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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - CONTRACT - RFP - 8286 CONSTRUCTION CONTRACTOR FOR PROJECTS AT THE W (21)CONTRACT DOCUMENTS FOR Reservoir Drainage System Contractor assistance to design, conduct investigative potholing and construct a concrete structure with bar screen, stairs and handrail, concrete cutoff wall/weir with slide gate and permanent underground piping connection to a decant drainage pipeline near the decant pond at WTF – for pump connection to drain finished water reservoirs to decant pond and drainage piping. Construction estimated to start mid- August 2017. The substantial completion date of the project is December 31, 2017. August 2017 ch2m 200 East 7th Street, Suite 314, Loveland CO 80537 ch2m Fort Collins Utilities 700 Wood Street Fort Collins CO 80521 Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins CO 80524 DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 WTF 00525-1 Work Order, Notice of Award and Bid Schedule SECTION 00525 WORK ORDER, NOTICE OF AWARD AND BID SCHEDULE TO: Hydro Construction W. O. No. SCP-WTF-Chond7-27-17 PURCHASE ORDER: TITLE: WTF Reservoir Drainage System OWNER’S REPRESENTATIVE: Sue Paquette Original Bid/RFP Number & Name: RFP 8286, Construction Contractor for Projects at the Water and Wastewater Treatment Facilities (BU 5026310067.535010) Commencement Date: August 15, 2017 OWNER: CITY OF FORT COLLINS (hereinafter referred to as OWNER) 1. WORK. You are hereby notified that your bid dated July 12, 2017, for the above Work Order has been considered. Pursuant to your AGREEMENT with OWNER dated June 20, 2016, 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 One Hundred Sixty- Three Thousand Three Hundred Fifty-Eight Dollars ($163,358.00). 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 December 31, 2017, and after Substantial Completion, the number of days for Final Payment and Acceptance is 60 Calendar days. 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) CONTRACTOR 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 December 31, 2017 until the work is Substantially Complete. 2) Final Acceptance: After Substantial Completion Two Hundred Dollars ($200.00) for each calendar day or fraction thereof that expires after the 60 calendar day period for Final Payment and Acceptance until the Work is ready for Final Payment and Acceptance. 5. EXECUTION. One electronic copy 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. 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 (fifteen) days of the date of this Notice of Award, that is, by August 30, 2017. DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 WTF 00525-2 Work Order, Notice of Award and Bid Schedule A. You must deliver to OWNER one fully-executed electronic counterpart of this Work Order, including all amendments or supplements to the Contract Documents incorporated herein. The electronic 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. 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 electronic 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 20, 2016 and the NOTICE OF AWARD dated August 15, 2017 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: Hydro Construction By: Date: Name: Title: 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. Submitted: Date: Sue Paquette, Special Projects Manager Reviewed By: Date: Pat Johnson, Senior Buyer, Purchasing Reviewed By: Date: Mark Kempton, Water Production Manager Reviewed By: Date: Owen L. Randall, Chief Engineer Reviewed By: Date: Carol Webb, Water Resources and Treatment Operations Manager Acceptance: Date: Gerry Paul, Director of Purchasing (over $60,000) DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52           Standard Estimate Report FCWTF Chond Project name FCWTF Chond Labor rate table Labor - Bare Equipment rate table Equipment Report format Sorted by 'Structure/Assembly/Group phase' 'Detail' summary Allocate addons DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 Standard Estimate Report FCWTF Chond Phase Item Description Takeoff Qty Labor Amount Material Amount Subcontract Amount Name Equipment Amount 01 Gen Cond 0334- 1000.000 GENERAL CONDITIONS 1055.100 22 Bonds 1.00 ls - - - 1100.100 14 Project Manager 8.00 wk 9,656 - - 2,000 1100.100 14 Project Engineer 8.00 wk 7,384 - - 2,000 1102.100 14 Superintendent 8.00 wk 7,384 - - 2,000 1250.100 12 Office Supplies 2.00 mo - - - 1250.100 12 Copier 2.00 mo - - - 650 1260.100 18 Telephone Charges 2.00 mo - - - 1260.100 20 Temporary Toilets 2.00 mo - - - 1270.100 10 Safety 1.00 ls 1,136 - 1,000 - 1622.100 10 Fuels - Gas 8.00 wk - - - GENERAL CONDITIONS 25,560 1,000 6,650 1,000.00 Labor hours 960.00 Equipment hours 1900.000 OWNED EQUIPMENT 1900.005 50 500 Gal. Fuel Tank 1.00 mo - - - 150 OWNED EQUIPMENT 150 0334- 25,560 0 1,000 6,800 1,000.00 Labor hours 960.00 Equipment hours 01 Gen Cond 25,560 0 1,000 6,800 1,000.00 Labor hours 960.00 Equipment hours 02 Construction 02607- Pump Back Line 2000.000 SITEWORK 2319.316 2 Bedding 35.00 cy 613 1,502 - 0 n 2512.801 4 Pipe 208.00 lf 1,840 2,496 - - 2740.830 20 Trenching 138.00 cy 1,840 0 - - SITEWORK 4,294 3,998 120.00 Labor hours 4.762 Equipment hours 15000.000 MECHANICAL 15110.034 a 10 Pump Connection & Valves 1.00 ea 613 5,500 - - MECHANICAL 613 5,500 32.00 Labor hours Pump Back Line 208.00 lf 4,908 9,498 0 0 152.00 Labor hours 4.762 Equipment hours 0314- Div Slab 3000.000 CONCRETE 3100.104 2 Concrete Sub 15.00 cy 4,500 - DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 Standard Estimate Report FCWTF Chond Phase Item Description Takeoff Qty Labor Amount Material Amount Subcontract Amount Name Equipment Amount 3000.000 CONCRETE 3210.208 6 SOG Rebar 1.50 tn 0 1,890 - - 3310.100 45 4500 psi Concrete 15.00 cy - 2,205 - - 3310.200 3 Pump Place 15.00 cy - 600 - 3390.170 2 Liquid Curing Compounds 156.00 sf 82 - - 3510.610 6 Waterstop 6" Flat 38.00 lf 27 239 - - CONCRETE 27 4,416 5,100 1.344 Labor hours Div Slab 15.00 cy 27 4,416 5,100 0 1.344 Labor hours 0314- Div Stairs 3000.000 CONCRETE 3100.104 2 Concrete Sub 2.00 cy 600 - 3210.208 6 SOG Rebar 0.85 tn 1,072 - - 3310.100 45 4500 psi Concrete 2.00 cy - 294 - - 3310.200 3 Pump Place 2.00 cy - 80 - 3390.170 2 Liquid Curing Compounds 156.00 sf 82 - - CONCRETE 1,448 680 Div Stairs 2.00 cy 0 1,448 680 0 0320- Div Walls 3000.000 CONCRETE 3100.180 b 17 Concrete Sub 7.00 cy 0 0 2,100 - 3210.104 210 Wall Rebar 1.20 tn 0 1,512 - - 3310.100 45 4500 psi Concrete 7.00 cy - 1,029 - - 3310.260 3 Pump Place 7.00 cy 0 - 280 - 3390.170 2 Liquid Curing Compounds 125.00 sf 0 66 - - CONCRETE 2,607 2,380 Div Walls 7.00 cy 0 2,607 2,380 0 0320- Cut Off Wall 3000.000 CONCRETE 3100.180 b 17 Concrete Sub 9.00 cy 0 0 2,700 - 3210.104 210 Wall Rebar 1.50 tn 0 1,890 - - 3310.100 45 4500 psi Concrete 9.00 cy - 1,323 - - 3310.260 3 Pump Place 9.00 cy 0 - 360 - 3390.170 2 Liquid Curing Compounds 165.00 sf 0 87 - - CONCRETE 3,300 3,060 15000.000 MECHANICAL 15110.014 a 10 Gate 1.00 ea 704 2,700 - - MECHANICAL 704 2,700 32.00 Labor hours Cut Off Wall 9.00 cy 704 6,000 3,060 0 Standard Estimate Report FCWTF Chond Phase Item Description Takeoff Qty Labor Amount Material Amount Subcontract Amount Name Equipment Amount Cut Off Wall 9.00 cy 704 6,000 3,060 0 32.00 Labor hours 0334- Cut Off Wall Slab 3000.000 CONCRETE 3100.124 4 Concrete Sub 11.80 cy 0 0 3,540 - 3210.104 214 Slab Rebar 1.50 tn 0 1,890 - - 3310.100 45 4500 psi Concrete 11.80 cy - 1,735 - - 3310.240 2 Pump Place 11.80 cy 0 - 472 - 3390.170 2 Liquid Curing Compounds 165.00 sf 0 87 - - CONCRETE 3,711 4,012 Cut Off Wall Slab 11.80 cy 0 3,711 4,012 0 0334- 1000.000 GENERAL CONDITIONS 1622.100 12 Fuels - Diesel 8.00 wk - - - GENERAL CONDITIONS 1900.000 OWNED EQUIPMENT 1900.010 10 GPS 1.00 mo - - - 950 1900.020 10 20' Trench Box 0.25 mo - - - 663 1900.025 45 Connex Box 1.00 mo - - - 1,010 1900.030 pt 3 Trash Pump 3" 1.00 mo - - - 237 1900.050 10 C832 Hypac Compactor 0.50 mo - - - 1,136 1900.105 10 938 Cat Loader 1.00 mo - - 3,531 1900.110 20 470Hitachi Trackhoe 1.00 mo - - - 7,138 1900.110 50 Mini Ex 1.00 mo - - - 1,915 OWNED EQUIPMENT 16,579 1.00 Labor hours 2000.000 SITEWORK 2223.100 19 Grade & Gravel 6,500.00 sf 1,318 7,150 0 124 2318.202 40 Excavation Pothole 3.00 cd 2,317 0 - 1,800 2318.202 40 Backfill 220.00 cy 1,545 - 31 2318.202 40 Excavation 235.00 cy 1,158 - 33 2320.010 80 Gravel Base @ Slabs 25.00 cy 540 1,073 - 13 2370.150 20 Construction - Concrete Washout 1.00 ls 159 - 250 2370.150 20 Construction - Waddles 75.00 lf 239 - 50 2370.150 20 Completed Waddles 75.00 lf 239 - 50 2900.990 -sub Sub - Landscaping 1.00 ls - - 4,000 - SITEWORK 7,514 8,223 4,000 2,350 235.992 Labor hours 139.94 Equipment hours 5000.000 METALS 5520.300 30 Aluminum 3 Line Rail 55.00 lf 613 1,925 - - 5530.300 125 Floor Grating 9.00 sf 341 1,719 - - 5590.100 10 Bar Screen 1.00 ea 460 8,000 - - METALS 1,414 11,644 50.00 Labor hours Standard Estimate Report FCWTF Chond Phase Item Description Takeoff Qty Labor Amount Material Amount Subcontract Amount Name Equipment Amount THERMAL & MOIST PROTECT 300 400 0334- 8,929 20,167 4,400 18,929 286.991 Labor hours 139.94 Equipment hours 02 Construction 14,567 47,845 19,632 18,929 472.34 Labor hours 144.702 Equipment hours Estimate Totals Standard Estimate Report FCWTF Chond Description Amount Totals Hours Rate Cost Basis Cost per Unit Labor 40,127 1,472.336 hrs Material 47,845 Subcontract 20,632 Equipment 25,729 1,104.702 hrs Other 12,836 147,169 147,169 Profit & Overhead 16,189 11.000 % T Total 163,358 DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 Standard Estimate Report FCWTF Chond DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 City of Fort Collins Water Treatment Plant –Reservoir Drainage System with Pump Connection July 17, 2017 Hydro Construction Company, Inc. - Scope of Services Provide personnel and equipment to assist in design completion, investigative potholing and construction of a concrete structure with bar screen, stairs and handrail, concrete cutoff wall with drain and permanent underground piping connection to a 6” pipeline near decant pond at WTF – for pump connection to drain finished water reservoirs to decant pond and drainage piping. Cost estimate $163,358.00, see attached standard cost report. DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 WTF Performance Bond 00610-1 SECTION 00610 PERFORMANCE BOND Bond No. KNOW ALL MEN BY THESE PRESENTS: that (Firm) Hydro Construction (Address) ___________________________________ (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 One Hundred Sixty-Three Thousand Three Hundred Fifty-Eight Dollars ($163,358.00) 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 June 20, 2016, a copy of which is hereto attached and made a part hereof for the performance of The City of Fort Collins project, WTF Reservoir Drainage System. NOW, THEREFORE, if the Principal shall well, truly and faithfully perform its duties, all the undertakings, covenants, terms, conditions and agreements of said 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 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 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 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. IN WITNESS WHEREOF, this instrument is executed in three (3) counterparts, each one of which shall be deemed an original, this ____ day of ________________. DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 WTF Performance Bond 00610-2 IN PRESENCE OF: Principal By: Title Address (Corporate Seal) IN PRESENCE OF: Other Partners By: By: IN PRESENCE OF: Surety By: Attorney-in-Fact 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. DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 WTF Performance Bond 00615-1 SECTION 00615 PAYMENT BOND Bond No. KNOW ALL MEN BY THESE PRESENTS: that (Firm) Hydro Construction (Address) __________________________________ (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 the 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 One Hundred Sixty-Three Thousand Three Hundred Fifty-Eight Dollars ($163,358.00), 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 June 20, 2016, a copy of which is hereto attached and made a part hereof for the performance of The City of Fort Collins project, WTF Reservoir Drainage System. 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 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 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 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. IN WITNESS WHEREOF, this instrument is executed in three (3) counterparts, each one of which shall be deemed an original, this ____ day of _________________. DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 WTF Performance Bond 00615-2 IN PRESENCE OF: Principal By: Title Address (Corporate Seal) IN PRESENCE OF: Other Partners By: By: IN PRESENCE OF: Surety By: Attorney-in-Fact 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. DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 WTF Summary of Work 01110-1 SECTION 01110 SUMMARY OF WORK PART 1 GENERAL 1.01 SECTION INCLUDES A. Site location and description. B. Project description. C. Scope of work and work sequence. D. Underground utilities. 1.02 SITE LOCATION AND DESCRIPTION A. WTF Reservoir Drainage System The work is located at the City of Fort Collins Water Treatment Facility (WTF), Fort Collins, Colorado. The project involves design, conducting investigative potholing and constructing a concrete structure with bar screen, stairs and handrail, concrete cutoff wall/weir with slide gate and permanent underground piping connection to a decant drainage pipeline near the decant pond at WTF – for pump connection to drain finished water reservoirs to decant pond and drainage piping. Construction estimated to begin mid- August 2017. The substantial completion date of the project is December 31, 2017. 1.03 PROJECT DESCRIPTION A. General Conditions - Provide: 1. Mobilization & Field Overhead 2. Traffic Control (By CoFC) B. Stormwater Management - Provide: 1. Erosion & Settlement Control Allowance 2. SWMP Inspections C. Landscaping – Provide and Install as per the bid schedule. D. Miscellaneous Work Items & Allowances – Provide and Install as per the bid schedule. 1.04 WORK SEQUENCE A. The Work Sequence is to be submitted as part of the construction schedule required in Section 01320 (Construction Schedules) and Section 01330 (Submittals). Construction of the project shall begin within seven (7) calendar days of the date of Notice to Proceed. Please see the City of Fort Collins Master Specifications for these and other Division section requirements, including Division 1 – General Requirements and Division 2 - Site Work. DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 WTF Summary of Work 01110-2 1.05 UNDERGROUND UTILITIES A. It shall be the responsibility of the CONTRACTOR to verify the existence and location of all underground utilities along the route of the work and to coordinate the construction schedules with these utility owners. See Section 01180 for a list of Utility Sources. B. Known utilities and structures adjacent to or encountered in the work are shown on the Drawings. The locations shown are taken from existing records and the best information available from existing utility plans, however, there may be some discrepancies and omissions in the locations and quantities of utilities and structures shown. Those shown are for the convenience of the CONTRACTOR only, and no responsibility is assumed by either the OWNER or the ENGINEER for their accuracy or completeness. C. The CONTRACTOR shall field verify all utilities and coordinate construction with utility owners prior to starting construction. The CONTRACTOR shall be responsible for protecting utilities during construction and scheduling utility adjustments to eliminate conflict with progress of the work. Any damage to existing utilities shall be repaired at no additional cost to the OWNER. D. The CONTRACTOR shall notify the ENGINEER immediately of any field condition not consistent with the contract documents. PART 2 PRODUCTS (Not Applicable) PART 3 EXECUTION (Not Applicable) END OF SECTION DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) JECT LOC PRO- POLICY GEN'L AGGREGATE LIMIT APPLIES PER: CLAIMS-MADE OCCUR COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ DED RETENTION $ CLAIMS-MADE OCCUR $ AGGREGATE $ UMBRELLA LIAB EACH OCCURRENCE $ EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS PER STATUTE OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INS025 (201401) 7/20/2017 Flood and Peterson PO Box 578 Greeley CO 80632 Dana Stewart, CLCS, CIC, CISR (970)266-7149 (970)330-1867 DStewart@floodpeterson.com Hydro Construction Company Inc. 301 E Lincoln Ave Fort Collins CO 80524 Phoenix Insurance Company 25623 Travelers Indemnity Company 25658 Travelers Property Casualty Company 25674 Pinnacol Assurance 41190 Zurich American Insurance Company 16535 CL1733116969 A X X X DTCO8G990899PHX16 4/1/2017 4/1/2018 1,000,000 300,000 10,000 1,000,000 2,000,000 2,000,000 B X X X DT8108G990899IND17 4/1/2017 4/1/2018 1,000,000 C X X X 10,000 DTSMCUP8G990899TIL17 4/1/2017 4/1/2018 5,000,000 5,000,000 D N 2091550 4/1/2017 4/1/2018 X 1,000,000 1,000,000 1,000,000 E Builders Risk PR04012017 4/1/2017 4/1/2018 $15,000,000 Limit E Installation Floater PR04012017 4/1/2017 4/1/2018 $1,000,000 Limit Project #17-01-456, Owners project number SCP-WTF-Chond7-17-17 Reservoir Drainage System Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. N Mosbrucker CIC,CISR Fort Collins Utilities 700 Wood Street Fort Collins, CO 80521 DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 7000.000 THERMAL & MOIST PROTECT 7920.100 -sub Sub - Caulking 100.00 lf - 300 400 - DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52 32.00 Labor hours DocuSign Envelope ID: E9E33B93-3513-4751-99DA-757FAE675D52