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HomeMy WebLinkAboutC15-376 Lewan & Associates Inc. dba Lewan Technology AGREEMENT FOR SERVICES
BETWEEN EAGLE COUNTY,COLORADO
AND
LEWAN&ASSOCIATES,INC.DBA
LEWAN TECHNOLOGY
THIS AGREEMENT("Agreement")is effective as of the Z I day of seelei,t3c-,2015 by and between
Lewan&Associates Inc.,a Colorado corporation d/b/a Lewan Technology(hereinafter"Contractor"or
"Consultant")and Eagle County,Colorado,a body corporate and politic(hereinafter"County").
RECITALS
WHEREAS,County requires assistance implementing a multi-factor authentication solution to improve its security
posture for remote virtual private network connections(the"Project")at the county building located at 500
Broadway,Eagle,Colorado(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
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 December 31'`,2015 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 Innovation and Technology 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 31' day of March 2016.
CiS 3 L2
a ,
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$4,500. 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
2
Eagle County Professional Services IT Final 5/14
•
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:
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.
iv. Professional Liability (Errors and Omissions) including Cyber Liability with prior acts
coverage for all deliverables,Services and additional services required hereunder,in a form and with insurer or insurers
satisfactory to County,with limits of liability of not less than$3,000,000 per claim and$3,000,000 in the aggregate. The
insurance shall provide coverage for(i) liability arising from theft,dissemination and/or use of confidential information
stored or transmitted in electronic form; (ii) Network Security Liability arising from unauthorized access to, use of or
tampering with computer systems including hacker attacks,inability of an authorized third party to gain access to your
Software or Services including denial of access or Services unless caused by a mechanical or electrical failure; (iii)
liability arising from the introduction of a computer virus into, or otherwise causing damage to, County or a third
person's computer,computer system,network or similar computer related property and the data,software and programs
thereon.
v. Crime Coverage shall include employee dishonesty, forgery or alteration and computer
fraud. If Consultant is physically located on County premises, third party fidelity coverage extension shall apply. The
policy shall include coverage for all directors,officers and employees of the Consultant.The bond or policy shall include
coverage for extended theft and mysterious disappearance. The bond or policy shall not contain a condition requiring an
arrest or conversion. Limits shall be a minimum of$1,000,000 per loss.
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
3
Eagle County Professional Services IT Final 5/14
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;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:Scott Lingle
500 Broadway
Post Office Box 850
Eagle,CO 81631
Telephone:970-328-3581
Facsimile:970-328-3599
E-Mail:scott.lingle @eaglecounty.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
4
Eagle County Professional Services IT Final 5;14
E-Mail:atty@eaglecounty.us
CONTRACTOR:
Lewan&Associates,Inc.d/b/a
Lewan Technology
1400 S.Colorado Boulevard
Denver,Colorado 80222
303-759-5440
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 deemed 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 similar services. Contractor represents and warrants
5
Eagle County Professional Services IT Final 5114
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.
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(1 8)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.
(REST OF PAGE INTENTIONALLY LEFT BLANK]
6
Eagle County Professional Services IT Final 5/14
• 1 C
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
B y: ate*
C(3.
-Brent-talent County Manager
�Ir c 0 ze.l ter y7At-14,
LEWAN&ASSOCIATES,INC.DBA
LEWAN TECHNOLOGY:
By: --
Print Name: [,7G WC. -'7t,Vo1c�
Title: U(�
7
Eagle County Professional Services IT Final 5/14
EXHIBIT-A
SCOPE OF SERVICES,SCHEDULE,FEES
PREPARED BY
Derek Murrow,Account Executive
Kenneth Fingerlos,Solutions Architect
9/29/2015
INTRODUCTION
Eagle County Government ("Customer") has requested that Lewan Technology ("Lewan") provide assistance with
migration of authentication for their existing Cisco VPN solution from their existing method over to their existing
Microsoft Azure Multi-Factor(formerly PhoneFactor)solution. This will provide two factor authentication options for
their remote users.
TASKS AND DELIVERABLES
The goal of these services is to assist Customer with the following tasks and deliverables:
• Audit existing Cisco VPN authentication methods and users
• Create Azure Multi-Factor Authentication policies and configuration to mimic existing VPN authentication
behavior for existing VPN users
• Create Azure Multi-Factor Authentication policies and configuration to apply two-factor authentication
behavior for selected IT users
• Configure existing Cisco VPN to utilize Azure Multi-Factor Authentication via RADIUS
• Demonstrate how to add two-factor authentication requirement to existing users
WORK PREREQUISITES, ASSUMPTIONS, AND SPECIFIC CUSTOMER RESPONSIBILITIES
a Customer has or will acquire sufficient Azure Multi-Factor Authentication subscriptions to support the
additional users
• Cisco VPN integration with Azure Multi-Factor Authentication will occur via existing RADIUS interface
• Services will be delivered remotely via Cisco WebEx with Customer staff shadowing Lewan engineer
PROJECT COSTS
Estimated Cost(Time-and-Materials)for LPS Consulting Services*
RESOURCE/CATEGORY BASIS ESTIMATED COST($) COMMENTS
Consultant 8-16 hours @$200/hr $1,600-$3,200
Project Coordination 1 hours @$125/hr $125-$250
Total Services $1,725-$3,450+
*It is Lewan's recommendation to account for an additional 25%contingency budget to account for unknowns.
• Billing for this project will take place monthly, typically on or about the last day of the calendar month based
on the number of hours worked and the hourly rate for services.
8
Eagle County Professional Services IT Final 5/14
• Outages often require services to be performed outside of normal Lewan business hours(Monday through
Friday, 8:OOam-5:OOpm). Off-hours services will be billed at double the hourly rate for Sundays and
Holidays and time-and-one-half the hourly rate for other off-hours services.
9
Eagle County Professional Services IT Final 5/14
® DATE(MM/DD/YYYY)
ACORE CERTIFICATE OF LIABILITY INSURANCE 09/16/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Marie Bearden,CISR
NAME:
Seacrest Partners,Inc.
3565 Piedmont Road,NE
PHONE E 404-602-5678 FAX 404-602-5661
(NC.No.Ext): (NC,No):
Building 2,Suite 540 E-MAIL DSS:Marie.Bearden @SeacrestPartners.com
Atlanta,GA 30305
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:Hartford Fire Insurance Company 19682
INSURED INSURER B:ACE Property and Casualty Insurance Company 20699
Lewan&Associates,Inc.
1400 S.Colorado Blvd INSURER C:Trumbull Insurance Company 27120
Denver,CO 80222-3648 INSURER D:Zurich American Insurance Company 16535
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:Q72RSVTP REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE INSR SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
(MM/DD/YYYY) (MM/DDIYYYY)
A GENERAL LIABILITY 20 CSE S24102 01/01/2015 01/01/2016 EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED
X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 500,000
CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000
X Contractual Liability PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
-I POLICY I PR Q X LOC $
A AUTOMOBILE LIABILITY 20 CSE S24103 01/01/2015 01/01/2016 COMBINED SINGLE LIMIT
(Ea accident) $ 2,000,000
X ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
_ AUTOS _ AUTOS
X X AUTOS NED PROPERTY DAMAGE $
HIRED AUTOS _ AUTOS (Per accident)
Comp&Collision $0 Ded
B J( UMBRELLA LIAB X OCCUR XOO G27637103 01/01/2015 01/01/2016 EACH OCCURRENCE $ 20,000,000
EXCESS LIAB `— CLAIMS-MADE AGGREGATE $ 20,000,000
DED X I RETENTION$25,000 $
C WORKERS COMPENSATION 20 WN S24100 01/01/2015 01/01/2016 X I WC CY LIMITS I 10TH-
AND
N EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N EXCLUDES MONOPOLISTIC E.L.EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? N/A STATES
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
D Employee Dishonesty FID 9805723 03 01/01/2015 01/01/2016 Limit $ 1,000,000
Deductible $ 50,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
Eagle County,its associated or affiliated entities,its successors and assigns,elected officials employees,agents and volunteers is/are an additional insured with respect to
liability coverage as required by written contract or agreement with respect to sales and service of equipment and supplies by Lewan&Associates,Inc..
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Eagle County S AUTHORIZED REPRESENTATIVE
500 Broadway 0.8,,,,i)4._. ,
Eagle,CO 81631
Page 1 of 2 ©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
Policy Number: 20 CSE S24102 COMMERCIAL GENERAL LIABILITY
CG 20 26 07 04
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -DESIGNATED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name Of Additional Insured Person(s)Or Organization(s)
ANY PERSON OR ORGANIZATON FROM WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT OR
AGREEMENT TO NAME AS AN ADDITIONAL INSURED.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Section II -Who Is An Insured is amended to include
as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with
respect to liability for "bodily injury", "property
damage" or "personal and advertising injury" caused,
in whole or in part, by your acts or omissions or the
acts or omissions of those acting on your behalf:
A. In the performance of your ongoing operations; or
B. In connection with your premises owned by or
rented to you.
CG 20 26 07 04 (c) ISO Properties, Inc., 2004 Page 1 of 1
Page 2 of 2 Q72RSVTP
___-.....1 ® DATE(MM/DD/YYYY)
,4�° CERTIFICATE OF LIABILITY INSURANCE 09/28/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the olic ies must be endorsed. If SUBROGATION IS WAIVED, subject to
tv
P Y( ) subject
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). c
PRODUCER CONTACT a
NAME:
Aon Risk Services Northeast, Inc. PHONE FAX ti
New York NY Office (A/C.No.Ext):
(866) 283-7122 IA/C.No.): 800-363-0105
199 Water Street E-MAIL p
New York NY 10038-3551 USA ADDRESS: _
INSURER(S)AFFORDING COVERAGE NAIC#
INSURED INSURER A: AIG Specialty Insurance Company 26883
Xerox Corporation INSURER B:
and/or Subsidiary companies
45 Glover Ave. INSURER C:
PO BOX 4505 INSURER D:
Norwalk CT 06856-4505 USA
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570059619736 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR INSD WVD IMM/DD/YYYY) IMM/DD/YYYY)
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
CLAIMS-MADE OCCUR DAMAGE TO RENTED
' PREMISES(Ea occurrence)
MED EXP(Any one person)
PERSONAL&ADV INJURY co
M
r
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE cn
POLICY PRO- I I LOC PRODUCTS-COMP/OP AGG cn
OTHER: e
r
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident)
ANY AUTO BODILY INJURY(Per person) o
Z
ALL OWNED —SCHEDULED BODILY INJURY(Per accident) w
AUTOS AUTOS
—
NON-OWNED PROPERTY DAMAGE
HIRED AUTOS V
_AUTOS (Per accident) w
t
d
UMBRELLA LIAB OCCUR EACH OCCURRENCE V
EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTION
WORKERS COMPENSATION AND PER STATUTE OTH-
EMPLOYERS'LIABILITY
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT
A E&O-PL-Primary 013348971 05/26/2015 05/26/2016 Per Claim/ Agg $3,000,000
SIR applies per policy terms & conditions
..._1
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
The policy evidenced above includes coverage for cyber Liability according to the terms, conditions and limitations of the
policy. -x-'
IC
ate..
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
Eagle County AUTHORIZED REPRESENTATIVE
500 Broadway
Eagle Co 81631 USA Or
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