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WORK ORDER - RFP - 8496 COMPRESSED NATURAL GAS FUELING FACILITY
CONSTRUCTION WORK ORDER ON 8496 COMPRESSED NATURAL GAS FUELING FACILITY DESIGN BUILD WORK ORDER NO. PR600097 TITLED STREETS CNG FUEL SITE PHASE 1 DATE: 6/16/17 CONTRACTOR: CGRS, Inc. Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 1 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B TABLE OF CONTENTS AGREEMENT FORMS 00525 Work Order & Notice of Award 00530 Work Order Notice to Proceed 00600 Bonds and Certificates 00610 Performance Bond 00615 Payment Bond 00630 Certificate of Insurance 00635 Certificate of Substantial Completion 00640 Certificate of Final Acceptance 00650 Lien Waiver Release (CONTRACTOR) 00651 Lien Waiver Release (SUBCONTRACTOR) 00660 Consent of Surety 00670 Application for Exemption Certificate CONDITIONS OF THE CONTRACT 00700 General Conditions Exhibit GC-A GC-A1 - GC-A2 00800 Supplementary Conditions 00900 Addenda, Modifications and Payment 00950 Work Order Change Order Form 00960 Application for Payment Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 2 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00500 CONSTRUCTION WORK ORDER AGREEMENT FORMS 00525 Work Order, Notice of Award & RFP Proposal 00530 Work Order Notice to Proceed Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 3 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00525 WORK ORDER, NOTICE OF AWARD AND BID SCHEDULE TO: CGRS, Inc. WORK ORDER # & TITLE: PR-600097 Street CNG Fuel Site Phase 1 PURCHASE ORDER: ORIGINAL BID/RFP # & TITLE: #8496 Compressed Natural Gas Fueling Facility Design Build ENGINEER: OWNER’S REPRESENTATIVE: NOTICE OF AWARD DATE: June 16, 2017 OWNER: City of Fort Collins (hereinafter referred to as OWNER) 1. WORK. You are hereby notified that your bid dated May 23, 2017, for the above Work Order has been considered. Pursuant to your AGREEMENT with OWNER dated June 16, 2017, you have been awarded a Work Order for this Work Order Description: A. See Section 01100 – Summary of Work. 2. CONTRACT PRICE, BONDS AND CERTIFICATES. The price of your Work Order is Six Hundred Eighty-One Thousand Six Hundred and Four dollars and Seventy-One cents ($681,604.71). Pursuant to the AGREEMENT and the Contract Documents, Performance and Payment Bonds and insurance are required. 3. CONTRACT TIMES. Pursuant to the AGREEMENT and the Contract Documents, the date for Substantial Completion of this Work Order is October 5, 2017, and after Substantial Completion, the date for Final Completion is October 15, 2017. 4. LIQUIDATED DAMAGES. OWNER and CONTRACTOR recognize that time is of the essence of this Agreement and that OWNER will suffer financial loss if the Work is not completed within the times specified in paragraph 3 above, plus any extensions thereof allowed in accordance with Article 12 of the General Conditions. They also recognize the delays, expenses and difficulties involved in proving in a legal proceeding the actual loss suffered by OWNER if the Work is not completed on time. Accordingly instead of requiring any such proof, OWNER and CONTRACTOR agree that as liquidated damages for delay (but not as penalty) CONTACTOR shall pay OWNER the amounts set forth hereafter. 1) Substantial Completion: Five Hundred Dollars ($500.00) for each calendar day or fraction thereof that expires after October 5, 2017 until the work is Substantially Complete. 2) Final Acceptance: After Substantial Completion Two Hundred Fifty Dollars ($250.00) for each calendar day or fraction thereof that expires after the 10 calendar day period for Final Payment and Acceptance until the Work is ready for Final Payment and Acceptance. Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 4 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B 5. EXECUTION. Three (3) copies of this proposed Work Order & Notice of Award, and accompanying amendments or supplements to the Contract Documents (except any applicable Drawings) incorporated herein, are provided. Three (3) sets of any applicable Drawings will be delivered separately or otherwise made available to you immediately. You must comply with the following conditions precedent within fifteen (15) days of the date of this Notice of Award, that is, by 7/3/17. A. You must deliver to OWNER three (3) fully-executed counterparts of this Work Order, including all amendments or supplements to the Contract Documents incorporated herein. Each Work Order must bear your signature as provided. B. You must deliver with the executed Work Order the Contract Security (Bonds) and insurance, as specified in the Agreement, this Work Order, the General Conditions (Article 5.1) and the Supplementary Conditions. Failure to comply with these conditions within the time specified will entitle OWNER to consider your Bid abandoned and to annul this Work Order & Notice of Award. Within ten (10) days after you comply with those conditions, OWNER will return to you one (1) fully-signed counterpart of this Work Order with any amendments or supplements to the Contract Documents attached. CONTRACTOR’S NOTICE OF AWARD REPRESENTATION & EXECUTION: CONTRACTOR agrees to perform the services identified above, in accordance with the terms and conditions contained herein and in the AGREEMENT dated June 16, 2017, and the NOTICE OF AWARD dated 6/16/17, between the parties. In the event of a conflict between or ambiguity in the terms of the AGREEMENT or specific Work Orders, the AGREEMENT shall control. CONTRACTOR: CGRS, Inc. By: Date: Name: Title: Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 5 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Cory Kahler Vice President 6/27/2017 OWNER’S ACCEPTANCE & EXECUTION: This Work Order and the attached Contract Documents are hereby accepted and incorporated herein by this reference and the attached Notice to Proceed is hereby given. ACCEPTANCE: Date: _____ Bruce Anderson, Projects Manager OWNER: CITY OF FORT COLLINS ACCEPTANCE: ___________________________________________ Date: __________ Darin Atteberry, City Manager (if greater than $1,000,000) ACCEPTANCE: ___________________________________________ Date: __________ Gerry Paul, Purchasing Director (if greater than $60,000) APPROVED AS TO FORM: __________________________________ Date: __________ Assistant City Attorney ATTEST: ___ ________________________________________ Date: __________ City Clerk Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 6 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B 6/27/2017 6/29/2017 6/29/2017 6/29/2017 Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 7 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 8 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 9 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B GENERAL CONDITIONS 1 Project Management $ 3,937.50 1 CNG Foreman $ 19,687.50 1 Field Tech $ 21,937.50 1 Temporary Toilet $ 337.50 1 Engineering (CGRS) $ 12,323.25 1 CTL Geotech $ 2,475.00 1 CTL Slab design $ 2,475.00 1 Fire plan review AST/UST $ 281.25 1 Fire Permit AST/UST $ 450.00 1 City Permit Plan Review $700,000 $ 2,277.48 1 City Permit $700,000 $ 4,730.15 Division 1 Subtotal: $ 70,912.14 EQUIPMENT 2 JW Power CNG2250-3Q-C6 Compressor $ - 2 Gas control conversion $ - 2 Storage (3 Spheres) $ - 2 Priority Panel $ - 2 Kraus Dispenser (JW) $ - 2 Dryer (2 compressors) $ - 2 JW Start up $ - 2 JW Freight $ - 2 CRANE $ 1,687.50 2 ANGI Compressor $ 244,608.75 2 Connection materials $ 2,002.50 2 Dryer $ 45,000.00 2 Motor Starter $ 17,887.50 2 CP400 $ 5,996.25 2 Dispensers $ 53,392.50 2 Priority Panel $ 39,712.50 2 Storage USED $ 54,000.00 2 Start up $ 8,437.50 2 Freight Angi equipment ONLY $ 4,725.00 2 Dryer shipping $ 2,812.50 Division 2 Subtotal: $ 480,262.50 EXCAVATION/DIRT WORK 3 Saw cutting (Asphalt) $ 330.75 3 Asphalt disposal $ - 3 squeegee $ 675.00 3 bollards $ 2,187.50 3 Concrete $ 13,500.00 3 Concrete install $ - 3 Rebar $ - $ - Division 3 Subtotal: $ 16,693.25 CSI DESCRIPTION TOTAL Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 10 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B CSI DESCRIPTION TOTAL STAINLESS STEEL 4 3/4" tube SSP $ - 4 Bender Swagelok $ 405.00 4 Tube swaging tool $ 405.00 4 tube straightner $ - 4 shipping $ - 4 Swagelok Tube 3/4" $ 3,375.00 4 Swagelok misc $ 1,125.00 4 Swagelok 1/4 $ 3,567.11 4 Swagelok fittings $ 4,050.00 4 parker filters $ 3,937.50 Division 4 Subtotal: $ 16,864.61 INLET 5 Sub welder $ 10,125.00 5 ESD VALVE and regulator $ 6,224.85 Division 5 Subtotal: $ 16,349.85 SPECIALTIES 6 securement steel $ 1,125.00 Division 6 Subtotal: $ 1,125.00 ELECTRICAL 7 FuelMaster (installation & start-up) $ 2,376.32 7 SUB Electrical $ 60,000.00 Division 7 Subtotal: $ 62,376.32 OTHER 8 dumpster $ 562.50 8 signage $ 1,125.00 8 extinguishers $ 843.75 8 Island $ 1,125.00 Division 17 Subtotal: $ 3,656.25 SUMMARY $ 668,239.91 COST OF WORK SUBTOTAL $ 668,239.91 MARK-UPS Bonding (2%) $ 13,364.80 TOTAL $ 681,604.71 Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 11 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00530 WORK ORDER NOTICE TO PROCEED NOTICE TO PROCEED DATE: WORK ORDER TITLE: Street CNG Fuel Site Phase 1 WORK ORDER NUMBER: PR-600097 ORIGINAL BID/RFP # & TITLE: 8496 Compressed Natural Gas Fueling Facility Design Build TO: CGRS, Inc. Attn: Corey Kahler 1301 Academy Court Fort Collins, CO 80524 This notice is to advise you: That the Work Order and all amendments and supplements to the Contract Documents covering the above described Work have been fully executed by the CONTRACTOR and the OWNER. That the required CONTRACTOR's Performance and Payment Bonds and insurance have been received by the OWNER. That the OWNER has approved the said Work Order and Contract Documents. Therefore, as the CONTRACTOR for the above described Work, you are hereby authorized and directed to proceed within five (5) calendar days from receipt of this notice as required by the Work Order and the AGREEMENT. The dates for Substantial Completion and Final Acceptance shall be October 5, 2017, and October 15, 2017 respectively. Dated this _____________ day of ___________, _____. CITY OF FORT COLLINS (OWNER) By: ___________________________________________ ___________________________________________ Name & Title ACKNOWLEDGMENT OF NOTICE Receipt of the above Work Order Notice to Proceed is hereby acknowledged this _____________ day of ___________, _____. CGRS, INC. (CONTRACTOR) By: ___________________________________________ ___________________________________________ Name & Title Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 12 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00600 BONDS AND CERTIFICATES 00610 Performance Bond 00615 Payment Bond 00630 Certificate of Insurance 00635 Certificate of Substantial Completion 00640 Certificate of Final Acceptance 00650 Lien Waiver Release (CONTRACTOR) 00651 Lien Waiver Release (SUBCONTRACTOR) 00660 Consent of Surety 00670 Application for Exemption Certificate Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 13 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00610 PERFORMANCE BOND Bond No __ KNOW ALL MEN BY THESE PRESENTS: that CGRS, Inc. 1301 Academy Court, Fort Collins, CO 80524 (an Individual), (a Partnership), (a Corporation), hereinafter referred to as the "Principal" and (Firm) (Address) hereinafter referred to as "the Surety", are held and firmly bound unto City of Fort Collins, 300 LaPorte Ave, Fort Collins, Colorado 80522 a (Municipal Corporation) hereinafter referred to as the "OWNER", in the penal sum of Six Hundred Eighty-One Thousand Six Hundred and Four dollars and Seventy-one cents ($681,604.71) in lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, successors and assigns, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION are such that whereas the Principal entered into a certain Agreement with the OWNER, dated the 16th day of June, 2017, for 8496 Compressed Natural Gas Fueling Facility Design Build a copy of which is hereto attached and made a part hereof, for the performance of The City of Fort Collins Work Order, titled Street CNG Fuel Site Phase 1, Work Order Number PR-600097, dated the 16th day of June, 2017, a copy of which is hereto attached and made a part hereof. NOW, THEREFORE, if the Principal shall well, truly and faithfully perform its duties, all the undertakings, covenants, terms, conditions and agreements of said Work Order and Agreement during the original term thereof, and any extensions thereof which may be granted by the OWNER, with or without Notice to the Surety and during the life of the guaranty period, and if the Principal shall satisfy all claims and demands incurred under such Work Order and Agreement, and shall fully indemnify and save harmless the OWNER from all cost and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the OWNER all outlay and expense which the OWNER may incur in making good any default, then this obligation shall be void; otherwise to remain in full force and effect. PROVIDED, FURTHER, that the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Work Order and Agreement or to the Work to be performed thereunder or the Specifications accompanying the same shall in any way affect its obligation on this bond; and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Work Order and Agreement or to the Work or to the Specifications. PROVIDED, FURTHER, that no final settlement between the OWNER and the CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. PROVIDED, FURTHER, that the Surety Company must be authorized to transact business in the State of Colorado and be acceptable to the OWNER. Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 14 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B IN WITNESS WHEREOF, this instrument is executed in three (3) counterparts, each one of which shall be deemed an original, this ______ day of _______, _2017_. IN PRESENCE OF: Principal (Title) (Title) (Corporate Seal) (Address) IN PRESENCE OF: Other Partners _____________________________ By: _____________________________ By: IN PRESENCE OF: Surety _____________________________ By: _____________________________ (Address) (Surety Seal) NOTE: Date of Bond must not be prior to date of Agreement. If CONTRACTOR is Partnership, all partners should execute Bond. Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 15 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00615 PAYMENT BOND Bond No __ KNOW ALL MEN BY THESE PRESENTS: that CGRS, Inc. 1301 Academy Court, Fort Collins, CO 80524 (an Individual), (a Partnership), (a Corporation), hereinafter referred to as the "Principal" and (Firm) (Address) hereinafter referred to as "the Surety", are held and firmly bound unto City of Fort Collins, 300 LaPorte Ave, Fort Collins, Colorado 80522 a (Municipal Corporation) hereinafter referred to as the "OWNER", in the penal sum of Six Hundred Eighty-One Thousand Six Hundred and Four dollars and Seventy-One cents ($681,604.71) in lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, successors and assigns, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION are such that whereas the Principal entered into a certain Agreement with the OWNER, dated the 16th day of June, 2017, for 8496 Compressed Natural Gas Fueling Facility Design Build, a copy of which is hereto attached and made a part hereof, for the performance of The City of Fort Collins Work Order, titled Street CNG Fuel Site Phase 1, Work Order NumberPR-600097, dated the 16th day of June, 2017, a copy of which is hereto attached and made a part hereof. NOW, THEREFORE, if the Principal shall make payment to all persons, firms, subcontractors, and corporations furnishing materials for or performing labor in the prosecution of the Work provided for in such Work Order and Agreement and any authorized extension or modification thereof, including all amounts due for materials, lubricants, repairs on machinery, equipment and tools, consumed, rented or used in connection with the construction of such Work, and all insurance premiums on said Work, and for all labor, performed in such Work whether by subcontractor or otherwise, then this obligation shall be void; otherwise to remain in full force and effect. PROVIDED, FURTHER, that the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Work Order and Agreement or to the Work to be performed thereunder or the Specifications accompanying the same shall in any way affect its obligation on this bond; and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Work Order and Agreement or to the Work or to the Specifications. PROVIDED, FURTHER, that no final settlement between the OWNER and the CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. PROVIDED, FURTHER, that the Surety Company must be authorized to transact business in the State of Colorado and be acceptable to the OWNER. Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 16 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B IN WITNESS WHEREOF, this instrument is executed in three (3) counterparts, each one of which shall be deemed an original, this _____ day of ___________, _2017_. IN PRESENCE OF: Principal (Title) (Title) (Corporate Seal) (Address) IN PRESENCE OF: Other Partners _____________________________ By: _____________________________ By: IN PRESENCE OF: Surety _____________________________ By: _____________________________ (Address) (Surety Seal) NOTE: Date of Bond must not be prior to date of Agreement. If CONTRACTOR is Partnership, all partners should execute Bond. Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 17 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00630 CERTIFICATE OF INSURANCE CONTRACTOR shall insert his own standard form for Certificate of Insurance in accordance with the following: 1. The Contractor 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 Contractor 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 Contractor, 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 Contractor under this Agreement. The City, its officers, agents and employees shall be named as additional insureds on the Contractor’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 Contractor shall maintain during the life of this Agreement for all of the Contractor'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 Contractor 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 Contractor 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. Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 18 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00635 CERTIFICATE OF SUBSTANTIAL COMPLETION TO: CITY OF FORT COLLINS (OWNER) WORK ORDER # & TITLE: PR-600097 Street CNG Fuel Site DATE OF SUBSTANTIAL COMPLETION: ORIGINAL BID/RFP # & TITLE: October 5th, 21017 #8496 Compressed Natural Gas Fueling Facility Design Build PROJECT OR SPECIFIED PART SHALL LOCATION: Fort Collins, Colorado INCLUDE: OWNER: City of Fort Collins CONTRACTOR: CGRS, Inc. WORK ORDER DATE: June 16, 2017 The Work performed under this Work Order, pursuant to the Contract Documents, has been inspected by authorized representatives of the OWNER, CONTRACTOR, and the ENGINEER and the project (or specified part of the project, as indicated above) is hereby declared to be substantially completed on the above date. A tentative list of items to be completed or corrected is appended hereto. This list may not be exhaustive, and the failure to include an item on it does not alter the responsibility of the CONTRACTOR to complete all the Work in accordance with the Contract Documents. _____________________________ By: __________________________ ________ PROJECT MANAGER AUTHORIZED REPRESENTATIVE DATE The CONTRACTOR accepts the above Certificate of Substantial Completion and agrees to complete and correct the items on the tentative list within the time indicated. CGRS, Inc. ____________________ By: __________________________ ________ CONTRACTOR AUTHORIZED REPRESENTATIVE DATE The OWNER accepts the project or specified area of the project as substantially complete and will assume full possession of the project or specified area of the project at 12:01 a.m., on . The responsibility for heat, utilities, security, and insurance under the Contract Documents shall be as set forth under "Remarks" below. CITY OF FORT COLLINS ________ By: __________________________ ________ OWNER AUTHORIZED REPRESENTATIVE DATE REMARKS: _________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 19 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00640 CERTIFICATE OF FINAL ACCEPTANCE DATE: ________________, _____ TO: CGRS, Inc. Gentlemen: You are hereby notified that on the day of , , the City of Fort Collins, Colorado, has accepted the Work completed by , for the City of Fort Collins Work Order, titled Street CNG Fuel Site Phase 1, Work Order Number PR-600097 under 8496 Compressed Natural Gas Fueling Facility Design Build. A check is attached hereto in the amount of $ as Final Payment for all Work done, subject to the terms of the Contract Documents, including the Work Order, which is dated 6/16/17, and the AGREEMENT, which is dated 6/16/17. In conformance with the Work Order and Contract Documents for this project, your obligations and guarantees will continue for the specified time from the following date: ___________________, _____. Sincerely, City of Fort Collins OWNER By: ___________________________________________ ___________________________________________ Name & Title ATTEST: _________________________________________ ___________________________________________ Name & Title Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 20 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00650 LIEN WAIVER RELEASE (CONTRACTOR) TO: City of Fort Collins, Colorado (OWNER) FROM: CGRS, Inc. (CONTRACTOR) WORK ORDER TITLE: Street CNG Fuel SIte Phase 1 WORK ORDER NUMBER: PR-600097 ORIGINAL BID/RFP # & TITLE: 8496 Compressed Natural Gas Fueling Facility Design Build 1. The CONTRACTOR acknowledges having received payment, except retainage from the OWNER for all work, labor, skill and material furnished, delivered and performed by the CONTRACTOR for the OWNER or for anyone in the construction, design, improvement, alteration, addition or repair of the above described project. 2. In consideration of such payment and other good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, the CONTRACTOR voluntarily waives all rights, claims and liens, including but not limited to, mechanic's liens, Miller Act claims (40 U.S.C.A. 270 a and b), stop notices, equitable liens and labor and material bond rights which the CONTRACTOR may now or may afterward have, claim or assert for all and any work, labor, skill or materials furnished, delivered or performed for the construction, design, improvement, alteration, addition or repair of the above described project, against the OWNER or its officers, agents, employees or assigns, against any fund of or in the possession or control of the OWNER, against the project or against all land and the buildings on and appurtenances to the land improved by the project. 3. The CONTRACTOR affirms that all work, labor and materials, furnished, delivered or performed to or for the construction, design, improvement, alteration, addition or repair of the project were furnished, delivered or performed by the CONTRACTOR or its agents, employees, and servants, or by and through the CONTRACTOR by various Subcontractors or materialmen or their agents, employees and servants and further affirms the same have been paid in full and have released in full any and all existing or possible future mechanic's liens or rights or claims against the project or any funds in the OWNER'S possession or control concerning the project or against the OWNER or its officers, agents, employees or assigns arising out of the project. 4. The CONTRACTOR agrees to defend and hold harmless the OWNER, the lender, if any, and the Surety on the project against and from any claim hereinafter made by the CONTRACTOR's Subcontractors, materialmen, employees, servants, agents or assigns against the project or against the OWNER or its officers, employees, agents or assigns arising out of the project for all loss, damage and costs, including reasonable attorneys fees, incurred as a result of such claims. 5. The parties acknowledge that the description of the project set forth above constitutes an adequate description of the property and improvements to which this Lien Waiver Release pertains. It is further acknowledged that this Lien Waiver Release is for the benefit of and Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 21 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B may be relied upon by the OWNER, the lender, if any, and Surety on any labor and material bonds for the project. Signed this ______ day of __________, ___. CONTRACTOR: CGRS, Inc. By: ___________________________________________ ___________________________________________ Name & Title ATTEST: _____________________________ Secretary STATE OF COLORADO ) )ss. COUNTY OF LARIMER ) Subscribed and sworn to before me this _________ day of __________, _____, by ________________________________________________________________. Witness my hand and official seal. My Commission Expires: ___________________________. _________________________ Notary Public Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 22 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00650 LIEN WAIVER RELEASE (SUBCONTRACTOR) TO: City of Fort Collins, Colorado (OWNER) FROM: CGRS, Inc. (CONTRACTOR) WORK ORDER TITLE: Street CNG Fuel Site Phase 1 WORK ORDER NUMBER: PR-600097 ORIGINAL BID/RFP # & TITLE: 8496 Compressed Natural Gas Fueling Facility Design Build 1. The Subcontractor acknowledges having received payment from the CONTRACTOR for all work, labor, skill and material furnished, delivered and performed by the Subcontractor for the CONTRACTOR or for anyone in the construction, design, improvement, alteration, addition or repair of the above described project. 2. In consideration of such payment and other good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, the Subcontractor voluntarily waives all rights, claims and liens, including but not limited to, mechanic's liens, Miller Act claims (40 U.S.C.A. 270 a and b), stop notices, equitable liens and labor and material bond rights which the Subcontractor may now or may afterward have, claim or assert for all and any work, labor, skill or materials furnished, delivered or performed for the construction, design, improvement, alteration, addition or repair of the above described project, against the CONTRACTOR or its officers, agents, employees or assigns, against the project or against all land and the buildings on and appurtenances to the land improved by the project. 3. The Subcontractor affirms that all work, labor and materials, furnished, delivered or performed to or for the construction, design, improvement, alteration, addition or repair of the project were furnished, delivered or performed by the Subcontractor or its agents, employees, and servants, or by and through the Subcontractor by various sub- subcontractors or materialmen or their agents, employees and servants, and further affirms the same have been paid in full and have released in full any and all existing or possible future mechanic's liens or rights or claims against the project or against the CONTRACTOR or its officers, agents, employees or assigns arising out of the project. 4. The Subcontractor agrees to defend and hold harmless the CONTRACTOR, the lender, if any, and the Surety on the project against and from any claim hereinafter made by the Subcontractor's sub-subcontractors, materialmen, employees, servants, agents or assigns against the project or against the CONTRACTOR or OWNER, lender or Surety or their officers, employees, agents or assigns arising out of the project for all loss, damage and costs, including reasonable attorneys fees, incurred as a result of such claims. 5. The parties acknowledge that the description of the project set forth above constitutes an adequate description of the property and improvements to which this Lien Waiver Release pertains. It is further acknowledged that this Lien Waiver Release is for the benefit of and Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 23 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B may be relied upon by the CONTRACTOR, OWNER, the lender, if any, and Surety on any labor and material bonds for the project. Signed this ______ day of _________, ___. SUBCONTRACTOR: By: ___________________________________________ ___________________________________________ Name & Title ATTEST: _____________________________ Secretary STATE OF COLORADO ) )ss. COUNTY OF LARIMER ) Subscribed and sworn to before me this _________ day of __________, _____, by __________________________________________________________________. Witness my hand and official seal. My Commission Expires: ___________________________. __________________________________ Notary Public Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 24 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00660 CONSENT OF SURETY TO: City of Fort Collins, Colorado (hereinafter referred to as the "OWNER") CONTRACTOR: CGRS, Inc. WORK ORDER # & TITLE: PR-600097 Street CNG Fuel Site Phase 1 ORIGINAL BID/RFP # & TITLE: 8496 Compressed Natural Gas Fueling Facility Design Build CONTRACT DATE: June 16, 2017 WORK ORDER DATE: In accordance with the provisions of the Work Order and Contract between the OWNER and the CONTRACTOR as indicated above, for the Work Order titled Street CNG Fuel Site Phase 1 on bond of , (Surety) _______________________________________ hereby approves of the Final Payment to the CONTRACTOR, and agrees that Final Payment to the CONTRACTOR shall not relieve the Surety Company of any of its obligations to the OWNER, as set forth in the said Surety Company's Bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this _________ day of _________ _, _____. ____________________________________________ (Surety Company) By: ________________________________________ (Name) Attorney-in-Fact ATTACH: Power of Attorney and Certificate of Authority of Attorney(s)-in-Fact. Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 25 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00670 APPLICATION FOR EXEMPTION CERTIFICATE Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 26 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 27 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00700 GENERAL CONDITIONS Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 28 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 29 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 30 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 31 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 32 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 33 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 34 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 35 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 36 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 37 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 38 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 39 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 40 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 41 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 42 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 43 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 44 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 45 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 46 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 47 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 48 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 49 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 50 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 51 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 52 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 53 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 54 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 55 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 56 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 57 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 58 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 59 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 60 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 61 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 62 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 63 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 64 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 65 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 66 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 67 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 68 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 69 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 70 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 71 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 72 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 73 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 74 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 75 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 76 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 77 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 78 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 79 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 80 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00800 SUPPLEMENTARY CONDITIONS Conditions of the Contract These Supplementary Conditions amend or supplement the General Conditions of the Construction Contract (EJCDC General Conditions 1910-8, 1990 edition, with City of Fort Collins Modifications, Rev. 9/94) and other provisions of the Contract Documents as indicated below. SC-1 DEFINITIONS SC-1.38. Add the following language to the conclusion of paragraph 1.38 of the General Conditions: 1.38. Substantial Completion. .... Substantial Completion is further defined as that degree of completion of the operating facilities or systems of the Project defined in the Work Order sufficient to provide the OWNER the full time, uninterrupted, continuous, beneficial operation of the modifications, and all inspections required have been completed and identified conditions corrected. SC-1.43.A. Add the following new paragraph immediately after paragraph 1.43 of the General Conditions: 1.43.A. Work Order--A written document executed by OWNER and CONTRACTOR that provides for the construction of a portion of the Work, pursuant to the Agreement and all as required by the Contract Documents, and that becomes a Contract Document when executed. SC-2 PRELIMINARY MATTERS SC-2.8. Delete paragraph 2.8 of the General Conditions entirely and replace it with the following paragraph: 2.8. Preconstruction Conference. Within ten days after the Contract Times for a Work Order start to run, but before any Work at the site is started, a conference attended by CONTRACTOR, ENGINEER and others as appropriate will be held to establish a working relationship among the parties as to the Work and to discuss the schedules referred to in paragraph 2.6, procedures for handling Shop Drawings and other submittals, processing Applications for Payment, and maintaining required records. SC-2.10. Add the following new paragraph immediately after paragraph 2.9 of the General Conditions: 2.10. Work Order Required for All Work. References to the Agreement in this Article 2 and in the General and Supplementary Conditions and Contract Documents notwithstanding, no Work shall be initiated or performed until CONTRACTOR has received a signed and executed Work Order, incorporating the Notice to Proceed, from OWNER; and no provision of this Article 2 or of the General and Supplementary Conditions and Contract Documents shall permit or require any action of CONTRACTOR in the absence of a signed and executed Work Order. All provisions of this Article 2 and of the General and Supplementary Conditions and Contract Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 81 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Documents referencing the Agreement or other parts of the Contract Documents, or permitting or requiring any action of CONTRACTOR, shall be read as referencing and, as appropriate, requiring a signed and executed Work Order. SC-4 AVAILABILITY OF LANDS; SUBSURFACE AND PHYSICAL CONDITIONS; REFERENCE POINTS SC-4.2.1.2. Add the following new paragraph immediately following paragraph 4.2.1.2 of the General Conditions: 4.2.1.2.1. No drawing of physical conditions in or relating to existing surface or subsurface structures (except Underground Facilities referred to in paragraph 4.3) which are at or contiguous to the site have been utilized by the Engineer in preparation of the Contract Documents. SC-5 BONDS AND INSURANCE SC-5.4.7. Include the following parties or entities as additional insureds, as provided in paragraph 5.4.7 of the General Conditions: 5.4.7.1. City of Fort Collins, Colorado, 4316 LaPorte Avenue, Fort Collins, Colorado 80522 SC-5.4.8.1. Add the following new paragraph immediately following paragraph 5.4.8 of the General Conditions: 5.4.8.1. Limits of Liability. The limits of liability for the insurance required by the paragraph numbers of the General Conditions listed below are as follows: For Paragraphs 5.02.A.1 and 5.02.A.2: Coverage A - Statutory Limits; Coverage B - $100,000 / $100,000 / $500,000. For Paragraphs 5.02.A.3 and 5.02.A.5: The Commercial General Liability policy will have limits of $1,000,000 combined single limits (CSL). This policy will include coverage for Explosion, Collapse, and Underground coverage unless waived by the Owner. For Paragraph 5.02.A.6: The Comprehensive Automobile Liability Insurance policy will have limits of $1,000,000 combined single limits (CSL). For Paragraph 5.02.B.3: This policy will include completed operations coverage / product liability coverage with limits of $1,000,000 combined single limits (CSL). This policy shall also include an Umbrella Excess Liability as follows: General liability and automobile liability insurance in an amount not less than $1,000,000 per occurrence in excess of the above stated primary limits. SC-6 CONTRACTOR’S RESPONSIBILITIES SC-6.14.3. Add the following new paragraph immediately after paragraph 6.14.2 of the General Conditions: 6.14.3. The following Laws or Regulations are included in the Contract Documents as mandated by statute or for the convenience of the CONTRACTOR. Other Laws and Regulations apply which are not included herein, and are within the CONTRACTOR's duty and responsibility for compliance thereto: Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 82 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B 6.14.3.1. Notice to owners of Underground Facilities is required prior to excavations in the vicinity of such facilities. 6.14.3.2. Unless otherwise decided by reason of the amount of the Contract Price involved, or other good reason, before or at the time that the contract is awarded to a corporation outside the State of Colorado, such corporation must carry out the proper procedure to become authorized to do business in the State of Colorado, designate a place of business therein, and appoint an agent for service of process. Such corporation must furnish the OWNER with a certificate from the Secretary of State of Colorado has been issued by its office and there shall also be procured from the Colorado Secretary of State of photostatic or certified copy of the designated of place of business and appointment of agent for service of process, or a letter from the Colorado Secretary of State that such designation of place of business and agent for service of process have been made. 6.14.3.3. The CONTRACTOR must conform to the rules and regulations of the Industrial Commission of Colorado. Particular reference is made to rules and regulations governing excavation Work adopted by the Industrial Commission of Colorado. SC-11 CHANGE OF CONTRACT PRICE SC-11.6.2.7. Add the following new paragraph to paragraph 11.6.2 of the General Conditions: 11.6.2.7. Cost of the Work. Allowances for profit, overhead and mark-up for CONTRACTOR'S fee, overhead, profit or mark-up allowances as prescribed in paragraphs 11.6.2.1, 11.6.2.2, and 11.6.2.3 shall not exceed 5% each. SC-12 CHANGE OF CONTRACT TIMES SC-12.3. Add the following language to the end of paragraph 12.3 of the General Conditions: 12.3. .... Lost days due to abnormal weather conditions will be allocated as required. SC-14 PAYMENTS TO CONTRACTOR AND COMPLETION SC-14.1. Add the following language to the end of paragraph 14.1 of the General Conditions: 14.1. Schedule of Values. .... Progress payments on the fixed fee shall be in proportion to the cumulative actual Cost of the Work as a percentage of the Allowable Cost of the Work. An amount not to exceed fifteen (15%) percent of the fixed fee shall be advanced to the Contractor for mobilization in the first progress payment. Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 83 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00900 ADDENDA, MODIFICATIONS AND PAYMENT 00950 Change Order 00960 Application for Payment Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 84 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00950 CHANGE ORDER FORM CHANGE ORDER NO. CONTRACTOR: CGRS, Inc. WORK ORDER TITLE & NO. : Street CNG Fuel Site Phase 1 PR-600097 ORIGINAL BID/RFP # & TITLE: 8496 Compressed Natural Gas Fueling Facility Design Build DESCRIPTION: 1. Reason for change: 2. Description of Change: 3. Change in Contract Cost: 4. Change in Contract Time: ORIGINAL CONTRACT COSTS $ ________________ TOTAL APPROVED CHANGE ORDER(S) $ ________________ TOTAL PENDING CHANGE ORDER(S) $ ________________ TOTAL THIS CHANGE ORDER $ ________________ TOTAL % OF ORIGINAL CONTRACT, THIS CO: _______________ % TOTAL % OF ORIGINAL CONTRACT, ALL CO’S: _______________ % ADJUSTED CONTRACT COST $ ________________ (Assuming all change orders approved) ACCEPTED BY: _____________________________________ DATE: ____________ Contractor's Representative ACCEPTED BY: _____________________________________ DATE: ____________ Project Manager REVIEWED BY: _____________________________________ DATE: ____________ Title: APPROVED BY: _____________________________________ DATE: ____________ Title: APPROVED BY: _____________________________________ DATE: ____________ (Purchasing Agent if > $60,000) cc: City Clerk Architect/Engineer Finance Purchasing Project Manager Contractor Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 85 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B SECTION 00960 PAYMENT APPLICATION Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 86 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B Section 00960 APPLICATION FOR PAYMENT PAGE 1 OF 4 OWNER: City of Fort Collins PROJECT: APPLICATION NUMBER: APPLICATION DATE: PERIOD BEGINNING: ENGINEER: CONTRACTOR: PERIOD ENDING: PROJECT NUMBER: CHANGE ORDERS Application is made for Payment as shown below in connection with Contract NUMBER DATE AMOUNT The present status of the account for this Contract is as follows: 1 2 Original Contract Amount: 3 Net Change by Change Order: Current contract Amount: $0.00 Total Completed and Stored to Date: Less Previous Applications: Amount Due this Application - Before Retainage: $0.00 Less Retainage: Net Change by Change Order $0.00 AMOUNT DUE THIS APPLICATION: $0.00 CERTIFICATION: The undersigned CONTRACTOR certifies that all obligations of CONTRACTOR incurred in connection with the Work have been satisfied as required in Paragraph 14.3. of the General Conditions of the Contract. The above Amount Due This Application is requested by the CONTRACTOR. Date: By: Payment of the above Amount Due This Application is recommended by the ENGINEER. Date: By: Payment of the above Amount Due This Application has been reviewed by the OWNER'S Project Manager. Date: By: Payment of the above Amount Due This Application is approved by the OWNER. Date: By: Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 87 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B CONTRACT AMOUNTS APPLICATION FOR PAYMENT PAGE 2 OF 4 Work Completed Work Completed Work Completed Stored Bid This Month Previous Periods To Date Materials Total Item This Earned Percent Number Description Quantity Units Unit Price Amount Qty. Amount Qty. Amount Qty. Amount Period To Date Billed $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALS $0.00 $0.00 $0.00 $0.00 $0.00 Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 88 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B CHANGE ORDERS APPLICATION FOR PAYMENT PAGE 3 OF 4 Work Completed Work Completed Work Completed Stored Bid This Month Previous Periods To Date Materials Total Item This Earned Percent Number Description Quantity Units Unit Price Amount Qty. Amount Qty. Amount Qty. Amount Period To Date Billed $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALS CHANGE ORDERS $0.00 $0.00 $0.00 $0.00 $0.00 PROJECT TOTALS $0.00 $0.00 $0.00 $0.00 $0.00 Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 89 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B STORED MATERIALS SUMMARY PAGE 4 OF 4 On Hand Received Installed On Hand Item Invoice Previous This This This Number Number Description Application Period Period Application $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALS $0.00 $0.00 $0.00 $0.00 Streets CNG Fuel Site Phase 1 Work Order No. PR600097 8496 Compressed Natural Gas Fueling Facility Design Build Page 90 of 90 DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXP TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) LIMITS AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG OTHER: $ COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 06/22/2017 (970) 635-9400 (970) 635-9401 24856 C G R S, Inc. & CA TESTCO, LLC 1301 Academy Ct Fort Collins, CO 80524 41840 41190 22292 A 1,000,000 FEI-ECC-13290-04 03/01/2017 03/01/2018 50,000 Blanket Add'l Insd 5,000 Blanket Waiver 1,000,000 2,000,000 2,000,000 B 1,000,000 AW4-A232142-03 03/01/2017 03/01/2018 Blanket Add'l Insd Blanket Waiver A 10,000,000 FEI-EXS-13291-04 03/01/2017 03/01/2018 10,000,000 0 C 4029480 01/01/2017 01/01/2018 1,000,000 N 1,000,000 1,000,000 D Leased/Rented Equip RH4-A231842-03 03/01/2017 $1,000 Deductible 200,000 A Pollution/Profession FEI-ECC-13290-04 03/01/2017 03/01/2018 Limit Per Claim 1,000,000 8496 Compressed Natural Gas Fueling Facility, Design Build; Work Order #PR600097. If required by written contract or written agreement the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The City, its officers, agents and employees are included as Additional Insured for ongoing and completed operations under General Liability and Designated Insured under Automobile Liability (except Hired and Non-Owned Automobile). A Waiver of Subrogation applies to those named above for General Liability, Automobile Liability and Workers' Compensation. Umbrella is follow form. This insurance will apply on a primary, non-contributory basis. 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. City of Fort Collins 300 Laporte Ave Fort Collins, CO 80522 CGRSINC-01 LPREWITT PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 info@mypfsinsurance.com Admiral Insurance Company Allmerica Financial Benefit Insurance Company Pinnacol Assurance Co The Hanover Insurance Company X 03/01/2018 X X X X X X X X X X X X X DocuSign Envelope ID: A7EF1F96-386C-4DD2-8272-7A08EB57587B