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HomeMy WebLinkAbout102541 CH2M HILL INC - CONTRACT - AGREEMENT MISC - SLATE COMMUNICATIONSProfessional Services Agreement
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PROFESSIONAL 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 River Public Library District (District),
and Slate Communications, hereinafter referred to as "Professional".
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 Professional agrees to provide services in accordance with the
scope of services attached hereto as Exhibit "A", consisting of one (1) page, and
incorporated herein by this reference. Irrespective of references in Exhibit A to certain
named third parties, Professional shall be solely responsible for performance of all duties
hereunder.
2. Contract Period. This Agreement shall commence October 1, 2014 and shall continue in
full force and effect until April 1, 2015, unless sooner terminated as herein provided.
3. EarlyTermination by City. Notwithstanding the time periods contained herein, the City or
District may terminate this Agreement at any time without cause by providing written notice
of termination to the Professional. 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:
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Professional Services Agreement
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Professional: City:
Slate Communications
Attn: Claire Thomas, Project Manager
425 W Mulberry St, #205
Fort Collins, CO 80521
City of Fort Collins
Attn: Purchasing Dept.
PO Box 580
Fort Collins, CO 80522
Copy to:
Poudre River Public Library District
Attn: Holly Carroll, Executive Director
PO Box 580
Fort Collins, CO 80522
In the event of any such early termination by the City or District, the Professional shall be
paid for services rendered prior to the date of termination, subject only to the satisfactory
performance of the Professional's obligations under this Agreement. Such payment shall
be the Professional's sole right and remedy for such termination.
4. Design, Project Indemnity and Insurance Responsibility. The Professional shall be
responsible for the professional quality, technical accuracy, timely completion and the
coordination of all services rendered by the Professional, including but not limited to
designs, plans, reports, specifications, and drawings and shall, without additional
compensation, promptly remedy and correct any errors, omissions, or other deficiencies.
The Professional shall indemnify, save and hold harmless the City, the District, their
officers and employees in accordance with Colorado law, from all damages whatsoever
claimed by third parties against the City; and for the City's costs and reasonable attorneys
fees, arising directly or indirectly out of the Professional's negligent performance of any of
the services furnished under this Agreement. The Professional shall maintain commercial
general liability insurance and name the District as an additional insured in the amounts of
$500,000 combined single limits and errors and omissions insurance in the amount of
$1,000,000, in accordance with Exhibit C, consisting of one (1) page, attached hereto and
incorporated herein.
5. Compensation. In consideration of the services to be performed pursuant to this
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Agreement, the City agrees to pay Professional a maximum fee not to exceed the amount
of Eight Thousand Nine Hundred Fifty-Five Dollars ($8,955.00) as set forth in Exhibit “B”
consisting of one (1) page, attached hereto and incorporated herein. Monthly partial
payments based upon the Professional's billings and itemized statements are permissible.
The amounts of all such partial payments shall be based upon the Professional's
City-verified progress in completing the services to be performed pursuant hereto and
upon the City's approval of the Professional's actual reimbursable expenses. Final
payment shall be made following acceptance of the work by the City. Upon final payment,
all designs, plans, reports, specifications, drawings, and other services rendered by the
Professional shall become the sole property of the City.
6. City Representative. The City will designate, prior to commencement of work, a City or
District project representative who shall make, within the scope of his or her authority, all
necessary and proper decisions with reference to the project. All requests for contract
interpretations, change orders, and other clarification or instruction shall be directed to the
City Representative.
7. Monthly Report. Commencing thirty (30) days after the date of execution of this
Agreement and every thirty (30) days thereafter, Professional is required to provide the
City Representative with a written report of the status of the work with respect to the
Scope of Services, Work Schedule, and other material information. Failure to provide any
required monthly report may, at the option of the City, suspend the processing of any
partial payment request.
8. Independent Contractor. The services to be performed by Professional are those of an
independent contractor and not of an employee of the City of Fort Collins. The City shall
not be responsible for withholding any portion of Professional's compensation hereunder
for the payment of FICA, Workers' Compensation, other taxes or benefits or for any other
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purpose.
9. Subcontractors. Professional may not subcontract any of the Work set forth in the Exhibit
A, Statement of Work without the prior written consent of the city, which shall not be
unreasonably withheld. If any of the Work is subcontracted hereunder (with the consent
of the City), 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, nor
will it obligate the City 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 to the same extent as the
work of the Professional.
10. Personal Services. It is understood that the City enters into this Agreement based on the
special abilities of the Professional and that this Agreement shall be considered as an
agreement for personal services. Accordingly, the Professional shall neither assign any
responsibilities nor delegate any duties arising under this Agreement without the prior
written consent of the City.
11. Acceptance Not Waiver. The City's approval of drawings, designs, plans, specifications,
reports, and incidental work or materials furnished hereunder shall not in any way relieve
the Professional of responsibility for the quality or technical accuracy of the work. 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.
12. Default. Each and every term and condition hereof shall be deemed to be a material
element of this Agreement. In the event either party should fail or refuse to perform
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according to the terms of this agreement, such party may be declared in default.
13. Remedies. In the event a party has been declared in default, such defaulting party shall
be allowed a period of ten (10) days within which to cure said default. In the event the
default remains uncorrected, the party declaring default may elect to (a) terminate the
Agreement and seek damages; (b) treat the Agreement as continuing and require specific
performance; or (c) avail himself of any other remedy at law or equity. If the non-
defaulting party commences legal or equitable actions against the defaulting party, the
defaulting party shall be liable to the non-defaulting party for the non-defaulting party's
reasonable attorney fees and costs incurred because of the default.
14. Binding Effect. This writing, together with the exhibits hereto, constitutes the entire
agreement between the parties and shall be binding upon said parties, their officers,
employees, agents and assigns and shall inure to the benefit of the respective survivors,
heirs, personal representatives, successors and assigns of said parties.
15. 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.
16. Prohibition Against Employing Illegal Aliens Pursuant to Section 8-17.5-101, C.R.S., et.
seq., Professional represents and agrees that:
a. As of the date of this Agreement:
1. Professional does not knowingly employ or contract with an illegal alien who will
perform work under this Agreement; and
2. Professional will participate in either the e-Verify program created in Public Law 208,
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104th Congress, as amended, and expanded in Public Law 156, 108th Congress,
as amended, administered by the United States Department of Homeland Security
(the “e-Verify Program”) or the Department Program (the “Department Program”),
an employment verification program established pursuant to Section 8-17.5-
102(5)(c) C.R.S. in order to confirm the employment eligibility of all newly hired
employees to perform work under this Agreement.
b. Professional shall not knowingly employ or contract with an illegal alien to perform
work under this Agreement or knowingly enter into a contract with a subcontractor that
knowingly employs or contracts with an illegal alien to perform work under this
Agreement.
c. Professional is prohibited from using the e-Verify Program or Department Program
procedures to undertake pre-employment screening of job applicants while this
Agreement is being performed.
d. If Professional obtains actual knowledge that a subcontractor performing work under
this Agreement knowingly employs or contracts with an illegal alien, Professional shall:
1. Notify such subcontractor and the City within three days that Professional 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 Professional 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.
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e. Professional 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.
f. If Professional 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, Professional shall be liable for actual and
consequential damages to the City arising out of Professional’s violation of Subsection
8-17.5-102, C.R.S.
g. The City will notify the Office of the Secretary of State if Professional violates this
provision of this Agreement and the City terminates the Agreement for such breach.
17. 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.
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THE CITY OF FORT COLLINS, COLORADO
By: _________________________________
Gerry Paul
Director of Purchasing & Risk Management
DATE: ______________________________
POUDRE RIVER PUBLIC LIBRARY DISTRICT
By: _________________________________
Print Name: ___________________________
Title: _________________________________
Date: _________________________________
SLATE COMMUNICATIONS
By: __________________________________
Title: _______________________________
CORPORATE PRESIDENT OR VICE PRESIDENT
Date: _______________________________
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9/22/2014
Principal/Founder
Executive Director
Holly Carroll
9/24/2014
9/24/2014
Professional Services Agreement
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EXHIBIT A
SCOPE OF WORK
PURPOSE OF NEEDS ASSESSMENT
The Library District has nearly completed their most recent Strategic Plan and need
public input to develop long range and short term goals. Since its first year operating as
a District in 2007, the Poudre River Public Library District has invested millions of
dollars into print, digital, and virtual materials completed the Library Master Plan and
have implemented District-wide programming and services that reach far beyond the
city of Fort Collins borders.
Public engagement, stakeholder input and internal staff meetings focused on telling
the Library District story, and eliciting ideas and feedback for future Library priorities
will be the foundation of the next Strategic Plan.
KEY PERSONNEL
Holly Carroll, PRPLD Executive
Director
Paula Lakamp- Watson, PRPLD
Communications Manager
Claire Thomas, Slate Project Manager
Ryan Burke, Slate Creative Director
Kim Newcomer, Slate Strategic Planning
Support
TIMELINE
Phase I: September – early December 2014
Create Needs Assessment Strategic Plan and Program Materials
In partnership with Library District management, Professional will create a Strategic Plan
and Implementation Chart to reach the various audiences important to the Needs
Assessment. All creative material will be developed and prepared for various tools and
events.
Develop Tools and Tactics and Conduct Focus Groups, Key Stakeholder
meetings
The Library District has a variety of existing tools such as a website, Enewsletter,
social media tools and property assets that can be leveraged along with new tools
and tactics within this scope. Some participation by Library management and Board of
Trustees will help guide high-level conversations with key stakeholders and focus
groups.
Phase II: January- February 2015
General Public Outreach
Using themes and ideas from targeted engagement, engage the public through
electronic tools and unmanned stations to encourage prioritization or ranking of
themes and ideas.
NEEDS ASSESSMENT FINAL REPORT
Professional will prepare a Needs Assessment document which will include
overarching themes and ideas heard throughout the process, all raw data and findings.
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EXHIBIT B
COMPENSATION
Phase I: Strategy, Creative Work, Stakeholder Engagement $6,555
• Grounding, research, Needs Assessment Strategic Plan and
Implementation Chart Educational materials, outreach materials
and tools, facilitation of focus groups/stakeholder meetings,
collect and consolidate feedback.
Phase II: Public Outreach, Needs Assessment Report $1,900
• Public outreach via electronic tools/unmanned stations, collect
and consolidate feedback, prepare Needs Assessment
document.
PROFESSIONAL’S FEES $500
TOTAL, NOT TO EXCEED: $8,955.00
Professional’s project management approach
Professional is committed to keeping within the budgeted amount of hours and scope
of work. Each week, Professional will prepare a work sheet of upcoming tasks and
estimated hours to completion. At the beginning of each month, Professional will run
a labor report (hours spent against hours left in budget), outreach report and have a
summary of any outside vendor fees from the previous month. The Library District
will have the opportunity to scale back work, or increase tasks based on these
reports.
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EXHIBIT C
INSURANCE REQUIREMENTS
1. The Professional 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 Professional 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 Professional, 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 Professional under this Agreement. The
City, its officers, agents and employees shall be named as additional insureds on the
Professional '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 Professional shall maintain
during the life of this Agreement for all of the Professional '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 Professional shall maintain during the
life of this Agreement such commercial general liability and automobile liability
insurance as will provide coverage for damage claims of personal injury, including
accidental death, as well as for claims for property damage, which may arise
directly or indirectly from the performance of work under this Agreement.
Coverage for property damage shall be on a "broad form" basis. The amount of
insurance for each coverage, Commercial General and Vehicle, shall not be less
than $1,000,000 combined single limits for bodily injury and property damage.
In the event any work is performed by a subcontractor, the Professional 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.
C. Errors & Omissions. The Professional shall maintain errors and omissions
insurance in the amount of $1,000,000.
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Professional Services Agreement
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EXHIBIT D
CONFIDENTIALITY
IN CONNECTION WITH SERVICES provided to the Poudre River Public Library District (the
“District”), acting through its agent, the City of Fort Collins (the “City”), pursuant to this
Agreement (the “Agreement”), the Professional hereby acknowledges that it has been informed
that the District and the City have 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 District and the City or their employees, customers or suppliers, which access is
related to the performance of services that the Professional has agreed to perform, the
Professional 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 District and the City may be confidential and/or proprietary. The
Professional agrees to treat as confidential (a) all information that is owned by the District and/or
the City, or that relates to the business of the District and/or the City, or that is used by the
District and/or the City 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 District and/or City). The
Professional shall not disclose any such information to any person not having a legitimate need-
to-know for purposes authorized by the District and/or the City. Further, the Professional shall
not use such information to obtain any economic or other benefit for itself, or any third party,
except as specifically authorized by the District and/or the City.
The foregoing to the contrary notwithstanding, the Professional 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 be 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 Professional shall furnish a copy of this
Agreement to anyone to whom it is required to make such disclosure and shall promptly advise
the District and/or the City in writing of each such disclosure.
In the event that the Professional ceases to perform services for the District and/or the City, or
the District and/or the City so requests for any reason, the Professional shall promptly return to
the District and the City 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 Professional understands and agrees that the District and the City’s remedies at law for a
breach of the Professional’s obligations under this Confidentiality Agreement may be
inadequate and that the District and the City 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: E545303D-56A1-461D-9475-859385774CA0
INSR ADDL SUBR
LTR INSR WVD
DATE (MM/DD/YYYY)
PRODUCER CONTACT
NAME:
PHONE FAX
(A/C, No, Ext): (A/C, No):
E-MAIL
ADDRESS:
PRODUCER
CUSTOMER ID #:
INSURED INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF POLICY EXP
TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
GENERAL LIABILITY
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
AUTHORIZED REPRESENTATIVE
INSURER(S) AFFORDING COVERAGE NAIC #
Y / N
N/A
(Mandatory in NH)
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
EACH OCCURRENCE $
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $
CLAIMS-MADE OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
PRO- $
POLICY JECT LOC
COMBINED SINGLE LIMIT
(Ea accident)
$
ANY AUTO
BODILY INJURY (Per person) $
ALL OWNED AUTOS
BODILY INJURY (Per accident) $
SCHEDULED AUTOS
PROPERTY DAMAGE
(Per accident)
$
HIRED AUTOS
NON-OWNED AUTOS $
$
OCCUR EACH OCCURRENCE $
CLAIMS-MADE AGGREGATE $
DEDUCTIBLE $
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INSR ADDL SUBR
LTR INSR WVD
DATE (MM/DD/YYYY)
PRODUCER CONTACT
NAME:
PHONE FAX
(A/C, No, Ext): (A/C, No):
E-MAIL
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF POLICY EXP
TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
GENERAL LIABILITY
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
AUTHORIZED REPRESENTATIVE
INSURER(S) AFFORDING COVERAGE NAIC #
Y / N
N / A
(Mandatory in NH)
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
EACH OCCURRENCE $
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $
CLAIMS-MADE OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
PRO- $
POLICY JECT LOC
COMBINED SINGLE LIMIT
(Ea accident) $
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS AUTOS
HIRED AUTOS
NON-OWNED PROPERTY DAMAGE $
AUTOS (Per accident)
$
OCCUR EACH OCCURRENCE $
CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
WC STATU- OTH-
TORY LIMITS ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
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THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
ACORDTM CERTIFICATE OF LIABILITY INSURANCE 9/22/2014
Flood & Peterson Ins., Inc.
P. O. Box 578
Greeley, CO 80632
970 356-0123
Suzannah Preisendorf
970-506-3261 970-506-6820
SPreisendorf@FloodPeterson.com
Slate Communications
425 W Mulberry Street, Suite 205
Fort Collins, CO 80521
Hanover Insurance
Philadelphia Insurance Companie
A
X
X
X OD4988599001 03/18/2014 03/18/2015 1,000,000
300,000
5,000
1,000,000
2,000,000
2,000,000
A
X X
X OD4988599001 03/18/2014 03/18/2015 Included
B E & O Liability PHSD917078 03/01/2014 03/01/2015 $1,000,000
Certificate holder is included as Additional Insured as required by written contract with respects to
liability arising out of work performed by the named insured.
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522
1 of 1
#S936706/M867646
Client#: 52628 SLACO
SMP
1 of 1
#S936706/M867646
DocuSign Envelope ID: E545303D-56A1-461D-9475-859385774CA0
RETENTION $ $
WC STATU- OTH-
TORY LIMITS ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
c
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
O
ACORDTM CERTIFICATE OF LIABILITY INSURANCE 2/11/2014
Flood & Peterson Ins., Inc.
P. O. Box 578
Greeley, CO 80632
970 356-0123
Suzannah Preisendorf
970-506-3261 970-506-6820
SPreisendorf@FloodPeterson.com
Slate Communications
425 W Mulberry Street, Suite 205
Fort Collins, CO 80524
Hanover Insurance
Philadelphia Insurance Companie
A
X
X
OD4988599000 03/18/2013 03/18/2014
2,000,000
2,000,000
1,000,000
1,000,000
300,000
5,000
A
X
X
OD4988599000 03/18/2013 03/18/2014
1,000,000
B E&O Liability PHSD917078 03/01/2014 03/01/2015 $1,000,000
Certificate holder is included as Additional Insured as required by written contract with respects to
liability arising out of work performed by the named insured.
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522
1 of 1
#S863523/M863484
Client#: 52628 SLACO
SMP
1 of 1
#S863523/M863484
DocuSign Envelope ID: E545303D-56A1-461D-9475-859385774CA0