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HomeMy WebLinkAbout265716 WINDOW KING - CONTRACT - BID - 6002 EXTERIOR WINDOW CLEANINGSERVICES AGREEMENT EXTERIOR WINDOW CLEANING THIS AGREEMENT made and entered into the day and year set forth below by and between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter referred to as the "City" and Window King #111, Inc. 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 Exterior Window Cleaning services in accordance with the scope of services attached hereto as Exhibit "A", consisting of two (2) pages, and incorporated herein by this reference. 2. Contract Period This Agreement shall commence January 1, 2007, and shall continue in full force and effect until December 31, 2007, unless sooner terminated as herein provided. In addition, at the option of the City, the Agreement may be extended for additional one year periods not to exceed four (4) additional one year periods. Pricing changes shall be negotiated by and agreed to by both parties. The Denver - Boulder CPI-U as published by the Colorado State Planning and Budget Office will be used as a guide. Written notice of renewal shall be provided to the Service Provider and mailed no later than sixty (60) 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 of such condition within fifteen (15) days from the onset of such condition. 4. Early Termination by City/Notice Notwithstanding the time periods contained herein, the City may terminate this Agreement at any time without cause by providing written notice of termination to the Service Provider. Such notice shall be delivered at least fifteen (15) days prior to the termination date contained in said notice unless otherwise agreed in writing by the parties. All notices provided under this Agreement shall be effective when mailed, postage prepaid and sent to the following addresses: City: Service Provider: City of Fort Collins Purchasing Window King #111, Inc. PO Box 580 1383 Warbler Street Fort Collins, CO 80521 Loveland, CO 80537 10/31/2006 01:44PM Pinnacol Assurance PAGE 3 OF 3 POLICY HOLDER COPY Window King 111 Inc 1383 WARBLER ST LOVELAND CO 80537 POLICY NUMBER: 4092978 BUSINESS LOCATION: WINDOW KING 111 INC CLASSIFICATION OF OPERATION CLASS DESCRIPTION IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsamere(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certian policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(a), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or miter the coverage afforded by the policies listed thereon. COVERAGE COVERAGE RATI EFFECTIVE EXPIRES TYPE 901405BUILDINGS-MAINTENANCE OPERATIONS BY CONTRACTOR 06/01/2006 O6/01/2007 EM FROM SCA INSURANCE (WED)NOV 29 2006 10:17/ST.10:13/No.6800186091 P 1 -70 - -2a - p A aRD. CERTIFICATE OF LIABILITY INSURANCE oATa 1 11 29 7 /29/2006 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BOA Inaurancg - Pumblo ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2414 ►rest 4th street Pueblo CO 62003 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DELOW. (719) 544.2533 INSURERS AFFORDING COVERAGE NAIC 0 INSURED Window zing III INSuA9RA: United Pisa E Caeuelt GYOu 13021 ' INSURER B: INSURER0; 1343 Warbler Street - INSURER D: Loveland CO $0537 N ERE THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH$TANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE I$$UEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY WINDER WAS= pwpmq= Ulm A GENERAL LIABR-IYY >< COMMERCIAL GENERALUABILTIY CLAIMS MADE a)OCCURMED _ 60327016 BY2712006 6/27/2007 EACH OCCURR roA f 31,000,000 p EXP (Am mm porvenA 1 100,000 S ._ 5.000 f 11000,009 __ P R$QNAL a AOV INJURY GENERAL AGGREGATE f 2,000,000 GEN%AGGREGATE LIMIT APPUES PER: POLICY P FlLocAAkA! PRODUCTS . COLIPIOP AGG 1 4, 0 0. 000 AAALtlwl iwna A UABE:RY 010OBILEUTO ANY ALLOWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NONOWNEO AUTOS ICEOMBY SINGLE UMR f BODILY INJURY (PW p5mm) f GODLY INJURY (mo) 1 I>ROPFR,TYY PAMAGE f GARAGE LIABB.TTY ANYAUTO AUTO ONLY -EA ACCIDENT 1 _ ..._ OTHERTHAN EA ACC.. AUTO ONLY AM f EXOE38MMBRELLA UASIU Y Occult CLAIMS MADE DBnUC.TIRI,F, RETENTION f EACH DccuRRENCE f AGGREGATE f f f TWRKERSCOMPENSATIONAND EMPLOYERS LIABLJTY ANY PNOPRIETOWPARTNERRXECUTWE OFFICEIAL4N4AA�I�EpM4BER EXCLU0607 PRe MS bob" M'C BTA F E,L. EACH ACCIDENT E.LOMEASE•EAEMPLOVE 1 E.LOLSFASE-POLICYLIMR 6 OTHER DTi MPTIpROFOPERATONSTLOCATONSIVEHICLESIOCLUSIONBADDEDaVENDORUMXNTr BPECLLLPROVISION$ Csrt19iCata holder is additional insured. City OE Fort Collide Purchasing Division 2" N. Kagan Street Fort Collins CO 80522 SIR K" ANY Of THE A8413VE DEOCROM P0UOR)8 BE CANCELLED BEFORE THE EXPRAT" DATE THEREOF, THE RMEW INVAI R MILL ENDEAVOR TO LIAR. 10 PAYS WRITTEN HDTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FALORE TO DO SO SHALL IMPOSE NO OBU"MON OR UABLTT' OF ANY WHO UPON THE INSURER, ITS AGENTS OR G+, FROM SCA INSURANCE (WED)NOV 29 2006 10: 17/ST. 10:13/No. 6800186091 P 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such andommment(s). if SUBROGATION IS WAIVED, subject b 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 Neu of such endorsement(s). DISCLAIMER The Certirx*a of Insurance on the reverse side of this form does not constitute a contract between the. issuing Insurer(a), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the poWee listed thereon. 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. Such payment shall be the Service Provider's sole right and remedy for such termination. 5. Contract Sum The City shall pay the Service provider for the performance of this Contract, subject to additions and deletions provided herein, the sum of Ten Thousand, Nine Hundred, Twenty-two Dollars ($10,922). 6. City Representative The City 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 concerning this agreement shall be directed to the City Representative. 7. 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 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. 8. Personal Services It is understood that the City 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.. 9. Acceptance Not Waiver The City'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. 10. Warranty 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. 11. 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. 12. Remedies In the event a party has been declared in default, such defaulting party shall be allowed a period of ten (10) days within which to cure said default. In the event the default remains uncorrected, the party declaring default may elect to: a. Terminate the Agreement and seek damages; b. Treat the Agreement as continuing and require specific performance; or c. Avail himself of any other remedy at law or equity. If the non -defaulting party commences legal or equitable actions against the defaulting party, the defaulting party shall be liable to the non -defaulting party for the non -defaulting party's reasonable attorney fees and costs incurred because of the default. 13. Binding Effect This writing, together with the exhibits hereto, constitutes the entire agreement between the parties and shall be binding upon said parties, their officers, employees, agents and assigns and shall inure to the benefit of the respective survivors, heirs, personal representatives, successors and assigns of said parties. 14. I ndemnitylinsurance a. The Service Provider agrees to indemnify and save harmless the City, its officers, agents and employees against and from any and all actions, suits, claims, demands or liability of any character whatsoever brought or asserted for injuries to or death of any person or persons, or damages to property arising out of, result from or occurring in connection with the performance of any 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 as an additional insured under this Agreement of the type and with the limits specified within Exhibit "B", consisting of one (1) page, attached hereto and incorporated herein by this reference. The Service Provider before commencing services hereunder, shall deliver to the City's Director of Purchasing and Risk Management, 215 Mason, 2"d Floor, Fort Collins, Colorado 80524, one copy of a certificate evidencing the insurance coverage required from an insurance company acceptable to the City. 15. Entire Agreement This Agreement, along with all Exhibits and other documents incorporated herein, shall constitute the entire Agreement of the parties. Covenants or representations not contained in this Agreement shall not be binding on the parties. 16. Law/Severability The laws of the State of Colorado shall govern the construction interpretation, execution and enforcement of this Agreement. In the event any provision of this Agreement shall be held invalid or unenforceable by any court of competent jurisdiction, such holding shall not invalidate or render unenforceable any other provision of this Agreement. 17. Prohibition Against Employing Illegal Aliens This paragraph shall apply to all Contractors whose performance of work under this Agreement does not involve the delivery of a specific end product other than reports that are merely incidental to the performance of said work. Pursuant to Section 8-17.5-101, C.R.S., et. seq., Contractor represents and agrees that: A. As of the date of this Agreement: 1. Contractor does not knowingly employ or contract with an illegal alien; and 2. Contractor has participated or attempted to participate in the basic pilot employment verification program created in Public Law 208, 104th Congress, as amended, and expanded in Public Law 156, 108th Congress, as amended, administered by the United States Department of Homeland Security (the 'Basic Pilot Program") in order to verify that Contractor does not employ any illegal aliens. B. Contractor shall not knowingly employ or contract with an illegal alien to perform works under this Agreement or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. C. Contractor shall continue to apply to participate in the Basic Pilot Program and shall in writing verify same every three (3) calendar months thereafter, until Contractor is accepted or the public contract for services has been completed, whichever is earlier. The requirements of this section shall not be required or effective if the Basic Pilot Program is discontinued. D. Contractor is prohibited from using Basic Pilot Program procedures to undertake pre -employment screening of job applicants while this Agreement is being performed. E. If Contractor obtains actual knowledge that a subcontractor performing work under this Agreement knowingly employs or contracts with an illegal alien, Contractor shall: Notify such subcontractor and the City within three days that Contractor has actual knowledge that the subcontractor is employing or contracting with an illegal alien; and 2. Terminate the subcontract with the subcontractor if within three days of receiving the notice required pursuant to this section the subcontractor does not cease employing or contracting with the illegal alien; except that Contractor shall not terminate the contract with the subcontractor if during such three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. F. Contractor shall comply with any reasonable request by the Colorado Department of Labor and Employment (the "Department') made in the course of an investigation that the Department undertakes or is undertaking pursuant to the authority established in Subsection 8-17.5:102 (5), C.R.S. G. If Contractor violates any provision of this Agreement pertaining to the duties imposed by Subsection 8-17.5-102, C.R.S. the City may terminate this Agreement. If this Agreement is so terminated, Contractor shall be liable for actual and consequential damages to the City arising out of Contractor's violation of Subsection 8-17.5-102, C.R.S. H. The City will notify the Office of the Secretary of State if Contractor violates this provision of this Agreement and the City terminates the Agreement for such breach. THE CITY OF FORT COLLINS, COLORADO By: z 4 '�- mes B. O'Neill 11, CPPO, F IGP Director of Purchasing & Risk Management Date: /Z -/-aG WINDOW KtKG #111, Inc. Date: /114� 7% ATTEST: (Corporate Seal) Corporate Secretary Exhibit A: Scope of Work Prices taken from Window King bid proposal for Bid #6002, Exterior Window Cleaning PRICE Map # B 31 BUILDINGS CITY HALL Frea ADDRESS 300 LAPORTE PER CLEANING 210 YEARLY TOTAL 840 4 B 33 LINCOLN CENTER: 417 W. Magnolia Exterior windows 1 at fir. - In and out - no door glass 12 95 1140 Exterior windows - 2nd fir: in and out 4 95 380 B 36 OPERATION SERVICES 2 117 N. MASON 20 40 A 22 SENIOR CENTER 2 1200 RAINTREE 215 430 A 10 STREETS: 625 Ninth St. Adm area -'all glass in and out 4 215 860 All other glass In and out 2 425 850 B 28 *215 N. Mason 2 215 N. Mason 2070 4140 B 45 "Transit Center 2 250 North Mason 140 280 B 35 ***POLICE SERVICES 1 301 LAPORTE iW07, B 41 ***MUSEUM 1 220 MATHEWS 22 22 B 43 *****PFA 1 102 REMINGTON 148 148 25 B 110 N. HOWES 1 110 N. HOWES 15 15 26 B 112 N. HOWES 1 112 N. HOWES 15 15 278 200 W. MOUNTAIN SUITE 1 AND 2 1 200 W. MOUNTAIN 33 33 398 LIBRARY TECH 1 256 W. MOUNTAIN 46 46 B 29 281 N COLLEGE 1 281 N. COLLEGE 57 57 A 17 CLUB TICO 1 1599 CITY PARK 58 58 A 19 FLEET SERVICES 1 835 WOOD 25 25 A 2 -FOSSIL CREEK MAINT. BUILDING 2 5833 S. LEMAY 128 256 A 20 GRANDVW OFF 1 1900 W. MOUNTAIN 15 15 A 4 GRANDVW SHOP 1 1903 W. MOUNTAIN 10 10 B 32 LIBRARY 1 201 PETERSON 368 368 B 32 LIBRARY Front Glass 201 PETERSON 6 panes near East entry - no door glass 8 15 120 A 5 j MARTINEZ FARM 1 600 N SHERWOOD 35 35 B 44 RECREATION BLDG 1 214 N. HOWES 25 25 A 21 PARK SHOP 1 413 S. BRYAN 15 15 A 9 POTTERY STUDIO 1 1541 W. OAK 55 55 A 23 TRANSFORT 1 6570 PORTNER RD. 68 68 A 12 TRANSFORT COTTAGE 1 6570 PORTNER RD. 38 38 Grand Total: fikm J� b% �o� ? AO Exhibit A: page 2 Windows on 2nd and 3rd need to be completed using a boom hoist. Rental of hoist and the cleanup of hoist wheel marks on the sidewalks are to be included in the bid price of 215 Mason " Windows on Cupola to be done yearly Has 20 window screens on 1st floor. The small screens on 2nd need to be taken out from the inside. Includes glass enclosure on the North. First floor only. Has bars on windows to reach through. Also include the windows In stairway and Inside of skylight - 2nd Floor windows can be done by ladder or tucker pole(except 215 Mason). - 215 Mason - 2nd and 3rd floors to be done with a boom hoist. - 215 Mason - Cleaning of the 1st floor painted panels must be Included In price - Pricing Includes removal and cleaning of screens, where needed. - Window frame and ledges are to be cleaned at all sites. - A schedule for cleaning windows to be set up with City contact. - Windows done annually must be completed by the end of June. - Joan Barrie is to be contacted ( 221-6592) for Inspection of completed buildings. - Windows may need to be redone if they fail to meet the City's cleaning standard. - The frequency of cleaning or the addition or deletion of buildings at City discretion. INSURANCE REQUIREMENTS 1. The Service Provider will provide, from insurance companies acceptable to the City, the insurance coverage designated hereinafter and pay all costs. Before commencing work under this bid, the Service Provider shall furnish the City with certificates of insurance showing the type, amount, class of operations covered, effective dates and date of expiration of policies, and containing substantially the following statement: "The insurance evidenced by this Certificate will not be cancelled or materially altered, except after ten (10) days written notice has been received by the City of Fort Collins." In case of the breach of any provision of the Insurance Requirements, the City, at its option, may take out and maintain, at the expense of the Service Provider, such insurance as the City may deem proper and may deduct the cost of such insurance from any monies which may be due or become due the Service Provider under this Agreement. The City, its officers, agents and employees shall be named as additional insureds on the Service Provider's general liability and automobile liability insurance policies for any claims arising out of work performed under this Agreement. 2. Insurance coverages shall be as follows: A. Workers' Compensation & Employer's Liability. 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: 1. Workers' Compensation insurance with statutory limits as required by Colorado law. 2. Employer's Liability insurance with limits of $100,000 per accident, $500,000 disease aggregate, and $100,000 disease each employee. B. Commercial General & Vehicle Liability. The Service Providershall maintain during the life of this Agreement such commercial general liability and automobile liability insurance as will provide coverage for damage claims of personal injury, including accidental death, as well as for claims for property damage, which may arise directly or indirectly from the performance of work under this Agreement. Coverage for property damage shall be on a "broad form" basis. The amount of insurance for each coverage, Commercial General and Vehicle, shall not be less than $500,000 combined single limits for bodily injury and property damage. In the event any work is performed by a subcontractor, the Service Provider shall be responsible for any liability, directly or indirectly arising out of the work performed under this Agreement by a subcontractor, which liability is not covered by the subcontractor's insurance. 10/31/2006 01:44PM Pinnacol Assurance PAGE 2 OF 3 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(1013112131I2005 PRODUCER Pinnacol Aeeurance 7501 E Lowry Blvd DENVER CO 80230-7006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED WINDOW KING 111 INC 1383 WARBLER ST LOVELAND CO 80637 INSURER A: Pinnacol Assurance 41190 INSURER B: INwRERC. INSURER D: INSURER E: COVERAGES 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. INSR LYR ADUL INSRO TYPE OF INSURANCE POUCY NUMBER POLICY EFF@[TINE OATEIMMAIO/YYYYI POLICY EXPIRATION DATEIMM,ODPYYYY) UNITS GENERAL UABILRY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR EACH OCCURRENCE DAMAGE TO RENTED PREMISES IEP PaunPneJ MED EXP UN, en. PUPPN PRISONAL N ADV INJURY GEN'L AGGREGATE UNIT APPLIERS PER'. POLICY PROJECT LOC GENERAL AGGREGATE PRODUCTS - COMNCF AGO AUTOMOBNE UAMLnY ANY AUTO ALL OWNED AUTOS SCHEOULED AUTOS HIRED AUTOS NON4 W VIED AUTOS COMBINED SINGLE LINT REP PaidP i) BODILY INJURY (P. ...—I BODILY INJURY (P. Pccid-0 PROPERTY DAMAGE (P. PPddw l GARAGE UAMILRY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY'. AGG ENC666N1ABRELLALLOWT OCCUR CVJMS MADE OBDUCTIBLE RETENTION P EACH OCCURRENCE AGGREGATE A WORKERS COMPENSATION AND EMPLOYERSLUNBILRY ANY PROPRIETOR/PARTNEREXECUTIVE OFPICERIMEMBER EXCLUDED! II vw W.. drmWP undP, SPECIAL PROVISIONS 1,W— 4092978 06101/2006 06/01/2007 X WC STATU OTHER TORY UNITS E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $100,000 F.L. DISEASE- POLICY UNIT 1 $500.000 OTHER DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICIBE / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PIOVIMON6 SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL CERTIFICATE HOLDER CANCELLATION 947433 CITY OF FORT COLLINS 215 NORTH MASON STREET FORT COLLINS CO 80522 ACORD 25(2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIV AUTHORIZED REPRESENTATIVE Jeff Bunn Underwriter ACORD CORPORATION 1988 ARCYSASNCSRSuPP.,I 1041N601A4:03 4O2916 UFd.," 12/15/119612:00:00 UW105