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HomeMy WebLinkAboutC16-098 Kern PlasteringAGRSE]UTNT FOR SERVICES BITWEEN EACLE COUNTY, COLORADO AI\iD KERN PLASTERING. INC. ,t 4 THIS AGREEMENT ("Agreernent") is effective or o915,: J Jf I d6y ot . 2016 by alld between Kern Plasterirrg. Inc., a Calorado corparation (hsreinatter "Contraclor") and Eagle County, Colorado" a br:<iy corporute and politic {hereinafter "County'-}. RECITALS WHER"EAS, the Contractor shall match the existing stucco on the ARFF I Adrninistration l3uilding on a nervly canstrucled i:xlerior rvall {the "Project") localed at the Eagle County Rcgional Airporr. 219 Eldon Wilson Rd, Gypsurn. C0 81637 {the "Property''); and WHEREAS. Contractor is authorized to do business in the State of Colorado and has the time. skiil. exnerrise. and r:xperience necessary to provide thr: Serviqe$ as defined brlorv in paragraph I hereot and WHEREAS- this Agreement shall govern the relalionship betwccn Contractor arrd County in conncction tvith the Se n"icrn. ACREHMEN]- NOW. THEREFORE. in consideratiorr of the forcgoing and the fullowing pron:iscs Contractor and County agree as fcrllorvs: l, Serviqss or Work. Clontractor agrec:r to diligently provide all serviccli. labor, personnel and matsrials necessary to perfotm and complete the seruices or u'ork dcscribed in Exhibit A ("Scrvices" or "Work") which is attached herefo and irrcotporatetl here in by reference. The Serlices shall be perfonaeil in accorclance rvith the provisions and conditions of thir Agreeurent. '&.Contractor agrees to funrish the Services no later rlrun J *n g /4 9{ $ *n tin acctrrdance witl"t thc schedule established in Hxhihir A. lf no cornpletion date is specifictl in Exhibit A. then Contractor agree$ to tirrnish the Services in a tirncly and expeditious manner consistent *.ith tlre applicable staudnrd of care. By signin*q bclorv Contrac{or rcpresent$ thal it has tlre $xperti$p and personnel necrssary t<l prop*rly and tinreiy perfcnn lhr.: Service*. b. In the event of any contlicl or inconsistency between thc tcrt,rs and condition$ sct lbrth in Exlribit A and the tenrrs and conditions set forlh in this Agrecrnent, the terms and conctitions set forth in this Agreer:ncnt rlrall prevail. County's Rerrresentative. The Airport's dcsignee shall be Contractor's cootact u.ith respect to this Agrecment and performance of the Services. J.Tenn of the A This Agreernent shall comnlencc upon the clatc first *ritten abovc^ and subiect to ilre provisions of paragraph I I hcreof, sliall continue in fuli forcc and effect llrough the 29'r day of April ?016. 4. Extensiog. or Modification. This Agreement may be extended lor up to threc additional onc year tenns upon rvritten agreenl*:nf r:f the partics. dny amcndnrents or nrodifications shall bs in rvriting signed by both parties. Eagle County Commissioners' OtficeC16-098 lnio acldirional services or rvork perfumted by Contractor shall be the basis for additional compensation unless arrd until Contractor has obtaincd tvritten authorization ancl acknorvledgcrncnt by County for such additional sen'ices in accor{anee with County's intemal policics. Accordingly, no course of conduct or dealings between thc pafties. nor verbal changc grders. exprc$$ or irnplied ecceptance ofalterations or additir:ns to the Service$, &nd no clain that County has bcen unjustty cnrichcd by o,ry additional sen'ices. r.vheflrer ur not there is in fact nny such unjust enricfument" shall be the basis of any increase in the cornpensation payable hereunder. In the eveni t]ra1 written iluthorization and acknowledgment by County lbr such acjditional serviq:es is not tirnely execuled and issued in strict accordance with this Agreement. Contractor's rights rvith rcspect to such acl<iitional sen'iccs shall be clcc'nrcd waivcd and such {bilure shall result in non*payncilt fur such additionat services or work perfomled. 5. Compensation. County shall compensate Contractor for the perfbrmance of the Services in a sum "u,opo,.,filrTffif,iils set fo;h in Elhibit.4.. 'l'he pcrftrrmance of thc Serv.ices under this Agrer'ment shall not rxceed $1,650.00. Conlractor shall not be entitled to bill at ovcrtirne andlor double titne rates for work done outxide of ncrrnal buriness hours unless specit'iccll-v authorizsd in w'ritittg by Cnunty. ft. Faymen{ rvill bc ruade for Services satisfbstorily perlbnned within thiny (30) days of rec*ipt of a llroper and accuratc inr,oice from Contractor. All invoiccs shull incluric detail rcgarding the hours spent. taskr pcrfonneri- rvho perforned cach task and such other detaii as County lnay request' t, If, at any tirne during the term ci afier tcnnination or expiratian of this Agrcemcnt. County reasonably tlclemtines thal any pilynent made by County lo Contractor tvas itnproper because ths Serv'ices for which paynent lvas matle rvere not perfcrnned as set filrth in this Agreernent. th*:n upon written noiice of such detemrination and request for reimbursement fronr County, Contractor shall foilhwith retum such paynrent(s) to Couniy" Upon tennirration or expiration ofthis Agreemcnt, uncxpended funds advanceci by Couttty, if any, shall forthwitlr be retunted ttl Countv. c. County will not rvithholrt ilny taxes frorn monies paid to thc Contractor hereunder and Contraetor agree$ to be solely responsible for the accur*te rcponing and payment of any tarcs rclalcd to paymcnts made pursuant to thc tcnns of this Agrcenrcnt. d. Notwithstaoding anything to the contrary contained in this Agreentent. Counry shall have no obligations under this Agreement al'ter. nor shall uny pay'ments be made to Contractor in respect of any period after Decornber 3l of any ycar. rvithout an applopriation therclbr by Cotrnty in accordance wi& a budget adoptcd by thc Boarrl of County Conrn.rissionrrs in ccmpliance rvith Article 25" title 30 of tlre Colorado Revised Statutes, the Lclcal Gor,cnrnreut Budgct La* (C.R.S. 2g-l-101ct. scq.) and thl' T,,\BOII Anrenclnrcni (Colorado Constitution. Article X. Sec. ?0). 6. Subcontractors. Contractor acknorvledges that Count"r' has entered into this Agreenrcnt in reliance upon the particular rcputatiorl and expertise ofContraclor" Contractor shall not cntcr into any subcontractor agreementr fror the performance of any of rbe S*rvices or additional scn'ices rvithout County's prior written cqnsellt, which may be rvithheld in County"s sole discretion. Counly shall have thc right in its reasonable discretion lo appn:ve all per$onnel assigned to the sub-i$ct Project during the pcrformance of this Agreement and no personnel to whom County has an objection, in its rea${)nable discrction. shall be assigned to th* Project, Conffactor;hall rcquire each *ubccxtractgr, as apprerveci by County and io the exlent nf the Services to be perfonrred by the subcontractor. to br: bound to Contraclor by thc terms of this Agrccmenx, and {o a;surne toward Coutractor all the obligations and responsibilities which Contractor. by this Agreernent. ati$urne$ toward County. County shall have the right {but nof the obiig*tion) to enforce rhe provisions of this Agreemenl against any subconiractor hired by Contractor and Contractclr shall crroperatc in such Froccss.'fhe Conrractor shall bc responsible for thc acts and omissions of its agenlri. ernplovees aud subcontractors. ? F.agle County Ceneral $ervi*er Final 5;14 7. In*rrancc. Conlraclor agrees to provide and rnaintain at Conlrector's sole cost and expense. the follorving insurance coveragc with limits of liability rlot lcss than those slated below: Types oflnsurance. r. Workers' C-'ompensalion insurance as required by law. ii. Auto coverage u'ith liurits of liability not lsr$* than S 1,000.00f] each accident cornbined hodily injury and propcrty damage liability insurance" including covcrage for orvned. hired, and non-owned vehicles. i;'. Comnrercial Ccneral Liability cover&ge to inclutJc prcmise* ancl opcrations, personalladvertising injury. products/conpletcd operations, l:road fcrnr property darnagc rvith limits of liability not less than S1,000,000 per occurrence cnd S1,000,000 aggrcgate limits. b, Olher Requirements. The automobile and commercial genmal liability coverage shall be cndorsed to include Iiagle C<runty, its associated or affiliated entitics, its succcssors and assigns, elected officials. employccs. agents and volunteers as additional insureds. A certificate of insurance c<xsistent rvith the loregoing tequirements is attached llere!0 as r.xnrbll tJ. ii. Contractor's certit'icates r:f insurance shall include subcontractors, if any as additiortal insurcds uncler its policies or Coltractor shall fumish to County separate certificates and cndorsemcnts for each subcontractor. ilr. termination hercol, 'lhe insurancc provixions of tlris Agreement slrall survive expiralion or The pa*ies herelo understand and agree that the C.ounty is relying on. and does not rvaive or intend to lvaive by any provision of this Agruement. the uronetary lirnitations or rights, immunities and protection* provided by the Colorado Governmcntal Irnmunity Acx. as fronr time lo tirn* amcnded. or othenvise available to Ccuriy, its affiliated crrtitics, succcssorli or a*signs. its elected otficials- enrployees. agents and volunteers. v. Contractor is not entitled to rvorkers' comp*nsalion benefits except as provided by the Coniractor. nor to unemployment insurance bcnefits unless unemployrnent c<xnpensation covcrage is provided hy Contractor er $ome othcr entily, Ther Corrtraetor i* obligated to pay all federal and stale irrconre tar on arly moncys paid purruant to fltis Agrecrncnl. 8. lndemnitlcation. The Contractor shall ind*mnity and liokl harmless Counfy. and any of its; oft'icers. agent$ antl employees against any lorses, clairns. damages or liabilities for u.hich County' ma-v become subject to insol'ar as any xuch lorses. claiurs" damages or liabilities arise out of, dircctly or indircctly. this Agreerne nt. or are based upon arry perfonnancc or nonpcrfor"rnancc by Contractor ur any of its $nbcontractors hereiurder; and Contractor shall reirno'urse County fur reasonabl'e atto:-ney fees and costs, legal and other expenses incurred by County in cernrection with in.,.estigating or defending any such loss- claim. damage, liability or action. This indemnification shall not apply 1o clairrs by third pani*s against the County to the elitent that County is liable to such third party for such 3 Eagk County Gsneral Servilcs Firtal 5il4 claiali rrithout regard to the inr,olvcment of the Contracior. Tbi* paragraph *hall surr.ive expiration or tenninalion hereof. L Orvnership of Dog;ments. All dr:cuments { including clcctronic files) and maf rlrials obtained drtring, purchascd or prcpared in the pcrfonuancc of thc Scn'iccs shall rcmain the property of thc Counry and arc to be delivered to County belcrr tjnal paylnent is nracie to Conlraclor or $pon earlier ternrination of lltis Agrcerntrrt. 10. Nolice. Any notice rcquired by this Agreem*nt shall be decmed properly delivered rvhen ti) personally dclivered, or (iil when rnailed in the Unitcd Statcs nrail, first class postage prcpaid, or {iii} when delivcrcd by FcdEx or other comparablc courier serviec, chargcs prepaid, to the panies at their respective atidresses listed below. or (iv) rvhen sert via |acsimile so long as 1he sen,:ling pafiy can provide facsimile machine or oilrer confirmalian *horving lhe {ate, time and receiving facsimile number for the transmission" or (v) rvhen transmitted via e-mail with confinnation of reccipt. Eithcr party may changc its addrcss firr purposes ot'this paragraph by giving livc (5) dals prior rvritten noticc of such change 10 the other party. COUNTY: F.ngle County. Colorado Attentinn: Alex Everman 500 llroadrvay Peist tlffice Box 850 fiugle. CO S 163 I 'l elephone: 970-328-3578 Fgc$imiiri: 970-33t-2687 E-Mail: Alex. Evertnan@;eaglecounty.us With a cop1, t<l: Eagle County'Attomey 500 Bruadrvay Post Officc Box 850 Hagle, CO 81631 Telephone: I 70-32,$-8685 Facsinrilp: 970-338'8699 E-M ail : atty@eaglecounty.us CONTR.A.CTOR: Kem Plastering. lnc. P.O. Box 64fi Cypsum, CO 81637 Tclcphonc: (970) 390 - 3238 Facsimile: (970) 5?4 - 9666 Iirnai I : SKem.10 I 0 I @;aol.com I L Tepina{i{)g" County may tsnninatc this Agrccrncnt. in rvhole or itr parl, at any time and for any reason. witlr or without cause, and without penalty thercfor rvith sevetr (7) calendar days' prior rvritten notice io the Contractor. Upon terminarion of this Agrccrnent, Contractor shall irnrnediatcly provide County u'ith all docutnents ns <lefined in paragraph t hereofl in such format as County sirall direcl and shall return all Counly orvned materials an{ {ocuments. County shall pay Contractor for Serlices $ti$faclorily perfonned to lhc date of tcnnination. 4 Eagl* County (iuneraI Sr"rvice.s Finrl 5/l.f 12. Venue. Juris4ictiofl and Applicable Larv. Any and all claims, dispures or controvsrsies related to rhis .Agreement. or brcach thereo{ shall be litigated in the District Court lbr Eagle County. Colorado. rvhich shall be the sole and exclttsive forum for such litigalion. "fhis Agrcemcnt shall be construed and interprcted undcr and slrall tre governed by lhe larvs of the State of Colorado. 13. Execution bv Co.r,rnterr:artsiElectrgnic Sig*ature*. 'fhis Agreenrent may be exeeutsd irr two qr::rore counteryans. each of'which shall be deemed an original- but all erf rvhich shall constilute one antl the same inslrulnent. 1'he parties approve the use of electronic signatures for executiun of tlris Agreerncnt. Only the follawing tt*o ftrnus of clectronic signatures shall be pemitted to bind the parties to this Agrcernenr: (i) Elsctronic or facsirnilc delivery ofa tully sxccuted copy ofthe signature page; (ii) thc irnage ofthc signaturc ofan authorized signer inserted onto PDF format docrrment*. Ali documents musr be properly notarized, ilapplicable. All use of eleclronic signatures shall be govemecl by the Uniform Elecironic Transac:tisns Act, C.R.S. 24-71.3-101 to 131. IA| 5-Other Contrgct Requirements and Cclntractclr Renresentations. a. Contraclor has lhnriliarized itself u.ith the nature and ex{ent olthe Sen,ices ro be pror.ided lrr:reunder and the Property. and with ail locnl condiiions, I'ederal, state and local larv*. ordirances, rules and regulations that in any manoer affect cost. progrcss. or performancc of the services. b" Contractor rvill nrake, or caus{: to be nradc. cxarninations" invrstigations. and tests as he deenr* necessary fcrr rhe performance of the Services. c. 'l-o lhe cxtent possihle, Corlractor ha-s correlalcd the results of such obsen'ations, examinations^ invcstigations, tests, rcpolt$, and data with the tcrnrs snd conditions of this Agrvenrcnt. d. To the extent possible, Contrector has given C,runty written notice of all conflicts- en'ors. or discr*panc:ies. e. Contractor shall bc responsible for the conrplotene$s and accuracy ofthc Services and shall colrsct, at its s0le expenss, all significant errors and onissions in perfornrance of the Services, The fact tlnt the County har accepted or approl'cd the Senrices shall not reileve Corltractor of any of its responsibilities. Contractor shall perform the Sen'ices in a skilli'ul. profbssional and compeient rnanner and in accordance rvith the stanqlard of care. skill and diligence applicable to contractor$ pcrtbrming similar scn'ices. Contraclor reprs$ent$ and warrants that it has thc cxpertixe and persr:nnel necesssr'! to properly perform the Scrviccs and shall cornply with the highest standards of cusr,tmer sen'ice ro the pnblic. Contractor shall provi*le appropriatc supen'ision to its employe*s to ensure the Services are performed in accordance rvith this Agreelnent. I'his paragraplr shall survive termination of this Agreement. I Contractor agrces 1o work in an expeditious Inanllcr. rvithin the sound exercise of its judgmellt and professional standards. in the performance of tlris Agreement. Timc is of the essence rvith respect to this Agreement. g. 'fhis Agreernent constitutes &n agresmenl forperfionnance sl'the Serviccs by Contractor as an independent contractor and not as an einployee of County. Nothing containcd irr this Agrcernent shall be deenred tn creatc a relationship of entployer-enrployec, master-soryanf, partnership. joint venture or any other rclationship betrveen County and Contractor except that ofindependent contractor. Contractor shall have no authoriry to bind Countv. t!fiugL'Crrunty Ccneral Scn iccs Final 5 lr" Cnntractor represent$ and warrants that at all times in th* perl'armance of tlre Services" Contractor shall cornply rvith any and all applicable laws, codes, rules and regulations' i. This Agreenrent contains the cntire sgreeilrsnt betrvecn tht: parties rvilh respcct to the subject ntatter hcreofald supersedes all other agreelnents or nnderstanding between thc parti*s rvith rcspccl th*rela. j. Cuntractor shall not assign any portion of this Agreenent rvithout the prior written soniient of th{ County. Any atfempt to assign this Agreenent u'ithttut such consent shall be roid. k. This Agrecn'rent shall be bin<ling upan and shall imn"e to the benefit of'lhc parties herefo and their reripective pennittecl assigns and succcssors in interesl. Enforcsrnent of this Agreement and all rights and obligaticns hereunrler sre rssen'ed solely for the parlies, and not to any third party- l. No failure or delay by cither party irr thc cxcrcise of any right hereunder shall constitutc a waivcr thcreof. No waiver of any breach slrall bc eleemed a waivcr crf any preceding or urccceding breach. rn. The invalirlity. illegality or unenfbrceability of any pnrvision of this Agreement shall ncrl aftbct the validity or cntbrceabilitl' of any other provision hcrcof. n. Tfue signatories to this ,Agrcemeni aver 1rl thcir knq:t ledgc no employcc of the County has any per*ooal or beneficial interest whatsoever in the Services or Property described in this Agreetnent. The Contractor ftos nei benefi*ial interest. dircct or inclirect, rl, at rvoulcl conflict in any manner or degree with the performance of the Sei-v'ices and Contractor slrall not employ any per$on having such known intcrcsts. o. The Contractr:r. if a natural person e ighteen { 18) yc'ars of agc or alder* hereby swe.rrs atrd affinrrs under penalty of pe{ury rhat he or she {i) is a citizen or otherwi*e lawfully present it the United State$ pur$uant to fe{eml lar.v, (ii) to the extenr appticable shall conrply with Cl.R.S. :4'76.5-103 prior to the etfective date of this Agrecment. 15. Prohibitions on GoYernment Contry*$. As used in ifiis Sectiol 15, thc tcrnr undocumcntcd individual rvill refer to those individuals I'ronr foreign corntrie$ rrot legally within the Unitetl States as set forih in C.R.S. lt-l?.5-101, et. seq. lf Contractor lras any employees or subcontractors. Conlractorshall comply rvith C.R.S. 8-17.5-101, ct. seq.. andthis Agreurncnt' By execution of this Agreeutent, Contractor certifies that it does not knowingly ernploy or contract rvith an undacumetlted individual who rvill perform mder this Agrcentcnt aud that contractor rvill participat'': in the E-verily Program or other Deparrnrenr of Labor and Employment program ("Department Prograrn') in order to confirm tbe eligibiliry of all empl<;yees whu are nervly hired lbr employrnent 1<l pcrfotn Services under this Agreernent. a. Contractor shall not: i. under thix Agreement; or il. Knowingly employ or conft?ct tvith an undocurnented individual to perfr:nn Servic*s Enter in1ei a subcr;ntract thai fuils to certify to Contractor that thc subcontracior shall not knorvingly employ or contr"iect with au uldocumented individual to pedcrnn rvork r.nder the public eantract for services. b. Contractor has eontirmcd thc clnploymcnt cligihility of'all e rnployees rvho are ncwiy hrrcd for entploy*rrlnt to perfnrm S$rvicex under this "Agreement ttrrough participatian in thc E-Vcrify Progranr nr l)epaftrnelt e ilagl* County General Services Final 5ll4 Progratn, as adrninistered by the United States Departr:rent of Horueland Security. Informalion on applying lbr the E verill,'progralx can bc for.rnd at: hllp:l/vyww.tjhs.gq.v-l"fHeynrotlproera rrl/ec 1l.l 85??1F7S1S0,"ihtil c. Ccntraclor shall nr:t use eithqr the li-vcrify prograru or olher Departurcnt Program procedurer to underlake pre-empluyment sc-reening ofjob applicants while ttre public conlract lbr sen ices is being perfonned. d. If Contractor obtains achral krrowledgc that a subcontractr:r perf<lrnring rvork undcr the putrlic conlracl for services knowingly employs or contracts with an undocrulented individual. Contractnr shali tre required t0: i. Noti$ the subcontractor and County rvithin thrce {3) days that Contractor has achral knowlcdge lhat thc subcontractor is emplol"ing or conlracfing with an utdoculnenlcd individual: and Terminatc the ;ubcontract rvith the subcontractor if rvithin three days of receiving the notice required pursuant lo subparagraph (i) of the paragraph (d) the subcontractor does nor stop employing or contracting rvith thc utrdocumented irrdividual: exccpt that Contractor shall not terminate the contract with thc subcr:nlractor ifduring such thret {3) days {hc subcontractor provides infonnation to establish thirt thc subconfractor has nol knnrvingll'ernployed or coniracted rvilh an undocurnenled individual. e. Contractor shall comply with any rcasonable rcquest by thc Dcpartment of Labor aud lirnpk:yrnent rr:rade in thc coursc of an investigali<x thal the dcpartment is undertaking pursuant to its authority established in c.R.s. lt- r 7.s- 102(5). f. If Contractor violates thcsc prohibitions. County nray tcnninalc thc Agreement for breach of colllracl. If ilre Agrcemcnt is so tErrninated specifically {br br,;'ach of tliis provision of this Agrecrrrent. Contractor shall be liable for actual and consequential danrages to Cr:urr.ty as required by larv. g^ Courtiy will noti$ thc Colorado Secretary of State if Contractor violates this provision of this Agleement and Courrty terminater thc Agreeurent fbr such brcach. IRfiST OF PAGE INTENTIONALLY LEFT BLANKI 'v liagle Cuunty G*ncral Sen'ices linal 5,'l{ lN WITNESS WHIREOF, the partie* hav* execuled this Agreemeot lhe day and year lirst set fonh nbol'e COUNTY OF EACLE. STATE Or COLORADO. By and fhroush lts COUI{TY ]\,IANA$ER CO;.v I'Ii,AC]'OR: KERN PLASTERING.INC Uy: Title: f '* ''j*3 I Iiagie County Ceneral S***ices l;inal 5,'l* EXHIBIT A SCOPE OF SERVICES, SCHEDULE, FEES I Eaglc County Ceneral Ssfticcs Final 5.i14 t'I '; lr:'' ":' K9,ftru p{"AsrgRizu*, lrq#, l:.r1. ${ H *49, *Yf t,ir:.i iil i"iii;} I '.'.r;'j '. i,)J+ i:i"' ,'i;; '. 1 ' r' f '.t, :; :,1+lr,.x , ..:' . l 1," ';::*: ^{i ir ii*i,tL ry { -,'I + il*r" *"-t,1 jr$rl .:l : t:,-.ii{, {)l; f I tl t:: i\ '"'.i.,L ,1, r^r n i_:,iir.r, r.l i "i' J :i"*r i \. t l+.r,c. i: l}1 l -i- , I ), ,,, j''i'?6!'i ?j{} j111" ;'*ti:" l**n{"n'' ll'"l' $; fi't' L*i.- ff,t y*a i i :.il ta t ,. arvl*t. '1 t-:{ i'.rJ l.Lt{e'1?"Q; i) *i i rt ;"ri,rlryi .l 't"r ij.l..;!iu ; i ,r i. -x-; l,' ,t: '': t1 t * ,-'u i, rtu*..-'i ' u' i, iil *$ { -+--- ;.. i -.\:Lf1;lw.* 1 it.-, i^,. s'. ti fir*'.i'".41i{ L*-Pr"ua tu, \a *i :1k "'. q.b+r, j i l:l &:oJ*. ii;i:xli:r f !i lruii';;l_ l0 Iiagle County C*neral Serviccs Finrl 5i 1.{ ,4'{.j.(J.Rif CERTIFICATE OF LlAgll-*TY INSURAIICE 3/sil12Q\6 l{t$ c€sTrF{cAr€ rs r$$1J80 t$ A t{AfTER st r},lFofr&tA'!}oil t}f*t-Y a,{0 GoilFsRs N$ ru6nT9 iJPoN lHr ce8nficATe HoLseF, Tl-lls c€RTtFtcATE S0€9 HtT AFFlRtltltVgtY OR fieC,{'lVCtY &iig$8. EXI€NO On alrEfi THE COvERr,t€ iFFO*O€8 SY !}l9 pOLrfr€S SELOW. ?rit$ cgftntiteAT€ gr tfiSuRANcr po[$ !,roT ict{$11?uTu A g$H?ftAcf sg?vj6fli rH€ ,.g$u*il& rr,rsuREn{si, AuTlto$e€o t?EpaEsglr{aTrvr oF 9gosucFR. ai{o TrE cEfi]lFrcATr ilotfle8. IMPGRIANT: ll the eerlili€are *gldsr la an AoOlTlOflAL lNSUSg0, th* &atief{ie$} su$t f} snd}rsd. ll SI}8fr*GATION l$ lVAlyEo, subi&ct !o l*e terms &nd condilira5 ot ahs pslicy. c€rlnin psli€iffi 6r$T rqquir$ {n sDdi}fsrn}cnl. A $lettmoni En lhis cerlilicate dos not rcfrtsr right$ 1* lhe certaficitg hold$ ln fiau of guch gDdsrseflanils). t*tiflltt3 Al!:r&o Is$lrffi€4 ltercy .f, grtf,nrd.r, Ine 0333 !ts!n Street, ,-2*5 B,*. 3ex Af4t edFrrds Ct SfgS? Itern F!*$eer:sg lrd !t) B$x 4idfi a:Yt$11{ *e s163') ;l;;ii:*' r€n aaYls IYt" r",; t$r&} t26*:?l? lii kr ieri'r:*-ra: l#!:s :en*a:&€dw&r*t6 .*ffi rx$use*$i a$iffisrsf gsrlg*4t *tfi* rlrfre{A&culty fosBraic4, $riting ig t{1S{ rfistryn s Pi.tria**.l Assu:*nc€ ist&*t i . :4JHQ } CgRIIFICAIE HO!OE8 AC{)BD g5 {?$r4,SJ} lN6$?i;..,r', !::XIilllll- l] L"" $Li R ;\XCIi (. l:ltl"lir lC A] il GAHCFi,LATiO}I {i 1ges,?$1"1 AconD c{]pponATt0H. A,r fi{ttts fe$erved. 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