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HomeMy WebLinkAbout536718 STUDIO INSITE LLC - CONTRACT - SOLE SOURCE - STUDIO INSITE LLCServices Agreement SS 2016 – FC Design Manual Update 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 STUDIO INSITE, 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 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. The term “Work” as used in this Agreement shall include the services and deliverables contained in Exhibit A. 2. Time of Commencement and Completion of Services. The services to be performed pursuant to this Agreement shall be initiated January 17, 2017. Services shall be completed no later than July 1, 2017. Time is of the essence. Any extensions of the time limit set forth above must be agreed upon in a writing signed by the parties. 3. Contract Period. This Agreement shall commence January 1, 2017, and shall continue in full force and effect until December 31, 2017, unless sooner terminated as herein provided. 4. 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. 5. 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: Studio Insite Attn: Cheney Bostic 3457 Ringsby Court, Unit 223 Denver, CO 80216 City of Fort Collins Attn: Spencer Branson PO Box 580 Fort Collins, CO 80522 City of Fort Collins Attn: Purchasing Dept. PO Box 580 Fort Collins, CO 80522 DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E Services Agreement SS 2016 – FC Design Manual Update Page 2 of 12 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. 6. Contract Sum. The City shall pay the Service Provider for the performance of this Contract, subject to additions and deletions provided herein, Fifty-Eight Thousand Nine Hundred Seventy Dollars ($58,970) as per the attached Exhibit "B", consisting of one (1) page, and incorporated herein by this reference. 7. 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. 8. 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. 9. 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. The Service Provider shall require all subcontractors performing Work hereunder to maintain insurance coverage naming the City as an additional insured under this Agreement of the Type and with the limits specified within Exhibit “D”, consisting of one (1) page, attached hereto and incorporated herein by this reference. The Service Provider shall maintain a copy of each subcontractor’s certificate evidencing the required insurance. Upon request the Service Provider shall promptly provide the City with a copy of such certificate(s). 10. Personal Services. It is understood that the City enters into the Agreement based on the special abilities of the 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: 97517C1D-D935-45CE-B857-94C5D1CEB27E Services Agreement SS 2016 – FC Design Manual Update Page 3 of 12 11. 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. 12. 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. 13. 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. 14. 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. 15. 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. DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E Services Agreement SS 2016 – FC Design Manual Update Page 4 of 12 16. 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 C, consisting of one (1) page, attached hereto and incorporated herein by this reference. The Service Provider before commencing services hereunder, shall deliver to the City's Purchasing Director, 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. 17. 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. 18. 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. 19. 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. DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E Services Agreement SS 2016 – FC Design Manual Update Page 5 of 12 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 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. 20. Special Provisions. Special provisions or conditions relating to the services to be performed pursuant to this Agreement are set forth in Exhibit "D" - Confidentiality, consisting of one (1) page, attached hereto and incorporated herein by this reference. DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E Services Agreement SS 2016 – FC Design Manual Update Page 6 of 12 THE CITY OF FORT COLLINS, COLORADO By: Gerry Paul Purchasing Director DATE: ATTEST: APPROVED AS TO FORM: STUDIO INSITE By: Printed: Title: CORPORATE PRESIDENT OR VICE PRESIDENT Date: DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E 1/4/2017 Vice President / Secretary James P. Leggitt no new insurance req'd Assistant City Attorney 1/6/2017 City Clerk Services Agreement SS 2016 – FC Design Manual Update Page 7 of 12 EXHIBIT A SCOPE OF SERVICES The following outline describes the proposed scope of services with identified tasks and proposed timeline. The scope of service tasks relate to an estimated fee proposal (see separate document). PROJECT UNDERSTANDING: Our understanding is that the original Design Manual edition (2000) had good intentions for making the Land Use Code more user-friendly by way of interpreting the development standards via graphically appealing and easy-to-understand language. However, the document is now outdated – in terms of its use (not web-friendly, bulky document) and graphics (not in color, illustrations outdated), as well as needing to illustrate more recent development concepts (low impact development and other environmental considerations, for example). The City has tried to reinvent the document over time, but has never been able to fully focus on it due to the recent development boom and other pressing projects. This is all the more reason to update the document so that new development proposals can clearly meet the expectations of the City via an updated Design Manual. We understand that staff has developed a Table of Contents, introductions to most chapters, and a few key concepts/standards have been illustrated and fully (or partially) developed. What is now needed is for StudioINSITE to format the master document and fill in the missing pieces by blending old language and graphics (from original manual) with new language and graphics (for new concepts/standards). In some instances, this may mean collaborating with staff on some sections for new text. Another key concept is to make this document web-friendly by hyperlinking chapters within the document, hyperlinking standards back to the Land Use Code, and hyperlinking other projects or development examples throughout the nation within this document. It shall be designed to be viewed primarily on a screen (computer, tablet, or phone), but also be able to be printed on 8.5 x 11 sheet size as well. The assumption is that we will use Adobe In Design to create the document and then export it as an interactive PDF so that all links are active and then have it posted and downloadable via the City’s website. SCOPE OF WORK: Task 1 – Project Start-Up Task 1.1 – Develop Outline –Staff & STUDIO INSITE (Begin January 17, 2017)  Assess the existing design manual, new draft TOC (generated by staff) and LUC to help inform new TOC  Refine draft TOC  Assess quality and relevance of the existing manual’s graphics on an individual basis.  Highlight areas where staff assistance is needed  Compile precedents for graphics and layout Task 1.2 – Meeting with staff (week of January 30, 2017)  Discuss document organization and graphic style  Inventory sections, text and graphics to retain from existing manual DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E Services Agreement SS 2016 – FC Design Manual Update Page 8 of 12  Identify gaps in subject matter and assign roles for generating content  STUDIO INSITE will develop a list of targeted questions ahead of time for streamlined efficiency Task 1.3 – Document Mockup (STUDIO INSITE) (by Feb. 17th) (to be sent to staff digitally)  Develop example section of body content  Develop icons and color-coding for chapters  Develop several sample graphics Task 1.4 – Meeting with Staff (Week of Feb. 27th)  In person meeting with staff to go over refined outline and document mockup. STUDIO INSITE will develop a list of targeted questions ahead of time for streamlined efficiency. Task 1.5 – Photography (Throughout February)  Begin compiling photography illustrating best practices from other communities (STUDIO INSITE)  Work with staff to develop shot list of local examples  Compile existing images (Staff) Task 2 – Document Drafting Task 2.1 – Develop Rough Draft (February 13th – June 16th)  Develop draft sections one at a time to 80% completion – graphics to 60%. Send digitally to staff for 3-5 day review while starting on next section simultaneously.  Staff to develop additional text/content before INSITE begins section  Creation of new/additional graphics to better explain concepts and standards displayed throughout document. This will include a variety of SketchUp Models, computer illustrated graphic diagrams, and hand-drawn diagrams/sketches. Task 2.2 – Develop Draft of new sections (February 13th - June 16th)  STUDIO INSITE to work with staff to generate content for sections not covered in previous design manual Task 3 – Final Document (June 16th – July 1st) Task 3.1 – Finalize Document  Implement edits/feedback from staff review.  Fill in “holes” with additional graphics, diagrams, images, etc. DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E Services Agreement SS 2016 – FC Design Manual Update Page 9 of 12 Task 3.2 – Deliver Final Document (July 1st)  STUDIO INSITE will provide a full packaged In Design document for staff to use and be able to easily update in the future.  Final PDF document will include hyperlinks for ease of using online.  Implementation of any final minor tweaks/edits, as needed.  Coordination with City web designers, as needed.  Final printed copies (if desired) to be completed by City. DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E Services Agreement SS 2016 – FC Design Manual Update Page 10 of 12 EXHIBIT B COMPENSATION DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E Services Agreement SS 2016 – FC Design Manual Update Page 11 of 12 EXHIBIT C INSURANCE REQUIREMENTS 1. The Service Provider will provide, from insurance companies acceptable to the City, the insurance coverage designated hereinafter and pay all costs. Before commencing Work under this bid, the Service Provider shall furnish the City with certificates of insurance showing the type, amount, class of operations covered, effective dates and date of expiration of policies, and containing substantially the following statement: “The insurance evidenced by this Certificate will not 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: 97517C1D-D935-45CE-B857-94C5D1CEB27E Services Agreement SS 2016 – FC Design Manual Update 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: 97517C1D-D935-45CE-B857-94C5D1CEB27E 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) DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E ACORD TM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/04/2017 PRODUCER Pinnacol Assurance 7501 E Lowry Blvd Denver, CO 80230-7006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Studio Insite, LLC 3457 Ringsby Court Unit 223 Denver, CO 80216 INSURER A: Pinnacol Assurance 41190 INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GEN'L AGGREGATE LIMIT APPLIERS PER: POLICY PROJECT LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES MED EXP(Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS N0N-OWNED AUTOS COMBINED SINGLE LIMIT (Ea Accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE CERTIFICATE HOLDER COPY City of Fort Collins Attn: Spencer Branson P.O. Box 580 Fort Collins, CO 80522 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E DEDUCTIBLE RETENTION $ EACH OCCURRENCE AGGREGATE A WORKERS COMPENSATION AND EMPLOYER'S LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, please describe under SPECIAL PROVISIONS below 4049206 01/01/2017 01/01/2018 X WC STATU- OTHER TORY LIMITS E.L EACH ACCIDENT $1,000,000 E.L DISEASE - EA EMPLOYEE $1,000,000 E.L DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1762201 City of Fort Collins Attn: Spencer Branson P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO NOTIFY 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO NOTIFY SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Matt McKenzie ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988 DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E 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. 1/3/2017 The Buckner Company of Colorado 1777 S Harrison St #700 Denver CO 80210 Studio Insite, LLC 3457 Ringsby Court Unit 223 Denver CO 80216 Hartford Casualty Insurance Company Admiral Insurance Company 29424 24856 Teresa Heupel 303-756-9909 303-756-8818 icanhelp@kellerlowry.com 2992 1223320191 A Y Y 34SBANE9102 4/1/2016 4/1/2017 1,000,000 300,000 10,000 1,000,000 2,000,000 2,000,000 X X X A X X 34SBANE9102 4/1/2016 4/1/2017 1,000,000 A X X X 10,000 34SBANE9102 4/1/2016 4/1/2017 2,000,000 2,000,000 B Professional Liability EO000034507-01 8/1/2016 8/1/2017 Aggregate Per Claim Deductible 2,000,000 2,000,000 5,000 Certificate Holder is Additional Insured, with Waiver of Subrogation, for General Liability as required by written contract with Insured subject to the terms and conditions of the policy contract. Additional Insured, Waiver of Subrogation coverage forms are attached per policy. Umbrella follows form and extends over General Liability, Auto Liability. City of Fort Collins, its officers, agents and employees are Additional Insured per the above. City of Fort Collins Attn: Spencer Branson P.O. Box 580 Fort Collins CO 80522 DocuSign Envelope ID: 97517C1D-D935-45CE-B857-94C5D1CEB27E