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HomeMy WebLinkAboutC11-006 Rocky Mountain Elevator Agreement ELEVATOR MAINTENANCE AND REPAIR SERVICES AGREEMENT BETWEEN EAGLE COUNTY AND ROCKY MOUNTAIN ELEVAOTR LLC THIS AGREEMENT is made this (Q day of JV , 201i_, by and between Eagle County ( "County "), and Rocky Mountain Elevato , LLC ( "Contractor "), a company organized and existing by virtue of the laws of the State of Colorado and with a • principal place of business at 20 Harrier Circle, Eagle, Colorado 81631 and a mailing address of P.O. Box 273, Wolcott, Colorado, 81655. WHEREAS, County desires to utilize Contractor for elevator maintenance and repair services at the Eagle County Airport Air Traffic Control Tower. WHEREAS, Contractor is authorized to do business in the State of Colorado, has experience and expertise necessary to provide said services to County; and WHEREAS, County and Contractor intend by this Agreement to set forth the scope of the responsibilities of Contractor in connection with the services and related terms and conditions to govern the relationship between Contractor and County in connection with this Agreement. NOW, THEREFORE, in consideration of the foregoing premises and the following promises, County and Contractor agree as follows: ARTICLE 1— WORK 1.1 Contractor shall provide one quarterly preventative elevator maintenance visit and necessary repair services as more specifically described in Consultant's proposal attached hereto as Exhibit "A" for the elevator located in the Eagle County Airport Air Traffic Control Tower (the "Services "). The Contractor shall provide all labor, materials and equipment necessary to perform and complete the Services described herein. 1.2 Exhibit A is to be incorporated herein by this reference. In the event of any conflict between this Agreement and the provisions of Exhibits "A," the terms of this Agreement shall prevail over all others. 1.3 The parties hereto recognize that the scope of the Services may change. When the Contractor believes that the scope of the Services has been changed, the Contractor shall immediately advise County of such belief and shall also provide a statement of the maximum additional charges for such Services. The Contractor shall not be entitled to be paid for any such additional Services unless and until County agrees in writing that the scope of the Services has changed and accepts the statement of the additional charges. 1.4 Contractor shall obtain prior approval from the Eagle County Airport Director, or his designee, before beginning any non - maintenance related repair work under this Agreement. Contractor shall work with County to determine how and when the repair work will be performed. 1 ARTICLE 2 — COUNTY'S REPRESENTATIVE 2.1 The project is under the authority of the Eagle County Airport Director, who shall be Contractor's contact with respect to the performance of the Work. ARTICLE 3 — TERM OF AGREEMENT 3.1 This Agreement shall commence on January 1, 2011, and, subject to the provisions of Article 11 hereof, shall continue in full force and effect for a period of 1 year, commencing with the effective date of this Agreement. This Agreement may be extended for up to two additional term years beyond the time referred to in this Section 3.1 on terms and conditions as may be mutually agreed between the parties• in writing. ARTICLE 4 — RENUMERATION 4.1 For quarterly. "Preventative Maintenance" services, including one visit to the elevator per quarter as described in Exhibit "A," County shall pay Contractor for maintenance Services on a quarterly basis in the amount of two hundred forty eight dollars ($248.00). Other routine service calls that are Lodged during normal business hours (Monday through Friday 8:00 a.m. through 4:30 p.m.) will be included at no additional charge. Special service calls such as for power failure, water damage, vandalism acts, fire damage, fire service issues, key switches in wrong position and doors knocked off the tracks, that are lodged during normal business hours will be billed at the rate of one hundred twenty five dollars ($125.00) per hour. Such special service calls that are lodged after normal business hours will be billed at the rate of one hundred seventy five dollars ($175) per hour. 4.2 Fees for Services satisfactorily performed will be paid within thirty (30) days of receipt of a proper and accurate invoice from Contractor respecting the Services. The invoice shall include a description of services performed. Upon request, Contractor shall provide County with such other supporting information as County may request. 4.3 County will not withhold any taxes from monies paid to the Contractor hereunder and Contractor agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement. 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 without the written approval in accordance with a budget adopted by the Board in accordance with provisions of the Colorado Revised Statutes. Moreover, the parties agree that the County is a governmental entity and that all obligations beyond the current fiscal year are subject to funds being budgeted and appropriated. ARTICLE 5 CONTRACTOR'S REPRESENTATIONS 2 In order to induce County to enter into this Agreement, Contractor makes the following representations: 5.1 Contractor has familiarized himself with the nature and extent of the Contract Documents, work, locality, and with all local conditions, and federal, state, and local laws, ordinances, rules and regulations that in any manner affect cost, progress, or performance of the work. 5.2 Contractor will make, or cause to be made, examinations, investigations, and tests as he deems necessary for the performance of the work for the Elevator Maintenance and Repair Services, in accordance with other terms and conditions of the Contract Documents. 5.4 To the extent possible, Contractor has correlated the results of all such observations, examinations, investigations, tests, reports, and data with the terms and conditions of the Contract Documents. 5.5 To the extent possible Contractor, has given Contract Manager written notice of all conflicts, errors, or discrepancies that he has discovered in the Contract Documents. 5.6 The Contractor hereby certifies that it is licensed and able to service and repair all listed equipment listed in Exhibit "A" and covered by this Agreement. A copy of Contractor's most current license issued by the Colorado Department of Labor and Employment is attached hereto as Exhibit "B." Contractor agrees to keep its license up to date at all times during the term of this � p P g Agreement and must notify County immediately of any expiration, non-renewal, termination or invalidation of such license. Failure of Contractor to maintain such licensure may result in immediate termination of this Agreement. 5.7 Contractor shall submit the names and qualifications of all maintenance personnel and any subcontractors proposed to work under this Agreement. The County shall have the right to approve all proposed personnel and subcontractors prior to commencement of any work on the site. ARTICLE 7 — CONTRACT DOCUMENTS The contract Documents which comprise the entire Agreement, made a part hereof, and consist of the following: 7.1 This Agreement 7.2 Exhibit "A," Contractor's proposal 7.3 Exhibit "B," Contractor's license 7.5 Certificates of Insurance 7.6 Any modification, including Change Orders, duly delivered after execution of 3 Agreement. There are no Contract Documents other than those listed above in this Article 7. The Contract Documents may only be altered, amended, or repealed by a Modification. To the extent the terms and conditions of this Agreement and its Exhibits are in conflict, the terms and conditions of this Agreement shall control. ARTICLE 8 — MISCELLANEOUS 8.1 No assignment by a party hereto of any rights under, or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and specifically, but without limitation, moneys that may become due and moneys that are due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. 8.2 County and Contractor each binds itself, its partners, successors, assigns and legal representatives to the other party hereto, in respect to all covenants, agreements, and obligations contained in the Contract Documents. 8.3 Notwithstanding anything to the contrary contained in this Agreement, County shall have no obligations under this Agreement after, nor shall any payments be made to Contractor in respect of any period after December 31, 2011 without an appropriation therefore by County in accordance with a budget adopted by the Board of County Commissioners in compliance with 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). 8.4 Provision Mandated by C.R.S. § 8- 17.5 -101 et seq. PROHIBITIONS ON PUBLIC CONTRACT FOR SERVICES 8.4.1 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, Contractor 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. 8.4.2 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 employ or 4 contract with an illegal alien to perform work under the public contract for services. 8.4.3 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 /programs/gc 1185221678150.shtm 8.4.4 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. 8.4.5 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 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 days of receiving the notice required pursuant to subparagraph (i) • of the 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. 8.4.6 The Contractor shall comply 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). 8.4.7 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. 8.4.8 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. 8.5 ATTORNEY'S FEES: In the event of litigation between the parties hereto regarding the interpretation of this Agreement, or the obligations, duties or rights of the 5 parties hereunder, or if suit otherwise is brought to recover damages for breach of this Agreement, or an action be brought for injunction or specific performance, then and in such events, the prevailing party shall recover all reasonable costs incurred with regard to such litigation, including reasonable attorney's fees. 8.6 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 omitted. ARTICLE 9 - JURISDICTION AND VENUE: 9.1 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. • ARTICLE 10 - INDEMNIFICATION: The Contractor shall, to the fullest extent permitted by law, indemnify and hold harmless County and any of its officers, agents and employees against any losses, claims, damages or liabilities for which County or any of its officers, agents, or employees may become subject to, insofar as any such losses, claims, damages or liabilities arise out of, directly or indirectly, this Agreement, or are based upon any performance or nonperformance by Contractor hereunder; and Contractor shall reimburse County for any and all legal and other expenses incurred by County in connection with investigating or defending any such loss, claim, damage, liability or action. This indemnification. shall not apply to claims by third parties against the County to the extent that the County is liable to such third party for such claim without regard to the involvement of the Contractor. ARTICLE 11 -TERMINATION: County may terminate this Agreement, in whole or in part, for any reason, at any time, with or without cause. Any such termination shall be effected by delivery to Contractor Y Y r3' of a written notice of termination specifying the reason and date upon which termination becomes effective. Upon termination, Contractor shall deliver all redlined drawings and other illustrations, or documents entirely or partially completed, whether in electronic form or otherwise, together with all material supplied to Contractor by County. In such event, Contractor shall be compensated for all Work satisfactorily completed up to the date of termination for such Work. ARTICLE 12 - OWNERSHIP OF DOCUMENTS: All documents (including electronic files) which are obtained during or prepared in the performance of the Work shall remain the property of the County and are to be delivered to County before final payment is made to Contractor or upon earlier termination of this Agreement. 6 ARTICLE 13 — NOTICE Any notice required under this Agreement shall be personally delivered, mailed in the United States mail, first class postage prepaid, or sent via facsimile provided an original is also promptly delivered to the appropriate party at the following addresses: The County: Eagle County Airport P.O. Box 850 Eagle, Colorado 81631 (970) 328 -2680 (p) (970) 328 -2687 (f) and a copy to: Eagle County Attorney P.O. Box 850 Eagle, Colorado 81631 (970) 328 -8699 (f) The Contractor: Rocky Mountain Elevator LLC P.O. Box 273 Wolcott, Colorado 81655 (970) 331 -3368 (970) 328 -9566 Notices shall be deemed given on the date of delivery; on the date a FAX is transmitted and confirmed received or, if transmitted after normal business hours, on the next business day after transmission, provided that a paper copy is mailed the same date; or three days after the date of deposit, first class postage prepaid, in an official depositary of the U.S. Postal Service. ARTICLE 14 — INDEPENDENT CONTRACTOR It is expressly acknowledged and understood by the parties hereto that nothing contained in this Agreement shall result in, or be construed as establishing, an employment relationship. Contractor shall be, and shall perform as, an independent contractor. No technician, agent, subcontractor, employee, or servant of Contractor shall be, or shall be deemed to be, the employee, agent or servant of County. Contractor shall be solely and entirely responsible for its acts and for the acts of its technicians, agents, employees, and servants during the performance of this agreement. Contractor shall not represent, act, purport to act or be deemed the agent, representative, employee or servant of County. ARTICLE 15 — INSURA REQUIREMENTS 15.1 At all times during the term of this Agreement, Contractor shall maintain insurance on its own behalf in the following minimum amounts: 7 . Workmen's Compensation, disability benefits, and other similar employee benefit acts, with coverage and in amounts as required by the laws of the State of Colorado; Comprehensive Automobile Insurance shall be carried in the amount of $1,000,000 for bodily injury and $1,000,000 for property damage, each occurrence. All liability and property damage insurance required hereunder shall be Comprehensive General and Automobile Bodily Injury and Property Damage form of policy. Comprehensive liability and property damage insurance issued to and covering Contractor and any subcontractor with respect to all Work performed under this Agreement and shall also name County as an additional insured, in the following minimum amounts: Bodily Injury Liability: Each Person: $1,000,000 Each Accident or Occurrence: $1,000,000 Property Damage Liability: Each Accident or Occurrence: $1,000,000 / /SIGNATURE PAGE TO FOLLOW /1 8 • IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year first above written. COUNTY OF EAGLE, STATE OF COLORADO, by the Eagle County Manager on behalf of the Board of County Commissioners O� ANN BY: BY: �• �� R........... 'S9� Keith Montag Eagle County Mana C!C • :� ROCKY MOUNTAIN ELEVATOR LLC ��. By. Contractor STATE OF (" . O so _) ) ss. COUNTY OF _& 6.je ) The foregoing instrument was acknowledged before me by / ra/c / fd >(; 9-i6e this 03/A day of ,109Z'a , 20,11. My ion expires: 12-7 Z Zo / Z Notary Public 9 Rocky Mountain Elevator LLC P.O. Box 273 Wolcott, CO 81655 970- 331 -3368 mark @rockymountainelevator.com PROPOSAL FOR ELEVATOR MAINTENANCE SERVICE DATE: December 1, 2010 PROPOSAL NUMBER: PMP -5071 TO: BUILDING: Kathy Lawn Eagle County Airport A.T.C.T. P.O. Box 850 0215 Airport Road Eagle, CO 81631 Gypsum, CO 81637 EQUIPMENT DESCRIPTION 1 Otis 8 Stop Roped Hydro ROCKY MOUNTAIN ELEVATOR LLC ( "RME ", "we ") 20 Harrier Circle, Eagle, CO 81631 and Eagle County Airport A.T.C.T., 0215 Airport Road, Gypsum, CO 81637 ( "you ") agree as follows: ROCKY MOUNTAIN MAINTENANCE SERVICE We propose to furnish elevator maintenance on the equipment ( "Unit ") described above. We offer a preventative maintenance service intended to protect your investment, extend equipment life and provide a high level of performance and reliability for your equipment. Upon arrival we will check in with the customer to see if there are any problems that might exist. During our service visits we always ride, look and listen for anything that might not seem right with your elevator. We will check all car and hall push buttons, and direction arrows and position indicators for proper operation. We make sure emergency phones, stop switches and alarm bells are working properly. We will check all door contacts, gate switches and door protection devices as door equipment is used more than any other component in elevators. We check all equipment that needs lubricated for proper lubrication. We look at and check electrical connections, as loose connections can cause intermittent problems. We will check the control panel. We inspect the motor, pump unit for leaks and proper belt tension (where applicable). We will clean the car top, pit, and mechanical room. Good housekeeping enables us to notice a small leak before it turns into a big one. TERM This Agreement will be for one year, beginning at a date to be determined and shall renew for subsequent similar periods, unless terminated by either party upon written notice received by the other party at least 90 days prior to the above termination date or any renewal termination date. PRICE In consideration of the Services provided hereunder, you agree to pay RME the sum of $80.00 per month, payable in an annual installment of $960.00, exclusive of applicable taxes, subject to payment terms and Price Adjustment set forth below. You agree to pay, as an addition to the price herein, the amount of any current or future sales, use, excise or other tax applicable to the Services provided hereunder. You may choose to make payments on a semi - annual basis, $485.00 (initial here if semi- annual ), or quarterly payments, (initial here if quarterly $248.00). PRICE ADJUSTMENT The contract Price will be adjusted annually, as of the date of the local labor rate adjustment, and will be increased or decreased on the basis of changes to the local straight time hourly billing rate for mechanics. Price increase not to exceed 3%. HOURS OF SERVICE We will perform the Services during our regular working hours of regular working days, Monday through Friday 8:00 — 4:30. The Services include callbacks for emergency minor adjustment callbacks during regular working hours. If you authorize such callbacks outside regular working hours after 4:30 PM or Saturday, Sunday or elevator trade holidays you will be billed double -time. The cost of any parts not covered will also be billed. ACCEPTANCE Upon acceptance of this proposal, a detailed contract with Terms and Conditions will be provided. Acceptance by you as owner's agent or authorized representative and subsequent approval by our authorized representative will be required to validate this agreement. This quote is valid for sixty (60) days from the proposal date. Proposed: Accepted: ` By: Mark Nothnagel By: Kathy Lawn For: Rocky Mountain Elevator LLC For: Eagle County Airport A.T.C.T. Title: Member Title: Administrative Manager Date: December 1, 2010 Date: Approved: Web -Based Email :: Print rage 1 or 1 Print I Close Window Subject~ Conveyance Contractor License Expiring: 06/30/2011 From: "Jack Christos" <Jack.Christos state.co.us > Date: Mon, Oct 18, 201012:49 pm To: a nark@gockymtnetevator.com> Attach: logo.gif cuthere.gif cd DEPARTMENT OF LABOR AND o i.c DEPARTMENT OF LABOR AND EMPLOYMENT Ey A, EMPLOYMENT ,� Division of 011 and Public Safety a; Division of 011 and Public Safety ‘.*7 .....,* ' Conveyance Section * . * ` Conveyance Section ;A ° „. (303) 318 -8530 Fax (303) 318 -8488 • ° ! • (303) 318-8530 Fax (303) 318 -8488 ' . t » ' a /sie - `' ` i876 ` This is to certify that ROCKY MOUNTAIN ELEVATOR Issue Date: 10/15/2010 Expiration Date: 08/30/2011 is quatifled as a Conveyance Contractor Receipt for payment of $374.94 for. license!: 10-001246 Expiring: 06/3012011 Conveyance Contractor Subject to the conditions prescribed by the Elevator and Escalator License 410- 001245 Certification Act or any rule adopted pursuant to this Act. is authorized to perform the activity type listed above in the State of Colorado under this license certificate. ROCKY MOUNTAIN PO BOX 273 [WOLCOTT, CO 81655 mark rfir ockymtnelevator.com efl..' Colorado Department of Labor and Employment Divsion of 011 and Public Safety Conveyance T is to ce L rtify that MARK NOTHNAGE is qualified as a Type 1 Conveyance Mechanic License Number Expiration Date 08- 000418 06/30/2011 Copyright ® 2003 -2010. Ail rights reserved. http:// emai109 .secureserver.net/view_print multi. php? uidArray= 246$INBOX8taEralPart =0 10/18/2010 R b® DATE (MM /O CERTIFICATE OF LIABILITY INSURANCE OP ID AG Dmvn 01/03/11 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). PRODUCER I.UN I At. 1 JM Assoc./Burnham + Company PHONE FAX A div. of Hub International (A/c, No, Est): (A/C, No): 474 Sylvan Avenue E A DRE SS: Englewood Cliffs NJ 07632 CUSTOMER ID #: ROC/40 Phone:201- 568 -9800 Fax:201- 568 -5599 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURED INSURER Greenwich Insurance 22322 ROCKY MOUNTAIN ELEVATOR INSURER B : P.O. BOX 273 WOLCOTT CO 81655 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR SUNK POLICY EFF POLICY EXP TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM /DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY EGG6001848 06/10/10 06/10/11 PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE X OCCUR - MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $ 1 , 000,000 GENERAL AGGREGATE $3,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 4 , 000 , 000 — 1 POLICY X JE a LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON -OWNED AUTOS $ $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ALL LOCATIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EAGCO02 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. EAGLE COUNTY REGIONAL AUTHORIZED REPRESENTATIVE AIRPORT PO BOX 850 EAGLE CO 81631 > /1 ; � ©1 88 -2 0 A RD 0 ORATI N. A rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD