HomeMy WebLinkAboutpitkin.bldg.264304200003 (2015)DOCUMENT
LAYOUT
Certificate of Occupancy or Letter of Completion
Permits
Final Inspections
Any Supporting Documents
Site Plans
(NOTE: All structural plans will be grayed out. If you require the ability to see structural
plans, you must have a letter from the owner stating you are allowed to have plans. This
letter must be submitted to Pitkin County Community Development Department)
PERMITS
5/29/2018 Pitkin County Mail - Release of Performance Bond No. K09161466
T>K1N
COUNT11 Jeremy Duncan<jeremy.duncan@pitkincounty.com>
Release of Performance Bond No. K09161466
Richard Neiley<richard.neiley@pitkincounty.com> Fri, May 25, 2018 at 9:14 AM
To: matthew.nowaczyk@acegroup.com, "Pitts, Danielle" <Danielle.Pitts@blackhiIIscorp.com>
Cc: Suzanne Wolff <suzanne.wolff@pitkincounty.com>, Jeremy Duncan<jeremy.duncan@pitkincounty.com>
Mr. Nowaczyk and Ms. Pitts:
Please see attached letter of today's date regarding the above -referenced permit.
Thank you,
Richard Y. Neiley III
Assistant Pitkin County Attorney
970-920-5192
Confidentiality Notice
This e-mail transmission and any accompanying documents contain information belonging to the sender which may be
confidential and legally privileged. This information is intended only for the use of the individual or entity to whom this e-
mail transmission was sent as indicated above. If you are not the intended recipient any disclosure, copying, distribution
or action taken in reliance on the contents of the information contained in this e-mail transmission is strictly prohibited. If
you have received this transmission in error, please call us collect to arrange for the return of the documents to us at our
expense. Thank you
ii Ur. re sourcegas.blackhills bond 05.25.2018.pdf
35K
https://mail.google.com/mail/?ui=2&ik=aOb350bfO7&jsver=-dxVNc9YO2g.en.&cbl=gmail_fe_180516.06_p8&view=pt&msg=16397de8b96ac2fb&search=inbox&siml=1 f
PITKIN COUNTY ATTORNEY
John M. Ely
County Attorney
John.Ely@,nitkincounty.com
Laura C. Makar
Assistant County Attorney
Laura.Makar(&_pitkincounty.com
Richard Y. Neiley III
Assistant County Attorney
Richard.Neiley@pitkincounty.com
VIA EMAIL TO:
Mr. Matt Nowaczyk
Senior Underwriter, Surety
ACE Surety
2 Riverway, Suite 900
Houston, TX 77056
Matthew. nowaczyk(c acegroup. com
Ms. Danielle Pitts
Manager, Insurance Operations
Black Hills Corporation
123 Emma Road, Suite 204
Basalt, Colorado 81621
Tel: (970) 920-5190
Fax: (970) 920-5198
May 25, 2018
7001 Mt. Rushmore Road, Rapid City, SD 57702
PO Box 1400, Rapid City, SD 57709
Danielle.Pittsgblackhillscorp. com
RE: Release of Performance Permit Bond No. K09161466.
To whom it may concern:
Lisa MacDonald
Jane Achey
Paralegals
Lisa.MacDonaldkpitkincounty.com
Jane.Achey@pitkincounty.com
This letter is in regard to Performance Permit Bond, Bond No. K09161466, dated May 15,
2015 (the "Bond"). The Bond was issued in connection with Permit No. 0014.2016.pbnd (the
"Permit") to secure performance of certain revegetation obligations related to the work performed
under the Permit by SourceGas, LLC in accord with applicable provisions of the Pitkin County
Land Use Code. Those Permit obligations have been fulfilled to the satisfaction of the Board of
County Commissioners of Pitkin County, Colorado; and, therefore, the liability of the Surety
identified in the Bond is hereby terminated and released. Please feel free to contact me in regard
to this matter should it be necessary to do so.
Vtruly,
Ric and eiley
Cc: Ms. Suzanne Wolff, Assistant Director, Pitkin County Community Development Dept.
Mr. Jeremy Duncan, Senior Administrator Assistant, Pitkin County Community Dept.
5/29/2018 Pitkin County Mail - Release Letter of Credit for Black Hills Energy
-'>K1N
COUNT11 Jeremy Duncan<jeremy.duncan@pitkincounty.com>
Release Letter of Credit for Black Hills Energy
Larisa LaLonde<larisa.lalonde@pitkincounty.com>
To: Jeremy Duncan<jeremy.duncan@pitkincounty.com>
Hi Jeremy,
Tue, May 8, 2018 at 3:47 PM
Please release the letter of credit from Black Hills Construction in the amount of $150,000. The financial security was
taken to ensure the successful revegetation of a gas line project extending from Aspen Valley Ranch to the Intercept Lot.
On May 8th, 2018 1 inspected the project site and found that the revegetation efforts were successful and the letter of
credit should be released. The bond # is 0014.2016.PBND.
Thank you,
Larisa LaLonde, PLA, ASLA, AICP
Planner, Zoning
Pitkin County Community Development Department
130 S. Galena St.
Aspen, Colorado, 81612
970.920.5452
larisa.lalonde@pitkincounty.com
https://mail.google.com/mail/?ui=2&ik=a0b350bf07&jsver=-dxVNc9Y02g.en.&cbl=gmail_fe_180516.06_p8&view=pt&msg=16341 b95ac64ab9a&search=inbox&siml=1
PERFORMANCE PERMIT BOND
Bond No. K09161466
KNOW ALL MEN BY THESE PRESENTS:
That we, SourceGas. LLC of 60012th Street, Suite 300, Golden, CO. 80401, a Delaware limited liability
company foreign qualified to do business in Colorado. as Principal, and Westchester Fire Insurance
Company of 436 Walnut Street, Philadelphia, PA 19106-3703, a Pennsylvania corporation foreign
qualified to do business in Colorado, as Surety, are held and firmly bound unto the Board of County
Commissioners of Pitkin County, as Obligee, in the just and full sum of Three Hundred Seven Thousand
Eight Hundred Eighty Nine and no/100 United States dollars ($307.889.00) to be paid to the said Obligee,
for which sum well and truly to be made, we bind ourselves and our legal representatives, jointly and
severally by these presents.
WHEREAS, the said Principal has applied for a RMNG Aspen Valley 10 Inch Earthmoving Permit No.
0044.2015.paem, and is required to furnish a bond.
WHEREAS, under the terms of the above mentioned earthmoving permit, the Principal is obligated to
perform restoration and revegetation in accordance with the terms of the revegetation plan on file with the
County. The above mentioned permit is attached and incorporated within the bond.
NOW THEREFORE, if the said Principal, SourceGas. LLC, shall fully comply with all provisions and
assure proper restoration to preconstruction conditions per the revegetation plan on file with the County,
then this obligation is satisfied, otherwise to remain in full force and effect.
PROVIDED, HOWEVER, the liability of the Surety upon this bond shall be and remain in full force and
effect for the full period of said permit, or until written notice signed by the Board of County
Commissioners of Pitkin County, in their full and reasonable discretion, stating that the liability of the
Surety is terminated and released.
Executed and dated this 15 day of May, 2015.
Witness to Principal
n -z C k
Witness to Surety, Irene C. Hendon
Notice of claim may be provided to the below:
Matt Nowaczyk, Senior Underwriter, Surety
ACE Surety
2 Riverway, Suite 900, Houston, TX 77056
(713) 403-3038 Matthew.Nowaczyka-acegroup.com
Donald W. Green, Project Manager, Operations
SourceGas, LLC
825 21 % Rd.
Grand Junction, CO 81505
970-255-7522 Donald. greena-sou rcegas
SourceGas, LLC
By:
Principal
W tc ster F' Ins Company
B
andace . Bosheers, Att ey-in-Fact
CLEARING, GRUBBING AND EARTHMOVING PERMIT APPLICATION
130 S Galena Street. •Aspen, CO •81611
970-920=5526 Fax 970-920-5439 Permit #
www.asoenpitkin.com
Receipt #
VALID PERMIT MUST BE KEPT ON SITE AT ALL TIMES
Permit valid for one year unless otherwise specified.
1. Job Address:
See attached legal description
2. Legal description of property;
See attached legal description
3. Owner(s)'s Name: Contact,Number: Mailing Address:
See attached exhibits
4. Owner'sAuthotized Agent: Contact Number. Mailing Address:
N/A
5. Contractor's Name: Contact Number. Mailing Address
�131�1WN
J+ in 652
6. Arctiftelal or Engineer on Record: Contact Number: Mailing Addres .
High Country Engineering (970) 945-8676 1517 Blake Ave, Glenwood Springs, CO' 81601
7. Parcel ID number of property where work will occur:
Check hftp:/Avww.6spenphkin.co.m/Deparbmnts/Assessor or call.the
See attached
Pitkin County Assessor's Office at 970-920-5160 for the parcel ID number.
8. Property also known as: (Provide a detailed map showing the location at legible scale)
See attached
9. Land use approval number(s)!
PZ-1-2015
10. Type of work:
Berm(s) Trt;nch(es) Trails) X Undergrounding Utilities
Ponds (s) or other water diversion(s) X Clearing/Grubbing Site Grading
Other:
11. Type of material to be excavated or placed on property:
1 fa. Material will be brought from: 11b. Is the material possibly contaminated? Yes No--X-
om11c.Excavatedmaterialwillbetakento:
11c. Excavated material will betaken to:Elam Construction
12. Description ofwgrk; bee attached
Total acreage or square footage of disturbance: 35 acres total, no more than 2 acres at one time
Total cublcyards of material moved:
Max cut depth: 6011 Max fill depth: 60"
13. Wiill"the project result in disturbance of 2 1 acre of land? Yes X No
13a. If you answered "Yes", submit copy of your state Construction Stormwater Permit or R-Factor waiver. Informafion on this permit is
availab.ie;at;,httpJ/www.cdphe.state.co..ushvq/PermhsUnWstormwater!construction, html.
14. Is any portion of the project already complete? NO If Yes, give reason and date(s) of prior construction activity.
The pipeline has been extended in two earlier phases-, however, the current phase, of construction has not begun.
15. Will.the project disturb/result in removal of any vegetation? Yes X No
1.5a. If you answered "Yes" submit a revegetation plan, Including a plant list with scientific. names ofspecies; planting-schedule and method
of Irdgatlon.The County's Revegetatioq Guidelines are available at: httpJJwww,aspenpi}kin:donUDepartmenWPublic-Works/Land-
Management.
15b. How will you prevent the establishment of noxious weeds at the project? See attached Noxious' Weed Managerrent Plan
16. Will the project result in disturbance of any wetlands or riparian areas? Yes X No
18a. If you ,answered "Yes'', submit a description of your revegetationlmidgation plan, including a pIont.listwith scientiric names of species,
planting sbhedule and mathod.of Irrigation. Also submit a copy of.yourU.S: Army Corps of Engineers Sec. 464 permit in connection wit
any disturbance of jurisdictional vwoters" of the U.S. Contact the U:S..Army Corps of Engineers in Grand Junr tioh (970-243-1199) for
information on Sec.. 404 permit requirements. Please see attached USACE Pre-Construction Notifications for the
pipeline's crossing of Dry Woody Creek and Walthen Ditch. Sec 404 Permits are pending.
Earthmoving Periri1t2011.x1s 8.1.11
17. Will the project involve work in the Pitkin County Right of Way? Yes X No
17a. If you answered "Yes" a County Right of Way Work Permit must be obtained prior to commencing work. information on this permit is
available at: http:ltwww.aspenpltkin.com/DepartmentvPublic-Works/Engineering-Road-Bridge or by calling Public Worksat•970-924-
18. Will the project disturblinvolve work in the-100-year flood plain? Yes No X
18a. If you answered "Yes" a County Floodplain Development Permit must be obtained prior to commencing work. Information on this permit
is available at: http://www.aspenpitkin.com/Departments/Community-Development-Pitkin-County/Planning-and-Zoning/Land-Use-
Engineering/.
Having carefully read the requirements, I (Applicant) hereby agree to the terms and conditions described within. This form is,a permit
only when validated by County staff. Work started without a permit will be subject to Pitkin County enforcement action and charged
double permit fees.
19. Signature of Applicant:
19a. Date:
20. Signatureof Prolierty-Owner(s):
20a. Date:
FOR STAFF USE ONLY DO NOT WRITE BELOW THIS LINE):
21. Additional Terms and'Conditions of Permit (check all that apply):
At the time of issuance of this p'emtit you are required to post $ as financial security to ensure successful
completion of your revegetation plan. Those monies will beheld for two .growing seasons from the date of completiorh of the project and
will only be released atthattime if a site visit by Pitkih County-Zoning confirms that successful revegetation has been accomplished.
Applicant is obligated to contact Pitkin County Zoning (970-4292799) to schedule the required two-year site visit, The monies will be
forfeited If successful revegetation is not confirmed after two growing seasons, or If Applicant fails to timely schedule the required site
visit.
Documentation of decreed water dglsts Is required.
Documentation of State Engineer approval of a Jurisdictional sized dam, or documentation of filing of a. Notice:of Intent to
Construct a Non-Jurisdictional Water Impoundment Structure (in. the case of non Jurisdictional size dam) is required.
Other.
Minor Clearing, Grading, Grubbing-and Earthmoving Permit Application (less than 100 cy): $413.00
(Flat fee due at submittal)
Major Clearing, Grading, Grubbing and Earthmoving Permit Application (more than 10.0 cy): $643.00
(Flat fee due at submittal)
The following additional referral fees may be required to be paid prior to issuance of this permit for major projects.,
County Engineer Referral Fee: =
Additional Flat Fee for Applications Involving Large Scale Undergrounding of Utilities & Eartbmoving Projects 225
You will also be invoiced by PItkin County Staff for any review and follow up inspection time exceeding 3 hours at a rate of $T50/hr.
Date Permit Applicatio
Permit Flat Fee. (due at submittal): Check 4 —�--
Received-
Additional Fees (due at issuance): Check #
TOTAL FEE (no refunds7:
Date Permit Issued:
22. Staff Comments:
23. Approved by Pitkin County Engineer (ff req'd):
23a. Date:
24, Approved by Pitkin-County revegetation specialist
24a. Date:
25. Approved by Pitkin County PlanningfZoning:
25a. Date:
Earthmoving Permit 2011:xts IIAl l f
Power of
Attorney >.
WESTCHESTER FIRE INS]
I rt,l I r, r
Know all most by -these prp"t3: That Wt.Sj0-0jESTEA FIRE INSURANCE C.0MPA.NYia cor.poratW
f&lowtn Fleabiutlon" adopted bythr-Boarid lit.Dimtors oikthc said Company on Decom6i r 11, 2006; to. wit
AE90L%14P thin the, iailmytris ft -to the "'taiiiii, for and on b"forthe Company. recogitzonm Armani is and :W*A,vrr4
Bub of the Clw-4ei. the proldeial Ono *a Vidavita rdeM401hoComparry is hereiry authorized to oxettit*aaiiWritten ComnaGriltiI fqt.mddn behlilfafftCampeny i
odierivac
(2) Evill du�yappeinted aaoAl;y4a4a49f*oCW", I& 10mb) adhiliaell to ea=ut*wWnticn Cornmarml for and on t;4Wfot*0 Can tpiiia ia ofthe edmpmi at 00terivria, totic"s, 0.1
00 giction is saittrinize4% 4c qsOvtpamna; pr"de# F^ r ilimb persom writto p"tment as such asoma) -m -fact
(3) E96 P r (IN chelffilart. 16 Weslikol will the Vo Pnod6its or* Camis berviry, polarizedfor and on behalf of the CDM0ank T i.9 appoltil a
i
hw 0
wrift -y genion iia linp
Poll ap%veirand qtwwrio to "NW, for and 0j1.40(hqef0.ia Com;lanj,:66the sal,- bho Company or adictiviso, such wriniiiitonvPintols qfta Compoy. 05 may, Ws find in such avngm
appommW�..vvIn&4pcvficl4a" may baby write typo.'prclm.prwnucnf!ommitMm" by spooficaucin of one or more particuldiVotten mrnuipntx
(4) Each ordwomwavi, the prasid6w%d.-v,,e%0 Priudait%or0d diimpan?:iii haralliviat4orind, rar and an behalf ofthe Company, writing an)- other otryw'' ia1
I fftoerafda 6...
execute, for and on b"rofft company under the Ctimpan) s seal or othmvim such Written Cominviancrits of the company us are specified in %Tilton dolegot ens whidi,s on
"maj be try
figMoro gawwt)vomqlpo(WntwCom=tmchis orb)xMinonofomorpamculArWrittcnCwmmunmt&
9doemiunli,01ty Writ "Itir app?.tit"Mit Pr dolmation pursuam to flu$ Rcs4ition, the seW or dw catilip'n, i14
y
Written Commitment at %YnM upp*lMtnl Qr-#R0j64L
FURTIJERRYAOLV6Dd4lbefrtreeo4ngAcgolutionshagm4.Wdo, 'Zia biV exiiisive staw'@=g-'*f the powers and authority 4offlisers, ent permitsto jforaiNJaaiatibalf of dioi
(PwTmv and slid Rcitilintact sholl not oihcn%lse validly 1pariw.or.4�d
J"
Does hereby nominate, comictute and appoint%Armig S Btidnar;-13epplom I) W.11co.%.Candace D Bosheers, Dan W Ourton,15avid StepihRns,.Rw'C MCI aUj.b1m.jTif,.sqti I
DKclly all of the City of HOUSTON Texas, each individually Wihere be more than one named, its true and lawful attorney -m -fact, to, ike,executc,se . 0and,4,@iVcr
tin its bobair; 4nd as it"ot and deed my aW alt-h6rids'. tridertakings, recogmzancekcontracts an other writings tryP64hies not ,exce,� �,irjTiftiien,"
mill iort dollms & zero cents (91 5,00.IXOOG00:andAct*ocuii*.on of such writings inlpwonce ii6hesip presents -shall be as b�ildmg. vpofi, said Compdfiym tally and
amply as if they bid been duly executed and 0.knowledge4lty the regularly elected-i6fters 000e Cam party at its principal Wice. i�
.
IN WITNESS WHEREOF, the said Stephen M. Haney, Vice-kitsident, has hereunto, b6il his name and affixe4ftCprpora s0q1orielsaid WESTCHESTER
FIRE INSURANCE COMPANY this 23 day.91-January -2011
WESTCHEST-ER PIREI K--SVfRA K: MPANY
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF PHILADELCHIA ss
On this 23-4ay0fJan*Y, AD 2Q.13 bgfortitne. a.Nbtary,PubPc oft.beCommonwealth ol'Pennsylvania in and fbir ft* el ia,acme Stephens.
M Haney Vice-Presi0crit qf the :WEST '64 " '' I
ql3ES.TER FIRE INSURANCE COMPANY: to me personally known to -be tl* individual *ho,qxccUt4101be,, 1jjj
precodinginstrumen an hi acklulwici0 *at he executO ft sartie, and that the S'W ifflixed to the preceding tristrument isiho-vo ralk's o' *r. $4, i 4 Co 1,11val ny� that
A_
6oro 'on r cpi;46y`t1l"6ard'of Dow
the said corporate seal .. d hIs signature were 4uly affixed �.y the au wW directi a the said corporationjulftarResaution,
of said Company, rererrq.d to otic piucediq id)qwitant, is now in force"
"jIli
INTESTIMONY WHEREor, I have hereunto set my band and axed my-afficial seal at the City of Philadelphia the day and year first, vt�lwntten
%
KWM F_ lei
L
1, the undergigned-AssiMrit4ecreMy ty . rtheVESTCRESTER FIRE fNSURANCE COMPANY, dobemby certify tfiathe,w
which the farogojog is "ubkontiiilly trw "d orrect co., is in fWt force and efTect-
In witness Avreof I have bilreptesubscribed my name 8s Assistant Secretary and affixed the corpomtewalofthKokpo(op", thi/'J� day oV'
,j
Nat Iii I
city,
�H
THIS POWER OF Al-rORNEY MAY NOT BE USED To EXECUTE ANY BONDVITH AN INC�PTIQ$ PATE AFTEI ifliquary 23,f
5
. ... ......
0 THE BACK OF THIS DOCUMENT LISTS VARIOUS SECURITY FEATURES 0 THAT WILL PROTECT AGAINST COPY COUNTERFEIT AND ALTERATION. 0
006888290
Please look for the following additional security
features before accepting this document. IF NOT
PRESENT, DO NOT NEGOTIATE THE DOCUMENT.
• Laid lines on the back of document should be
in alignment or the document is not authentic -
watch for cut and paste.
• Microprinting - under magnification, the inside
border on the front of this document should
read: "Standard Register Standardized
Security".
• Thermochromic Ink - Standard Register mark
on back of document fades from blue to clear
when heat is applied.
• An Artificial Watermark is present and is
viewable at an angle.
• Security void pattern on front if copied.
+�:� ~;y •'milt s. .�-, :� r � ,�
THIS BOND REPLACES AND SUPERSEDES TRAVELERS CASUALTY AND SURETY COMPANY
OF AMERICA BOND NO. 61SIO3579234BCM EFFECTIVE JANUARY 30, 2008.
Bond No.: K07097694
Bond
KNOW ALL MEN BY THESE PRESENTS: That SourceGas Distribution LLC is held and firmly
bound unto Pitkin County, Colorado in the penal sum of One Hundred Fifty Thousand and no/100
($150,000.00) for the payment which SourceGas Distribution LLC binds itself, its successors and
assigns, by these presents.
Sealed with our seals, and dated this 30`h day of January, 2008.
The condition of this obligation is as follows:
WHEREAS, Pitkin County requires various bonds from persons engaged in installation, repair or
removal of pipelines who in the course of their operations excavate public right-of-way, including road
crossings, to install, repair or replace said pipelines throughout Pitkin County.
WHEREAS, said security is to cover damage to property or person arising from any negligence
by SourceGas Distribution LLC in effecting or protecting such work.
WHEREAS, SourceGas Distribution LLC in the course of its business as a natural gas utility is
frequently required to make such installations, repairs or removals.
WHEREAS, after completing each installation, repair or removal, the said SourceGas
Distribution LLC shall restore the area of work to its original condition so far as practable and perform
such repair which becomes necessary within a period of two years after completion of such work.
NOW, THEREFORE, if the said SourceGas Distribution LLC well and tryly complies with
applicable local ordinances, and conducts business in conformity therewith, then this obligation to be
void; otherwise to remain in full force and effect.
PROVIDED, HOWEVER, this bond shall continue in force until canceled by the Surety by the
sending of notice in writing to Pitkin County, stating when, not less than thirty days thereafter, liability
hereunder shall terminate as to subsequent acts or omissions of SourceGas Distribution LLC.
ATTEST: SourceGas Distribution LLC
�)onaL4� /< 0gli IYG11
-#30-7, W-04'
OD14. ZolLe. rbAd.
Westchester Fire Insurance Company
MS
Teresa D. Kelly, Attorney -in -Fact
IZ
5/25/2016 Pitkin County Mail -RE: Earthmoving Permit Application Form
()I IF1a1\
Got Susan Pearson<susan.pearson@pitkincounty.com>
RE: Earthmoving Permit Application Form
1 message
John Ely <john.ely@pitkincounty.com> Fri, May 15, 2015 at 1:22 PM
To: "Green, Donald" <Donald.Green@sourcegas.com>
Cc: Susan Pearson<susan.pearson@pitkincounty.com>, "Coulter, Franki" <Frankianne.Coulter@sourcegas.com>,
Candace Bosheers <cbosheers@alliant.com>
Mr. Green, the form of the bond is acceptable, thank you.
Susan, the references on the permit should be changed for the reveg. and weed management plans to refer not
to an attached document but to Source's application received Apr 29, 2015.
Confidentiality Notice
This e-mail transmission and any accompanying documents contain information belonging to the sender which may be
confidential and legally privileged. This information is intended only for the use of the individual or entity to whom this
e-mail transmission was sent as indicated above. If you are not the intended recipient any disclosure, copying,
distribution or action taken in reliance on the contents of the information contained in this e-mail transmission is strictly
prohibited. If you have received this transmission in error, please call us collect to arrange for the return of the documents
to us at our expense. Thank you
John M. Ely
Pitkin County Attorney
970-920-5190
From: Green, Donald[mai Ito: Donald. Green@sourcegas. com]
Sent: Friday, May 15, 2015 9:54 AM
To: John Ely
Cc: Susan Pearson; Coulter, Franki; Candace Bosheers (cbosheers@alliant.com)
Subject: FW: Earthmoving Permit Application Form
Importance: High
v�
Mr. Ely,
Here is the most revised Copy of the Revegetation bond for the Aspen Valley 10" project. Candace has includt
the requested changes and included a copy of the Permit application for your review. Please review and If this
approved Candace will follow up with a signed Copy for Susan.
Thank you in advance for working with Sourcegas in finalizing this bond.
13
https://mail.google.com/mai I/u/0/?ui=2&i k=cbc5O2455f&view=pt&q=cboger°/ 40hrlcom p.com&qs=true&search=query&th=14d5908c1390ed54&si m1=14d5908c1... 1/4
5/25/2016
Donald W. Green
SourceGas
Project Manager, Operations
82521 '/2 rd.
Grand Junction, CO 81505
Donald. green@s ourcegas
Pitkin County Mail -RE. Earthmoving Permit Application Form
From: Candace Bosheers [mailto:cbosheers@alliant.com]
Sent: Friday, May 15, 2015 9:44 AM
To: Green, Donald
Cc: Coulter, Franki
Subject: RE: Earthmoving Permit Application Form
This email originated outside the SourceGas network. Please exercise caution before opening
attachments or clicking on links.
Donald,
I've included a copy of the bond with latest revisions along with the permit attached as requested. I assume we'll
need to provide to Mr. Ely for his approval once again. If this is acceptable I will sign and email a scanned copy
to all before sending out the original by FedEx.
Thank you,
Candace Bosheers
Account Manager, Surety
Alliant Insurance Services, Inc.
EFFECTIVE MAY 13, 2015 OUR NEW ADDRESS IS:
5444 Westheimer, Suite 900
Houston, TX 77056
14
https:/Imalt.google.com/mail/u/0/?ui=2&ik=cbc502455f&view=pt&q=cboger%40hrleom p.com&qs=true&search=query&th= 14d5908c1390ed54&siml=14d5908c1... 214
5/25/2016
D: 713-4704133
O: 832 485 4000
F: 713-470-4433
c bos h ee rs (d) a l l i a n t. c o m
Pitkin County Mail -RE: Earthmoving Permit Application Form
www.alliant.com <htto'//www.alliant.com/>
CA License No. OC36861
441hant
From: Green, Donald [mailto: Donald. Green@sourcegas.com]
Sent: Friday, May 15, 2015 10:25 AM
To: Candace Bosheers
Cc: Coulter, Franki
Subject: FW: Earthmoving Permit Application Form
Here is a copy of the Permit Application. As far as the full Binder, the file would be too large to e-mail. Susan
Pearson was to deliver the permit to Mr. Ely. Please take a look and let me know if you think this will suffice. I
have also attached the Reclamation plan if you feel we need to supply to the County Again.
Thanks
Donald
From: Charlee Boger [mailto:cboger@hrlcomp.com]
Sent: Friday, May 15, 2015 9:20 AM
To: Green, Donald
Cc: Anna Smith
Subject: Earthmoving Permit Application Form
This email originated outside the SourceGas network Please exercise caution before opening
attachments or clicking on links.
16
https://mai I.google.com/mail/u/0/?ui=2&ik=cbc5O2455f&view=pt&q=cboger°/o40hricom p.com&qs=true&search=query&th=14d5908cl390ed54&simI=14d5908c1... 3/4
5/25/2016
Chartee Boger I Project Manager
Pitkin County Mail -RE: Earthmoving Permit Application Form
HRL Compliance Solutions, Inc. I hdcomp.eom
2385 F 1 /2 Road I Grand Junction, CO 81505
main 970.243.3271 x 402 1 mobile 970.270.8086
COMPLIANCE SOLUTION5. INC-
EnwGonmental Consei !ants
This e-mail and all attachments to it are for the sole use of the intended recipients and may contain proprietary
information and trade secrets of Alliant Insurance Services, Inc. and its subsidiaries. This e-mail may also
contain information which is confidential or which is protected from disclosure by privilege. Any unauthorized
use, disclosure or distribution of this e-mail and its attachments is prohibited. If you are not the intended
recipient, let us know by reply e-mail and then erase and destroy all electronic or other copies of this message.
ILf
https://mail.google.com/mail/u/O/?ui=2&i k=cbc502455f&view=pt&q=cboger%40hrlcom p.com &qs=true&search=query&th= 14d5908cl 390ed54&si in 1=14d5908cl... 4/4
PERFORMANCE PERMIT BOND
Bond No. K09161466
KNOW ALL MEN BY THESE PRESENTS:
That we, SourceGas, LLC of 600 12th Street Suite 300 Golden CO 80401 a Delaware limited liability
company foreign qualified to do business in Colorado, as Principal, and Westchester Fire Insurance
Company of 436 Walnut Street Philadelphia PA 19106-3703 a Pennsylvania corporation foreign
qualified to do business in Colorado, as Surety, are held and firmly bound unto the Board of County
Commissioners of Pitkin County, as Obligee, in the just and full sum of Three Hundred Seven Thousand
Eight Hundred Eighty Nine and no/100 United States dollars ($307,889.00) to be paid to the said Obligee,
for which sum well and truly to be made, we bind ourselves and our legal representatives, jointly and
severally by these presents.
WHEREAS, the said Principal has applied for a RMNG Aspen Valley 10 Inch Earthmoving Permit No.
0044.2015.paem, and is required to furnish a bond.
WHEREAS, under the terms of the above mentioned earthmoving permit, the Principal is obligated to
perform restoration and revegetation in accordance with the terms of the revegetation plan on file with the
County. The above mentioned permit is attached and incorporated within this bond.
NOW THEREFORE, if the said Principal, SourceGas LLC shall fully comply with all provisions and
assure proper restoration to preconstruction conditions per the revegetation plan on file with the County,
then this obligation is satisfied, otherwise to remain in full force and effect.
PROVIDED, HOWEVER, the liability of the Surety upon this bond shall be and remain in full force and
effect for the full period of said permit, or until written notice signed by the Board of County
Commissioners of Pitkin County, in their full and reasonable discretion, stating that the liability of the
Surety is terminated and released.
Executed and dated this 15 day of May, 2015.
Witness to Princi
to Surety
Notice of claim may be provided to the below:
Matt Nowaczyk, Senior Underwriter, Surety
ACE Surety
2 Riverway, Suite 900, Houston, TX 77056
(713) 403-3038 Matthew.Nowaczyk Dacegroup.com
Donald W. Green, Project Manager, Operations
SourceGas, LLC
82521 Yz Rd.
Grand Junction, CO 81505
970-255-7522 Donald.green(d).sourcegas
SourceGas. LLC
Principal
Westchester Fire Insurance Company
Candace D. Bosheers, Attorney -in -Fact
11
APPLICATON
MATERIAL