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HomeMy WebLinkAboutC14-099 SPX Corporation Agreement AGREEMENT FOR SERVICES BETWEEN EAGLE COUNTY,COLORADO AND SPX CORPORATION i� re- THIS AGREEMENT("Agreement")is effective as of the Al'? day of February,2014 by and between SPX Corporation an Illinois corporation(hereinafter"Contractor")and Eagle County,Colorado,a body corporate and politic(hereinafter"County"). RECITALS WHEREAS,Eagle County desires Contractor to perform on-site vault receiver rebuild and repairs(the"Project")at the Maintenance Service Center located at 3289 Cooley Mesa Road Gypsum,CO 81637 the"Property");and WHEREAS,Contractor is authorized to do business in the State of Colorado and has the time,skill,expertise,and experience necessary to provide the Services as defined below in paragraph 1 hereof;and WI-IEREAS,this Agreement shall govern the relationship between Contractor and County in connection with the Services. AGREEMENT NOW,THEREFORE,in consideration of the foregoing and the following promises Contractor and County agree as follows: 1. Services or Work. Contractor agrees to diligently provide all services,labor,personnel and materials necessary to perform and complete the services or work described in Exhibit A("Services"or"Work")which is attached hereto and incorporated herein by reference.The Services shall be performed in accordance with the provisions and conditions of this Agreement. a. Contractor agrees to furnish the Services no later than March 15,2014 and in accordance with the schedule established in Exhibit A. If no completion date is specified in Exhibit A,then Contractor agrees to furnish the Services in a timely and expeditious manner consistent with the applicable standard of care. By signing below Contractor represents that it has the expertise and personnel necessary to properly and timely perform the Services. b. 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. 2. County's Representative. The Eagle County Regional Transportation Authority Department's designee shall be Contractor's contact with respect to this Agreement and performance of the Services. 3. Term of the Agreement. This Agreement shall commence upon the date first written above,and subject to the provisions of paragraph 11 hereof,shall continue in full force and effect through the 15th day of March,2014. 4. Extension or Modification. Any amendments or modifications shall be in writing signed by both parties. No additional services or work performed by Contractor shall be the basis for additional compensation unless and until Contractor has obtained written authorization and acknowledgement by County for such additional services in accordance with County's internal policies. Accordingly,no course of conduct or dealings between the parties,nor verbal change orders,express or implied acceptance of alterations or additions to the Services,and no claim that County has been unjustly enriched by any additional services,whether or not there is in fact any such unjust enrichment,shall be the basis of any increase in the compensation payable hereunder.In the event that written authorization and acknowledgment by County for such additional services is not timely executed and issued in strict accordance with this Agreement,Contractor's rights with respect to such additional services shall be deemed waived and such failure shall result in non-payment for such additional services or work performed. 5. Compensation. County shall compensate Contractor for the performance of the Services in a sum computed and payable as set forth in Exhibit A. The performance of the Services under this Agreement shall not exceed$5,993.60. Contractor shall not be entitled to bill at overtime and/or double time rates for work done outside of normal business hours unless specifically authorized in writing by County. a. Payment will be made for Services satisfactorily performed within thirty(30)days of receipt of a proper and accurate invoice from Contractor. All invoices shall include detail regarding the hours spent,tasks performed,who performed each task and such other detail as County may request. b. If,at any time during the term or after termination or expiration of this Agreement,County reasonably determines that any payment made by County to Contractor was improper because the Services for which payment was made were not performed as set forth in this Agreement,then upon written notice of such determination and request for reimbursement from County,Contractor shall forthwith return such payment(s)to County. Upon termination or expiration of this Agreement,unexpended funds advanced by County,if any,shall forthwith be returned to County. c. 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. d. 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 of any year,without an appropriation therefor 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). 6. Subcontractors. Contractor acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the performance of any of the Services or additional services without County's prior written consent,which may be withheld in County's sole discretion. County shall have the right in its reasonable discretion to approve all personnel assigned to the subject Project during the performance of this Agreement and no personnel to whom County has an objection,in its reasonable discretion,shall be assigned to the Project. Contractor shall require each subcontractor,as approved by County and to the extent of the Services to be performed by the subcontractor,to be bound to Contractor by the terms of this Agreement,and to assume toward Contractor all the obligations and responsibilities which Contractor,by this Agreement,assumes toward County.County shall have the right(but not the obligation)to enforce the provisions of this Agreement against any subcontractor hired by Contractor and Contractor shall cooperate in such process.The Contractor shall be responsible for the acts and omissions of its agents,employees and subcontractors. 7. Insurance. Contractor agrees to provide and maintain at Contractor's sole cost and expense,the following insurance coverage with limits of liability not less than those stated below: 2 Eagle County General Services Final 1/14 f y a. Types of Insurance. i. Workers'Compensation insurance as required by law. ii. Auto coverage with limits of liability not less than$1,000,000 each accident combined bodily injury and property damage liability insurance,including coverage for owned,hired,and non-owned vehicles. iii. Commercial General Liability coverage to include premises and operations, personal/advertising injury,products/completed operations,broad form property damage with limits of liability not less than$1,000,000 per occurrence and$1,000,000 aggregate limits. b. Other Requirements. i. The automobile and commercial general liability coverage shall be endorsed to include Eagle County,its associated or affiliated entities,its successors and assigns,elected officials,employees,agents and volunteers as additional insureds.A certificate of insurance consistent with the foregoing requirements is attached hereto as Exhibit B. ii. Contractor's certificates of insurance shall include subcontractors,if any as additional insureds under its policies or Contractor shall furnish to County separate certificates and endorsements for each subcontractor. iii. The insurance provisions of this Agreement shall survive expiration or termination hereof. iv. The parties hereto understand and agree that the County is relying on,and does not waive or intend to waive by any provision of this Agreement,the monetary limitations or rights,immunities and protections provided by the Colorado Governmental Immunity Act,as from time to time amended,or otherwise available to County,its affiliated entities,successors or assigns,its elected officials,employees,agents and volunteers. v. Contractor is not entitled to workers'compensation benefits except as provided by the Contractor,nor to unemployment insurance benefits unless unemployment compensation coverage is provided by Contractor or some other entity. The Contractor is obligated to pay all federal and state income tax on any moneys paid pursuant to this Agreement. 8. Indemnification. The Contractor shall indemnify and hold harmless County,and any of its officers,agents and employees against any losses,claims,damages or Iiabilities for which County 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 or any of its subcontractors hereunder;and Contractor shall reimburse County for reasonable attorney fees and costs,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 County is liable to such third party for such claims without regard to the involvement of the Contractor. This paragraph shall survive expiration or termination hereof. 3 Eagle County General Services Final 1/14 9. Ownership of Documents. All documents(including electronic files)and materials obtained during, purchased or prepared in the performance of the Services 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. 10. Notice. Any notice required by this Agreement shall be deemed properly delivered when(i)personally delivered,or(ii)when mailed in the United States mail,first class postage prepaid,or(iii)when delivered by FedEx or other comparable courier service,charges prepaid,to the parties at their respective addresses listed below,or(iv) when sent via facsimile so long as the sending party can provide facsimile machine or other confirmation showing the date,time and receiving facsimile number for the transmission,or(v)when transmitted via e-mail with confirmation of receipt. Either party may change its address for purposes of this paragraph by giving five(5)days prior written notice of such change to the other party. COUNTY: Eagle County,Colorado Attention:Lance Trujillo 500 Broadway Post Office Box 1070 Gypsum,CO 81637 Telephone:970-328-3440 Facsimile:970-328-3539 E-Mail:lance.trujillo@eaglecounty.us With a copy to: Eagle County Attorney 500 Broadway Post Office Box 850 Eagle,C)81631 Telephone:970-328-8685 Facsimile: 970-328-8699 E-Mail:atty@eaglecounty.us eaglecounty.us CONTRACTOR: SPX Genfare 751 Pratt Boulevard Elk Grove,IL 60007 Telephone:847-593-8855 Facsilmile:847-593-8870 11. Termination. County may terminate this Agreement,in whole or in part,at any time and for any reason, with or without cause,and without penalty therefor with seven(7)calendar days'prior written notice to the Contractor. Upon termination of this Agreement,Contractor shall immediately provide County with all documents as defined in paragraph 9 hereof,in such format as County shall direct and shall return all County owned materials and documents.County shall pay Contractor for Services satisfactorily performed to the date of termination. 12. Venue,Jurisdiction and Applicable Law. Any and all claims,disputes or controversies related to this Agreement,or breach thereof,shall be litigated in the District Court for Eagle County,Colorado,which shall be the 4 Eagle County General Services Final 1/14 sole and exclusive forum for such litigation. This Agreement shall be construed and interpreted under and shall be governed by the laws of the State of Colorado. 13. Execution by Counterparts:Electronic Signatures. This Agreement may be executed in two or more counterparts,each of which shall be deemed an original,but all of which shall constitute one and the same instrument. The parties approve the use of electronic signatures for execution of this Agreement.Only the following two forms of electronic signatures shall be permitted to bind the parties to this Agreement:(i) Electronic or facsimile delivery of a fully executed copy of the signature page;(ii) the image of the signature of an authorized signer inserted onto PDF format documents. All documents must be properly notarized,if applicable. All use of electronic signatures shall be governed by the Uniform Electronic Transactions Act,C.R.S.24-71.3-101 to 121. 14. Other Contract Requirements and Contractor Representations. a. Contractor has familiarized itself with the nature and extent of the Services to be provided hereunder and the Property,and with all local conditions,federal,state and local laws,ordinances,rules and regulations that in any manner affect cost,progress,or performance of the Services. b. Contractor will make,or cause to be made,examinations,investigations,and tests as he deems necessary for the performance of the Services. c. To the extent possible,Contractor has correlated the results of such observations,examinations, investigations,tests,reports,and data with the terns and conditions of this Agreement. d. To the extent possible,Contractor has given County written notice of all conflicts,errors,or discrepancies. e. Contractor shall be responsible for the completeness and accuracy of the Services and shall correct,at its sole expense,all significant errors and omissions in performance of the Services. The fact that the County has accepted or approved the Services shall not relieve Contractor of any of its responsibilities. Contractor 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 performing similar services. Contractor represents and warrants that it has the expertise and personnel necessary to properly perform the Services and shall comply with the highest standards of customer service to the public. Contractor shall provide appropriate supervision to its employees to ensure the Services are performed in accordance with this Agreement.This paragraph shall survive termination of this Agreement. f. Contractor agrees to work in an expeditious manner,within the sound exercise of its judgment and professional standards,in the performance of this Agreement. Time is of the essence with respect to this Agreement. g. This Agreement constitutes an agreement for performance of the Services by Contractor as an independent contractor and not as an employee of County. Nothing contained in this Agreement shall be deemed to create a relationship of employer-employee,master-servant,partnership,joint venture or any other relationship between County and Contractor except that of independent contractor.Contractor shall have no authority to bind County. h. Contractor represents and warrants that at all times in the performance of the Services,Contractor shall comply with any and all applicable laws,codes,rules and regulations. 5 Eagle County General Services Final 1/14 i. This Agreement contains the entire agreement between the parties with respect to the subject matter hereof and supersedes all other agreements or understanding between the parties with respect thereto. j. Contractor shall not assign any portion of this Agreement without the prior written consent of the County. Any attempt to assign this Agreement without such consent shall be void. k. This Agreement shall be binding upon and shall inure to the benefit of the parties hereto and their • respective permitted assigns and successors in interest.Enforcement of this Agreement and all rights and obligations hereunder are reserved solely for the parties,and not to any third party. 1. No failure or delay by either party in the exercise of any right hereunder shall constitute a waiver thereof. No waiver of any breach shall be deemed a waiver of any preceding or succeeding breach. m. The invalidity,illegality or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provision hereof. n. The signatories to this Agreement aver to their knowledge no employee of the County has any personal or beneficial interest whatsoever in the Services or Property described in this Agreement.The Contractor has no beneficial interest,direct or indirect,that would conflict in any manner or degree with the performance of the Services and Contractor shall not employ any person having such known interests. o. The Contractor,if a natural person eighteen(18)years of age or older,hereby swears and affirms under penalty of perjury that he or she(i)is a citizen or otherwise lawfully present in the United States pursuant to federal law,(ii)to the extent applicable shall comply with C.R.S.24-76.5-103 prior to the effective date of this Agreement. 15. Prohibitions on Government Contracts. 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 Agreement. By execution of this Agreement, Contractor certifies that it does not knowingly employ or contract with an illegal alien who will perform under this Agreement 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 Services under this Agreement. a. Contractor shall not: i. Knowingly employ or contract with an illegal alien to perform Services under this Agreement;or ii. Enter into a subcontract that fails to certify to 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 Services under this Agreement 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/ac 1185221678150.shtm 6 Eagle County General Services Final 1/14 c. 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 Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien,Contractor shall be required to: i. Notify the subcontractor and County within three (3) days that 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 Contractor shall not terminate the contract with the subcontractor if during such three (3) days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. e. 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 Contractor violates these prohibitions, County may terminate the Agreement for breach of contract. If the Agreement is so terminated specifically for breach of this provision of this Agreement, Contractor shall be liable for actual and consequential damages to County as required by law. g. County will notify the Colorado Secretary of State if Contractor violates this provision of this Agreement and County terminates the Agreement for such breach. [REST OF PAGE INTENTIONALLY LEFT BLANK] • 7 Eagle County General Services Final 1/14 IN WITNESS WHEREOF,the parties have executed this Agreement the day and year first set forth above. COUNTY OF EAGLE,STATE OF COLORADO,By and Through Its COUNTY MANAGER M' By /Yi_____ Keith P.Mon ag,County Manage CONTRALTO :SP Co• ratio By. Print Name: Kim R. Green Title: President 8 Eagle County General Services Final 1/14 EXHIBIT A SCOPE OF SERVICES,SCHEDULE,FEES 9 Eagle County General Services Final 1/14 Genfare Page 1 of 1 • � � A Division of SPX Corporation 751 Pratt Boulevard Sales Quotation Elk Grove Village,IL 60007 _ Gen f a re Ph: (847)593-8855 Information Fax;(847)593-8870 Sales Quote No. 5004883 Document Date 02/05/2014 Sold-To-Party _; Customer No. 648 ECO TRANSIT Currency USD PO Box 1070 Contact Name GYPSUM CO 81637-1070 Phone 970/328-3526 FAX 970/328-3539 EMAIL Ship-To-Party Validity Start Date 02/05/2014 EAGLE COUNTY RTA-ECO Validity End Date 06/30/2014 3289 COOLEY MESA ROA Req Delivery Date 02/05/2014 GYPSUM CO 81637-1070 End User ECO TRANSIT 3289 COOLEY MESA ROAD GYPSUM CO 81637-1070 Item Material Quantity Price Amount 10 D25268-0001 1 EA 577.67 USD 577.67 KIT A, RECEIVER REHAB 20 D25268-0002 1 EA 820.93 USD 820.93 KIT B, RECEIVER REHAB 30 ITEM 1 EA 4,400.00 USD 4,400.00 Travel and labor 40 FREIGHT 1 EA 195.00 USD 195.00 Freight Final amount: 5,993.60 Signature: /' Date:02/05/2014 Sales Representative: Mark Mahon Phone: 847-871-1115 Email: mark.mahon@spx.com Genfare Price Quotation Summary Terms&Conditions:All prices are valid for 30 days unless otherwise noted above.Delivery will be made within 120 days ARO unless other dates are quoted above.Payment terms are Net 30 days after delivery and based on Genfare customer credit acceptance.Notwithstanding any modifications negotiated with the customer,warranty is(1)year from installation date or(14)months from shipment for new system equipment,whichever comes first.All warranty Items must be directed to Genfare for acceptance and disposition,not through OEM Bus Manufacturing Companies.The complete terms of the Genfare warranty are listed at www.genfare.com.Prices do not Include any state or local taxes unless specifically listed.Tax Is based on shipment and/or Invoice date not quote and/or purchase order date.Quotation Is FOB Elk Grove Village,IL and freight charges are not included.All price quotations are submitted in accordance with standard Genfare terms and conditions which are available on request. • EXHIBIT B INSURANCE CERTIFICATE 10 Eagle County General Services Final 1/14 A. ® DA7E(MM/ODn!YWj �.r CERTIFICATE OF LIABILITY INSURANCE 17.13012013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS w 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 ), AUTHORIZED z REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. la to IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS W ED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does o r rights to the e certificate holder in lieu of such endorsement(s). AcT PRODUCER NaoNrE. m AOn Risk Services central, Inc. a Grand Rapids MI Office IAPenc,,Ex,), (616) 456-5366 I l e): (616) 456-7451 d 171 Monroe Avenue, N.W. E-MAIL v Suite 525 ADDRESS: 2 Grand Rapids MI 49503 USA INSURERS)AFFORDING COVE =2, NAIC N INSURED INSURER A: ACE American ins-r.7- _,a,i r.,'r:. 22667 Genfare INSURERS: Indemnity Insurenc- of North America 43575 a division of SPX Corporation 13320 Bal1antyne Corporate Place INSURER C: Charlotte NC 28277 USA `;- !MEURER IX INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570052422812 "=‘'—'4N NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED ••':,- HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT vr.4THER DOCUMENT WITH RESPECT TO WHICH THiS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES D?,-_--BED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN RED;__`- ,___.',=_!F_ MS. INSR AnDUU auuR ,',,...-_t4,11 r: Limits shown are as requested LTR TYPE OF INSURANCE WSRivwD POLICY NUMBER Pa IMI p A N7AID. - •. GENERALUARILIY XSL 617329214 +.,,,+_r, , }_:<:,M/!01/201 EACH OCCURRENCE SRS 55,000,000 SIR applies per policy t �i '. i,;,.i "Sp;,. X COMMERCIAL GENERAL LIABLITY _ DAMAGE TO RENTED 55,000,000 PREMISES lEe occurrence) CLAIMS•MADE ©OCCUR MED EXP(Hypos potion) X Contractual LWilty : PERSONALAM S A INJURY 55,000,000 r. __ • GENERAL AGGREGATE S25,000,000 N esi GENiAGGREGATE LIMIT APP(L'I�ESPER; PRODUCTS•COMP/OP AGG $10,000,000 X POLICY I I PRO- I I tOC — A AUTOMOBILE LlABILiTY ISA H0883.609 01/01/2014 01/01/2015 COMBINED SINGLE LIMIT IEaaeeyentl _ 52,000,000 X ANY AUTO BODILY INJURY(Per person) 0 —ALL OWNED —SCHEDULED z AUTOS AUTOS _ BODILY INJURY(Par accident) y X HIRED AUTOS X NON-OWNED y`=" PROPERTY DAMAGE — a ea AUTOS F.. ....._ctdanO = ` UMBRELLA LAB OCCUR -.1'r"- EACH OCCURRENCE • .. 01.1 EXCESS LIAR CLAIMS-MADE AGGREGATE DE01 (RETENTION -:-T =_ _ . R WORKERS COMPENSATION AND r qt. C47.5,628A 01/01/2014 01/01/2015 X I WC STA7U•I I EMPLOYERS'LIABILITY YIN Al �`.S .er States TORY LIMITS ER _ ANYPROPRIETOR/PARTNER/E•xECl1TNE E.L.EACH ACC10ENi A OFFICENNFJJBERIXCLUDEO) © :;�; SCF 076291 01/01/2014 01/01/2015 51,000,000 (Mandatory In NH) 1! a,deem-De under •- E DISEASE•EA EMPLOYEE 51,000,000 DESCRIPTION OP OPERATIONS below .-� ••,`.'`._• EJ..DISEASE-POLICY LAN A Excess WC rf 51,000,000 WCU 047876308 01/01/2014 01/01/2015 EL Each Accident 51,000,000= I, OH EL Disease - Policy 51,000,000 IR applies per policy terms & candi-ions EL oisease - Ea Emp' 51,000,000 - DESCRIPTION OP OPERATIONS!LOCATIO:/VEHICLES('• oh ACORO let,Add Illonil Remarks Schedule,if more space is required) ' Limits of liability she fo -,eneralarabiltiy policy Nx5LG27329214 are in excess of a self insured Retention of 5250,000 per H occurrence. _ Limits of Liability - •wn ' workers' Compensation policy pwCUC47876308 are in excess of a Self Insured Retention of 'a'-' 51,000,000 per occu=.�sce rE.- :a.✓ CERTIFICAT i.-g s_.k-=- "-:::- CANCELLATION =. SHOULD ANY OF THE ABOVE OESCAIBEO POLICIES BE CANCELLED BEFORE THE AS= ' EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. GENFARE AUTHORIZED REPRESENTATIVE i8`� 13320 C00.PDR ON ' 13320 Ballantyne Corporate Place C� i C eb- HARLOTTE NC 8277 USA ce Her— St CG WerA 4 a p ZeL MI 01988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD