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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8013 RESIDENTIAL REFRIGERATOR RECYCLING8013 RESIDENTIAL REFRIGERATOR/FREEZER RECYCLING SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 30th day of December 2014, by and between THE CITY OF FORT COLLINS, a municipal corporation, hereinafter referred to as the “City” and EXODUS MOVING AND STORAGE, INC., hereinafter referred to as “Contractor”. 1.0 Definitions. The following terms, whether in the singular or in the plural, when used in this Agreement, shall have the meanings specified; 1.1 Agreement: This document, including the exhibits thereto, and the terms and conditions contained therein, as may be amended or supplemented. 1.2 CFCs/HFCs/HCFCs: Chlorofluorocarbon, Hydrofluorocarbon and Hydro chlorofluorocarbon refrigerants found in Refrigerator and Freezer cooling systems. 1.3 CFC-11: Chlorofluorocarbons contained in Refrigerator and Freezer insulating foam. 1.4 Customers: Individual residential (schedule R) and “general service” (schedule GS) small commercial customers of the City of Fort Collins Electric Utility who qualify for participation in the Program. 1.5 Freezer: A freezer which provides supplementary food cold storage to a primary freezer, or the freezer section located within a Refrigerator, in a residential household. 1.6 Mercury: Mercury-containing components such as lid tilt-switches found in Freezers. 1.7 PCBs: Polychlorinated Biphenyls. 1.8 Program: The Residential Refrigerator/Freezer Recycling Program to be implemented by Contractor pursuant to this Agreement. 1.9 Refrigerator: Refrigerator used as the principal means of storing cold foods in a residential household. 1.10 Regulated Substance: Any substance or material, including waste substances, which has been designated as hazardous or toxic by the U.S. Environmental Protection Agency or the Colorado Department of Public Health and Environment. 1.11 Utilities: The City of Fort Collins Utilities Services. 1.12 Work: Any and all of the obligations of Contractor to be performed as part of the Program pursuant to this Agreement. 2.0 Scope of Services. Contractor agrees to provide Refrigerator and Freezer collection and recycling services in accordance with the scope of services attached hereto as Exhibit A, consisting of two (2) pages, and incorporated herein by reference. 3.0 Contract Period. This Agreement shall commence January 1, 2015, and shall continue in full force and effect until December 31, 2015, 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. Renewals and pricing changes shall be negotiated by and agreed to by both parties. RFP 8013 Residential Refrigerator/Freezer Collection Agreement 1 DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 Written notice of renewal shall be provided to the Service Provider and mailed no later than sixty (60) days prior to contract end. 4.0 Early Termination by City. 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 Contractor. Such notice shall be delivered at least fifteen (15) days prior to the termination date contained in such notice unless otherwise agreed in writing by the parties. In the event of such early termination by the City, Contractor shall be paid for services rendered prior to the date of termination, subject only to the satisfactory performance of the Contractor’s obligations under this Agreement. Such payment shall be the Contractor’s sole right and remedy for such termination. 5.0 Compensation. In consideration of the services to be performed pursuant to this Agreement, the City agrees to pay Contractor on a per unit basis, according to the pricing detail, attached as Exhibit B. 6.0 City Representative. The City will designate, prior to commencement of the Work, its Project representative who shall make, within the scope of his or her authority, all necessary and proper decisions regarding the Project. All requests for contract interpretations and other clarification or instruction shall be directed to the City Representative. 7.0 Notices. All notices provided for under this Agreement shall be effective when mailed, postage prepaid, and sent to the following addresses: Service Provider: City: Copy to: Exodus Moving And Storage, Inc. Attn: Lisa Bernhardt 1730 E. Prospect Road Fort Collins, CO 80525 City of Fort Collins Attn: Lisa Schroers PO Box 580 Fort Collins, CO 80522 City of Fort Collins Attn: Purchasing Dept. PO Box 580 Fort Collins, CO 80522 8.0 Warranty, Compliance with Laws, and Permits. Contractor shall be responsible for the professional quality, technical accuracy, timely completion and the coordination of all services rendered by Contractor, and shall, without additional compensation, promptly remedy and correct any errors, omissions, or other deficiencies. Contractor warrants to the City that the Work shall be performed in a competent manner, in accordance with this Agreement, and that the acceptance, removal collection, warehousing, inventorying, handling, storage, recycling, and disposal of the Refrigerators and Freezers and all Regulated Substances shall be in accordance with (a) the requirements of this Agreement and (b) applicable local, state, and federal laws and regulations in effect at the time the work is performed. Prior to performance of any services pursuant to this Agreement, Contractor shall, at its own cost, have obtained, and shall have required any subcontractors to obtain, all licenses and permits required by law, rule, regulations and ordinances to engage in the activities required in connection with this Agreement. 9.0 Responsibility for Regulated Substances. Contractor shall be solely responsible for all methods, techniques, sequences, and procedures for the recovery, storage RFP 8013 Residential Refrigerator/Freezer Collection Agreement 2 DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 transportation and waste disposal and/or recycling of all CFCs/HFCs/HCFCs, CFC-11, PCBs, mercury, used oil, scrap metals, and other Regulated Substances found in Refrigerators and Freezers turned-in by Customers. Contractor agrees to be responsible under federal or state law as the generator of any waste resulting from Contractor’s performance of the work hereunder. 10.0 Indemnification. The Contractor shall indemnify, defend, save and hold harmless the City, its 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 attorney’s fees, arising directly or indirectly out of the Contractor’s negligence, errors, omissions or willful misconduct incident to the performance of any of the services furnished under this Agreement, Contractor’s failure to comply with any pertinent law, rule, regulations or ordinances regarding Regulated Substances, or Contractor’s failure to comply with any other applicable law or other legal requirement. 11.0 Insurance Requirements. 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 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 Director of Purchasing and Risk Management, 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. 12.0 Independent Contractor. The services to be performed by Contractor are those of an independent contractor and not of an employee of the City of Fort Collins. Contractor’s employees assigned to perform Contract Work are and shall at all times hereunder remain the employees of the Contractor and not employees of the City. The Contractor shall be fully and solely responsible for the management and compensation of said employees. The City shall not be responsible for withholding any portion of Contractor’s compensation hereunder for the payment of FICA, Workers’ Compensation, other taxes or benefits, or for any other purpose. 13.0 Subcontractors. With prior written approval of the City, the Contractor may enter into subcontracts with others for the performance of portions of this Agreement. The Contractor shall at all times be responsible for the acts and errors or omissions of its subcontractors and persons directly or indirectly employed by them. Nothing in this Agreement shall constitute any contractual relationship between any others and the City or any obligation on the part of the City to pay, or to be responsible for the payment of, any sums to any subcontractors. The Contractor shall make the provisions of this Agreement applicable to all subcontractors providing service in connection with the Work. Such subcontractors must be bound by the Contractor to general terms and conditions protecting the City which are equivalent to the terms and conditions of this Agreement. Upon written request, the Contractor shall supply the City with all subcontractor agreements. 14.0 Title. Title to collected Refrigerators and Freezers and the Regulated Substances contained therein shall pass to Contractor upon collection from customers. RFP 8013 Residential Refrigerator/Freezer Collection Agreement 3 DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 15.0 Monitoring of Work. 15.1 Records and Audits The Contractor shall maintain records and books of accounts showing all costs and expenses incurred by the Contractor for this Agreement, and documenting all environmental or other regulatory compliance activities related to the performance of services hereunder. The City shall have the right, upon reasonable notice, to audit the books, records, documents, and other evidence and the accounting procedures and practices, where needed, to verify the costs and expenses claimed. The Contractor shall retain such books and records, and the City shall retain the right to audit them, for at least three years after final payment and until all disputes, appeals, litigation, or claims have been resolved. This right to audit shall also include inspection at reasonable times of the Contractor's office or facilities which are engaged in the performance of the Agreement. In addition, the Contractor shall, at no expense to the City, furnish reasonable facilities and assistance for such an audit. Upon request, Contractor shall also provide copies of documents applicable to this Agreement. The audit findings shall, to the extent allowed by law, be treated by the City as confidential. 15.2 Right to Review Services, Facilities, and Records The City reserves the right to review any portion of the services performed by the Contractor under this Agreement, and the Contractor agrees to cooperate to the fullest extent possible. The right of the City to review or approve drawings, specifications, procedures, instructions, reports, test results, calculations, schedules, or other data that are developed by the Contractor shall not relieve the Contractor of any obligation set forth herein. 16.0 Acceptance not Waiver. The City’s failure to enforce any provision of this Agreement or the waiver thereof in a particular instance shall not be construed as a general waiver of any part of such provision. The City’s approval or acceptance of, or payment for, any of the services provided hereunder shall not be construed to operate as a waiver of any of the rights or benefits provided to the City under this Agreement. 17.0 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. 18.0 Remedies. In the event a party has been declared in default, such defaulting party shall be given written notice of the alleged default and 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) avail itself of any other remedy at law or equity. If the non-defaulting party commences legal or equitable action 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. 19.0 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, RFP 8013 Residential Refrigerator/Freezer Collection Agreement 4 DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 employees, agents and assigns, and shall inure to the benefit of the respective successors and assigns of said parties. 20.0 Law/Severability. Each party’s performance hereunder shall comply with all applicable laws of the United States of America, the State of Colorado and the City of Fort Collins. This Agreement shall be governed, executed, interpreted and enforced under the laws of the State of Colorado, and the City of Fort Collins and venue for any litigation shall be in the District Court in Fort Collins, Colorado or in Federal Court in the state of Colorado. 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. 21.0 Survival. Contractor’s obligations to indemnify the City under Section 10.0; to provide insurance coverage as required in Section 11; to protect the confidentiality of information obtained from the City and City customers as required by Section 24.0; and to maintain and retain records as required by Section 15.1 shall survive the termination of this Agreement. 22.0 Prohibition Against Employing Illegal Aliens. 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 who will perform work under this Agreement; and 2. Contractor will participate in either the e-Verify 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 “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. Contractor 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. Contractor 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 Contractor obtains actual knowledge that a subcontractor performing work under this Agreement knowingly employs or contracts with an illegal alien, Contractor shall: 1. 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 RFP 8013 Residential Refrigerator/Freezer Collection Agreement 5 DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. E. 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. F. 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 Service Provider’s violation of Subsection 8-17.5-102, C.R.S. G. 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. 23.0 Red Flags Rules. Service Provider must implement reasonable policies and procedures to detect, prevent and mitigate the risk of identity theft in compliance with the Identity Theft Red Flags Rules found at 16 Code of Federal Regulations part 681. Further, Service Provider must take appropriate steps to mitigate identity theft if it occurs with one or more of the City’s covered accounts. 24.0 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. RFP 8013 Residential Refrigerator/Freezer Collection Agreement 6 DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 IN WITNESS WHEREOF, the parties have caused this Agreement to be executed on the day and year written below. THE CITY OF FORT COLLINS, COLORADO By: ___________________________________ Gerry Paul Director of Purchasing and Risk Management Date: __________________________________ ATTEST: _______________________________ City Clerk APPROVED AS TO FORM: _______________________________ Assistant City Attorney EXODUS MOVING AND STORAGE, INC. By: ____________________________________ [Print Name]: ____________________________ Title: ___________________________________ [Corporate President or Vice President] RFP 8013 Residential Refrigerator/Freezer Collection Agreement 7 DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 Vice President Lisa Bernhardt 1/12/2015 RFP 8013 Residential Refrigerator/Freezer Collection Agreement EXHIBIT A SCOPE OF WORK I. SECTION I A. PROGRAM DESCRIPTION The Program is designed to reduce energy usage by allowing customers to dispose of their operable, inefficient primary and/or secondary refrigerators and freezers in an environmentally safe manner. All Fort Collins Utilities electric customers are eligible for participation. Qualifying refrigerators or freezers must be working (cooling) and have a rated capacity between 10-27 cubic feet. Residential customers may turn in no more than two refrigerators or freezers or a combination of one refrigerator and freezer per dwelling unit per year. In exchange for each primary and/or secondary refrigerator and freezer collected customers receive a rebate incentive. Appliances collected by the program are, under no circumstances, to be returned to service. Comprehensive recycling for all collected refrigerators and freezers is an essential component of the Program. The Program is currently managed and delivered through multiple sources: 1. Appliance Recycling Centers of America (ARCA) provides appliance transportation from a local storage location to their facility for recycling and hazardous materials handling. 2. Utilities staff markets the program and schedules appointments for collection 3. A local contractor provides collection and temporary storage services. The current contract is expiring. The purpose of this RFP is to select a vendor who can provide collection and temporary storage services at a minimum. B. PROGRAM GOALS The Program has collected an average of 494 units per year for the last three years. The goal of the new program is to have weekly collections averaging 20-25 appliances per week. The total number of appliances for 2015 is expected to be approximately 750. II. SECTION II A. SCOPE OF SERVICES At a minimum, the awarded Contractor will provide appliance collection and temporary storage services, customer service, and program tracking and reporting. Scheduling and coordination of collection appointments is an optional service to be priced separately. 1. Appliance collection and temporary storage, customer service, program tracking and reporting The contractor will: a. Hire and train commercially licensed drivers; b. Provide collection vehicles, tools and equipment necessary for safe and efficient appliance removal. Vehicles must maintain the City’s image for quality and service; c. Remove appliances from within the home or business following these steps: 1) Provide customers with a confirmation call prior to arriving at the premise 2) Introduce themselves to the customer at the premise 8 DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 RFP 8013 Residential Refrigerator/Freezer Collection Agreement 3) Check the temperature of the appliance to ensure it is working 4) Properly mark the unit in permanent marker with the designated SO# 5) Unplug the cord 6) Once the appliance is safely unplugged, cut the cord 7) Fill out the Tracking Log with all required information 8) Safely load the appliance into the truck d. Store appliances in compliance with all federal, state and local regulations at the Fort Collins facility; e. Occasionally remove other appliances on special request with negotiated rates, i.e. room air conditioners; and f. Provide coordination with ARCA who will periodically pickup appliances in bulk for transportation to ARCA’s recycling facility. 2. Customer Service Utilities places a very high value on quality customer service. The contractor will: a. Maintain the highest levels of professionalism and courtesy in all customer interactions; b. Refer customer questions that cannot be answered and unresolved customer complaints to Utilities within one business day of occurrence; and c. Maintain confidentiality of all Utilities customer information. 3. Program tracking and reporting The contractor will: a. Submit monthly invoices to Utilities for payment with documentation of services provided, including; b. Utilities template to include the appliance tracking number, refrigerator type and brand, c. Copies of collection paperwork with customer’s name, address, type of appliance and location from which it was removed; d. Number of appliances collected or rejected; e. Names of customers whose appliances were rejected and reasons for rejection of appliances; 9 DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 EXHIBIT B RFP 8013 Residential Refrigerator/Freezer Collection Agreement 10 Pricing Detail Exodus Moving and Storage is not increasing our rates for the City of Fort Collins for the coming year; we have even lowered the cost of monthly storage if needed. The following price per unit includes all costs associated with completing the scope of work described in the RFP. Cost Item 1 – Collection & Storage…………...………………..$50.00 per Unit Cost Item 2 – additional items at same location……..…...….…. $15.00 per Unit Scheduling & Coordination…………………………..……..……. $ No Charge  Storage in Exodus Trailer (if needed)……$285.00/per trailer per month DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 EXHIBIT C 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 Provider 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 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. RFP 8013 Residential Refrigerator/Freezer Collection Agreement 11 DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 EXHIBIT D CONFIDENTIALITY IN CONNECTION WITH SERVICES provided to the City of Fort Collins (the “City”) pursuant to this Agreement (the “Agreement”), the Professional hereby acknowledges that it has been informed that the City 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 or its 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 City may be confidential and/or proprietary. The Professional agrees to treat as confidential (a) all information that is owned by the City, or that relates to the business of the City, or that is used by 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 City). The Professional shall not disclose any such information to any person not having a legitimate need-to-know for purposes authorized by 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 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 City in writing of each such disclosure. In the event that the Professional ceases to perform services for the City, or the City so requests for any reason, the Professional shall promptly return to 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 City’s remedies at law for a breach of the Professional’s obligations under this Confidentiality Agreement may be inadequate and that 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. RFP 8013 Residential Refrigerator/Freezer Collection Agreement 12 DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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). PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY 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 $ POLICY PRO- LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY TORY LIMITS ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NOTEPAD INSURED'S NAME DATE PAGE EXODU-1 2 Exodus Moving and Storage Inc OP ID: P5 01/09/15 When required by written contract the following applies: General Liability: Blanket Blanket Additional Waiver of Subrogation Insured - VL5040 CG2404 Blanket Primary & Non-contributory - VLCG2054 Automobile: Blanket Blanket Additional Waiver of Subrogation Insured - CA5057 -WAVSUB Workers Compensation: Blanket Waiver of Subrogation - 359B DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Kären E. Siwek, CPA EXODU-1 OP ID: P5 01/09/15 Phone: 970-482-7747 Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 Kären E. Siwek, CPA Fax: 970-484-4165 Vanliner Insurance Company 21172 Exodus Moving and Storage Inc Pinnacol Assurance Company 41190 1730 E Prospect Rd Ste 102 Fort Collins, CO 80525 1,000,000 A X X PKV00000214 02 09/01/14 09/01/15 100,000 X 10,000 1,000,000 2,000,000 2,000,000 1,000,000 A X X TRV4272804 00 09/01/14 09/01/15 X Ded $1,000 X Ded $1,000 X X 1,000,000 A X UMV4272804 01 09/01/14 09/01/15 1,000,000 X 0 X B 4082858 09/01/14 09/01/15 1,000,000 1,000,000 1,000,000 A Hired Auto Phy Dmg TRV4272803 01 09/01/14 09/01/15 PD Limit 100,000 A Cargo CGV4272804 01 09/01/14 09/01/15 Cargo 300,000 City included of Fort as additional Collins and insureds its elected as their & appointed interests officials may appear & employees on the general are liability subrogation & auto applies liability on the if workers required compensation by written if contract. required by Waiver written of contract per form 359b FORTCOL City of Fort Collins Purchasing P.O. Box 580 Fort Collins, CO 80522 DocuSign Envelope ID: 277D5C5E-50FB-4C32-9E67-8E06CEF195B1