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HomeMy WebLinkAbout602382 FUSION FABRICATION INC - CONTRACT - AGREEMENT MISC - FUSION FABRICATION INC (2)SERVICES AGREEMENT THIS AGREEMENT made and entered into the day and year set forth below by and between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter referred to as the "City" and FUSION FABRICATION INC., hereinafter referred to as "Service Provider". WITNESSETH: In consideration of the mutual covenants and obligations herein expressed, it is agreed by and between the parties hereto as follows: 1. Scope of Services. The Service Provider agrees to provide services in accordance with the scope of services attached hereto as Exhibit A, consisting of one (1) page and incorporated herein by this reference. Irrespective of references in Exhibit A to certain named third parties, Service Provider shall be solely responsible for performance of all duties hereunder. 2. Time of Commencement and Completion of Services. The services to be performed pursuant to this Agreement shall be initiated promptly following execution of this Agreement. Services shall be completed no later than August 31, 2018. Time is of the essence. Any extensions of the time limit set forth above must be agreed upon in a writing signed by the parties. 3. Delay. If either party is prevented in whole or in part from performing its obligations by unforeseeable causes beyond its reasonable control and without its fault or negligence, then the party so prevented shall be excused from whatever performance is prevented by such cause. To the extent that the performance is actually prevented, the Service Provider must provide written notice to the City of such condition within fifteen (15) days from the onset of such condition. 4. Early Termination by City/Notice. Notwithstanding the time periods contained herein, the City may terminate this Agreement at any time without cause by providing written notice of termination to the Service Provider. Such notice shall be delivered at least fifteen (15) days prior to the termination date contained in said notice unless otherwise agreed in writing by the parties. All notices provided under this Agreement shall be effective when mailed, postage prepaid and sent to the following addresses: Service Provider: City: Copy to: Fusion Fabrication Inc. Attn: Mike Morgan 1305 South Lemay Ave. Fort Collins, CO 80524 City of Fort Collins Attn: Caleb Feaver PO Box 580 Fort Collins, CO 80522 City of Fort Collins Attn: Purchasing Dept. PO Box 580 Fort Collins, CO 80522 In the event of early termination by the City, the Service Provider shall be paid for services rendered to the date of termination, subject only to the satisfactory performance of the Service Provider's obligations under this Agreement. Such payment shall be the Service Provider's sole right and remedy for such termination. Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 1 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB 5. Contract Sum. The City shall pay the Service Provider for the performance of this Contract, subject to additions and deletions provided herein, One Thousand Four Hundred Seventy- Five Dollars ($1,475) as per the attached Exhibit B, consisting of one (1) page, and incorporated herein by this reference. 6. City Representative. The City will designate, prior to commencement of the work, its representative who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the services provided under this agreement. All requests concerning this agreement shall be directed to the City Representative. 7. Independent Service provider. The services to be performed by Service Provider are those of an independent service provider and not of an employee of the City of Fort Collins. The City shall not be responsible for withholding any portion of Service Provider's compensation hereunder for the payment of FICA, Workmen's Compensation or other taxes or benefits or for any other purpose. 8. Subcontractors. Service Provider may not subcontract any of the Work set forth in the Exhibit A, Statement of Work without the prior written consent of the city, which shall not be unreasonably withheld. If any of the Work is subcontracted hereunder (with the consent of the City), then the following provisions shall apply: (a) the subcontractor must be a reputable, qualified firm with an established record of successful performance in its respective trade performing identical or substantially similar work, (b) the subcontractor will be required to comply with all applicable terms of this Agreement, (c) the subcontract will not create any contractual relationship between any such subcontractor and the City, nor will it obligate the City to pay or see to the payment of any subcontractor, and (d) the work of the subcontractor will be subject to inspection by the City to the same extent as the work of the Service Provider. 9. Personal Services. It is understood that the City enters into the Agreement based on the special abilities of the Service Provider and that this Agreement shall be considered as an agreement for personal services. Accordingly, the Service Provider shall neither assign any responsibilities nor delegate any duties arising under the Agreement without the prior written consent of the City. 10. Acceptance Not Waiver. The City's approval or acceptance of, or payment for any of the services shall not be construed to operate as a waiver of any rights or benefits provided to the City under this Agreement or cause of action arising out of performance of this Agreement. 11. Warranty. a. Service Provider warrants that all work performed hereunder shall be performed with the highest degree of competence and care in accordance with accepted standards for work of a similar nature. b. Unless otherwise provided in the Agreement, all materials and equipment incorporated Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 2 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB into any work shall be new and, where not specified, of the most suitable grade of their respective kinds for their intended use, and all workmanship shall be acceptable to City. c. Service Provider warrants all equipment, materials, labor and other work, provided under this Agreement, except City-furnished materials, equipment and labor, against defects and nonconformances in design, materials and workmanship/workwomanship for a period beginning with the start of the work and ending twelve (12) months from and after final acceptance under the Agreement, regardless whether the same were furnished or performed by Service Provider or by any of its subcontractors of any tier. Upon receipt of written notice from City of any such defect or nonconformances, the affected item or part thereof shall be redesigned, repaired or replaced by Service Provider in a manner and at a time acceptable to City. 12. Default. Each and every term and condition hereof shall be deemed to be a material element of this Agreement. In the event either party should fail or refuse to perform according to the terms of this agreement, such party may be declared in default thereof. 13. Remedies. In the event a party has been declared in default, such defaulting party shall be allowed a period of ten (10) days within which to cure said default. In the event the default remains uncorrected, the party declaring default may elect to (a) terminate the Agreement and seek damages; (b) treat the Agreement as continuing and require specific performance; or (c) avail himself of any other remedy at law or equity. If the non-defaulting party commences legal or equitable actions against the defaulting party, the defaulting party shall be liable to the non-defaulting party for the non-defaulting party's reasonable attorney fees and costs incurred because of the default. 14. Binding Effect. This writing, together with the exhibits hereto, constitutes the entire agreement between the parties and shall be binding upon said parties, their officers, employees, agents and assigns and shall inure to the benefit of the respective survivors, heirs, personal representatives, successors and assigns of said parties. 15. Indemnity/Insurance. a. The Service Provider agrees to indemnify and save harmless the City, its officers, agents and employees against and from any and all actions, suits, claims, demands or liability of any character whatsoever brought or asserted for injuries to or death of any person or persons, or damages to property arising out of, result from or occurring in connection with the performance of any service hereunder. b. The Service Provider shall take all necessary precautions in performing the work hereunder to prevent injury to persons and property. c. Without limiting any of the Service Provider's obligations hereunder, the Service Provider shall provide and maintain insurance coverage naming the City as an additional insured under this Agreement of the type and with the limits specified within Exhibit C, consisting of one (1) page, attached hereto and incorporated herein by this reference. The Service Provider before commencing services hereunder, shall deliver to the City's Purchasing Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 3 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB Director, P. O. Box 580, Fort Collins, Colorado 80522, one copy of a certificate evidencing the insurance coverage required from an insurance company acceptable to the City. 16. Entire Agreement. This Agreement, along with all Exhibits and other documents incorporated herein, shall constitute the entire Agreement of the parties. Covenants or representations not contained in this Agreement shall not be binding on the parties. 17. Law/Severability. The laws of the State of Colorado shall govern the construction interpretation, execution and enforcement of this Agreement. In the event any provision of this Agreement shall be held invalid or unenforceable by any court of competent jurisdiction, such holding shall not invalidate or render unenforceable any other provision of this Agreement. 18. Prohibition Against Employing Illegal Aliens. Pursuant to Section 8-17.5-101, C.R.S., et. seq., Service Provider represents and agrees that: a. As of the date of this Agreement: 1. Service Provider does not knowingly employ or contract with an illegal alien who will perform work under this Agreement; and 2. Service Provider will participate in either the e-Verify program created in Public Law 208, 104th Congress, as amended, and expanded in Public Law 156, 108th Congress, as amended, administered by the United States Department of Homeland Security (the “e-Verify Program”) or the Department Program (the “Department Program”), an employment verification program established pursuant to Section 8- 17.5-102(5)(c) C.R.S. in order to confirm the employment eligibility of all newly hired employees to perform work under this Agreement. b. Service Provider shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or knowingly enter into a contract with a subcontractor that knowingly employs or contracts with an illegal alien to perform work under this Agreement. c. Service Provider is prohibited from using the e-Verify Program or Department Program procedures to undertake pre-employment screening of job applicants while this Agreement is being performed. d. If Service Provider obtains actual knowledge that a subcontractor performing work under this Agreement knowingly employs or contracts with an illegal alien, Service Provider shall: 1. Notify such subcontractor and the City within three days that Service Provider has actual knowledge that the subcontractor is employing or contracting with an illegal alien; and 2. Terminate the subcontract with the subcontractor if within three days of receiving the notice required pursuant to this section the subcontractor does not cease employing Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 4 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB or contracting with the illegal alien; except that Service Provider shall not terminate the contract with the subcontractor if during such three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. e. Service Provider shall comply with any reasonable request by the Colorado Department of Labor and Employment (the “Department”) made in the course of an investigation that the Department undertakes or is undertaking pursuant to the authority established in Subsection 8-17.5-102 (5), C.R.S. f. If Service Provider violates any provision of this Agreement pertaining to the duties imposed by Subsection 8-17.5-102, C.R.S. the City may terminate this Agreement. If this Agreement is so terminated, Service Provider shall be liable for actual and consequential damages to the City arising out of Service Provider’s violation of Subsection 8-17.5-102, C.R.S. g. The City will notify the Office of the Secretary of State if Service Provider violates this provision of this Agreement and the City terminates the Agreement for such breach. 23. Special Provisions. Special provisions or conditions relating to the services to be performed pursuant to this Agreement are set forth in Exhibit D – Specifications, consisting of six (6) pages, and Exhibit E – Fence Detail, consisting of two (2) pages, attached hereto and incorporated herein by this reference. Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 5 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB THE CITY OF FORT COLLINS, COLORADO By: Gerry Paul Purchasing Director DATE: ATTEST: APPROVED AS TO FORM: FUSION FABRICATION INC. By: Printed: Title: CORPORATE PRESIDENT OR VICE PRESIDENT Date: Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 6 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB 6/6/2018 Mike Morgan Owner Assistant City Attorney ll 6/13/2018 City Clerk EXHIBIT A SCOPE OF WORK 1. Contractor shall remove damaged fence components, fabricate, and replace fence components located at the Vine and Shields Roundabout as shown on Exhibit E – Fence Details. 2. Fence components shall be painted after fabrication or repair in accordance with the Project Special Provisions, Section 607, Duplex Coating System. (Exhibit D) 3. Contractor will coordinate with the Art in Public Places (APP) artist for the art installation on the fence panels. Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 7 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB EXHIBIT B COMPENSATION Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 8 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB EXHIBIT C INSURANCE REQUIREMENTS 1. The Service Provider will provide, from insurance companies acceptable to the City, the insurance coverage designated hereinafter and pay all costs. Before commencing work under this bid, the Service Provider shall furnish the City with certificates of insurance showing the type, amount, class of operations covered, effective dates and date of expiration of policies, and containing substantially the following statement: “The insurance evidenced by this Certificate will not reduce coverage or limits and will not be cancelled, except after thirty (30) days written notice has been received by the City of Fort Collins.” In case of the breach of any provision of the Insurance Requirements, the City, at its option, may take out and maintain, at the expense of the Service Provider, such insurance as the City may deem proper and may deduct the cost of such insurance from any monies which may be due or become due the Service Provider under this Agreement. The City, its officers, agents and employees shall be named as additional insureds on the Service Provider 's general liability and automobile liability insurance policies for any claims arising out of work performed under this Agreement. 2. Insurance coverages shall be as follows: A. Workers' Compensation & Employer's Liability. The Service Provider shall maintain during the life of this Agreement for all of the Service Provider's employees engaged in work performed under this agreement: 1. Workers' Compensation insurance with statutory limits as required by Colorado law. 2. Employer's Liability insurance with limits of $100,000 per accident, $500,000 disease aggregate, and $100,000 disease each employee. B. Commercial General & Vehicle Liability. The Service Provider shall maintain during the life of this Agreement such commercial general liability and automobile liability insurance as will provide coverage for damage claims of personal injury, including accidental death, as well as for claims for property damage, which may arise directly or indirectly from the performance of work under this Agreement. Coverage for property damage shall be on a "broad form" basis. The amount of insurance for each coverage, Commercial General and Vehicle, shall not be less than $1,000,000 combined single limits for bodily injury and property damage. In the event any work is performed by a subcontractor, the Service Provider shall be responsible for any liability directly or indirectly arising out of the work performed under this Agreement by a subcontractor, which liability is not covered by the subcontractor's insurance. Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 9 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB EXHIBIT D SPECIFICATIONS Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 10 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 11 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 12 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 13 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 14 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 15 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB 3" 3" 1• " 1• " 2" 3'-8" 2" 1'-5" 1'-5" 10'-0" (Typ.) 3'-1" 1" 4" 1" 2" 6" 1" 1" 4‚" 2ƒ" 1" 7" 7" 2" 2" 1" 3'-8" 4• " 5• " 3" 3" 1" 3" 9" 21" 12" 4•"Clr. 3"Clr. VARIES (18" MAX) (Typ.) (2) P ‚x3" Vertical Rail B B FENCE ELEVATION C C (Typ.) Vertical Post W5x16 L (Typ.) 2"x2"-W2.1x2.1 Welded Wire Mesh A A SECTION A (Typ.) Vertical Post W5x16 B SECTION ANCHOR PLATE DETAIL (Typ.) 1"Ý Hole Bar 2"x…"x6" PLAN POST DETAIL WALL NE CURB LIP PROFILE TOP OF MINOR WALL PROFILE ASPHALT PATCHING BEGIN MINOR WALL BEGIN FENCE (SPECIAL) STA. 500+00 END MINOR WALL END FENCE SPECIAL STA. 502+10.26 EXISTING GROUND 501 + 00 502 + 00 P O B 500 + 00 . 00 P C 500 + 14 . 33 P CC 50 0 + 6 1 . 33 P CC 500 + 99 . 05 P CC 501 + 33.37 P RC 501 + 63 . 87 NORTHEAST AGENCIES INC/PHS 301 WOODS PARK DRIVE CLINTON NY 13323 CITY OF FORT COLLINS 250 N MASON ST FORT COLLINS CO 80524 ACORD 25 (2016/03) DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB CERTIFICATE.OF.LIABILITY.INSURANCE DATE (MM/DD/YYYY) 2/1/2018 THIS CERTIFICATEIS 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). PRODUCER CONTACT NAME: NORTHEAST AGENCIES INC/PHS PHONE (A/C, No, Ext): (866) 467-8730 FAX (A/C, No): (888) 443-6112 214608 P:(866) 467-8730 F:(888) 443-6112 E-MAIL ADDRESS: 301 WOODS PARK DRIVE INSURER(S) AFFORDING COVERAGE NAIC# CLINTON NY 13323 INSURER A : Sentinel Ins Co LTD 11000 INSURED INSURER B : INSURER C : FUSION FABRICATION INC INSURER D : 1305 S LEMAY AVE INSURER E : FORT COLLINS CO 80524 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR 01 SBA AZ7268 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 A X General Liab 11/20/2017 11/20/2018 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY PRO- JECT X LOC PRODUCTS - COMP/OP AGG $4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED NORTHEAST AGENCIES INC/PHS 301 WOODS PARK DRIVE CLINTON NY 13323 FUSION FABRICATION INC 1305 S LEMAY AVE FORT COLLINS CO 80524 ACORD 25 (2016/03) DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB CERTIFICATE.OF.LIABILITY.INSURANCE DATE (MM/DD/YYYY) 2/1/2018 THIS CERTIFICATEIS 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). PRODUCER CONTACT NAME: NORTHEAST AGENCIES INC/PHS PHONE (A/C, No, Ext): (866) 467-8730 FAX (A/C, No): (888) 443-6112 214608 P:(866) 467-8730 F:(888) 443-6112 E-MAIL ADDRESS: 301 WOODS PARK DRIVE INSURER(S) AFFORDING COVERAGE NAIC# CLINTON NY 13323 INSURER A : Sentinel Ins Co LTD 11000 INSURED INSURER B : INSURER C : FUSION FABRICATION INC INSURER D : 1305 S LEMAY AVE INSURER E : FORT COLLINS CO 80524 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR 01 SBA AZ7268 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 A X General Liab 11/20/2017 11/20/2018 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY PRO- JECT X LOC PRODUCTS - COMP/OP AGG $4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED 7501 E. Lowry Blvd. Denver, CO 80230-7006 303.361.4000 / 800.873.7242 Pinnacol.com Fusion Fabrication Inc 1305 S Lemay Ave Fort Collins, CO 80524 7501 E. Lowry Blvd Denver, CO 80230-7006 Page 1 of 3 P m.morgan.fusionfab@gmail.com - 02/06/2018 17:01:50 4207642 50929645 UW137 NCCI #: WC000313 Policy #: 4207642 ENDORSEMENT: Waiver Of Subrogation Effective Date: February 6, 2018 Pinnacol Assurance has issued this endorsement February 6, 2018 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE City of Fort Collins PO BOX 580 Fort Collins, CO 80522 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB A X Pinnacol Assurance 41190 Pinnacol Assurance 7501 E. Lowry Blvd. Denver, CO 80230-7006 Fusion Fabrication Inc 6766 East CR 18 Johnstown, CO 80534 02/06/2018 4207642 02/02/2018 02/01/2019 100,000 100,000 500,000 1868935 City of Fort Collins PO BOX 580 Fort Collins, CO 80522 Y Pinnacol Assurance Unless otherwise stated in the policy provisions, coverage is in Colorado only. Excluded (If any) : Mike Morgan DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT (CONT) CERTIFICATE HOLDER COPY City of Fort Collins PO BOX 580 Fort Collins, CO 80522 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB CERTIFICATE.OF.LIABILITY.INSURANCE TDD DATE (MM/DD/YYYY) R022 2/6/2018 THIS CERTIFICATEIS 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). PRODUCER CONTACT NAME: NORTHEAST AGENCIES INC/PHS PHONE (A/C, No, Ext): (866) 467-8730 FAX (A/C, No): (888) 443-6112 214608 P:(866) 467-8730 F:(888) 443-6112 E-MAIL ADDRESS: 301 WOODS PARK DRIVE INSURER(S) AFFORDING COVERAGE NAIC# CLINTON NY 13323 INSURER A : Sentinel Ins Co LTD 11000 INSURED INSURER B : INSURER C : FUSION FABRICATION INC INSURER D : 1305 S LEMAY AVE INSURER E : FORT COLLINS CO 80524 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR 01 SBA AZ7268 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 A X General Liab X 11/20/2017 11/20/2018 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY PRO- JECT X LOC PRODUCTS - COMP/OP AGG $4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N/ A PER STATUTE OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Y/N E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. City of Fort Collins is an Additional Insured per the Business Liability Coverage Form SS0008, attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N/ A PER STATUTE OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Y/N E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FORT COLLINS 250 N MASON ST FORT COLLINS, CO 80524 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N/ A PER STATUTE OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Y/N E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FORT COLLINS 250 N MASON ST FORT COLLINS, CO 80524 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB P T 501 + 89 . 08 P O E 502 + 10 . 26 P I 501 + 76 . 75 5005 5010 5015 5020 5005 5010 5015 5020 500+00 500+50 501+00 501+50 502+00 502+50 Wall_NE VPI=500+00.00 EL.=5011.39' VPI=500+10.00 EL.=5011.37' VPI=500+20.00 EL.=5011.36' VPI=500+40.00 EL.=5011.30' VPI=500+50.00 EL.=5011.12' VPI=500+60.00 EL.=5010.93' VPI=500+70 . 00 EL . =5010 . 76' VPI=500+80.00 EL.=5010.59' VPI=501+00.00 EL.=5010.24 ' VPI=501+20.00 EL . =5010.06' VPI=501+40.00 EL.=5009.66' VPI=501+65 . 37 EL.=5009.55 ' VPI=501+83.36 EL . =5009.31' VPI=502+00.00 EL.=5009 . 20' VPI=502 + 10.26 EL.=5009 . 09' VPI=500+10.00 EL.=5011.94' VPI=500+20.00 EL.=5011.99' VPI=500+30.00 EL.=5012.04' VPI=500+40.00 EL.=5012.11' VPI=500+50.00 EL.=5012.19' VPI=500+60.00 EL.=5012.20' VPI=500+70.00 EL . =5012 . 12' VPI=500+80.00 EL.=5011.94' VPI=500+90.00 EL.=5011.72 ' VPI=501+00 . 00 EL.=5011.49' VPI=501+10.00 EL . =5011 . 13' VPI=501+20.00 EL.=5010.87' VPI=501+30.00 EL.=5010.63 ' VPI=501+40 . 00 EL . =5010.42' VPI=501+60.00 EL.=5010.19' VPI=501+80.00 EL.=5009.91 ' VPI=501+90.00 EL.=5009 . 73 ' VPI=502+00.00 EL.=5009 . 55 ' VPI=502+01.61 EL.=5 0 09.52' VPI= 5 02+10.26 VINE & SHIELDS MINOR WALL & FENCE DETAILS BSH DMZ FENCE 2 OF 2 0' 10' 20' 40' VPI=500+00.00 EL.=5011.89' EL.=5 0 09.59' www.wilsonco.com (303) 297-2693 fax (303) 297-2976 main Denver, CO 80202 1675 Broadway, Suite 200 Numbers Structure No Revisions: Revised: Void: Sheet Subset: Detailer: Designer: 18877 STU M455-108 Sheet Number Subset Sheets: Date: Comments Init. Sheet Revisions As Constructed Print Date: 4/10/2015 Horiz. Scale:1:20 Vert. Scale: As Noted Unit Leader Initials Project No./Code File Name: Unit Information bshearn 3 : 32:13 PM pw:\\ABQPWINT01.wilsonco.com :Wilson_Projects\Docum ents\8100-TRN\CDOT\13-100-310-00_V i ne_Sh i elds_In t ersec t ion\00000\Design\Drawings\18877_FENCE DETAILS_02.dgn 18877_FENCE DETAILS_02.dgn 1420 Second Street Phone:970-350-2126 Region 4 LHN Greeley, CO 80631 Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 17 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB 1• " 1• " ‚ Ò ‡"Ý Holes P L 1" Post Vertical Ò W5x16 L 3"x2"x‚" Bottom Rail L 3"x2"x‚" Bottom Rail C SECTION 12" Max. ‚ Spa. @ L 3x2x‚" (Bottom Rail Similar) Top of Minor Wall CURB ANCHOR / MINOR WALL DETAIL Notes: Top of Minor Wall L ‚ Typ. Vertical Rail (Typ.) Screws w/Lockwasher Button Head Cap •"Ýx2" HS (Typ.) Vertical Post W5x16 (Typ.) Slotted Hole w/1" Horiz. P …x3x3ƒ" Ò W5x16 of Post Traffic Face Middle Rail Horizontal Bottom Rail Shown Horiz. Top or of 2 BSH DMZ 1 VINE & SHIELDS MINOR WALLS AND FENCE DETAILS 9. 8. 7. 6. 5. 4. 3. 2. 1. (CY) and reinforcing steel (LB). Minor wall shall be paid for as concrete class D for approval. Fabricator shall supply shop drawings to Engineer or 50 ksi. Plates shall be ASTM A-709 (AASHTO M-270) Fy=36 snug only. All bolts that have lockwashers shall be tightened to Anchor bolt shall adhere to ASTM F-1554 Grade 36. Section 522, Duplex Coating System. accordance with the Project Special Provisions, be painted (powder coated) after fabrication in All Pedestrian Railing (Steel) (Special) materials shall and erection. washers shall be galvanized prior to painting All anchor bolts, miscellaneous bolts, nuts and from test panels provided by the contractor. 595B Color No. 37030, and is to be selected be painted Black, equivalant to Federal Standard Pedestrian Railing (Steel) (Special) components shall and barrier plumb. be 10'-0" max. Set all vertical elements of fence Pedestrian Railing (Steel) (Special) post spacing shall www.wilsonco.com FENCE (303) 297-2693 fax (303) 297-2976 main Denver, CO 80202 1675 Broadway, Suite 200 Numbers Structure No Revisions: Revised: Void: Sheet Subset: Detailer: Designer: 18877 STU M455-108 Sheet Number Subset Sheets: Date: Comments Init. Sheet Revisions As Constructed Print Date: 4/10/2015 Horiz. Scale:1:1 Vert. Scale: As Noted Unit Leader Initials Project No./Code File Name: Unit Information bshearn 3:32:02 PM pw:\\ABQPWINT01.wilsonco.com :Wilson_Projects\Docum ents\8100-TRN\CDOT\13-100-310-00_Vine_Shields_Intersection\00000\Design\Drawings\18877_FENCE DETAILS_01.dgn 18877_FENCE DETAILS_01.dgn 1420 Second Street Phone:970-350-2126 Region 4 LHN Greeley, CO 80631 Anchor Plate P L 7"x7"x1" Anchor Bolt Ò ƒ"Ýx8" Post Vertical W5x16 2% Concrete Sidewalk 12 : 1 ‚ 3 places #4 4 Total L #4 @ 12" (Match Exist. Elevation) Asphalt Patching EXHIBIT E Misc. Agreement – Fusion Fabrication Vine & Shields Fence Repair Page 16 of 17 DocuSign Envelope ID: EEF39CFF-AB53-47BD-922B-269E4CFBFCAB