Bid Package 08 North Well Field - Garney Construction

Colorado River Municipal Water District
Ward County Water Supply Expansion Project – North Well Field
2b. If applicable, Bidder has liability insurance and workman’s compensation policies with the current
coverage limits:
Coverage
Limits
Yes No
Workman’s Compensation
Statutory
Employer’s Liability $
Commercial General Liability $
Automobile Liability $
Professional Liability $
Umbrella $
Pollution Liability $
Other (Specify)_______________ $
2c. In the last five years has any insurance carrier, for any type of coverage, refused to renew the
insurance policy for your firm?
Yes
No
If “yes” explain on a separate signed page. Name the insurance carrier, the form of insurance and
the year of the refusal.
2d. Bonding Rate: __________________________________________________
Bonding Capacity: $
Bonding / Surety
Company:
Name of Surety Agent:
Address of Surety Agent:
Telephone Number:
2e. Has any other surety company(s) written bonds for your firm in the last five years?
Yes
No
If “yes” please provide the same above information, including dates on a separate signed sheet.
Bid Proposal Form – Bid Package #8
Colorado River Municipal Water District
Ward County Water Supply Expansion Project – North Well Field BP - 11
5/24/2012