HomeMy WebLinkAboutC13-278 DJensen Electric Agreement AGREEMENT BETWEEN EAGLE COUNTY, COLORADO
AND
DJENSEN ELECTRIC,INC.
THIS AGREEMENT is made this40 day of$'51 &/n e42013,by and between
Eagle County, Colorado a body corporate and politic ("Airport"), and DJensen Electric,
Inc.,a company organized under the laws of the State of Colorado ("Contractor").
WHEREAS, Airport desires to install light poles, conduit, and cabling, and energize the
light poles in the rental car overflow parking lot located at the Eagle County Regional
Airport property(the"Facility").
WHEREAS, Contractor is authorized to do business in the State of Colorado, has
experience and expertise necessary to provide said services to Airport;and
WHEREAS, Airport 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 Airport in connection with
this Agreement.
NOW, THEREFORE, in consideration of the foregoing premises and the following
promises,Airport and Contractor agree as follows:
ARTICLE 1—WORK
1.1 Contractor will furnish all materials and labor necessary for installation and
energizing of poles as identified in Contractor's proposal dated July 31, 2013, attached
hereto as Exhibit A which is hereby incorporated by this reference (hereinafter the
"Work"or"Services"). As part of the Services,Contractor shall be solely responsible for
obtaining any and all necessary approvals and permits for performance of Services from
the Town of Gypsum or others as may be applicable. Contractor shall be solely
responsible for ensuring that the Services comply in all respects with Town of Gypsum
code requirements applicable to the Services, including requirements relating to lighting.
If no completion date is specified in Exhibit A, Consultant agrees to furnish the Services
in a timely and expeditious manner consistent with the applicable professional standard
of care. In the event of any conflict or inconsistency between the terms and conditions
set forth in Exhibit A and the terms and conditions set forth in this Agreement, the terms
and conditions set forth in this Agreement shall prevail.
ARTICLE 2—TERM OF AGREEMENT
2.1 This Agreement shall commence upon execution of this Agreement by both
parties,and, subject to the provisions of Article 10 hereof, shall continue in full force and
effect until the Services are satisfactorily completed in accordance with the terms of this
Agreement.
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t _ .y
ARTICLE 3—COMPENSATION
3.1 For the Services satisfactorily performed in accordance with this Agreement,
Airport will pay Contractor the amounts provided in Exhibit A. The maximum amount
of compensation under this Agreement shall not exceed four thousand six hundred
eighty-five dollars and no cents ($4,685.00) without a signed amendment to the
Agreement.
3.2 Airport will provide a deposit for materials in the amount three thousand six
hundred forty-five dollars (3,645.00) upon execution of this Agreement. Payment will be
made for remaining satisfactorily performed Services in the amount one thousand forty
dollars ($1,040.00) 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 Airport with such other
supporting information as Airport may request excluding Contractor's payroll
information.
3.3 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 upon
demand therefor.
3.4 Any services in addition to the Services ("Additional Services") shall be performed
by Contractor only after approval of Airport. Orders for Additional Services shall be on the
form attached hereto as set forth in Exhibit B and shall be approved by Airport and
acknowledged by Airport and Contractor in writing, prior to any such work identified as
Additional Services is performed by Contractor. Failure by Contractor to obtain written
authorization and acknowledgement from Airport for Additional Services shall result in
non-payment for any such Additional Services or work performed. Except as otherwise
agreed in writing by Contractor and Airport, all Additional Services shall be subject to the
terms and conditions of this Agreement. Airport may also by written notice to Contractor
make any reasonable reductions to the scope of the Services and the compensation payable
to Contractor shall be reduced in a fair and reasonable amount on account thereof.
Signature by Airport shall occur in compliance with Airport's contract approval
policy.
3.5 Airport shall have no obligations under this Agreement, nor shall any payments be
made to Contractor in respect of any period after December 31 of any year without an
appropriation therefore by Airport 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).
ARTICLE 4-CONTRACTOR'S REPRESENTATIONS
In order to induce Airport to enter into this Agreement, Contractor makes the following
representations:
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4.1 Contractor has familiarized itself with the nature and extent of the Services to be
provided hereunder, the Facility, 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 Services.
4.2 Contractor will make, or cause to be made, examinations, investigations,and tests
as he deems necessary for the performance of the Services.
4.3 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 this Agreement.
4.4 To the extent possible Contractor,has given Airport written notice of all conflicts,
errors,or discrepancies that he has discovered in the Agreement.
4.5 Contractor will be responsible for provision of the Services and shall perform the
Services in a skillful, professional and competent manner and in accordance with the
standard of care, skill and diligence applicable to contractors of its kind. Further, in
rendering the Services, Contractor shall comply with the highest standards of customer
service to the public. Contractor shall provide appropriate supervision of its employees
to ensure the Services are performed in accordance with this Agreement.
4.6 Contractor guarantees all Services against defects in workmanship for a period of
one (1) year from the date the Services are completed and accepted by Airport, or such
longer period as may be provided by law, and promises to repair or replace, at
Contractor's expense,any workmanship that is found to be defective.
4.7 Contractor guarantees and warrants that any equipment or materials provided by it
shall be new and free from defects of any nature for a period of one(1)year from the date
the equipment or materials are accepted by Airport. If any manufacturer or supplier of
any equipment or materials furnishes a guarantee or warrantee for a period longer than
one (1) year, the Contractor's guarantee shall extend for a like period as to such
equipment and materials.
4.8 Within a reasonable time after receipt of written notice, Contractor shall at its own
expense, without cost to Airport repair any defects in workmanship or equipment and
materials provided by it. Warranties required by this Agreement shall commence on the
date of acceptance of Services and equipment or materials by Airport and shall survive
termination of this Agreement.
ARTICLE 5—ENTIRE AGREEMENT
5.1 This Agreement represents the entire Agreement between the parties hereto.
There are no Contract Documents other than this Agreement and Exhibit A. The
Agreement may only be altered,amended,or repealed in writing.
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ARTICLE 6—MISCELLANEOUS
6.1 No assignment by a party hereto of any rights under,or interests in the Agreement
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 Agreement.
6.2 Airport 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 this Agreement.
6.3 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 omitted.
6.4 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.
(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 employ or
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/programs/gc 1185221678150.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.
(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:
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(i) Notify the subcontractor and Airport 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 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).
(f) If a Contractor violates these prohibitions,Airport 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) Airport will notify the office of the Colorado Secretary of State if
Contractor violates this provision of this Contract and Airport terminates the Contract for
such breach.
ARTICLE 7—JURISDICTION AND VENUE:
7.1 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 8—INDEMNIFICATION:
8.1 The Contractor shall, to the fullest extent permitted by law, indemnify and hold
harmless Airport and any of its officers,agents and employees against any losses, claims,
damages or liabilities for which Airport 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 Airport for any
and all attorney fees and costs and legal and other expenses incurred by Airport 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 Airport to
the extent that the Airport is liable to such third party for such claim without regard to the
involvement of the Contractor.
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F D
ARTICLE 9 OWNERSHIP OF DOCUMENTS AND MATERIALS:O
9.1 All documents (including electronic files) which are obtained durin g, purchased
or prepared in the performance of the Services shall remain the property of the Airport
and are to be delivered to Airport before final payment is made to Contractor or upon
earlier termination of this Agreement.
ARTICLE 10 TERMINATION:
10.1 Airport 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 of a written notice of termination specifying the date upon which termination
becomes effective. In such event, Contractor shall be compensated for all Services
satisfactorily completed up to the date of termination for such Services.
ARTICLE 11—NOTICE
11.1 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:
Airport: 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: DJensen Electric,Inc.
DJensen
P.O. Box 1221
Gypsum, CO 81637
(970)524-5043
(970)524-5063
11.2 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;
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or three days after the date of deposit, first class postage prepaid, in an official depositary
of the U.S.Postal Service.
ARTICLE 12—INDEPENDENT CONTRACTOR
12.1 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 between Airport and Contractor or Airport and Contractor's
employees. Contractor and its employees shall be, and shall perform as, independent
contractors. No officer, agent,subcontractor, employee, or servant of Contractor shall be,
or shall be deemed to be,the employee, agent or servant of Airport. Contractor shall be
solely and entirely responsible for the means and methods to carry out the Services under
this Agreement and for Contractor's acts and for the acts of its officers, agents,
employees, and servants during the performance of this agreement. Neither Contractor
nor its officers, agents, subcontractors,employees or servants may represent, act, purport
to act or be deemed the agent,representative,employee or servant of Airport.
ARTICLE 13—INSURANCE REQUIREMENTS
13.1 At all times during the term of this Agreement,Contractor shall maintain
insurance on its own behalf in the following minimum amounts:
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 Airport 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: $1,000,000
Each Accident or Occurrence: $1,000,000
13.2 Contractor shall purchase and maintain such insurance as required above and shall
provide certificates of insurance in a form acceptable to AIRPORT upon execution of this
Agreement.
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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
By: p- e;r =ontag f3t�S
DJENSE LECTRIC,IN
By: iior 1 -
Title: Ou)/u
8
EXHIBIT A
(Services)
9
1�ll"
V. ensen
ELECTRJC,IN,
..
"No Job Too Small"
July 31,2013 OPTION#2
Eagle County Regional Airport
Attn:Patrick Johnson
E-Mail: Patrickjohnson@eaglecounty.us
Dear Patrick:
Our price to provide and install the two(2)new Parking Lot lights is$4,685.00*,which includes the
following:
2— 152 watt LED light fixtures 2—30' square light poles
Conduit as needed Wire as needed
Miscellaneous parts as needed Labor as needed
All excavating and back fill to be done by Eagle County Regional Airport.
Any change orders or extras will be done on a Time&Materials basis. The labor rate is as follows:
1 Man $70.00/hour 2 Men $ 130.00
Payment is due as follows: $3,645.00 Materials Deposit/due upon acceptance of proposal**
$ 1,040.00 due upon completion***
Please acknowledge your acceptance by signing below&include a Purchase Order number. We look
forward to working with you. Please feel free to contact us at(970)524-5043 with any questions.
Sincerely:
David Driver
Lead Bidder
•
Print Name Date
Acceptance Signature
CC:Chris Anderson<chris.anderson®eaglecouaty.us
*This price is valid for 30 days from today. Any materials that are ordered after the 30 days may be subject to an increase,which will not exceed any increases
by DJE's vendors.
**No materials will be ordered without this deposit.
***Not to exceed a 30 day period. If the job extends more than 30 days due to no fault ofDJE,you will be billed on a monthly basis.
P.O. Box 1221 • Gypsum, CO 81637-1221
970-524-5043 •fax 970-524-5063
•
Applications— Parking lots, roadways and general area lighting.
r w
F!eight x Width x Belt Circle Anchor Bolt Structural
Catalog #
Wall Thickness Range Size `tde[ght of poi
%E-PS5E17C*DB 17'x 5"x 0.120" 10"-12' 3/4"-10 x 17'+3" 160
%E-PS5E20C'DB 20'x 5"X 0.120' 10"-12" 3/4"-10 x 17'+3" 185
%E-PS5E22S*DB 22'x 5"X 0.180' 10'-12' 3/4°-10 x 17`+3" 305
%E-PS5E25S'DB 25'x 5"x 0.180" 10"-12' 3/4"-10 x 1T+3" 330
%E-PS5E27S'DB 27'x 5"x 0.180" - 10"-12" 3/4'-10 x 1T+3" 350
%E-PSSE 30S'DB 30'x 5"x 0.180' 10"-12" 314"-10 x 17'+3" 380
•�!
*Select Drill Configuration Note:Tenon measures(2.38"O.D.x 4.0'L) 0 1 2 3 5 6 T
no drill 'U 111-4 j ■ tenon
Features
• Mechanically cleaned and coated with an electrostatically applied, • A standard full base cover is included with each pole and made
baked-on powder top coat. from ABS plastic;secured together with two plastic,hand push rivets.
• Painted II dark bronze. - Rectangular shaped handhole is furnished and includes a steel
cover,attachment bar with machine screw.
• Partially galvanized anchor bolts and hardware included.
• Handhole is located 1 e-inches above the pole base.
• Anchor bolts are made from carbon steel bar conforming to
AASHTO and ASTM Grade-55 requirements. • Ground lug is provided near the handhole and includes a hex-head
trot[and nut.
• Base is supplied with slotted anchor bolt openings for range of bolt
• Removable cap included with each pole configured for
circles to be utilized.
fixture side mounting or no drdl.
• Base plate telescopes the pole shaft and is circumferentially welded
top and bottom. • Pales with tenon top configuration do not include a pole cap.
• 1-year warranty
EPA INFORMA I ION
80 MPH 90 MPH 100 MPH
Height x Bolt Structural
Anchor Max Max Max
Width x Circle Weight of Max Max Max
Bolt Size Fixture Fixture Fixture
Wall Thickness Range Pole EPA Weight EPA Weight EPA Weight
17'x 5°x 0.120" 10"- 12" 160 3/4" 19.5 488 14.7 368 11.1 278
20'x 6°x 0.i 20" 10"- 12" 185 3/4" 14.0 373 10.9 273 8.0 200
22'x 5°x 0.180" 10"- 12" 305 3/4" 19.5 488 14.6 365 11.0 275
25'x 5°X 0.180" 10"- 12" 330 3/4" 15.6 390 11.3 283 8.1 203
27'x 5"x 0.180" 10"- 12" 350 3/4" 13.1 328 9.2 230 6.3 158
i* 30'x 5"x 0.180" 10"- 12" 380 3/4" 9.9 248 6.4 160 3.6 90
For mounting other manufacturers'fixtures,please reference EPA and maximum fixture weight information above.
The maximum wind zone chart is included only for reference. Soil conditions can vary substantially within an
area. Installers are advised to work with an engineering firm to determine suitable poles and EPA loadings for
every installation.
90(40)
:�,.�. w, 100 4
o�°ag. /1104
- n :slum .� / 120(54)
. le r: mow• e a" / 130(58)
Wnsus.uo= nsdoe _ j
9anw°mta =-qew Ch"..“'::: 90(40) tl.tapo '•
\\10.
s .ro..�n s.uuiecry Indio? c°'"..a '1ji�
F• safest Kamm 3,3(58)
Citi
9-luo LoiMglw.... °X tbdot •
4. ' - k 140(63)
• * *I thes ms
h°wb ...W".... jj / 1,0(63)
_ ..
Da _ -�- -
140(�)-NO a.Atsoa 140(93) 150(67) 150(67)
Legend i J
IN Special Wald Region end
P Center a�.,.a. \140(63)
90(40;1 130(59) 150(67) -_'r
100(45) 120(54)
110(49)
1501 96" Street Sturtevant. Wisconsin 53177 1 (8881243-9445 1 Fax (2621504-5409 1 www.e—conoliaht.com
EXHIBIT B
(Additional Services)
Requests for Additional Services must be made in the format attached:
10
EXHIBIT B-
AMENDMENT NO.
Project Name:
Project Address or Location
City: State: Zip Code:
"Contractor" and Eagle County, CO "AIRPORT" are
parties to a contract dated ("Contract") and wish to amend the Contract
as follows:
A. Contractor has been requested to perform and agrees to perform the following
Additional Services:
B. The compensation for said Additional Services shall be billed as set forth below in an
amount not to exceed$ ,which is in addition to the amounts stated in
the below:
This Additional Services Amount $
Previous Additional Services Amount $
Total of Additional Services to date $
Original Contract Amount $
Contract Amount to date $
Except as expressly amended or modified herein,the Contract shall remain unmodified and
in full force and effect and all Additional Services shall be performed in accordance with the
terms of the Contract.
This Amendment is executed on the day of
EAGLE COUNTY,CO: CONTRACTOR:
By: By:
Its: Its:
Dated: Dated:
NOTE: THIS AMENDMENT MUST BE SIGNED IN ACCORDANCE WITH EAGLE COUNTY'S CONTRACT
POLICY
11
nl:nyr CM - 1 a IIRCID IIIDUIdf)Gl IU:Httn: Gnris Hnderson (18fd328768/) 12:56 49%13/13 LSI Pg 1-I
AO • CERTIFICATE OF LIABILITY INSURANCE DATE(MMmDPYYY)
09!23/2013
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 CONTACT
NAME Kyle Shimkus
Kyle Shimkus(0707222) PHONE 970-328-0714 1 FAX 970-315-0147
(AIC,No,Ert) 1(A/C,No):
241 Broadway Suite 101 ADDRESS: kshimkus(afarmersagent.com
INSURER(S)AFFORDING COVERAGE f NAIC#
Eagle _ CO 81631 INSURER A: Truck Insurance Exchange 21709
INSURED ................._..._..---..._._...,...._.___
INSURER a:Farmers Insurance Exchange 21652
DJENSEN ELECTRIC INC. INSURER C: Mid Century Insurance Company 21687
PO BOX 1221
INSURER D:
INSURER E:
GYPSUM CO 81637 _INouncn r, -
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.
INBRI ADDLSU'a�R� POLICY err. POLICY EXF
LTR I TYPE OF INSURANCE INS WVD I POLICY NUMBER I
(MM113DIYYYY) EMM(DDIYYYY► LIMITS
'
{GENERAL LIABILITY
EACH OCCURRENCE $ 2,000,000
r/�v�/ COMMERCIAL GENERAL LIABILITY
PREDAMAGE TO RENTED
—`- AL MISES(Ea occurrence) $ 100,000
—1 CLAIMS-MADE I—X1 OCCUR PIED EX
I 5,000
i P(My one person) I$
B 045986663 4
- ...-----,---.- �. 03/20/2013 03/20/2014 I PERSONAL a ADV INJURY $ 2,000,000
i i 1 GENERAL AGGREGATE $ 4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
— I LPRODUCTS-COMP/OP AGG I$ 4,000,000
PERU LOC
7 POLICY I $
AUTOMOBILE LIABILITY ' 1 COMBINED SINGLE LIMIT
I I (Ea accident) 2,000,000
_ ANY AUTO i BODILY INJURY(Per person) $
B ]ALL OWNED SCHEDULED
AUTOS 1 x I Au Tos 045986663 03/20/2013 03/20/2014 BODILY INJURY(Per axident)I$
NON-OWNED E-- __..._.
I HIRED AUTOS AUTOS PROPERTY DAMAGE $
(Per accident)
$
L___ UMBRELLA LIAR — OCCUR EACH OCCURRENCE $
EXCESS LIAR
CLAIMS-MADE AGGREGATE $
DED I 1 RETENTION$ i$
WORKERS COMPENSATION WC STATU- 0TH-
AND EMPLOYERS'LIABILITY Y/N _—.�DORY LIMIT'S ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? NIA A04098657 8/1/2013 8/1/2014 -
(Mandafory In NH) E.L.DISEASE-EA EMPLOYEE$ yM 1,000,000
,if yes describe under
,DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 1,000,000
i
1
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required)
189 SPRING CREEK RD UNIT H,GYPSUM,CO 81637
•
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Eagle County Airport THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn:Chris Anderson;Asst.Aviation Director ACCORDANCE WITH THE POLICY PROVISIONS_
PO Box 850 s /
Ea le AUTHORIZED REPRESENTATI
9 CO 81631
Kyle Shimkus //yy-
ACORD 25(2010/05) ' 988-2010 ACORD C RPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
