HomeMy WebLinkAboutPOUDRE VALLEY HEALTH SYSTEM HARMONY CAMPUS MEDICAL CENTER THIRD - Filed DCP-DEV. CONSTRUCTION PERMIT - 2005-03-04City of hoot Collins
Transportation Services
Engineering Department
City of Fort Collins, Colorado
DEVELOPMENT CONSTRUCTION PERMIT
Permit Number: l , 3c Issuance Date: . �; /L
Project Name: Poudre Valley Health System Harmony Campus Medical Center Third Film
Project A.K.A.: Primary Care Plaza
Project Location: Southeast corner of Harmony Road and Timberline Road
Permittee: Lewis Roberson The Neenan Company, (970) 416-7276
City and developer contacts: See attached Exhibit "A" for names and phone numbers of all
contact persons for this project.
Fees: Permit Application Fee ($300.00) $ paid
Construction Inspection Fee (paid prior to issuance of this permit) $ 2,193.20
Total $ 2,193.20
Development Bond or other approved security:
Amountt of security deposited with the City to guarantee the completion of all public
improvements to be constructed as shown on the approved plans for the development.
$ 39,480.91
Form of security deposited with the City: +
PERFORMANCE REQUIREMENTS OF THIS PERMIT:
1. The Permittee shall be responsible to require their Project Engineer to incorporate into all
design drawings and specifications the certification of all materials testing by an Engineer. The
Permittee shall have an Engineer prepare revised design drawings and secure City approval for
all revisions to the Utility Plans and related documents. The Permittee shall have an Engineer
represent, as required by the City in the Development Agreement, that the improvements are
constructed in conformance with the approved Utility Plans and the standards and specifications
of the City. The Permittee shall provide "as -constructed" plans prepared by an Engineer prior to
the City's acceptance of the constructed public improvements. (All references above to the terms
"Project Engineer" and "Engineer" shall mean a Professional Engineer licensed in Colorado.)
2. All contractors who perform work on this project must be bonded and licensed in
conformance with City requirements.
3. Construction time restrictions: N/
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This letter of credit shall be subject to the uniform Commercial Code as in effect in the State of
Colorado, and, to the extent not inconsistent with the terms of this Letter of Credit and the
t;nifbrm Commercial Code, the uniform Customs and Practice for Documentary Credits, 1993
revision, ICC publication number 500.
This Letter of Credit will be automatically extended without amendments for one near from the
prescnt, and each future, expiration date thereof, unless Issuer delivers written notice. at least
sixty (00) days prior to any such expiration date to the City of Fort Collins of its intent not to
renew this Letter of Credit. Any such notice shall be in writing and shall be delivered with an
acknowledged rece,.pt, either in hand or by certified mail. Any amendments to this Letter oi'
Credit shall be made in the form of Exhibit 2 hereto.
Thu City may at any time request that the Bank amend this Letter of Credit by submitting to the
Bunk a fully executed certificate in the form of Exhibit 2. The Bank may thereafter promptly
ssue an amendment to the Letter of Credit corresponding to the change or changes requested in
such certificate.
This Letter of Credit is not transferable.
This Letter of Credit sets forth in full our undertaking, and such undertaking shall not in any way
be modified, amended, amplified or limited by reference to any document, instrument or
agreement referred to herein, except only the certificate and draft(s) referred to herein, and any
such reference shall not be deemed to incorporate herein by reference any document, instrument
or agreement except for such certificate and draft(s).
Sine
Vice President"
Acknowledged:
Rulon F. Stacey
Chief Executive Officer
By: 7��K
Steven C. Ellsworth
Director of Finance
EXHIBIT 1
CERTIFICATE
The City of Fort Collins hereby certifies as follows with respect to the certain Irrevocable
Letter of Credit No. 3334 dated September 22, 2004, established in favor of the City of Fort
Collins, Colorado (the "Letter of Credit"):
(a) He (She) is authorized to execute this Certificate of behalf of the City of Fort
Collins;
(b) The applicant/developer is in default under the terms of the development
agreement and/or the development construction permit.
(c) The sum of S _, which is the amount of the draft presented with
this Certificate, is the amount currently due to the City of Fort Collins from
(d) The amount of the accompanying draft together with all previous draws under the
Letter of Credit do not exceed in the aggregate S ; and
(e) The Letter of Credit has not expired.
IN WITNESS WHEREOF, the undersigned has executed this Certificate of behalf of the
City of Fort Collins this day of
THE CITY OF FORT COLLINS, COLORADO
A Municipal Corporation
(Name & Title)
EXHIBIT 2
Request for Amendment or Release of Letter of Credit 43334
The City of Fort Collins certifies that the person signing below is authorized to execute this
Request for Amendment or Release of Letter of Credit on behalf of the City of Fort Collins, and
further certifies with respect to the provisions contained in the Development Construction Permit
dated, and/or the Development Agreement dated,
between the City of Fort Collins (Beneficiary) and (Developer), the
lohowinu:
[Check applicable boxes.]
The Letter of Credit is to be reduced to S
The expiration date of the Letter of Credit is revised to be
The 60-day automatic one-year renewal provision contained in the Letter of
Credit is no longer in effect.
Release Original Letter of Credit upon receipt of separate replacement
Maintenance Letter of Credit in the amount of (current
value).
Release Letter of Credit.
fn witness whereof; the undersigned has executed this certificate on behalf of the City of Fort
Collins this day of
CITY OF FORT COLLINS, COLOR -ADO
a Colorado municipal corporation
(Name and Title)
DEVELOPMENT CONSTRUCTION PERMIT
APPLICATION
(2/16/99)
For City use only: Application Number: Application
Permit application fee: S 300.00
INSTRUCTIONS:
I. Complete this form (some questions may not apply to you) and attach all necessary documents and
submit to the Development Engineering Section of the City.
2. If you have any questions contact the Development Engineer, , at 221-6605.
3. Submit the Application and pay the Application Fee at the fee at the Engineering counter at 281 N.
College Avenue.
PROJECT INFORMATION:
Project Name (as approved by the City):
Poudre Valley Health Systems Harmony Campus Primary Care Plaza
Project A.K.A. (Marketing name if different from Project Name):
Primary Care Plaza
Project Location: 4674 Snow Mesa
Property Owner(At the time of this permit issuance)
Individual Name:Carol Plo k
Company Name Me .. ..' ' f . h __. I nr0MPE % ty
Address:120 Bristlecone Drive Fort Collins CO 80524
Phone number(s):
Office: _970-224-5209_
Cellphone:
Fax number: 970-221-7165
Email:
Applicant/Project Manager (The primary contact person for all matters regarding this project, and the
person responsible for all matters referencing "the Developer" in the Development Agreement for this
project):
Individual Name:L'
Company Name
Address:2809 E. Harmony Road Suite 200. Fort Collins CO 80528
Phone number(s):
Office: _970-297-6710
Cellphone:
Fax number: _970-297-6752
Email: Idg@pvh.org
4. The applicant understands that additional permits may be required for this development
project and the applicant shall secure those permits directly from the issuing departments.
5. 'Phis permit, along with a complete set of all approved plans and documents for this project
(utility plans, site plan, landscape plan, development agreement, soils report, pavement design,
traffic study, drainage report, plat easements and any other official documents), shall be kept on
the development site available for use by City staff doing inspections.
6_ Permit Expiration (in accordance with Section 29-12 of the Transitional Land Use
Regulations or Scetion 2.6.3(K) of the Land Use Code, whichever is applicable):
a. If construction has not begun within sixty (60) days from the date of issuance of this
permit, this permit shall expire and the applicant will forfeit the permit fee paid for this
permit, whereupon the applicant must re -apply for a new permit.
b. In addition, this permit shall expire one year from the date of issuance. The applicant
may apply for an extension by reapplication at least two weeks prior to the expiration
date. Such application shall contain information sufficient to justify the granting of the
extension. An extension may be granted for up to six months.
7. Building permits and certificates of occupancy will only be issued when all conditions
contained in the Development Agreement and Sections 3.3.2(C) and (D) of the Land Use Code or
Sections 29-678 and 29-679 of the Transitional Land Use Regulations, whichever is applicable,
are met. If the Development Agreement does not specify times for completion of public
improvements, or if there is no Development Agreement, then the improvement requirements
specified in Section 24-95 of the City Code shall apply, which provides that construction of all
improvements shall be required prior to the time of issuance of the first building permit .
8. Acceptance by the City of the public improvements shall be after (1) final inspection has
been conducted by the City; (2) punch list items from the final inspection are completed and
accepted by the Ci',y; (3) required certifications from the licensed professional engineer that
improvements are completed to City standards, specifications and approved Utility Plans; and (4)
the "as -constructed" plans have been received and accepted by the City.
9. The warranty on street improvements is for five (5) years from the date of acceptance by the
City of the completed improvements, in accordance with Sections 29-13 and 29-14 of the
I,ransitional Land Use Regulations and/or Sections 2.2.3(C)(3)(g), 3.3.I(C)(2), and 3.3.2(C) of
the Land Use Code, as applicable.
10. The City Erosion Control Inspector must be notified at least twenty four (24) hours prior to
any planned construction on this project. All required perimeter silt fencing and other
erosion/sediment control best management practices (BMP's) that can be installed prior to
cted by the City Erosion Control Inspector before any
construction must be in place and inspe
land disturbing activity begins.
11. No work (including grading) shall be started in State Highway right-of-way until a permit is
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issued by the Colorado Department of Transportation to allow such work to begin.
12. other conditions: All cdestrial la=s w thin the rieht of -way shall be constructed IQ meet
A [lA ri-quiremeIjIs4v-1111cated
Permittee's acknowledgment signature:
By signing this permit I acknowledges that 1 am acting with the knowledge, consent, and authority of
the owners of the properly (including all owners having legal or equitable interest in the real property, as
Mined in Section 1-2 of the City Code; and including common areas legally connected to or associated
with the property which is the subject of this application) without whose consent and authority the
requested action could not lawfully be accomplished. Pursuant to said authority, I hereby permit City
officials to enter upon the property for purposes of inspection and, if necessary, to enter upon such
property to perform work required of the applicant if the applicant were to fail to perform the required
work. I also acknowledge that I have read this permit document with all its requirements and
conditions, and I agree to all of the terms and conditions so stated inthis permit.
fate: O S O
Applicant/Project Manager's Signature:_�
Approval for issuance:
4 MV,
City Engineer Approval: �� Date: IL-) 5n
(Permit I su ' ce Date)
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EXHIBIT "A"
DEVELOPMENT PROJECT CONTACT PERSONS
Project Name: Poudre Valley Health System Harmony Campus Medical Center, Third Filing
Project A.K.A.: Primary Care Plaza
Name, address and numbers
City Staff Contact Persons:
Development Engineer: Sheri Wamhoff
281 N. College Avenue, Fort Collins, Co 80524
(970)221-6750 x7140
Construction Inspector: �V1If)CilL p °�'"�
281 N. College Avenue, Fort Collins, Co 80524
(970)221-6605
Cell(970)?� Zi-A- "ycF�`)
Current Planner: Ted Shepard
281 N. College Avenue, Fort Collins, Co 80524
(970) 221-6750
Water Utilities Engineer: Roger Buffington
700 Wood Street, Fort Collins, Co 80521
(970)221-6700
Erosion Control Inspector: Bob Zackley
700 Wood Street, Fort Collins, Co 80521
(970)224-6063
Natural Resources: Doug Moore
281 N. College Avenue, Fort Collins, Co 80524
(970) 224-6143
Traffic Operations: Eric Bracke
625 Ninth Street, Fort Collins, Co 80524
(970)224-6062
Street closures: Syl Mireles
625 Ninth Street, Fort Collins, Co 80524
(970) 221-6815
Transportation Planning: Kathleen Reavis
210 E. Olive, Fort Collins, Co 80524
(970) 224-6140
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Forestry: Tim Buchanan
281 N. College, Fort Collins, Co 80524
(970)221-6361
Light and Power:
700 Wood Street, Fort Collins, Co 80521
(970)221-6700
Developer's Contact Persons:
Project Manager:
Lewis Roberson, The Neenan Company
2620 E. Prospect Road, Suite 100, Fort Collins, Co 80525
(970) 416-7276
Cell (303) 710-1980
Fax (970) 493-5869
lewis robersokneenan.com
Carol Plock, Health District of Northern Latimer County
Owner:
Developer:
Linda Gesick, Poudre Valley Health Care, Inc.
2809 E. Harmony Road, Suite 200, Fort Collins, Co 80528
(970)297-6710
Cell (970)
Fax (970) 297-6752
Idg(cejpvh.org
Project Engineer:
Jim Allen -Morley, Stantec
209 S. Meldrum, Fort Collins, Co 80521
(970)482-5922
Fax (970)482-6368
iim allenmorleyLc stanteacom
Architect: Robert J. Mooney, The Neenan Company
2620 E. Prospect Road, Suite 100, Fort Collins, Co 8052??
(970)495-6353
Cell (303) 710-1810
Fax (970) 493-5869
bob mooneyLdneenan.com
General Contractor: Lewis Roberson, The Neenan Company
2620 E. Prospect Road, Suite 100, Fort Collins, Co 8052??
(970) 416-7276
Cell (303) 710-1980
Fax (970) 493-5869
lewis robersoLaineenan.com
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Fort Collins, CO 80532-057H
970.-182:1861
September 22, 2004
City of Fort Collins
Engincerimg Department
281 North Collcge Avenue
Fort Collins, Colorado 80524
Dear Sirs:
We hereby establish, at the request and for the account of POUdre Valley Health Care, Inc., in your
favor as beneficiarv, our Irrevocable Letter of Credit No. 3334, in the amount of Thirtv Nine
Thousand Four Hundred Eiuhtv Dollars and Ninety One Cents (S39,480.91) (as more fully
described below), effective immediatety and expiring at the close of banking business on
Se
tember 22, 2005, at our office at 205 West Oak Street. Fort Collins. Colorado 80521.
This Letter of Credit is intended for the funding required for the Poudre Valley Health Svstem
Harmony 'Medical Campus Third Filine Development Project ("Development Project") for the
assurance of the completion of the constniction and the maintenance and repair of the public
illfrasuructure in connection with the aforesaid development project and its associated development
a�,rccmcnt and development construction permit. Funds under this Letter of Credit are available to
you for one or more drawings prior to the close of business on September 22. 2005, against sight
drafts in an aggregate cumulative amount not to exceed S39.480.91, dated the date of presentment,
drawn on our office referred to above, referring thereon to the number of this Letter of Credit and
accompanied by your written certificate signed by you and acknowledged as therein provided in
the tbrm of Exhibit 1 hereto.
Presentation of sucit draft and certificate shall be made at our office referred to above.
Upon the earlier of (i) our honoring your draft(s) totaling S39.480.91 in the aggregate presented on
or beiorc this Letter of Credit expires pursuant to the terms herein or (it) the sur ender to us by you
of this Lctter of Credit for cancellation, this Letter of Credit shall automatically terminate.
It is understood that the amount of this Letter of Credit may be reduced as public improvements
are constructed and accepted by the City. As components of the infrastructure are satisfactorily
completed in accordance with approved utility plans, the value of the completed components may
he csulblished from the Development Construction Permit workshcet for determining costs of
nfrastructure construction and inspection fees, whereupon the amount of this letter of credit may
be roduccd by the value of the completed component(s), upon execution of a "Request for
\mcndmcnt to Letter of Credit' in the form attached hereto as Exhibit 2. q
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