HomeMy WebLinkAboutC09-386 Peak Performance Imaging SolutionsAGREEMENT BETWEEN EAGLE COUNTY
AND
PEAK PERFORMANCE IMAGING SOLUTIONS
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This Agreement ("Agreement") dated as of this ~~~ day of ~~ ~~x l~~t~ ~~~ ~~, 2009, is
between the County of Eagle, State of Colorado, a body corporate and politic, by and through its
Board of County Commissioners ("County"), and Peak Performance Imaging Solutions, with a
mailing address of PO Box 1968, Silverthorne, CO 80498 ("Contractor").
WHEREAS, the County, through its Department of Health and Human Services
("HHS"), works to promote the health, safety and welfare of County residents of all ages; and
WHEREAS, County provides various services to Eagle County residents in order to
promote health, safety and welfare; and
WHEREAS, to enhance the ability of the County to provide these services, County is in
need of an organization to provide the services outlined in Section 1.1 hereunder; and
WHEREAS, County wishes to hire Contractor to perform the tasks associated with such
services outlined in Section 1.1 hereunder; and
WHEREAS, County and Contractor intend by this Agreement to set forth the scope of
the responsibilities of the Contractor in connection with the services and related terms and
conditions to govern the relationship between Contractor and County in connection with the
services.
AGREEMENT
NOW THEREFORE, based upon the representations by Contractor set forth in the
foregoing recitals, for good and valuable consideration, including the promises set forth herein,
the parties agree to the following:
1. Scope of Services:
1.1 The Contractor will provide the services more particularly set forth in the attached
Exhibit "A" labeled Scope of Services, Additional Conditions, Payment & Fee Schedule
(hereinafter called "Contractor's Services") incorporated herein by reference. The Contractor's
Services are generally described as providing off-site scanning services for existing Child
Support Services case files through subcontractor, Eternal Documents.
1.2 Any revision, amendment or modification of this Agreement shall be valid only if
in writing and signed by all parties. Except as may be expressly altered by the amendment, all
terms and conditions of this Agreement shall control. To the extent the terms and conditions of
this Agreement may conflict with Exhibit "A" or any future exhibits or amendments, the terms
and conditions of this Agreement shall control.
1.3 The Contractor agrees that Contractor will not knowingly enter into any
arrangement per se with third parties that will conflict in any manner with this Agreement.
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1.4 Contractor has given the County a proposal for performing the Services and
represented that it has the expertise and personnel necessary to properly and timely perform the
Services.
2. Term of Agreement:
2.1 This Agreement shall commence on the agreement date first above written and,
subject to the provisions of Section 2.2 hereof, shall continue in full force and effect until
December 31 of the year first above written. This Agreement may be extended beyond the time
referred to in this Section 2.1 by a Renewal Agreement fully executed by both parties hereto.
2.2 This Agreement may be terminated by either party for any reason with 15 days
written notice, with or without cause, and without penalty. In the event the Contractor files for
bankruptcy or is declared bankrupt or dissolves, County may declare in writing that this
Agreement is terminated, and all rights of Conti-actor and obligations of County, except payment
of accrued but unpaid fees set forth in Section 2.3 hereof, shall terminate immediately.
2.3 In the event of any termination of this Agreement, Contractor shall be
compensated for all incurred costs and hours of work then completed, plus approved expenses.
3. Independent Contractor:
3.1 With respect to the provision of the Contractor's Services hereunder, Contractor
acknowledges that Contractor is an independent contractor providing Contractor's services to the
CounCy. Nothing in this Agreement shall be deemed to make Contractor an agent, employee,
partner or representative of County.
3.2 The Contractor shall not have the authority to, and will not make any
commitments or enter into any agreement with any party on behalf of County without the written
consent of the Board of County Commissioners.
3.3 The Contractor and its employees are not entitled to workers' compensation
benefits through the County. The Contractor is solely responsible for necessary and adequate
workers' compensation insurance and shall be responsible for withholding and paying all federal
and state taxes. The Contractor and its employees are not entitled to unemployment insurance
benefits unless unemployment compensation coverage is provided by an entity other than the
County. The Contractor hereby acknowledges full and complete liability for and timely payment
of all local, state and federal taxes imposed including, without limitation, tax on self-employment
income, unemployment taxes and income taxes.
4. Compensation:
4.1 For the Contractor's Services provided hereunder, County shall pay to the
Contractor a fee as set forth in the attached Exhibit "A." Contractor will not be entitled to bill at
overtime and/or double time rates for work done outside normal business hours unless
specifically authorized to do so by County. Fees for any additional services will be as set forth
in an executed addendum between the parties.
4.2 For payment, Contractor must submit invoices outlined according to the Payment
and Fee Schedule in Exhibit A. Invoices shall include a description of services performed. If
County is not satisfied with the completeness of a submitted invoice, County may request
Contractor to either revise the invoice or provide additional information to explain the
insufficiency of the invoice. Fees will be paid within thirry (30) days of receipt of a proper and
accurate invoice from Contractor for Contractor's Services.
All invoices must be mailed or delivered in-person to the following address to ensure
proper payment. Invoices sent by fax or email will not be accepted.
Eagle County Health & Human Services
Business Office
550 Broadway
P.O. Box 660
Eagle, CO 81631
4.3 If, prior to payment of compensation or reimbursement for services but after
submission to County of a request therefore by Contractor, County reasonably determines that
payment as requested would be improper because the services were not performed as prescribed
by the provisions of this Agreement, the County shall have no obligation to make such payment.
If, at any time after or during the Term or after termination of this Agreen~ent as hereinafter
provided or expiration of this Agreement, County reasonably determines that any payment
theretofore paid by County to Contractor was improper because the services for which payment
was made were not performed as prescribed by the provisions of this Agreement, then upon
written notice of such determination and request for reimbursement from County, Contractor
shall forthwith return such payment to County. Upon termination of this Agreement as
hereinafter provided or expiration of the Term, any unexpended funds advanced by County to
Contractor shall forthwith be returned to County.
4.4 Notwithstanding anything to the contrary contained in this Agreement, no charges
shall be made to the County nor shall any payment be made to the Contractor in excess of the
amount for any work done in respect of any period after December 3 I st of the calendar year of
the Term of this Agreement, without the written approval in accordance with a budget adopted
by the Board of County Commissioners in compliance with the provisions of Article 25, Title 30
of the Colorado Revised Statutes, the Local Government Budget Law (C.R.S. § 29-1-101 et seq.)
and the TABOR Amendment (Colorado Constitution, Article X, Sec. 20).
5. Indemnification:
Within the limits allowed by law, Contractor shall indemnify County far, and hold and
defend the County and its officials, boards, officers, principals and employees harmless from all
costs, claims and expenses, including reasonable attorney's fees, arising from claims of any
nature whatsoever made by any person in connection with the negligent acts or omissions of, ar
presentations by, the Contractor in violation of the terms and conditions of this Agreement This
indemnification shall not apply to claims by third parties against the County to the extent thaC the
County is liable to such third party for such claim without regard to the involvement of the
Contractor.
6. Contractor's Professional Level of Care and Additional Duties:
6.1 In rendering its services hereunder, Contractor shall comply with the highest
standards of customer service to the public. Contractor shall provide appropriate supervision of
its employees to ensure the maintenance of these high standards of customer service and
professionalism, the performance of such obligation to be determined at the sole discretion of
County. In the event that County finds these standards of customer service are not being met by
Contractor, County may terminate this Agreement, in whole or in part, upon ten (10) days notice
to the Contractor.
6.2 All funds received by Contractor under this Agreement shall be or have been
expended solely for the purpose for which granted, and any funds not so expended, including
funds lost or diverted for other purposes, shall be returned to County. Contractor shall provide
the County with progress reports upon County's request; or Contractor shall furnish progress
reports as more specifically set forth in the attached Exhibit "A".
6.3 Contractor shall maintain, for a minimum of 3 years, adequate financial and
programmatic records for reparting to County on performance of its responsibilities hereunder.
Contractor shall be subject to financial audit by federal, state or county auditors or their
designees. Contractor authorizes County to perform audits or to make inspections during normal
business hours, upon 48 hours notice to Contractor, for the purpose of evaluating performance
under this Agreement. Contractor shall cooperate fully with authorized HHS representatives in
the observation and evaluation of the program and records. Contractor shall have the right to
dispute any claims of misuse of funds and seek an amicable resolution with County.
6.4 Contractor shall comply with all applicable federal, state and local rules,
regulations and laws governing services of the kind provided by Contractor under this
Agreement. Contractor shall be solely responsible for ensuring proper licensing and
credentialing of those providing services under this Agreement.
6.5 Contractor shall comply with the requirements of the Civil Rights Act of 1964
and Section 504, Rehabilitation Act of 1973, concerning discrimination on the basis of race,
color, sex, age, religion, political beliefs, national origin, or handicap.
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7. Notice:
Any notice required under this Agreement shall be given in writing by registered or certified
mail; return receipt requested which shall be addressed as follows:
COUNTY:
Eagle County Health & Human Services
Kathleen M. Lyons
P.O. Box 660
Eagle, CO 81631
970-328-8841
CONTRACTOR:
Peak Performance Imaging Solutions
PO Box 1968, 135 West 11`h Street
Silverthorne, CO 80498
970-262-2555
8. Insurance:
8.1 At all times during the term of this Agreement Contractor shall maintain in full
force and effect the following insurance:
Insurance Type
• Workers' Compensation
~ Employers Liability, including
Occupational Disease
~ Comprehensive General Liability, including
Broad Form Property Damage
• Professional Liability Insurance
Coverag;e Minimums
Statutory
$500,000
$600,000 per occurrence or as specified in
the Colorado Governmental Immunity Act,
whichever is greater
$500,000 per occurrence
8.2 Contractor shall purchase and maintain such insurance as required above and shall
provide certificates of insurance in a form acceptable to County upon execution of this
Agreement.
9. Non-Assignment and Subcontractors:
Contractor shall not assign this Agreement or employ any subcontractor without the prior
written approval of the County Representative, who is designated in Section 7 of this Agreement.
The Contractor shall be responsible for the acts and omissions of its agents, employees and sub-
contractors. The Contractor shall bind each subcontractor to the terms of this Agreement The
Counry may terminate this Agreement, if the Contractor assigns or subcontracts this Agreement
without the prior written consent from the County, and any such assignment or subcontracting
shall be a material breach of this Agreement.
10. Jurisdiction and Confidentiality:
10.1 This Agreement shall be interpreted in accordance with the laws of the State of
Colorado and the parties hereby agree to submit to the jurisdiction of the courts thereof. Venue shall
be in the Fifth Judicial District for the State of Colorado.
] 0.2 The Contractor and County acknowledge that, during the term of this Agreement and
in the course of the Contractor rendering the Conti-actor's Services, the Contractar and County may
acquire knowledge of the business operations of the other party not generally known deemed
confidential. The parties shall not disclose, use, publish or otherwise reveal, either directly or through
another, to any person, firm or corporation, any such confidential knowledge or information and shall
retain all knowledge and information which he has acquired as the result of this Agreement in trust in a
fiduciary capacity for the sole benefit of the other party during the term of this Agreement, and for a
period of five (5) years following tennination of this Agreement. Any such information must be
marked as confidential. The parties recognize that the County is subject to the Colorado Open
Records Act and nothing herein shall preclude a release of information that is subject to the
same.
1L Contractor's Duty to Safeguard Con~dential Materials:
11.1 Contractor's Services for the County require the handling of documents, records,
files, data, etc (hereinafter collectively "Documents") that contain confidential and sensitive
material. Contractor shall treat all Documents received as confidential and shall use all
appropriate administrative, physical, and technical safeguards to protect the confidentiality of all
information contained in the Documents received from the County and Contractor shall be in
accardance with the rules of the Health Information Portability and Accountability Act
("HIPAA") and rules promulgated by HHS. Steps to safeguard information shall include but are
not limited to: restricted area access, locked areas, password-protected computer access, and
other measures reasonably calculated to prevent disclosures of information and security
incidents.
11.2 To the furthest extent of the law, Contractor will ensure that it will not disclose any
information obtained during or following the commencement of this agreement. If such a
disclosure is requested, Contractor will notify HHS immediately that a disclosure request has
been made and Contractor will wait until receiving further instructions from the County.
11.3 Contractor agrees to notify HHS immediately upon discovery of a breach in
confidentiality.
11.4 Contractor is permitted to use agents, subcontractors, and vendors (hereinafter
collectively "Agents") to carry out the Contractor's Services described in this Agreement herein,
so long as the Agents agree to the same restrictions and conditions that apply to the
Contractor set forth in this Agreement.
12. Data Sanitization
12.1 At the completion of Contractor's Services, Contractor shall purge and sanitize its
servers, computers, and any electronic media capable of storing digital information of all data
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that has been used, processed, stored, or transferred for this project. Contractor shall carry this
out by the method known as DoD 5220.22-M.
13. Miscellaneous:
13.1 This Agreement constitutes the entire Agreement between the parties related to its
subject matter. It supersedes all prior proposals, agreements and understandings, either verbal or
written.
13.2 This Agreement does not and shall not be deemed to confer upon or grant to any
third party any right enforceable at law or equity arising out of any term, covenant, or condition
herein or the breach hereof.
13.3 Invalidity or unenforceability of any provision of this Agreement shall not affect
the other provisions hereof, and this Agreement shall be construed as if such invalid or
unenforceable provision was amitted.
14. Prohibitions on Public Contract for Services:
If Contractor has any employees or subcontractors, Contractor shall comply with C.R.S. ,~~'
8-17.5-101, et seq., regarding Illegal Aliens - Public Contracts for Services, and this Contract.
By execution of this Contract, ContracCor certifies that it does not knowingly employ or contract
with an illegal alien who will perform under this Contract and that Contractor will participate in
the E-verify Program or other Department of Labor and Employment program ("Department
Program") in order to confirm the eligibility of all employees who are newly hired for
employment to perform work under this Contract.
(a) Contractor shall not:
(i) Knowingly employ or contract with an illegal alien to perform
work under this contract for services; or
(ii) Enter into a contract with a subcontractor that fails to certify to the
Contractor that the subcontractor shall not knowingly eir~ploy ar
contract with an illegal alien to perform work under the public
contract for services.
(b) Contractor has confirmed the employment eligibility of all employees who
are newly hired for employment to perform work under this Contract
through participation in the E-verify Program or Department Program, as
administered by the United States Department of Homeland Security.
Information on applying for the E-verify program can be found at:
http://www.dhs.gov/xprevprot/protrams/rc _ l 185221C78150.shtm
(c) The Contractor shall not use either the E-verify program or other
Department Program procedures to undertake pre-employment screening
of job applicants while the public contract for services is being performed.
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(d) If the Contractor obtains actual knowledge that a subcontractor performing
work under the public contract for services knowingly employs or
contracts with an illegal alien, the Contractor shall be required to:
(i) Notify the subcontractor and the County within three (3) days that
the Contractor has actual knowledge that the subcontractor is
employing or contracting with an illegal alien; and
(ii) Terminate the subcontract with the subcontractor if within three
(3) days of receiving the notice required pursuant to subparagraph
(i) of paragraph (d) the subcontractor does not stop employing or
contracting with the illegal alien; except that the Contractor 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) The Contractor shall co~nply with any reasonable request by the
Department of Labor and Employment made in the course of an
investigation that the department is undertaking pursuant to its authority
established in C.R.S. § 8-17.5-102(5).
(f~ If a Contractor violates these prohibitions, the County may terminate the
contract for a breach of the contract. If the contract is so terminated
specifically for a breach of this provision of this Contract, the Contractor
shall be liable for actual and consequential damages to the County as
required by law.
(g) The County will notify the office of the Colorado Secretary of State if
Contractor violates this provision of this Contract and the County
terminates the Contract for such breach.
15. Sole Source Government Contracts:
If the Contractor has entered into a sole source government contract or contracts with the
State of Colorado or any of its political subdivisions as defined in Article XXVIII of the
Colorado Constitution which including this contract in the aggregate on an annual basis are equal
to or exceed the amount of $100,000, then the following provisions apply:
(a) Because of a presumption of impropriety between contributions to any
campaign and sole source government contracts, Contractor, on behalf of
itself, any person who controls ten percent or more of the shares of or
interest in the Contractor, and the Contractor's officers, directors and
trustees (collectively, the "Contract Holder") shall contractually agree, for
the duration of the contract and for two years thereafter, to cease making,
causing to be made, or inducing by any means, a contribution, directly or
indirectly, on behalf of the Contractor Holder or on behalf of his or her
immediate family member and for the benefit of any political party or for
the benefit of any candidate for any elected office of the state or any of its
political subdivisions.
(b) The parties further agree that if a Contract Holder makes or causes to be
made any contribution intended to promote or influence the result of an
election on a ballot issue, the Contract Holder shall not be qualified to
enter into a sole source government contract relating to that particular
ballot issue.
(c) The parties agree that if a Contract Holder intentionally violates sections
15 or 17(2) of Article XXVIII of the Colorado Constitution, as contractual
damages that Contract Holder shall be ineligible to hold any sole source
government contract, or public employment with the state or any of its
political subdivisions, for three years.
(d) The Contract Holder agrees to comply with the summary and notice
provisions of Section 16 of Article XXVIlI of the Colorado Constitution.
(e) These provisions shall not apply to the extent they have been enjoined or
invalidated by a court of co~npetent jurisdiction.
(~ All terms used in this Section and not otherwise defined in this Agreement
shall have the same meaning as set forth in Article XXVIII of the
Colorado Constitution.
ll SIGNATURE PAGE TO FOLLOW //
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and
year first above written.
COUNTY OF EAGLE, STATE OF COLORADO
By and through its County Manager
gy. _ - ~ _
Keith P. Montag, Counry Manager
Peak Performance Imaging Solutions
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gy_ ~i~, ~~/ / li
Alan Warho ski, Pres~ ent
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EXHIBIT A
SCOPE OF SERVICES, ADDITIONAL CONDITIONS, PAYMENT & FEE SCHEDULE
Scope of Services:
Peak Performance Imaging Solutions through subcontractor, Eternal Documents LLC, 700 W.
Mississippi, Unit C3, Denver, CO 80223, will provide the following services beginning
approximately September 14, 2009 and ending approximately 10 weeks after commencement
but no later than December 31, 2009.
In accordance with the Terms and Conditions set forth in this Agreement, with specific
attention to ¶¶ 11 and 12 (Contractor's Duty to Safeguard Confidential Materials and Data
Sanitization, respectively) Contractor shall complete the following:
1. Contractor will pack up Child Support Services case files and inventory all boxes. There will
be an anticipated 748 files.
Contractor will check case files into inventory system for temporary storage. This will allow
County to call with requests for documents that can be scanned and e-mailed.
3. Contractor will prepare the case file documents that are to be scanned. This includes removal
of staples, paperclips, and repositioning of post-it-notes, preparing them for scanning through
high speed scanners.
4. Contractor will scan documents into TIFF format. The files will be named Last Name, First
Name and Household Account Number. The files will be returned in Laserfiche Briefcases.
Documents will be separated into separate files by Document Type when easily identifiable.
The Laserfiche HHS Template fields of NCP Name, NCP SSN, HHN and Document Type will be
indexed using the data file provided by Eagle County Health.
5. Contractor will store physical files for 45 days after the return of the digital files. At that
time, the physical files will be returned to County.
6. Contractor will delete the digital files from Contractor's server upon County's approval.
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Pavment and Fee Schedule:
Total payment for the above services is $22,000. Payment will be made as foliows:
1. $ 11,000 will be due to Peak Performance Imaging Solutions two weeks after the initial pick
up (approximately September 28, 2009).
2. The remaining $ 11,000 will be due upon completion and return of all digital files.
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EXHIBIT C
PROOF OF INSURANCE
(Certificate of insurance to be inserted as Exhibit C)
13
y0 This Snectrum Policy consists of the Declarations, Coverage Forms, Common Policy Conditions ai~d any
47 other Forms and Endorsements issued to be a pai~t of the Po!icy. This insurance is provided by the stock
IH insurar~ce company of The Hartford Insurance Group shown below.
SBA
!NSURER: ~-~TFORD CASUAL'i'Y INSURANCE COh1PPNY
HA~TI'CRD PLA7A, NAR`~FORD, CT 051~ 5
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COMPANY CODE: ~ ~~~~,~~
Policy Number: 34 SBA IH4790 DX a 11'-' .~"~"
HARTFORD
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SPECTRUM POLICY DECLARATIONS ORIGINAL
Named Insured and Mailing Address: PEAK PERFORMl-1NCE COPIER AND
(No., Street, Town, State, Zip Code) SUPPLY, INC .
po Box 1s68
SILVERTHORI~TE CO fl0498
Policy Period: From 10/21/OS To 10/21/09 1 YEAR
12:01 a.m., Standard time at your mailing address shown above. Exception: 12 noon in New Hampshire.
Name of AgentlBroker: ALPINE INS AGENCY OF EDWARDS/PHS
Code: 344510
Previous Policy Number: 34 SBA IH4790
Named Insured is: CORPORATION
Audit Period: NON-AUDITABLE
Type of Property Coverage: SPECIAL
Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy, we
agree with you to provide insurance as stated in this policy.
TOTAL ANNUAL PREMIUM lS: $4, 245
IN RECOGNITION OF THE MULTIPLE COVERAGES INSURED WITH THE HARTFORD, YOUR
POLICY PREP~IIUM INCLUDES AN ACCOUNT CREDIT.
Couritersigned by v 08/26/08
Authorized Representative Date
Form SS 00 02 12 06 Page 001 (CONTINUED ON NEXT PAGE)
Process Date: 08/26/08 Palicy Expiratian Date: 10/21/09
INSURED COPY
SPECTRUM POLICY DECLA~RT[O~lS (C:ontiniaed)
POLICY NUMBER: 34 SBA Ixa790
Location(s), Building(s), Business of Named Insured and Schedule of Coverages for Premises as designated by
Number below.
Location: 001 Building: 00]_
135 W. 11TH ST
SILVERTHORNE CO 80498
Description of Business:
OFFICE EQUIPNiENT & SUPPLY STORE
Deductible: $ 500 PER OCCURxENCE
BUILDING AND BUSINESS PEl4St~~l~l_ F'F~t7P[F~TY LIMITS OF INSURANCE
BUILDING
NO COVERAGE
BUSINESS PERSONAL PROPERT`f'
REPLACEMENT COST $ 521, 400
PERSONAL PROPERTY OF O~'HER~
REPLACEMENT COST NO COVERAGE
MONEY A1VD SECURITIES
=rrszn~ fix~ P~tazs~s $ 10, 000
OUTSIDS THE PRE~4ISES $ 5,000
LOSS PAYEE: 'A' APPLIES
Form SS 00 02 12 06 pag~ 002 (CONTINUFD ON NFXT PAGE)
Process Date: 08/26/08 Policy Expiratian Qate: 10/21/09
SPECTRUM POLICY D~CLARATlONS (~ontinuecl)
POLICY NllMBER: 34 SBA IH4790
Location(s), Building(s), Business of Named insured and Schedule of Caverages ior Fremises as designated by
Nwnber below.
Location: 001 Building: 001
PROPERTY OPTIONAL COVERAGES APPLICABLE LIMITS OF INSURANCE
TO THIS LOCATION
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BACK-UP OF 3EWERS P.ND DRAINS
cov~~E go~ ss oa 53
$ 50,000
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STItE'PCH COVERAGES
FORID~l: SS 04 08
TEiI3 FORM INCLUDES MANY ADDITIONAL
COVSRAGES AND EXTENSIONS OF
C0~1E~RAGES . A S'U&~ARY OF THE
COVERAGE LIMITS IS ATfiACHED.
T~U]AN'P ID~PROVFD~INTS AND
8~~~'~T~.S' :
$ 50,000
TFIEFT DEDUCTIBLE: $500
Fox~a ss 4o sa
LIMITED ~GI, BACTERIA OR VIRUS
CO'V$RAGE :
FORM SS 40 93
THIS IS ~HE b4A7CIMiJffi AMOUNT OF
INSTJRANCE FOR THIS COVERAGE,
SUHJECT TO ALL PROPERTY LIMITS
FOZ7P7D ELSEWHERE ON THIS
UECLARATION.
INCLUDING BUSINESS INCOME AND EXTRA
~.i{PENSE CO'V'LRAGE FOR :
$ 50,000
30 DAYS
Form SS 00 02 12 06
{~rocess Date: 08/26/OS
Page 003 (CONTINUED ON NEXT PAGE)
Palicy Expiration Date: 10/21/09
SPECTRUM POLICY DECLARATIONS (Continued)
POLICY NUMBER: 34 SBA IH4790
Location(s), Building(s), Business of Named tnsured and Schedule of Coverages for Premises as designated by
Number below.
Location: 002 Building: 001
156034 HIGHWAY 285
SHAWNEE CO 8047~
Description of l3usiness:
OFFICE EQUIPMENT & SUPPLY STORE
Deductible: $ 500 PER OCCURRENCE
BUILDING AND BUSINESS PERSONAL PROPERTY LIMITS OF INSURANCE
BUILDING
NO COVERAGE
BUSINESS PERSONAL PROPERTY
REPLACEMENT COST
$ 55,000
PERSONAL PROPERTY OF OTHERS
REPLACEMENT COST
NO COVERAGE
MONEY AN~ SECURITIES
INSIDE THE PFtEMISES
OUTSIDE THE PREMISES
$ 10,000
$ 5,000
Form SS 00 02 12 06
Pr~cess Date: 08/26/08
Page004 (CONTINUED ON NEXT PAGE)
Policy Expiration Date: 10/21/09
SPECTRUM POLlCY DECLARATIUNS (Continued)
FQLICY f~UEVlQER: 3a SBA IHa790
Locatioi~(s), B«ilding~s), °usiness of Named Insured and Schedule of Coverages for Premises as designated by
Number below.
Location: 002 Building: 001
PROPERTY OPTIONAL COVERAGES APPLICABLE LIMITS OF INSURANCE
TO THIS LOCATION
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FORM: SS 04 08
THIS FORDa INCLU'DES MANY ADDITION'AL
COVE'RAC3LS ANU E~C~EN~IONS OF
COVERA.GES . A SUMY~lARY Oli' THE
COVERAGE LIMITS IS ATTACFIED.
LIMITED FUNCI, HACTERIA OR VIRIIS
COVEFtAGE :
~a~ ss ~0 93
TgIS IS THE MAX2~3i7M AMOUN~P OF
II3SUR.A~NCE FOIt TSIS COVERAGE,
Si3HJ.QC'~ 'I'O ALL PROPgR~Y LI~4IT3
~'OUND ~LS~'WfiERE ON TH%S
AECLAA.~ITION .
INCLUDYNfY BU5IZ3ESS INCOME AND EXTRA
~XPEZ3S~ CO~RACzE FOR:
$ 50,000
30 DAYS
Form SS 00 02 12 06
Process Date: 08/26/08
Page 005 (CONTINUED ON NEXT PAGE)
palicy Expiration Date: 10 /21 / 09
SPECTRUitll PQLICY DECLA~2ATlOt~~ (~ontinued)
POLICY NUMBER: 34 SBA IH4790
PROPERTY OPTIONAL COVERAGES APPLICABLE LIMITS OF INSURANCE
TO ALL LOCATIONS
BU3INES3 INCOP~ AND EXTRA E}GPF,~F+3'S~
COVSRAGE
COVERA(3E INCLUDES THE FOLLOWINC3
COVERA(3E EXTEN3ION3:
12 MONTHS ACTUAL LOSS SUSTAINED
ACTION OF CIVIL .AUTIiC?RIR`Y:
E]CT~Y~TDED BUSIL~~S irrcon~:
TRANSIT - PROPER~7L IN THE C L OF
CARRIER$ FOR HI~E
I~ORM SS 04 30
DEDUCTIBLE: $a5o
30 DAYS
30 CONSECUTIVE DAYS
$ 10,000
EQUIP~3ENT BRE7~IICDOV7N1 COV~A~~
DgDIICTIBLE: $1,000 FOR~: S~ ~4 6a
CQVERAGE FOR DIR~CT E'Fi'SF3IC".Af, Y~~S
DiTE TO:
~CHANICAL BR~AKDOWtd,
ARTIFICIALLY GF,NER.A-TED ~TJR~T
AND STEAM E}[PLOSION
THIS ADDITIONAL GOV~RI~GE IiJGI.~tJ1D~~
TFiE FOLLOWING EXTFNSIONS
HAZARDOUS SIIBSTANCES
E7CPEDITING EXPENSES
$ 50,000
$ 50,000
~CHANICAL BREAKD04~V COVERA~~ O~,Y'
APPLIE3 WEiEN BUILDIP7C~ OR BU57:~~~
PERSONAL PROPET2TY IS SEI,~:CTED 0~7
TfiE POLICY
IDFNPIT7C RECOVERY COVERAG$
FORM SS 41 12
$ 15,000
Form SS 00 02 12 06
Process Date:08/26/08
Page006 (CONTINUED ON NEXT PAGE)
Policy Expiration Date: 10/21/09
SPE~TRUM PI~LICY DECLAt~ATIONS {Contii~ued)
POLICY ~!1l~4BER: 34 SBA Ix4790
BUSiNESS LIABtLITY LIMITS OF INSURANCE
LIABILITYAND MEDlCAL EXPENSES $1, 000, 000
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MEDICAL EXPENSES -ANY ONE PERSON $ 10, 000
PERSONAL AND ADVERTISING INJURY $1, 000, 000
UAMAGES TO PREMISES RENTED TO YOU $ 300 , 000
ANY ONE PE2EMISES
AGGREGATE LIMITS
PRODUCTS-COMPLETED OPERATIONS $2, 000, 000
GENERAL AGGREGATE $2 , 000, 000
EMPLOYMENT PRACTICES LIABILITY
COVERAGE: FORM SS 09 01
EACH CLAIM LIMIT $ 100, 000
DEDUCTBLE - EACH CLAIM LIMIT
$7,500
AGGREGATE LIMIT $ 200, 000
RETROACTIVE DATE: 10212007
This Employment Practices Liability Coverage contains claims made coverage. Except as may be otheivvise
provided herein, specified coverages of this insurance are limited generally to liability for injuries for which claims are
first made against the insured while the insurance is in force. Please read and review the insurance carefully and
discuss the coverage with your Haitford Agent or Broker.
The Limits of Insurance stated in this Declarations will be reduced, and may be completely exhausted, by the payment
of "defense expense" and, in such event, The Company will not be obligated to pay any further "defense expense" or
sums which the insured is or rnay become legally obligated to pay as "damages".
Form SS 00 02 12 06
Process Date: 0 8/ 2 6/ 0 8
Page 007 (CONTINUED ON NEXT PAGE)
Policy Expiration Date: 10/21/09
SP~CTRUM POLICY DECLARATIONS (Continued)
POLICY NUMBER: 34 SBA Ix4790
_T~OSS PAYEE ' A' : ALPINE BA.N-K LOAN CENTER
FQR~2 SS 12 12 400 7TH STREET SOUTH
RIFLE, C0. 81650
LOAN Ni3MBER: 3760152701
PROPERR*Y: BUSINESS PERSONAL PROPERTY
Form Numbers of Forms and Endorsements that apply:
SS 00 01 04 93
SS 84 01 09 07
SS 04 22 07 05
SS 04 42 09 07
SS 04 47 07 05
SS 40 18 07 a5
IH 10 01 09 86
SS 09 41 07 99
SS 40 84 09 Ol
SS 00 05 12 06
SS 01 33 02 08
SS 04 30 07 05
SS 04 44 07 05
SS 04 53 07 05
SS 40 65 07 05
SS 05 47 09 01
SS 09 42 07 99
SS 50 19 01 08
SS 00 07 07 05
SS 04 08 09 07
SS 04 39 07 05
SS 04 45 07 05
SS 04 80 03 00
SS 40 93 07 05
SS 38 56 08 06
SS 12 12 03 92
SS 38 25 12 07
SS 00 08 04 05
SS 04 19 07 05
SS 04 41 04 08
SS 04 46 07 05
SS 04 86 03 00
SS 41 12 12 07
SS 09 01 09 00
SS 38 68 09 07
SS 83 76 01 08
Form SS QO 02 12 06 Page 008
Process Date: 08/26/08 Policy Expiration Date: 10/21/09
y
STRETCH ~U~U1~Vi~RY
SUMMARY OF COVERAGE LIMITS
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This is a summary of the Coverages and the Limits of Insurance provided by ihe Stretch Coverage form SS 04 08
which is included in this policy. No coverage is provided by this summary. Refer to coverage form SS 04 08 to
determine the scope of your insurance protection.
The Limit of Insurance for the following Additional Coverages are in addition to any oiher limit of insurance provided
under this policy:
Coverage
Accounts Receivable - On/Off-Premises
Brands and Labels
Claim Expenses
Computer Fraud
Computers antl Media
Debris Removal
Employee Dishonesty (including ERISA)
Fine Arts
Forgery
Laptop Computers - World-Wde Coverage
Off Premises Utility Services - Direct Damage
Outdoor Signs
Pairs or Sets
Personal Property of Others
Property at Other Premises
Salespersons' Samples
Sewer and Drain Back Up
Sump Ove~filow or Sump Pump Failure
Temperature Change
Tenant Builtling and Business Personal Property Coverage-
Required by Lease
Transit Property in the Care of Carriers for Hire
Unautt~orized Business Card Use
Valuable Papers and Records - On/Off-Premises
Limit
$ 25,000
Up to Business Personal Property Limit
~ 10,000
$ 5,000
$ 10,000
$ 25,000
$ 10,000
$ 10,000
~ 10,000
$ 5,000
$ 10,000
Full Value
Up to Business Personal Property Limit
$ 10,000
$ 10,000
$ 1,000
Included up to Covered Property Limits
$ 15,000
$ 10,000
$ 20,000
$ 10,000
$ 2,500
~ 25,000
The Limits of Insurance for the following Coverage Extensions are a replacement of the Liinit of Insurance provided
under the Standard Property Coverage Form or the Special Property Coverage Form, whichever applies to the policy:
Coverage
Newly Acquired or Constructed Property - 180 Days
Buiiding
Business Personal Property
[3usiness Income and Extra Expense
Outdoor Property
Personal Effects
Property Off-Premises
Form SS 84 01 09 07
O 2007, The Hartford
Limit
$1,000,000
$ 500,000
$ 500,000
$ 20,000 aggregate/ $1,000 per item
$ 25,000
$ 15,000
Page 1 of 2
The following changes apply only if Lusiness Income and Extra Exqense are covered under this policy. The Limits of
Insurance for the foilowing Business Ir~ca~r~e and Extra Expense Coverages are in addition to ary oiher !+mit of
Insurance provided under this policy:
Coverage Limit
Business Income Extension for Off-Premises Ufility Services $ 25,000
Business Income Extension for Web Sites $ 10,000/7 days
Business Income from Dependent Properties $ 25,000
The following Limit of Insurance for the following Business Income Coverage is a replacement of the Limit of
Insurance provided under the Standard Property Coverage Form or the Special Property Coverage Form, whichever
applies to the policy:
Coverage
Extended Business Income
Limit
60 Days
The following changes apply to Loss Payment Conditions:
Coverage
Valuation Changes
Commodity Stock
"Finished Stock"
Mercantile Stock - Sold
Limit
~ncluded
Included
Included
Page 2 of 2 FQrm SS 84 01 09 07
~4/QRK~RS COMPENSATlON
INFORMATION PAGE
TRiJCK INSURP_NCE EXCHANGE
^ Assig~ed Risk 1 8244 (An Inter-Insurance Exohange hereinafter Somefimes Referred To As Company)
Members cf the Farmers Insurance Group of Companies
Home Office: 4680 Wilshire Blvd., Los Angeles. California 90010
2009
C5132501 PAGE 1 OF 1
1. Named •
Insured •
Mailing •
Address •
PEAK PERFORMANCE COPIER &
SUPPLY INC
PO BOX 1968
SILVERTHORNE CO 804981968
Legal Entity: ^ Individual ^ Partnership ~ Corporation
^ Other
Policy Year
COLO SPR R.O.
Issuing Office
877-411-4249
Issuing Office Telephone Number
07-28-389
Agent No
Identification No.
ON FILE
Federal Identification No.
C0409-16-38 00
Policy No. of Co..
enewa o oicy o.
CZ73107
050730190
Risk Identification No.
426435004001
Unemployment Account No.
Federal Identification No.
135 W 11TH STREET
Otherworkplaces not shown above: SILVERTHORNE CO 80498
2. Policy Period: From 06i01 i09 to 06i01 i1 0 12:01 a.m. Standard Time atthe insured's mailing address.
3. A. Workers Compensation Insurance: Part One of this policy applies to the Workers Compensation Law of the states listed here:
CO
B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of liahility under Part
Two are: godily Injury hy Accident $ 500, 000 each accident
Bodily Injury hy Disease $ 500 , 000 each employee
Bodily Injury hy Disease $ 500, 000 policy limit
~ Other States Insurance. Part Three of the policy applies to the states, if any, listed here: °All states except No. Dakota. Ohio,
Washington, West Virginia. Wyoming, states designated in item 3A of the Information Page and
4. The premium for this policy wiil be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. The information
required below is subject to verifiication and change hy audit.
$ 0. 00 Total Deposit Premium
$ SEE INVOICE Cash Received
$ SEE INVOICE Other Credits
$ SEE INVOICE BALANCEDUE
Classification of Operations Code ~Vo. Premium Basis Rates Estimated
Estimated Per $100 Annual
Total Annual of Remu- Premium
Remuneration neration
SEE CLASSIFICATION OF OPERATIONS SCHEDULE
THIS IS NOT N INVOICE
Minimum
Premium $ 406.00
This policy includes these endorsements and schedules:
E5203-ED3 WC050402 90-0719 WCOOOOOOA 25-2646 WC000414 WC000603 25-8016
WC050403 E5022B E5153-ED5 E5112-ED2 25-2593 56-5285ED4 WC000422A E5187-ED3
WC000421C 25-3037
2,515.00
280.00
Total Estimated Annual Premium $
Expense Constant $
If indicated, interim adjustments of premium shall 6e made: ^ Monthly
Countersigned F A Ii M E R S
, ~„,
Authorized Representative ~^~~° ~°~°~~
(WC 00 00 01 A ED. 5-SBI
56-5132 5th EDITION 8-00 Includes material of National Council on Compensation Insurance. Copyright 19B7, used with its permission.
Agent: TODD KIRSCH INS AGCY
dnant Phnna• Zf1Z-207-7R77
TERM SHEET
1) Requested hearin~ date: (First choice) N/A (Second choice)
2) For Countv Mana~er sig nature: Yes
3) Requestin~ department: HHS/Economic Services
4) Title: Agreement between Eagle County and Peak Performance Imaging
Solutions to provide off-site scanning services of all existing Child Support
Services case files through subcontractor, Eternal Documents LLC
5) Check one: Consent: X On the Record:
6) Staff submittin~: Kathleen M. Lyons, x8841
7) Purpose: Eagle County Child Support Services will begin its conversion to
paperless case ~les utilizing Laserfiche in September 2009. This program
has approximately 750 existing case files that need to be scanned into
Laserfiche as part of the conversion. Peak Performance Imaging Solutions
through its subcontractor, Eternal Documents LLC, will provide off-site
scanning services for these Child Support Services case files.
8) Schedule: Project will begin September 14, 2009 or such subsequent date
as the contract has been fully executed and continue for approximately 10
weeks but no later than December 31, 2009.
9) Financial considerations:
The contract is for a total amount of $22,000 and has been budgeted in the
Child Support Services program budget at 1110-540-6595. The Electronic
Data Management conversion project was budgeted at $25,000. This
contract and other expenses related to the project will utilize the full $25,000
that was budgeted.
The contract is less than $25,000 so the competitive bid process does not
apply. This is a vendor who works with the County on a regular basis and
has the expertise to complete the scope of work.
9) Other:
C~~ ~~ ~ 'r~~~,C.~
~
RECEIVED
APPROVED AS TO FORM
8 B` -~`~
SEP 2~~y ~ ~agle ~ounty .4ttorney's Office
EAGLE COUNTY Al~'ORNrt' B~'---
tag~E County Commissioners' Office
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