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HomeMy WebLinkAbout565243 CLEAR INTENTIONS - CONTRACT - AGREEMENT MISC - CLEAR INTENTIONSServices Agreement Page 1 of 12 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 Clear Intentions, 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 for Clear Intentions Glass Recycling Stations, attached hereto as Exhibit "A", consisting of three (3) pages and incorporated herein by this reference. Irrespective of references in Exhibit A to certain named third parties, Service Provider shall be solely responsible for performance of all duties hereunder. 2. Contract Period. This Agreement shall commence August 1, 2016, and shall continue in full force and effect until July 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. Renewals and pricing changes shall be negotiated by and agreed to by both parties. 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 and/or Service Provider may terminate this Agreement at any time without cause by providing written notice of termination to the Service Provider and/or the City. Such notice shall be delivered at least thirty (30) 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: DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 Services Agreement Page 2 of 12 Service Provider: City: Copy to: Clear Intentions Attn: Brittany Evans, President 5601 Downing Street Denver, CO 80216 BEvans@clearintentions.glass City of Fort Collins Attn: Susan Gordan, Senior 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 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 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, as per the attached Exhibit "A", consisting of three (3) pages, 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, Statement of Work without the prior written consent of the city, which shall not be unreasonably withheld. If any of the Work is subcontracted hereunder (with the consent of the City), then the following provisions shall apply: (a) the subcontractor must be a reputable, qualified firm with an established record of successful performance in its respective trade performing identical or substantially similar work, (b) the subcontractor will be required to comply with all applicable terms of this Agreement, (c) the subcontract will not create any contractual relationship between any such subcontractor and the City, nor will it obligate the City to pay or see to the payment of any subcontractor, and (d) the work of the subcontractor will be subject to inspection by the City to the same extent as the work of the 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. DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 Services Agreement Page 3 of 12 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 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, DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 Services Agreement Page 4 of 12 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 B, consisting of one (1) page, attached hereto and incorporated herein by this reference. The Service Provider before commencing services hereunder, shall deliver to the City's Director of Purchasing and Risk Management, P. O. Box 580, Fort Collins, Colorado 80522, one copy of a certificate evidencing the insurance coverage required from an insurance company acceptable to the City. 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 DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 Services Agreement Page 5 of 12 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 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 “C” – Approved City of Fort Collins Host Locations, consisting of one (1) page, and Exhibit "D" - Confidentiality, consisting of one (1) page, attached hereto and incorporated herein by this reference. DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 Services Agreement Page 6 of 12 THE CITY OF FORT COLLINS, COLORADO By: Gerry Paul Purchasing Director DATE: CLEAR INTENTIONS By: Printed: Title: CORPORATE PRESIDENT OR VICE PRESIDENT Date: DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 7/21/2016 Brittany Evans President 7/22/2016 Services Agreement MISC – City Hosted Glass Recycling Stations Page 7 of 12 EXHIBIT A SCOPE OF WORK The following outlines the Roles and Responsibilities undertaken by Host Locations within the City of Fort Collins organization who agree to host Glass Recycling Stations from the Service Provider: 1) Location: The Host Location agrees to allow Service Provider on site to empty, maintain, or remove the Glass Recycling Station as needed. The City will not charge Service Provider for use of the designated space on City property. 2) Access and Relocation: The Host Location will use reasonable efforts to assure access to the Glass Recycling Station will remain clear at all times in order for the public to drop off glass, and for Service Provider to provide glass collection services. Relocation of the Glass Recycling Station poses a safety hazard and is only to be completed by Service Provider or their approved subcontractor. If the placement of the Glass Recycling Station becomes a concern for the City, the Host Location will contact Service Provider to request that the Glass Recycling Station be moved to a new location on the current property or be removed altogether. In such event, the Service Provider shall complete the move or removal of the Glass Recycling Station within forty-eight (48) hours from receipt of written notice. 3) Assign Primary Contact: The City Project Manager will choose a primary contact at each Host Location who will be the Service Provider’s primary contact on-site. This on-site contact will be approved to make requests to Service Provider, hold the key to the Glass Recycling Station(s) at their location. If the on-site contact should change at any time, the City Project Manager will choose the new contact and inform the Service Provider accordingly. 4) Key to Glass Recycling Station(s): A key will be provided to the primary contact at each City location in order to allow access so that fill levels are monitored. 5) Monitoring and Maintaining Cleanliness of Glass Recycling Station(s): The Host Location will use reasonable efforts to maintain the cleanliness of the surrounding area where the Glass Recycling Station(s) are placed, to limit glass, trash, or other debris littering the ground. The primary contact at each location (or their designated proxy) will be responsible for contacting Service Provider when their Glass Recycling Station is full and needs a pickup. These contacts also have the responsibility to contact Service Provider if maintenance is needed due to damage, tagging (graffiti), etc. a. Service Provider can be contacted by phone, email, or through their My Glass Valet app. Maintenance and pickup requests must be made by a contact on file with Service Provider. DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 Services Agreement MISC – City Hosted Glass Recycling Stations Page 8 of 12 6) Marketing of Glass Station Program: The Host Location is encouraged, but not obligated to assist with marketing for the Glass Recycling Station(s) within their community to achieve a successful program. The following outlines the Roles and Responsibilities undertaken by Service Provider in running the Glass Station Program: 1) The Service Provider shall procure all licenses, pay all charges and fees, and give all notices necessary and incidental to the lawful fulfillment of the Work performed under the Agreement. Service Provider shall comply with all City, State and Federal laws. 2) Service Provider warrants no materials collected will be sent to a landfill for disposal. All materials collected shall be recycled by appropriately certified subcontractors. 3) Ownership of Glass Recycling Stations: Service Provider agrees to provide the Glass Recycling Station(s) at their own expense. Service Provider agrees to remove the Glass Recycling Station(s) from City property within forty-eight (48) hours from receipt of written notice from the City in the event they fall into disrepair, are not being emptied in a timely manner, or otherwise because a nuisance or a detriment to City operations in any way, at the sole determination of the City of Fort Collins. 4) Program Evaluation: The City’s Project Manager will monitor and evaluate the program to determine its success and whether any changes need to be made. Service Provider will provide the City Project Manager with a report on a quarterly basis in a format mutually agreed upon by the parties, on the volumes collected for all stations located on City property. 5) Maintenance and Service of Glass Recycling Station(s): Service Provider will empty the Glass Recycling Station(s) on a scheduled basis up to one time per week, as well as when a pickup is requested by the Host Location. If pickups exceed one time per week; Service Provider may request to place an additional Glass Recycling Station at the location, subject to the written approval of the City’s Project Manager. In conjunction with each pick-up, Service Provider will ensure there is no glass, trash, or other debris littering the ground around the station. If a maintenance request is received from the designated site contact, Service Provider will repair and/or replace the Glass Station within forty-eight (48) hours. Service Provider shall be solely responsible for all costs and expenses required for repair and/or replacement of the Glass Stations. 6) Hauling Costs: All hauling costs will be paid for by Service Provider. Service Provider reserves the right to subcontract hauling as deemed necessary, at Service Provider’s expense. In the event Service Provider subcontracts any work under this Agreement, Service Provider shall ensure such subcontract(s) maintain Worker’s Compensation, General and Automobile Liability in accordance with Exhibit B limits and names the City of Fort Collins as an Additional Insured. DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 Services Agreement MISC – City Hosted Glass Recycling Stations Page 9 of 12 7) Signage: Service Provider shall furnish suitable signage for the stations. Such signage shall be subject to City review and approval. 8) Marketing and Sponsorship: Service Provider will provide a media kit upon request with information and designs that may be used by the Host Location and/or the City Project Manager to market the Glass Recycling Station(s) to their community. To help with the success of the program, Service Provider will also continually market the Glass Recycling Station(s) location(s) via their website directory and other available marketing channels including, but not limited to: social media, flyers, newspaper or other ads, etc. The Service Provider shall not utilize the City’s logo on any website or marketing materials without the prior written approval from the City’s Project Manager. 9) Donations to Non-Profits: Service Provider will donate $1 to a partnering non-profit agency for each full collection of each Glass Recycling Station; which equals approximately 300-500 pounds of glass per Station. Donations will be paid on a quarterly basis and reported to the City’s Project Manager along with the quarterly report on glass volume recycled. DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 Services Agreement MISC – City Hosted Glass Recycling Stations Page 10 of 12 EXHIBIT B 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. DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 New insurance Services Agreement MISC – City Hosted Glass Recycling Stations Page 11 of 12 EXHIBIT C APPROVED CITY OF FORT COLLINS HOST LOCATIONS  City Park Nine Golf Course  Edora Pool Ice Center (EPIC)  Senior Center  Southridge Golf Course  Collindale Golf Course DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 Services Agreement MISC – City Hosted Glass Recycling Stations Page 12 of 12 EXHIBIT D 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. DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 CERTIFICATE HOLDER © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 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 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 (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS WC STATU- TORY LIMITS 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) DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6 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. INSR ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) 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). The ACORD name and logo are registered marks of ACORD 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. 7/21/2016 Colorado Insurance Professionals, Inc. 13693 E. Iliff Ave, Suite 115 Aurora CO 80014 Clear Intentions, LLC 5601 Downing St. Denver CO 80216 Auto Owners Insurance Pinnacol Assurance 18988 41190 Cyndi Pissare 303-755-8600 303-755-2516 cynthiap@colorado-insurance.com CLEAR-4 2017741183 A Y 74972612 8/25/2015 8/25/2016 1,000,000 50,000 5,000 1,000,000 2,000,000 2,000,000 X X X A Y X X X 4997261200 12/8/2015 12/8/2016 1,000,000 A X X 4997261201 12/23/2015 8/25/2016 5,000,000 5,000,000 B 4177172 9/1/2015 9/1/2016 X 1,000,000 1,000,000 1,000,000 A Property 74972612 8/25/2015 8/25/2016 Building Bus Pers Prop 513,500 15,210 Blanket additional insured conferred when required by written contract in regard to work performed by the named insured on the liability policies. Coverage is primary and non contributory. Umbrella policy follows form. City of Fort Collins is included as additional insured per the above policy conditions and endorsements in regard to the auto and general liability policies. City of Fort Collins 2115 N Mason St PO Box 580 Fort Collins CO 80522 DocuSign Envelope ID: A8CDA4FD-0ECD-416C-B02A-D816E85B43C6