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Home My WebLink About482454 NATIONWIDE POWER SOLUTIONS INC - CONTRACT - AGREEMENT MISC - NATIONWIDE POWER SOLUTIONS INCOfficial Purchasing Document Last updated 10/2017 Services Agreement Page 1 of 7 AGREEMENT THIS AGREEMENT made and entered into the day and year set forth below by and between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter referred to as the "City" and NATIONWIDE POWER SOLUTIONS, INC, hereinafter referred to as "Nationwide". WITNESSETH: In consideration of the mutual covenants and obligations herein expressed, it is agreed by and between the parties hereto as follows: 1. Scope. Nationwide agrees to provide and deliver goods in accordance with the Equipment Proposal attached hereto as Exhibit A, consisting of six (6) pages and incorporated herein by this reference. Irrespective of references in Exhibit A to certain named third parties, Nationwide shall be solely responsible for performance of all duties hereunder. 2. Time of Commencement and Completion. The goods to be delivered pursuant to this Agreement shall be initiated immediately following execution of this Agreement. Delivery of the products stated on Exhibit A shall be delivered to the City not later than April 16, 2021. The order shall be shipped and delivered complete and undamaged. The delivery address is: City of Fort Collins, 700 Wood St., Fort Collins, CO 80521, attention DeEtta Carr at 970- 221-6773. 3. Contract Period. This Agreement shall commence February 9, 2021 and shall continue in full force and effect until May 31, 2021, unless sooner terminated as herein provided. 4. Delay. If either party is prevented in whole or in part from performing its obligations by unforeseeable causes beyond its reasonable control and without its fault or negligence, then the party so prevented shall be excused from whatever performance is prevented by such cause. To the extent that the performance is actually prevented, Nationwide must provide written notice to the City of such condition within fifteen (15) days from the onset of such condition. 5. Early Termination by City/Notice. Notwithstanding the time periods contained herein, the City may terminate this Agreement at any time without cause by providing written notice of termination to Nationwide. Such notice shall be delivered at least fifteen (15) days prior to the termination date contained in said notice unless otherwise agreed in writing by the parties. All notices provided under this Agreement shall be effective when mailed, postage prepaid and sent to the following addresses: Nationwide: City: Copy to: Nationwide Power Solutions, Inc. Attn: David Kreger 1060 Mary Crest Road Henderson, NV 89074 City of Fort Collins Attn: Matt Schaefer PO Box 580 Fort Collins, CO 80522 City of Fort Collins Attn: Purchasing Dept. PO Box 580 Fort Collins, CO 80522 DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D Official Purchasing Document Last updated 10/2017 Services Agreement Page 2 of 7 In the event of early termination by the City, Nationwide shall be paid only for undamaged goods provided or services rendered to the date of termination, subject only to the satisfactory performance of Nationwide's obligations under this Agreement. Such payment shall be the Nationwide's sole right and remedy for such termination. 6. Contract Sum. The City shall pay Nationwide for the performance of this Contract, subject to additions and deletions provided herein, Eighty-Three Thousand Eight Hundred Thirty- Five Dollars ($83,835.00) as per the attached Exhibit "A", consisting of six pages (6) pages, and incorporated herein by this reference. Nationwide shall invoice fifty percent ($41,917.50) of the contract sum upon execution of the Agreement and fifty percent ($41,917.50) upon delivery and acceptance by the City. Payment shall be Net 30 days from the date of the invoice. Shipping terms are FOB Destination. 7. City Representative. The City will designate, its representative who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the services provided under this agreement. All requests concerning this agreement shall be directed to the City Representative. 8. Independent Contractor. The services to be performed by Nationwide are those of an independent contractor and not of an employee of the City of Fort Collins. The City shall not be responsible for withholding any portion of Nationwide's compensation hereunder for the payment of FICA, Workmen's Compensation or other taxes or benefits or for any other purpose. 9. Personal Services. It is understood that the City enters into the Agreement based on the special abilities of Nationwide. Accordingly, Nationwide shall neither assign any responsibilities nor delegate any duties arising under the Agreement without the prior written consent of the City. 10. Acceptance Not Waiver. The City's approval or acceptance of, or payment for any of the goods or services shall not be construed to operate as a waiver of any rights or benefits provided to the City under this Agreement or cause of action arising out of performance of this Agreement. 11. Warranty. a. Nationwide warrants that all goods delivered and work performed hereunder shall be performed with the highest degree of competence and care in accordance with accepted standards for work of a similar nature. b. Unless otherwise provided in the Agreement, all materials and equipment incorporated into any work shall be new and, where not specified, of the most suitable grade of their respective kinds for their intended use, and all workmanship shall be acceptable to City. c. Nationwide warrants all equipment, materials, labor and other work, provided under this DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D Official Purchasing Document Last updated 10/2017 Services Agreement Page 3 of 7 Agreement, except City-furnished materials, equipment and labor, against defects and nonconformances in design, materials and workmanship/workwomanship for the longer of; a) the original manufacturer’s warranty; or b) twelve (12) months from the date of delivery, regardless whether the same were furnished or performed by Nationwide or by any of its subcontractors of any tier. Upon receipt of written notice from City of any such defect or nonconformances, the affected item or part thereof shall be redesigned, repaired or replaced by Nationwide in a manner and at a time acceptable to City. 12.Default. Each and every term and condition hereof shall be deemed to be a material element of this Agreement. In the event either party should fail or refuse to perform according to the terms of this agreement, such party may be declared in default thereof. 13.Remedies. In the event a party has been declared in default, such defaulting party shall be allowed a period of ten (10) days within which to cure said default. In the event the default remains uncorrected, the party declaring default may elect to (a) terminate the Agreement and seek damages; (b) treat the Agreement as continuing and require specific performance; or (c) avail himself of any other remedy at law or equity. If the non-defaulting party commences legal or equitable actions against the defaulting party, the defaulting party shall be liable to the non-defaulting party for the non-defaulting party's reasonable attorney fees and costs incurred because of the default. 14.Binding Effect. This writing, together with the exhibits hereto, constitutes the entire agreement between the parties and shall be binding upon said parties, their officers, employees, agents and assigns and shall inure to the benefit of the respective survivors, heirs, personal representatives, successors and assigns of said parties. 15.Indemnity/Insurance. a.Nationwide agrees to indemnify and save harmless the City, its officers, agents and employees against and from any and all actions, suits, claims, demands or liability of any character whatsoever brought or asserted for injuries to or death of any person or persons, or damages to property arising out of, result from or occurring in connection with the performance of any goods or service hereunder. b.Nationwide shall take all necessary precautions in performing the work hereunder to prevent injury to persons and property. c. Without limiting any of Nationwide's obligations hereunder, Nationwide shall provide and maintain insurance coverage naming the City as an additional insured under this Agreement of the type and with the limits specified within Exhibit B, consisting of one (1) page, attached hereto and incorporated herein by this reference. Nationwide, before commencing services hereunder, shall deliver to the City's Purchasing Director, P. O. Box 580, Fort Collins, Colorado 80522, one copy of a certificate evidencing the insurance coverage required from an insurance company acceptable to the City. 16. Entire Agreement; Binding Effect; Order of Precedence; Authority to Execute. This Agreement, along with all Exhibits and other documents incorporated herein, shall DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D Official Purchasing Document Last updated 10/2017 Services Agreement Page 4 of 7 constitute the entire Agreement of the parties. Covenants or representations not contained in this Agreement shall not be binding on the parties. In the event of a conflict between terms of the Agreement and Exhibit A, the terms of the Agreement shall prevail. Each person executing this Agreement affirms that they have the necessary authority to sign on behalf of their respective party and to bind such party to the terms of this Agreement. 17.Law/Severability. The laws of the State of Colorado shall govern the construction interpretation, execution and enforcement of this Agreement. In the event any provision of this Agreement shall be held invalid or unenforceable by any court of competent jurisdiction, such holding shall not invalidate or render unenforceable any other provision of this agreement. DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D Official Purchasing Document Last updated 10/2017 Services Agreement Page 5 of 7 THE CITY OF FORT COLLINS, COLORADO By: Gerry Paul, Purchasing Director Date: ATTEST: APPROVED AS TO FORM: NATIONWIDE POWER SOLUTIONS, INC By: Printed: Title: CORPORATE PRESIDENT OR VICE PRESIDENT Date: DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D Contracts Manager 2/19/2021 Dave Kreger Assistant City Attorney ll 2/19/2021 City Clerk Label Equipment Proposal Number NPSQ42147-06 Date Feb 2, 2021 Thank you for the opportunity to provide you with a proposal relating to your critical power equipment. Nationwide Power understands how important this critical equipment is to your organization so we strive to provide the industries best in products, services, and quality. We appreciate the opportunity and look forward to earning your business. Sold To Equipment Location Address City of Fort Collins Utilities - WoodCity of Fort Collins Utilities - Wood Matt Schaefer Matt Schaefer 700 Wood St Fort Collins, CO 80522 United States 700 Wood St Fort Collins, CO 80522 United States Phone:970.416-4303 Phone:970.416-4303 E-Mail:mschaefer@fcgov.comFax: Salesperson Payment Terms Contract Term N/ADani Toothman Shipping Terms702.800.6654 Net 30 50% Down dtoothman@nationwidepower.com FOB Origin Prepaid & Add An invoice will be issued upon shipment of the products. Down payment of 50% required for all orders exceeding $50,000. Down payment must be received by Nationwide Power prior to placing an order with the manufacturer. All orders subject to credit approval. Equipment is quoted FOB Origin and any freight damage communications and collections are between receiver and carrier. If FOB Destination is required, 5% of the order total will be added to the Total Price and must be reflected on the purchase order. Qty Item Description Ext. Price 1 Eaton 93PM 85kVA/85kW - Factory New Three Phase, Online Double Conversion, Single input, Bottom Entry Field upgrade-able to 120kW, Top Exhaust Input Output Dimensions Unit Weight (lbs) Warranty Voltage Ah/Watts 978.0020820874"H x 22"W x 42"D 1 year labor/parts 1 External batteries provide 127 minutes@ 50kW/ 67 minutes@ full load 2 Battery cabinets: 74"H x 34.2"W x 42"D 4803Lbs each Start-up Afterhours 7x24 $71,838.00SubTotal (Does not include installation, freight or tax) 1 $4,528.00Freight based on dock to dock 1 $5,591.00Line-up and Match Sidecar Maintenance bypass 3 Circuit Breaker, Single Input, 74"H x 12.5"W x 42"D (allows for top entry) , Left Side ATTACHED FORMS MUST BE COMPLETED FOR YOUR ORDER TO BE PROCESSED Unless otherwise indicated, price quotations are valid for 30 days and exclude any applicable freight costs or any applicable sales, use, or other taxes. Prices based on estimated quantities or time periods may change in the event actual quantities or time periods differ. Nationwide Power reserves the right to adjust pricing or delivery dates, during the term of this quote or resulting orders, to reflect the impact of current or future taxes, duties, or tariffs on the price of the products or services included herein. All orders are subject to acceptance by NP. NPSQ42147-06 1060 Mary Crest Road Phone: 800.868.2780 Sold to:City of Fort Collins Utilities - Wood 07:32:49 02/02/21 Page 1 Henderson, NV 89074 Fax: 800.586.5095 1 of 6 Exhibit A Scope DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D Equipment Proposal Number NPSQ42147-06 Date Feb 2, 2021 Sold To Ship To City of Fort Collins Utilities - WoodCity of Fort Collins Utilities - Wood Qty Item Description Ext. Price 1 $759.00PXGX SNMP with EMP and Industrial relay card 1 $1,119.00Energy Saver System - increases efficiency to 98/99% $83,835.00Total ATTACHED FORMS MUST BE COMPLETED FOR YOUR ORDER TO BE PROCESSED Unless otherwise indicated, price quotations are valid for 30 days and exclude any applicable freight costs or any applicable sales, use, or other taxes. Prices based on estimated quantities or time periods may change in the event actual quantities or time periods differ. Nationwide Power reserves the right to adjust pricing or delivery dates, during the term of this quote or resulting orders, to reflect the impact of current or future taxes, duties, or tariffs on the price of the products or services included herein. All orders are subject to acceptance by NP. NPSQ42147-06 1060 Mary Crest Road Phone: 800.868.2780 Sold to:City of Fort Collins Utilities - Wood 07:32:49 02/02/21 Page 2 Henderson, NV 89074 Fax: 800.586.5095 2 of 6 DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D Equipment Proposal Number NPSQ42147-06 Date Feb 2, 2021 Proposal Details Equipment * Leadtime is subject to availability. * Freight, rigging and installation are not included in the above contract pricing, unless otherwise stated above. * Unless otherwise stated herein, Nationwide Power’s warranty obligation for this Equipment is limited to those express warranties made to Nationwide Power by the manufacturer and which are transferrable to Customer. * Authorized start-up may be required for warranty validation. Battery warranty may require semi-annual preventive maintenance for validation (not included). * Refurbished or Used Equipment is first come first serve. * Unless specifically stated herein, this Proposal does not include any special site access requirements such as, but not limited to: site specific training, site specific personnel screening/clearance, or working in confined spaces/locations requiring fall protection/hazardous environmental conditions. Contact your sales representative if any special site access protocols or other site requirements apply. * Customer will pay any local, state or federal sales, excise, use or other taxes which may be levied upon the service or materials provided pursuant to this Agreement. * If shipping Collect on Customer carrier, shipment will be FOB Origin and Customer takes possession/responsibility of the shipment upon Customer provided carrier pick up signature. * Nationwide Power’s "Freight Shipping Instructions” form MUST be submitted prior to order processing to ensure there are no delivery issues. This will assist you in identifying and communicating any additional delivery requirements. You can find this form attached to the proposal or via our website: www.nationwidepower.com/deliveryform. By signing below, Customer hereby authorizesSubtotal: $83,835.00 Sales Tax:$0 By signing below, Customer hereby authorizes Grand Total:$83,835.00PO Required ?Yes No (If Yes, hard copy required)By signing below, Customer hereby authorizes *Tax is not included in this total. PO# By signing below, Customer hereby authorizes Nationwide Power Solutions, Inc. to provide the Products at the prices stated herein and agrees that the provision of such Products shall be subject to and in accordance with the Product Sales Terms and Conditions located at www.nationwidepower.com/productsales. Copies of the Terms and Conditions are available upon request. If a purchase order is not provided, then this signed agreement authorizes Nationwide Power Solutions, Inc. to invoice for such Products. Authorized Name (Print)Authorized Signature Date *** ALL HIGHLIGHTED FIELDS ARE REQUIRED FOR PROCESSING *** ATTACHED FORMS MUST BE COMPLETED FOR YOUR ORDER TO BE PROCESSED Unless otherwise indicated, price quotations are valid for 30 days and exclude any applicable freight costs or any applicable sales, use, or other taxes. Prices based on estimated quantities or time periods may change in the event actual quantities or time periods differ. Nationwide Power reserves the right to adjust pricing or delivery dates, during the term of this quote or resulting orders, to reflect the impact of current or future taxes, duties, or tariffs on the price of the products or services included herein. All orders are subject to acceptance by NP. NPSQ42147-06 1060 Mary Crest Road Phone: 800.868.2780 Sold to:City of Fort Collins Utilities - Wood 07:32:49 02/02/21 Page 3 Henderson, NV 89074 Fax: 800.586.5095 3 of 6 x 9210361 DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D City of Fort Collins Utilities - Wood NPSQ42147-06 Send all documents to PO@nationwidepower.com Please go to www.nationwidepower.com/customerrequirements for a digital version of this page. ATTACHED FORMS MUST BE COMPLETED FOR YOUR ORDER TO BE PROCESSED Unless otherwise indicated, price quotations are valid for 30 days and exclude any applicable freight costs or any applicable sales, use, or other taxes. Prices based on estimated quantities or time periods may change in the event actual quantities or time periods differ. Nationwide Power reserves the right to adjust pricing or delivery dates, during the term of this quote or resulting orders, to reflect the impact of current or future taxes, duties, or tariffs on the price of the products or services included herein. All orders are subject to acceptance by NP. NPSQ42147-06 1060 Mary Crest Road Phone: 800.868.2780 Sold to:City of Fort Collins Utilities - Wood 07:32:49 02/02/21 Page 4 Henderson, NV 89074 Fax: 800.586.5095 4 of 6 DeEtta Carr 700 Wood St. Fort Collins, CO 80521 970-218-4676 dcarr@fcgov.com Jake Rector 300 Laporte Ave Fort Collins, CO 80524 970-221-6776 jrector@fcgov.com x DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D freight@nationwidepower.com City of Fort Collins Utilities - Wood Please go to www.nationwidepower.com/deliveryform for a digital version of this page. ATTACHED FORMS MUST BE COMPLETED FOR YOUR ORDER TO BE PROCESSED Unless otherwise indicated, price quotations are valid for 30 days and exclude any applicable freight costs or any applicable sales, use, or other taxes. Prices based on estimated quantities or time periods may change in the event actual quantities or time periods differ. Nationwide Power reserves the right to adjust pricing or delivery dates, during the term of this quote or resulting orders, to reflect the impact of current or future taxes, duties, or tariffs on the price of the products or services included herein. All orders are subject to acceptance by NP. NPSQ42147-06 1060 Mary Crest Road Phone: 800.868.2780 Sold to:City of Fort Collins Utilities - Wood 07:32:49 02/02/21 Page 5 Henderson, NV 89074 Fax: 800.586.5095 5 of 6 700 Wood St. x x Fort Collins, CO 80521 7AM-3PM MST DeEtta Carr dcarr@fcgov.com970-218-4676 x x DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D Please go to www.nationwidepower.com/deliveryform for a digital version of this page. ATTACHED FORMS MUST BE COMPLETED FOR YOUR ORDER TO BE PROCESSED Unless otherwise indicated, price quotations are valid for 30 days and exclude any applicable freight costs or any applicable sales, use, or other taxes. Prices based on estimated quantities or time periods may change in the event actual quantities or time periods differ. Nationwide Power reserves the right to adjust pricing or delivery dates, during the term of this quote or resulting orders, to reflect the impact of current or future taxes, duties, or tariffs on the price of the products or services included herein. All orders are subject to acceptance by NP. NPSQ42147-06 1060 Mary Crest Road Phone: 800.868.2780 Sold to:City of Fort Collins Utilities - Wood 07:32:49 02/02/21 Page 6 Henderson, NV 89074 Fax: 800.586.5095 6 of 6 DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D Official Purchasing Document Last updated 10/2017 Services Agreement Page 6 of 7 EXHIBIT B INSURANCE REQUIREMENTS 1. Nationwide will provide, from insurance companies acceptable to the City, the insurance coverage designated hereinafter and pay all costs. Before performing under this agreement, Nationwide shall furnish the City with certificates of insurance showing the type, amount, class of operations covered, effective dates and date of expiration of policies, and containing substantially the following statement: “The insurance evidenced by this Certificate will not reduce coverage or limits and will not be cancelled, except after thirty (30) days written notice has been received by the City of Fort Collins.” In case of the breach of any provision of the Insurance Requirements, the City, at its option, may take out and maintain, at the expense of Nationwide, such insurance as the City may deem proper and may deduct the cost of such insurance from any monies which may be due or become due Nationwide under this Agreement. The City, its officers, agents and employees shall be named as additional insureds on Nationwide 's general liability and automobile liability insurance policies for any claims arising out of work performed under this Agreement. 2. Insurance coverages shall be as follows: A. Workers' Compensation & Employer's Liability. TNationwide shall maintain during the life of this Agreement for all of Nationwide's employees engaged in work performed under this agreement: 1. Workers' Compensation insurance with statutory limits as required by Colorado law. 2. Employer's Liability insurance with limits of $100,000 per accident, $500,000 disease aggregate, and $100,000 disease each employee. B. Commercial General & Vehicle Liability. Nationwide shall maintain during the life of this Agreement such commercial general liability and automobile liability insurance as will provide coverage for damage claims of personal injury, including accidental death, as well as for claims for property damage, which may arise directly or indirectly from the performance of work under this Agreement. Coverage for property damage shall be on a "broad form" basis. The amount of insurance for each coverage, Commercial General and Vehicle, shall not be less than $1,000,000 combined single limits for bodily injury and property damage. In the event any work is performed by a subcontractor, Nationwide shall be responsible for any liability directly or indirectly arising out of the work performed under this Agreement by a subcontractor, which liability is not covered by the subcontractor's insurance. DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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(s). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 2/10/2021 Brown &Brown Insurance of Nevada,Inc. 975 Kelly Johnson Dr Las Vegas NV 89119 Cindy Wilson 702-697-7171 702-597-0159 cwilson@bbnevada.com Travelers Prop Cas Co of Ameri 25674 Travelers Indemnity Company 25658NationwidePowerSolutions,Inc. 1060 Mary Crest Rd Henderson,NV 89074 Insurance Company of the West 27847 Allied World Surplus Lines Ins 24319 Federal Insurance Company 20281 1112090256 A X 1,000,000 X 300,000 10,000 1,000,000 2,000,000 X X Y Y 6308G69561620 4/1/2020 4/1/2021 2,000,000 B 1,000,000 X X X Y Y BA9M06121320 4/1/2020 4/1/2021 A X X 8,000,000YCUP8G695616204/1/2020Y 4/1/2021 8,000,000 C X N Y WLV 5054891 00 4/1/2020 4/1/2021 1,000,000 1,000,000 1,000,000 D A E Professional Property Crime 03100745 6308G69561619 82468975 4/1/2020 4/1/2020 12/17/2020 4/1/2021 4/1/2021 12/17/2021 5,000,000 clm/agg 2,700,000 1,000,000 10,000 Retention 2,500 5,000 Certificate holder is additional insured with respect to General Liability as required by written contract per form CG D4 58 07 13.Waiver of Subrogation applies to general liability per form CG D4 58 07 13.Per Project/Location Aggregate applies per form CG D4 68 01 09.Additional insured and Waiver of Subrogation apply with respect to Auto Liability as required by written contract.Waiver of Subrogation for workers compensation applies as required by written contract per applicable form attached (WC 00 03 13 00).Umbrella follows form.Subject to all policy terms,conditions,limitations and exclusions. City of Fort Collins is included as an Additional Insured with respect to General Liability as required by written contract. City of Fort Collins PO Box 580 Fort Collins CO 80522 DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 04-01-2020 Policy No. WLV 5054891 00 Endorsement No. Premium $ INCL. Insured Nationwide Power Solutions, Inc. Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 00 03 13 (Ed. 4-84) ¤¤ 1983 National Council on Compensation Insurance. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule PREMIUM FOR THIS BLANKET WAIVER OF SUBROGATION ENDORSEMENT APPLIES TO ALL OPERATIONS OF THE INSURED AND WILL BE CHARGED AT 2% OF TOTAL MANUAL PREMIUM DEVELOPED FOR THE STATE OF NEVADA. NO MINIMUM CHARGE APPLIES INSURED DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope ID: 1840742B-D89A-4D04-843E-F01A63365B3D DocuSign Envelope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