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HomeMy WebLinkAboutC14-113 Soaring Spirit, Inc. Agreement AGREEMENT BETWEEN EAGLE COUNTY, COLORADO AND SOARING SPIRIT, INC. This Agreement("Agreement") is effective as of March 2014, and is between the County of Eagle, State of Colorado, a body corporate and politic,by and through its County Manager ("County"), and Soaring Spirit, Inc. a Colorado corporation with a mailing address of PO Box 3455,Eagle, CO 81631 ("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, the use of outside providers enhances the ability of County to promote such health, safety and welfare; and WHEREAS, County wishes to hire Contractor to perform the 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 (hereinafter called "Contractor's Services" or"Services") incorporated herein by reference. The Contractor's Services are generally described as providing Equine Assisted Therapy and Therapeutic Riding services for Child Welfare clients to prevent unnecessary placement of children and youth in out-of-home care, support family preservation, and assist in family reunification. 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 with third parties that will conflict in any manner with this Agreement. CI4-1Pa 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 May 31, 2015. 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 Contractor 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 hours of work then satisfactorily completed. 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 County. 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. In no event shall fees or compensation under this 2 Agreement exceed ten thousand dollars ($10,000). Fees for any additional services will be as set forth in an executed addendum between the parties. 4.2 For reimbursement Contractor must submit invoices by the fifth business day of each month. 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 thirty(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 Agreement 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 set forth herein 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 31st 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: The Contractor shall 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 or any of its subcontractors hereunder; and 3 Contractor shall reimburse County for any and all 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 the County is liable to such third party for such claims 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 reporting 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. 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: 4 COUNTY: CONTRACTOR: Eagle County Health & Human Services Soaring Spirit, Inc. Toni Rozanski Alecz Adams, CH, DHP P.O. Box 660 PO Box 3455 Eagle, CO 81631 Eagle, CO 81631 970-328-8852 970-376-2770 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 Coverage Minimums • Workers' Compensation Statutory • Employers Liability, including $1,000,000 Occupational Disease • Comprehensive General Liability,including $1,000,000 per occurrence or as specified in Broad Form Property Damage the Colorado Governmental Immunity Act, whichever is greater. This policy shall be endorsed to include coverage of physical/sexual abuse and molestation. • Professional Liability Insurance $1,000,000 per occurrence • Third party fidelity/crime coverage The policy shall name Eagle County and including coverage for theft and Eagle County's clients as loss payee as their mysterious disappearance. Interests may appear. 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. Contractor shall name Eagle County, is elected officials and employees as an additional insured under the general liability policy. A certificate reflecting the foregoing insurance shall be attached hereto and incorporated herein as Exhibit C. 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 County may terminate this Agreement, if the Contractor assigns or subcontracts this Agreement 5 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. 10.2 The Contractor and County acknowledge that,during the term of this Agreement and in the course of the Contractor rendering the Contractor's Services,the Contractor and County may acquire knowledge of the business operations of the other party not generally known and 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 termination 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. 11. Miscellaneous: 11.1 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. 11.2 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. 11.3 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. 12. 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, 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 6 (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: (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 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, 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. II SIGNATURE PAGE TO FOLLOW// 7 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 ./F B - - eith Montag, County Man.:er CONTRACTOR: SOARING SPIRIT, INC. a Colorado corporation By: Alecz Adams, CH, DHP Soaring Spirit, Inc. 8 EXHIBIT A SCOPE OF SERVICES, PAYMENT& FEE SCHEDULE Description of Services: Provide Equine Assisted Therapy and Therapeutic Riding services for Child Welfare clients to prevent unnecessary placement of children and youth in out-of-home care, support family preservation, and assist in family reunification. Additional Provisions: 1. Assessments and Planning. Contractor shall provide the County with an assessment and plan within thirty (30) days of enrollment or participation in services by a family or child.This plan shall include the treatment plan for the child's family, including specific objectives and target dates for accomplishment. Such plan shall be subject to review and approval by County. Thereafter, at monthly intervals, Contractor shall submit reports that include progress and barriers in achieving the goals and provisions of the treatment plan. Reimbursement for services relating to the plan is subject to the timely receipt of written assessment, plan, and reports. 2. Eligibility. County is responsible for determining the eligibility of each individual family for services under this agreement. County shall advise Contractor in writing of the authorized service plan within three (3) working days of receipt of the certification and service plan (Exhibit B). There shall be no payment for services provided without prior authorization for such services by the County. Such authorization shall include the level of services to be provided,the nature and type of services provided and the time frames in which these services are to be provided. 3. Mandatory Reporting. Contractor shall notify HHS immediately of all reports of suspected child abuse or neglect involving Contractor, including, but not limited to, employees, volunteers and clients. HHS contractors are considered to be mandatory reporters for suspected child abuse and neglect and are to make those reports directly to the Eagle County Child Abuse and Neglect Hotline, 970-328-7720. Payment and Fee Schedule: County will compensate Contractor for performance of services as follows: (1) Face to face contact with the client or family for Equine Assisted Therapy and Therapeutic Riding-$75 per hour for On-Site services, $85 per hour for On-Site bilingual services. (2) Case management services-$35 per hour including travel to and from a client family home to perform services or participating in case conferences. The maximum contract amount is not to exceed $10,000. 9 Exhibit B Eagle County Health&Human Services Authorization for Services Household#:19- _ Case Name: Service Provider: Telephone#: Family's Mailing Address: Dates of Service: / Family's Physical Address: Start End Family Information Father Mother Child Child Child Child Child Family Members Date of Birth Household Suffix 01 02 03 04 05 06 07 State ID# Social Security# Types of Services Requested Please Check[Il]Which Family Members Will Receive Services Indicated Suffix 01 02 03 04 05 06 07 Family Communication Individual Parenting Skills Intensive Family/Individual Therapy Group Services Substance Abuse Evaluation Substance Abuse Treatment (Specified) Sexual Abuse Treatment Day Treatment Psychological Evaluation Psychiatric Evaluation Parent-Child Interact ional Other (Specified) _ Comments Total Number of Units Approved(1 unit=1 hour): Payment Method EHS Core TANF Child Welfare CWMH Core:Human Service Other Progress Reports Required Monthly Not Required Case Manager: Telephone#: Date Manager: Telephone#: Date Bills must be submitted by the 5th of the month.Mail to HHS.P.O.Box 660,Eagle,CO 81631 HHS Business Office Total Obligation: Date Entered: Service Dates Service Amounts Date Paid Obligation Balance 10 EXHIBIT C INSURANCE CERTIFICATE (Certificate of insurance to be inserted as Exhibit C) 11 CERTIFICATE OF INSURANCE Master Policy Named insured National Professional Purchasing Group Association,Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF Go Lockton Affinity,LLC INFORMATION ONLY AND CONFERS NO RIGHTS UPON P.0.Box 410679 THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES Kansas City,Missouri 64141-0679 NOT AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE CERTIFICATE DESCRIBED BELOW. Named Insured Member: INSURERS AFFORDING COVERAGE: Alecz Adams DBA Soaring Spirit, Inc. Certain Underwriters at Lloyd's, London Member Certificate Number: 105-1018857-01 THE CERTIFICATE OF INSURANCE LISTED BELOW HAS BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS DOCUMENT MAY PERTAIN,THE INSURANCE AFFORDED BY THE CERTIFICATE ISSUED TO THE MEMBER NAMED ABOVE IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF THE MASTER POLICY TO WHICH IT REFERS TO. AGGREGATE LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1. Master Policy Number: GLOPR1300702 2. Policy Period:The Policy Period shall commence during the Policy Period set forth below. Coverage shall commence from the date upon which the Named Insured holds a valid RPG membership during the Policy Period and shall continue up to but not exceeding 365 days in all. From: 03/16/2014 To: 03/16/2015 Both dates at 12:01 a.m Local Time at the address stated in Item 1 above. 3. Policy Administrator: Lockton Affinity, LLC P.O. Box 410679 Kansas City, MO 64141-0679 4. Insuring Agreements and Limits of Liability A. Professional Liability: i. Each Claim includes Claims Expenses $1,000,000 ii. Aggregate Limit of Liability includes Claims Expenses $1,000,000 B. General Liability (includes Host Liquor Liability) i. Each Claim includes Claims Expenses . $1,000,000 ii. Aggregate Limit of Liability includes Claims Expenses $1,000,000 C. Fire/Water Damage Legal Liability from any one fire or Water Damage $100,000 includes Claims Expenses D. Medical Expense Payments i. Each Person $2,000 ii. Aggregate Limit of Liability $50,000 E. Policy Aggregate Limit of Liability includes Claims Expenses $1,000,000 Supplementary payments are in addition to these limits. CERTIFICATE HOLDER CANCELLATION SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, PROOF OF COVERAGE NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE LII 482 Certificate of Insurance(10-13) laen,Ttit,e7V7 CERTIFICATE OF INSURANCE EFFECTED WITH CERTAIN UNDERWRITERS AT LLOYD'S, LONDON FOR THE MEMBERS OF THE RISK PURCHASING GROUP ALLIED HEALTH PROFESSIONAL LIABILITY AND GENERAL LIABILITY CLAIMS MADE AND REPORTED INSURANCE This Certificate of Insurance is issued as a Notice of Insurance for information only. It does not constitute a legal contract of insurance. The Master Policy, Declarations and Application of the Named Insured, if any, form the entire contract. This Certificate is furnished in accordance with, and in all respects is subject to all terms, conditions and exclusions of the Master Policy, a copy of which is attached hereto. The original Master Policy may be inspected at the offices of the Risk Purchasing Group (the"RPG"). This Certificate is to notify the member named below (the "Named Insured") that the following insurance has been effected with certain Underwriters at Lloyd's, London (not incorporated) (the "Underwriters") for the Policy Period specified below under the Master Policy (the"Master Policy") issued to the RPG. The attached Master Policy provides coverage on a claims made and reported basis and apply only to Claims first made against the Insured during the Policy Period or the Extended Reporting Period (if applicable) and reported to underwriters during the Policy Period or otherwise provided in clause XII.of the attached Master Policy. 1. Named Insured: Alecz Adams DBA Soaring Spirit,Inc. 2. Membership Number: 105-1018857-01 3. Risk Purchasing Group: National Professional Purchasing Group Association, Inc 4. Master Policy Number: GLOPR1300702 5. Policy Period: The Policy Period shall commence during the Policy Period set forth below. Coverage shall commence from the date upon which the Named Insured holds a valid RPG membership during the Policy Period and shall continue up to but not exceeding 365 days in all. From: 03/16/2014 To: 03/16/2015 Both dates at 12:01 a.m Local Time at the address stated in Item 1 above. 6. Policy Administrator: Lockton Affinity, LLC P.O. Box 410679 Kansas City, MO 64141-0679 7. Insuring Agreements and Limits of Liability A. Professional Liability: i. Each Claim includes Claims Expenses $1,000,000 ii. Aggregate Limit of Liability includes Claims Expenses $1,000,000 B. General Liability(includes Host Liquor Liability) _ i. Each Claim includes Claims Expenses $1,000,000 ii. Aggregate Limit of Liability includes Claims Expenses $1,000,000 C. Fire/Water Damage Legal Liability from any one fire or Water Damage $100,000 includes Claims Expenses D. Medical Expense Payments i. Each Person $2,000 ii. Aggregate Limit of Liability $50,000 E. Policy Aggregate Limit of Liability includes Claims Expenses $1,000,000 Supplementary payments are in addition to these limits. Schedule of Insurance for Professionals Professional& General Liability • May 14,2013 REN AL-PRO This deewusnt(Schedule of Inserauce)is Issued as a nodce or Insurance for information only.it does nut eousdtute a Legal contract of insurance. The entire Master Polley aid the applicadm,if any,form the endre contract. This Schedule of Insurance Is fareished in accordance with and in ill respects is subject to the terms of the Mauer Policy,a copy of which is attached berets. Insured: Alec Adams Soaring Spirit,Inc. Mailing Address: PO Box 3455, Eagle, CO 81631 Physical Address: 255 Wapiti Road,Eagle,CO 81631 Master Policy Number: B066462096C13 Master Policy Holder: Association Resource Group'PG Policy Administrator. Equisure,Inc 13790 E Rice P1 Ste 100 Aurora,CO 80015 Tel 1,800.7512472 Insurance Effected With: Underwriters at Lloyd's,London Lloyds of London Syndicates: AFB 2623 38.9500%,APB 623 8.5500%,SIC 2003 37.5000%,LIB 4472 15,00009E Certificate Number: B066462096C13-ADAMALI Coverage Form: Occurrence Policy Limits: EACH OCCURRENCE LIMIT $1,000,000 GENERAL AGGREGATE LIMIT(Other than Products/Completed Operations) $1,000,000 PRODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT $1,000,000 THE FOLLOWING LIMITS ARE SUB-LIMITS OF AND NOT IN ADDITION TO THE LIMITS SHOWN ABOVE: PERSONAL&ADVERTISING INJURY LIMIT 51,000,000 anY one Pen= EQUINE PROFESSIONAL LIABILITY LIMIT 81,000,000 any one act,error or omission FIRE DAMAGE LIMIT $50,000 any out Ere PROPERTY DAMAGE LIMIT $100,000 for property rented or loaned so you for o"covered activity"cc in your care,custody,OT control(otter than "horses") HORSE LIMIT $50,000 any one"horse"in your care,custody,ar control $100,000 in the aggregate for"horses"in your care,custody or control MEDICAL EXPENSE LIMIT 55,000 any on.pew li is expressly understood that we may amend the above Limits of Insurance during the term of this Master Policy by written notice to the Master Policy Holder. Period of Coverage: from 12:01 a.m.05/22/13 to 12:01 am.local time 05/22/14 Activities of the Insured: Instructor Trainer 0-15 Horses/Students Additional Insured: None NO ADMISSION OF LIABILITY MAY BE MADE EITHER VERBALLY OR IN WRITING. IF YOU RECEIVE ANY NOTICE OF A CLAIM BEING MADE AGAINST YOU OR ARE AWARE OF AN OCCURRENCE WHICH MAY RESULT IN A CLAIM, FULL DETAILS Or THE INCIDENT SHOULD BE SENT IMMEDIATELY 1N WRITING BY EMAIL OR BY LETTER TO claims@equisurc-ine.com OR ARG RISK PURCHASING GROUP C/O EQUISURE,INC.13790 E RICE PLACE,STE 100,AURORA,CO 80013 TEL;1,8003522472 S 880.00 Premium PLEASE NOTE:A 25% 30.12 Tax This contract Is delivered as surplus MINIMUM EARNED 0.00 Fee line insurance under the Nonadmitted PREMIUM APPLIES 123.88 Service Fee Insurance Act. The insurer issuing TO THIS POLICY 0.00 Other Fee this contract is not admitted In 0.00 Terrorism Colorado but is an approved $1034.00 Total nonadmitted insurer. There is no protection under the provisions of f the Colorado Insurance Guaranty Alma Association Act. Page 1 of 2 Auth..,-d fur- ARGPRGT01.01-Sz ADAMALI Alecz Adams Coverage is provided solely with respect to the activities,additional Insured's,and endorsements indicated in the tables below. If the Schedule Is blank with respect to any particular item,the policy does not afford coverage with respect to such item. Covered Activities: Professional Equine Liability Included Care,Custody,and Control Excluded Owned/Leased horses on premises for the use of trainh Included program only Care,Custody,and Control as part of Equine Included Professional Services Clinics Excluded Additional Insured's: Designated Persons or Organizations: Not applicable in Excluded respect of Coverage E—Equine Professional Liability: None _ Landlord/Landowner/Eacility Owners: Not applicable in Excluded respect of Coverage E—Equine Professional Liability: None Equipment Lessors: Not applicable in respect of Excluded Coverage E—Equine Professional Liability:None • Users of Team,Draft,or Saddle Animals: None Excluded Assistants: None Excluded Optional Endorsements: Pony Rides Excluded Horse Drawn Vehicle Rides Excluded Trail Riding as part of Lesson/Instruction Included Trail Riding Not Included as part of.lesson/instruction Excluded Horse Sales or Tack Stores and Retail(Not applicable in Excluded respect of Coverage E—Equine Professional Liability Therapeutic Riding(Instructing Included Breeding(Not applicable in respect of Coverage E— Excluded Equine Professional Liability Commercial Overnight Guests LExcluded Horse Rental to General Public for a Charge Excluded Day Camps Excluded Volunteers Excluded Short Term Care,Custody,and Control Included Long Term B Boarding Excluded Users of Golf Carts or other off-road vehicles where Excluded appropriate Other None Excluded 5/14/2013 Page 2 of 2