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HomeMy WebLinkAbout130574 VOICES CARRY CHILD ADVOCACY CENTER - CONTRACT - AGREEMENT MISC - VOICES CARRY CHILD ADVOCACY CENTERProfessional Services Agreement Voices Carry Child Advocacy Center Page 1 of 8 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" and VOICES CARRY CHILD ADVOCACY CENTER, hereinafter referred to as the "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. 2. Contract Period. This Agreement shall commence April 1, 2019, and shall continue in full force and effect until December 31, 2019, 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. Written notice of renewal shall be provided to the Professional and mailed no later than thirty (30) days prior to contract end. 3. 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 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: Professional: City: Copy to: Voices Carry Child Advocacy Center Attn: Robert Fallbeck 5529 S. Timberline Road Fort Collins, CO 80528 City of Fort Collins Fort Collins Police Services Attn: Jeremy Yonce PO Box 580 Fort Collins, CO 80522 City of Fort Collins Attn: Purchasing Dept. PO Box 580 Fort Collins, CO 80522 In the event of any such early termination by the City, the Professional shall refund to the City an amount equal to the annual $13,000 payment divided by 12 and multiplied by the remaining full months of the annual Agreement period. Retaining the balance of the $13,000 shall be the Professional's sole right and remedy for such termination. DocuSign Envelope ID: F7DAE9D8-3CB9-4E14-A0EB-944DF7F9445D Professional Services Agreement Voices Carry Child Advocacy Center Page 2 of 8 4. Indemnity and Insurance. The Professional shall be responsible for the professional quality, technical accuracy, timely completion, confidentiality and the coordination of all services rendered by the Professional. The Professional shall indemnify, 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 Professional's negligent performance of any of the services furnished under this Agreement. The Professional shall maintain insurance in accordance with Exhibit B, consisting of one (1) page, attached hereto and incorporated herein. 5. Compensation. In consideration of the services to be performed pursuant to this Agreement, the City agrees to pay the Professional a fixed fee in the amount of Thirteen Thousand Dollars ($13,000) per year. The City shall make a lump sum payment for services to be performed for the upcoming year net 30 days from the receipt of invoice. The Professional shall submit an invoice on or about January 1st of the calendar year in which the Agreement is in effect. In no event shall the City’s obligation to make payment to Professional hereunder exceed the amount of Thirteen Thousand Dollars ($13,000) per year. After the annual payment, all designs, plans, reports, specifications, drawings, and other services rendered by the Professional for that year shall become the sole property of the City. 6. City Representative. The City will designate, prior to commencement of work, its 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. Quarterly Reports. The Professional shall prepare and submit quarterly reports in accordance with Exhibit A, Scope of Services. Failure to provide any required quarterly 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 purpose. 9. Subcontractors. The 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 DocuSign Envelope ID: F7DAE9D8-3CB9-4E14-A0EB-944DF7F9445D Professional Services Agreement Voices Carry Child Advocacy Center Page 3 of 8 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. The Professional shall require all subcontractors performing Work hereunder to 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 Professional shall maintain a copy of each subcontract’s certificate evidencing the required insurance. Upon request, the Professional shall promptly provide the City with a copy of such certificate(s). 10. Personal Services. It is understood that the City enters into the 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 the Agreement without the prior written consent of the City. 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. 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. 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. 15. Conflicts of Interest. Professional covenants that no member of its Board of Directors or any office or employee presently has or shall acquire any interest that would conflict with DocuSign Envelope ID: F7DAE9D8-3CB9-4E14-A0EB-944DF7F9445D Professional Services Agreement Voices Carry Child Advocacy Center Page 4 of 8 the performance of its services to the City. 16. Prohibition Against Employing Illegal Aliens. Pursuant to Section 8-17.5-101, C.R.S., et. seq., the Professional represents and agrees that: a. As of the date of this Agreement: 1. The Professional does not knowingly employ or contract with an illegal alien who will perform work under this Agreement; and 2. The Professional 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. The 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. The 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 the Professional obtains actual knowledge that a subcontractor performing work under this Agreement knowingly employs or contracts with an illegal alien, the Professional shall: 1. Notify such subcontractor and the City within three days that the 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 the 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. e. The 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 the Professional violates any provision of this Agreement pertaining to the duties DocuSign Envelope ID: F7DAE9D8-3CB9-4E14-A0EB-944DF7F9445D Professional Services Agreement Voices Carry Child Advocacy Center Page 5 of 8 imposed by Subsection 8-17.5-102, C.R.S. the City may terminate this Agreement. If this Agreement is so terminated, the Professional shall be liable for actual and consequential damages to the City arising out of the 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 the 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 C - Confidentiality, consisting of one (1) page, attached hereto and incorporated herein by this reference. THE CITY OF FORT COLLINS, COLORADO By: Gerry Paul Purchasing Director DATE: ATTEST: APPROVED AS TO FORM: VOICES CARRY CHILD ADVOCACY CENTER By: Printed: Title: Date: DocuSign Envelope ID: F7DAE9D8-3CB9-4E14-A0EB-944DF7F9445D 5/23/2019 Robert Fallbeck Executive Director Assistant City Attorney ll 5/28/2019 City Clerk Professional Services Agreement Voices Carry Child Advocacy Center Page 6 of 8 EXHIBIT A SCOPE OF SERVICES Voices Carry Child Advocacy Center (“Professional”) will provide, at the request of the City of Fort Collins, on behalf of Fort Collins Police Services (the “City”), forensic interviewing and advocacy services for children who have witnessed or been a victim(s) of domestic violence, sexual abuse, and other types of maltreatment. A multi-disciplinary approach will be employed within a therapeutic facility and include the following at a minimum: forensic interviewing by trained professionals, supportive family services, and victim advocacy. When requested by the City, the Professional will provide similar services to adults who have developmental delays and/or other cognitive limitations and impairments. In addition, the Professional will promote case coordination and collaboration amongst non-offending caregivers and involved professionals. The Professional will provide the City with digital recordings of forensic interviews conducted, along with any drawings, notes, or reproductions generated during the forensic interviews. All finished or unfinished materials, documents, data, studies, and reports prepared by the Professional will become the property of the City. If, as a result of the forensic interview, criminal charges are filed in the case, the Professional agrees, when subpoenaed for that criminal case, to provide independent testimony concerning their involvement in the forensic interview. The Professional shall retain information in its files which shall clearly document all activities performed in conjunction with this Agreement including, but not limited to, financial transactions, conformance with assurances, and activity reports. These files shall be retained by the Professional for a period not less than 3 years. The Professional agrees to submit quarterly reports regarding its performance pursuant to this Agreement to the City and include the following information: 1) number of interviews completed each quarter; 2) number of support and advocacy hours provided to non-offending caregivers and family members 3) staff participation in the court process; and 4) and whether the victim stayed in a local motel. The Professional shall keep all records of reimbursable expenses pertaining to Services and all records of accounts between the City and the Professional on a generally recognized accounting basis. The City and its duly authorized representatives shall have access to all of the Professional’s books, documents, papers, and records which are directly pertinent to this Agreement for the purpose of making an audit or examination. Upon completion of this Agreement, all financial records pertaining to this Agreement shall remain City property. The Professional shall provide the City with a copy of its audit or required financials showing its receipt of funds from the City pursuant to this Agreement. The Professional agrees that the City may monitor and evaluate its progress and performance to ensure that the terms of this Agreement are being satisfied and meet applicable monitoring and evaluating criteria and standards. DocuSign Envelope ID: F7DAE9D8-3CB9-4E14-A0EB-944DF7F9445D Professional Services Agreement Voices Carry Child Advocacy Center Page 7 of 8 EXHIBIT B 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 reduce coverage or limits and will not be cancelled, except after thirty (30) days written notice has been received by the City of Fort Collins.” In case of the breach of any provision of the Insurance Requirements, the City, at its option, may take out and maintain, at the expense of 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. DocuSign Envelope ID: F7DAE9D8-3CB9-4E14-A0EB-944DF7F9445D Professional Services Agreement Voices Carry Child Advocacy Center Page 8 of 8 EXHIBIT C 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. Furthermore, the information obtained and accessed by the Professional during the performance of the services may be confidential or otherwise protected from disclosure by applicable law, including but not limited to the Colorado Criminal Justice Records Act, C.R.S. §§ 24-72-301, et seq., and the Children’s Code Records and Information Act, C.R.S. §§ 19-1-303, et seq. In consideration of access to certain information including but not limited to information disclosed or otherwise obtained from the performance of the services, data and material (hereinafter individually and collectively, regardless of nature, referred to as “information”) that are the property of and/or relate to children, adults, citizens, victims, criminal investigations, 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, or protected from disclosure by applicable law. 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, including criminal investigations; (b) all information that is proprietary to a third party (including but not limited to customers and suppliers of the City); and all information otherwise considered confidential under applicable law . The Professional shall not disclose any such information to any person unless authorized in writing by the City, or in accordance with the requirements of the Colorado Criminal Justice Records Act and the Children’s Code Records and Information Act. 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 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 such disclosure, 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. DocuSign Envelope ID: F7DAE9D8-3CB9-4E14-A0EB-944DF7F9445D 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-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? A Pinnacol Assurance 41190 Pinnacol Assurance 7501 E. Lowry Blvd. Denver, CO 80230-7006 Voices Carry Child Advocacy Center 5529 S Timberline Rd Fort Collins, CO 80528 09/24/2018 3511080 10/01/2018 10/01/2019 100,000 100,000 500,000 X Hub International/CNIA 1931264 Colorado Children’s Alliance Andi Leopoldus 303 South Broadway #200-329 Denver, CO 80209 coloradocacs@gmail.com Unless otherwise stated in the policy provisions, coverage in Colorado only. DocuSign Envelope ID: F7DAE9D8-3CB9-4E14-A0EB-944DF7F9445D 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-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? A X Pinnacol Assurance 41190 Pinnacol Assurance 7501 E. Lowry Blvd. Denver, CO 80230-7006 Voices Carry Child Advocacy Center 5529 S Timberline Rd Fort Collins, CO 80528 05/28/2019 3511080 10/01/2018 10/01/2019 100,000 100,000 500,000 Hub International/CNIA 1995879 City of Fort Collins 215 North Mason, 2nd Floor Fort Collins, CO 80522 Unless otherwise stated in the policy provisions, coverage in Colorado only. DocuSign Envelope ID: F7DAE9D8-3CB9-4E14-A0EB-944DF7F9445D (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 ER OTH- STATUTE PER (MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY) POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER INSR 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 FORT COLLINS, CO 80522-0580 P.O. BOX 580 BUILDING & ZONING City of Fort Collins CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS TO LIABILITY ARISING OUT OF THE ONGOING OPERATIONS OF OUR INSURED. THE INSURANCE EVIDENCED BY THIS CERTIFICATE WILL NOT REDUCE COVERAGE OR LIMITS AND WILL NOT BE CANCELLED, EXCEPT AFTER THIRTY (30) DAYS WRITTEN NOTICE HAS BEEN RECEIVED BY THE CITY OF FORT COLLINS. EACH WRONGFUL ACT $1,000,000 AGGREGATE $3,000,000 PROFESSIONAL LIABILITY HUP4223-01 03/09/2019 03/09/2020 A NO COVERAGE NO COVERAGE 1,000,000 A HUP4223-01 03/09/2019 03/09/2020 1,000,000 3,000,000 1,000,000 5,000 100,000 1,000,000 A Y HUP4223-01 03/09/2019 03/09/2020 Markel Insurance Ft. Collins CO 80528 5529 S. Timberline Road Voices Carry Child Advocacy Center LisaFC@1aia.com (970) 484-2805 Lisa Johnson Fort Collins CO 80524 220 Smith Street 1st American Fort Collins LLC 5/28/2019 DocuSign Envelope ID: F7DAE9D8-3CB9-4E14-A0EB-944DF7F9445D (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 ER OTH- STATUTE PER (MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY) POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER INSR 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 FORT COLLINS, CO 80522-0580 P.O. BOX 580 BUILDING & ZONING City of Fort Collins THE INSURANCE EVIDENCED BY THIS CERTIFICATE WILL NOT REDUCE COVERAGE OR LIMITS AND WILL NOT BE CANCELLED, EXCEPT AFTER THIRTY (30) DAYS WRITTEN NOTICE HAS BEEN RECEIVED BY THE CITY OF FORT COLLINS. EACH WRONGFUL ACT $1,000,000 AGGREGATE $3,000,000 PROFESSIONAL LIABILITY HUP4223-01 03/09/2019 03/09/2020 A NO COVERAGE NO COVERAGE 1,000,000 A HUP4223-01 03/09/2019 03/09/2020 1,000,000 3,000,000 1,000,000 5,000 100,000 1,000,000 A HUP4223-01 03/09/2019 03/09/2020 Markel Insurance Ft. Collins CO 80528 5529 S. Timberline Road Voices Carry Child Advocacy Center LisaFC@1aia.com (970) 484-2805 Lisa Johnson Fort Collins CO 80524 220 Smith Street 1st American Fort Collins LLC 5/22/2019 DocuSign Envelope ID: F7DAE9D8-3CB9-4E14-A0EB-944DF7F9445D