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HomeMy WebLinkAboutBID - 8453 NEIGHBORHOOD STREET TREE PLANTING (3)Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 1 of 13 SERVICES AGREEMENT WORK ORDER TYPE 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 ROCKY RIDGE NURSERY & LANDSCAPE LLC 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. Services to be Performed. a. This Agreement shall constitute the basic agreement between the parties for services for 8453 Neighborhood Street Tree Planting. The conditions set forth herein shall apply to all services performed by the Service Provider on behalf of the City and particularly described in Work Orders agreed upon in writing by the parties from time to time. Such Work Orders, a sample of which is attached hereto as Exhibit "A", consisting of one (1) page and incorporated herein by this reference, shall include a description of the services to be performed, the location and time for performance, the amount of payment, any materials to be supplied by the City and any other special circumstances relating to the performance of services. No Work Order shall exceed $60,000. A general scope of services is attached hereto as Exhibit “B”, consisting of six (6) pages, and incorporated herein by this reference. The only services authorized under this Agreement are those which are performed after receipt of such Work Order, except in emergency circumstances where oral work requests may be issued. Oral requests for emergency actions will be confirmed by issuance of a written Work Order within two (2) working days. Irrespective of references in Exhibit A to certain named third parties, Service Provider shall be solely responsible for performance of all duties hereunder. b. The City may, at any time during the term of a particular Work Order and without invalidating the Agreement, make changes within the general scope of the particular services assigned and the Service Provider agrees to perform such changed services. 2. Changes in the Work. The City reserves the right to independently bid any services rather than issuing work to the Service Provider pursuant to this Agreement. Nothing within this Agreement shall obligate the City to have any particular service performed by the Service Provider. 3. Time of Commencement and Completion of Services. The services to be performed pursuant to this Agreement shall be initiated as specified by each written Work Order or oral emergency service request. Oral emergency service requests will be acted upon without waiting for a written Work Order. Time is of the essence. DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 2 of 13 4. Contract Period. This Agreement shall commence February 15, 2017 and shall continue in full force and effect until February 14, 2018, 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. 5. Delay. If either party is prevented in whole or in part from performing its obligations by unforeseeable causes beyond its reasonable control and without is 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. 6. Early Termination by City/Notices. 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 mailed 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 address: Service Provider: City: Copy to: Rocky Ridge Nursery & Landscape LLC Attn: Joseph Eversman, President 327 E. County Road 60 Fort Collins, CO 80234-8728 Joe.eversman@rockyridgenursery.com City of Fort Collins Attn: Ralph Zentz 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 termination date, 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. 7. Contract Sum. This is an open-end indefinite quantity Agreement with no fixed price. The actual amount of work to be performed will be stated on the individual Work Orders. The City makes no guarantee as to the number of Work Orders that may be issued or the actual amount of services which will in fact be requested. 8. Payments. a. The City agrees to pay and the Service Provider agrees to accept as full payment for all work done and all materials furnished and for all costs and expenses incurred in performance of the work the sums set forth for the hourly labor rate and material costs, with markups, stated within the Bid Schedule Proposal Form, attached hereto as DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 3 of 13 Exhibit "C", consisting of one (1) page, and incorporated herein by this reference. Payment shall be made by the City only upon acceptance of the work by the City and upon the Service Provider furnishing satisfactory evidence of payment of all wages, taxes, supplies and materials, and other costs incurred in connection with the performance of such work. 9. City Representative. The City's representative will be shown on the specific Work Order and shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the work requested. All requests concerning this Agreement shall be directed to the City Representative. 10. Independent Contractor. It is agreed that in the performance of any services hereunder, the Service Provider is an independent contractor responsible to the City only as to the results to be obtained in the particular work assignment and to the extent that the work shall be done in accordance with the terms, plans and specifications furnished by the City. 11. 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. 12. 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. 13. 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 under the Agreement or of any cause of action arising out of the performance of this Agreement. 14. 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 DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 4 of 13 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. 15. 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. 16. 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. 17. 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 representative, successors and assigns of said parties. 18. 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 reference. The Service Provider before commencing services hereunder shall deliver DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 5 of 13 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. 19. 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. 20. Law/Severability. This Agreement shall be governed in all respect by the laws of the State of Colorado. 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. 21. 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 the notice required pursuant to this section the subcontractor does not cease employing or contracting with the illegal alien; except that Service Provider shall DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 6 of 13 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. THE CITY OF FORT COLLINS, COLORADO By: Gerry Paul Purchasing Director DATE: ATTEST: APPROVED AS TO FORM: ROCKY RIDGE NURSERY & LANDSCAPE LLC By: Printed: Title: CORPORATE PRESIDENT OR VICE PRESIDENT Date: DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 Joe Eversman President 2/16/2017 Senior Assistant City Attorney 2/22/2017 City Clerk Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 7 of 13 EXHIBIT A WORK ORDER FORM PURSUANT TO AN AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND ROCKY RIDGE NURSERY & LANDSCAPE LLC AGREEMENT DATED: February 15, 2017 Work Order Number: Purchase Order Number: Project Title: Commencement Date: Completion Date: Maximum Fee: (time and reimbursable direct costs): Project Description: Scope of Services: Service Provider agrees to perform the services identified above and on the attached forms in accordance with the terms and conditions contained herein and in the Services Agreement between the parties. In the event of a conflict between or ambiguity in the terms of the Services Agreement and this Work Order (including the attached forms) the Services Agreement shall control. The attached forms consisting of ___ (_) pages are hereby accepted and incorporated herein, by this reference, and Notice to Proceed is hereby given. SERVICE PROVIDER By:_______________________________ Date:_____________________________ CITY OF FORT COLLINS By:_________________________________ Project Manager Date: ______________________________ By: _______________________________ Gerry Paul Purchasing Director (over $60,000.00) Date: ____________________________ DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 8 of 13 EXHIBIT B GENERAL SCOPE OF SERVICES Description: This Bid is for a unit price to replace or plant new City street trees located in parkway areas (usually the zone between the sidewalk and curb) within the City of Fort Collins. In most cases, trees will be planted along residential streets in front of or to the side of residential properties. Parkway widths are generally 4-6 feet wide, but some could be as wide as 9 feet. Some trees may be planted along collector and arterial streets. In most cases the parkway will be turf that is irrigated with an underground irrigation system. Trees will be from a selected list of balled and burlapped, 2.0 inch caliper canopy shade trees. Other species or cultivars not on the list will be priced as needed. Specifications: 1. Around 100-450 trees will be planted per year. Amounts are estimates based on 2017-18 budgeted amounts and not a promise to purchase any minimum amount in any given year of the resulting contract. 2. Projects will be assigned in groups of approximately 10 - 20 or more trees at a time and may include multiple species. Assignment of projects may start as early as March and extend into November. More than one contractor may be used throughout the season, at the option of the City. 3. Individual projects must be completed within 3 weeks from being assigned. 4. The contractor will be provided the address and assigned species and/or cultivar to be planted. 5. The planting locations will be marked with a pink wooden stake, or other obvious marker, prior to the project being assigned. 6. Planting locations for replacement trees will be either in the same spot as where the original tree was removed, or it may be shifted off of the spot based upon site considerations. The City will remove dead or dying street trees before the contractor plants. Planting locations at the tree removal site will consist of the area where a tree has been pulled out of the ground or where the stump and surrounding root flare have been completely ground out. In most cases the tree being removed and replaced will be 6 inches in caliper or less. 7. The contractor is legally responsible for obtaining utility locates. 8. The City will provide regular tank watering after planting. The contractor is responsible for one initial thorough watering (approximately 50-gallons) at planting. 9. The contractor will be responsible for applying 3 – 4 inches of mulch around each tree shortly after planting occurs. Mulch rings should be at least 3 feet wide and mulch should not be piled up around trunks. 10. Mulch will be provided by the City Forestry Division out at the Hoffman Mill site (1380 Hoffman Mill Rd). The contractor is responsible for loading the mulch for this bid work only and shall utilize their personal equipment. DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 9 of 13 11. Plant material shall be inspected by the City’s Representative before planting. Rejected materials must be removed from the site, replaced and the new tree re-inspected before planting. The City reserves the right to reject plant material at any stage of installation or during the 2 growing seasons of the warranty. 12. All trees used shall meet the ANSI Z60.1 – 2004 American Standards For Nursery Stock. Trees with disease or insects are not permitted. Trees with wounds or broken branches will be rejected. Trees with co-dominant leaders or poor form will be rejected. 13. Trees shall be balled and burlapped unless otherwise specified. Broken or loose rootballs will be rejected. Balled and burlapped plants shall be nursery grown stock adequately balled with a firm rootball, and in sizes and ratios conforming to the Colorado Nursery Act and in conformance with the ANSI Z60.1 standards. Containerized plant material must conform to the same standard. 14. Trees to be planted shall have been dug within one year from the time of planting. If stock is not available to meet this specification then trees stored above ground for less than two years may be acceptable. Stock held above ground 1-2 years will only be acceptable by special approval and only if quality and condition have not been reduced by extended storage. 15. Trees shall be protected at all times from injury of any kind. Protect rootballs from drying out during storage, transport and the planting process. When trees are in foliage special care should be taken to prevent crowns from drying out. Cover trees with a protective cloth or tarp when transporting. If trees must be transported at higher speeds (i.e. – the interstate highway), they must be covered with a protective tarp. 16. Caution must be used to prevent damage to roots, trunks and branches during all phases of storage, transport and during the planting process. 17. Planting holes shall be dug 2 times wider than the tree rootball. Existing soil shall be used for back fill. Trees shall be planted so that the top of the natural ball is about 1” above grade. Planting holes shall not be over excavated in terms of depth. 18. Remove the entire wire basket and as much burlap as possible without harming rootball. 19. Remove all labels, bamboo, flagging and twine from around the trunk and branches. 20. Remove excess soil, sod and any other materials not part of the tree planting. 21. When extra soil is needed to complete planting to specification it shall be provided by the contractor. 22. All trees will be staked with two round wooden stakes or metal T-posts that are a minimum of 6ft long. Attachments to the trunk shall be by a method approved by the City Forester. The City Forester must inspect and approve the staking materials prior to the start of this contract. Hose and wire will not be an acceptable method of securing the tree to the stakes. The City is responsible for removing stakes and staking materials. Metal stakes will only be approved if an acceptable protective cap is used to cover the top of the stakes. DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 10 of 13 23. Contractor will provide a warranty for one year after planting. Contractor is not responsible for trees that die from lack of water, vandalism or extreme unforeseen circumstances. The City will notify the contractor of trees that need to be replaced. Notifications made from May 1 to September 1 shall be completed within three weeks. 24. At the end of the warranty period, the City’s Representative will inspect trees for satisfactory condition. The City’s Representative shall contact the Contractor concerning replacements. Replacements may take place the following growing season if deemed proper or necessary by the City’s Representative. 25. If a tree is in marginal condition at the end of the warranty period it may be agreeable to both parties to wait until the end of the growing season before deciding whether to replace that tree. Plant materials that are replaced during the warranty period shall be replaced one time at the Contractor's expense. Cost of subsequent replacements, if required, shall be negotiated with the City's Representative. 26. Replacements shall be of the same kind and size as originally specified and shall be installed as described in the contract documents unless changes are approved by the City Representative. Repairs and replacements shall be made at no expense to the City. 27. The Contractor is responsible for fixing irrigation lines damaged or broken during planting. Repairs must be completed within 3 work days of damage or notification of damage. It will be the responsibility of the Contractor to notify and coordinate such repairs with adjacent property owners. 28. Contractor shall notify the City Forestry Division at least one day prior to planting. Planting will not occur on Fridays. 29. Work shall conform to City of Fort Collins traffic control requirements and all other rules and laws of the land. 30. City Forestry will be responsible for pre-notification of adjacent residents. The Contractor shall be responsive and courteous to all citizens they come in contact with and promptly report any concerns or requested changes to City Forestry/City Representative. 31. Failure of a Contractor to adhere to any of these specifications or requirements shall be grounds to terminate the use of that Contractor, at the option of the City. 32. Other species and/or additional tree transplanting methods will be handled on an individual basis. Prices will be negotiated on a per job basis. DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 11 of 13 Tree List: Ulmus ‘Accolade’ Accolade Elm Tilia cordata ‘Greenspire Greenspire Linden Celtis occidentalis Hackberry Quercus macrocarpa – Only Bullet Gall resistant and gall-free trees will be approved Bur Oak Quercus buckleyi Texas Red Oak Quercus shumardii Shumard Oak Gleditsia triacanthos ‘Skyline’ Skyline Honeylocust Gleditsia triacanthos ‘Shademaster’ Shademaster Honeylocust Catalpa speciosa Northern Catalpa Gymnocladus dioicus Kentucky Coffeetree DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 12 of 13 EXHIBIT C COMPENSATION DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 Service Agreement – Work Order Type 8453 Neighborhood Street Tree Planting Page 13 of 13 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. DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4 No new insurance required 09/19/2016 Insurance Unlimited 568 North 3rd Street Laramie WY 82072 Shannon Vaughn (307) 745-7447 (307) 742-0765 shannon@insureunlimited.com Ladybug Landscapes Inc. dba: Rocky Ridge Nursery and Grand Avenue Nursery 1012 Willowrock Drive Loveland CO 80537 Liberty Mutual Insurance Company A x x xx x x BKS56743920 06/18/2016 06/18/2017 1,000,000 300,000 15,000 1,000,000 2,000,000 2,000,000 Ax x x BAS56743920 06/18/2016 06/18/2017 1,000,000 1,000,000 1,000,000 Comp/Collision Cov 250/500 Ded A xx x USO56743920 06/18/2016 06/18/2017 2,000,000 2,000,000 A n BKS56743920 06/18/2016 06/18/2017 x EL/Stop Gap 1,000,000 1,000,000 1,000,000 A Property Coverage Wyoming BKS56743920 06/18/2016 06/18/2017 BPP Including Stock $210,000 R/C Property Coverage Colorado BKS56743920 06/18/2016 06/18/2017 BPP Including Stock $280,000 R/C It is understood and agreed that the policy offers Blanket Additional Insured Status with Waivers of Subrogation but only with the respects of the Liabilities arising out of the activities of the named insured as required by written contract. Workers Compensation Policy: Policy #XWS 56743920, $1,000,000 Bodily Injury by Accident, $1,000,000 Bodily Injury by Disease policy lmt $1,000,000 Bodily Injury by Disease each employee. Effective 12/1/2015 to 12/1/2016 2006 Dodge 3500 3D7LX38C46G264390,1994 Dodge 3500 1B6MC36C7RS532459 City of Fort Collins 281 North College Avenue P.O. Box 580 Fort Collins, CO 80522 Phone: (970)416-2740 Fax: (970)224-6134 <SV> ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ JECT OTHER: $ COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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: CERTIFICATE HOLDER CANCELLATION © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DocuSign Envelope ID: D0E24D6C-B3F2-47FE-9B6B-50380E0789F4