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HomeMy WebLinkAboutC15-433 Jerry EvansAGREEMENT FOR PROFESSIONAL SERVICES
BETWEEN EAGLE COLINTY" COLORADO
AND
JERRY EVANS, PHD
THIS AGREEMEb{T ("Agreement") is effective as of the I otf^ aay of }..luIr,ra,,.\ac,f- , ZOiS
by and between Jerry Evans, Ph.D., a sole proprietor specialized in research and evaluation in the fields of
behavioral, physical and public health (hereinafter "Consultanf' or "Contractor") and Eagle County,
Colorado, a body corporate and politic (hereinafter "County").
RECITALS
WHEREAS, the County, through its Department of Public Health and Environment ("ECPHE") works to
promote the health, safety and welfare of County residents of all ages; and
WHEREAS, the Counfy uses outside providers and professionals to enhance the ability of County to
promote such health, safety and welfare; and
WHEREAS, Count5r desires to hire Consultantto perform the Services defined below in paragraph 1; and
WHEREAS, Consultant is authorized to do business in the State of Colorado and has the time, skill,
expertise, and experience necessary to provide the Serviees; and
WHEREAS, this Agreement shall govern the relationship between Consultant and County in connection
with the Services.
AGREEMENT
NOW, THEREFORE, in consideration ofthe foregoing and the following promises Consultant and
County agree as follows:
l. Services. Consultant agrees to diligent$ provide all services, labor, personnel and materials
necessary to perform and complete the services described in Exhibit A ("Services") 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. Consultant agrees to furnish the Services no later than September 30, 2018 and in
accordance with the schedule established in Exhibit A. If no completion date is specified in Exhibit A,
then Consultant agrees to furnish the Services in a timely and expeditious manner consistent with the
applicable standard of care. By signing below Consultant represents that it has the expertise and
personnel necessary to properly and timely perform the Services.
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Fagle I t:rinc)I'sl CffiCe
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b- In the event of any conflict or inconsistency between the terms and conditions set forth in
EKhibit A and the terms and conditions set forth in this Agreemen! the terms and conditions set forth in
this Agreement shall prevail.
c. Consulant agrees that it will not enter into any consulting or other arrangements with
third parties that will conflict in any manner with the Services.
2. Countv's Representative. The Public Health and Environment Departrnent's designee shall be
Consultant'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 1 t hereol shall continue in full force and effect through the 30n
day of September,2018.
4. Extension or Modification. This Agreement may not be amended or supplemented, nor may any
obligations hereunder be waived, except by agreement signed by both parties. No additional services or
work performed by Consultant shall be the basis for additional compensation unless and until Consultant
has obtained written authorization and acknowledgement by County for such additional serv'ices 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 enrichmen! 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 Agreemen! Consultant'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 Consultant for the performance ofthe Services in a sum
computed and payable as set forth in Exhibit A. The performance of the Services under this Agleement
shall not exceed $2?,000 over the course of a three-year contract period, pending annual funding from
The Denver Foundation's Colorado Health Access Fund. 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.
For reimbursement Contractor must submit invoices quarterly. Invoices shall include a
description of Services performed. If County is not satisfied with the completeness of a submitted
invoice, Count5r may request Contractorto 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. All invoices shall include detail regarding the hours spen! tasks performed, who
performed each task and such other detail as County may request-
All invoices must be mailed, delivered in-person, or emailed to the following to ensure proper
payment.
z
Eagle County HHS ProfServ Final 5/14
Eagle County Public Health and Environment
clo Jennifer Ludwig Public Health Director
551 Broadway
Post Office Box 660
Eagle, CO 81631
Jennifer. ludwi g@eaglecounty.us
b. Any out-of-pocket expenses to be incurred by Consultant and reimbursed by County shall
be identified on Exhibit A. Out-of-pocket expenses will be reimbursed without any additional mark-up
thereon and are included in the not to exceed contract amount set forth above. Out-of-pocket expenses
shall not include any payment of salaries, bonuses or other compensation to personnel of Consultant.
Consultant shall not be reimbursed for expenses that are not set forth on Exhibit A unless specifically
approved in writing by County.
c. 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
Agreemenf the County shall have no obligation to make such payment- If, at any time after or during the
term or after termination or expiration of this Agreement, Counff 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 set forth in this Agreemenf then upon written notice of such determination
and request for reimbursement from County, Consultant shall forthwith retum such paymen(s) to County.
Upon termination or expiration of this Agreemen! unexpended funds advanced by County, if any, shall
forthwith be returned to Countv.
d. All funds received by Contraetor 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.
e. County will not withhold any taxes from monies paid to the Consultant hereunder and
Consultant agrees to be solely responsible for the accurate reporting and payment of any taxes related to
payments made pursuant to the terms of &is Agreement.
f. Notwithstanding anything to the oontrary contained in this Agreemen! County shall have
no obligations under this Agreement after, nor shall any payments be made to Consultant 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 ofthe
Colorado Revised Statutes, the Local Government Budget Law (C.R.S .29-1-l0l et. seq') and the
TABOR Amendment (Colorado Constitution, Article X, Sec. 20)-
6. Sub-consultants. Consultant acknowledges that County has entered into this Agreement in
reliance upon the particular reputation and expertise of Consultant- Consultant shall not enter into any
3
Eagl€ Couilty }{HS ProfServ Final 5/14
sub-consultant agreements for the performance of any of the Services or additional services without
County's prior written consen! 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. Consultant shall require each sub-consultant, as approved by
County and to the extent of the Services to be performed by the sub-consultan! to be bound to Consultant
by the terms of this Agreemen! and to assume toward Consultant all the obligations and responsibilities
which Consultant, by this Agreement, assumes toward County. County shall have the right (but not the
obligation) to enforce the provisions of this Agreement against any sub-consultant hired by Consultant
and Consultant shall cooperate in such process. The Contractor shall be responsible for the acts and
omissions of its agents, employees and sub-consultants or sub-contractors.
7. Insurance. Consultant agrees to provide and maintain at Consultant's sole cost and expense, the
following insurance coverage with limits of liability not less than those stated below:
a- Types oflnsurance.
i. Workers' Compensation insurance as required by law'
ii. Personal Auto coverage as required by law'
iii- Commercial General Liability coverage to include premises and operations,
personaVadvertising injury, products/completed operations, broad form property damage with lilnits of
liability not less than $1,000,000 per occurrence and $1,000'000 aggregate limits'
iv.Int enti onallv Omitte d.
b. Other Requirements-
i. The commercial general liability coverage and such other coverage as indicated
above shall be endorsed to include Eagle County, its associated or affrliated entities, its successors and
assigns, elected ofFrcials, employees, agents and volunteers as additional insureds'
ii. Consultant's certificates of insurance shall include sub-consultants as additional
insureds under its policies or Consultant shall furnish to County separate certificates and endorsements for
each sub-consultant. All coverage(s) for sub-consultants shall be subject to the same minimum
requirements identified above. Consultant and sub-consultants, if any, shall maintain the foregoing
coverage in effect until the Services are completed. In addition, all such policies shall be kept in force by
Consultant and its sub-consultants until the applicable statute of limitations for the Services has expired-
iii. Insurance shall be placed wit}r insurers duly licensed or authorized to do business
in the State of Colorado and with an *A.M. Best" rating of not less than A-VII.
4
Eagle County IIIIS ProfServ Final 5/14
iv- Consultant's insurance coverage shall be primary and non-contributory with
respect to all other available sources. Consultant's policy shall contain a waiver of subrogation against
Eagle Counf.
v- All policies must contain an endorsement affording an unqualified thirty (30)
days notice of cancellation to County in the event of cancellation of coverage'
vi. All insurers must be licensed or approved to do business within the State of
Colorado and all policies must be written oil a per occurrence basis unless otherwise provided herein.
vii. Consultant's certificate of insurance evidencing all required coverage(s) is
attached hereto as Exhibit B. Upon reques! Consultant shall provide a copy of the actual insurance
policy and/or required endorsements required under this Agreement within five (5) business days of a
written request from County, and hereby authorizes Consultant's broker, without further notice and
authorization by Consultant, to immediately comply with any written request of County for a complete
copy of the policy.
viii. Consultant shall advise County in the event the general aggregate or other
aggregate limits are reduced below the required per occurence limit- Consultant, at its own expense, will
reinstatethe aggregate limits to comply with the minimum limits and shall fumish County a new
certif,tcate of insurance showing such coverage
ix. If Consultant fails to secure and maintain the insurance required by this
Agreement and provide satisfactory evidence thereof to County, County shall be entitled to immediately
terminate this Agreement.
x. The insurance provisions of this Agreement shall survive expiration or
termination hereof.
xi. 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 Agreemen! the monetary limitations or rights,
immunities and protections provided by the Colorado Governmental Immunity Ac! as from time to time
amended, or otherwise available to County, its affrliated entities, successors or assigns, its elected
officials, employees, agents and volunteers.
xii. Consultant is not entitled to workers' compensalion benefits excep as
provided by the Consultant, nor to unemployment insurance benefits unless unemployment compensation
coverage is provided by Consultant or some other entity. The Consultant is obligated to pay all federal
and state income tax on any moneys paid pursuant to this Agreement'
g. Indemnification. The Consultant shall indemnifi and hold harmless County, and any of its
officers, agents and employees against any losses, claims, damages or liabilities for whieh County may
become subject to insofar as any such losses, claims, damages or liabililies arise out of directly or
indirectly, this Agreement, or are based upon any performance or nonperformance by Consultant or any
5
Eagle County HHS Prof Serv Final 5/14
of its sub-consultants hereunder including claims for bodily rnj,rty or personal injuty including death, or
loss or damage to tangible or intangible property; and Consultant 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 tle involvernent of the Consultant. This paragraph shall survive expiration or
termination hereof.
g. Ownership of Documents. All documents prepared by Consultant in connection with the Services
shall become properly of County. Consultant shall execute written assignments to County of all rights
(including common law, statutory, and other rights, including copyrights) to the same as County shall
from time to time request. For purposes ofthis paragrapb,the term "documents" shall mean and include
all reports, plans, studies, tape or other electronic recordings, drawings, sketches, estimates, data sheets,
maps and work sheets produced, or prepared by or for Consultant (including any employee or
subcontractor in connection with the performance of the Services and additional services underthis
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 Fedgx 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 parly 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: Jennifer Ludwi g
551 Broadway
Post Offrce Box 660
Eagle, CO 8i631
Telephone: 970-328-88 I 9
E-Mail: Jennifer.ludwig@eaglecounfr'us
With a copy to:
Eagle County Attorney
500 Broadway
Post Office Box 850
Eagle, Co 81631
Telephone: 970-328-8685
Facsimile: 97 A428-8699
E-Mai I : atty @eaglecountY. us
6
Eagle Counry- IIHS Prof Sew Final 5114
CONSULTANT:
Jerry Evans, Ph.D.
Community Health Initiatives
1512 Grand Ave. Ste. 115
970-948-s788
jrevansphd@gmail-com
I 1. Termination. County may terminate this Agreement, in whole or in parl 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 Consultant. Upon termination of this Agreemen! Consultant shall immediately provide
County with all documents as defined in paragraph t hereof, in such format as County shall direct and
shall return all County owned materials and documents. County shall pay Consultant for Services
satisfactorily performed to the date oftermination-
lZ. 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 counterpar6, 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 . 24-7 1.3-101 to 121.
14. Other Contract Requirements.
a. In rendering the 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 ofthese high standards of customer service and professionalism are maintained.
The performance of such obligation shall be determined at the sole discretion of County. 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' lotice to Contractor-
b. Consultant shall be responsible forthe completeness and accuracy of the Services,
including all supporting data or other documents prepared or compiled in performance of the Services,
and shall correcf at its sole expense, all significant errors and omissions therein- The fact that the Counf
has accepted or approved the Services shall not relieve Consultant of any of its responsibilities.
Consultant shall perform the Services in a skillful, professional and competent manner and in accordance
with the standard of care, skill and diligence applicable to Consultants performing similar services. This
paragraph shall survive termination of this Agreement-
7
Eagle County HIIS ProfServ Final 5/14
c. Consultant represents and warrants that it has the expertise and personnel necessary to
properly perform the Services and covenants that its professional personnel are duly licensed to perform
the Services within Colorado.
d. Consultant 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 rvith
respect to this Agreement.
e. This Agreement constitutes an agreement for performance of the Services by Consultant
as an independent contractor and not as an employee of County. Nothing contained in this Agreement
shall be deemedto create arelationship of employer-employee, master-servant, partnership,jointventure
or any other relationship between County and Consultant excep that of independent conffactor-
Consultant shall have no authority to bind County-
f. Consultant represents and warrants that at all times in the performance of the Services,
Consultant shall comply with any and all applicable federal and state laws, codes, rules and regulations.
g. Contractor shall comply with the Civil Rights Act of 1964 and Section 504,
Rehabilitation Act of lgT3,concerning discrimination on the basis of race, color, sex" age' religion'
political beliefs, national origin or handicap-
h. 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.
Consultant shall not assign any portion of this Agrmment without the prior written
consent of the County. Any attempt to assign this Agreement without such consent shall be void-
j. This Agreement shal! 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'
k. No failure or delay by either paffy 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.
l. The invalidity, illegality or unenforceability of any provision of this Agreement shall not
affect the validity or enforceability of any other provision hereof.
m. Consultant shall maintain for a minimum of three years, adequate financial and other
records for reporting to County. Consultant shall be subject to financial audit by federal, state or county
auditors or their designees. Consultant authorizes such audits and inspections of records during normal
8
Eagle County HHS ProfServ Final 5/14
business hours, upon 48 hours' notice to Consultant. Consultant shall fully cooperate during such audit or
inspections.
n. The signatories to this Agreement aver to their knowledge, no employee of the Coun!
has any personal or beneficial interest whatsoever in the Services or Property described in this
Agreement. The Consultant has no beneficial interest, direct or indirec! that would conflict in any manner
or degree with the performance of the Services and Consultant shall not employ any person having such
known interests.
o. The Consultant, ifanatural person eighteen (18)years ofage 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 &e extent applicable shall comply with C.R.S- 24-76.5-rc3 prior to
the effective date of this Agreement.
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 Consultant has
any employees or subcontractors, Consultant shall comply with C.R.S. 8-17.5-101, et. seq-, and this
Agreement. By execution of this Agreemenl Consultant certifies that it does not knowingly employ or
eontract with an undocumented individual who will perform under this Agreement and that Consultant
will participate in the E-verif 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-
Consultant shall not:
i. Knowingly employ or contract with an undocumented individual to perform
Services under ttris Agreement or
ii. Enter into a subcontract that fails to certiff to Consultant that the subconfractor
shall not knowingly employ or contract with an undocumented individual to perform work under the
public contract for services.
b. Consultant 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 Departrnent of Homeland
Security. Information on applying for the E-veriff program can be found at:
c. Consultant shall not use either the E-verify program or other Deparhnent Program
procedures to undertake pre-employment screening ofjob applicants while the public contract for services
is being performed.
9
Eagte County HHS ProfServ Final 5/14
d. If Consultant obtains actual knowledge that a subcontractor perfiorming work under the
public contract for services knowingly employs or contracts with an undocumented individual, Consultant
shall be required to:
i. Notify the subcontractor and County within three (3) days that Consultant has
actual knowledge that the subcontractor is employing or contracting with an undocumented individual; and
ii. Terminate the subcontract wittr 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 Consultant 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. Consultant 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- I 7-5- I 02(5).
f. If Consultant 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,
Consultant shall be liable for actual and consequential damages to County as required by law.
g. County will notify the Colorado Secretary of State if Consultant violates this provision of
this Agfeement and County terminates the Agreement for such breach-
IREST OF PAGE INTENTIONALLY LEFT BLANK]
L0
Eagle County HHS ProfServ Final 5/14
IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth
above.
COLINTY OF EAGLE, STATE OF COLORADO,
By and Through ItS BOARD OF COUNTY
COMMISSIONERS
CONSULTANT:
JERRY EVANS, PHD
F,"ry €vn"r|, PL.P
Title:
11
Eagle County t{HS ProfServ Final 5/14
EXHIBIT A
SCOPE OF SERVICES, SCHEDULE, FEES
The Consultant will provide evaluation technical assistance services in connection with Denver
Foundation's Colorado Health Access Fun4 2015-2018 fundingcycle, of Eagle County Public Health's
grant proposal for the Total Health Alliance of Eagle County (THA).
Scope of Work
The Deaver Foundation has provided evaluation guidance through the Colorado Health Institute in the
Institute's document, Leveraging Learning - A Frameworkfor Evaluating the Colorado Aceess Fmd,
July 27, 20I S.THA is expected to follow this guidance. The guidance outlines a three-tiered strategr for
evaluation: 1) documenting TFIA activities and contributions, 2) aligning THA activities with the grant
inten! and 3) increasing access to behavioral health services and improving health outcomes- The
Consultant will support THA's compliance with these three grant expectations through the following
technical assistance:
A. Docummtation of Activities- The Consultant will assist THA with designing essential and
feasible methods for collecting information about THA activities (process measures)-
B. Monitoring Grant Activities. The Consultant will stay informed of THA planning and monitor
its activities. Consultant will determine if these are aligned with grantmaker expectations and
advise THA on compliance and necessary corrective actions.
C. Measwing Opcomes. The Consultant will assist THA with designing health outcomes for its
activities and oversee the quality of their data collection (outcome measures).
D. Advisory. The Consultant will be available for phone, email, and in-person consultation to THA
itself and on evaluation and operational issues and reporting to the grantmaker and the Colorado
Health Institute.
Schedule
The Consultant will stay in at least weekly contact with THA and respond in atimely manner to requests
for technical assistance.
Fees
The Contractor,s hourly fee is $55. With grant funding of $9,000/12-months, this provides approximately
one and one-half days (14 hours) evaluation technical assistance per month. The Contractor will. maintain
a time log and inform THA so that all essential evaluation duties are performed successfully'
t2
Eagle Cormty HIIS Prof Serv Final 5114
Eagle Coun{ HHS ProfServ Final 5/14
GEICO
Washington DC
INSURED
]EROME RONALD AND MICHELE ANN
COVERAGES
BODILY INJURY LIABILITY
PROPERTY DAMAGE LIABILITY
MEDICAL PAYMENTS
COMPREHENSIVE
COLLISION
UNINSURED &UNDERINSURED MOTORISTS
GEICO GENERAL INSURANCE COMPANY
VERIFICATION OF COVERAGE
(SEE BELOW UNDER CAUTIONARY NOTE)
LIMTTS
$l-00 , 000,/$ 300 , 000
$l_00,000
$5,000
$100,000/$3oo, ooo
Policy Number: 4083981-490
Effective Date: 06-09-1-5
Expiration Date: 12 - 09 - 1 5
Registered State: coLoRADo
DEDUCTIBLES
$5OO DED
$500 oeo
FVANq
?Og DFFR RIIN
CARRoNDAT F- co 81677-8776
To whorn it may concern;
This letter is to verify that we have issued the policyholder coverage under the above policy number for the dates indicated in the effec
tive and expiration date fields for the vehicle listed. This should serv€ &s proof that the below mentioned vehicle meets or exceeds the
financial responsibility requirement for your state.
This verification of coverage does not amendn extend or alter the coverage afforded by this policy.
Vehicle Year: 2014
Make: toyota
Model; CAMRY
VIN: 4T]-BD1FKg EU1.3 3 3 63
-
Llenholder
-
Additional Insured Interested Partv
Additional Information:
r<<ued 10/)6/?O1\
Ifyou have any additional questions, please call 1-800-841-3000.
CAUTIONARYNOTE: TIIE CURRENT CO\IERAGES, LIMITS, AND DEDUCTIBLES MAYDIFIER rROM THE COVERAGES, LIMITS, AND DEDUCTIBLES IN ETTECT AT OTIIEI
TIMES DURING TIIE POLICYPERIOD. TIIIS \IERtrTCATION OX'CO\|ERAGE REII.ECTS THE COVERAGES, LIMITS AND DEDUCTIBLES AS OT THE ISSUED DAIE OT'THIS
DOCIIMENT \'I'HICII IS SIIOltt.{ I'NDER ftADDITIONAL INT'ORMATION" OR IFAN ISSIIED DATE IS NOT SIIO11T{, TIIE DATE OF THIS FACSIMILE.
u-3310-07
GERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS IgSUED AS A I'ATIER OF INFORIIIIAIION OI{LY AND CONFERS NO RIG}fIS UPON THE CERNFrcATE }IOLDER THIS
CERTIFICATE DOES NOT AFFIRIIAIIVELY OR NEGATIVELY AMEI{D, EXTEI{D OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE D(ES ilOT CONST]TUTE A CONTRACT BETWEEII THE TSSUTNG TNSURER(SI, AUTHORTZED
REPRESENTANVE OR PRODUCER, AND T}IE CER|IFICATE I{OLDER.
muit be endorod. lf SUBROGAilOil |S IYAIVED,
tho t€rms and condltloog of tha policy, cerlain may rcquin an endorcement A rtatgment on thls certlflcate does not confEr dghb to the
ceriifrcato holdor in lleu of guch
PRODUCER
Hagmire In8urance Agenqy, Inc,
1966 creenspring Dr., Suite 502
rinoniun MD 2LO93
INSUREO
dferome R. Evans, PH.D./DBA Progran
P O Box 3601
Basalb CO 81621-3601
COVERAGES CERTFTCATE NUf,IEER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEI-OW HAI/E BEEN ISSUED TO THE INSURED SI,AMED ABOVE FOR THE POTICY PER]OD
INDICATED. NOTWTHSTANDING ANY REQUIREMENT. TERM OR GONDITION OF N.IY CONTRAOT OR OfiER DOCUMENT WTH RESPECT TO VVFIICH TH]S
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE ]f{SURANCE AFFORDED BY THE POLICIES DESCRIBED TIEREIN IS SUBJECT TO ALL THE TERIIiIS.
EXCLUSIONS AND CONDITIONS OF SUCH FOTICIES. LIMITS SHOVI'I{ MAY HAVE BEEN REDUCED BY PAID CINIMS.
COMMER(IAL GEIIERAL LIAEIUTY
crA*s-nr DE fJ ot.*
AGGRE@ITE IIUIT APPLIES PER:
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AUTOMOBILE LIABIUTY
ANYAUTO
ALLovTNED f--l scruouleoAUTOS I I AUTOS
|-IREoAUToS I lluTos
$1,000,000 each claim
$2, 000, 000 anrrual aggregate
OCdCR|PnOilOFOPERA'IOIISTLOCAnONSTVEHICLES IAOoRDl0'l,AddlonCRstrwL!3cficdol.,n yt..ft&hrd[nuctPrcclrnquHt
Eagle counEy, iEs associaEed or affiliaEed enEicie8, itsg euceeeaors and aesignB, electeal offlclale. anployees, ageD.Es
and volwrbeers are lished as an additional insured only as bheir ingeresE may appear.
Eagle counEy, Colorado
Attns ilennifer Ludwig
551 Broadway
P O Box 650
Eagle CO 81631,
SH(ruLD AMI OF THE ABOVE DESCRIBED POUCIES EE CAI{CELIID BEFOREI}C EXPIRATION DATE I}IEREOF, NONCE WlI gE DEUVERED IN
AOCORDAIICE WTTH THE FO1JCY PROVISIOIIS.
@ l9E8-2014 ACORD CORPOMTION. All dghts res€rued.
The ACORD name and logo arc Egist€r€d marke of AOORDACORD 25 (20r4r0r)
CERTIFICATE OF LIABILITY INSURANGE
Ttlls CERTIFIcATE ts tssuED As A MATTER oF litFoRMATtoN oNLy AND coNFERs No Rromrs upolt rHE cERTtFtcATE ro[oen rns
CERTIFICATE DOES NOT AFFIRMAIIVELY OR I{EGATIVELY AMEI.ID, EXTEND OR ALTER THE COVERAGE AFFORIIED BY THE POUCIES
BELOW. THIS CERNFrcATE OF IT.ISURAI'ICE DOES NOT GONSTITUTE A CONTRACT BENflEE]tI TIIE ISSUIilG INSURER(S), AUTIIORIZED
REPRESEiITAflVE OR PROOUCER, AND THE CERTIFICATE I{OLDER.
lfthecertifica!cholderlsanADD|T|oMLtN8uRED'thepo||9y(ie9}muttboondoE9d.|@
tho tcrmt and condltlone of the policy, ccrtaln policles may require an ondoruomont A statement on Oris ce rtlfrcate does not confier dgtrte-to the
certifieate holder ln llou of such endorsemenfls!.
PRODUCER
Maguire Insuaance Agency, fnc,
1966 Greenspring Dr., guite s02
Timoniurn MD 2109f
[{8UREO
oercme R. Evans, PH,I)./DBA Program
P O Box 3601
Basalt CO 81621-3601
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO T}IE INSUREO NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTIUTHSTANDING ANY REOUIREII'IENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DoCtntENT tloTH RESPECT To VwilCH THIS
CERNFEATE lt'AY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POTICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCTUSIONS AND GONDITIONS OF SUCH POLICIES. LIMITS SHOV1N MAY HAVE BEEN REDUCED 8Y PAID CTAIMS.
TYPEOFIISURAIrcE FOUCYNUTSER uutta
A OOTiMERGIAL gE]IERAL LUIEILIW
]"*,u.-"-. flo.*PESDl0B1280 9/2sl2O1,t 9lzslzor EACHOOCI,|RRENCE $1, O00, 000
DAMAtiE TqRENIFD
PQEilISF-q aF. aBrmar s50,000
MED EXP (Arr one DeFonl t ), uuu
PERSONAL A ADV INJURY I
L AGGREGATE UMIT APPLIES PER:
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GEIGRAL AGGREGATE $
PROOUCTS -OOMPPPAGG 5
t
AUI UIIOBITEIIAEruTY
ANY AUTO
ALLOUNEO
AUTOS
HIREDAUTOS
f--l scxeourcoL_J AUTOSI II\PN€VVNEDl l AWos
tl
MtsINEU SItlKiLts. UMII
I r&ldfill $
BOOLY INJURY(Psp€rsm)$
FDILY INruRY (P€radden0 s
IOI'EII If T]AMAGE
lr accldsJt0 $
t
uitBREuatlAE l_J occun
EICESSLUIB | | nrms-urm
E\CHOCCURRENCE s
AGGREGATE t
DED I I nere*,o".3
wf'BXERS CO|XFEilSATtOil
AND EflIFLOYERS UAII-]TY
N'A
IFEK I lUtn.fcllTttTcl lFo
{NY PROPRIETOR'PARTNER'EGCI'NVE _OFFICER'MEMBENEXCLUDET' I-lltlrnd.tory h l{tl)
Itya3, dolaiibs undsr
DESCRIPInN OF OPFRATInN3 hdd
E.L. EACHACCIDENT E
E L. DISEASE . EA EIIPI-OYEI $
E.L. DISEASE. POLICY LIMIT 3
A lrof essl.onal liabiliby/E&O Pf,SD1081280 e/25/2ot5 9/2sl2oLl $1,000,000 each clainr
$2, 000,00O annual aggregabe
DESCnPnONOFOPEaAnO'{SILOCAnONEf VEHICLES lAooRDlol,AilltronrtRmiltisch.ddgmoyb.rt Ghdtlmollr.prcobnqutEdl
Eagle county, itE associated or afflllaEed enEit,ies, its eucceesors and assigne, elected officials, enployees, agenEs
and volunEeers are listed ae an additlonal insured only as Eheir interesb may appear,
CERTIFICATE
I 98&Anf 4 ACORD CORPORATTON.
Eagle County AtEorney
5O0 Broadway
P O Box 850
Eagle CO 81631
STIOULD ANYOF TI€AEOI'E OEECR]BED PrOL]CGS EE CAi{CELLEO BEFORET}C EXPIRATX)I{ DATE TI{EREOF, I'IOTICE WILL EE DELTT,ERED IIt
AOCORDAIICE U'ITH THE POLICY PROVISTONS.
ACORD 25 (2014'011 ThoACORD namoand logoare rcgistercd marksof ACORD
All rfghts reseryed.