HomeMy WebLinkAboutC15-282 Northwest Colorado Council of GovernmentsAGREEMENT FOR SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
NORTHWEST COLORADO COUNCIL OF GOVERNMENTS
THIS AGREEMENT ( "Agreement ") is effective as of the qlf- day of , 2015 by and
between Northwest Colorado Council of Governments, a voluntary association of co my and municipal
governments, located at 249 Warren Ave., Silverthome, CO 80498 (hereinafter " NWCCOG" or
Contractor ") and Eagle County, Colorado, a body corporate and politic (hereinafter "County ").
RECITALS
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, the County uses outside providers and professionals to enhance the ability of County to
promote such health, safety and welfare; and
WHEREAS, the County desires to enter into a partnership with NWCCOG to provide coordination and
facilitation of the Regional Health and Wellness Sector Partnership, which shall serve as the advising
body for the implementation of Health Links across Economic Development Region 12 (Pitkin, Eagle
Summit, Eagle, Grand and Jackson Counties), and coordinate communications and marketing of the
program across the same region. This partnership and regional work is through the Colorado Department
of Public Health and Environment's Cancer, Cardiovascular, and Pulmonary Disease Grants Program.
The services will occur throughout Economic Development Region 12, and will be coordinated from
NWCCOG's offices located at 249 Warren Ave, Silverthorne, CO 80498; 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
WHEREAS, 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 June 30, 2016 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 Public Health and Environment 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 30th
day of June, 2016.
4. Extension or Modification. This Agreement may be extended for up to three additional one year
terms upon written agreement of the parties. 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 $34,000. 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. For reimbursement Contractor must submit invoices monthly. Invoices shall include a
description of the 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.
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.
All invoices must be email, mailed or delivered in- person to the following address to ensure
proper payment. Invoices sent by fax will not be accepted.
Email: katie.haas(a)eaglecounty.us or hhsaccountspayable(a)ea lecount Thus
Mail or In- Person:
Eagle County Health and Human Services
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Eagle County HHS General Services Final 5/14
Business Office
550 Broadway
Post Office Box 660
Eagle, CO 81631
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. 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.
d. 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.
C. 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:
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Eagle County HHS General Services Final 5/14
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. This policy shall be
endorsed to include coverage for physical/sexual abuse and molestation.
b. Other Requirements.
i. The automobile and commercial general liability coverage and as set forth above
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 liabilities 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; including claims for bodily injury or personal injury including death or
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Eagle County HHS General Services Final 5/14
loss or damage to tangible or intangible property; 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.
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: Katie Haas
500 Broadway
Post Office Box 850
Eagle, CO 81631
Telephone: 970 -328 -8855
E -Mail: katie.haas(a)eaglecount y us
With a copy to:
Eagle County Attorney
500 Broadway
Post Office Box 850
Eagle, Co 81631
Telephone: 970 - 328 -8685
Facsimile: 970- 328 -8699
E -Mail: atty @eaglecounty.us
CONTRACTOR:
Northwest Colorado Council of Governments
Attention: Liz Mullen
PO Box 2308
Silverthorne, CO 80498
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Eagle County HHS General Services Final 5/14
Telephone: 970 - 468 -0295
Fax: 970 - 468 -1208
Email: lmul len(a-)nwccog. org
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 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 terms 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
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Eagle County HHS General Services Final 5/14
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. In the event County finds these standards of customer
service are not being met by Contractor, County may terminate this Agreement, in whole or in part, upon
seven (7) days' notice to Contractor. 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.
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.
Eagle County HHS General Services Final 5/14
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.
P. Contractor shall comply with the Civil Rights Act of 196 and Section 504, Rehabilitation
Act of 1973, concerning discrimination on the basis of race, color, sex, age, religion, political beliefs,
national origin or handicap.
15. Prohibitions on Government Contracts.
As used in this Section 15, the term undocumented individual will refer to those individuals from foreign
countries not legally within the United States as set forth in C.R.S. 8 -17.5 -101, et. seq. If Contractor has
any employees or subcontractors, Contractor shall comply with C.R.S. 8- 17.5 -101, et. seq., and this
Agreement. By execution of this Agreement, Contractor certifies that it does not knowingly employ or
contract with an undocumented individual 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 undocumented individual 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 undocumented individual 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 /Qc 1185221678150 shtm
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 undocumented individual, 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 undocumented individual;
and
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Eagle County HHS General Services Final 5/14
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 undocumented individual; 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 undocumented
individual.
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 ofpage intentionally left blank]
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Eagle County HHS General Services Final 5/14
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 BOARD OF COUNTY
COMMISSI NERS
B:
f athy andler- Henry, Chair
Attest:
By: tartt
Teak J. Simonton, Clerk to the Board
NORTHWEST COLORADO COUNCIL
OF GOVERNMENTS
I: z
PP - -
Print Name: Kam Stiegelmeier, Summit County_
Commissioner
Title: Chair, Northwest Colorado Council of
Governments
io
Eagle County HHS General Services Final 5/14
SERVICES:
EXHIBIT A
SCOPE OF SERVICES, SCHEDULE, FEES
Convene core group members to serve as the regional Advisory Committee for the Workwell
Collaborative that are representative of:
a. all Counties in Economic Development Region 12: Pitkin, Eagle, Summit, Grand
and Jackson (hereinafter "Region ")
b. private and public sector organizations
c. represent populations likely to be at -risk for chronic disease
2. Gain commitment from core group members and document common goals, meeting schedule,
etc. to demonstrate group commitment.
3. Provide summary of core group meetings and updates to relevant stakeholders throughout the
Region.
4. Support Advisory Committee meetings by providing or coordinating food, supplies,
facilitation services, etc. as needed.
5. Enable and help coordinate opportunities for Health Links Advisors to promote Health Links
across the Region (e.g. make connection to local chambers of commerce)
Develop and implement a communications plan and public awareness campaign; collaborate
with Health Links to maintain core consistent messaging and with Health Links Advisors to
assure relevancy of messaging locally.
a. This includes overseeing placement of advertisements and payment of advertising
vendors throughout the Region.
b. Provide copies of all communications plans, materials developed and advertisements
placed to Eagle County Public Health and Environment, including campaign details
such as dates run, estimated reach, etc.
7. Help coordinate and /or participate in events to promote Health Links including recognition
events and trainings as applicable.
SCHEDULE:
The Contractor shall work the hours required to fulfill the scope of work.
FEES:
The Contractor will submit an invoice by the 3rd day of each month for services provided the month prior.
The Contractor shall be paid at a rate of $40 per hour, and cover expenses related to outreach and
promotion that it initiates. The invoice will include all costs associated with the grant project as defined
above. Contract amount may not exceed $34,000 for the Term of the Agreement. Payment will be by
check and mailed to the Contractor from Eagle County Public Health and Environment grant funds.
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Eagle County HHS General Services Final 5/14
EXHIBIT B
INSURANCE CERTIFICATE (attached on next page)
12
Eagle County HHS General Services Final 5/14
C R-0- CERTIFICATE OF LIABILITY INSURANCE - (MLVW/Y)
PRODUCER LIC INN /A 1 -303- 757 -5475
CIRSA
3665 Cherry Creek North Drive
06/23/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ORALTERTHECOVERAGEAFFORDEDBYTHEPOLICIESBELOW.
Denver, CO 80209
INSURERS AFFORDING COVERAGE
INSURED
Northwest Colorado Council of Governments INSURER A:CIRSA
INSURER B: PO Box 2308
INSURER C:
Silverthorne, CO 80498 INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANYREQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED ORMAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCHPOLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
X CLAIMS MADE F1 OCCUR
LIAR 01 -2015 01 /01 /15
LIMITS
01/01/16 EACH OCCURRENCE 5,000,000
FIRE DAMAGE (Any one fire) 5,000,000
MED EXP (Any one person 0X $30m POL E &O Aggregate
PERSONAL & ADV INJURY 5,000,000
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
LOC
PRODUCTS- COMPlOPAGG 5,000,000
A AUTOMOBILE
X
LIABILITY
ANY AUTO
LIAS 01 -2015 01 /01/15 01/01/16
COMBINED SINGLE LIMIT
Ea accident) 5,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY
Per person)
HIRED AUTOS
NON -OWNED AUTOS BODILY INJURY
Per accident)
PROPERTY DAMAGE
Per accident)
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY:
AGG S
EXCESS LIABILITY
OCCUR CLAIMS MADE
EACH OCCURRENCE
AGGREGATE
DEDUCTIBLE
RETENTION b
WORKERS COMPENSATION Ala?
EMMLOYERS' LtMLITY WC STATE OTH-
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYE
E.L. DISEASE - POLICY LIMITI 3OTHER
s
s
S
DESCRIPTION OF OPERATIONS /LOCATIONSNENICLEstEI(CLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Certificate Holder is Additional Insured on Liability Policies if required by contract.
With respects to the coordination and facilitation of the Regional Health and Wellness Sector Partnership.
CERTIFICATE HOLDER Y I AODmONAL INSURED; INSURER LETTER: A CANCELLATION
Eagle County, its associated /affiliated entities, ISAOA,
its elected officials, employees, agents & volunteers
Debbie Faber
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAR 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
PO Box 850 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Eagle, Co 81631
USA
REPRESENTATIVES/
AUTHORIZED REPRESENTATIVE
ACORD 25-S (7197) xegc
4428 95084428 oACORD CORPORATION 1988
TM
CERTIFICATE OF LIABILITY INSU RANCE DATE(MM/DD/YYYYPRODUCER
of 06/16!2015
7501 wry
Blnce
7501 E Lowry Blvd
Denver, CO 8023Q -7006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYANDCONFERSNORIGHTSUPONTHECERTIFICATE
POLICY F1 PROJECT LOG
HOLDER. THISCERTIFICATEDOESNOTAMEND, EXTEND OR
GENERAL AGGREGATE
ALTER THECOVERAGEAFFORDEDBYTHEPOLICIESBELOW.
PRODUCTS - COMP /OP AGG
INSURED INSURERS AFFORDING COVERAGE NAIC# Northwest Colorado Council of Governments INSURERA pinnacol Assurance249WarrenAvenue 41190
Silverthorne, CO 80498
INSURER B
INSURERC
INSURER D:
COVERAGES NSURER E
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE THE POLICY PERIOD INDICATED. NOTWITHSTANDNIANYREQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT WITH RESPECTIT O WHICH THIS CERTIFICATE MAYBE ISSUED ORMAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCHPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADO'L
LTR INSRD POLICY EFFECTIVE P OLICY EX TlTYPEOFINSURANCEPOLICYNUMBERDATE(MM/DD/YYYY) ]DATE(MM/ GENERAL LIABILITY LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
CLAIMS MADE OCCUR DAMAGE TO RENTED
J MED EXP(Any one person)
GEMLAGGREGATE LIMITAPPLIERS PER. PERSONAL &ADV INJURY
POLICY F1 PROJECT LOG
ANY AUTO
GENERAL AGGREGATE
AUTOMOBILE LIABILITY PRODUCTS - COMP /OP AGG
ANY AUTO
OTHER THAN EAF
COMBINED SINGLE LIMIT
ALL OWNED AUTOS
AUTO ONLY /
a Accident)
SCHEDULED AUTOS
EACH OCCURRENCE
BODILY INJURY
HIRED AUTOS
AGGREGATE
Per person)
NON -OWNED AUTOS BODI LY I NJURY
Eagle County
ATTN: Debbie Faber
PO Box 850
Eagle, CO 81631
ACORD
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHEEXPIRATIONDATETHEREOF, THE ISSUING COMPANY WILL ENDEAVOR TNOTIFY10DAYSWRITTENNOTICETOTHECERTIFICATEHOLDERNAMEDTOTHELEFT, BUT FAILURE TO NOTIFY SUCH NOTICE SHALL IMPOSE NOOBLIGATIONORLIABILITYOFANYKINDUPONTHECOMPANY, ITS AGENTS ORREPRESENTATIVES.
AUTHORIZED REPRESENTATNE
Dreya Hyche
Underwriter A nnen n........... _.
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PROPERTY DAMAGE
GARAGE LIABILITY Peraccident)
ANY AUTO AUTO ONLY- EA ACCIDENT
OTHER THAN EAF
EXCESS /UMBRELLA LIABILITY AUTO ONLY /
OCCUR CLAIMS MADE EACH OCCURRENCE
AGGREGATE
DEDUCTIBLE
RETENTION E
WORKER$,CFl1VPENSATtONAND" ,
EMPLOYE" LIABILITY < A WCSTATU- OTHER
ANY PROPRIETOR /PARTNER /EXECUTIVE 38535 04/01/2015 04/01/2016 TORYLIMITS
OFFICER /MEMBER EXCLUDED? E. LEACHACCIDENT
It yes, please deSonbe under SPECIAL PROVISIONS below E L DISEASE - EA EMPLOYEE
OTHER
ELDISEASE- POUCYLIMIT
DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES/EXCLUSIONS ADDED BYE NDORSEM ENT/SPECI AL PROVISIONSCountydesirestoenterintoapartnershipwithNWCCOGtoprovidecoordinationandfacilitationoftheRegionalHealth Wellnessand Sector Partnership.
Eagle County
ATTN: Debbie Faber
PO Box 850
Eagle, CO 81631
ACORD
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHEEXPIRATIONDATETHEREOF, THE ISSUING COMPANY WILL ENDEAVOR TNOTIFY10DAYSWRITTENNOTICETOTHECERTIFICATEHOLDERNAMEDTOTHELEFT, BUT FAILURE TO NOTIFY SUCH NOTICE SHALL IMPOSE NOOBLIGATIONORLIABILITYOFANYKINDUPONTHECOMPANY, ITS AGENTS ORREPRESENTATIVES.
AUTHORIZED REPRESENTATNE
Dreya Hyche
Underwriter A nnen n........... _.
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ACORD^
PRODUCER
Pinnacol Assurance
7501 E Lowry Blvd
Denver, CO 80230-7006
INSURED
Northwest Colorado Council of Governments
249 Warren Avenue
Silverthorne, CO 80498
COVERAGES
POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
TYPE OF INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
cLArMs MADE I occuR
GEN'L AGGREGATE LIMIT APPLIERS PER
POLICY NUMBER
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AUTOIIOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
DATE (MM/OofvYYY)
0312112016
EXCESS/UiIBRELLA LIAEILTTY
occuR I I CLAIMSMADE
DEDUCTIBLE
RETENTION $
WORKERS COIiPENSATION AND
EI{PLOYER'S LIABILITY
ANY PROPRIETOR/PARTNERJEXECUTIVE
OFFICERYMEMBER EXCLUDED?
It ves, pl€asedoscribe undor SPECIAL PROVISIONS b€low E.L DISEASE. POLICY LIMI'T
DESCRIPTION OF OPERAlIONS'LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT'SPECIAL PROVISIONS
County desires to enter into a partnership with NWCCOG to provide coordination and facilitation of the Regional Health and Wellness Sector Partnership.
Eagle County
ATTN: Debbie Faber
PO Box 850
Eagle, CO 81631
AUTHORIZED REPRESENTATIVE
Sabrina Willis-Haywood
Underwriter ACORD CORPORATION 1988
SHOUID AI'|Y OF THE AEOVE OCSCRIAED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
NOTIFY 1O DAYS WRIfiEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
THE LEFT, BUT FAILURE TO NOTIFY SUCH NOTICE SHALL IMPOSE NO
OBLIGATION OR LIABILIW OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW,
INSURERS AFFORDING COVERAGE NAIC#
INSURER A Pinnacol Assurance 41190
INSURER B:
INSURER D
INSURER E
POLICY EFFECTIVE
CERTIFICATE HOLDER COPY
Eagle County
ATTN: Debbie Faber
PO Box 850
Eagle, CO 81631
IMPORTANT
lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A
statement on this certificate does not confer rights to the certificate holder in lieu of such
endorsement(s).
lf SUBROGATION lS 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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract
between the issuing insurer(s), authorized representative or producer, and the certificate
holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded
by the policies listed thereon.
