Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
CONTRACT - RFP - 9882 PFA OVERHEAD DOOR REPAIR & MAINTENANCE SERVICES ON-CALLl
Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 1 of 15 SERVICES 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", as agent, on behalf of the POUDRE FIRE AUTHORITY, hereinafter referred to as the “PFA”, and D. LAWSO ENTERPRISES, INC. DBA ROCKY MOUNTAIN DOCK AND DOOR, a(n) Colorado Corporation, hereinafter referred to as "Service Provider". WITNESSETH: In consideration of the mutual covenants and obligations herein expressed, it is agreed by and between the parties hereto as follows: 1. Scope of Services. The Service Provider agrees to provide services in accordance with the scope of services attached hereto as Exhibit A, consisting of four (4) pages and incorporated herein by this reference. 2. Contract Period. This Agreement shall commence December 1, 2023, and shall continue in full force and effect until November 30, 2024, unless sooner terminated as herein provided. In addition, at the option of the City/PFA, the Agreement may be extended for additional one year periods not to exceed four (4) additional one year periods. Renewals and pricing changes shall be negotiated by and agreed to by both parties only at the time of renewal. Written notice of renewal shall be provided to the Service Provider and mailed no later than thirty (30) days prior to contract end. 3. 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, the Service Provider must provide written notice to the City/PFA of such condition within ten (10) days from the onset of such condition. 4. Early Termination by City/PFA. Notwithstanding the time periods contained herein, the City/PFA may terminate this Agreement at any time without cause by providing written notice of termination to the Service Provider. Such notice shall be delivered at least ten (10) days prior to the termination date contained in said notice unless otherwise agreed in writing by the parties. In the event of early termination by the City, the Service Provider shall be paid for services rendered to the date of termination, subject only to the satisfactory performance of the Service Provider's obligations under this Agreement. Service Provider shall submit a final invoice within ten (10) days of the effective date of termination. Undisputed invoices shall be paid Net 30 days of the date of the invoice. Such payment shall be the Service Provider's sole right and remedy for such termination. 5. Notices. All notices provided under this Agreement shall be effective immediately when emailed or three (3) business days from the date of the notice when mailed to the following DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 2 of 15 addresses: Service Provider: PFA: Copy to: D. Lawso Enterprises, Inc. dba Rocky Mountain Dock & Door Attn: Tim Oswald 9903 Titan Court, Unit 11 Littleton, CO 80125 tim@rmdockanddoor.com Poudre Fire Authority Attn: Bob Root 102 Remington Street Fort Collins, CO 80524 bob.root@poudre-fire.org City of Fort Collins Attn: Purchasing Dept. PO Box 580 Fort Collins, CO 80522 purchasing@fcgov.com 6. City/PFA Representative. The City/PFA will designate, prior to commencement of the work, 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 for contract interpretations, change order, and other clarification or instruction shall be directed to the City Representative. The initial City/PFA Representative for this agreement is Matt DeAngelis and can be reached at logistics@poudre-fire.org or 970-744-1465. The Representative is subject to change by the City/PFA. 7. Compensation. The City/PFA shall pay the Service Provider for the performance of this Contract, subject to additions and deletions provided herein, as per the attached Exhibit B, consisting of two (2) pages and incorporated herein by this reference. Invoices shall be emailed to invoices@fcgov.com with a copy to the City/PFA Representative. The cost of the work completed shall be paid to the Service Provider following the submittal of a correct itemized invoice by the Service Provider. The City/PFA is exempt from sales and use tax. The City’s Certificate of Exemption license number is 09804502. A copy of the license is available upon written request. The City/PFA pays invoices on Net 30 days from the date of the invoice. 8. Appropriation. To the extent this Agreement or any provision in it constitutes a multiple fiscal year debt or financial obligation of the City/PFA, it shall be subject to annual appropriation by City Council as required in Article V, Section 8(b) of the City Charter, City Code Section 8- 186, and Article X, Section 20 of the Colorado Constitution. The City/PFA shall have no obligation to continue this Agreement in any fiscal year for which no such supporting appropriation has been made. 9. Independent Service Provider. The services to be performed by Service Provider are those of an independent service provider and not of an employee of the City of Fort Collins. The City/PFA shall not be responsible for withholding any portion of Service Provider's compensation hereunder for the payment of FICA, Workmen's Compensation or other taxes or benefits or for any other purpose. 10. Subcontractors. Service Provider may not subcontract any of the Work set forth in the Exhibit A, Statement of Work without the prior written consent of the City/PFA, which shall not be DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 3 of 15 unreasonably withheld. If any of the Work is subcontracted hereunder (with the consent of the City/PFA), then the following provisions shall apply: (a) the subcontractor must be a reputable, qualified firm with an established record of successful performance in its respective trade performing identical or substantially similar work, (b) the subcontractor will be required to comply with all applicable terms of this Agreement, (c) the subcontract will not create any contractual relationship between any such subcontractor and the City/PFA, nor will it obligate the City/PFA to pay or see to the payment of any subcontractor, and (d) the work of the subcontractor will be subject to inspection by the City/PFA to the same extent as the work of the Service Provider. Irrespective of any subcontractors named in Exhibit A, Service Provider shall be solely responsible for performance of all duties hereunder. 11. Personal Services. It is understood that the City/PFA enters into the Agreement based on the special abilities of the Service Provider and that this Agreement shall be considered as an agreement for personal services. Accordingly, the Service Provider shall neither assign any responsibilities nor delegate any duties arising under the Agreement without the prior written consent of the City/PFA. 12. Acceptance Not Waiver. The City/PFA’s approval or acceptance of, or payment for any of the 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. 13. Warranty. a. Service Provider warrants that all 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/PFA. c. Service Provider warrants all equipment, materials, labor and other work, provided under this Agreement, except City/PFA-furnished materials, equipment and labor, against defects and nonconformances in design, materials and workership for a period, the longer of; i.) The original manufacturer’s warranty term; or ii.) beginning with the start of the work and ending twelve (12) months from and after final acceptance under the Agreement, regardless of whether the same were furnished or performed by Service Provider or by any of its subcontractors of any tier. Upon receipt of written notice from City/PFA of any such defect or nonconformances, the affected item or part thereof shall be redesigned, repaired, or replaced by Service Provider in a manner and at a time acceptable to City/PFA. 14. 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. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 4 of 15 15. 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 themselves 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. 16. Entire Agreement; Binding Effect; Order of Precedence; Authority to Execute. This Agreement, along with all Exhibits and other documents incorporated herein, shall constitute the entire Agreement of the parties regarding this transaction 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. 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 any exhibit or attachment, 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. Indemnity/Insurance. a. The Service Provider agrees to indemnify and save harmless the City/PFA, 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 service hereunder. b. The Service Provider shall take all necessary precautions in performing the work hereunder to prevent injury to persons and property. c. Without limiting any of the Service Provider's obligations hereunder, the Service Provider shall provide and maintain insurance coverage naming the City/PFA as an additional insured under this Agreement of the type and with the limits specified within Exhibit C, consisting of one (1) page attached hereto, and incorporated herein by this reference. The Service Provider before commencing services hereunder, shall deliver to the City's Purchasing Director, purchasing@fcgov.com or 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/PFA. 18. Law/Severability. The laws of the State of Colorado shall govern the construction, interpretation, execution, and enforcement of this Agreement. The Parties further agree that Larimer County District Court is the proper venue for all disputes. If the City subsequently agrees in writing that the matter may be heard in federal court, venue will be in Denver District Court. In the event any provision of this Agreement shall be held invalid or unenforceable by DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 5 of 15 any court of competent jurisdiction, such holding shall not invalidate or render unenforceable any other provision of this Agreement. 19. Utilization by Other Agencies. The City of Fort Collins reserves the right to allow other state and local governmental agencies, political subdivisions, and/or school districts to utilize the resulting award under all terms and conditions specified and upon agreement by all parties. Usage by any other entity shall not have a negative impact on the City of Fort Collins in the current term or in any future terms. Nothing herein shall be deemed to authorize or empower the Agency to act as an agent for the City of Fort Collins in connection with the exercise of any rights hereunder, and neither party shall have any right or authority to assume or create any obligation or responsibility on behalf of the other. The other Agency shall be solely responsible for any debts, liabilities, damages, claims or expenses incurred in connection with any agreement established between them and the Service Provider. The City’s concurrence hereunder is subject to the Service Provider’s commitment that this authorization shall not have a negative impact on the work to be completed for the City. 20. Prohibition Against Unlawful Discrimination. The City, in accordance with the provisions of Title VI of the Civil Rights Act of 1964 (78 Stat. 252, 42 US.C. §§ 2000d to 2000d-4) and the Regulations, affirmatively ensures that for all contracts entered into with the City, disadvantaged business enterprises are afforded a full and fair opportunity to bid on the contract and are not to be discriminated against on the grounds of race, color, or national origin in consideration for an award. The City strictly prohibits unlawful discrimination based on an individual’s gender (regardless of gender identity or gender expression), race, color, religion, creed, national origin, ancestry, age 40 years or older, marital status, disability, sexual orientation, genetic information, or other characteristics protected by law. For the purpose of this policy “sexual orientation” means a person’s actual or perceived orientation toward heterosexuality, homosexuality, and bisexuality. The City also strictly prohibits unlawful harassment in the workplace, including sexual harassment. Further, the City strictly prohibits unlawful retaliation against a person who engages in protected activity. Protected activity includes an employee complaining that he or she has been discriminated against in violation of the above policy or participating in an employment discrimination proceeding. The City requires its vendors to comply with the City’s policy for equal employment opportunity and to prohibit unlawful discrimination, harassment and retaliation. This requirement applies to all third-party vendors and their subcontractors at every tier. 21. Governmental Immunity Act. No term or condition of this Agreement shall be construed or interpreted as a waiver, express or implied, of any of the notices, requirements, immunities, rights, benefits, protections, limitations of liability, and other provisions of the Colorado Governmental Immunity Act, C.R.S. § 24-10-101 et seq. and under any other applicable law. 22. Colorado Open Records Act. The City is subject to Sec. 24-72-201 et seq. of the Colorado Revised Statute (CORA). This Agreement is subject to public disclosure in whole pursuant to DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 6 of 15 CORA. 23. Force Majeure. No Party hereto shall be considered in default in the performance of an obligation hereunder to the extent that performance of such obligation is delayed, hindered, or prevented by force majeure. Force majeure shall be any cause beyond the control of the defaulting Party which could not reasonably have been foreseen and guarded against. Force majeure includes, but is not limited to, acts of God, fires, riots, pandemics, incendiarism, interference by civil or military authorities, compliance with regulations or orders of military authorities, and acts of war (declared or undeclared), provided such cause could not have been reasonably foreseen and guarded against by the defaulting Party. Force majeure shall not include increases in labor, commodity, utility, material, supply, fuel, or energy costs, or compliance with regulations or orders of civil authorities. To the extent that the performance is actually prevented, the Service Provider must provide written notice to the City of such condition within ten (10) days from the onset of such condition. 24. Special Provisions. Special provisions or conditions relating to the services to be performed pursuant to this Agreement are set forth in Exhibit D - Confidentiality, consisting of one (1) page, attached hereto, and incorporated herein by this reference. [Signature Page Follows] DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 7 of 15 THE CITY OF FORT COLLINS, COLORADO By: Gerry Paul, Purchasing Director Date: POUDRE FIRE AUTHORITY By: ________________________________ Derek Bergsten, Fire Chief Date: ______________________________ ATTEST: APPROVED AS TO FORM: D. LAWSO ENTERPRISES, INC. DBA ROCKY MOUNTAIN DOCK & DOOR By: Printed: Title: Date: DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 President Tim Oswald 11/30/2023 Assistant City Attorney 12/6/2023 12/6/2023 City Clerk Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 8 of 15 EXHIBIT A SCOPE OF SERVICES I. BACKGROUND & OBJECTIVE / OVERVIEW A. Objective The City of Fort Collins, on behalf of the Poudre Fire Authority (PFA), is engaging the Service Provider to provide on-call installation, repair, replacement and maintenance services for the overhead doors at fire stations. The Service Provider will provide all hardware and accessories necessary to perform installation of new doors, repairs, regular routine maintenance, emergency services calls and/or replacement of overhead doors, as authorized and approved by PFA’s Representative. B. Background PFA has overhead doors of varying sizes at 13 fire stations and 2 training buildings. An interactive map of the fire station locations can be found online at https://www.poudre- fire.org/about-us/pfa-facilities-stations. The following is a brief summary of the existing overhead doors: Station # Size 1 Door Width x Height # of Doors Size 2 Door Width x Height # of Doors Operator Type/Brand Brand/ Manufacturer Station 1 14’2” X 14’ 6 10’2” X 7’5” 1 Overhead/Liftmaster Raynor w/lights Station 2 12’2” X 11’8” 2 Overhead/Liftmaster Wayne Dalton w/lights Station 3 12’2” X 12’ 2 Overhead/Liftmaster Overhead/Raynor Raynor w/lights Station 4 14’2” X 14’ 8 Overhead/Liftmaster Wayne Dalton w/lights Station 5 12’ X 14’ 3 Wall-mount/Raynor Raynor w/lights Station 6 12’6” X 14’ 6 Wall-mount/Liftmaster Overhead/Liftmaster (3) Wayne Dalton (3) Raynor w/lights Fleet Services 12’6”X14’ 4 16’2”X14’ 4 (2) Wall-Mount/Liftmaster (6) Overhead/Raynor (2) Wayne Dalten (6) Raynor Station 7 12’2” X 12’ 0.5” 2 10’2” X 12’ 1 (2) Overhead/Liftmaster (1) Overhead/Raynor Raynor Station 8 14’2” X 14’ 8 Wall-mount/Liftmaster Wayne Dalton Station 9 12’2” X 14’ 3 Overhead/Raynor Raynor Station 10 12’2” X 14’ 3 Overhead/Liftmaster Raynor Station 11 12’2” X 12’ 2 Overhead/Raynor Unknown/No Label Possibly Raynor Station 12 12’2” X 14’ 2 Overhead/Liftmaster Overhead/Raynor Raynor Station 14 12’2” X 14’ 5 (1) Overhead/Liftmaster (4) Overhead/Raynor Raynor DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 9 of 15 Training A 12’2” X 14’ 2 Overhead/Raynor Raynor Training B 12’2” X 14’ 2 Overhead/Raynor Raynor The above list is a general overview of the PFA facilities at the time of execution of this Agreement. This list may be subject to change. C. Utilization by Other Agencies The Poudre Fire Authority is a member of the Front Range Fire Consortium, which is made up of the nine largest fire departments in Northern Colorado and Southern Wyoming, and includes the following departments in addition to PFA: Boulder Fire Rescue Front Range Fire Rescue Greeley Fire Department Longmont Fire Rescue Loveland Fire Rescue Authority Mountainview Fire Protection Platte Valley Fire Protection District Wellington Fire Protection District Windsor-Severance Fire Protection District Any of the above referenced agencies may leverage this RFP process to contract with the awarded Service Provider for similar services. The awarded Service Provider will honor the pricing provided to the City/PFA’s for these agencies. However, nothing is this option for utilization by other agencies shall be deemed as authorization for any of the named agencies to act as an agent for the City/PFA in connection to this RFP and subsequent Agreement, and neither party shall have the right or authority to assume or create any obligation or responsibility on behalf of the other. The other agencies shall be solely responsible for any debts, liabilities, claims or expenses incurred in connection with any agreement/purchase established between them and the awarded Service Provider. II. SCOPE OF SERVICES A. General Expectations At the start of the Agreement, the Service Provider will be expected to conduct an audit of all PFA overhead doors at the fire stations and training facilities and provide PFA with a comprehensive report of the findings. Service Provider will be expected to maintain an accurate record of the overhead doors at each facility along with maintenance and repair records for each. The following is indicative of the services expected during the term of the Agreement: Service Provider shall provide, at no additional cost to the PFA, consultation regarding equipment selection, site visits, meetings, estimates and/or quotes. Upon arrival at each site, Service Provider shall check in with the designated contact and evaluate the specific materials needed and develop an estimate of the expected cost of materials. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 10 of 15 Service Provider shall provide all parts and materials of the type used in the original equipment manufacturer (OEM) installation unless otherwise approved by the PFA. If OEM parts and materials are not available, materials of similar type and quality are required. The Service Provider must offer fair and reasonable pricing for all parts and materials. All parts must be new and unused. Prototype, refurbished, used or demo parts are not allowed. Service Provider shall maintain a reasonable supply of available parts and maintain a reasonable supply system for acquisition of additional parts either immediately or with minimal delay. Service Provider shall list all materials furnished on the invoice. Material listing shall contain a description, quantity, single item cost, and an extended cost of each material. Any individual item with an extended cost exceeding five hundred dollars ($500.00) will require a copy of the supplier’s invoice attached to their invoice to the PFA as backup documentation. This will serve to document material mark-up charges. Any materials supplied to the PFA that are covered by the OSHA Hazard Communications Standard must be accompanied by the applicable Safety Data Sheet (SDS) at the time of delivery. B. Preventative Maintenance The Service Provider will also be responsible for the preventive maintenance of the overhead doors at all facilities. The Service Provider and PFA’s Representative will coordinate a mutually agreed upon schedule, anticipated to annually or biannually, for performing the preventative maintenance to optimize overhead door performance and reliability with minimal operation disruption to PFA’s facilities. The preventative maintenance service will include, but is not limited to: A full system function test An inspection of all components Lubrication on all moving parts Adjustments to doors as needed Ability to order and install necessary parts Adjustments to door timers as needed C. Repair/Service Quotes Service Provider will provide to PFA’s designated representative a written quote for any services or repairs totally greater than $500. The quote will include an itemized list of parts, pricing by line, labor hours and rate, any shipping expenses, and an estimated time/date for completion. D. Standard Service Requirements Service Provider shall incorporate the following operation checklist into its work order for all overhead door repair visits to PFA facilities: The door opens, stops, and closes with a wall button. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 11 of 15 The door opens with ceiling pull cord. The door opens only with 1 button door opener. The door light’s function flashes red when the door is opening, Solid green when the door is fully open, flashing red when the 30 second timer starts and door closes, all light off when door is fully closed. The door timer is on a 1-minute door closing cycle. The timer on and off switch is working. Confirm the door sensor is working and the door retracts in the upward position when sensor beam is broken. Overall, the door and operator are in good working condition. Follow up communication either with the on-duty crew (if not out on a call) and the PFA Representative, Matt DeAngelis. E. Service Timeframes The Service Provider will be expected to respond onsite to a general service or repair request within 24 hours of PFA’s request. In the event of an emergency repair request, PFA will indicate that the repair is an emergency, and Service Provider will be expected to respond onsite within 2 to 3 hours of receipt of the repair request. Within 24 hours of each service request on-site response, the Service Provider will send an email to logistics@poudre-fire.org to close out the order or provide an update of additional work to be done. If additional work is required, the Service Provide will detail the nature of the work remaining and provide a timeline for completion. F. Warranty Guaranty Service Provider shall be fully responsible for any and all warranty work, regardless of whether or not manufacturers of equipment, and/or its component parts, provide the actual warranty coverage. In addition, Service Provider shall have or establish a single, local source that will accomplish or coordinate any necessary warranty work if the Service Provider is not self-performing the work. Service Provider shall respond to requests for warranty assistance within twenty-four (24) hours. G. Subcontractors/Subconsultants Service Provider does not intend to use subcontractor/subconsultants. H. Fees, Licenses, Permits The Service Provider shall be responsible for obtaining any necessary licenses, fees or permits without additional expense to the City. All vehicles and equipment shall be properly licensed and insured, carry the appropriate permits and be placarded as required by law. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 12 of 15 EXHIBIT B COMPENSATION The following pricing shall remain fixed for the initial term of this Agreement. Any applicable price adjustments may only be negotiated and agreed to in writing at the time of renewal. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 13 of 15 Invoicing and Payment Invoices should be emailed upon completion and acceptance of the work to invoices@fcgov.com with a copy to the PFA’s designated representative. The cost of the work completed shall be paid to the Service Provider following the submittal of a correct invoice by the Service Provider indicating the service location, task description, hours worked, hourly rate, date of the work performed specific to the task, and itemized list of materials and costs. Payments will be made using the prices listed on the agreed-to Price Schedule and/or Service Provider’s quote for the Work. In the event a service is requested which is not listed on the Price Schedule, the Service Provider and the City will negotiate an appropriate unit price for the service prior to Consultant initiating such work. The City pays invoices on Net 30 terms. Miscellaneous Service Provider will utilize the PFA’s scissor lift and forklift for projects where the either lift is required. Service Provider will coordinate with the PFA Representative to ensure that the appropriate lift is onsite at the time of service. Should the Service Provider inadvertently bring its own scissor or forklift contrary to these instructions, the PFA shall not be responsible for any costs associated with said lift. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 14 of 15 EXHIBIT C INSURANCE REQUIREMENTS The Service Provider will provide, from insurance companies acceptable to the City and/or PFA, the insurance coverage designated hereinafter and pay all costs. Before commencing work under this bid, the Service Provider shall furnish the City/PFA with certificates of insurance showing the type, amount, class of operations covered, effective dates and date of expiration of policies. In case of the breach of any provision of the Insurance Requirements, the City/PFA, at its option, may take out and maintain, at the expense of the Service Provider, such insurance as the City/PFA may deem proper and may deduct the cost of such insurance from any monies which may be due or become due the Service Provider under this Agreement. Insurance certificates should show the certificate holder as follows: City of Fort Collins Poudre Fire Authority Purchasing Division AND 102 Remington Street PO Box 580 Fort Collins, CO 80524 Fort Collins, CO 80522 The City and PFA, its officers, agents and employees shall be named as additional insureds on the Service Provider 's general liability and automobile liability insurance policies by marking the appropriate box or adding a statement to this effect on the certificate, for any claims arising out of work performed under this Agreement. Insurance coverages shall be as follows: A. Workers' Compensation & Employer's Liability. The Service Provider shall maintain during the life of this Agreement for all of the Service Provider's employees engaged in work performed under this agreement. Workers' Compensation & Employer’s Liability insurance shall conform with statutory limits of $100,000 per accident, $500,000 disease aggregate, and $100,000 disease each employee, or as required by Colorado law. B. General Liability. The Service Provider shall maintain during the life of this Agreement such General Liability 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 General Liability, shall not be less than $1,000,000 combined single limits for bodily injury and property damage. C. Automobile Liability. The Service Provider shall maintain during the life of this Agreement such 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 Automobile Liability, 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/subconsultant, the Service Provider shall be responsible for any liability directly or indirectly arising out of the work performed under this Agreement by a subcontractor/subconsultant, which liability is not covered by the subcontractor/subconsultant insurance. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Official Purchasing Document Last updated 2/1/2023 Services Agreement RFP 9882 PFA Overhead Door Repair & Maintenance Services On-Call Page 15 of 15 EXHIBIT D CONFIDENTIALITY IN CONNECTION WITH SERVICES provided to the City of Fort Collins (the “City”) and Poudre Fire Authority (the “PFA”) pursuant to this Agreement (the “Agreement”), the Service Provider hereby acknowledges that it has been informed that the City/PFA has established policies and procedures with regard to the handling of confidential information and other sensitive materials. In consideration of access to certain information, data and material (hereinafter individually and collectively, regardless of nature, referred to as “information”) that are the property of and/or relate to the City/PFA or its employees, customers or suppliers, which access is related to the performance of services that the Service Provider has agreed to perform, the Service Provider hereby acknowledges and agrees as follows: That information that has or will come into its possession or knowledge in connection with the performance of services for the City/PFA may be confidential and/or proprietary. The Service Provider agrees to treat as confidential (a) all information that is owned by the City/PFA, or that relates to the business of the City/PFA, or that is used by the City/PFA in carrying on business, and (b) all information that is proprietary to a third party (including but not limited to customers and suppliers of the City/PFA). The Service Provider shall not disclose any such information to any person not having a legitimate need-to-know for purposes authorized by the City/PFA. Further, the Service Provider shall not use such information to obtain any economic or other benefit for itself, or any third party, except as specifically authorized by the City/PFA. The foregoing to the contrary notwithstanding, the Service Provider understands that it shall have no obligation under this Agreement with respect to information and material that (a) becomes generally known to the public by publication or some means other than a breach of duty of this Agreement, or (b) is required by law, regulation or court order to b e disclosed, provided that the request for such disclosure is proper and the disclosure does not exceed that which is required. In the event of any disclosure under (b) above, the Service Provider shall furnish a copy of this Agreement to anyone to whom it is required to make such disclosure and shall promptly advise the City/PFA in writing of each such disclosure. In the event that the Service Provider ceases to perform services for the City/PFA, or the City/PFA so requests for any reason, the Service Provider shall promptly return to the City/PFA any and all information described hereinabove, including all copies, notes and/or summaries (handwritten or mechanically produced) thereof, in its possession or control or as to which it otherwise has access. The Service Provider understands and agrees that the City/PFA’s remedies at law for a breach of the Service Provider’s obligations under this Confidentiality Agreement may be inadequate and that the City/PFA shall, in the event of any such breach, be entitled to seek equitable relief (including without limitation preliminary and permanent injunctive relief and specific performance) in addition to all other remedies provided hereunder or available at law. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 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 11/20/2023 Arthur J.Gallagher Risk Management Services,LLC 10901 West 120th Avenue Suite 200 Broomfield CO 80021 Jamie McMahon 303-247-8403 303-444-8481 Jamie_McMahon@AJG.com Auto-Owners Insurance Company 18988 ROCKMOU-56 Pinnacol Assurance Company 41190DLawsoEnterprises,Inc. dba Rocky Mountain Dock and Door Specialties 9903 Titan Court,Unit 11 Littleton CO 80125 Owners Insurance Company 32700 1881253118 C X 1,000,000 X 300,000 10,000 1,000,000 2,000,000 X Y 74979624 10/1/2023 10/1/2024 2,000,000 C 1,000,000 X X X Y 5197962400 10/1/2023 10/1/2024 COMP/COLL DEDUCTIBLE 1,000 A X X 5,000,000519796240110/1/2023Y 10/1/2024 5,000,000 X 10,000 B X Y Y 4167839 10/1/2023 10/1/2024 1,000,000 1,000,000 1,000,000 C INSTALLATION FLOATER RENTED/LEASED EQUIP 74979624 10/1/2023 10/1/2024 PROPERTY LIMIT LIMIT $50,000 $50,000 Workers Compensation Coverage:Owner(s)Tim Oswald &Mary Ann Oswald are Excluded. UMBRELLA LIABILITY IS FOLLOW FORM ON GENERAL LIABILITY,AUTOMOBILE LIABILITY,AND WORKERS'COMPENSATOIN. Also Considered a holder of this COI -Poudre Fire Authority,102 Remington Street,Fort Collins,CO 80524 Certificate Holder is an Additional Insured as respects to the General Liability and Commercial Auto policies,pursuant to and subject to the policy's terms, definitions,conditions and exclusions and applicable by contract. City of Fort Collins Purchasing Division PO Box 580 Fort Collins CO 80522 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Page 5 Owners Ins. Co. Issued 08-09-2023 LOCATION 0001 - BUILDING 0001 AGENCY ARTHUR J GALLAGHER RISK MANAGEMENT SER Company POLICY NUMBER 184632-74979624-23 32-0050-00 MKT TERR 100 Bill 74-46-CO-1810 INSURED D LAWSO ENTERPRISES INC Term 10-01-2023 to 10-01-2024 COVERAGE LIMITS OF INSURANCE COMMERCIAL GENERAL LIABILITY PLUS ENDORSEMENT Damage to Premises Rented to You (Fire, Lightning, Explosion, Smoke or Water Damage) Medical Payments Hired Auto & Non-Owned Auto Expanded Coverage Details See Form: Extended Watercraft Personal Injury Extension Broadened Supplementary Payments Broadened Knowledge Of Occurrence Additional Products-Completed Operations Aggregate Blanket Additional Insured - Lessor of Leased Equipment Blanket Additional Insured - Managers or Lessors of Premises Newly Formed or Acquired Organizations Extension Blanket Waiver of Subrogation $300,000 Any One Premises $10,000 Any One Person $1,000,000 Each Occurrence Twice the "General Aggregate Limit", shown above, is provided at no additional charge for each 12 month period in accordance with form 55885. AUDIT TYPE: Annual Audit Forms that apply to this coverage: Location: 9903 Titan Ct Unit 11, Littleton, CO 80125-9353 Territory: 002 County: Douglas CLASSIFICATION CODE SUBLINE PREMIUM BASIS RATE PREMIUM Commercial General Liability Plus Endorsement 00501 Prem/Op Prem Included At 7.5% Of The Premises Operation Premium Prem/Op Included Included Included Electrical Apparatus - Installation, Servicing Or Repair. 92451 Payroll Each 1000 Noc Prem/Op Prod/Comp Op Additional Interests 49950 55373 Blnkt Add'L Ins-O/L/C Prod/Comp Op Flat Charge Cg2037 04-13 Add'L Ins - O/L/C 1.Denver Financial Prod/Comp Op Flat Charge CG2404 (05-09)CG2001 (04-13)59350 (01-15)55405 (07-08)55146 (06-04) IL0021 (07-02)IL0017 (11-85)59319 (03-15)CG2106 (05-14)55091 (05-17) CG0001 (04-13)55513 (05-17)IL0125 (11-13)CG2109 (06-15)55029 (05-17) CG2196 (03-05)CG2132 (05-09)CG2147 (12-07)55885 (05-17)55373 (05-17) CG2037 (04-13)CG2010 (04-13)59325 (12-19)55577 (09-14)59390 (11-20) DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 55373 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 55373 (5-17) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Under SECTION II - WHO IS AN INSURED is amended. The following provision is added. A person or organization is an Additional Insured, only with respect to liability caused, in whole or in part, by "your work" for that Additional Insured by or for you: 1. If required in a written contract or agreement; or 2. If required by an oral contract or agreement only if a Certificate of Insurance was issued prior to the loss indicating that the person or organiza- tion was an Additional Insured. B. SECTION III - LIMITS OF INSURANCE is amended. The following provision is added. The limits of liability for the Additional Insured are those specified in the written contract or agreement between the insured and the owner, lessee or con- tractor or those specified in the Certificate of Insur- ance, if an oral contract or agreement, not to exceed the limits provided in this policy. These limits are inclusive of and not in addition to the limits of insurance shown in the Declarations. C. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amended. 1. The following condition is added to 4. Other Insurance. This insurance is primary for the Additional Insured, but only with respect to liability caused, in whole or in part, by "your work" for that Addi- tional Insured by or for you. Other insurance available to the Additional Insured will apply as excess insurance and not contribute as primary insurance to the insurance provided by this endorsement. 2. The following condition is added. Other Additional Insured Coverage Issued By Us If this policy provides coverage for the same loss to any Additional Insured specifically shown as an Additional Insured in another endorsement to this policy, our maximum limit of insurance under this endorsement and any other endorse- ment shall not exceed the limit of insurance in the written contract or agreement between the insured and the owner, lessee or contractor, or the limits provided in this policy, whichever is less. Our maximum limit of insurance arising out of an "occurrence", shall not exceed the limit of insurance shown in the Declarations, regard- less of the number of insureds or Additional Insureds. All other policy terms and conditions apply. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 55091 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 6 55091 (5-17) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY PLUS COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. EXTENDED WATERCRAFT LIABILITY SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIA- BILITY, 2. Exclusions is amended. Exclusion g.(2) is deleted and is replaced by the following exclusion. (2) A watercraft you do not own that is: (a) Less than 50 feet long; and (b) Not being used to carry persons or property for a charge; 2. HIRED AUTO AND NON-OWNED AUTO LIABILITY Coverage for "bodily injury" and "property damage" liability provided under SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROP- ERTY DAMAGE LIABILITY, is extended as follows under this item, but only if you do not have any other insurance available to you which affords the same or similar coverage. Coverage We will pay those sums the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the main- tenance or use of an "auto": a. You do not own; b. Which is not registered in your name; or c. Which is not leased or rented to you for more than ninety consecutive days and which is used in your business. Exclusions With respect to only HIRED AUTO AND NON- OWNED AUTO LIABILITY, the exclusions which apply to SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, other than the Nuclear Energy Liability Exclusion Endorsement, do not apply. The following exclusions apply to this coverage. This coverage does not apply to: a. "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" resulting from the use of reasonable force to protect persons or property. b. Any obligation of the insured under a workers compensation, disability benefits or unemploy- ment compensation law or any similar law. c. (1) "Bodily injury" or "property damage" arising out of the actual, alleged or threatened dis- charge, dispersal, seepage, migration, re- lease or escape of "pollutants": (a) That are, or are contained in any prop- erty that is: 1) Being transported or towed by, han- dled or prepared for placement into or upon, or taken from the "auto"; 2) Otherwise in the course of transit by you or on your behalf; or 3) Being disposed of, stored, treated or processed into or upon the "auto"; (b) Before such "pollutants" or property con- taining "pollutants" are moved from the place they are accepted by you or any- one acting on your behalf for placement into or onto the "auto"; or (c) After such "pollutants" or property con- taining "pollutants" are removed from the "auto" to where they are delivered, disposed of or abandoned by you or anyone acting on your behalf. Paragraph c.(1)(a) does not apply to "pol- lutants" that are needed or result from the normal mechanical, electrical or hydraulic functioning of the "auto" or its parts, if the discharge, release, escape, seepage, mi- gration or dispersal of such "pollutants" is directly from a part of the "auto" designed to hold, store, receive or dispose of such "pollutants" by the "auto" manufacturer. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 55091 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 6 Paragraphs c.(1)(b) and c.(1)(c) do not ap- ply, if as a direct result of maintenance or use of the "auto", "pollutants" or property containing "pollutants" which are not in or upon the "auto", are upset, overturned or damaged at any premises not owned by or leased to you. The discharge, release, es- cape, seepage, migration or dispersal of the "pollutants" must be directly caused by such upset, overturn or damage. (2) Any loss, cost or expense arising out of any: (a) Request, demand or order that any in- sured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of "pollutants"; or (b) Claim or "suit" by or on behalf of a gov- ernmental authority for damages be- cause of testing for, monitoring, cleaning up, removing, containing, treating, de- toxifying or neutralizing, or in any way responding to, or assessing the effects of "pollutants". d. "Bodily injury" or "property damage" however caused, arising directly or indirectly, out of: (1) War, including undeclared or civil war; (2) Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any govern- ment, sovereign or other authority using mili- tary personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. e. "Bodily injury" or "property damage" for which the insured is obligated to pay damages by rea- son of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages: (1) Assumed in a contract or agreement that is an "insured contract", provided the "bodily injury" or "property damage" occurs subse- quent to the execution of the contract or agreement. However, if the insurance under this policy does not apply to the liability of the insured, it also does not apply to such liability assumed by the insured under an "insured contract". (2) That the insured would have in the absence of the contract or agreement. f. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to any insured; or (2) Property in the care, custody or control of any insured other than "property damage" to a residence or a private garage by a private passenger "auto" covered by this coverage. g. (1) "Bodily injury" to: (a) An "employee" of the insured arising out of and in the course of employment by the insured; or (b) The spouse, child, parent, brother or sis- ter of that "employee" as a consequence of Paragraph g.(1)(a). (2) This exclusion applies: (a) Whether the insured may be liable as an employer or in any other capacity; and (b) To any obligation to share damages with or repay someone else who must pay damages because of the injury. (3) This exclusion does not apply to: (a) Liability assumed by the insured under an "insured contract". (b) "Bodily injury" to any "employee" of the insured arising out of and in the course of his or her domestic employment by the insured unless benefits for such in- jury are in whole or in part either pay- able or required to be provided under any workers compensation law. Who Is An Insured With respect to only this coverage, SECTION II - WHO IS AN INSURED is deleted and replaced by the following provision. SECTION II - WHO IS AN INSURED a. Each of the following is an insured with respect to this coverage. (1) You. (2) Your partners if you are designated in the Declarations as a partnership or a joint venture. (3) Your members if you are designated in the Declarations as a limited liability company. (4) Your "executive officers" if you are desig- nated in the Declarations as an organization other than a partnership, joint venture or limited liability company. (5) Any person using the "auto" and any person or organization legally responsible for the use of an "auto" not owned by such person or organization, provided the actual use is with your permission. b. None of the following is an insured: (1) Any person engaged in the business of his or her employer with respect to "bodily in- jury" to any co-"employee" of such person injured in the course of employment. (2) Any person using the "auto" and any person other than you, legally responsible for its use with respect to an "auto" owned or reg- istered in the name of: DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 55091 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 6 (a) Such person; or (b) Any partner or "executive officer" of yours or a member of his or her household; or (c) Any "employee" or agent of yours who is granted an operating allowance of any sort for the use of such "auto". (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business", other than an "auto busi- ness" you operate. (4) The owner or lessee (of whom you are a sub-lessee) of a hired "auto" or the owner of an "auto" you do not own or which is not registered in your name which is used in your business or any agent or employee of any such owner or lessee. (5) Any person or organization with respect to the conduct of any current or past partner- ship or joint venture that is not shown as a Named Insured in the Declarations. Additional Definitions The following definition applies to only this coverage. "Auto business" means the business or occupation of selling, repairing, servicing, storing or parking "autos". Limits of Insurance With respect to only this coverage, SECTION III - LIMITS OF INSURANCE is deleted and replaced by the following provision. SECTION III - LIMITS OF INSURANCE a. The Limits of Insurance shown in the Declara- tions and the rules below fix the most we will pay regardless of the number of: (1) Insureds; (2) Claims made or "suits" brought; or (3) Persons or organizations making claims or bringing "suits". b. We will pay damages for "bodily injury" or "prop- erty damage" up to the limits of liability shown in the Declarations for this coverage. Such dam- ages shall be paid as follows: (1) When Hired Auto and Non-Owned Auto Each Occurrence Limit is shown in the Dec- larations, such limit is the total amount of coverage and the most we will pay for all damages because of or arising out of all "bodily injury" and "property damage" in any one "occurrence". (2) When Bodily Injury Hired Auto and Non- Owned Auto Each Occurrence Limit and Property Damage Hired Auto and Non- Owned Auto Each Occurrence Limit are shown in the Declarations: (a) The limit shown for Bodily Injury Hired Auto and Non-Owned Auto Each Occur- rence is the total amount of coverage and the most we will pay for all dam- ages because of or arising out of all "bodily injury" in any one "occurrence". (b) The limit shown for Property Damage Hired Auto and Non-Owned Auto Each Occurrence is the total amount of cover- age and the most we will pay for all damages because of or arising out of all "property damage" in any one "occur- rence". 3. BROADENED SUPPLEMENTARY PAYMENTS SUPPLEMENTARY PAYMENTS - COVERAGES A AND B, Paragraph 1.d. is amended. The amount we will pay for the actual loss of earn- ings is increased from $250 per day to $400 per day. 4. ADDITIONAL PRODUCTS-COMPLETED OPERA- TIONS AGGREGATE LIMIT If the endorsement, EXCLUSION - PRODUCTS COMPLETED OPERATIONS HAZARD, CG 21 04, is not attached to this policy, then the following pro- vision is added to SECTION III - LIMITS OF INSURANCE. Commencing with the effective date of this policy, we will provide one additional Products-Completed Operations Aggregate Limit, for each annual period, equal to the amount of the Products-Completed Operations Aggregate Limit shown in the Declara- tions. The maximum Products-Completed Opera- tions Aggregate Limit for any annual period will be no more than two times the original Products-Com- pleted Operations Aggregate Limit. 5. PERSONAL INJURY EXTENSION a. If the endorsement EXCLUSION - PERSONAL AND ADVERTISING INJURY, CG 21 38, is attached to this policy, then this provision, 5. PERSONAL INJURY EXTENSION, does not apply. b. If the endorsement EXCLUSION - PERSONAL AND ADVERTISING INJURY, CG 21 38, is not attached to this policy, then under SECTION V - DEFINITIONS, 14. "Personal and advertising injury" is deleted and replaced by the following definition. 14. "Personal and advertising injury" means in- jury, including consequential "bodily injury", arising out of one or more of the following offenses: a. False arrest, detention or imprisonment; b. Malicious prosecution; c. The wrongful eviction from, wrongful en- try into, or invasion of the right of private DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 55091 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 6 occupancy of a room, dwelling or prem- ises that a person occupies, committed by or on behalf of its owner, landlord or lessor; d. Oral or written publication, in any man- ner, of material that slanders or libels a person or organization or disparages a person's or organization's goods, pro- ducts or services; e. Oral or written publication, in any man- ner, of material that violates a person's right of privacy; f. The use of another's advertising idea in your "advertisement"; g. Infringing upon another's copyright, trade dress or slogan in your "advertisement"; or h. Discrimination, humiliation, sexual ha- rassment and any violation of civil rights caused by such discrimination, humilia- tion or sexual harassment. 6. BROADENED KNOWLEDGE OF OCCURRENCE SECTION IV - COMMERCIAL GENERAL LIABIL- ITY CONDITIONS, 2. Duties In The Event Of Oc- currence, Offense, Claim Or Suit is amended. The following condition is added. Paragraphs a. and b. of this condition will not serve to deny any claim for failure to provide us with notice as soon as practicable after an "occurrence" or an offense which may result in a claim: a. If the notice of a new claim is given to your "em- ployee"; and b. That "employee" fails to provide us with notice as soon as practicable. This exception shall not apply to you or to any offi- cer, director, partner, risk manager or insurance manager of yours. 7. DAMAGE TO PREMISES RENTED TO YOU a. SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions is amended. (1) The last paragraph is deleted and replaced by the following paragraph. Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or water damage to premises rented to you or temporarily occupied by you with permis- sion of the owner. A separate limit of insur- ance applies to this coverage as described in 7. DAMAGE TO PREMISES RENTED TO YOU, b. Limits of Insurance. (2) The following additional exclusions apply to "property damage" arising out of water damage to premises rented to you or temporarily occupied by you with permission of the owner. (a) "Property damage" to: 1) The interior of the premises caused by or resulting from rain or snow, whether driven by wind or not; or 2) Heating, air conditioning, plumbing or fire protection systems, or other equipment or appliances. (b) "Property damage" caused by or resulting from any of the following: 1) Mechanical breakdown, including bursting or rupture caused by centrifugal force; 2) Cracking, settling, expansion or shrinking; 3) Smoke or smog; 4) Birds, insects, rodents or other animals; 5) Wear and tear; 6) Corrosion, rust, decay, fungus, de- terioration, hidden or latent defect or any quality in property that causes such property to destroy or damage itself; or 7) Water that flows or leaks from any heating, air conditioning, plumbing or fire protection system caused by or resulting from freezing, unless: a) You make a reasonable effort to maintain heat in the building or structure; or b) You drain the equipment and shut off the water supply if the heat is not maintained. (c) "Property damage" caused directly or indirectly by any of the following: 1) Water that backs up from a drain or sewer; 2) Mud flow or mudslide; 3) Volcanic eruption, explosion or effusion; 4) Any earth movement, such as earth- quake, landslide, mine subsidence, earth sinking, earth rising or earth shifting; 5) Regardless of the cause, flood, surface water, waves, tides, tidal waves, storm surge, overflow of any body of water, or their spray, all whether wind driven or not; or 6) Water under the ground surface pressing on, or seeping or flowing through: a) Walls, foundations, floors or paved surfaces; DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 55091 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 6 b) Basements, whether paved or not; or c) Doors, windows or other openings. (d) "Property damage" for which the insured is obligated to pay as damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of this contract or agreement. b. Limits of Insurance With respect to this coverage only, under SEC- TION III - LIMITS OF INSURANCE, Paragraph 6. is deleted and replaced by the following Paragraph. 6. The most we will pay under Coverage A for damages because of "property damage" to premises rented to you or temporarily occu- pied by you with permission of the owner arising out of or caused by fire, lightning, explosion, smoke and water damage is the amount shown in the Declarations under Damage to Premises Rented to You. c. SECTION IV - COMMERCIAL GENERAL LIA- BILITY CONDITIONS, 4. Other Insurance, Paragraph b. is amended. The word fire is amended to include fire, lightning, explosion, smoke or water damage. 8. BLANKET ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT a. (1) SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person or organization with whom you have agreed: (a) In a written contract or agreement, exe- cuted prior to loss, to name as an addi- tional insured; or (b) In an oral contract or agreement, exe- cuted prior to loss, to name as an addi- tional insured only if a Certificate of Insurance was issued prior to loss indi- cating that the person or organization was an additional insured. (2) This provision applies only with respect to liability for: (a) "Bodily injury"; (b) "Property damage"; or (c) "Personal and advertising injury" caused in whole or in part, by your mainte- nance, operation or use of equipment leased to you by such person or organization. b. With respect to the insurance afforded to an additional insured, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. c. The following provision is added to SECTION III - LIMITS OF INSURANCE. The Limits of Insurance for the additional in- sured are those specified in the written contract or agreement between the insured and the les- sor, not to exceed the limits provided in this pol- icy. These limits are inclusive of and not in addi- tion to the Limits of Insurance shown in the Declarations. 9. BLANKET ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES a. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person or organization with whom you have agreed: (1) In a written contract or agreement, executed prior to loss, to name as an additional insured; or (2) In an oral contract or agreement, executed prior to loss, to name as an additional in- sured only if a Certificate of Insurance was issued prior to loss indicating that the per- son or organization was an additional insured but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you. b. This provision is subject to the following addi- tional exclusions. (1) Any "occurrence" which takes place after you cease to be a tenant in that premises. (2) Structural alterations, new constructions or demolition operations performed by or on behalf of the additional insured. c. The following provision is added to SECTION III - LIMITS OF INSURANCE. The Limits of Insurance for the additional in- sured are those specified in the written contract or agreement between the insured and the manager or lessor of the premises, not to ex- ceed the limits provided in this policy. These limits are inclusive of and not in addition to the Limits of Insurance shown in the Declarations. 10. NEWLY FORMED OR ACQUIRED ORGANIZA- TIONS SECTION II - WHO IS AN INSURED is amended. Paragraph 3. is deleted and replaced by the follow- ing provision. 3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 ownership or majority interest, will qualify as a Named Insured if there is no other similar insur- ance available to that organization. However: a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the pol- icy period, whichever is earlier; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability com- pany that is not shown as a Named Insured in the Declarations. 11. BLANKET WAIVER OF SUBROGATION SECTION IV - COMMERCIAL GENERAL LIABIL- ITY CONDITIONS is amended. The following provi- sion is added to 8. Transfer Of Rights of Recov- ery Against Others To Us. When you have agreed to waive your right of subro- gation in a written contract, executed prior to loss, with any person or organization, we waive any right to recovery we may have against such person or organization because of payments we make for in- jury or damage arising out of your ongoing opera- tions or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". All other policy terms and conditions apply. 55091 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 6 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 .Auto-Owners INSURANCE COMPANY 6101 ANACAPRI BLVD., LANSING, Ml 48917-3999 AGENCY ARTHUR J GALLAGHER RISK MANAGEMENT SER Page 1 32-0050-00 MKT TERR 100 (303) 444-4666 INSURED D LAWSO ENTERPRISES INC ROCKY MOUNTAIN DOCK & DOOR SPECIAL! ADDRESS 9903 TITAN CT UNIT 11 LITTLETON CO 80125-9353 26449 (07-00) Issued 08-16-2023 UMBRELLA POLICY DECLARATIONS Renewal Effective 10-01-2023 POLICY NUMBER 51-979-624-01 Company Use 74-21-CO-1810 Company Bill POLICY TERM 12:01 a.m. 12:01 a.m. to 10-01-2023 10-01-2024 In consideration of payment of the premium shown below, this policy is renewed. Please attach this Declarations and attachments to your policy. If you have any questions. please consult with your agent. COMMERCIAL UMBRELLA LIMITS OF LIABILITY: Products-Completed Operations Aggregate Employers Liability Aggregate Other Aggregate Each Incident Limit $ 5,000,000 $ 5,000,000 $ 5,000,000 $ 5,000,000 RETAINED LIMIT: $ 10,000 (Waived when an Auto-Owners Insurance Group Company provides both the Commercial Automobile and Commercial General Liability coverage). FORMS THAT APPLY TO THIS POLICY: 26800 (07-05) 26606 (09-19) 26411 26505 (07-08) 26455 (01-15) 26527 66088 (09-14) 66119 (12-15) 26797 66174 (12-17) 64310 (06-18) 66175 59495 (08-11) 26296 (07-05) COMMERCIAL UMBRELLA PREMIUM THE POLICY PREMIUM SHOWN ABOVE INCLUDES: TERRORISM CERTIFIED ACTS SEE FORMS 59350, 26505, 59390 TOTAL POLICY PREMIUM PROGRAM: Commercial (03-15) (09-09) (08-16) (12-17) 59350 (01-15) 66061 (06-13) 66127 (06-17) 66206 (09-19) A 10% Cumulative Multi-Policy Discount applies. Supporting policies are marked with an (X): Comm Auto(X) Comm Prop/Comm Liab(X) Farm( ) WC( ) Life( ) Personal( ). 26366 (07-05) 66085 (07-14) 66151 (12-17) 66244 (06-21) PREMIUM TERM DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 7501 E. Lowry Blvd. Denver, CO 80230-7006 303.361.4000 / 800.873.7242 Pinnacol.com D Lawso Enterprises Inc dba Rocky Mou 9903 Titan Ct # 11 Littleton, CO 80125 Arthur J. Gallagher & Co.- Pueblo 1515 Fortino Blvd. #200 Pueblo, CO 81008 (719) 544-1111 7501 E. Lowry Blvd Denver, CO 80230-7006 Page 1 of 1 P ISA -10/02/2023 18:20:04 4167839 82215052 359-B NCCI #: WC000313B Policy #: 4167839 ENDORSEMENT:Blanket Waiver of Subrogation Effective Date:October 1, 2023 Expires on: October 1, 2024 Pinnacol Assurance has issued this endorsement October 2, 2023 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 To any person or organization when agreed to under a written contract or agreement, as defined above and with the insured, which is in effect and executed prior to any loss. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 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 11/20/2023 Arthur J.Gallagher Risk Management Services,LLC 10901 West 120th Avenue Suite 200 Broomfield CO 80021 Jamie McMahon 303-247-8403 303-444-8481 Jamie_McMahon@AJG.com Auto-Owners Insurance Company 18988 ROCKMOU-56 Pinnacol Assurance Company 41190DLawsoEnterprises,Inc. dba Rocky Mountain Dock and Door Specialties 9903 Titan Court,Unit 11 Littleton CO 80125 Owners Insurance Company 32700 1881253118 C X 1,000,000 X 300,000 10,000 1,000,000 2,000,000 X Y 74979624 10/1/2023 10/1/2024 2,000,000 C 1,000,000 X X X Y 5197962400 10/1/2023 10/1/2024 COMP/COLL DEDUCTIBLE 1,000 A X X 5,000,000519796240110/1/2023Y 10/1/2024 5,000,000 X 10,000 B X Y Y 4167839 10/1/2023 10/1/2024 1,000,000 1,000,000 1,000,000 C INSTALLATION FLOATER RENTED/LEASED EQUIP 74979624 10/1/2023 10/1/2024 PROPERTY LIMIT LIMIT $50,000 $50,000 Workers Compensation Coverage:Owner(s)Tim Oswald &Mary Ann Oswald are Excluded. UMBRELLA LIABILITY IS FOLLOW FORM ON GENERAL LIABILITY,AUTOMOBILE LIABILITY,AND WORKERS'COMPENSATOIN. Also Considered a holder of this COI -Poudre Fire Authority,102 Remington Street,Fort Collins,CO 80524 Certificate Holder is an Additional Insured as respects to the General Liability and Commercial Auto policies,pursuant to and subject to the policy's terms, definitions,conditions and exclusions and applicable by contract. City of Fort Collins Purchasing Division PO Box 580 Fort Collins CO 80522 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Page 5 Owners Ins. Co. Issued 08-09-2023 LOCATION 0001 - BUILDING 0001 AGENCY ARTHUR J GALLAGHER RISK MANAGEMENT SER Company POLICY NUMBER 184632-74979624-23 32-0050-00 MKT TERR 100 Bill 74-46-CO-1810 INSURED D LAWSO ENTERPRISES INC Term 10-01-2023 to 10-01-2024 COVERAGE LIMITS OF INSURANCE COMMERCIAL GENERAL LIABILITY PLUS ENDORSEMENT Damage to Premises Rented to You (Fire, Lightning, Explosion, Smoke or Water Damage) Medical Payments Hired Auto & Non-Owned Auto Expanded Coverage Details See Form: Extended Watercraft Personal Injury Extension Broadened Supplementary Payments Broadened Knowledge Of Occurrence Additional Products-Completed Operations Aggregate Blanket Additional Insured - Lessor of Leased Equipment Blanket Additional Insured - Managers or Lessors of Premises Newly Formed or Acquired Organizations Extension Blanket Waiver of Subrogation $300,000 Any One Premises $10,000 Any One Person $1,000,000 Each Occurrence Twice the "General Aggregate Limit", shown above, is provided at no additional charge for each 12 month period in accordance with form 55885. AUDIT TYPE: Annual Audit Forms that apply to this coverage: Location: 9903 Titan Ct Unit 11, Littleton, CO 80125-9353 Territory: 002 County: Douglas CLASSIFICATION CODE SUBLINE PREMIUM BASIS RATE PREMIUM Commercial General Liability Plus Endorsement 00501 Prem/Op Prem Included At 7.5% Of The Premises Operation Premium Prem/Op Included Included Included Electrical Apparatus - Installation, Servicing Or Repair. 92451 Payroll Each 1000 Noc Prem/Op Prod/Comp Op Additional Interests 49950 55373 Blnkt Add'L Ins-O/L/C Prod/Comp Op Flat Charge Cg2037 04-13 Add'L Ins - O/L/C 1.Denver Financial Prod/Comp Op Flat Charge CG2404 (05-09)CG2001 (04-13)59350 (01-15)55405 (07-08)55146 (06-04) IL0021 (07-02)IL0017 (11-85)59319 (03-15)CG2106 (05-14)55091 (05-17) CG0001 (04-13)55513 (05-17)IL0125 (11-13)CG2109 (06-15)55029 (05-17) CG2196 (03-05)CG2132 (05-09)CG2147 (12-07)55885 (05-17)55373 (05-17) CG2037 (04-13)CG2010 (04-13)59325 (12-19)55577 (09-14)59390 (11-20) DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 55373 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 55373 (5-17) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Under SECTION II - WHO IS AN INSURED is amended. The following provision is added. A person or organization is an Additional Insured, only with respect to liability caused, in whole or in part, by "your work" for that Additional Insured by or for you: 1. If required in a written contract or agreement; or 2. If required by an oral contract or agreement only if a Certificate of Insurance was issued prior to the loss indicating that the person or organiza- tion was an Additional Insured. B. SECTION III - LIMITS OF INSURANCE is amended. The following provision is added. The limits of liability for the Additional Insured are those specified in the written contract or agreement between the insured and the owner, lessee or con- tractor or those specified in the Certificate of Insur- ance, if an oral contract or agreement, not to exceed the limits provided in this policy. These limits are inclusive of and not in addition to the limits of insurance shown in the Declarations. C. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amended. 1. The following condition is added to 4. Other Insurance. This insurance is primary for the Additional Insured, but only with respect to liability caused, in whole or in part, by "your work" for that Addi- tional Insured by or for you. Other insurance available to the Additional Insured will apply as excess insurance and not contribute as primary insurance to the insurance provided by this endorsement. 2. The following condition is added. Other Additional Insured Coverage Issued By Us If this policy provides coverage for the same loss to any Additional Insured specifically shown as an Additional Insured in another endorsement to this policy, our maximum limit of insurance under this endorsement and any other endorse- ment shall not exceed the limit of insurance in the written contract or agreement between the insured and the owner, lessee or contractor, or the limits provided in this policy, whichever is less. Our maximum limit of insurance arising out of an "occurrence", shall not exceed the limit of insurance shown in the Declarations, regard- less of the number of insureds or Additional Insureds. All other policy terms and conditions apply. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 55091 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 6 55091 (5-17) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY PLUS COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. EXTENDED WATERCRAFT LIABILITY SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIA- BILITY, 2. Exclusions is amended. Exclusion g.(2) is deleted and is replaced by the following exclusion. (2) A watercraft you do not own that is: (a) Less than 50 feet long; and (b) Not being used to carry persons or property for a charge; 2. HIRED AUTO AND NON-OWNED AUTO LIABILITY Coverage for "bodily injury" and "property damage" liability provided under SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROP- ERTY DAMAGE LIABILITY, is extended as follows under this item, but only if you do not have any other insurance available to you which affords the same or similar coverage. Coverage We will pay those sums the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the main- tenance or use of an "auto": a. You do not own; b. Which is not registered in your name; or c. Which is not leased or rented to you for more than ninety consecutive days and which is used in your business. Exclusions With respect to only HIRED AUTO AND NON- OWNED AUTO LIABILITY, the exclusions which apply to SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, other than the Nuclear Energy Liability Exclusion Endorsement, do not apply. The following exclusions apply to this coverage. This coverage does not apply to: a. "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" resulting from the use of reasonable force to protect persons or property. b. Any obligation of the insured under a workers compensation, disability benefits or unemploy- ment compensation law or any similar law. c. (1) "Bodily injury" or "property damage" arising out of the actual, alleged or threatened dis- charge, dispersal, seepage, migration, re- lease or escape of "pollutants": (a) That are, or are contained in any prop- erty that is: 1) Being transported or towed by, han- dled or prepared for placement into or upon, or taken from the "auto"; 2) Otherwise in the course of transit by you or on your behalf; or 3) Being disposed of, stored, treated or processed into or upon the "auto"; (b) Before such "pollutants" or property con- taining "pollutants" are moved from the place they are accepted by you or any- one acting on your behalf for placement into or onto the "auto"; or (c) After such "pollutants" or property con- taining "pollutants" are removed from the "auto" to where they are delivered, disposed of or abandoned by you or anyone acting on your behalf. Paragraph c.(1)(a) does not apply to "pol- lutants" that are needed or result from the normal mechanical, electrical or hydraulic functioning of the "auto" or its parts, if the discharge, release, escape, seepage, mi- gration or dispersal of such "pollutants" is directly from a part of the "auto" designed to hold, store, receive or dispose of such "pollutants" by the "auto" manufacturer. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 55091 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 6 Paragraphs c.(1)(b) and c.(1)(c) do not ap- ply, if as a direct result of maintenance or use of the "auto", "pollutants" or property containing "pollutants" which are not in or upon the "auto", are upset, overturned or damaged at any premises not owned by or leased to you. The discharge, release, es- cape, seepage, migration or dispersal of the "pollutants" must be directly caused by such upset, overturn or damage. (2) Any loss, cost or expense arising out of any: (a) Request, demand or order that any in- sured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of "pollutants"; or (b) Claim or "suit" by or on behalf of a gov- ernmental authority for damages be- cause of testing for, monitoring, cleaning up, removing, containing, treating, de- toxifying or neutralizing, or in any way responding to, or assessing the effects of "pollutants". d. "Bodily injury" or "property damage" however caused, arising directly or indirectly, out of: (1) War, including undeclared or civil war; (2) Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any govern- ment, sovereign or other authority using mili- tary personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. e. "Bodily injury" or "property damage" for which the insured is obligated to pay damages by rea- son of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages: (1) Assumed in a contract or agreement that is an "insured contract", provided the "bodily injury" or "property damage" occurs subse- quent to the execution of the contract or agreement. However, if the insurance under this policy does not apply to the liability of the insured, it also does not apply to such liability assumed by the insured under an "insured contract". (2) That the insured would have in the absence of the contract or agreement. f. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to any insured; or (2) Property in the care, custody or control of any insured other than "property damage" to a residence or a private garage by a private passenger "auto" covered by this coverage. g. (1) "Bodily injury" to: (a) An "employee" of the insured arising out of and in the course of employment by the insured; or (b) The spouse, child, parent, brother or sis- ter of that "employee" as a consequence of Paragraph g.(1)(a). (2) This exclusion applies: (a) Whether the insured may be liable as an employer or in any other capacity; and (b) To any obligation to share damages with or repay someone else who must pay damages because of the injury. (3) This exclusion does not apply to: (a) Liability assumed by the insured under an "insured contract". (b) "Bodily injury" to any "employee" of the insured arising out of and in the course of his or her domestic employment by the insured unless benefits for such in- jury are in whole or in part either pay- able or required to be provided under any workers compensation law. Who Is An Insured With respect to only this coverage, SECTION II - WHO IS AN INSURED is deleted and replaced by the following provision. SECTION II - WHO IS AN INSURED a. Each of the following is an insured with respect to this coverage. (1) You. (2) Your partners if you are designated in the Declarations as a partnership or a joint venture. (3) Your members if you are designated in the Declarations as a limited liability company. (4) Your "executive officers" if you are desig- nated in the Declarations as an organization other than a partnership, joint venture or limited liability company. (5) Any person using the "auto" and any person or organization legally responsible for the use of an "auto" not owned by such person or organization, provided the actual use is with your permission. b. None of the following is an insured: (1) Any person engaged in the business of his or her employer with respect to "bodily in- jury" to any co-"employee" of such person injured in the course of employment. (2) Any person using the "auto" and any person other than you, legally responsible for its use with respect to an "auto" owned or reg- istered in the name of: DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 55091 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 6 (a) Such person; or (b) Any partner or "executive officer" of yours or a member of his or her household; or (c) Any "employee" or agent of yours who is granted an operating allowance of any sort for the use of such "auto". (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business", other than an "auto busi- ness" you operate. (4) The owner or lessee (of whom you are a sub-lessee) of a hired "auto" or the owner of an "auto" you do not own or which is not registered in your name which is used in your business or any agent or employee of any such owner or lessee. (5) Any person or organization with respect to the conduct of any current or past partner- ship or joint venture that is not shown as a Named Insured in the Declarations. Additional Definitions The following definition applies to only this coverage. "Auto business" means the business or occupation of selling, repairing, servicing, storing or parking "autos". Limits of Insurance With respect to only this coverage, SECTION III - LIMITS OF INSURANCE is deleted and replaced by the following provision. SECTION III - LIMITS OF INSURANCE a. The Limits of Insurance shown in the Declara- tions and the rules below fix the most we will pay regardless of the number of: (1) Insureds; (2) Claims made or "suits" brought; or (3) Persons or organizations making claims or bringing "suits". b. We will pay damages for "bodily injury" or "prop- erty damage" up to the limits of liability shown in the Declarations for this coverage. Such dam- ages shall be paid as follows: (1) When Hired Auto and Non-Owned Auto Each Occurrence Limit is shown in the Dec- larations, such limit is the total amount of coverage and the most we will pay for all damages because of or arising out of all "bodily injury" and "property damage" in any one "occurrence". (2) When Bodily Injury Hired Auto and Non- Owned Auto Each Occurrence Limit and Property Damage Hired Auto and Non- Owned Auto Each Occurrence Limit are shown in the Declarations: (a) The limit shown for Bodily Injury Hired Auto and Non-Owned Auto Each Occur- rence is the total amount of coverage and the most we will pay for all dam- ages because of or arising out of all "bodily injury" in any one "occurrence". (b) The limit shown for Property Damage Hired Auto and Non-Owned Auto Each Occurrence is the total amount of cover- age and the most we will pay for all damages because of or arising out of all "property damage" in any one "occur- rence". 3. BROADENED SUPPLEMENTARY PAYMENTS SUPPLEMENTARY PAYMENTS - COVERAGES A AND B, Paragraph 1.d. is amended. The amount we will pay for the actual loss of earn- ings is increased from $250 per day to $400 per day. 4. ADDITIONAL PRODUCTS-COMPLETED OPERA- TIONS AGGREGATE LIMIT If the endorsement, EXCLUSION - PRODUCTS COMPLETED OPERATIONS HAZARD, CG 21 04, is not attached to this policy, then the following pro- vision is added to SECTION III - LIMITS OF INSURANCE. Commencing with the effective date of this policy, we will provide one additional Products-Completed Operations Aggregate Limit, for each annual period, equal to the amount of the Products-Completed Operations Aggregate Limit shown in the Declara- tions. The maximum Products-Completed Opera- tions Aggregate Limit for any annual period will be no more than two times the original Products-Com- pleted Operations Aggregate Limit. 5. PERSONAL INJURY EXTENSION a. If the endorsement EXCLUSION - PERSONAL AND ADVERTISING INJURY, CG 21 38, is attached to this policy, then this provision, 5. PERSONAL INJURY EXTENSION, does not apply. b. If the endorsement EXCLUSION - PERSONAL AND ADVERTISING INJURY, CG 21 38, is not attached to this policy, then under SECTION V - DEFINITIONS, 14. "Personal and advertising injury" is deleted and replaced by the following definition. 14. "Personal and advertising injury" means in- jury, including consequential "bodily injury", arising out of one or more of the following offenses: a. False arrest, detention or imprisonment; b. Malicious prosecution; c. The wrongful eviction from, wrongful en- try into, or invasion of the right of private DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 55091 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 6 occupancy of a room, dwelling or prem- ises that a person occupies, committed by or on behalf of its owner, landlord or lessor; d. Oral or written publication, in any man- ner, of material that slanders or libels a person or organization or disparages a person's or organization's goods, pro- ducts or services; e. Oral or written publication, in any man- ner, of material that violates a person's right of privacy; f. The use of another's advertising idea in your "advertisement"; g. Infringing upon another's copyright, trade dress or slogan in your "advertisement"; or h. Discrimination, humiliation, sexual ha- rassment and any violation of civil rights caused by such discrimination, humilia- tion or sexual harassment. 6. BROADENED KNOWLEDGE OF OCCURRENCE SECTION IV - COMMERCIAL GENERAL LIABIL- ITY CONDITIONS, 2. Duties In The Event Of Oc- currence, Offense, Claim Or Suit is amended. The following condition is added. Paragraphs a. and b. of this condition will not serve to deny any claim for failure to provide us with notice as soon as practicable after an "occurrence" or an offense which may result in a claim: a. If the notice of a new claim is given to your "em- ployee"; and b. That "employee" fails to provide us with notice as soon as practicable. This exception shall not apply to you or to any offi- cer, director, partner, risk manager or insurance manager of yours. 7. DAMAGE TO PREMISES RENTED TO YOU a. SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions is amended. (1) The last paragraph is deleted and replaced by the following paragraph. Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or water damage to premises rented to you or temporarily occupied by you with permis- sion of the owner. A separate limit of insur- ance applies to this coverage as described in 7. DAMAGE TO PREMISES RENTED TO YOU, b. Limits of Insurance. (2) The following additional exclusions apply to "property damage" arising out of water damage to premises rented to you or temporarily occupied by you with permission of the owner. (a) "Property damage" to: 1) The interior of the premises caused by or resulting from rain or snow, whether driven by wind or not; or 2) Heating, air conditioning, plumbing or fire protection systems, or other equipment or appliances. (b) "Property damage" caused by or resulting from any of the following: 1) Mechanical breakdown, including bursting or rupture caused by centrifugal force; 2) Cracking, settling, expansion or shrinking; 3) Smoke or smog; 4) Birds, insects, rodents or other animals; 5) Wear and tear; 6) Corrosion, rust, decay, fungus, de- terioration, hidden or latent defect or any quality in property that causes such property to destroy or damage itself; or 7) Water that flows or leaks from any heating, air conditioning, plumbing or fire protection system caused by or resulting from freezing, unless: a) You make a reasonable effort to maintain heat in the building or structure; or b) You drain the equipment and shut off the water supply if the heat is not maintained. (c) "Property damage" caused directly or indirectly by any of the following: 1) Water that backs up from a drain or sewer; 2) Mud flow or mudslide; 3) Volcanic eruption, explosion or effusion; 4) Any earth movement, such as earth- quake, landslide, mine subsidence, earth sinking, earth rising or earth shifting; 5) Regardless of the cause, flood, surface water, waves, tides, tidal waves, storm surge, overflow of any body of water, or their spray, all whether wind driven or not; or 6) Water under the ground surface pressing on, or seeping or flowing through: a) Walls, foundations, floors or paved surfaces; DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 55091 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 6 b) Basements, whether paved or not; or c) Doors, windows or other openings. (d) "Property damage" for which the insured is obligated to pay as damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of this contract or agreement. b. Limits of Insurance With respect to this coverage only, under SEC- TION III - LIMITS OF INSURANCE, Paragraph 6. is deleted and replaced by the following Paragraph. 6. The most we will pay under Coverage A for damages because of "property damage" to premises rented to you or temporarily occu- pied by you with permission of the owner arising out of or caused by fire, lightning, explosion, smoke and water damage is the amount shown in the Declarations under Damage to Premises Rented to You. c. SECTION IV - COMMERCIAL GENERAL LIA- BILITY CONDITIONS, 4. Other Insurance, Paragraph b. is amended. The word fire is amended to include fire, lightning, explosion, smoke or water damage. 8. BLANKET ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT a. (1) SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person or organization with whom you have agreed: (a) In a written contract or agreement, exe- cuted prior to loss, to name as an addi- tional insured; or (b) In an oral contract or agreement, exe- cuted prior to loss, to name as an addi- tional insured only if a Certificate of Insurance was issued prior to loss indi- cating that the person or organization was an additional insured. (2) This provision applies only with respect to liability for: (a) "Bodily injury"; (b) "Property damage"; or (c) "Personal and advertising injury" caused in whole or in part, by your mainte- nance, operation or use of equipment leased to you by such person or organization. b. With respect to the insurance afforded to an additional insured, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. c. The following provision is added to SECTION III - LIMITS OF INSURANCE. The Limits of Insurance for the additional in- sured are those specified in the written contract or agreement between the insured and the les- sor, not to exceed the limits provided in this pol- icy. These limits are inclusive of and not in addi- tion to the Limits of Insurance shown in the Declarations. 9. BLANKET ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES a. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person or organization with whom you have agreed: (1) In a written contract or agreement, executed prior to loss, to name as an additional insured; or (2) In an oral contract or agreement, executed prior to loss, to name as an additional in- sured only if a Certificate of Insurance was issued prior to loss indicating that the per- son or organization was an additional insured but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you. b. This provision is subject to the following addi- tional exclusions. (1) Any "occurrence" which takes place after you cease to be a tenant in that premises. (2) Structural alterations, new constructions or demolition operations performed by or on behalf of the additional insured. c. The following provision is added to SECTION III - LIMITS OF INSURANCE. The Limits of Insurance for the additional in- sured are those specified in the written contract or agreement between the insured and the manager or lessor of the premises, not to ex- ceed the limits provided in this policy. These limits are inclusive of and not in addition to the Limits of Insurance shown in the Declarations. 10. NEWLY FORMED OR ACQUIRED ORGANIZA- TIONS SECTION II - WHO IS AN INSURED is amended. Paragraph 3. is deleted and replaced by the follow- ing provision. 3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 ownership or majority interest, will qualify as a Named Insured if there is no other similar insur- ance available to that organization. However: a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the pol- icy period, whichever is earlier; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability com- pany that is not shown as a Named Insured in the Declarations. 11. BLANKET WAIVER OF SUBROGATION SECTION IV - COMMERCIAL GENERAL LIABIL- ITY CONDITIONS is amended. The following provi- sion is added to 8. Transfer Of Rights of Recov- ery Against Others To Us. When you have agreed to waive your right of subro- gation in a written contract, executed prior to loss, with any person or organization, we waive any right to recovery we may have against such person or organization because of payments we make for in- jury or damage arising out of your ongoing opera- tions or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". All other policy terms and conditions apply. 55091 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 6 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 Agency Code 32-0050-00 Policy Number 184632-74979624 CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 .Auto-Owners INSURANCE COMPANY 6101 ANACAPRI BLVD., LANSING, Ml 48917-3999 AGENCY ARTHUR J GALLAGHER RISK MANAGEMENT SER Page 1 32-0050-00 MKT TERR 100 (303) 444-4666 INSURED D LAWSO ENTERPRISES INC ROCKY MOUNTAIN DOCK & DOOR SPECIAL! ADDRESS 9903 TITAN CT UNIT 11 LITTLETON CO 80125-9353 26449 (07-00) Issued 08-16-2023 UMBRELLA POLICY DECLARATIONS Renewal Effective 10-01-2023 POLICY NUMBER 51-979-624-01 Company Use 74-21-CO-1810 Company Bill POLICY TERM 12:01 a.m. 12:01 a.m. to 10-01-2023 10-01-2024 In consideration of payment of the premium shown below, this policy is renewed. Please attach this Declarations and attachments to your policy. If you have any questions. please consult with your agent. COMMERCIAL UMBRELLA LIMITS OF LIABILITY: Products-Completed Operations Aggregate Employers Liability Aggregate Other Aggregate Each Incident Limit $ 5,000,000 $ 5,000,000 $ 5,000,000 $ 5,000,000 RETAINED LIMIT: $ 10,000 (Waived when an Auto-Owners Insurance Group Company provides both the Commercial Automobile and Commercial General Liability coverage). FORMS THAT APPLY TO THIS POLICY: 26800 (07-05) 26606 (09-19) 26411 26505 (07-08) 26455 (01-15) 26527 66088 (09-14) 66119 (12-15) 26797 66174 (12-17) 64310 (06-18) 66175 59495 (08-11) 26296 (07-05) COMMERCIAL UMBRELLA PREMIUM THE POLICY PREMIUM SHOWN ABOVE INCLUDES: TERRORISM CERTIFIED ACTS SEE FORMS 59350, 26505, 59390 TOTAL POLICY PREMIUM PROGRAM: Commercial (03-15) (09-09) (08-16) (12-17) 59350 (01-15) 66061 (06-13) 66127 (06-17) 66206 (09-19) A 10% Cumulative Multi-Policy Discount applies. Supporting policies are marked with an (X): Comm Auto(X) Comm Prop/Comm Liab(X) Farm( ) WC( ) Life( ) Personal( ). 26366 (07-05) 66085 (07-14) 66151 (12-17) 66244 (06-21) PREMIUM TERM DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98 7501 E. Lowry Blvd. Denver, CO 80230-7006 303.361.4000 / 800.873.7242 Pinnacol.com D Lawso Enterprises Inc dba Rocky Mou 9903 Titan Ct # 11 Littleton, CO 80125 Arthur J. Gallagher & Co.- Pueblo 1515 Fortino Blvd. #200 Pueblo, CO 81008 (719) 544-1111 7501 E. Lowry Blvd Denver, CO 80230-7006 Page 1 of 1 P ISA -10/02/2023 18:20:04 4167839 82215052 359-B NCCI #: WC000313B Policy #: 4167839 ENDORSEMENT:Blanket Waiver of Subrogation Effective Date:October 1, 2023 Expires on: October 1, 2024 Pinnacol Assurance has issued this endorsement October 2, 2023 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 To any person or organization when agreed to under a written contract or agreement, as defined above and with the insured, which is in effect and executed prior to any loss. DocuSign Envelope ID: 4A02FF26-82F4-4BF4-801B-EAC7ADA1BD98