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HomeMy Public PortalAboutCH2M Hill/Morgan Contracting. 40 CH2MHILLo January 10, 2013 199642.A2.PM Mrs. Elizabeth Roy City Clerk City of Crestview 198 N. Wilson Avenue Crestview, FL 32536 Subject: Crestview WWTF Phase 4 Expansion and Rapid -Rate Infiltration Project— Partially Executed Contract Documents Dear Mrs. Roy: CH2M HILL 25 W. Cedar Street Pensacola, FL 32502-5911 Tel 850-438-2740 Fax 850-438-9385 Enclosed are three partially executed copies of the Agreement for the above -referenced project along with the required Performance and Payment Bonds and Certificate of Insurance. Please review, consult with Mr. Miller if necessary and, if acceptable, sign, seal, date and properly attest the three copies. After execution, please retain one copy for the City's records and return two copies to me for distribution to Morgan Contracting, Inc, and for CH2M HILL's files. If you should have any questions or need any additional details, please do not hesitate to contact me. Thanks for all your help processing the documents. Sincerely, CH2M HILL ,dri;,/d.,, William J. Klaus, P.E. Project Manager Enclosure c: Wayne Steele w/enclosure Carlos Jones w/enclosure COPYRIGHT 2012 BY CH2M HILL! COMPANY CONFIDENTIAL 199642A.GN 1 AGREEMENT THIS AGREEMENT is by and between The City of Crestview, Florida (Owner) and Morgan Contracting, Inc. (Contractor). Owner and Contractor, in consideration of the mutual covenants set forth herein, agree as follows: 1. WORK 1.1. Contractor shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: Construction of the Phase 4 wastewater treatment facility upgrades and rapid -rate infiltration basins. 2. THE PROJECT 2.1. The Project for which the Work under the Contract Documents may be the whole or only a part is generally described as follows: Construction of the Phase 4 wastewater treatment facility upgrades and rapid -rate infiltration basins. 3. ENGINEER 3.1. The Project has been designed by CH2M HILL (Engineer), who is to act as Owner's representative, assume all duties and responsibilities, and have the rights and authority assigned to Engineer in the Contract Documents in connection with the completion of the Work in accordance with the Contract Documents. 4. CONTRACT TIMES 4.1. Time of the Essence: All time limits for Milestones, if any, Substantial Completion, and completion and readiness for final payment as stated in the Contract Documents are of the essence of the Contract. 4.2. Days to Achieve Substantial Completion and Final Payment: 4.2.1. The Work associated with each Schedule shall be substantially completed within the number of calendar days specified below: Schedule A- Master Lift Station Electrical and Control Modifications: 180 Days PW/WBG/199642.A4 AGREEMENT SEPTEMBER 14, 2012 [DECEMBER 7, 2012] 00 52 13 - 1 ©COPYRIGHT 2012 CH2M HILL CONFORMED 199642A.GN 1 4.4.3. After Substantial Completion, if Contractor shall neglect, refuse, or fail to complete the remaining Work within the Contract Time or any proper extension thereof granted by Owner, Contractor shall pay Owner. ONE THOUSAND DOLLARS ($1,000.00) for each day that expires after the time specified herein for completion and readiness for final payment until the Work is completed and ready for final payment. 5. CONTRACT PRICE 5.1. Owner will pay Contractor for completion of the Work in accordance with the Contract Documents an amount in current funds equal to the sum of the amounts determined pursuant to the following: 5.1.1. Lump Sum: For all Work other than Unit Price Work, a lump sum of: SIX MILLION SIX HUNDRED FORTY SEVEN THOUSAND SEVEN HUNDRED EIGHTY SEVEN DOLLARS Dollars (Words) and NO Cents $6,647,787.00 (Words) (Figures) 5.1.1.1. The above lump sum amount reflects Owner's adoption of the following alternates: 5.1.1.2. All specific cash and contingency allowances are included in the above lump sum price and have been computed in accordance with Paragraph 11.02 of the General Conditions. 6. PAYMENT PROCEDURES 6.1. Submittal and Processing of Payments: Contractor shall submit Applications for Payment in accordance with Article 14 of the General Conditions. Applications for Payment will be processed by Engineer as provided in the General Conditions. PW/WBG/199642.A4 AGREEMENT SEPTEMBER 14, 2012 [DECEMBER 7, 2012] 00 52 13 - 3 ©COPYRIGHT 2012 CH2M HILL CONFORMED 199642A.GN 1 6.2.1.4. After 50 percent completion of construction services, the Contractor may present a payment request for up to one-half of the withheld retainage. The Owner shall promptly make payment to the Contractor, unless they have grounds, as described elsewhere, for withholding the payment of retainage. If the payment of retainage is made, and is attributable to services performed by subcontractors or suppliers, the Contractor shall timely remit payment of such retainage to those subcontractors and suppliers. 6.2.2. After substantial completion, but prior to final payment, retainage will continue to be withheld from progress payments at the rate of 5 percent. 6.3. Final Payment: 6.3.1. Upon final completion and acceptance of the Work in accordance with Paragraph 14.07 of the General Conditions, Owner shall pay the remainder of the Contract Price as recommended by Engineer as provided in said Paragraph 14.07. 7. CONTRACTOR'S REPRESENTATIONS 7.1. In order to induce Owner to enter into this Agreement, Contractor makes the following representations: 7.1.1. Contractor has examined and carefully studied the Contract Documents and the other related data identified in the Bidding Documents. 7.1.2. Contractor has visited the Site and become familiar with and is satisfied as to the general, local, and Site conditions that may affect cost, progress, and performance of the Work. 7.1.3. Contractor is familiar with and is satisfied as to all federal, state, and local Laws and Regulations that may affect cost, progress, and performance of the Work. 7.1.4. Contractor has carefully studied all: (1) reports of explorations and tests of subsurface conditions at or contiguous to the Site and all drawings of physical conditions in or relating to existing surface or subsurface structures at or contiguous to the Site (except Underground Facilities) which have been identified in the Supplementary Conditions as provided in Paragraph 4.02 of the General Conditions. PW/WBG/199642.A4 AGREEMENT SEPTEMBER 14, 2012 [DECEMBER 7, 2012] 00 52 13 - 5 ©COPYRIGHT 2012 CH2M HILL CONFORMED 199642A.GN 1 8.1.1.4. Other bonds (pages to , inclusive). 8.1.1.5. General Conditions (pages 1 to 43, inclusive). 8.1.1.6. Florida Department of Environmental Protection Supplementary Conditions, July 2012 (pages 1 to 25, inclusive). 8.1.1.7. Supplementary Conditions (pages 1 to 14, inclusive). 8.1.1.8. Specifications as listed in the table of contents of the Project Manual. 8.1.1.9. Drawings as listed in the Index of Drawings for the Project 8.1.1.10. Addenda (numbers 1 to 4, inclusive). 8.1.2. Exhibits to this Agreement (enumerated as follows): 8.1.2.1. Documentation submitted by Contractor prior to Notice of Award (pages to , inclusive). 8.1.3. The following which may be delivered or issued on or after the Effective Date of the Agreement and are not attached hereto: 8.1.3.1. Notice to Proceed (pages to , inclusive). 8.1.3.2. Work Change Directives. 8.1.3.3. Change Order(s). 8.2. There are no Contract Documents other than those listed above in this Article. 8.3. The Contract Documents may only be amended, modified, or supplemented as provided in Paragraph 3.04 of the General Conditions. 9. MISCELLANEOUS 9.1. Terms used in this Agreement will have the meanings stated in the General Conditions and the Supplementary Conditions. 9.2. Successors and Assigns: Owner and Contractor each binds itself, its partners, successors, assigns, and legal representatives to the other party hereto, its partners, successors, assigns, and legal representatives in respect to all covenants, agreements, and obligations contained in the Contract Documents. PW/WBG/199642.A4 AGREEMENT SEPTEMBER 14, 2012 [DECEMBER 7, 2012] 00 52 13 - 7 ©COPYRIGHT 2012 CH2M HILL CONFORMED 199642A.GN1 IN WITNESS WHEREOF, Owner and Contractor have signed this Agreement in triplicate. One counterpart each has been delivered to Owner, Contractor, and Engineer. All portions of the Contract Documents have been signed or identified by Owner and Contractor or on their behalf. This Agreement will be effective on , 20_ (which is the Effective Date of the Agreement). OWNER: The City of Crestview, Florida CONTRACTOR: or an Con ctin Inc. By: `1 &4-€17 Title: Y: Title: C C U LGa., i/ c. [CORPORATE SEAL] [CORPORATE SEAL] Attest: d,„7) , Title: 0 �lG Address for giving notices: /542 ‘/KI -f/ 3,2"3 Attest: /(���)R Title: / iu-'-4- T Address for giving notices: 6 5 aS f� b-h w �y I e �zs3 i C o C- 05- 7-3 `f / L 13cc zYl (If Owner is a corporation, attach evidence of License No. C Z oa-Z authority to sign. If Owner is a public body, (Where applicable) attach evidence of authority to sign and resolution or other documents authorizing Agent for service or process: l 4--L4j n execution of Owner -Contractor Agreement.) 1%. (If Contractor is a corporation or a partnership, attach evidence of authority to sign.) END OF SECTION PW/WBG/199642.A4 AGREEMENT SEPTEMBER 14, 2012 [DECEMBER 7, 2012] 00 52 13 - 9 ©COPYRIGHT 2012 CH2M HILL CONFORMED CITY OF CRESTVIEW OFFICE OF THE CITY CLERK P. O. DRAWER 1209, CRESTVIEW, FLORIDA 32536 PHONE # (850) 682-1560 FAX # (850) 682-8077 FAX COVER PAGE DATE: TIME: 3.3 o Pn-m sErm To: RAI s CD (COMPANY NAME) ATTN: C �-1- h; c; �� wc, n P r" FAX NUMBER: YO S— 3 O(., — 00 O TOTAL NUMBER OF PAGES FAXED: '/ ONCLUCDING COVER PAGE) FROM: Flu)," O MESSAGE/COMMENTS: Information contained in the facsimile is confidential and may be legally privileged information. If received in error notify sender immediately and return facsimile documents by mail. Disclosing, copying, distributing, or acting upon information with is prohibited. Ea: ► Construction. Notic A Division of Easy Law, Inc. 1777 East Los Angeles Avenue, Suite 203, Simi Valley, CA 93065-2uc1 Tel (805) 306-0020 • Fax (805) 306-0040 • Toll Free (800) 327-9529 staff@easylawinc.com • www.easylawinc.com FLORIDA NOTICE OF INTENT TO LOOK TO THE BOND - PUBLIC PROJECT FLORIDA LAW PRESCRIBES THE SERVING OF THIS NOTICE AND RESTRICTS YOUR RIGHT TO MAKE PAYMENTS UNDER YOUR CONTRACT IN ACCORDANCE WITH §255.05, FLORIDA STATUTES Entity Type Name Address Public Agency. City of Crestview/Dept. of Public 198 North Wilson Street , Crestview FL 32536 WorksAttn: Wayne Steele Original Contractor. Morgan Contracting, Inc. 6575 Highway 189 North , Baker FL 32531, 850-537-5000 Surety. Liberty Mutual Insurance Co.Bond 175 Berkeley Street , Boston MA 02116, 610-832-8240 No.016 047 349 YOU ARE HEREBY NOTIFIED THAT: (1) Claimant, Pulsco, Inc., whose address and phone number are: 17945 Sky Park Circle, Suite G , Irvine CA 92707, 949-261-1717 declare that it has or will furnish labor, services, equipment, and/or matenals for the within described project. (2) The following is a general description of the labor, service, equipment, and/or materials furnished by Pulsco, Inc. in connection with the within described public work of improvement: Hydropneumatic Tank. (3) The name, address, and phone number of the person or company who contracted with the Claimant for purchase of the labor, service, equipment, and/or matenals with Pulsco, Inc. is: Morgan Contracting, Inc., 6575 Highway 189 North , Baker FL 32531, 850-537-5000. (4) The building, structure, or other work of improvement for which the Claimant is providing services is located at or described as: Crestview WWTF Phase 4 Expansion (Client's Job No. P3657V38/), 5101 Arena Road, Crestview FL 32536. NOTICE TO CONTRACTOR Claimant has entered into a contract to perform labor or furnish materials for the within described public project and will look to you and your sureties for payment if the person or company ordenng such materials and labor fails to pay for them. IF A PAYMENT BOND EXISTS, THE UNDERSIGNED MAY LOOK TO THE BOND TO SECURE PAYMENT FOR ITS WORK. Therefore, the undersigned requests that a copy of the payment bond pertaining to the within referenced project be faxed to our attention at (805) 306-0040, or provide the name and address of the bonding company to the undersigned. DECLARATION OF SERVICE I, Cynthia Swaner, declare under penalty of perjury that I caused copies of this Notice to be mailed by certified mail to the addressees listed above as required by law on 3/18/2013, and that I signed this Notice on 3/18/2013, at Simi Valley, California as the attomey in fact and authorized agent for the Claimant. Name of Claimant: Pulsco, Inc. By: Attorney in Fact for Pulsco, Inc. Order # 0137258 \ 1 Easy L4 >N Construction Notices Division of Easy Law, Inc. 1777 East Los Any , s Avenue, Suite 203, Simi Valley, CA 93065-2021 Tel (805) 306-0020 • Fax (805) 306-0040 • Toll Free (800) 327-9529 staff@easylawinc.com • www.easylawinc.com FLORIDA NOTICE OF INTENT TO LOOK TO THE BOND - PUBLIC PROJECT FLORIDA LAW PRESCRIBES THE SERVING OF THIS NOTICE AND RESTRICTS YOUR RIGHT TO MAKE PAYMENTS UNDER YOUR CONTRACT IN ACCORDANCE WITH §255.05, FLORIDA STATUTES Entity Type Name Address Public Agency. City of Crestview/Dept. of Public 198 North Wilson Street , Crestview FL 32536 WorksAttn: Wayne Steele Original Contractor. Morgan Contracting, Inc. 6575 Highway 189 North , Baker FL 32531, 850-537-5000 Surety. Liberty Mutual Insurance Co Bond 175 Berkeley Street , Boston MA 02116, 610-832-8240 No.016 047 349 YOU ARE HEREBY NOTIFIED THAT: (1) Claimant, Pulsco, Inc., whose address and phone number are: 17945 Sky Park Circle, Suite G , Irvine CA 92707, 949-261-1717 declare that it has or will furnish labor, services, equipment, and/or matenals for the within described project. (2) The following is a general description of the labor, service, equipment, and/or materials furnished by Pulsco, Inc. in connection with the within described public work of improvement: Hydropneumatic Tank. (3) The name, address, and phone number of the person or company who contracted with the Claimant for purchase of the labor, service, equipment, and/or materials with Pulsco, Inc. is: Morgan Contracting, Inc., 6575 Highway 189 North , Baker FL 32531, 850-537-5000. (4) The building, structure, or other work of improvement for which the Claimant is providing services is located at or described as: Crestview WWTF Phase 4 Expansion (Client's Job No. P3657V38/), 5101 Arena Road, Crestview FL 32536. NOTICE TO CONTRACTOR Claimant has entered into a contract to perform labor or furnish materials for the within described public project and will look to you and your sureties for payment if the person or company ordering such materials and labor fails to pay for them. IF A PAYMENT BOND EXISTS, THE UNDERSIGNED MAY LOOK TO THE BOND TO SECURE PAYMENT FOR ITS WORK. Therefore, the undersigned requests that a copy of the payment bond pertaining to the within referenced project be faxed to our attention at (805) 306-0040, or provide the name and address of the bonding company to the undersigned. DECLARATION OF SERVICE I, Cynthia Swaner, declare under penalty of perjury that I caused copies of this Notice to be mailed by certified mail to the addressees listed above as required by law on 3/18/2013, and that I signed this Notice on 3/18/2013, at Simi Valley, California as the attomey in fact and authorized agent for the Claimant. Name of Claimant: Pulsco, Inc. By: Attorney in Fact for Pulsco, Inc. Order # 0137258 EASY LAW 1777 E LOS ANGELES AVE STE 203 SIMI VALLEY CA 93065 JapetAl MeS E£L-d1140 90-9 vsni Z0/9 '00$£ wand Sd WW1 O,g/71 /1 b3. CER T/F/ED /WA& i i I I i i 7155 5474 4100 5908 5240 I I I City of Crestview/Dept. of Public Works Attn: Wayne Steele 198 North Wilson Street Crestview, FL 32536 ,1�„�''" 199642A.GN1 PAYMENT BOND FORM Any singular reference to Contractor, Surety, Owner, or other party shall be considered plural where applicable. CONTRACTOR Morgan Contracting, Inc (Name and Address): 6575 Highway 189 North Baker, FL 32531 OWNER (Name and Address): City of Crestview, Florida 198 North Wilson Street Crestview, Florida 32536 CONTRACT SURETY Liberty Mutual Insurance Company (Name and Address of Principal Place of Business): 175 Berkeley St. Boston, MA 02116 Date: Amount: $69 647, 787.00 Description: Crestview Wastewater Treatment Facility Phase 4 Expansion and Rapid -rate Infiltration Project BOND Bond Number: 016 047 349 Date (Not earlier than Contract Date): Amount: $6, 647, 787.00 Modifications to this Bond Form: None Surety and Contractor, intending to be legally bound hereby, subject to the terms printed on the reverse side hereof, do each cause this Payment Bond to be duly executed on its behalf by its authorized officer, agent, or representative. CONTRACTOR AS PRINCIPAL Company: Morgan C Signature. Name CE , Inc (Seal) (Space is provided below for signatures of additional parties, if required.) PW/WBG/199642.A4 SEPTEMBER 14, 2014 [DECEMBER 7, 2012] ©COPYRIGHT 2012 CH2M HILL SURETY erty Mutual Insuranc Compaifgeal) rate . Co ,gna re and Title Debra Johnson Attorney -In -Fact (Attach Power of Attorney) Attest: SignaturTitle ati Jones Executive Assistant PAYMENT BOND FORM 00 61 13.16 - 1 CONFORMED 199642A.GN1 365611A.GN1 1. Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors, and assigns to Owner to pay for labor, materials, and equipment furnished by Claimants for use in the performance of the Contract, which is incorporated herein by reference. 2. With respect to Owner, this obligation shall be null and void if Contractor: 2.1. Promptly makes payment, directly or indirectly, for all sums due Claimants, and 2.2. Defends, indemnifies, and holds harmless Owner from all claims, demands, liens, or suits alleging non-payment by Contractor by any person or entity who furnished labor, materials, or equipment for use in the performance of the Contract, provided Owner has promptly notified Contractor and Surety (at the addresses described in Paragraph 12) of any claims, demands, liens, or suits and tendered defense of such claims, demands, liens, or suits to Contractor and Surety, and provided there is no Owner Default. 3. With respect to Claimants, this obligation shall be null and void if Contractor promptly makes payment, directly or indirectly, for all sums due. 4. Surety shall have no obligation to Claimants under this Bond until: 4.1. Claimants who are employed by or have a direct contract with Contractor have given notice to Surety (at the addresses described in Paragraph 12) and sent a copy, or notice thereof, to Owner, stating that a claim is being made under this Bond and, with substantial accuracy, the amount of the claim. 4.2. Claimants who do not have a direct contract with Contractor: 1. Have furnished written notice to Contractor and sent a copy, or notice thereof, to Owner, within 90 days after having last performed labor or last furnished materials or equipment included in the claim stating, with substantial accuracy, the amount of the claim and the name of the party to whom the materials or equipment were furnished or supplied, or for whom the labor was done or performed; and PW/WBG/199642.A4 SEPTEMBER 14, 2014 [DECEMBER 7, 2012] ©COPYRIGHT 2012 CH2M HILL 2. Have either received a rejection in whole or in part from Contractor, or not received within 30 days of furnishing the above notice any communication from Contractor by which Contractor had indicated the claim will be paid directly or indirectly; and 3. Not having been paid within the above 30 days, have sent a written notice to Surety and sent a copy, or notice thereof, to Owner, stating that a claim is being made under this Bond and enclosing a copy of the previous written notice furnished to Contractor. 5. If a notice by a Claimant required by Paragraph 4 is provided by Owner to Contractor or to Surety, that is sufficient compliance. 6. Reserved. 7. Surety's total obligation shall not exceed the amount of this Bond, and the amount of this Bond shall be credited for any payments made in good faith by Surety. 8. Amounts owed by Owner to Contractor under the Contract shall be used for the performance of the Contract and to satisfy claims, if any, under any performance bond. By Contractor furnishing and Owner accepting this Bond, they agree that all funds earned by Contractor in the performance of the Contract are dedicated to satisfy obligations of Contractor and Surety under this Bond, subject to Owner's priority to use the funds for the completion of the Work. 9. Surety shall not be liable to Owner, Claimants, or others for obligations of Contractor that are unrelated to the Contract. Owner shall not be liable for payment of any costs or expenses of any Claimant under this Bond, and shall have under this Bond no obligations to make payments to, give notices on behalf of, or otherwise have obligations to Claimants under this Bond. 10. Surety hereby waives notice of any change, including changes of time, to the Contract or to related Subcontracts, purchase orders and other obligations. 11.No suit or action shall be commenced by a Claimant under this Bond other than in a court of competent jurisdiction in the location in which the Work or part of the Work is located or after the PAYMENT BOND FORM 00 61 13.16 - 3 CONFORMED 199642A.GN1 PERFORMANCE BOND FORM Any singular reference to Contractor, Surety, Owner, or other party shall be considered plural where applicable. CONTRACTOR Morgan Contracting, Inc. (Name and Address): 6575 Highway 189 North Baker, FL 32531 City of Crestview, Florida 198 North Wilson Street Crestview, Florida 32536 CONTRACT SURETY Liberty Mutual Insurance Company (Name and Address of Principal Place of Business): 175 Berkeley St. Boston, MA 02116 Date: Amount: $6, 647, 787.00 Description: Crestview Wastewater Treatment Facility Phase 4 Expansion and Rapid -rate Infiltration Project BOND Bond Number: 016 047 349 Date (Not earlier than Contract Date): Amount: $6, 647, 787.00 Modifications to this Bond Form: None Surety and Contractor, intending to be legally bound hereby, subject to the terms printed on the reverse side hereof, do each cause this Performance Bond to be duly executed on its behalf by its authorized officer, agent, or representative. CONTRACTOR AS PRINCIPAL Company: Morgan C • - Signature: Name and�t'`"e Ldit/t Ce6 SURETY Inc (Seal) Liberty Mutual Tnc„rency CompanOeal) /IIctG/A.", :J72. N. e . _ Co Cora Seal (Space is provided below for signatures of additional parties, if required.) gnature and Title De f'a Johnson Attorney -In -Fact (Attach Power of Attorney) Attest: Signature and Title Katie Jones Executive Assistant PW/WBG/199642.A4 PERFORMANCE BOND FORM SEPTEMBER 14, 2014 [DECEMBER 7, 2012] 00 61 13.13 - 1 ©COPYRIGHT 2012 CH2M HILL CONFORMED 1. Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors, and assigns to Owner for the performance of the Contract, which is incorporated herein by reference. 2. If Contractor performs the Contract, Surety and Contractor have no obligation under this Bond, except to participate in conferences as provided in Paragraph 3.1. 3. If there is no Owner Default, Surety's obligation under this Bond shall arise after: 3.1. Owner has notified Contractor and Surety, at the addresses described in Paragraph 10 below, that Owner is considering declaring a Contractor Default and has requested and attempted to arrange a conference with Contractor and Surety to be held not later than 15 days after receipt of such notice to discuss methods of performing the Contract. If Owner, Contractor and Surety agree, Contractor shall be allowed a reasonable time to perform the Contract, but such an agreement shall not waive Owner's right, if any, subsequently to declare a Contractor Default; and 3.2. Owner has declared a Contractor Default and formally terminated Contractor's right to complete the Contract. Such Contractor Default shall not be declared earlier than 20 days after Contractor and Surety have received notice as provided in Paragraph 3.1; and 3.3. Owner has agreed to pay the Balance of the Contract Price to: 1. Surety in accordance with the terms of the Contract; 2. Another contractor selected pursuant to Paragraph 4.3 to perform the Contract. 4. When Owner has satisfied the conditions of Paragraph 3, Surety shall promptly and at Surety's expense take one of the following actions: 4.1. Arrange for Contractor, with consent of Owner, to perform and complete the Contract; or 4.2. Undertake to perform and complete the Contract itself, through its agents or through independent contractors; or 4.3. Obtain bids or negotiated proposals from qualified contractors acceptable to Owner for a PW/WBG/199642.A4 SEPTEMBER 14, 2014 [DECEMBER 7, 2012] ©COPYRIGHT 2012 CH2M HILL 199642A.GN 1 contract for performance and completion of the Contract, arrange for a contract to be prepared for execution by Owner and Contractor selected with Owner's concurrence, to be secured with performance and payment bonds executed by a qualified surety equivalent to the bonds issued on the Contract, and pay to Owner the amount of damages as described in Paragraph 6 in excess of the Balance of the Contract Price incurred by Owner resulting from Contractor Default; or 4.4. Waive its right to perform and complete, arrange for completion, or obtain a new contractor and with reasonable promptness under the circumstances: 1. After investigation, determine the amount for which it may be liable to Owner and, as soon as practicable after the amount is determined, tender payment therefor to Owner; or 2. Deny liability in whole or in part and notify Owner citing reasons therefor. 5. If Surety does not proceed as provided in Paragraph 4 with reasonable promptness, Surety shall be deemed to be in default on this Bond 15 days after receipt of an additional written notice from Owner to Surety demanding that Surety perform its obligations under this Bond, and Owner shall be entitled to enforce any remedy available to Owner. If Surety proceeds as provided in Paragraph 4.4, and Owner refuses the payment tendered or Surety has denied liability, in whole or in part, without further notice Owner shall be entitled to enforce any remedy available to Owner. 6. After Owner has terminated Contractor's right to complete the Contract, and if Surety elects to act under Paragraph 4.1, 4.2, or 4.3 above, then the responsibilities of Surety to Owner shall not be greater than those of Contractor under the Contract, and the responsibilities of Owner to Surety shall not be greater than those of Owner under the Contract. To a limit of the amount of this Bond, but subject to commitment by Owner of the Balance of the Contract Price to mitigation of costs and damages on the Contract, Surety is obligated without duplication for: 6.1. The responsibilities of Contractor for correction of defective Work and completion of the Contract; 6.2. Additional legal, design professional, and delay costs resulting from Contractor's Default, PERFORMANCE BOND FORM 00 61 13.13 - 3 CONFORMED THIS POWER OF ATTORNEY IS N This Power of Attorney limits the acts of those 1LID UNLESS IT IS PRINTED ON RED BA tOUND. 5169061 herein, and they have no authority to bind the Company in the manner and to the extent herein stated. Certificate No. N 0 a m '0 <a Je c coc to = ILo v O d O To L > d dre 7 .d R*(7), Os. L ai o o c eo L ai .• Rw c E w ea "0 t)'. To c > ` OL Z v American Fire and Casualty Company The Ohio Casualty Insurance Company West American Insurance Company Liberty Mutual Insurance Company Peerless Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire 8 Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of Ohio, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, that Peerless Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, DOUGus L RIEDER, BRIAN PERRY, DEBRA JOHNSON, CARL R. WISE, JOHN W. MILLER, II, PAUL R. BAKER all of the city of MARIETTA state of GEORGIA each individually if there be more than one named, its true and lawful attomey-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power ofAttomey has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 13th day of a February 2012 , STATE OF WASHINGTON COUNTY OF KING ss By: American Fire and Casualty Company The Ohio Casualty Insurance Company Liberty Mutual Insurance Company Peerless Insurance Company West American Insurance Company Gregory W. Davenport, Assistant Secretary On this 13th day of February 2012 before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of American Fire and Casualty Company, Liberty Mutual Insurance Company, The Ohio Casualty Company, Peerless Insurance Company and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle, Washington, on the day and year first above written. • By: KD Riley , Nota111 Public This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Autnonzations of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, West American Insurance Company and Peerless Insurance Company, which resolutions are now in full force and effect reading as follows: ARTICLE IV— OFFICERS — Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII — Execution of Contracts — SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Gregory W. Davenport, Assistant Secretary to appoint such attomey-in-fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary or other officer of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and biding upon the Company with the same force and effect as though manually affixed. I, David M. Carey, the undersigned, Assistant Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, West American Insurance Company and Peerless Insurance Company do hereby certify that the original power of attomey of which the foregoing is a full above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of 20 f �:, L'F l��rs i Erb cyRc„�yt -..!• • ,. {' j�•l ,,caro2a\i, J , i _- ) 1i of^R ! �C'_ i j j B Se A. S`'•'+ . ?_ . SE A.I.David M. Care Assistant Secretary N.'� , ter'+' --i / e� i� l Y, rY % " }� \ kf±: �eZ POA-AFCC, LMIC, OCIC, PIC 3 WAIC LMS_12873_012012 co a H to) am c .y to c O V� ria c E O Q Q M O41 d c 3(13 of aca N O s0 v Of O c 'a 'To- to >� a)0 EN" I eh c o0 00 v� t0 I ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/20/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Sterling Risk Advisors Inc. 1640 Powers Ferry Rd Bldg 28 Marietta GA 30067 CONTACT Jud Podtsk NAME: y ray /PHCNfo Eel. (678)424-6500 I ,Nol: (678)424-6501 ��DRess:jpodratsky@sterlingriskadvisors.com INSURER(S) AFFORDING COVERAGE NAIC N issuRERA:Charter Oak Fire Ins. Co. 25615 INSURED Morgan Contracting, Inc. P.O. Box 69 Baker FL 32531 INSURERB:Travelers Indemnity Co. of CT 25682 issuRERc:Travelers Prop Cas Co of Amer 25674 INsuRERDAmerican Guarantee 6 Liab 26247 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:12-13 Master 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 � POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR X X CO-2087M084 4/21/2012 4/21/2013 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 CLAIMS -MADE X MED EXP (Any one person) $ 10,000 X XCU IS INCLUDED PERSONAL 6 ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. OT n LOC PRODUCTS - COMP/OP AGG $ 2,000,000 7 POLICY X FIR $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED A BODILY INJURY (Per person) $ SCHEDULED AUTOS BODILY INJURY (Per accident) $ X NON PROPERTY DAMAGE (Per accident) $ _AUTOS Uninsured motonsl combined $ 1,000,000 C D X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP-2087M084 Excess AEC-6724494-02 4/21/2012 4/21/2012 4/21/2013 4/21/2013 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 Excess per occurrence $ 10,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS N / A X UB-2086M063 4/21/2012 4/21/2013 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 YN E L DISEASE - EA EMPLOYEE $ 1,000,000 below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Inland Marine No BOOM Exclusion QT-660-0024L997 4/21/2012 4/21/2013 Leased/Rented Equipment $700 , 000 Installation Floater $1,500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedu e, If more space Is required) re- Crestview WWTF Phase 4 Expansion and Rapid -Rate Infiltration Project - The following applies when required by written contract. Certificate Holder and CH2M Hill Engineers, Inc., and any other entities herein and the officers, directors, partners, employees, agents and other consutlants and subcontractors are included as additional insureds respects General Liaiblity 6 Auto Liability. Waiver of Subrogation favors Certificate Holder and Additional insureds respects GL, Auto Liability 6 Work Comp policies. CERTIFICATE HOLDER CANCELLATION City of Crestview 198 North Wilson St. Crestview, FL 32536 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Doug Rieder/JUDY P � �� °‹. ACORD 25 (2010/05) INS025 oninw nl ©1988-2010 ACORD CORPORATION. All rights reserved. Tha a(`non nnma nnrl Innn nra ranicfararl marke of ar npn CORPORATE RESOLUTION I, James Bryan Morgan Vice President/Secretary of (name) (title) Morgan Contracting, Inc. , a corporation organised under the laws of the (name of firm) State of Florida , hereby certify that the following is a full and true copy of a resolution adopted at a meeting of the Board of Directors of said Company, duly held on the 5th day of May , 20 03 : "RESOLVED that Larry R. Morgan, Jr. is hereby authorized to make, execute and approve on behalf of this Company, any and all contracts and to execute and approve on behalf of this Company, other instruments, a part of or incident to such contracts; effective until otherwise ordered by the Board of Directors." AND I DO FURTHER CERTIFY that the above resolution has not been in any wise altered, amended or repealed, and is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal of said corporation this 30th day of May (Corporate Seal) �\\\ Goti7�,��,� �� .`r� G► 2 SEAL • 1992 • ) • dr. 914;•••;~ . 1, �11'1ti1l‘` 20 03 Title: Vice President/Secretary STATE OF FL IDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MORGAN, LARRY RALPH JR MORGAN CONTRACTING INC 6575 HWY 189 NORTH BAKER FL 32531 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can flnd more information about our divisions and the regulations that Impact you, subscribe to department newsletters and learn more about the Department's Initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE 4115 (t� s i9, :CIORTI?ftl) tWair„.thn ip.rcvlif.0.40 ke en;409 Ts Ipso. +rr!'�soA dat4 ?tVA ;3).;ti „Z O,��; ' � 0.10443. f,>< .17 0 , - s••• { .i THIS DOCUMENT HAS A COLORED BACKGROUND • MICROPRINTING • LINEMARKT PATENTED PAPER 6149. DA'f E ..4601:1:01-2 vicvmsitagb.01D Utita z" tt A w Q w , Ptk�sA•R ;f' 1ZiCENSt,'riBR' { Undtir •thaz,prVirisiOnt ot-Chatt Expiration date: AUG 31, 2014 •-MORGAINIf<,A;�,LtY•`f:.AALP ? ''" D�IORGAi:+T'r 'CONTRAOTYDt - 1�C' �7� � • 6575 HIGHWAY •1�89- = NORTH , � (3'"� _..Y BAKER FL 32531 '.•,,OD '• FBI GI ERCHrs NORf z- DISOL Y AS REQUIRED BY :AVV STATE, dF FLORiba $4 i�Q f••.=`., i. 12 d i,ATION 9QQ# L12060101770 KEN LAWSON SECRETARY THIS DOC M NT HAS A COLORED BACKGROUND • MICROPRINTING • LINEMARK " PATENTED PAPER AC# 6149579 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONr,L REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L12060101661 DATE 06/01/2012 118196532 BATCH NUMBER LICENSE NBR CGC052073 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 TUCKER, MICHAEL ANTHONY MORGAN CONTRACTING INC 6575 HIGHWAY 189 NORTH BAKER FL 32531 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY AC#6149697 THIS DOCUMENT HAS A COLORED BACKGROUND • MICROPRINTING • LINEMARK" PATENTED PAPER STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#1,12o6o101779 DATE 06/01/2012 118196532 CUC057255 LICENSE NBR BATCH NUMBER The UNDERGROUND UTILITY & EXCAVATION CO Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 TUCKER, MICHAEL ANTHONY MORGAN CONTRACTING INC 6575 HIGHWAY 189 NORTH BAKER FL 32531 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY STATE OF F IDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 PARKER, KEVIN EDWARD MORGAN CONTRACTING, INC. 6575 HIGHWAY 189 NORTH BAKER FL 32531 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more Information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business In Florida, and congratulations on your new license! (850) 487-1395 W . imdsx:,briar wbvi•ionb=oe'• ch`.489, Pi DETACH HERE THIS DOCUMENT HAS A COLORED BACKGROUND • f ICROPRINTING • LINEMARK PATENTED PAPER BATCH NUMBER ±� ,may, � sC d * ,pia `e— c .ttato • Order 1®- p1' GSVii9 t3i`z!I ot'tha" e fpireituion 4dte; At7G. ,31, 2014 i�Ala0r7 SEgitta2osololes3 rDISPLAY AS REquIRED• BY LAW STATE OF Fl DA-- DEPARTMENT or BUSINESS AND PROFESSIONAL- .GULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MORGAN CONTRACTING INC 6575 HWY 189 NORTH BAKER FL 32531 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For Information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE 'HAllt,TFi4c11, . (850) 487-1395 A ACORO® CERTIFI ,TE OF LIABILITY INSAPANCE �%. DATE(MWDD/YYYY) 05/0812013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH USA INC. 122517TH STREET, SUITE 2100 DENVER, CO 80202.5534 15114-12345-10X2P-13/14 013372 CA CONTACT NAME: (A/C"No. Eztl• (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 4 INSURER A : Greenwich Insurance Company 22322 INSURED OPERATIONS MANAGEMENT INTERNATIONAL INC. 9193 SOUTH JAMAICA STREET, SUITE 400 ENGLEWOOD, CO 80112-5946 INSURER e : National Union Fire Ins Co Pittsburgh PA 19445 INSURER C : XL Insurance America, Inc. 24554 INSURER D : N/A N/A INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: SEA-002092460-35 • 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 (MWDD/YYYY) POLICY EXP (MWDD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X RGE500025502 05/01/2013 05/01/2014 EACH OCCURRENCE $ 1,500,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,500,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ X $500,000 SIR PERSONAL h ADV INJURY $ 1,500,000 GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER PRO n JECT I I LOC PRODUCTS - COMP/OP AGG $ 5,000,000 $ A A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED _ SCHEDULED AUTOS NON -OWNED AUTOS X RAD500025402 (AOS) RAD500025602 (MA) 05/01/2013 05/01/2013 05/01/2014 05/01/2014 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE BE23465121 05/01/2013 05/01/2014 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED RETENTION $ $ C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A RWD500025202 (AOS) RWR500025302 (WI) 05/01/2013 05/01/2013 05/01/2014 05/01/2014 X WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E L DISEASE - EA EMPLOYEE $ 1,000,000 E L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) THE CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED ON THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY POLICIES AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT. CERTIFICATE HOLDER CANCELLATION CITY OF CRESTVIEW (FL) ATTN. MR ED NEAL, CITY CLERK 198 NORTH WILSON STREET CRESTVIEW, FL 32536 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. I Sharon A. Hammer �R Q-�N� E� ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0142-01-00-0000813-0002-0002644 1012- \ne e g) vv T-P N(uo ENDORSEMENT # 009 This endorsement, effective 12:01 a.m., May 01, 2013 forms a part of Policy No.RAD500025402 issued to CH2M HILL COMPANIES, LTD. by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT In the event coverage is cancelled or non renewed for any statutorily permitted reason, other than nonpayment of premium, or if coverage is materially reduced, advanced written notice will be mailed or emailed to person(s) or entity(ies) according to the notification schedule shown below: Name of Person(s) or Entity(ies) Mailing Address: Number of Days Advanced Notice of Cancellation: Per the most current schedule maintained by Marsh USA, Inc. and fumished to XL insurance no less than 15 days prior to the 60 days of notice of cancellation, non -renewal or material reduction in coverage 60 days For the purpose of this endorsement, non -renewal shall mean solely non -renewal of the Policy and shall not include Notice of Conditional Renewal. Material reduction in coverage shall mean a decrease in the Policy limits, an increase in the deductible or self -insured retention of greater than $250,000 or the application of a Policy exclusion not contemplated at Policy issuance. All other terms and conditions of the Policy remain unchanged. (Authorized Repr elhtative) MANUS ® 2013 X.L. America, Inc. All Rights Reserved. May not be copied without permission. 0142-01-00-0000813-0003-0002645 ENDORSEMENT X 027 This endorsement, effective 12:01 a.m., May 01, 2013 forms a part of Policy No.RGE500025502 issued to CH2M HILL COMPANIES, LTD. by Greenwich insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT In the event coverage is cancelled or non renewed for any statutorily permitted reason or if coverage is materially reduced, or coverage is cancelled for non-payment of premium advanced written notice will be mailed to the person or entity according to the notification schedule shown below: Name of Person or Entity Mailing Address: Number of Days Advanced Notice of Cancellation: Per the most current schedule maintained by Marsh USA, Inc. and furnished to XL Insurance no less than 15 days prior to the 60 days of notice of cancellation, non - renewal or material reduction In coverage 60 days • For the purfiose of this endorsement, non -renewal shall mean solely non -renewal of the Policy and shall not include expiration or Notice of Conditional Renewal. Material reduction in coverage steal mean a decrease in the Policy limits, an increase in the deductible or self -insured retention or the application of a Policy exclusion not contemplated at Policy issuance. All other terins and conditionsbf the Policy remain unchanged. S (Authorized R=l entative) MANUS ® 2013 X.L. America, Inc. All Rights Reserved. May not be copied without permission. 0142-01-00-0000813-0004-0002646 WORKERS COMPENSATION AND E OYERS LIABILITY INSURANCE FOLIC WC 99 00 06 EI (Ed. 1108) THIS ENDORSEMENT. CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CHANGE IN INFORMATION PAGE This endorsement modifies insurance provided under the following: WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY INSURER: XL Insurance America, Inc. NCCI Company Number: 27944 Policy Number: RWD500025202 Endorsement Number. 007 Effective Date: May 1, 2013 Effective hour is the same as stated In the Information Page of the policy. Name Insured and Address: CH2M HILL COMPANIES, LTD. 9191 S. Jamaica Street Englewood, CO 80112 FEIN NUMBER: 93-0549933 It is agreed that the policy is amended as follows: CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT This endorsement modifies insurance provided under the following: WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY In the event coverage is cancelled or non renewed for any statutorily permitted reason, other than nonpayment of premium, or if there is a material reduction in coverage, advanced written notice will be mailed or emalled to person(s) or entity(ies) according to the notification schedule shown below: Name of Person(s) or Entity(les): Mailing Address: Number of Days Advanced Notice: Per the most current schedule maintained by Marsh USA, Inc. and furnished to XL Insurance no less than 15 days prior to the 60 days of notice of cancellation, non -renewal or material reduction in coverage. 60 days For the purpose of this endorsement, non -renewal shall mean solely non -renewal of the Policy and shall not include expiration or Notice of Conditional Renewal. Material reduction in coverage shall mean a decrease in the Policy limits, an increase in the deductible or self -insured retention or the application of a Policy exclusion not contemplated at Policy issuance. Ali other terms and conditions remain the same. WC990006B (Ed. 1l08) 2007 XL America, Inc. 0142-01-00-0000813-000540002647 WORKERS COMPENSATION AND E OYERS LIABILITY INSURANCE POLIO' WC 99 00 06 B (Ed. 1 /08) This endorsement Is part of your policy and takes effect on the effective date of your policy, unless another effective date Is shown below. Must be completed always: Complete only when this endorsement is not prepared with the policy or is not to be effective with the policy: Endorsement Number: 007 Issued to: CH2M HILL COMPANIES, LTD. Policy Number: RWD500025202 Date of this Endorsement: May 1, 2013 XL Insurance America, Inc. Countersigned by Authorized Repre i e rat WC990006B (Ed. 1/08) ® 2007 XI, America, Inc. 0142-01-00-0000813-0006-0002648