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HomeMy WebLinkAboutECAT14-001 Control Touch Systems AGREEMENT BETWEEN EAGLE COUNTY AIR TERMINAL CORPORATION
AND CONTROL TOUCH SYSTEMS, INC.
THIS AGREEMENT is made effective the S�%'" day of .. Jt/A'i./1 , 2014 (the "Effective
Date"), by and between Eagle County Air Terminal Corporation (`SCAT"), and Control Touch
Systems, Inc., a company organized under the laws of the State of Kentucky("Contractor").
WHEREAS, County desires controls system service and support for the in-line baggage system
in the passenger terminal at the Eagle County Regional Airport property(the"Airport"); and
WHEREAS, Contractor has experience and expertise necessary to provide said services to
ECAT; and
WHEREAS, ECAT and Contractor intend by this Agreement to set forth the scope of the
responsibilities of Contractor in connection with the services and related terms and conditions to
govern the relationship between Contractor and ECAT in connection with this Agreement.
NOW, THEREFORE, in consideration of the foregoing premises and the following promises,
ECAT and Contractor agree as follows:
ARTICLE 1—WORK
1.1 Contractor will furnish all labor necessary for the controls system support identified in
Contractor's proposal dated November 26, 2013, attached hereto as Exhibit "A," and hereby
incorporated by this reference. Contractor's services are generally described as providing
telephone controls system troubleshooting and diagnostic support 24 hours per day, 7 days per
week (the "Services"). If no completion date is specified in Exhibit A, Contractor agrees to
furnish the Services in a timely and expeditious manner consistent with the applicable
professional standard of care. 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. Additional services, such as
engineering or onsite support, shall be billed on an hourly basis in accordance with the rates for
"Additional Hourly Support" set forth in Exhibit A.
ARTICLE 2—TERM OF AGREEMENT
2.1 This Agreement shall commence effective December 11, 2013, and subject to the
provisions of Article 10 hereof, shall continue for a one(1) year period (the"Term").
ARTICLE 3—COMPENSATION
3.1 For the services satisfactorily performed in accordance with this Agreement, ECAT will
pay Contractor according to the"Pricing" and the rates for"Additional Hourly Support" set forth
in Exhibit A. The maximum amount of compensation under this Agreement shall not exceed
$25,000.00 without a signed amendment to this Agreement.
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3.2 Payment will be made on a monthly basis, for Services satisfactorily performed, within
thirty (30) days of receipt of a proper and accurate invoice from Contractor respecting such
Services. The invoice shall include a detailed description of the services performed. Contractor
shall provide ECAT with such other supporting information as ECAT may request.
3.3 All invoices must be mailed or delivered in-person to the following address to ensure
proper payment.
Eagle County Air Terminal Corporation
P.O. Box 850
Eagle, Colorado 81631
3.4 ECAT 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.
ARTICLE 4—CONTRACTOR'S REPRESENTATIONS
In order to induce ECAT to enter into this Agreement, Contractor makes the following
representations:
4.1 Contractor has familiarized itself with the nature and extent of the Services to be
provided hereunder, the Airport Facility, and with all local conditions, and federal, state, and
local laws, ordinances, rules and regulations that in any manner affect cost, progress, or
performance of the Services.
4.2 Contractor will make, or cause to be made, examinations, investigations, and tests as it
deems necessary for the performance of the Services.
4.3 To the extent possible, Contractor has correlated the results of all such observations,
examinations, investigations, tests, reports, and data with the terms and conditions of this
Agreement.
4.4 To the extent possible Contractor, has given ECAT written notice of all conflicts, errors,
or discrepancies that he has discovered in the Agreement.
4.5 Contractor will be responsible for provision of the Services and 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 of its kind. Further, in rendering the Services,
Contractor shall comply with the highest standards of customer service to the public. Contractor
shall provide appropriate supervision of its employees to ensure the Services are performed in
accordance with this Agreement.
ARTICLE 5—ENTIRE AGREEMENT
5.1 This Agreement represents the entire Agreement between the parties hereto. There are no
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contract docurrrents other tin this—Agreement and Exhibits A and B (the "Contract
Documents"). The Agreement may only be altered, amended, or repealed in writing.
ARTICLE 6—MISCELLANEOUS
6.1 No assignment by a party hereto of any rights under, or interests in the Agreement will be
binding on another party hereto without the written consent of the party sought to be bound; and
specifically, but without limitation, moneys that may become due and moneys that are due may
not be assigned without such consent (except to the extent that the effect of this restriction may
be limited by law), and unless specifically stated to the contrary in any written consent to an
assignment, no assignment will release or discharge the assignor from any duty or responsibility
under the Agreement.
6.2 ECAT and Contractor each binds itself, its partners, successors, assigns and legal
representatives to the other party hereto, in respect to all covenants, agreements, and obligations
contained in this Agreement.
6.3 Notwithstanding anything to the contrary contained in this Agreement, ECAT shall have
no obligations under this Agreement after, nor shall any payments be made to Contractor in
respect of any period after December 31, 2013 without an appropriation therefore by County in
accordance with a budget adopted by the Board of County Commissioners in compliance with
Article 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).
• •6.4 Provision Mandated by C.R.S. § 8-17.5-101 et seq. PROHIBITIONS ON PUBLIC
CONTRACT FOR SERVICES
6:4.1 If Contractorhas any employees or subcontractors, Contractor shall comply with C.R.S. §
8-17.5-101, et seq., regarding Illegal Aliens—Public Contracts for Services, and this Agreement.
By execution of this Agreement, Contractor certifies that it does not knowingly employ or
contract with an illegal alien who will perform under this Agreement and that Contractor will
participate in the E-verify Program or other Department of Labor and Employment program
("Department Program") in order to confirm the eligibility of all employees who are newly hired
for employment to perform Services under this Agreement.
6.4.2 Contractor shall not:
(i) Knowingly employ or contract with an illegal alien to perform work under
this contract for services; or
(ii) Enter into a contract with a subcontractor that fails to certify to the
Contractor that the subcontractor shall not knowingly employ or contract
with an illegal alien to perform work under the public contract for
services.
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6.4.3 Contractor ha ,;confirmed the employment eligibility of all employees who are newly
hired for employment to perform work under this Agreement through participation in the E-
verify Program or Department Program, as administered by the United States Department of
Homeland Security. Information on applying for the E-verify program can be found at:
http://www.dhs.gov/xprevprot/programs/gc 1185221678150.shtm
6.4.4 The Contractor shall not use either the E-verify program or other Department Program
proc'edures to undertake pre-employment screening of job applicants while the public contract
for services is being performed.•
6.4.5 If the Contractor obtains actual knowledge that a subcontractor performing work under
the public contract for services knowingly employs or contracts with an illegal alien, the
Contractor shall be required to:
(i) Notify the subcontractor and ECAT within three days that the Contractor
has actual knowledge that the subcontractor is employing or contracting
with an illegal alien; and
(ii) Terminate the subcontract with the subcontractor if within three days of
receiving the notice required pursuant to subparagraph(i) of the paragraph
(D) the subcontractor does not stop employing or contracting with the
it Y l s,, illegal alien;..except_that the,Contractor-._shallknot terminate=-,the contract
• with the subcontractor if during such three days the subcontractor provides
information to establish that the subcontractor has not knowingly
• employed or contracted with an illegal alien.
6.4.6 The Contractor shall comply with any reasonable request by the Department of Labor and
Employment made in the-course of an investigation that the department is undertaking pursuant
to its authority established in C.R.S. § 8-17.5-102(5).
6.4.7 If a Contractor violates these prohibitions, the ECAT may terminate this Agreement for a
breach of the contract. If this Agreement is so terminated specifically for a breach of this
provision of this Agreement,the Contractor shall be liable for actual and consequential damages
to ECAT as required by law.
6.4.8 ECAT will notify the office of the Colorado Secretary of State if Contractor violates this
provision of this Agreement and ECAT the Agreement for such breach.
6.5 In the event of litigation between the parties hereto regarding the interpretation of this
Agreement, or the obligations, duties or rights of the parties hereunder, or if suit otherwise is
brought to recover damages for breach of this Agreement, or an action be brought for injunction
or specific performance,then and in such events, the prevailing party shall recover all reasonable
costs incurred with regard to such litigation, including reasonable attorney's fees.
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6.6 InvaITty or unenforceability of any provision of this Agreement shall not affect the
other provisions hereof, and this Agreement shall be construed as if such invalid or
unenforceable provision was omitted.
ARTICLE 7-JURISDICTION AND VENUE:
7.1 This Agreement shall be interpreted in accordance with the laws of the State of Colorado
and the parties hereby agree to submit to the jurisdiction of the courts thereof. Venue shall be in
the Fifth Judicial District for the State of Colorado.
ARTICLE 8-INDEMNIFICATION:
8.1 The Contractor shall, to the fullest extent permitted by law, indemnify and hold harmless
ECAT and any of its officers, agents and employees against any losses, claims, damages or
liabilities for which ECAT or any of its officers, agents, or employees may become subject to,
insofar as any such losses, claims, damages or liabilities arise out of, directly or indirectly, this
Agreement, or are based upon any performance or nonperformance by Contractor hereunder; and
Contractor shall reimburse ECAT for any and all legal and other expenses incurred by ECAT 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 ECAT to the extent that
ECAT is liable to such third party for such claim without regard to the involvement of the
Contractor. E t
ARTICLE 9-OWNERSHIP OF DOCUMENTS AND MATERIALS:
All documents (including electronic files) which are obtained during, purchased or prepared in
the performance of the Services shall remain the property of ECAT and are to be delivered to
ECAT before-fmai payment is.made to-Contractoror upon earlier termination-of this Agreement.
ARTICLE 10-TERMINATION:
10.1 ECAT may terminate this Agreement, in whole or in part, for any reason, at any time,
with or without cause. Any such termination shall be effected by delivery to Contractor of a
written notice of termination specifying the reason and date upon which termination becomes
effective. In such event, Contractor shall be compensated for all Services satisfactorily
completed up to the date of termination for such Services. In the event the Contractor files for
bankruptcy or is declared bankrupt or dissolves, ECAT may declare in writing that this
Agreement is immediately terminated, and all rights of Contractor and obligations of ECAT are
terminated, except payment of accrued but unpaid fees as set forth in this Section 10.1.
ARTICLE 11 —NOTICE
11.1 Any notice required under this Agreement shall be personally delivered,mailed in the
United States mail, first class postage prepaid, or sent via facsimile provided an original is also
promptly delivered to the appropriate party at the following addresses:
5
TWountyta... Eagle County Air Terminal Corp.
P.O. Box 850
Eagle, Colorado 81631
(970) 328-2680(p)
(970) 328-2687 (f)
and a copy to: Eagle County Attorney
P.O. Box 850
Eagle, Colorado 81631
(970) 328-8699 (f)
The Contractor: Control Touch Systems, Inc.
3101 Breckenridge Lane
Louisville, KY 40220
(502)452-9397 (p)
(502)452-9373 (f)
11.2 Notices shall be deemed given on the date of delivery; on the date a FAX is transmitted
and confirmed received or, if transmitted after normal business hours, on the next business day
after transmission, provided that a paper copy is mailed the same date; or three days after the
date of deposit, first class postage prepaid, in an official depositary of the U.S. Postal Service.
ARTICLE 12—INDEPENDENT CONTRACTOR
12.1 It is expressly acknowledged and understood by the parties hereto that nothing contained
in this Agreement shall result in, or be construed as establishing, an employment relationship
between ECAT and Contractor or ECAT and Contractor's employees. Contractor and its
employees-shall- be, and_shall perfornr-ash- independent--contractors. . No -officer; agent,
subcontractor, employee, or servant of Contractor shall be, or shall be deemed to be, the
employee, agent or servant of ECAT. Contractor shall be solely and entirely responsible for the
means and methods to carry out the Services under this Agreement and for Contractor's acts and
for the acts of its officers, agents, employees, and servants during the performance of this
agreement. Neither Contractor nor its officers, agents, subcontractors, employees or servants
may represent, act, purport to act or be deemed the agent, representative, employee or servant of
ECAT.
ARTICLE 13—INSURANCE REQUIREMENTS
13.1 At all times during the term of this Agreement, Contractor shall maintain insurance on its
own behalf in the following minimum amounts:
Workmen's Compensation, disability benefits, and other similar employee benefit acts,
with coverage and in amounts as required by the laws of the State of Colorado;
Comprehensive Automobile Insurance shall be carried in the amount of$1,000,000 for
bodily injury and $1,000,000 for property damage, each occurrence. All liability and
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property damage insurance required hereunder shall be Comprehensive General and
Automobile Bodily Injury and Property Damage form of policy.
Comprehensive liability and property damage insurance issued to and covering
Contractor and any subcontractor with respect to all Work performed under this
Agreement and shall also name ECAT as an additional insured, in the following
minimum amounts:
Bodily Injury Liability:
Each Person: - $1,000,000
Each Accident or Occurrence: $1,000,000
Property Damage Liability:
Each Accident or Occurrence: $1,000,000
13.2 Contractor shall purchase and maintain such insurance as required above and shall
provide certificates of insurance in a form acceptable to ECAT upon execution of this
Agreement. Insurance certificate(s) shall be attached hereto as Exhibit"B".
//SIGNATURE PAGE TO FOLLOW//
7
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year
first above written.
EAGLE COUNTY AIR TERMINAL
CORPORATION,by and through the Eagle County
Manager
By: ,,,„‹
Keith Montag, ounty Managet
CONTROL TOUCH SYSTEMS, INC.
By:
Title: , 17,o,•7
t,
STATE OF Letd-witui
COUNTY OF si--Cre_ce)Y-1 )
The foregoing instrument was acknowledged before me by c . skti4..,4-; ,
this J day of -44.ktvu,,A,--Lt , O±± 2z).-
My commission expires: &-e_p..4-. i?) .40r1
-
Notary Public
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8
EXHIBIT A
CONTRACTOR'S PROPOSAL DATED NOVEMBER 26, 2013
9
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Service Proposal l
To
Eagle County Regional Airport
11/26/2013
4 ni:ix:41-7:01=h'
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3101 BRECKENRIDGE LANE,LOUISVILLE,KY 40220
CONTROLTOUCH SYSTEMS,INC. SERVICE CONTRACT PROPOSAL PROPOSAL P13162R2
SERVICE CONTRACT PROPOSAL - 2013
Introduction
Contro ouch Systems, Inc. is pleased to provide you with this proposal to supply a Controls System
Service Contract to the customer. ControlTouch has full-time controls engineers who are dedicated to
providing quality customer support around the clock. This service contract includes 24-7 telephone
support of warranty issues and, as requested,will be offered on a monthly basis. Note that this service
contract does not include on-site field support. Any work performed by our engineers will be billed on
an hourly basis.
The following summarizes the services that can be offered in our proposal:
• Control Systems Troubleshooting and Diagnostics
The following list summarizes the equipment and services to be provided by others:
• VPN Connection
• Electrical and Mechanical Installation and Demolition
• Operators and Materials for Testing
• Spare Parts
The remainder of this document will give details of our service system and pricing.
24-Hour Telephone Sport
Our basic level of support will give the customer access to our 24 hour, 7 days a week support hot line.
The charge for this level of support is for our guarantee of one hour response time to requests for
assistance. This type of service will be greatly enhanced by the customer giving us access to a VPN
link to their control system network. Note that all costs and responsibility associated with setting up and
maintaining this VPN service would be the responsibility of the customer.
Preventative Maintenance Service Calls
Our next level of support would add regularly scheduled service calls to the basic level. We will work
out a schedule with the customer for us to visit their facility to perform routine controls maintenance.
We will visually and/or electrically inspect all of the controls equipment and software in the system.
After this inspection we will make recommendations to the customer based on the state of the system.
While our engineer is on site the customer may also wish to use his time to provide hands on training
for their personnel. Service calls are typically done on a quarterly basis and usually last eight man-
hours on site. However the number of service calls and their duration can be negotiated on an
individual basis. This type of work is purchased on a unit basis in addition to 24-hour telephone
support. These service calls can be added to the service contract at any time during the life of this
agreement by applying this unit price.
PAGE 2
CONTROLTOUCH SYSTEMS,INC. SERVICE CONTRACT PROPOSAL PROPOSAL P13162R2
Description of Services
ControlTouch will provide controls engineering maintenance support service (Service) for the
Customer's baggage handling controls system during the term of this Agreement.
General Conditions
•
• A. SPARE PARTS: No spare parts have been included with this proposal.
B. SAFETY: ControlTouch will supply its on-site service personnel standard tools and safety
equipment as required to service the instrumentation and control system and will be governed
by the Purchaser's safety program. ControlTouch also agrees to comply with all applicable
state, federal and local safety regulations and laws. Any other safety equipment that is
required shall be supplied by the Purchaser or at the Purchaser's expense.
C. INSTALLATION: ControlTouch has not included any electrical field wiring or mechanical
installation or demolition that might be required as a part of the work in our proposal. Nor have
we included any supervision of this work. If any electrical or mechanical work is required it
shall either be provided by others or it can be supplied by ControlTouch. However all costs
associated with this type of work shall be billed to the customer in addition to the service
contract.
PAGE 3
CONTROLTOUCH SYSTEMS,INC. SERVICE CONTRACT PROPOSAL PROPOSAL P13162R2
Pricing and Payment Terms
Our Service Agreement guarantees telephone service coverage by ControlTouch for the Customer 24
hours per day, 7 days per week. Depending on the level of service selected service hours will be billed
to the Customer. Service hours shall include travel time to and from the Customer's site, if applicable.
Note that travel costs will be billed separately.
p
Pricing
Year 1 Telephone Support available 24 hours per day—7 days per week. $ 13,556.00/yr.
Field Service Call, Excluding travel and per diem. (Unit Price) $ 2,376.00/ea.
Note`Service Call to field includes 24 hours labor and travel
M
Hourly Support Charge
Available at ControlTouch's currently published service rates. Please see our engineering rates for this
service contract below. These rates will be good for the duration of this contract.
Standard Hourly Rate $ 110.00
Overtime Hourly Rate $ 135.00
Weekend Standard Hourly Rate $ 135.00
Weekend Overtime Hourly Rate $ 160.00
Terns
A. Terms shall be net thirty(30)days from the date of the invoice.
B. Payment of invoices per the above terms must be paid in full.
C. ControlTouch will invoice the Customer on a monthly basis. Payment of the first invoice will
mark the starting point of the coverage in this service agreement.
D. All engineering shall be billed in minimum increments of one hour, if applicable.
E. Late payments may result in the suspension and/or termination of this service contract.
NOTE: PROPRIETARY INFORMATION
Information in this document is the property of and is proprietary to ControlTouch Systems,Inc. The information included herein
is tendered solely for reference by our customer and shall not be used by any recipient for any other purposes whatsoever.
PAGE 4
EXHIBIT B
INSURANCE CERTIFICATES
J
10
.-----"1 CONTR-3 OP ID:SM
'`�� -R° CERTIFICATE OF LIABILITY INSURANCE DATE
01/29/DD/YYYY)
01/29/2014
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
Epic Insurance Solutions,LLC PHON:
1900 Plantside Dr (NHCNNNo,Ext): FAX No):
Louisville,KY 40299 ADDRIESS:
Chris W Reynolds
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:Secura Insurance 22543
INSURED Control Touch Systems Inc INSURER B:Employers Assurance Company
3101 Breckenridge Ln#300
INSURER C:
Louisville,KY 40220
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBR
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF PM/OD/EXP
(MM/DDIYYYY) (MMIDD/YYYY! LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY 20-CP-3178552 05/30/2013 05/30/2014 DAMAGE TO RENTED
PREMISES(Ea occurrence) $ 100,000
CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000
PERSONAL 8 ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY PRO-
JECT LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident) $ 1,000,000
A X ANY AUTO 20-A-3178553 05/30/2013 05/30/2014 BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident) $
HIRED AUTOS
NON-OWNED PROPERTY DAMAGE
AUTOS (PER ACCIDENT) $
$
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
A EXCESS LIAB CLAIMS-MADE 20-CU-3178554 05/30/2013 05/30/2014 AGGREGATE $ 5,000,000
DED X RETENTION$ $
WORKERS COMPENSATION WC STATU- 0TH-
AND EMPLOYERS'LIABILITY X TORY LIMITS ER
Y/N
B ANY PROPRIETOR/PARTNER/EXECUTIVE EIG1329800 02 05/30/2013 05/30/2014 E.L.EACH ACCIDENT $ 500,000
OFFICER/MEMBER EXCLUDED'? N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000
A Property Section 20-CP-3178552 05/30/2013 05/30/2014 Contents 150,000
Ded 1,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required)
Certificate holder is also listed as additional insured with respects to job
# P13162 for control system support by our insured.
CERTIFICATE HOLDER CANCELLATION
EAGLECO
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ECAT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
P 0 Box 850
Eagle,CO 81631 AUTHORIZED REPRESENTATIVE
I
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD