager for approval, prior to set-up of devices at job site. In the case of an emergency lasting longer than 24 hours, a TCP will be submitted within 12 hours of the initial emergency. Approval by the City Traffic Control Manager will be completed within 24 hours after plan is presented. A copy of the signed, approved plan must be maintained by traffic control personnel at the job site and presented to the City representatives during set-up. If, upon arrival at a job site, a City representative determines an approved traffic plan set-up is not being used, the job will be immediately stopped until the correct set-up is in place. This action will result in non-payment to the Contractor for any illegal devices, delivery, set-up, modification or removal charges as further defined in the City of Fort Collins Handbook for Traffic Control associated with the job. Additionally, at the discretion of the City, the Contractor can be back- charged liquidated damages incurred by City for downtime or loss of services during the stoppage of work, at a rate of $200/hour. The Traffic Control Plan shall include, as a minimum, the following: (1) A detailed diagram which shows the location of all sign placements, including advance construction signs (if not previously approved) and speed limit signs; method, length, and time duration for lane closures; and location of flag persons. (2) A tabulation of all traffic control devices shown on the detailed diagram including, but not limited to: construction signs; vertical panel; vertical panel with light; Type I, Type II, and Type III barricades; cones; drum channelizing devices; and advance warning flashing or sequencing arrow panel. Certain traffic control devices may be used for more than one operation or phase. However, all devices required for any particular phase must be detailed and tabulated for each phase. (3) Number of flaggers to be used. (4) Parking Restrictions to be in effect. E. Setup, Rental and Removal In no case will the responsibility for setup and modification of traffic control devices be divided between the Contractor and City Crews. Either the Contractor sets up all the traffic control devices or the City Crews will setup the traffic control devices. City personnel shall specify who will do the traffic control setup and modification when making the request for traffic control devices. The City shall have the option of renting devices from the Contractor at the unit prices bid, and handling the traffic control internally, to include all staffing required. In such cases the City shall DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 12 of 23 be responsible for the TCP, and any required TCS's. Bid Schedules “B” and “C” are for rental of devices and flaggers only. Removal of traffic control devices from TRAVELED ROADWAY shall occur within 30 minutes after request is made, and no rental rates may be assessed after that point. Traffic control devices shall be placed and/or stored when not in use in City right of way in such a manner that minimizes the hazards to pedestrians, bicyclists and vehicles. Material shall be removed from City right-of- way within 12 hours. F. Availability and Service Checks The Contractor must be available for requests 24 hours per day, 7 days a week, including holidays. The person answering the phone must be capable of receiving messages and must notify the TCS on duty immediately. Contractor must return call to City personnel within 10 minutes of receipt of request of service. Response times must conform to Section C requirements. While the traffic control devices are being used by the City, a TCS will perform service checks as determined by the requesting department as many times as requested, at least four times a day, twice between the hours of 7:00 A.M. and 5:00 P.M., and twice between the hours of 5:00 P.M. and 7:00 A.M., on residential, collector and arterial streets to insure that all traffic control devices are working properly and are positioned correctly, 7 days a week including holidays. During inclement weather, ie. wind, rain, snow, etc., it shall be the Contractor's responsibility to perform inspection more frequently to assure that all devises are visible and working properly or as requested by City of Ft. Collins. A log of each service check, noting location, times and any problems encountered, must be maintained by the Contractor and a copy given to the City Department Representative monthly, or to any City Representative upon request. Random checks by City representatives will be made to verify compliance to this section. The cost of providing service checks shall be included in unit prices. If all service checks are not performed in accordance with these specifications equipment rental for equipment not serviced will not be paid for. G. Specifications for Devices The traffic control devices provided by the Contractor shall meet the current City of Ft. Collins Traffic Control Handbook and current federal specifications for such traffic control devices as set forth in the manual on Uniform Traffic Control Devices (official, with revisions), as compiled by the Federal Highway Administration. All traffic control devices shall be clean and in good operating condition when delivered and shall be maintained in that manner on a daily basis. Size A Signs - 0.01 to 9.00 Square Feet Size B Signs - 9.01 to 16.00 Square Feet Type III Barricades must be min 8' wide and 5' high. Safety fencing shall be 48" high in 50' rolls, rigid orange 2" plastic mesh. The fence shall be secured with posts or barricades with sand bags or anchorage approved by City personnel. DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 13 of 23 28" cones with collars must be used on residential, collector and arterial streets. 36" cones with collars must be used on any street with a posted speed limit of 40 MPH or greater. H. Loss or Damage The City will not be responsible for any damage to, or loss of traffic control devices. Traffic control devices shall remain the property of the Contractor and must be clearly marked as to ownership, within the regulations set forth by the Federal Highway Administration. Upon notification by the City of any need for replacement or repair, the Contractor must make such replacement or repair as needed within 30 minutes of notification. City crews shall not move the traffic control devices from one location to another unless an emergency situation exists, or unless the City is renting only the devices and is handling the TCP/staffing internally. In the event of an emergency the City shall notify the Contractor within 24 hours after such relocation. I. Quantity The City is not obligated to take delivery of any minimum quantity of traffic control devices. J. Log and Billing Forms A permanent log for each request shall be maintained in a legible manner and will contain the following information: a. Date and time of request for placement. b. Date and time traffic control devices to be placed. c. Name of person and department making the request for placement. d. Project name and location of traffic control devices. e. Quantity of each type and identification per MUTCD designation or designate as a specialty. f. Date and time traffic control devices were placed. g. Clearly printed name and signature of City personnel responsible for accepting devices at job site. If City personnel are not at the job site, a signature of responsible City person shall be obtained within 24 hours. In no case will traffic control invoices be paid for unsigned or altered logs. h. All modifications made, to include moving devices, adding additional devices, taking devices away. The City personnel requesting each modification shall also be identified. I. Date and time of request for removal. j. Date and time traffic control devices are to be removed. k. Name and department making request for removal. l. Date and time traffic control devices are removed. m. Name of person making log entries. n. TCS and flagger hours o. A tabulation/spreadsheet showing daily quantities may be required by some Project Managers for projects longer than 2 calendar day duration. This sheet shall be signed by the TCS and City Representative and shall be writing. DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 14 of 23 A permanent log for each weekend and after-hour service call will be maintained and submitted with monthly billings. The service call log shall contain the following information: a. Date and time of service call b. Location c. Name of person performing the call d. Services performed (i.e., barricade lights checked, light changed, cones replaced, cones straightened, etc.) e. TCS and flagger hours Invoices shall contain information items c, d, e, f, g, h, I, j, and o from the log sheets in legible form. Separate invoices by project shall be provided. All invoices and log sheets shall be sent by the Contractor, in duplicate, to the Accounting department or to the Department of the City. Invoices not containing all required information will be returned to the Contractor and not paid until completed. Questions regarding invoices shall be answered promptly and professionally. The Contractor shall respond to individual replies as required. Departments which request additional information on their invoice forms. All billing problems will be brought to the attention of the accounting staff immediately upon discovery. All bills shall be submitted within 15 days after notification to pick up traffic control devices. For projects lasting longer than 30 days, bills will be submitted every 30 days and within 15 days of the end of the 30 day period. Bills not submitted within 15 days will incur a penalty of 15% of the invoice total unless the Project Manager, in his discretion, determines that the delay was caused by circumstances beyond the control of the Contractor. Bills not submitted within 30 days will incur a penalty of 30% of the invoice total unless the Project Manager, in his discretion, determines that the delay was caused by circumstances beyond the control of the Contractor. Payment will be made within 30 days after verification of billing charges. K. Contractor Responsibility for Work The Contractor shall be responsible for all damages, loss or injuries that occur as a result of the fault or negligence of said Contractor or his employees in connection with the performance of this work. The Contractor is to place all traffic control devices to meet or exceed the standards set forth in the most current City of Fort Collins Work Area Traffic Control Handbook. The Contractor shall not be expected to compromise this responsibility. The Contractor should contact the City Traffic Control Manager if such an occasion should occur. The Contractor shall furnish sufficient Traffic Control Supervisors, flag people and working personnel capable of promptly accomplishing all service requests according to the terms of this Agreement. The Contractor's employees shall conduct themselves in a proper and efficient manner while performing services for the City of Fort Collins. The City reserves the right to reject personnel for cause, and the Contractor shall replace these individuals promptly at the City's request. L. Monthly Report: DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type BID 8300 Traffic Control Services Page 15 of 23 Upon request the Contractor shall provide monthly written reports of the total number of calls received per day, as well as the general nature of the calls, i.e., number of barricades placed, location and when removed. M. Insurance Coverage During the term of this Agreement, insurance coverage in the amount of $500,000 combined single limit, bodily injury and property damage shall be maintained by the Contractor, see Exhibit B. A certificate of insurance providing such coverage shall be presented to the City at the time the Services Agreement is signed by the Contractor. N. Termination This Contract and all associated purchase orders may be terminated by the City, upon fifteen (15) days written notice. The City shall have the ability to bid traffic control for any selected projects separately, if it is in the City's interest. O. Pricing Structure The cost for setting up equipment, modifying equipment, and maintaining equipment during authorized days shall be included in the Agreement Unit Price for Traffic Control Supervisor per day and per hour. The cost for Traffic Control Devices shall include delivery, rental, and pickup. The cost for setting up equipment, modifying equipment, and maintaining equipment will be paid for under the Agreement Unit Price for TCS as described above. If a TCS(s) is used for an authorized day(a day is 10 hours), but not for the entire day, the TCS(s) shall be paid at the Agreement Unit Price for "Traffic Control Supervisor" at the per hour rate. The quantity to be measured for flagging will be the total number of hours that flagging is actually used as authorized. Hours of flagging in excess of those authorized shall be at the Contractor's expense. Flagger breaks shall be included in the Agreement Unit Price for Flagging. The method for covering flagger breaks shall be approved by the City Representative. Flagging outside of the construction work hours will not be paid for under the terms of this Agreement unless authorized. Flagger stand-by time will not be paid. In locations where traffic control is set up and the work is not performed due to Traffic Control Contractor caused delays, the traffic control shall not be paid for under the terms of this contract. The costs for advance warning "NO PARKING" signs for periods in excess of 24 hours prior to the advancement of work, including those instances when said signs have been changed or otherwise updated to reflect current schedules, will not be paid for under the terms of this contract unless authorized by the City in writing. In addition, the Owner shall deduct from compensation due the Contractor $10.00 for each traffic control device per day, including "NO PARKING" signs, for said conditions. Payment shall be full compensation for furnishing, erecting, maintaining, moving, removing and disposing of construction traffic control devices necessary to complete the work. All construction traffic control devices which are not permanently incorporated into the project will remain the property of the Contractor. DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type Page 16 of 23 Payment shall be made for the maximum number of each type of traffic control device being used at one given time per day. The accepted quantities will be paid for at the contract unit price for each of the pay items listed in the Bid Schedules. The initial manufacturing will be paid for Specialty Signs per unit and the actual use paid for under the appropriate unit cost for Size A or Size B sign. This item shall apply to new signs only. Once manufactured, they may be used throughout the project. Upon completion of the work, the Specialty Signs shall be returned to the Contractor. Flagger hand signs will not be measured and paid for separately, but shall be included in the work. The flaggers shall be provided with electronic communication devices when required. These devices will not be measured and paid for separately, but shall be included in the work. The cost of batteries, electricity and/or fuel for all lighting or warning devices will not be paid for separately but will be considered subsidiary to the item. Sand bags will not be measured and paid for separately, but shall be included in the work. The Contractor may provide larger construction traffic signs than those typically used in accordance with the MUTCD, if approved; however, payment will be made for the typical panel size. The City shall not be responsible for any losses or damage due to theft or vandalism. P. Liquidated Damages Liquidated damages at an hourly rate of $200/hour, may be assessed and back billed to the Contractor as stated in Section D for downtime incurred due to negligence of the Contractor in placement of traffic control devices resulting in shut-down of job sites. Material shall be removed from City right-of-way within 24 hours. City dispatch logs will be used to confirm proper removal and pick-up time frames are met; failure to conform can result in back charging of daily rental rates per day for each device remaining after notification. It shall be recognized by and between the parties hereto that the City will suffer certain unspecified damages in the event service is not provided in accordance with the terms of the proposal, and the signed Services Agreement. In recognition of the difficulty of ascertaining the actual damages to be sustained by the City, the parties shall agree that the assessment of liquidated damages shall be appropriate. In the event the project is not completed within the specified time, there shall be assessed against the Contractor, and the Contractor shall authorize the City to retain from monies due the Contractor, based on the following schedule: 1. If the Contractor fails to respond to service requests within two (2) hours for all locations, the City may deduct $200.00 per offense from payment as liquidated damages or have the authority to call in another contractor. Emergency response time shall be 30 minutes; if response time is not met the City will have the authority to call in another contractor. 2. The City reserves the right to assess liquidated damages in the amount of $10.00 per day for each day per each barricade when barricades are not removed after notification as set forth in Section C of Exhibit A. In no event shall liquidated damages exceed the sum of Five Thousand Dollars ($5,000.00) during the term of this Agreement. DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type Page 17 of 23 EXHIBIT C COMPENSATION DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type Page 18 of 23 DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type Page 19 of 23 DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type Page 20 of 23 DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type Page 21 of 23 DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A Service Agreement – Work Order Type Page 22 of 23 EXHIBIT D INSURANCE REQUIREMENTS 1. The Service Provider 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 Service Provider 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 Service Provider, 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 Service Provider under this Agreement. The City, its officers, agents and employees shall be named as additional insureds on the Service Provider '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 Service Provider shall maintain during the life of this Agreement for all of the Service Provider'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 Service Provider 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 Service Provider 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. DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A New insurance Service Agreement – Work Order Type Page 23 of 23 EXHIBIT E CONFIDENTIALITY IN CONNECTION WITH SERVICES provided to the City of Fort Collins (the “City”) pursuant to this Agreement (the “Agreement”), the Service Provider 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 Service Provider has agreed to perform, the Service Provider 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 Service Provider 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 Service Provider shall not disclose any such information to any person not having a legitimate need-to-know for purposes authorized by the City. Further, the Service Provider 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 Service Provider 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 Service Provider 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 Service Provider ceases to perform services for the City, or the City so requests for any reason, the Service Provider 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 Service Provider understands and agrees that the City’s remedies at law for a breach of the Service Provider’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: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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). PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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). PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR LTR DATE (MM/DD/YYYY) INSURED TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY AUTOMOBILE LIABILITY GARAGE LIABILITY WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO- POLICY JECT LOC COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WC STATU- TORY LIMITS OTH- ACORD 25 (2009/01) on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER IMPORTANT If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # COVERAGES CERTIFICATE HOLDER CANCELLATION CERTIFICATE OF LIABILITY INSURANCE ADD'L INSRD PRODUCER $ DATE (MM/DD/YYYY) POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION EXCESS / UMBRELLA LIABILITY Y / N (Mandatory in NH) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2009/01) A 1001486 132849.3 04-06-2009 X 07/18/2016 State Farm Insurance 106 E Olive St. Fort Collins, CO 80524 Mike Obester 209 Raquette Dr Ste B Fort Collins, Collins Co 80524 State Farm Mutual Automobile Insurance Company 25178 25143 2277866a0506c001 01/30/2016 07/30/2016 1,000,000 1,000,000 1,000,000 2007 Chevrolet k1500 Vin # 1gcek19j37z522144 Certificate Holder is additional insured with respect to General Automobile Liability Listed as additional insured: City Of fort Collins Purchasing Department PO Box 580 Fort Collins, Co 80522 30 Chip Beake DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD QUALTRA-02 VMATHIASON 7/13/2016 PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 (970) 635-9400 (970) 635-9401 valeriem@mypfsinsurance.com Admiral Insurance Company 24856 Quality Traffic Control, Inc. Mike Obester 209 Racquette Drive #5 Fort Collins, CO 80524 Pinnacol Assurance Co 41190 A X 1,000,000 X X CA000022348-01 08/27/2015 08/27/2016 100,000 10,000 1,000,000 2,000,000 2,000,000 B 4130969 04/01/2016 04/01/2017 1,000,000 1,000,000 1,000,000 Traffic Control Where required by written contract or written agreement, the certificate holder. and all other parties as required by contract are Additional Insureds for ongoing operations. The City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD QUALTRA-02 VMATHIASON 7/13/2016 PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 (970) 635-9400 (970) 635-9401 valeriem@mypfsinsurance.com Admiral Insurance Company 24856 Quality Traffic Control, Inc. Mike Obester 209 Racquette Drive #5 Fort Collins, CO 80524 Pinnacol Assurance Co 41190 A X 1,000,000 X CA000022348-01 08/27/2015 08/27/2016 100,000 10,000 1,000,000 2,000,000 2,000,000 B 4130969 04/01/2016 04/01/2017 1,000,000 1,000,000 1,000,000 Traffic Control City of Fort Collins Attn: Purchasing Division 215 North Mason Street, 2nd Fl PO Box 580 Fort Collins,, CO 80522 DocuSign Envelope ID: CEC30FB0-7E08-4A98-84F3-07C7E7F5C35A