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HomeMy WebLinkAbout556806 CASCADIA CONSULTING GROUP INC - CONTRACT - RFP - 8150 EXTREME EVENT PREPAREDNESS FACILITATIONProfessional Services Agreement 8150 Extreme Event Preparedness Facilitation Page 1 of 11 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 Cascadia Consulting Group, Inc., 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 four (4) pages, 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 September 15, 2015, and shall continue in full force and effect until December 31, 2015, unless sooner terminated as herein provided 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: Cascadia Consulting Group, Inc. Attn: Andrea Martin 1109 First Avenue, Suite 400 Seattle, WA 98101 andream@cascadiaconsulting.com City of Fort Collins Attn: Katy Bigner, Environmental Planner 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 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 DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 Professional Services Agreement 8150 Extreme Event Preparedness Facilitation Page 2 of 11 compensation, promptly remedy and correct any errors, omissions, or other deficiencies. 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 Professional a fixed fee in the amount of Thirty-One Thousand Five Hundred Twenty-Five Dollars ($31,525.00) plus reimbursable direct costs. All such fees and costs shall not exceed Thirty-Five Thousand Dollars ($35,000.00) in accordance with Exhibit “A”, consisting of four (4) pages, 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, 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. 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 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 DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 Professional Services Agreement 8150 Extreme Event Preparedness Facilitation Page 3 of 11 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 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. 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 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. DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 Professional Services Agreement 8150 Extreme Event Preparedness Facilitation Page 4 of 11 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, 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. 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 DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 Professional Services Agreement 8150 Extreme Event Preparedness Facilitation Page 5 of 11 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) pages, attached hereto and incorporated herein by this reference. THE CITY OF FORT COLLINS, COLORADO By: Gerry Paul Purchasing Director DATE: CASCADIA CONSULTING GROUP, INC. By: Printed: Title: CORPORATE PRESIDENT OR VICE PRESIDENT Date: DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 CEO 9/15/2015 A. Francis Icasiano 9/15/2015 Professional Services Agreement 8150 Extreme Event Preparedness Facilitation Page 6 of 11 EXHIBIT A SCOPE OF SERVICES Deliverables:  Development of a facilitated dynamic planning process using the latest scientific data available for the Front Range and regional/national best management practices specific to extreme heat and wildfire smoke, effectively using valuable staff time to achieve outcomes;  Outcomes of the workshops would include identified approaches that may include thresholds, tiered options for response and actionable strategies to help drive responsible and informed decision making, and integration and implementation into policies and operations;  Additional outcomes of the workshops would include organized summaries that assist staff to identify areas of additional work or analysis, key planning considerations for future funding and decision making, with the objective of avoiding any duplication of previous efforts;  A short written summary that can be shared publically summarizing the process, outcomes and recommended next steps for the organization and community;  A schedule for completing the work, including identifying objectives, actions and pertinent staff for tasks and associated costs;  Workshops will occur in late October-early November 2015, prior to the holiday season. Approach Professional’s approach, detailed below, centers around building a unified and clear understanding and path forward through inclusive and effective engagement. By emphasizing upfront planning, use of available data and knowledge, and field-tested facilitation techniques, we will leverage valuable staff time and empower City departments and residents to take action against extreme events. Task 1. Development of a facilitated dynamic planning process Professional will begin by convening a kick-off meeting with City of Fort Collins staff to solidify a common understanding of project goals; gain a full understanding of work completed to date and available data and resources; and agree on any study areas or systems that warrant special attention. Our goal will be to design a facilitation approach that helps summarize and build from existing knowledge to lay out an actionable path forward for the City. Professional will work closely with City staff to outline a series of workshops and detail workshop attendees, agendas, exercises, and preparatory materials. We will also seek to align our approach with existing City frameworks and planning processes. Prior to the workshops, Professional will complement available regional research and data with information from Professional’s pre-loaded database of climate impacts and best practices to compile a comprehensive list of sector-specific impacts and potential department-focused resilience options. Professional will categorize all identified impacts and options by corresponding departments and sectors to help focus discussion. Professional will anticipate the initial list to DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 Professional Services Agreement 8150 Extreme Event Preparedness Facilitation Page 7 of 11 include a wide diversity of options, from planning adjustments, to capital improvements, to public outreach initiatives. Outcomes from this task will be a clear work plan for preparation and implementation of 2-3 extreme event-focused workshops, as well as participant packets containing workshop agendas, science summaries, and option lists. Task 2. Workshop facilitation Local climate resilience expert Patrick Keys with support from Professional’s other key personnel will lead a series of workshops from late October to early November 2015, prior to the holiday season. Professional will employ field-tested methods to foster participation and make the science easily accessible, while respecting workshop participants’ time and existing workloads. Professional will envision the workshops as a combination of whole-group discussions and department- or resource-focused breakout exercises to best utilize staff time and expertise. Workshop topics will likely begin with higher-level overviews of key priorities, vulnerabilities, and goals; and later build to definition of specific options, actions, and schedules. During the initial workshop, Professional will present a brief summary of projected future extreme event impacts and scenarios. Professional will then use the pre-developed option list as a basis to employ action matrices or planning visualization tools that help clarify and define relationships between proposed actions, strategies, and desired goals and outcomes. Outlining these relationships will enable subsequent discussions to stay on track and address key priorities. The relationships defined during the initial workshop will inform subsequent workshops, during which participants will begin prioritizing concrete actions and considering timelines for implementation. Each identified response option will be discussed individually to assess feasibility, relevance, and effectiveness, keeping in mind current City initiatives and priorities, unique windows of opportunity, and perceived potential challenges. Options that are shortlisted through that discussion will be further examined during the final workshop to determine short- and long-term next steps, responsible parties, resource needs, and schedules for implementation. Particular attention will be paid to actions that could be tiered to account for different impact thresholds, allow for flexibility or sequenced approaches, or can be readily integrated into existing policies or plans. Task 3. Approach identification and synthesis The first outcome from the workshop series will be a concise summary of identified strategies, actions, gaps, and next steps, organized by department and timeframe. The goal will be to provide a document that all departments can use to understand overarching goals and responsibilities, begin implementation, and track progress. It will also describe opportunities and next steps for funding, implementation, and further research. Task 4. Written summary for public communication The summary document produced in Task 3 will inform development of a second document that can be shared publically to communicate City priorities and plans around extreme event response and resilience. Professional’s experienced team of written and visual communicators will craft a visually appealing one- to two-page document that presents information in an actionable and easy-to-understand way. Task 5. Schedule of actions, objectives, and required resources The final output from the workshop series will be a comprehensive schedule for implementing identified actions and next steps. The schedule’s design will facilitate updates and adjustments DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 Professional Services Agreement 8150 Extreme Event Preparedness Facilitation Page 8 of 11 over time as the City makes progress on identified actions. Professional will organize the schedule in a manner that depicts clear responsibility, timeframes, and metrics of success, with an eye towards overarching goals and strategies that will be met through these actions. Task 6. Project Management Professional has kept our team small to minimize resources spent on project management. Professional’s approach relies on clear communication and careful attention to budget. Professional will work closely with the City of Fort Collins to develop a clear work plan for achieving project goals while respecting the available resources, and to ensure that work progresses according to the agreed-upon timeline. Professional will strive to identify and correct issues early, and we use project management software to ensure that we have daily desktop access to current budget and cost status. Professional also pays strict attention to quality control. Professional’s editorial board checks every major document before release, ensuring that each product upholds our clients’ standards of quality. Organizational Chart / Proposed Project Team Nora Ferm, Strategic Advisor Andrea Martin, Project Manager Patrick Keys, Lead Facilitator Nora will provide strategic advice, review, and support for development of the facilitation process, associated materials, and resultant products. Andrea, point of contact for the City of Fort Collins and primarily responsible for the contract, will coordinate the facilitation process and lead development of workshop products. Patrick, a local of Fort Collins, will lead on-the- ground facilitation work and support development of accompanying planning products. DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 Professional Services Agreement 8150 Extreme Event Preparedness Facilitation Page 9 of 11 Budget: Not to exceed $35,000 for any additional incidentals above the proposed $31,525 budget. Schedule of Rates The table below details a schedule of hourly rates that will apply for the tasks described in Section 1. Professional estimates $31,525 in labor costs and $1,675 in expenses, totaling $33,200 for project completion. Task Personnel Hourly Rate Est. Hours Est. Cost 1. Development of a facilitated dynamic planning process A. Martin $110 40 $4,400 P. Keys $75 48 $3,600 N. Ferm $165 6 $990 2. Workshop facilitation (assumes 3 workshops) A. Martin $110 32 $3,520 P. Keys $75 36 $2,700 N. Ferm $165 12 $1,980 3. Approach identification and synthesis A. Martin $110 24 $2,640 P. Keys $75 24 $1,800 N. Ferm $165 8 $1,320 4. Written summary for public communications A. Martin $110 24 $2,640 P. Keys $75 16 $1,200 N. Ferm $165 2 $330 5. Schedule of actions, objectives, and required resources A. Martin $110 16 $1,760 P. Keys $75 12 $900 N. Ferm $165 2 $330 6. Project Management A. Martin $110 10 $1,100 P. Keys $75 2 $150 N. Ferm $165 1 $165 DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 Professional Services Agreement 8150 Extreme Event Preparedness Facilitation Page 10 of 11 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. C. Errors & Omissions. The Professional shall maintain errors and omissions insurance in the amount of $1,000,000. DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 No new insurance required Professional Services Agreement 8150 Extreme Event Preparedness Facilitation Page 11 of 11 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. 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. DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 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: PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A : 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 AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE (PER ACCIDENT) $ HIRED AUTOS NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ 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 $ 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: PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A : 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 AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE (PER ACCIDENT) $ HIRED AUTOS NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ 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 $ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. COMMERCIAL AUTO CA 71 10 03 07 EXTENDED CANCELLATION CONDITION Paragraph 2.b. of the CANCELLATION Common Policy Condition is replaced by the following: b. 60 days before the effective date of cancellation if we cancel for any other reason. TEMPORARY SUBSTITUTE AUTO PHYSICAL DAMAGE COVERAGE Under paragraph C. CERTAIN TRAILERS, MO- BILE EQUIPMENT AND TEMPORARY SUBSTITUTE AUTOS of SECTION 1 COVERED AUTOS, the following is added: If Physical Damage coverage is provided by this Cov- erage Form, then you have coverage for: Any auto you do not own while used with the per- mission of its owner as a temporary substitute for a covered auto you own that is out of service be- cause of its breakdown, repair, servicing, loss or destruction. BROAD FORM NAMED INSURED SECTION II LIABILITY COVERAGE A.1. WHO IS AN INSURED provision is amended by the addition of the following: d. Any business entity newly acquired or formed by you during the policy period provided you own 50% or more of the business entity and the business entity is not separately insured for Business Auto Coverage. Coverage is extended up to a maximum of 180 days following acquisi- tion or formation of the business entity. Coverage under this provision is afforded only until the end of the policy period. BLANKET ADDITIONAL INSURED SECTION II LIABILITY COVERAGE A.1. WHO IS AN INSURED provision is amended by the addition of the following: e. Any person or organization for whom you are re- quired by an insured contract to provide insur- ance is an insured , subject to the following additional provisions: (1) The insured contract must be in effect during the policy period shown in the Decla- rations, and must have been executed prior to the bodily injury or property damage . (2) This person or organization is an insured only to the extent you are liable due to your ongoing operations for that insured, whether the work is performed by you or for you, and only to the extent you are held liable for an accident occurring while a covered auto is being driven by you or one of your em- ployees. (3) There is no coverage provided to this person (6) The coverage provided will not exceed the lesser of: (a) The coverage and/or limits of this policy; or (b) The coverage and/or limits required by the insured contract . (7) A person s or organization s status as an insured under this subparagraph d ends when your operations for that insured are completed. EMPLOYEE AS INSURED Under Paragraph A. of Section II LIABILITY COV- ERAGE item f. is added as follows: Your employee while using his owned auto , or an auto owned by a member of his or her household, in your business or your personal affairs, provided you do not own, hire or borrow that auto . This coverage is excess to any other collectible insurance coverage. FELLOW EMPLOYEE COVERAGE Exclusion 5. FELLOW EMPLOYEE of SECTION II LIABILITY COVERAGE B. EXCLUSIONS is amended by the addition of the following: However, this exclusion does not apply if the bodily injury results from the use of a covered auto you own or hire, and provided that any coverage under this provision only applies in excess over any other collectible insurance. BLANKET WAIVER OF SUBROGATION We waive the right of recovery we may have for pay- ments made for bodily injury or property damage on behalf of the persons or organizations added as insureds under Section II LIABILITY COVERAGE A.1.D. BROAD FORM NAMED INSURED and A.1.e. BLANKET ADDITIONAL INSURED. PHYSICAL DAMAGE ADDITIONAL TRANS- PORTATION EXPENSE COVERAGE The first sentence of paragraph A.4. of SECTION III PHYSICAL DAMAGE COVERAGE is amended as follows: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense incurred by you because of the total theft of a covered auto of the private passenger type. PERSONAL EFFECTS COVERAGE A. SECTION III PHYSICAL DAMAGE COVER- AGE, A.4. COVERAGE EXTENSIONS, is amended by adding the following: c. Personal Effects Coverage For any Owned auto that is involved in a covered loss , we will pay up to $500 for personal effects that are lost or damaged as a result of the covered loss , without applying a deductible. EXTRA EXPENSE BROADENED COVERAGE Paragraph A. COVERAGE of SECTION III PHYSICAL DAMAGE COVERAGE is amended to add: 5. We will pay for the expense of returning a stolen covered auto to you. AIRBAG COVERAGE c. The market value of your damaged vehicle, not including any furnishings, parts or equip- ment not installed by the manufacturer or manufacturer s dealership. This coverage applies only to a covered auto of the private passenger, light truck or medium truck type (20,000 lbs or less gross vehicle weight) and does not apply to initiation or set up costs associated with loans or leases. TWO OR MORE DEDUCTIBLES Under SECTION III PHYSICAL DAMAGE COV- ERAGE, if two or more company policies or cover- age forms apply to the same accident, the following applies to paragraph D. Deductible: a. If the applicable Business Auto deduct- ible is the smaller (or smallest) deduct- ible it will be waived; or b. If the applicable Business Auto deduct- ible is not the smaller (or smallest) de- ductible it will be reduced by the amount of the smaller (or smallest) deductible; or c. If the loss involves two or more Busi- ness Auto coverage forms or policies the smaller (or smallest) deductible will be waived. For the purpose of this endorsement company means: a. Safeco Insurance Company of America b. American States Insurance Company c. General Insurance Company of America d. American Economy Insurance Company e. First National Insurance Company of America f. American States Insurance Company of Texas g. American States Preferred Insurance Company h. Safeco Insurance Company of Illinois LOAN/LEASE GAP COVERAGE Under paragraph C LIMIT OF INSURANCE of SECTION III PHYSICAL DAMAGE COVERAGE, the following is added: 4. The most we will pay for a total loss in any one accident is the greater of the following, subject to a $1,500 maximum limit: a. Actual cash value of the damaged or stolen property as of the time of the loss , less an adjustment for depreciation and physical condition; or b. Balance due under the terms of the loan or lease that the damaged covered auto is subject to at the time of the loss , less any one or all of the following adjustments: (1) Overdue payment and financial penalties associated with those payments as of the date of the loss . (2) Financial penalties imposed under a lease due to high mileage, exces- accident applies only when the accident is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; or (3) An executive officer or insurance manager, if you are a corporation. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV BUSINESS AUTO CONDITIONS B.2. is amended by the addition of the following: If you unintentionally fail to disclose any hazards ex- isting at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non-renewal. HIRED AUTO LIMITED WORLD WIDE COVER- AGE Under Section IV Business Conditions, Paragraph B.7.b.e(1) is replaced by the following: (1) The accident or loss results from the use of an auto hired for 30 days or less. RESULTANT MENTAL ANGUISH COVERAGE SECTION V DEFINITIONS C. is replaced by the following: Bodily injury means bodily injury, sickness or dis- ease sustained by a person including mental anguish or death resulting from any of these. HIRED AUTO PHYSICAL DAMAGE COVERAGE If hired autos are covered autos for Liability cov- erage and if Comprehensive, Specified Causes of Loss or Collision coverages are provided under this Coverage Form for any auto you own, then the Physical Damage Coverages provided are extended to autos you hire or borrow. The most we will pay for loss to any hired auto is $50,000 or Actual Cash Value or Cost of Repair, whichever is smallest, minus a deductible. The de- ductible will be equal to the largest deductible appli- cable to any owned auto of the private passenger or light truck type for that coverage. Hired Auto Phy- sical Damage coverage is excess over any other col- lectible insurance. Subject to the above limit, deductible and excess provisions, we will provide coverage equal to the broadest coverage applicable to any covered auto you own. HIRED AUTO PHYSICAL DAMAGE COVERAGE LOSS OF USE SECTION III PHYSICAL DAMAGE A.4.b. Form does not apply. Subject to a maximum of $1,000 per accident, we will cover loss of use of a hired auto if it results from an accident, you are legally liable and the lessor in- curs an actual financial loss. RENTAL REIMBURSEMENT COVERAGE A. We will pay for rental reimbursement expenses incurred by you for the rental of an auto be- cause of a covered loss to a covered auto . Payment applies in addition to the otherwise ap- Rental Reimbursement Coverage Form CA 99 23. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE A. Coverage 1. We will pay with respect to a covered auto for loss to any electronic equipment that receives or transmits audio, visual or data signals and that is not designed solely for the reproduction of sound. This coverage applies only if the equipment is permanently installed in the covered auto at the time of the loss or the equipment is removable from a housing unit which is permanently installed in the covered auto at the time of the loss , and such equipment is designed to be solely operated by use of the power from the auto s electrical system, in or upon the covered auto . 2. We will pay with respect to a covered auto for loss to any accessories used with the electronic equipment described in paragraph A.1. above. However, this does not include tapes, records or discs. 3. If Audio, Visual and Data Electronic Equip- ment Coverage form CA 99 60 or CA 99 94 is attached to this policy, then the Audio, Vi- sual and Data Electronic Equipment Cover- age described above does not apply. B. Exclusions The exclusions that apply to PHYSICAL DAM- AGE COVERAGE, except for the exclusion relat- ing to Audio, Visual and Data Electronic Equipment, also apply to this coverage. In addi- tion, the following exclusions apply: We will not pay for either any electronic equip- ment or accessories used with such electronic equipment that is: 1. Necessary for the normal operation of the covered auto for the monitoring of the covered auto s operating system; or 2. Both: a. an integral part of the same unit housing any sound reproducing equipment de- signed solely for the reproduction of sound if the sound reproducing equipment is permanently installed in the covered auto ; and b. permanently installed in the opening of the dash or console normally used by the manufacturer for the installation of a radio. C. Limit of Insurance With respect to this coverage, the LIMIT OF IN- SURANCE provision of PHYSICAL DAMAGE COVERAGE is replaced by the following: 1. The most we will pay for loss to audio, vi- sual or data electronic equipment and any accessories used with this equipment as a return or replace damaged or stolen property will be reduced by a $100 deductible. 4. In the event that there is more than one ap- plicable deductible, only the highest deduct- ible will apply. In no event will more than one deductible apply. SECTION V DEFINITIONS is amended by adding the following: Q. Personal effects means your tangible property that is worn or carried by you, ex- cept for tools, jewelry, money, or securities. R. New vehicle means any auto of which you are the original owner and the auto has not been previously titled and is less than 365 days past the purchase date. Page 6 of 6 **** REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS **** DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 Any person or organization in which you are required by written contract, agreement or permit DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 result of any one accident is the lesser of: a. The actual cash value of the damaged or stolen property as of the time of the loss ; or b. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. c. $1,000. 2. An adjustment for depreciation and physical condition will be made in determining actual cash value at the time of the loss . 3. If a repair or replacement results in better than like kind or quality, we will not pay for the amount of the betterment. D. Deductible 1. If loss to the audio, visual or data elec- tronic equipment or accessories used with this equipment is the result of a loss to the covered auto under the Business Auto Coverage Form s Comprehensive or Colli- sion Coverage, then for each covered auto our obligation to pay for, repair, return or re- place damaged or stolen property will be re- duced by the applicable deductible shown in the Declarations. Any Comprehensive Cov- erage deductible shown in the Declarations does not apply to loss to audio, visual or data electronic equipment caused by fire or lightning. 2. If loss to the audio, visual or data elec- tronic equipment or accessories used with this equipment is the result of a loss to the covered auto under the Business Auto Coverage Form s Specified Causes of Loss Coverage, then for each covered auto our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by a $100 deductible. 3. If loss occurs solely to the audio, visual or data electronic equipment or accessories used with this equipment, then for each cov- ered auto our obligation to pay for, repair, CA 71 10 03 07 Page 5 of 6 EP **** REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS **** DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 plicable amount of each coverage you have on a covered auto . No deductibles apply to this coverage. B. We will pay only for those expenses incurred during the policy period beginning 24 hours after the loss and ending, regardless of the policy s expiration, with the lesser of the following number of days: 1. The number of days reasonably required to repair or replace the covered auto . If loss is caused by theft, this number of days is added to the number of days it takes to locate the covered auto and return it to you. 2. 30 days. C. Our payment is limited to the lesser of the fol- lowing amounts: 1. Necessary and actual expenses incurred. 2. $50 per day. D. This coverage does not apply while there are spare or reserve autos available to you for your operations. E. If loss results from the total theft of a covered auto of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not al- ready provided for under the PHYSICAL DAM- AGE COVERAGE Coverage Extension. F. The Rental Reimbursement Coverage described above does not apply to a covered auto that is described or designated as a covered auto on Page 4 of 6 **** REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS **** DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 sive use or abnormal wear and tear. (3) Costs for extended warranties, Cre- dit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease. (4) Transfer or rollover balances from previous loans or leases. (5) Final payment due under a Balloon Loan . (6) The dollar amount of any un-repaired damage that occurred prior to the total loss of a covered auto . (7) Security deposits not refunded by a lessor. (8) All refunds payable or paid to you as a result of the early termination of a lease agreement or any war- ranty or extended service agree- ment on a covered auto . (9) Any amount representing taxes. (10) Loan or lease termination fees GLASS REPAIR WAIVER OF DEDUCTIBLE Under paragraph D. DEDUCTIBLE of SECTION III PHYSICAL DAMAGE COVERAGE, the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. AMENDED DUTIES IN THE EVENT OF ACCI- DENT, CLAIM, SUIT OR LOSS The requirement in LOSS CONDITION 2.a. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS of SECTION IV BUSINESS AUTO CONDITIONS that you must notify us of an CA 71 10 03 07 Page 3 of 6 EP **** REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS **** DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 Under paragraph B. EXCLUSIONS of SECTION III PHYSICAL DAMAGE COVERAGE, the following is added: The exclusion relating to mechanical breakdown does not apply to the accidental discharge of an airbag. NEW VEHICLE REPLACEMENT COST Under Paragraph C LIMIT OF INSURANCE of Section III PHYSICAL DAMAGE COVERAGE sec- tion 2 is amended as follows: 2. An adjustment for depreciation and physical con- dition will be made in determining actual cash value in the event of a total loss. However, in the event of a total loss to your new vehicle to which this coverage applies, as shown in the declarations, we will pay at your option: a. The verifiable new vehicle purchase price you paid for your damaged vehicle, not in- cluding any insurance or warranties pur- chased; b. The purchase price, as negotiated by us, of a new vehicle of the same make, model and equipment, not including any furnishings, parts or equipment not installed by the manufacturer or manufacturer s dealership. If the same model is not available pay the purchase price of the most similar model available; Page 2 of 6 **** REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS **** DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 or organization for bodily injury to its em- ployees, nor for property damage to its property. (4) Coverage for this person or organization shall be limited to the extent of your negli- gence or fault according to the applicable principles of comparative negligence or fault. (5) The defense of any claim or suit must be tendered by this person or organization as soon as practicable to all other insurers which potentially provide insurance for such claim or suit . Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 Safeco and the Safeco logo are registered trademarks of Safeco Corporation CA 71 10 03 07 Page 1 of 6 EP **** REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS **** DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 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 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: SR 09/14/2015 Sprague Israel Giles 1501 Fourth Avenue, Suite 730 Seattle, WA 98101-3225 Robert Karl CA License #0192858 CASCA-1 Cascadia Consulting Group, Inc 1109 1st Ave., Ste. 400 Seattle, WA 98101 Darwin Select Insurance Co. 24319 NON ADMITTED CARRIER A Professional Liab 03042934 12/17/2014 12/17/2015 EA.CLAIM 1,000,000 $25,000 Deductible RETRO-DATE: 12/17/08 Aggregate 1,000,000 ***CLAIMS MADE*** City of Fort Collins PO Box 580 Fort Collins, CO 80522 DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6 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 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: SR 09/14/2015 Sprague Israel Giles 1501 Fourth Avenue, Suite 730 Seattle, WA 98101-3225 Robert Karl CA License #0192858 CASCA-1 Cascadia Consulting Group, Inc 1109 1st Ave., Ste. 400 Seattle, WA 98101 American States Insurance Co. 19704 1,000,000 AX X 01CH761656-8 03/19/2015 03/19/2016 1,000,000 X 10,000 1,000,000 2,000,000 2,000,000 X X 1,000,000 A 01CH761656-8 03/19/2015 03/19/2016 X X X Comp Ded 250 Coll Ded 500 X A 01CH761656-8 03/19/2015 03/19/2016 1,000,000 WA STOP GAP 1,000,000 2,000,000 The respects City, liability its officers, arising agents out and of operations employees are by or additional on behalf insured of the with named for per General attached and endorsement. Auto Liability, subject to a written contract being in force City of Fort Collins PO Box 580 Fort Collins, CO 80522 DocuSign Envelope ID: B3ED8151-D428-462B-95BA-9019B9B18BF6