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Home My WebLink AboutLinda Mohr Jacobs CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS 215 CHURCI-1 AVENUE,P.O.13OX 1130,OSHKOSH,WI 54903-11.30 PHONE: (920)236-5065 FAX(920)236-5068 LETTER OF TRANSMITTAL To: Linda Mohr Date: September 24, 2018 Jacobs -Subject: Executed Agreement for 135 South 841h Street, Suite 400 Water System Capacity Study Milwaukee, W1 53214 Please find: Z Attached ❑ Under Separate Cover ❑ Copy of Letter Z Contracts ❑ Amendment R Report ❑ Agenda ❑ Meeting Notes R Photos F] Mylars R Change Order ❑ Plans ❑ Specifications ❑ Estimates ❑ Diskette ❑ Zip Disk ❑ Other Quantity Description 1. Executed Agreement These are being transmitted as indicated below: R For Approval Z For Your Use ❑ As Requested ❑ For Review&Comment Remarks: Enclosed is a copy of the executed agreement for the water system capacity study. A copy of a City of Oshkosh Purchase Order will follow shortly. Please reference this Purchase Order number on all of your invoices. If you have any questions, please contact us, City Clerk's-Original ------------- Steve Brand's-Copy -------------� cc: —File-Original Signed: Tr COY Taylo 1:\Engiticeritig\I'racy'l*aylor\Steve Brand Agreernents\012M I lillMrSyst Capacity Study\Jacobs LOT-Executed Agreement-WIr Syst Capacity Study_9-24-18.docx AGREEMENT This AGREEMENT, made on the gz day of "")",� -66018, by and between the CITY OF OSHKOSH, party of the first part, hereihafter referred to as CITY, and JACOBS, 135 South 8411, Street, Suite 400, Milwaukee, WI 53214, party of the second part,hereinafter referred to as the CONSULTANT, WITNESSETH: The CITY and the CONSULTANT, for the consideration hereinafter named, enter into the following AGREEMENT for WATER SYSTEM CAPACITY STUDY. ARTICLE 1. PROJECT MANAGER A. Assignment of Project Manager, The CONSULTANT shall assign the following individual to manage the PROJECT described in this AGREEMENT: Linda Mohr, P.E. —Senior Project Manager B. Changes in Project Manager. The CITY shall have the right to approve or disapprove of any proposed change from the individual named above as Project Manager, The CITY shall be provided with a resume or other information for any proposed substitute and shall be given the opportunity to interview that person prior to any proposed change. ARTICLE 11. CITY REPRESENTATIVE The CITY shall assign the following individual to manage the PROJECT described in this AGREEMENT: Pete Gulbronson, P.E., C.D.T. —Environmental Compliance Manager ARTICLE 111. SCOPE OF WORK The CONSULTANT shall provide the services described in the CONSULTANT's Scope of Services. The CITY may make or approve changes within the general Scope of Services, in this AGREEMENT. If such changes affect CONSULTANT's cost of or time 'required for performance of the services, an equitable adjustment will be made through an amendment to this AGREEMENT. 1:\Eiigintering\Tra4y'raylor\Stevc Brand Agreernentg\CMM Ifill\MrSyst CapadtyStvdy\Jacobs-Wtr Page 1 of 7 Syst Capacity Study..,8-30-18.docx All reports, drawings, specifications, computer files, field data, notes, and other documents and instruments prepared by the CONSULTANT as instruments of service shall become property of the CITY upon payment for those documents by the CITY to the CONSULTANT, and shall remain the property of the CITY. ARTICLE IV. STANDARD OF CARE The standard of care applicable to CONSULTANT's services will be the degree of skill and diligence normally employed by professional consultants or consultants performing the same or similar services at the time said services are performed. CONSULTANT will re-perform any services not meeting this standard without additional compensation. ARTICLE V. OPINIONS OF COST,FINANCIAL CONSIDERATIONS,AND SCHEDULES In providing opinions of cost, financial analyses, economic feasibility projections, and schedules for the PROJECT, CONSULTANT has no control over cost or price of labor and materials; unknown or latent conditions of existing equipment or structures that may affect operation or maintenance costs; competitive bidding procedures and market conditions; time or quality of performance by operating personnel or third parties; and other economic and operational factors that may materially affect the ultimate project cost or schedule. Therefore, it is understood between the parties the CONSULTANT makes no warranty the CITY's actual project costs, financial aspects, economic feasibility, or schedules will not vary from CONSULTANT's opinions, analyses, projections,or estimates. ARTICLE VI. RECORD DRAWINGS Record drawings, if required, will be prepared, in part, on the basis of information compiled and furnished by others. CONSULTANT is not responsible for any errors or omissions in the information from others the CONSULTANT reasonably relied upon and are incorporated into the record drawings. ARTICLE VII. CITY RESPONSIBILITIES The CITY shall furnish, at the CONSULTANT's request, such information as is needed by the CONSULTANT to aid in the progress of the PROJECT, providing it is reasonably obtainable from City records. To prevent any unreasonable delay in the CONSULTANT's work, the CITY will examine all reports and other documents and will make any authorizations necessary to proceed with work within a reasonable time period. hEngineering\Tracy Taylor\Steve Brand Agmenients\CH2M Hill\WtrSyst Capacity StudyNjacobs-Wtr Page 2 of 7 Syst Capacity Study-,8.30-18.docx ARTICLE VIII. ASBESTOS OR HAZARDOUS SUBSTANCES If asbestos or hazardous substances in any form are encountered or suspected, CONSULTANT will stop its own work in the affected portions of the PROJECT to permit testing and evaluation. If asbestos is suspected, CONSULTANT will, if requested, manage the asbestos remediation activities using a qualified subcontractor at an additional fee and contract terms to be negotiated. If hazardous substances other than asbestos are suspected, CONSULTANT will, if requested, conduct tests to determine the extent of the problem and will perform the necessary studies and recommend the necessary remedial measures at an additional fee and contract terms to be negotiated. The CITY recognizes CONSULTANT assumes no risk and/or liability for a waste or hazardous waste site originated by other than the CONSULTANT. ARTICLE IX CITY'S INSURANCE The CITY will maintain property insurance on all pre-existing physical facilities associated in any way with the PROJECT. The CITY will provide (or have the construction contractor(s) provide) a Builders Risk All Risk insurance policy for the full replacement value of all project work including the value of all onsite CITY-furnished equipment and/or materials associated with CONSULTANT's services. Upon request, the CITY will provide CONSULTANT a copy of such policy. ARTICLE X. TIME OF COMPLETION The work to be performed under this AGREEMENT shall be commenced and the work completed within the time limits as agreed upon in the CONSULTANT's Scope of Services. The CONSULTANT shall perform the services under this AGREEMENT with reasonable diligence and expediency consistent with sound professional practices. The CITY agrees the CONSULTANT is not responsible for damages arising directly or indirectly from any delays for causes beyond the CONSULTANT's control. For the purposes of this AGREEMENT, such causes include, but are not limited to, strikes or other labor disputes, severe weather disruptions or other natural disasters, failure of performance 1:\EngineeTing\'rracy'faylor\Steve Brand Agreements\CH2M Hill\WtrSyst Capacity Study\Jacobs-Wtr Page 3 of 7 Syst Capacity Study-8-.30-18.doex by the CITY, or discovery of any hazardous substances or differing site conditions. If the delays resulting from any such causes increase the time required by the CONSULTANT to perform its services in an orderly and efficient manner, the CONSULTANT shall be entitled to an equitable adjustment in schedule. ARTICLE XI. COMPONENT PARTS OF THE AGREEMENT This AGREEMENT consists of the following component parts, all of which are as fully a part of this AGREEMENT as if herein set out verbatim, or if not attached, as if hereto attached: 1. This Instrument 2. CONSULTANT's Scope of Services dated August 20,2018 and attached hereto In the event any provision in any of the above component parts of this AGREEMENT conflicts with any provision in any other of the component parts, the provision in the component part first enumerated above shall govern over any other component part which follows it numerically except as may be otherwise specifically stated. ARTICLE XII. PAYMENT A. The Agreement Sum. The CITY shall pay to the CONSULTANT for the performance of the AGREEMENT the total sum as set forth below, adjusted by any changes hereafter mutually agreed upon in writing by the parties hereto: • Time and Materials Not to Exceed $74,140 (Seventy Four Thousand One Hundred Forty Dollars). • Attached fee schedule(s) shall be firm for the duration of this AGREEMENT. B. Method of Payment. The CONSULTANT shall submit itemized monthly statements for services. The CITY shall pay the CONSULTANT within thirty (30) calendar days after receipt of such statement. If any statement amount is disputed, the CITY may withhold payment of such amount and shall provide to CONSULTANT a statement as to the reason(s) for withholding payment. C. Additional Costs. Costs for additional services shall be negotiated and set forth in a written amendment to this AGREEMENT executed by both parties prior to proceeding with the work covered under the subject amendment. 1:\Engineering\TracyTaylor\Steve Brand Agreements\CH210 Hill\WtrSyst Capacity Study\Jacobs-Wtr Page 4 of 7 Syst Capacity StudyJ-30-18.docx D. Indirect Costs. Indirect costs such as computer time, printing, copying, cell phone charges, telephone charges, and equipment rental shall be considered overhead and shall not be invoiced separately to the PROJECT. E. Expenses. Expenses may be billed with up to a maximum of 10% mark-up. All invoices with expenses shall include supporting documentation of the expense. Failure to include the supporting documentation will result in the reduction of payments by the amount of those expense(s) not including documentation. ARTICLE XIII. HOLD HARMLESS The CONSULTANT covenants and agrees to protect and hold the City of Oshkosh harmless against all actions, claims, and demands to the proportionate extent caused by or resulting from the intentionally wrongful or negligent acts of the CONSULTANT, his/her agents or assigns, his/her employees, or his/her subcontractors related to the performance of this AGREEMENT or be caused or result from any violation of any law or administrative regulation, and shall indemnify the CITY for all sums including court costs, attorney fees, and damages of any kind which the CITY may be obliged or adjudged to pay on any such claims or demands upon the CITY's written demand for indemnification or refund for those actions, claim, and demands caused by or resulting from intentional or negligent acts as specified in this paragraph. Subject to any limitations contained in Sec. 893.80 and any similar statute of the Wisconsin Statutes, the CITY further agrees to hold CONSULTANT harmless from any and all liability, including claims, demands, losses, costs, damages, and expenses of every kind and description (including death), or damages to person or property arising out of re-use of the documents without consent where such liability is founded upon or grows out of the acts or omission of any of the officers, employees or agents of the City of Oshkosh while acting within the scope of their employment. ARTICLE XIV. INSURANCE The CONSULTANT agrees to abide by the attached City of Oshkosh Insurance Requirements. l:\Engineering\Tracy Taylor\Steve Brand Agreernents\012M filll\WtrSyst Capacity Stvdy\Jaoobs-Wtr Page 5 of 7 Syst Capacity Study-8-30-18.doex ARTICLE XV. TERMINATION A. For Cause. If the CONSULTANT shall fail to fulfill in timely and proper manner any of the obligations under this AGREEMENT, the CITY shall have the right to terminate this AGREEMENT by written notice to the CONSULTANT. In this event, the CONSULTANT shall be entitled to compensation for any satisfactory, usable work completed. B. For Convenience. The CITY may terminate this AGREEMENT at any time by giving written notice to the CONSULTANT no later than ten (10) calendar days before the termination date. If the CITY terminates under this paragraph, then the CONSULTANT shall be entitled to compensation for any satisfactory work performed to the date of termination. This document and any specified attachments contain all terms and conditions of the AGREEMENT and any alteration thereto shall be invalid unless made in writing, signed by both parties and incorporated as an amendment to this AGREEMENT. ARTICLE XVI. RE-USE OF PROTECT DOCUMENTS All reports, drawings, specifications, documents, and other deliverables of CONSULTANT, whether in hard copy or in electronic form, are instruments of service for this PROJECT, whether the PROJECT is completed or not. The CITY agrees to indemnify CONSULTANT and CONSULTANT's officers, employees, subcontractors, and affiliated corporations from all claims, damages, losses, and costs, including, but not limited to, litigation expenses and attorney's fees arising out of or related to the unauthorized re-use, change, or alteration of these project documents. ARTICLE XVII. SUSPENSION,DELAY, OR INTERRUPTION OF WORK The CITY may suspend, delay, or interrupt the services of CONSULTANT for the convenience of the CITY. In such event, CONSULTANT's contract price and schedule shall be equitably adjusted. I:\Engineering\Tracy Taylor\Steve Brand Agreements\CH2M I till\WtrSyst Capacity Study\jac.obFWtr Page 6 of 7 Syst Capacity Study-8-30-18.docx ARTICLE XVIII. NO THIRD-PARTY BENEFICIARIES This AGREEMENT gives no rights or benefits to anyone other than the CITY and CONSULTANT and has no third-party beneficiaries. In the Presence of: CONSULTANT By: � �Lp% (Seal of Consultant AI\NAC C'j, if a Corporation) (Specify Title) By: (Specify Title) CITY OF OSHKOSH By: (Witness) Mark A. Rohloff, City Manager And: a'A, "I (Witness) Pamela R. Ubrig, City Clerk APPROVED: I hereby certify that the necessary provisions have been made to pay the liability which will accrue under this AGREEMENT. Ci ito'fney City Comptroller h\Engineering\Tracy Taylor\Steve Brand Agreetnenls\012M HiB\Wtr Syst Capacity Study\Jacobs-Mr Page 7 of 7 1 Syst Capacity Study-8-30-18.docx ' RECEIVED � � AUG � Y0ik � SCOPE OFSEKN[ES """ � " �"'° AUGUST 2lZ01B � y-`�-�� i= L��l� U� �� U ~JN� �| L � �� | k }��| l ��/.�| l Vt/ �� L��ht�1�� Oplacity -�� ] y, , ^ / Purpose�� 'J Background � U�� DQ U��D�U�U ' `' The purpose of the City of Oshkosh (City)Water System Capacity Study (Study) is to develop water demand forecasts in support of the Public Service Commission (PSC) construction authorization permitting process for the City'sVVater Filtration Plant (VVFP) C\eonweUs Replacement Project.The VVFP � Clearwells Replacement Project involves construction of 2 million gallons (MG)of at-grade finished water storage to replace 2.4 MG of buried finished water storage and construction of 16 million gallon | per day(mgd)finished water pumping capacity to replace the existing 17.8 mgd pumping capacity.The � PSC is not currently questioning the construction of 2 MG storage and approved in 2016 the City's � finished water storage strategy in its construction authorization of the Marion Road Water Tower Replacement Project. The PSC is requesting additional information in support ofthe 16mgd pumping capacity. This request is based upon decreased customer water demand over the past several years and a previous water demand estimate which falls short of16mgd. The goals of the Study include the following: m A forecast of future water demand spatially distributed through the planned service area that is r helpful to the C\ty'scomprehensive infrastructure planning and coordinated with the City of Oshkosh 2(BD Sanitary Sewer System Planning Study(2CO7). ' • A current analysis of customer water use and system patterns, goals for non-revenue water, and service area land use plans. � • Use of multivariate deterministic modeling to evaluate alternative scenarios for the future using � customer demand unit rates, population growth and development rates, weather variables, and ' � other system factors. � * Statistically-based analysis of the risks associated with exceedance of each water demand scenario. * Evaluation of water system capacity risks related to operational uncertainties and constraints � unrelated to forecasted demand. * Recommendations for pumping capacity to reliably meet water system needs, advance the WFP Clearwells Replacement Project, and provide a basis for other long-range water utility improvement projects. � There is inherent uncertainty in all forecasts of future demand,To develop forecasts that minimize � uncertainty and risk for the City,Jacobs will partner with AECOM to review data, develop planning � assumptions, and analyze modeling results.Jacobs and AECOM both have extensive experience � preparing long-range water demand forecasts and working with local stakeholders and regulators to implement critical water utility projects. Together, weprovidetheCityateanoofprofeasiona|swith � detailed knowledge of the City's water system and an impartial,third party perspective helpful to � � studies whose findings may be challenged.The Study will be completed in the following tasks: � Task 1—Data Review and Project Kick-off Task 2—Historical Data Analysis Task 3—VVater Demand Forecast and Risk Analysis z ' WATER SYSTEM CAPACITY STUDY SCOPE mSERVICES Task 4-Water System Capacity Study Report Task 5-Project Management and Quality Assurance/Quality Control Task [� � � � �Project Kick-off | �� l — U�� ~JU�MMOA�V ��U � �� |\|�K-U| \ Data Review Jacobs will collect and summarize pertinent water utility data and planning information including the following: • City' ' � • Detailed VVFP pumping and system storage operating data � ° City water billing data and current geographic information system (GIS) shapefiles � w Water rates and median household income � • Current population projections from the State ofWisconsin Department of Administration and the East Central Wisconsin Regional Planning Commission (ECVVRPC) p Service area delineation in coordination with ECWRPC including potential new wholesale ' customers • Current and planned future land use information from the City and Winnebago County • City Community Development Department reports • Unemployment data p City Capital Improvement Program /2O18'ZO22\ ^ � • Area rainfall data � Jacobs will summarize historical data and future planning information for review and discussion at the � � project kick-off meeting. Meeting Following data review,Jacobs will facilitate a project Wck-offmeetingvviththeOtvandAECOK4to < review the project work plan; team assignments; and schedule for work progress, meetings,and � deliverables. At this meeting, water utility and service area planning information will be reviewed. Any necessary additional required data will beidentified. Deliverables Meeting minutes Water utility and service area data summary -F��|' _)__'LJ'�f(l '��| �l��f�� /\[l��|\/�'� � . `^^.` �_ . ..�``�. .�=. ^~`."� 'Analysis Jacobs and AECOM will analyze the dataset and use it to develop a regression model that will serve as � the basis for the development of alternative future scenarios.The data analysis will include the | following: � • Service area ZO-year historic population trend and 2O50 population projections � ° Service area current and planned land use w Historical (2000-2017)water use trends-total water production; peak day use; average annual use; seasonality of use; use by customer class and/or land use as appropriate; and impacts of unemployment, recession, weather, water rates, and indoor conservation Jacobs will develop a statistical model that provides the 'best fit' to the datasetto enable use of regression analysis in the evaluation of alternative future water demand scenarios.The model will be 2 . WATER SYSTEM CAPACITY STUDY SCOPE OF SERVICES built using the Palisade Decision Tools Suite @Risk application.Jacobs will validate the model and identify through sensitivity analysis the variables to which the model is most sensitive.Jacobs will document model development and validation for peer review by AECOM. AECOM will also assist the City and Jacobs in the evaluation of water use trends and exploration of factors that may drive water use in the future.Jacobs and AECOK4 will summarize Task 2 findings.Jacobs will facilitate a meeting with the City and AE[OM to discuss the historical data analysis and water demand forecasting assumptions. Deliverables ! Meeting minutes � Historical data analysis summary Water demand regression analysis model T�� __UU�� [��yl'] [(��Arf Ar)'J �'�� [l�|V�'� Task ~^ , " `^``~. Demand.`^. .~^ Forecast~�`~~^.'� and Risk Analysis =`y".° Jacobs will use the model to forecast water demand under 3 alternative scenarios: 1. Low—low population growth and community development, high unemployment, reductions in � � water use, cool/wet weather 2. Medium—average population growth and community development, average unemployment, average water use, average weather ' 3. High —high population growth and community development, low unemployment, high water use, hot/dry weather Further, the model will also be used to estimate the probability of exceeding each alternative scenario's water demand forecast.This will allow the City to better understand the uncertainty associated with each forecast. In addition,Jacobs will evaluate risks to water system pumping capacity related to operational � uncertainties and system constraints.These risks, not directly }inked to forecasted customer demand, | � include the following potential impacts: * Changes to community fire protection insurance rating � w Challenges tV seasonal water storage management strategies � • Operational constraints due to excursions in water quality, routine maintenance, or failure events such as major water main breaks Jacobs will document the water demand forecast and risk analysis for peer review by AECOM.Jacobs will facilitate a meeting with the City and AECOK4 to discuss the Task 3 findings and formalize a � recommendation for water system pumping capacity that allows the City to continue to reliably deliver � vital water services and advance the VVFPQeanweUa Replacement Project. � Deliverables Meeting minutes � Water demand forecast and risk analysis � T�� __UUA�PF � �+�� /—�[)��'f« ��U�V �PDO'f Task 4—Water x ~^�`.. .�y��`.. . . ��`~r,.~=/�y `��~.�x y Report � Jacobs will compile the historic data summary, data.analysis, model development, water demand forecast and risk analysis in a draft Study Report for City and AECOM review.Jacobs will meet with the City and AECOM to discuss comments and revisions.Jacobs will incorporate the City's and AECOM's review comments in the final study report. Five paper copies and one PDF copy of the final Water System Capacity Study Report will be submitted to the City. ` ' WATER SYSTEM CAPACITY STUDY SCOPE OF SERVICES Deliverables: Draft and Final Water System Capacity Study Report TaskT�� __[]��prf Management �M~1 Quality �rrU��[l ��)^fx .� / . "l..c.� �v/.�. .`^��`.. . ,w /� and `~��m/�y /-��= "' '��f `-��^_n�y Control Jacobs will manage the delivery of the professional technical services and work productsto meet the | Ok/s schedule and budget. Project mano8ementdutiesindudeprojectinstructions, whichaddness � team communication, qUa|hY assurancp/«ua|ityoontno| ([lA/QC), and cost control. Instructions tothe � project delivery team will guide performance by defining the following: ° Detailed scope of services and project deliverables * Task assignments, work plan, and schedule * Project communication plan * Project budget and performance monitoring * Managing potential change * Quality management � � Project team communication will be maintained through regular team meetings, teleconferences, and e- mail. During project meetings and workshops,Jacobs will provide project status information.Jacobs will submit a brief description of project activitiexandtnmokbudgetutatusvvhheachmonth|yinvoice. . Jacobs and AECDK4 will perform aO4/{lC review Vf completed work and project progresspriorto / submission of work products to the City. � Be|'Ve[ab|8S Monthly progress reports with invoices Schedule i� ,[�UJ | ` � U|e � Notice to Proceed:August, 2OlD � Task 1--Data Review and Project Kick-off: August-September, 2018 ' Task 2—Historical Data Analysis: Septennber-October, I018 Task 3—Water DemandForecast and Risk Analysis: November, 3018 � � Task 4--VVater System Capacity Study Report: December, 2Ol8 Level of [ff�rf and /-0mrlPDsat'M. . The estimated level of effort is 498 hours and the proposed compensation for professional services is $74,14O. A task breakdown is shown in Table 1. 4 } OWi O R Om Q O g U? O P W Q � n R N N N QI ./Wl 1p N M +mI1 M1 !- pQ pp p rtQA p �/Ol p O a O N W � N Uml Vml K VN1 � Mrl ei +m/f W Q F p N N pp } OQ qO O N O } v a a 1 1 L I x 8 8 $ O n w 4 0 o a p F- iu -� an vw vt a g rvm hl ya y� VyY tNp '� O . s YCFs C «l a A 12 r C C C 2 b S O ' p o ry ry ry . q C 'm vt C N N J O O a m O W p N N O N W p V` +3 p N p O N T} N L!1 C a O R N O O b pa H RN' 0 4 O O ry W ui W 0 C pp a 'ffi Q N W Oa dl m O O +OM a O p N M C 9 w a s x x x x Q) u .,I G C C C C C a A p a �p a C a W a •W a wl p m tq p N N W A O A s x x x x .V T m m rL O m Syr, t/O� 4 ,y v4� NO tOry cu 0 u > @ c O `^ 7 A @ A a } m m 0 [ DATE(MMIDDIYYYY) AC" CERTIFICATE OF LIABILITY INSURANCE 06/19/2018 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(fes) 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(!). PRODUCER LIC #0437153 1-212-948-1306 CONTACT NAME: Marsh Risk & Insurance Services PHONE FAX 1-212-94_8-1306 CIRTS,..Support@j acobs.com iA/C. A/C No: EMAIL 633 W. Fifth Street -J ADDRESS: RECEIVE")- _ INSURER(S)AFFORDING COVERAGE NAIC# Los Angeles, CA 90071 _.. INSURER A: ACE AMER INS CO 22667 _....... . - — s _,_,.._.. .. INSURED CH2M HILL ENGINEERS, INC. JUN 2 0 Z018 INSURERS: INSURER C: 9191 South Jamaica Street pr,PT OF P U l3la 1 C� WORKS INSURER_o..m_.._......_..._.._._. _..__.,..........-- Englewood, CO 80112-5946 OSHKOSH, WISCON` IN _INS_U_RERE: INSURER F: COVERAGES CERTIFICATE NUMBER:53096452 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 ADD _....._____._...._ FP POLIcY E POLICY EXP LTR TYPE OF INSURANCEINBILAM POLICY NUMBER MMIDDIYYYY MM/DD YYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G71096750 07/01/18 07/01/19 EACHOCCURRENCE $ 7,000,000 T1AfdAZ L'T01 P ice- __ CLAIMS-MADE X _. OCCUR PREMISrS-LEaoccurrencel __.$,w500,000 __.. X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 7,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERA-AGGREGATE $ 10,000,000 POLICY jR7 LOC PRODUCTS-COMP/O GG PA $ 10,000,000 OTHER: _�....w.._....... $ ._......_ A AUTOMOBILE LIABILITY SSA H25158684 07/01/18 07/01/19 COMBINED SINGLE LIMIT $ 2,000,000 Fa accident X ANY AUTO BODILY INJURY(per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ _._..._. _-_.._. HIRED NON-OWNED PROPERTYDAMAGEV-- � $ AUTOS ONLY AUTOS ONLY Per aocident),_,,,_„,-__ UMBRELLALIAB OCCUR EACH OCCURRENCE $ ........... _......._._._.._.__ ...-,,..�.,..__ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED f2 NTION S $ A WORKERS COMPENSATION WLR C6479033A (AOS) 07/01/18 07/Ol/19 X STATUTE ORH AND EMPLOYERS'LIABILITY Y/N A ANYPROPRIETOR/PARTNER/EXECUTIVE F= N/A WCU C64789533 (LA, OH, T 07f/01/18 07/01/19 F.L.. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDEb7 Q7/01/19 1,000,000 A (Mandatory in NH) SCF C64789570 (WI) 07/01/1$ F.L.DISEASE-EA EMPLOYEE $ If yes,describe under -- _,__._...__......_....._ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A PROFESSIONAL LIABILITY EON G21655065 009 07/01/18 07/01/19 PER CLAIM/PER AGG 2,000,000 "CLAIMS MAIZE" AGGREGATE DEFENSE INCLUDED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) LOCATION: Englewood, CO. CONTRACT ADMINISTRATOR: CAROLYN WALLING. RE: ALL PROJECTS; PM: LINDA MOHR. CITY OF OSHKOSH, AND ITS OFFICERS, COUNCIL MEMBERS, AGENTS, EMPLOYEES AND AUTHORIZED VOLUNTEERS ARE INCLUDED AS AN ADDITIONAL INSURED ON THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY POLICIES AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT. *$2,250,000 SIR for states of: AK, LA, OH, TX. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF OSHKOSH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: SUPERINTENDENT OF UTILITIES - STEPHAN BRAND AUTHORIZED REPRESENTATIVE 215 CHURCH AVENUE, PO BOX 1130 OSHKOSH, WI 54903-1130 USA C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cert_Renewal 53096452 SUPPLEMENT TO CERTIFICATE OF INSURANCE 06/DATE 29/zoia NAME OF INSURED: CH2M HILL ENGINEERS, INC. SUPP(10100)