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HomeMy WebLinkAboutLicense & Permit BondLICENSE & PERMIT BOND Bond Number: 022054061 KNOW ALL MEN BY THESE PRESENTS, that we Red Rock Gathering <�iAiD _or- /&- 412x51 Interchange Corporate Center 450 Plymouth Road, Suite 400 Plymouth Meeting, PA 19462-1644 Ph. (610) 832-8240 , as principal (the "Principal"), and Liberty Mutual Insurance Company, a Massachusetts stock insurance company, as surety (the "Surety"), are held and firmly bound unto Garfield County/Board of County Commissioners , as obligee (the "Obligee"), in the penal sum of Eight Thousand, Six Hundred Seventy, Five & 001100 - - — Dollars ($8,675.00 ), for the payment of which sum well and truly to be made, the Principal and the Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has applied for a license or permit for Grading Permit. Pro'ect: WPX RU 22-7 for the term beginning the 5th day of May, 2016, and ending the 5th day of May, 2017, and this Bond is intended to cover the term of said License or Permit. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the license or permit is issued to the Principal, and if Principal shall indemnify and save harmless the Obiigee from and against all loss, to which the Obligee may be subject by reason of the Principal's breach of any ordinance, rule, or regulation, relating to the above described license or permit, then this obligation shall be null and void; otherwise to remain in full force and effect. PROVIDED AND SUBJECT TO THE CONDITIONS PRECEDENT: 1. The liability of the Surety hereunder shall in no event exceed the penal sum of this bond as stated above, regardless of the number of years the bond shall continue in force. 2. This bond shall continue in force until (surety shall elect either option a or b) ❑ a. the day of 20 , or until the expiration date of any Continuation Certificate executed by the Surety. ❑ b. the Surety notifies the Obligee in writing of its cancellation of the bond The Surety shall be reCeved of any further liability under this bond thirty (30) days after receipt of said notice by the Obligee, except for defaults occurring prior thereto. 3. Any claim under this bond must be presented in writing to the Surety to the attention of The Surety Law Department at the following address: Interchange Corporate Center, 450 Plymouth Road, Suite 400, Plymouth Meeting, PA 19462-1644. Should the address of the Surety change, then notice shall be delivered by the Obligee to the Surety as directed in writing by the Surety. DATED as of this 5th day of May, 20 16. WIT ESS 1 ATTEST Red Rock Gathering (Principal) 1,01WARk, By:, (Seal) II : LIBER UTUAL IN RANC OMPANY (Surety By: Mllmz (Seal) Cara D. Hancock, orrf y in -Fact LMIC-6500 Rev. 03/04 THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. "ibis Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except In the manner and to the extent herein stated. Certificate No. 7218818 American Fire and Casualty Company The Ohio Casualty insurance Company Liberty Mutual Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: Thal American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire, that Liberty Mutual insurance Company Is a corporation duty organized under the laws of the Stale of Massachusetts, and WestAmedcan Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the'Companiesil, pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Cara D. Hancock; Harold D. Binaaeli; Jennifer Winters: Ron W- Slroman all of the city of Lubbock state of TX each individually if there be more than one named, its true and lawful attorney-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 surely 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 of Attorney has been subscribed by an authorized offic.r or off cial of the Companies and the corporate seats of the Companies have been affixed thereto this 31st day of December 2015 �1y0 CAI Y INS V 4INStyk 10stlg 1906 0 0 1919 n 1912 ° ` 1991 0 v x > z ���F-6""�„r?`r;b °y �•.,,,a,•'���dt y��"�:.x,,,r *e'er , ^m.n• t STATE OF PENNSYLVANIA ss COUNTY OF MONTGOMERY American Fire and Casualty Company In The Ohio Casualty Insurance Company N Liberty Mutual Insurance Company 41 West merican Insurance Company BY: .O David M. Care , Ass slant Secretary c On this 31st day of _December 2015 , before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of American Fire and Casualty Company, liberty Mutual Insurance Company, The Ohio Casua,ly 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 Plymouth Meeting, Pennsylvania, on the day and year first above written SSP PAS,?. � COMMONWEALTH OF PENNSYLVANIA ,c Q dao"wer rr astelf . ole Teresa Paslelfa, Notary Public By - OF Plymouth TWO , Monlgomery Courtly Teresa Pastella, Notary Public * My Commission Expires March 28, 2017 �bpYP Member, Pennsylvania Association or Nolanes 4qy This Power ofAttomey is made and executed pursuant loan by authority of the following By-laws and Aulhorizalions of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American 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 10 such limitation as the Chairman or the President may prescribe, shall appoint such adomeys-in-fact, as may be necessary to act in behalf of ft Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such aHomeys-in-fact, subject la the I.-milations 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 authoril ARTICLE x111– 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 attorneys -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 David M. Carey, Assistant Secretary to appoint such altomeys-fn- 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 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 binding upon the Company with the same force and effect as though manually affixed. I, Gregory W. Davenport, the undersigned, Assistant Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify [hat the original power of attorney of which the foregoing Is a full, true and correct copy of the Power of Altomey executed by said Companies, 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 5 th day of _ May _ –_ 2016 1,1sD CASA `�Y INSV _INS vqµINS Uq - 4(.+0r�Yl^ 1906 0 0 1919 e t 1912 y 1991 °s By= — a Z Gregory W. Davenport, Assistant Secretary 22 of 150 LMS 12873 122x13 C �o U June 2, 2016 Garfield County Andy Schwaller Garfield County Community Development Department RE: GRAD -4254 Vegetation Management Dear Andy, The Noxious Weed Inventory and Management plan and proposed seed mixes for this project is acceptable. Staff recommends a revegetation security of $8,675 ($2500 per acre x 3.47 acres of disturbance). The security shall be held by Garfield County until vegetation has been successfully reestablished according to the Reclamation Standards section in the Garfield County Weed Management Plan. The Reclamation Standards at the date of permit issuance are cited in Sections 4.06, 4.07 and 4.08 of the Garfield County Weed Management Plan (Resolution #16-12). Please let me know if you have any questions. Sincerely, '-&W ,irk." Steve Anthony Garfield County Vegetation Manager 0375 County Road 352, Bldg 2060 Rifle, CO 81650 Phone: 970-945-1377 x 4305 Fax: 970.625-5939 6 Garfield County PAYMENT AGREEMENT FORM GARFIELD COUNTY ("COUNTY") and Property Owner ("APPLICANT") Red Rock Gathering Company, LLC agree as follows: 1. The Applicant has submitted to the County an application for the following Project: WPX RU 22-7 Pipeline 2. The Applicant understands and agrees that Garfield County Resolution No. 98-09, as amended, establishes a fee schedule for each type application, and the guidelines for the administration of the fee structure. 3. The Applicant and the County agree that because of the size, nature or scope of the proposed project, it is not possible at this time to ascertain the full extent of the costs involved in processing the application. The Applicant agrees to make payment of the Base Fee, established for the Project, and to thereafter permit additional costs to be billed to the Applicant. The Applicant agrees to make additional payments upon notification by the County, when they are necessary, as costs are incurred. 4. The Base Fee shall be in addition to and exclusive of any cost for publication or cost of consulting service determined necessary by the Board of County Commissioners for the consideration of an application or additional County staff time or expense not covered by the Base Fee. If actual recorded costs exceed the initial Base Fee, the Applicant shall pay additional billings to the County to reimburse the County for the processing of the Project. The Applicant acknowledges that all billing shall be paid prior to the final consideration by the County of any Land Use Change or Division of Land. 1 hereby agree to pay all fees related to this application: Billing Contact Person:Tracey Jensen Phone: (970)440-1006 Billing Contact Address: 707 Wapiti Ave., Ste. 202 City: Rifle State: CO Zip Code: 81650 Billing Contact Email: tjensen@summitmidstream.com Printed Name of Person Authorized to Sign• Tracey Jensen 05/09/2016 (Signature) (Date) - Garfield County STATEMENT OF AUTHORITY Pursuant to C.R.S. §38-30-172, the undersigned executes this Statement of Authority on behalf of Rad Rock Galhednn Company, LLO , a UWted Lleb4ityComanY (corporation, limited liability company, general partnership, registered limited liability partnership, registered limited liability limited partnership, limited partnership association, government agency, trust or other), an entity other than an Individual, capable of holding title to real properly (the "Entity"), and states as follows: The name of the Entity Is Rad fads aathartno Campary& LLC and Is formed underthe laws of ma Slate of Delaware The mailing address for the Entity Is 2128 Railroad Aw., 9ta 06 Tile name and/or position of the person authorized to execute Instruments conveying, encumbering, or otherwise affecting title to real property on behalf of the Entity Is Wcheel W. Rose and TraceyJenaen The limitations upon the authority of the person named above or holding the position described above to bind the Entity are as follows (If no limitations, Insert "None"): 91" PI BF998Imid PII361+bbreaft'dcwh. Other matters concerning the mannerin which the Entity deals with any Interest in real property are (if no other matter, leave this section blank): EXECUTED this 1"Ot day of 20�. .tw STATE OF L } }S5. COUNTY OF } The fare oing In trument was acknowledged before ma this By of 20 by on behalf of uG' e Witness my hand and official I. My commission expires: 05111 Date) (o ary bi JESSICA LIIN �h Notary Public. &&iieet� f ToXas My Commission Explrss May 01, 2014 May 30, 2016 U h] b] I T iA J D " 71R E r -.1A Attention: Andy Schwaller Garfield County Community Development Department 108 Eighth Street, Suite 401 Glenwood Springs, CO 81601 Re: Grading Permit WPX RU 22-7 Dear Mr. Schwaller: Red Rock Gathering Company, LLC 707 Wapiti Avenue, Suite 202 Rifle, CO 81650 Phone: 970.440 1006 Fax- 970.440.1312 In association with Red Rock Gathering Company's Grading Permit Application Submission, this letter shall serve as notice that Red Rock Gathering Company, LLC will comply with all of the terms and conditions associated with rights to lay one or more pipelines as set forth in the below listed documents. Document Type Date Grantor Recording Data Right -of -Way Easement 05/31/16 Beaver Creek Ranch 9'7 7 903 Copies of the foregoing documents have been provided to Garfield County with the submittal of the Grading Permit Application. Sincerely, Red Rock Gathering Company, LLC By: Trace�Jensen Permit Manager HOEPPLI CHRIS PARCEL N0: = LEVERICH 217536300208 I CHRIS PARCEL NO rr 3E• { LEVERICH �i 1 217731100342 t9 PARCELNO. CHRIS LEVERICH ,217131100342 PARCEL NO: 217731100342 �6S, R93W T6S, R94W i S, R94W RB I i! TTS, R93W Rr,-. + BLM PARCEL NO PARCEL NO: PARCEL N0: 240]17100952 240501300066 240317100952 SAVAGE ULM YDUBERG BEAVER r:c RHI CREEK tri RANCH PARCEL NO; 01 AU 13-G 217535100049 it RI k " 02 R, I ' RJ 1 - all Lt ti -- " PROPOSED WPX RU 22-7 V iNCHESTER CEL NO: 8" PIPELINE (3,023' +'1-} 240 200065 ., - �F3p_t I RUDOLPH PARCELHO: - - j.- - RtJ t t •7`•4240308200030 ... f4µFJ9 RU31-12 �,; i'tT BWI PARCEL NO: DAUER i ULM .. 240317100952 PARCEL NQ PARCEL ND: � t y o 2a0708300029 . YDUBERG RV 32.7 PARCEL NO: 240512200065 -. BEAVER q 240$14100954 i? � — --� YDUBERG ' ` _ ULM I CREEK YDUBERG RANCH YDUBERG BEAVER BEAVER CREEK PARCLNG BEAVER CREEK RANCH - 240307700001 CREEK RANCH PARCEL NO: RU 17, RANCH PARCEL NO; 240707300041 WARE j PARCEL NO: 240307300001 WARE I • 12 240307300001 !J ULM WARE PARCEL NO: GOROMAN 240317100952 MIO•STATELEVERICH LLC CONSTRUCTION PARCEL NO: YDUBERG Y4,ae PAIfiCEL NO 240318400014 BEAVER CREEK ZECK 24 12400119 - RANCH PARCELNO ZECK r"•, 40307700001 ' BEAVER CREEK p HIGHLANDS m v m Z i I^ GORDMAN M m b LuctRO LEVERICH LLC r PARCELNO, GOROMAN ULMImp 240318400014 LEVERIC14 LLC N PARCELN07 rp,,EFIMGC 240318400014 VARR Y — - PIZZELIJ RUSIN MANDICH '~ A Legend Summit Midstream ■■ ■' (3,023'+,-'- YDUBERG BEAVER CREEK RANCH) `SECTION 7, T7S, R93W, 6th, P.M.,... 350' BUFFER AREA LL GARFIELD COUNTY, COLORADO a � c c AT�xWasatch Surveying Associates PROIECTlvO 18 -teat REV 6r 906 main Street Er=ton, Wyuming82930 N ASSESSOR MAP DATE 713102416 O SURVEYING Phone No (307)7894545Fax(307)789-57:2 o DATESCALM01201 2,000foet c....-.