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HomeMy WebLinkAbout106941 SYLVAN DALE RANCH LLLP - CONTRACT - BID - 8204 GRAZING AT BOBCAT RIDGE NATURAL AREAServices Agreement- 8204 Grazing at Bobcat Ridge Natural Area Page 1 of 15
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 SYLVAN DALE RANCH, LLLP, a Limited Liability Limited
Partnership, hereinafter referred to as "Service Provider".
WITNESSETH:
In consideration of the mutual covenants and obligations herein expressed, it is agreed
by and between the parties hereto as follows:
1. Scope of Services. The Service Provider agrees to provide services in accordance with
the Scope of Services attached hereto as Exhibit "A", consisting of four (4) pages, and
Exhibit “B” – Grazing Plan, consisting of two (2) pages, both incorporated herein by this
reference.
2. Contract Period. This Agreement shall commence February 1, 2016, and shall continue in
full force and effect until January 31, 2017, 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. Written notice of renewal
shall be provided to the Service Provider and mailed no later than thirty (30) days prior to
contract end.
3. Delay. If either party is prevented in whole or in part from performing its obligations by
unforeseeable causes beyond its reasonable control and without its fault or negligence,
then the party so prevented shall be excused from whatever performance is prevented by
such cause. To the extent that the performance is actually prevented, the Service
Provider must provide written notice to the City of such condition within fifteen (15) days
from the onset of such condition.
4. Early Termination by City/Notice. Notwithstanding the time periods contained herein, the
City may terminate this Agreement at any time without cause by providing written notice of
termination to the Service Provider. Such notice shall be delivered at least fifteen (15)
days prior to the termination date contained in said notice unless otherwise agreed in
writing by the parties. All notices provided under this Agreement shall be effective when
mailed, postage prepaid and sent to the following addresses:
Service Provider: City: Copy to:
Sylvan Dale Ranch, LLLP
Attn: Susan Jessup
2939 N. CR 31D
Loveland, CO 80538
City of Fort Collins
Attn: Kate Rentschlar
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 early termination by the City, the Service Provider shall be paid for services
rendered to the date of termination, subject only to the satisfactory performance of the
Service Provider's obligations under this Agreement. Such payment shall be the Service
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Provider's sole right and remedy for such termination.
5. Contract Sum. The City shall pay the Service Provider for the performance of this
Contract, subject to additions and deletions provided herein, zero dollars ($0) as per the
attached Exhibit "C", consisting of one (1) page, and incorporated herein by this reference.
6. City Representative. The City will designate, prior to commencement of the work, its
representative who shall make, within the scope of his or her authority, all necessary and
proper decisions with reference to the services provided under this agreement. All
requests concerning this agreement shall be directed to the City Representative.
7. Independent Service provider. The services to be performed by Service Provider are
those of an independent service provider and not of an employee of the City of Fort
Collins. The City shall not be responsible for withholding any portion of Service Provider's
compensation hereunder for the payment of FICA, Workmen's Compensation or other
taxes or benefits or for any other purpose.
8. Subcontractors. Service Provider may not subcontract any of the Work set forth in the
Exhibit A, Scope of Services, without the prior written consent of the City, which shall not
be unreasonably withheld. If any of the Work is subcontracted hereunder (with the
consent of the City), then the following provisions shall apply: (a) the subcontractor must
be a reputable, qualified firm with an established record of successful performance in its
respective trade performing identical or substantially similar work, (b) the subcontractor will
be required to comply with all applicable terms of this Agreement, (c) the subcontract will
not create any contractual relationship between any such subcontractor and the City, nor
will it obligate the City to pay or see to the payment of any subcontractor, and (d) the work
of the subcontractor will be subject to inspection by the City to the same extent as the
work of the Service Provider.
9. Personal Services. It is understood that the City enters into the Agreement based on the
special abilities of the Service Provider and that this Agreement shall be considered as an
agreement for personal services. Accordingly, the Service Provider shall neither assign
any responsibilities nor delegate any duties arising under the Agreement without the prior
written consent of the City.
10. Acceptance Not Waiver. The City's approval or acceptance of, or payment for any of the
services shall not be construed to operate as a waiver of any rights or benefits provided to
the City under this Agreement or cause of action arising out of performance of this
Agreement.
11. Warranty.
a. Service Provider warrants that all work performed hereunder shall be performed with
the highest degree of competence and care in accordance with accepted standards for
work of a similar nature.
b. Unless otherwise provided in the Agreement, all materials and equipment incorporated
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into any work shall be new and, where not specified, of the most suitable grade of their
respective kinds for their intended use, and all workmanship shall be acceptable to
City.
c. Service Provider warrants all equipment, materials, labor and other work, provided
under this Agreement, except City-furnished materials, equipment and labor, against
defects and nonconformances in design, materials and workmanship/workwomanship
for a period beginning with the start of the work and ending twelve (12) months from
and after final acceptance under the Agreement, regardless whether the same were
furnished or performed by Service Provider or by any of its subcontractors of any tier.
Upon receipt of written notice from City of any such defect or nonconformances, the
affected item or part thereof shall be redesigned, repaired or replaced by Service
Provider in a manner and at a time acceptable to City.
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 thereof.
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. Indemnity/Insurance.
a. The Service Provider agrees to indemnify and save harmless the City, its officers,
agents and employees against and from any and all actions, suits, claims, demands or
liability of any character whatsoever brought or asserted for injuries to or death of any
person or persons, or damages to property arising out of, result from or occurring in
connection with the performance of any service hereunder.
b. The Service Provider shall take all necessary precautions in performing the work
hereunder to prevent injury to persons and property.
c. Without limiting any of the Service Provider's obligations hereunder, the Service
Provider shall provide and maintain insurance coverage naming the City as an
additional insured under this Agreement of the type and with the limits specified within
Exhibit “D”, consisting of one (1) page, attached hereto and incorporated herein by this
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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.
16. Entire Agreement. This Agreement, along with all Exhibits and other documents
incorporated herein, shall constitute the entire Agreement of the parties. Covenants or
representations not contained in this Agreement shall not be binding on the parties.
17. 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.
18. Prohibition Against Employing Illegal Aliens. Pursuant to Section 8-17.5-101, C.R.S., et.
seq., Service Provider represents and agrees that:
a. As of the date of this Agreement:
1. Service Provider does not knowingly employ or contract with an illegal alien who
will perform work under this Agreement; and
2. Service Provider 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. Service Provider 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. Service Provider 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 Service Provider obtains actual knowledge that a subcontractor performing work
under this Agreement knowingly employs or contracts with an illegal alien, Service
Provider shall:
1. Notify such subcontractor and the City within three days that Service Provider 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
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the notice required pursuant to this section the subcontractor does not cease
employing or contracting with the illegal alien; except that Service Provider 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. Service Provider 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 Service Provider 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, Service Provider 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 Service Provider violates this
provision of this Agreement and the City terminates the Agreement for such breach.
19. Special Provisions. Special provisions or conditions relating to the services to be
performed pursuant to this Agreement are set forth in Exhibit "E" - Confidentiality,
consisting of one (1) page, attached hereto and incorporated herein by this reference.
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THE CITY OF FORT COLLINS, COLORADO
By:
Gerry Paul
Purchasing Director
DATE:
ATTEST:
City Clerk
APPROVED AS TO FORM:
Assistant City Attorney
SYLVAN DALE RANCH, LLLP
By:
Susan Jessup
Title:
Date:
By:
David Jessup
Title:
Date:
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General Partner
2/5/2016
General Partner
2/9/2016
2/10/2016
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EXHIBIT A
SCOPE OF SERVICES
I. Introduction
The City of Fort Collins (City) is partnering with the Service Provider to provide grazing services
on specified Natural Area(s) located within and near the City boundaries as specified in this
Agreement.
Service Provider will provide grazing services at Bobcat Ridge Natural Area, which is
approximately 570 acres. Approximate areas for grazing are illustrated in section IV- Grazing
Area Maps.
II. Service Provider Guidelines for Grazing
A. Notify Natural Areas contact specified in section III prior to taking livestock on or off any
of the designated properties for grazing to coordinate the (un)loading point.
B. Allow grazing only on those pastures designated or as directed by Natural Areas.
C. Install and maintain temporary electric fence sufficient to retain livestock inside
designated grazing area(s). Remove temporary fencing when livestock are moved.
D. Graze livestock to manage noxious weeds, to keep grasses from becoming decedent,
or other management objective as identified by Natural Areas staff in the Grazing Plan.
Natural Areas staff will monitor range condition and may require the Service Provider to
remove livestock from the area at any time. If removal is required, Natural Areas will
provide a two (2) day notice to the Service Provider.
E. While on-site, monitor for trespassing, grass fires, flooding and other issues that may
arise on the property. Call the Natural Areas Ranger office at 970-416-2147 if you see
any potential issues.
F. Retrieval of any escaped livestock. Escaped cattle must be rounded up as soon as
possible and no longer than 24 hours after first reported to the Service Provider.
G. Providing water for livestock. Water may be available on site, but Service Provider is
responsible for obtaining water and watering livestock if water is not available on site.
Arrangements may be made in advance with the Northern Colorado Water
Conservancy District.
H. Responsible for providing certified weed free hay (and possibly “native” hay in some
areas) for livestock in the event of an emergency that causes forage to become
unavailable (i.e. heavy snow storm).
I. Sheep/goats cannot be grazed on this site. Sheep/goats can be grazed on sites east of
Shields Street/N Taft Avenue.
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J. While driving on the property, the Service Provider shall stay on existing roads to the
greatest extent possible and minimize the amount of off-road vehicular use. Driving in
some areas and during muddy conditions may be completely restricted.
K. Livestock will be grazed and moved in a way that minimizes the impact to trail users.
Livestock enclosures cannot include or bisect recreation trails unless directed to do so
by Natural Area staff. Recreation consisting of hiking, biking and horseback riding
occurs on the property and the Service Provider will be required to construct fence to
retain livestock from the trail system.
L. If the Service Provider needs access through adjacent private property, the Service
Provider is responsible for obtaining the proper authorization.
M. Natural Areas may (but will not be required to) offer opportunities for additional acreage
for the Service Provider to graze on designated Natural Areas or other City properties
within a geographical district. Service Provider agrees to negotiate in good faith with the
City to reach agreeable terms on the additional acreage. If the City deems the Service
Provider has not acted in good faith or the Service Provider continually rejects the City’s
requests to graze additional acreage, the City at its sole discretion may terminate the
Agreement.
N. A grazing district has also been assigned to the Service Provider. The district
associated with this property is Bobcat Grazing District.
O. At the City’s sole discretion, Natural Areas may add or remove acreage on the property
to be grazed.
P. Additional guidelines are outlined on the attached Grazing Plan and incorporated herein
as Exhibit B.
III. Natural Areas Contact
Daylan Figgs
Natural Areas
1745 Hoffman Mill Rd
PO Box 580
Fort Collins, CO 80522-0580
Office: (970) 416-2814
Cell: (970) 217-5968
Email: dfiggs@fcgov.com
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IV. Grazing Area Maps
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EXHIBIT B
GRAZING PLAN
I. Introduction
Bobcat Ridge Natural Area (Bobcat) was purchased by the City of Fort Collins (City) in 2003.
The property is located in the foothills southwest of Fort Collins and is approximately 2,600
acres. The habitat ranges from mixed grass prairie to Ponderosa Pine (Pinus ponderosa) forest.
Before Bobcat was owned by the City, the property was used for haying and grazing.
The City is leasing grazing rights to the Service Provider who will be grazing approximately 64
cattle on the site for the months of February, March and April. There are approximately 570
acres available for grazing at Bobcat. The site will be split into multiple pastures and rotational
grazing practices will be used (see map in section III of this Exhibit).
The Natural Areas Department wants to utilize grazing to advance our conservation goals for
the site. These goals include, but are not limited to:
Increasing forb abundance and diversity.
Promoting habitat heterogeneity.
Increasing native grasses.
Supporting bird diversity.
Controlling noxious weeds.
II. Grazing Guidelines
A. Adaptive management strategies will be used and guidelines are subject to change at
the City’s sole discretion. A 72 hour notice will be given to the Service Provider.
B. Service Provider shall bring cattle onto the property from either the south or from the
Forest Service property to the west. Timing must be coordinated and approved by the
City.
C. When moving cattle on the property, the following procedures will be applied:
Avoid moving across trails as much as possible.
Do not move cattle across the crusher-fine trails.
If muddy conditions exist, place plywood on top of the trails to reduce damage.
Install signage to alert trail users.
D. Vehicle use on the property is confined to roads unless absolutely necessary, especially
in muddy conditions.
E. ATVs, horses and working dogs under voice control may be used on the property for
moving cattle.
F. Water tanks will have wildlife ladders installed in them.
G. Flash grazing in drainages is desired. Cattle will not be allowed to congregate in
drainages for extended periods of time. However, a small area for water access is
allowed.
H. In the event of a large snow storm, the Service Provider can bring hay onto Bobcat that
is approved by the City’s botanist.
I. Escaped cattle must be rounded up as soon as possible and within 24 hours after first
reported to the Service Provider.
J. The 24 acre pasture on the eastern boundary of Bobcat will be used as a control; no
grazing is to occur in it.
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III. Tentative Grazing Rotation*
*Timing is subject to change based on weather, habitat conditions and other considerations as
mutually agreed upon by both parties.
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EXHIBIT C
COMPENSATION
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EXHIBIT D
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 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 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.
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No new insurance required
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EXHIBIT E
CONFIDENTIALITY
IN CONNECTION WITH SERVICES provided to the City of Fort Collins (the “City”) pursuant to
this Agreement (the “Agreement”), the Service Provider 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 Service Provider has agreed to perform, the Service Provider
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 Service
Provider 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 Service Provider shall not disclose any such information to any
person not having a legitimate need-to-know for purposes authorized by the City. Further, the
Service Provider 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 Service Provider 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 Service Provider 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 Service Provider ceases to perform services for the City, or the City so
requests for any reason, the Service Provider 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 Service Provider understands and agrees that the City’s remedies at law for a breach of the
Service Provider’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.
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The ACORD name and logo are registered marks of ACORD
CERTIFICATE HOLDER
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01)
AUTHORIZED REPRESENTATIVE
CANCELLATION
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
JECT LOC
POLICY PRO-
GEN'L AGGREGATE LIMIT APPLIES PER:
CLAIMS-MADE OCCUR
COMMERCIAL GENERAL LIABILITY
PREMISES (Ea occurrence) $
DAMAGE TO RENTED
EACH OCCURRENCE $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
DED RETENTION $
CLAIMS-MADE
OCCUR
$
AGGREGATE $
UMBRELLA LIAB EACH OCCURRENCE $
EXCESS LIAB
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
INSR
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
PER
STATUTE
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
If yes, describe under
DESCRIPTION OF OPERATIONS below
(Mandatory in NH)
OFFICER/MEMBER EXCLUDED?
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
HIRED AUTOS
NON-OWNED
AUTOS AUTOS
AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE $
$
$
$
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.
INSD
ADDL
WVD
SUBR
N / A
$
$
(Ea accident)
(Per accident)
OTHER:
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
INSURED
PHONE
(A/C, No, Ext):
PRODUCER
ADDRESS:
E-MAIL
FAX
(A/C, No):
CONTACT
NAME:
NAIC #
INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
INSURER(S) AFFORDING COVERAGE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
2/3/2016
Arthur J. Gallagher Risk Management Services, Inc.
PO Box 4190
Estes Park CO 80517
Sylvan Dale Guest Ranch
Susan Jessup
2939 N. County Road 31-D
Loveland CO 80538
Arch Insurance Company
Artisan & Truckers Casualty Company
Pinnacol Assurance Company
Essex Insurance Company
11150
10194
41190
39020
Nancy Tulley
970-586-4407 970-586-3370
Nancy_Tulley@ajg.com
SYLVDAL-01
246616576
A Y MOPK07922604 9/1/2015 9/1/2016 1,000,000
100,000
5,000
1,000,000
3,000,000
3,000,000
X
X
X
B Y
X
03268101-1 9/5/2015 9/5/2016 1,000,000
C 2089342 10/1/2015 10/1/2016
100,000
100,000
500,000
D Products Liability 3DW8548 6/1/2015 6/1/2016 Per Occurrence
Aggregate
1,000,000
2,000,000
The City, its officers, agents and employees shall be named as additional insured but only with respects to the liability arising out of the
activities of the named insured per form 00 GL0596 00 04 10 - BLANKET ADDITIONAL INSURED.
City of Fort Collins
PO Box 580
Ft Collins CO 80522
DocuSign Envelope ID: CFECBD06-EB17-4F47-A7D3-C3AE5621CA44