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HomeMy WebLinkAboutPATRICE HUXLEY DBA PATTY CAKES - CONTRACT - RFP - 7407 DOWNTOWN CONCESSIONAIRESDOWNTOWN CONCESSION AGREEMENT THIS AGREEMENT is made and entered into this 25th day of July, 2013, by and between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation (City), and Patty Huxley, dba Patty Cake's (Concessionaire). WITNESSETH WHEREAS, the City Council passed Ordinance No. 36, 1994, establishing the Downtown Plan Area as a concession area for the sale of goods and services from outdoor locations; and WHEREAS, the City has established various concession locations in the Downtown Plan Area; and WHEREAS, the City agrees to grant to the Concessionaire and the Concessionaire accepts from the City a concession for outdoor vending at: Site # 10. Public Right -of -Way (ROW), SE corner of Oak and College. For day and night use. NOW THEREFORE, in consideration of the mutual covenants and obligations herein expressed, the parties agree as follows: Section 1. Contract Documents The contract documents consist of this Agreement and Exhibits "A" & "B" incorporated herein by this reference. These form the contract, and are incorporated herein by this reference. Section 2. Terms of the Agreement A. This Agreement shall be effective from July 25, 2013, until May 31, 2014, unless sooner terminated as herein provided. The City may, at its option, renew the Agreement for additional one (1) year terms, to a maximum of three (3) additional one year terms. However, either party may terminate this Agreement without cause, by providing written notice to the other party of its intention to terminate at least thirty (30) days prior to the end of the then existing term. B. In the event that the concession location can not be used because of improvements being made at the concession location, this Agreement may be suspended on 30 days notice to the Concessionaire. The suspension shall continue until the improvements are completed or it is determined that the location can no longer be used as a concession site. The City will use a good faith effort to relocate the concession site if needed. Section 3. Concession Operations The City hereby grants Concessionaire a concession for the use of the property described as: Site #10, Public Right of Way (ROW), SE corner of Oak and College concession area (per Exhibit A) For day and night use outdoor vending. The Concessionaire shall have the 7407 Downtown Concession Agreement with Patty Huxley, dba Patty Cake's Page 1 of 10 exclusive right to operate an outdoor vending concession with this area in accordance with the agreement. A. Independent Contractor: The services to be performed by the Concessionaire are those of an independent contractor and not as an employee of the City. The City shall not be responsible for withholding any portion of Concessionaire's compensation hereunder for the payment of FICA, Worker's Compensation or otherwise. B. Records: The Concessionaire shall keep adequate and proper business records of all expenses and receipts of the concession operations. At the request of the City, all such business records shall be made open and available for inspection and audit by the City of Fort Collins Treasury Division. C. Monetary Provision: The Concessionaire agrees to pay the City an amount equal to One -Hundred -Twenty -Dollars ($120) per site per year, plus two 2 percent of gross receipts from the concession operations conducted pursuant to this Agreement. Gross receipts shall include all revenues, excluding sales tax received by the concessionaire from concession operations. All such gross receipt payments shall be paid to the City on the same day that sales and use tax payments are due. However, the payments for the concessions must be submitted separately. The $120 annual fee is due immediately, in the initial term, and June 1" any renewal term. Monthly payments shall be paid to the City Sales Tax Office prior to the 10th of each month for every month the agreement is in force. D. Licenses: The Concessionaire shall obtain and pay for all licenses needed for the operation of the concession including, but not necessarily limited to, a County Health Department Food Services establishment inspection, City and State sales tax licenses. Any such licenses held specifically by the Concessionaire in connection with this Agreement shall be surrendered by the Concessionaire at the time of termination of this Agreement. E. Laws, Rules & Regulations: The operation of the concession granted under this Agreement shall, at all times, conform with all applicable Federal, State, and local laws and with all applicable rules and regulations adopted by the City or any of its Boards or Departments. F. Insurance/ Indemnity: The Concessionaire shall indemnify, save and hold harmless the City from all claims and losses, including costs and reasonable attorney's fees arising directly or indirectly out of the Concessionaire's use of the concession area or operation of the concession. The Concessionaire shall maintain commercial liability insurance in the amount of $500,000 combined single limits naming the City as an additional insured under this Agreement of the type and with the limits specified within Exhibit B. The Concessionaire before commencing services hereunder shall deliver to the City's Director of Purchasing and Risk Management, P.O. Box 580, Fort Collins, CO 80522, 7407 Downtown Concession Agreement with Patty Huxley, dba Patty Cake's Page 2 of 10 one (1) copy of a certificate evidencing the insurance coverage required from an insurance company acceptable to the City. G. Signage: All signs on the concession cart must be approved by the City. Signs may be displayed in or on the cart only unless additional signage is approved by City staff. H. Cart: The Concessionaire will be required to have a mobile cart. The cart may not exceed the size of four (4) foot wide, ten (10) foot long and eight (8) foot high, excluding roof overhangs and wheels. The design and appearance of the cart must conform to the specifications described in Concessionaire's proposal, unless otherwise agreed to in writing by the parties before the cart may be used at the concession area. The City reserves the right to approve any modifications, changes, or alternative cart. The cart is subject to inspection by City. The cart must be maintained and repaired to the City's satisfaction. The cart must be removed from the right-of-way when not in use. I. Restrictions: Equipment such as tables, chairs, benches and displays not attached to the cart may not be used except for items & equipment authorized, in writing, by the City Representative. Merchandise must be restricted to the cart or appropriate storage containers if authorized. Vendor area must not exceed 10 X 10 feet, excepting only a tarp or other protective medium placed to protect underlying surface. Cart must be located in approved location on site and cannot impede pedestrian flow on the sidewalk. J. Cleanliness: Concessionaire shall keep the concession area clean of all trash within 100 foot radius of site. Food concessionaires must use a tarp under cart to minimize grease deposits and pay site cleaning fee. Concessionaire shall pay One -Hundred -Twenty Dollars ($120.00) per month as their portion of the total cleaning fee for power washing of the site granted. If concessionaire is at site which is split between day and night operations with another food and beverage concessionaire, the concessionaire shall pay portion of above cleaning fee as determined by the City. Cleaning fee subject to change during term of agreement based on frequency required with at least thirty (30) days notice to the Concessionaire. K. Sales Tax Returns: All sales tax returns and concessionaire payments to the City associated with the concession operation must be filed by their due date. No assessment fees, penalties or interest will be waived by the City. L. Power Source: If the Concessionaire needs electrical power the Concessionaire must provide for such power through the City Light & Power Department at the Concessionaire's expense. Arrangements to supply power to the concession area must be reviewed with the appropriate City departments. Portable generators will not be permitted due to concerns regarding compatibility and noise. M. Stock: The Concessionaire shall maintain an adequate stock of supplies on hand for all occasions in order to supply the need of parties desiring to patronize the concession area. 7407 Downtown Concession Agreement with Patty Huxley, dba Patty Cake's Page 3 of 10 N. Hours: The Concessionaire must keep the concession area open for business as directed by the City. Days of operation shall be agreed to by both parties and the minimum hours of operation must be maintained. Minimum hours are: 11:OOa.m. until 2:OOr).m. on Friday, Saturday, and Sunday (Days). 6:OOP.m. until 1:OOa.m. on Friday and Saturday (Nights) Concessionaire is not required to operate on national holidays or holidays recognized by the City where City offices (except for emergency services offices) are closed. O. Inclement Weather: The Concessionaire shall not be required to operate the concession when it is raining, snowing, hailing, and abnormally windy or when the air temperature is below 50 degrees Fahrenheit. P. Product. The products authorized are as described in Concessionaire's proposal and agreed to by the City. The City will not pre -authorize new products but does reserve the right to review any new products that may be added. This is to ensure that the new products meet the same quality as those proposed in the original Request for Proposal. Q. Blackout Dates. Concessionaire will not be allowed to operate in granted site during the following special events in the downtown area: Colorado Brewers Festival, New West Fest, and Old Town Car Show. Dates for 2013 are: June 22nd, June 23rd, August 16th, August 17th, August 18th, and September 7th. Contact the Downtown Business Association (DBA) at (970) 484-6500 to receive an application for a site at these events, and event dates for subsequent years of this contract. The DBA will work with concessionaires regarding the location of the site and a booth rate. Section 4. General Conditions A. The Concessionaire shall neither assign any of the rights nor delegate any of the duties under the provisions of this Agreement without having first obtained the written permission of the City. The Concessionaire shall not sublet any portion of the concession area or allow any other person to take possession of any portion of the concession areas without the written consent of the City. B. Vacant sites resulting from either no -bid or termination may be filled at anytime for the duration of the current one (1) year period. Responsible parties will be awarded vacant sites as acceptable proposals are received. The city may, at its option, renew the Agreement for the formerly vacant sites for additional one (1) year periods not to exceed the balance of the additional periods remaining for this Agreement. C. This Agreement may not be enlarged, modified or altered except in writing, signed by the parties as an amendment hereto. 7407 Downtown Concession Agreement with Patty Huxley, dba Patty Cake's Page 4 of 10 D. No waiver of any breach of this Agreement shall be held or construed to be a waiver of any subsequent breach thereof. E. It is expressly understood and agreed by and between the parties hereto that in the performance of the terms and conditions of this Agreement, time is of the essence. F. The location assigned is not transferable to another vendor or concessionaire. G. Fixtures and Improvements: 1. The Concessionaire agrees that all auxiliary equipment needed to operate the Concession shall be installed at its expense. Prior to making any and all improvements on said premises, the Concessionaire agrees to obtain the approval of the appropriate City Department and shall supervise the construction of said improvements. 2. Upon the termination of this Agreement the Concessionaire shall remove any fixtures or improvements made by it to the concession area. However, the concession area must be restored to as good a condition as the premises were in at the time the Concessionaire took possession thereof. H. This Agreement shall be binding upon and inure to the benefit of the heirs, successors, and assigns of the parties hereto. I. If either party must resort to legal action to enforce the terms of this Agreement, the prevailing party shall be awarded its costs and reasonable attorney's fees. J. Any notice required or desired to be given under this Agreement will be considered delivered to the other party upon hand delivery or upon its deposit in the United States mail, postage prepaid, sent by registered mail, addressed to the other party at the following address: City: City of Fort Collins Purchasing Division P.O. Box 580 Fort Collins, CO 80522 Concessionaire: Patty Huxley dba Patty Cake's 230 Youngs Gulch Belivue, CO 80512 K. Notwithstanding the time periods contained herein, either party may terminate this Agreement at any time without cause by providing written notice of termination to the other party. 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 above address. 7407 Downtown Concession Agreement with Patty Huxley, dba Patty Cake's Page 5 of 10 Section 5. Default A. The Concessionaire shall be in default under the terms and conditions of this Agreement, if the Concessionaire fails to cure the default within ten (10) days after written notice setting forth the nature of the default is delivered to the Concessionaire. B. In the event the default is not timely cured, the City may elect to (a) terminate this Agreement and seek damages; (b) treat the Agreement as continuing and require specific performance or (c) avail itself of any other remedy at law or equity. Section 6. 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 7407 Downtown Concession Agreement with Patty Huxley, dba Patty Cake's Page 6 of 10 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. Section 7. Special Provisions. Special provisions or conditions relating to the services to be performed pursuant to this Agreement are set forth in Exhibit "C" Affidavit Pursuant to C.R.S. 24-76.5-103, consisting of one (1) page, attached hereto and incorporated herein by this reference. This is for unincorporated concessionaires. City: City of Fort Collins By: Gerry S. Paul Director of Purchasing and Risk Management Date: Concessionaire: Patty Huxley dba Patty Cake's sy: Print Name: Title: aWh e r Date: 7l 7407 Downtown Concession Agreement with Patty Huxley, dba Patty Cake's Page 7 of 10 z C tD Q C. 0 0 N O O O • EXHIBIT "A" SITE MAP • J S C01 I EGE AV n m D N 61 am D 'D O M m m Ell 7407 Downtown Concession Agreement with Patty Huxley, dba Patty Cake's Page 8 of 10 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 be cancelled or materially altered, except after ten (10) 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 $500,000 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. 7407 Downtown Concession Agreement with Patty Huxley, dba Patty Cake's Page 9 of 10 EXHIBIT "C" AFFIDAVIT PURSUANT TO C.R.S. 24-76.5-103 I, t o— 12 , swear or affirm under penalty of perjury under the laws of the Ste of Colorado that (check one): I am a United States citizen, or I am a Permanent Resident of the United States, or I am lawfully present in the United States pursuant to Federal law. I understand that this sworn statement is required by law because I have applied for a public benefit. I understand that state law requires me to provide proof that I am lawfully present in the United States prior to receipt of this public benefit. I further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised Statute 18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received. -t2t��� - -)-F i3 Signature Date 7407 Downtown Concession Agreement with Patty Huxley, dba Patty Cake's Page 10 of 10 Q)Allstate. You're in Rood hands. ALLSTATE INS 9 7 0 4 8 2 - 2 2 0 0 FAX 970 482-2427 FACSIMILE TRANSMITTAL SHEET T0: FROM: David Carey Beth COMPANY: DATE: 08/09/2013 FAX NUMBER. 10'1'AL NO. OF PAGES INCLUDING COVL'R: 2216707 9 PIIONE NUMBER: 5PNF)FR'C RPTERFNCF NUMRr R: R[;: YOUR REFL-RP_NCE NUMBER: Certificate of insurance and dec pages for auto ❑ URGEN'1 d POR M-N11 W ❑ PT,T°.AS>• COMMENT 0 PLFASE RF.PT.Y 0 PT,FAS1:•; 111,CYC1.1- NU'IT:S/( OMMICN'I' 816 5 COLLEGE AVE, FORT COLf,iNS, CO R0526 R2P,53-2 From: GFI FaxMaker To: 19704822427 Page-. 212 Dates 818/2013 1:51:02 PM nra CERTIFICATE OF INSURANCE i'�un um I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 'I HIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND ORAL tER THE COVERAGE AFFORDED BY THE POLICIEi4 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 IE. WAIVED, SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY, CERTAIN POLICIES MAY REQUIRE AN ENDORSEMENT. A STATEMENT (IN THIS CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH ENDORSEMENT(S). ''. PRODUCER INSURER(S) AFFORDING COVERAGE Northeast Agencies, Inc INSURER A� Essex Insurance Company 6467 Main Street - Suite 104 Williamsville, NY 14221 INSURER BN/A INSURED INSURER. C� Patrice Huxley , d/b/a Patty CaKes INSURER D: 230 Youngs GUICh Road Bellvue, CO 80512 INSURER E: N/A COVERAGES — THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE Vol: THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCWIENT 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS GENERAL LIABILITY 3DH3001 5182013 516f2014 GENERAL AGGREGATE 2.000.000 PRODUCTS-COMIOP ACC. Included 1.000.000 PERSONALSADV. INJURY 1000.000 EACHOCCURRENCE 100.000 AGE—PREM RENTED TO YOU 5,000 MED EXPENSE (Anyone Parsan) ''.PERSONAL LIABILITY COMBINDED SINGLE LIMIT _ MEDICAL PAYMENTS TO OTHERS ''. EXCESS LIABILITY EACH OCCURRENCE — .._— AGGREGATE E .. BUILDING PROPERTY ',,. -__ ''. CONTENTS BUSINESS IN CO ME - DESCRIPTION OF OPERATIONS I SPECIALTY ITEMS Store Push Cart CERTIFICATE HOLDER SHOULD ANY OP THC ABOVE DESORIGlD POLICIES BE CANCELLED Additiwal Insured•Clty of Fart Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED N ACCORDANCE WITH THE POLICY PROVISIONS. Attentiolt Purchasing _ PO Box 580 AUTHORIZED SIGNATURE w�l Fort Collins, CO 80522 This fax was sent with GFI FA)(maker Pax server. For more information, visit: httpWvAVw.gfLc0m Allstate. stateoF4redaClasualty Insurance Company RENEWAL Auto Policy Declarations Summary NAMEDINSURED(S) YOUR ALLSTATE AGENT IS YOUR BILL Patrice M Huxley Howell Ins Agency lists your payment options. and Daniel Baker (970) 482-2200 230 Youngs Gulch Rd Bellvue CO B0512-6507 816 S. College Ave Fort Collins CO 80524 POLICY NUMBER POLICY PERIOD 9 64 671680 11/11 May 11. 2013 to Nov. 11, 2013 at 12:01 a.m. standard time VEHICLES COVERED VEHICLE ID NUMBER LIENHOLDER 1. 02 Honda Accord JHMC056662CO21517 None 2. 94 Chevy Trk Kt Series _ 2GCEK19K5R1254136 None 3. 04 Chrysler 300M 2C3HE66G24H587397 None Total Premium Premium for 02 Honda Accord $430.55 Premium for 94 Chevy Trk K1 Series $279.79 Premium for 04 Chrysler 300M $324.60 Premium for Uninsured Motorists Insurance $78.11 Colorado Theft Prevention Fee $1.50 TOTAL Premium If you pay In full (Includes FuIIPay Discount) $1,017.31 TOTAL Premium If you pay In installments $1,114.55 If you pay less than the pay In full amount, you will he charged an Installment feels). Your Polity fll6ctve Ogre is May 11. 2V13 Your premium reflects the Gold Protection package Your policy reflects Allstate Preferred Package Savings. We have applied tI1Is savings to your policy because you own a residential property and insure more than one vehicle. AUr0'ate000s1]pne, al0a9ae0Gny IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIII�III�llllllllllllllllllll��ll���lll@IIIIIIIIIII�IIIIIIIIIIII �:;"ze;; " Page 1 R2853-2 Qt4to Ws ualty Insurance Company Polley Number: 96467168011111 Your Agent: Howell Ing Agency (970)482.2200 Palley Effeellre Date: May 11, 2013 Summary of Discounts - Your total premium includes the following discounts, which total.- $902.75 Safe Driving Club $514.41 3 qualified driver(s) Multiple Policy $112.33 Responsible Payer $73.21 Early Signing $77.76 Homeowner $65.85 The following discount(s) apply to Vehicle # 1: 2002 Honda Accord Antiloek Brakes $31,05 The following discount(s) apply to Vehicle S 3: 2004 Chrysler 300M Antiloek Bmkos $28.14 Driver(s) Listed Patrice - married, female, age 60 Daniel - married, male, age 61 Maggie - single, female, age 25 111,�111-1 Page 2 +r•. 1.1013 commmo R2853-2 Qst ualty Insurance Company Polley Number: 9646716801111 Your Agent: Howell Ins Agency (970)482.2200 Polley Effective Dote: May 11. 2013 COVERAGE FOR VEHICLE x 1 2002 Honda Accord COVERAGE LIMITS DEDUCTIBLE PREMIUM Automobile Liability Insurance Not Applicable $239.77 • Bodily Injury $50,000 each person $100,000 each accident • Property Damage $100,000 each accident Auto Collision Insurance Actual Cash Value $500 $124.15 (Safe Driving Deductible Reward - doductilble reduction amount available is $100 ) Auto Comprehensive Insurance Actual Cash Value $500 $48.03 Towing and Labor Costs Coverage $100 each disablement Not Applicable $6.40 Rental Reimbursement Coverage up to $20 per day for Not Applicable $12.20 a maximum of 30 days Total Premium for 02 Honda Accord $430.55 AUTO •ma0005,aom�oaoo9aso6osfl fl m InI IeI np I I������ II I��I����IIIIIIIIIg I��III�II�IIIIIIII��III�IAu�IIA���l�lllllllll l�l WIM1IA a Page 3 3 R2853.2 A sta{{e tat�oen�a�sualty Insurance Company Policy Number: 96467158011111 Your Agent: Howell ins Agency (970)482.2200 Policy Effective Date: May 11, 2013 COVERAGE FOR VEHICLE # 2 1994 Chevy Trk K1 Series COVERAGE LIMITS DEDUCTIBLE PREMIUM Automobile Liability Insurance Not Applicable $135.74 • Bodily Injury $50,000 each person $100.000 each accident • Property Damage $100,000 each accident Auto Collision Insurance Actual Cash Value $500 $62.96 (Safe Driving Deductible Reward - deductible reduction amount available is $100 ) Auto Comprehensive Insurance Actual Cash Value $500 $42.49 Towing and Labor Costs Coverage $100 each disablement Not Applicable $6-40 Rental Reimbursement Coverage up to $20 per day for Not Applicable $12.20 a maximum of 30 days Total Premium for 94 Chevy Trk K1 Series $279-79 H.l Page 4 W. 1. 2013 M010A9D R2853-2 Q4t,%q,&ua1ty Insurance Company Pal Icy Number: 9 64 67168011/11 Your Agent: Howell Ins Agency (970)482.2200 Policy Effective Date: May 11, 2013 COVERAGE FOR VEHICLE k 3 2004 Chrysler 300M COVEAACE LIMITS DEDUCTIBLE PREMIUM Automobile Liability Insurance Not Applicable $139.61 • Bodily Injury $50.000 each person $100,000 each accident • Property Damage $100.000 each accident Auto Collision Insurance Actual Cash Value $500 $113.63 (Safe Driving Deductible Reward - deductible reduction amount available Is $100 ) Auto Comprehensive Insurance Actual Cash Value $500 $52.71 Towing and Labor Costs Coverage $100 each disablement Not Applicable $6.40 Rental Reimbursement Coverage up to $20 per day for Not Applicable $12.20 a maximum of 30 days Total Premium for 04 Chrysler 300M $324.60 AUTaIn'1Ot Oa005ta0aat a]a0I9�E50801a�' 1m� Im� ��11 I1 1��I I� I� �I I�IA��IIIII��III�III�IIII�I�IIII��III�III�IIIIIIIIIII�I�IIIIIIIII��I�IIII���IIIII "',o, " Page 5 R7n53-7 Qfiflatoo,&ualty Insurance Company Policy Number: 96467168011111 YourAgent: Howelllns AeencY (870)482.2200 Policy Effective Dale: May 11. 2013 Additional Coverage The following policy coverage is also provided COVERAGE LIMITS PREMIUM Uninsured Motorists Insurance $50,000 each person $78.11 for Bodily Injury $100,000 each accident TOTAL $7&11 Your Policy Documents Your auto policy consists of this Policy Declarations and the documents listed below. Please keep them together. - Colorado Auto Policy form AU14512 - Claim Satisfaction Guarantee Endorsement AP4780 - Colorado Amendatory Endorsement form AU14610 Important Payment and Coverage information Your Gold Protection package contains the following features: • Accident Waiver Enhancement feature • Safe Driving Deductible Reward feature IN WITNESS WHEREOF, Allstate has caused this policy to be signed by its Secretary and its President at Northbrook, Illinois, and If required by state law, this policy shall not be binding unless countersigned on the Policy Declarations by an authorized agent of Allstate. Steven P. Sorenson President Mary J. McGinn Secretary Page 6 R2853-?