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Home My WebLink AboutGE14-003 Rich Hufnagel Painting 'I AGREEMENT FOR SERVICES BETWEEN GOLDEN EAGLE ELDERLY HOUSING CORPORATION AND RICH HUFNAGEVVING THIS AGREEMENT("Agreement")is effective as of tlday of0 1/ ,2014 by and between Rich Hufnagel Painting,a sole proprietor(hereinafter"Contractor")and Gold Eagle Elderly Housing Corporation,a Colorado non-profit corporation(hereinafter"Golden Eagle"). RECITALS WHEREAS,Golden Eagle desires to have Contractor paint the exterior of entire Golden Eagle facility consisting of 9 buildings(the"Project")located at 700 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 Golden Eagle in connection with the Services. AGREEMENT NOW,THEREFORE,in consideration of the foregoing and the following promises Contractor and Golden Eagle 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 August 31,2014 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. Golden Eagle's Representative. The Housing Department's designee, Leona Perkins,the on-site property manager,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 October 31,2014. 4. Extension or Modification. 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 Golden Eagle for such additional ii-} -00 r services in accordance with Golden Eagle'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 Golden Eagle 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 Golden Eagle 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. Golden Eagle 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 twenty four thousand three hundred dollars($24,300.00). 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 Golden Eagle. a. Payment will be made in two installments and for Services satisfactorily performed within thirty (30)days of receipt of a proper and accurate invoice from Contractor. AM invoices shall include detail regarding the hours spent,tasks performed,who performed each task and such other detail as Golden Eagle may request.The first installment shall be paid within thirty(30)days of satisfactory completion of the Services for the first eighteen (18) units and the second installment shall be paid within thirty(30)days of satisfactory completion of the Services for the remainder of the Project. b. If,at any time during the term or after termination or expiration of this Agreement,Golden Eagle reasonably determines that any payment made by Golden Eagle 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 Golden Eagle,Contractor shall forthwith return such payment(s) to Golden Eagle. Upon termination or expiration of this Agreement,unexpended funds advanced by Golden Eagle, if any,shall forthwith be returned to Golden Eagle. • c. Golden Eagle 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. Contractor and any subcontractors hereby waive the right to lien the Property. Notwithstanding the foregoing,in the event of any lien,notice of intent to file a lien statement,lien statement,or claim be recorded or served in connection with the Services,Contractor shall immediately and at its own expense,record or file, a bond executed by a good and sufficient surety,and approved by Golden Eagle,in a sum equal to one hundred fifty(150%)percent of the amount of such lien,notice or claim,together with the claimant's cost of suit in the action if the claimant recovers therein. 6. Subcontractors. Contractor acknowledges that Golden Eagle 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 Golden Eagle's prior written consent,which may be withheld in Golden Eagle's sole discretion. Golden Eagle 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 Golden Eagle has an objection,in its reasonable discretion,shall he assigned to the Project. Contractor shall require each subcontractor,as approved by Golden Eagle 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 2 Golden Eagle General Services Final 5/14 toward Golden Eagle. Golden Eagle shall have the right(but not the obligation)to enforce the provisions of this Agreement against any subcontractor hired by Contractor and Contractor shall cooperate in such process.The Contractor shall be responsible for the acts and omissions of its agents,employees and subcontractors. 7. Insurance. Contractor agrees to provide and maintain at Contractor's sole cost and expense,the following insurance coverage with limits of liability not less than those stated below: a. Types of Insurance. i. Workers'Compensation insurance as required by law. ii. Auto coverage will be supplied by Contractor's personal insurance policy. 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 51,000,000 aggregate limits. b. Other Requirements. i. The commercial general liability coverage shall be endorsed to include Golden Eagle,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 Golden Eagle 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 Golden Eagle is relying on,and does not waive or intend to waive by any provision of this Agreement, the monetary limitations or rights,immunities and protections provided by the Colorado Governmental Immunity Act,as from time to time amended,or otherwise, available to Golden Eagle,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 Golden Eagle,and any of its officers, agents and employees against any losses,claims,damages or liabilities for which Golden Eagle 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 shalt reimburse Golden Eagle for reasonable attorney fees and costs,legal and other expenses incurred by Golden Eagle 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 Golden Eagle to the extent that Golden Eagle is 3 Golden Eagle General Services Final 5/14 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 Golden Eagle and are to be delivered to Golden Eagle 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. GOLDEN EAGLE: Attention:Jill Klosterman 500 Broadway Post Office Box 850 Eagle,CO 81631 Telephone:970-328-8773 Facsimile:970-328-8787 E-mail:jill.klostcrman @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 E-mail:arty @eaglecounty.us CONTRACTOR: Rich Hufnagel P.O.Box 4199 Eagle,CO 81631 970-328-6872 • 11. Termination. Golden Eagle 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 Golden Eagle with all documents as defined in paragraph 9 hereof,in such format as Golden Eagle shall direct and shall return all Golden Eagle owned materials and documents.Golden Eagle 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 Golden Eagle General Services Final 5/14 • 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.Oniy 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 Golden Eagle 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 tact that Golden Eagle 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 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 Golden Eagle. 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 Golden Eagle and Contractor except that of independent contractor. Contractor shall have no authority to bind Golden Eagle. 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. • 5 Golden Eagle General Services Final 5/14 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 Golden Eagle. 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. I. 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 Golden Eagle 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(18)years of age or older,hereby swears and affirms under penalty of perjury that he or she(i)is a citizen or otherwise lawfully present in the United States pursuant to federal law,(ii)to the extent applicable shall comply with C.R.S.24-76.5-103 prior to the effective date of this Agreement. P. Contractor warrants and guarantees to Golden Eagle that all Services will be performed in a good and workman like manner and in accordance with this Agreement. lf,within one year from the date of final payment for the Services,or such longer period as may be prescribed by law,the Services are found to be defective or not in accordance with the terms of this warranty or Agreement,then upon written notice from Golden Eagle, Contractor shall promptly,without cost to Golden Eagle,and in accordance with Golden Eagle's written instructions repair or replace such defective Services. If Contractor does not promptly comply with the terms of such instructions,Golden Eagle may have the Services corrected,repaired or replaced and all direct and indirect costs incurred by Golden Eagle shall be paid by Contractor. 15. Prohibitions on Contracts. a. As used in this Section 15,the term undocumented individual will refer to those individuals from foreign countries not legally in the United States as set forth in C.R.S.8-17.5-101,et.seq.If Contractor has any employees or subcontractors,Contractor shall not: i. Knowingly employ or contract with an undocumented individual to perform Services under this Agreement;or ii. Enter into a subcontract that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an undocumented individual to perform work under the contract for services. b. if Contractor obtains actual knowledge that a subcontractor performing work under the contract for services knowingly employs or contracts with an undocumented individual,Contractor shall be required to: • 6 Golden Eagle General Services Final 5/14 i. Notify the subcontractor and Golden Eagle within three (3) days that Contractor has actual knowledge that the subcontractor is employing or contracting with an undocumented individual;and • ii. Terminate the subcontract with the subcontractor if within three(3)days of receiving the notice required pursuant to subparagraph (i)of the paragraph 14(b) the subcontractor does not stop employing or contracting with the undocumented individual; except that Contractor shall not terminate the contract with the subcontractor if during such three(3)days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an undocumented individual. c. If Contractor violates these prohibitions,Golden Eagle may terminate the Agreement for breach of contract. If the Agreement is so terminated specifically for breach of this provision of this Agreement, Contractor shall be liable for actual and consequential damages to Golden Eagle. d. Golden Eagle may notify the Colorado Secretary of State if Contractor violates this provision of this Agreement and Golden Eagle terminates the Agreement for such breach. [Rest of page intentionally left blank] • • • • IN WITNESS WHEREOF,the parties have executed this Agreement the day and year first set forth above. 7 Golden Eagle General Services Final 5/14 GOLDEN EAG E ELDERLY HOUSING CORPORATION fBy: _ -FAQ Sara J. Fisher, Pre.idcnt Attest: By: ,--. Secretar A CONTRAC,TTOR: ich u`Pnag Painting By: —TR1_2 Print Name: 1` L C,lei -1 V.rilA-1& Title: 0 N 2 8 Golden Eagle General Services Final 5/14 I EXHIBIT A SCOPE OF SERVICES,SCHEDULE,FEES • 9 Golden Eagle General Services Final 5/14 • PROPOSAL Page# of pages ` A. Box 6-ticri.g CrG. Si 6' ( 32s - 6s7L Proposal Submitted Yo: Job Nemo Job# GOL N Ef �LE ELDERL7 1'40 uSc Address Job Location • Date [�'2 13 Date of Plans Phoney Fax x # `J a Architect • i ?At�T /�L.L ib lu r tv S _OA-) We hereby submit specifications and estimates for. 5 I i_ ,_��.lq._�}_— (} ��._• uUtLzJVogs- A. Et_', HC- 1.6 ivetoBugg G2Eeiv _.2311.LLDJATI _ 5 J .2 • 5 ti1C65 reAra �t1lZ� 1.1V7i C•l l u L4 oLL 1 j' _ NO STV cC4 012_ . I o DD W t rr ? CE Does l I cLuDC _^._ 34 6- "Bo&RD Zelot u 5` (O. T14t.0E• ALSO iNcLuDE5 5c2,4PLAq ENO _ FO,crytikr, . L014:- 1 L E ni eb t . ;A L L fn ATfLR t c L TO tar P p 4 l c?-b (4) • Irvs�: Pt,LL fr TP21&LS Aeer 3ENJM •too026-- l'roauu$ . • etc WCLUDE5 ALL tAATE.R.IAL5 AND 6-CIUiP .rtii lU6t D b_ 2.4t3ao-PO 121706. 6o .E.Ft 3v r_thtAl. 7S.00 l t2 u t2: • We propose hereby to furnish material and labor—completer in accordance with the above specifications for the sum of: $ T 71t'f ourp_ T Ot)S Jb. T�E��E t+ UNy+:CY • Dollars with payments to be made as follows:. • • Any alteration or deviation from above spedricatons indotviny extra costs wit be Respectfully executed only upon written order,and wit!become an extra cfrarge over•and submitted above the estimate.AS agreeinonte contingent upon strikes,accidents,or delays beyond our control. Note--this proposal may be withdrawn by it not accepted within days. •� 1 Acceptance of Proposal The above prices,specifications and conditions are satisfactory and are Signature hereby accepted.You are authorized to do the work as specified. _- Payments will be made as outlined above. Date of Acceptance Signature STOPS.. FORM 365D EXHIBIT B INSURANCE CERTIFICATE • 10 Golden Eagle General Services Final 5/14 • 09-19-14;02:56PM;From: To:3288898 ;9703284956 # 1/ 1 A � -1i.� DATE(MMtDINYYYY) VEHICLE OR EQUIPMENT CERTIFICATE OF INSURANCE 09/19/2014 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. This form Is Used to report coverages provided to a single Specific vehicle or equipment.Do not use this form to report&ability coverage • provided to muiiplo vehICIes undor a single policy,Us.ACORD 25 for that purpose. PRODUCFA - „a, rAct CHARLOTTE State Farm COMERFORD INSURANCE AGENCY INC NNE a„�970 328 4000 FAX • P 0 BOX AIM INC,Not CHARLOTTE©WMLLCOMERFORD.COM — EAGLE,C081631 cusTOr°Ii'A -' MNEURERB)AFFORDING COVERAGE NAIC 1 INSURED y)suta A,Stale Fenn Mutual Automobile Insurance Company 25178 HUFNAGEL,RICHARD A&ELIZABETH A *atoms e: P 0 BOX 4199 INSURER C r EAGLE.CO 81631 _INSURER D I INSURER E: DESCRIPTION OF VEHICLE OR EQUIPMENT TEAR MAEEl MANUFACTURER MODEL BODY TYPE VEHICLE d1El1PICATION NUMBER 2002 TOYOTA TACOMA PICKUP STEWN72NX2Z122705 DESCRIPTION SERIAL HUMBER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TMS IS TO CERTIFY THATTHE POUCY(IES)OF INSURANCE LISTED BELOW HASIHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD(S)INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCEAFFORDED BY THE POLICY(IES)DESCRIBED HEREIN IS/ARE SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POUCY(IES)_ ^ DIEM Non POLICY EFFECTIVE POMP EMPLRAVyyO�N., LTR OOED TYPE OP INSURANCE[ POLICY MOUSER DATE(MM)ODJYYYY) DATEIM6VDDNYYSY) LIMITS ^J VE}BOLe warn. COMBINED SINGLE LIMIT $ A 636 0101-E03-06 05103/2014 11(03/2014 BODLY INJURY(P.rpomp) 5 100,000 BODILY INJURY(Per.afaare) S 30040 _ PROPERTY DAMAGE 1 50.000 DEHERAI,UAE1LJTY EACHOCCURENC6 S ROCCURRENCE _ CWMSMAOE GENERAL AGGREGATE S S INBR Lots POLILYESPMom POUCYOrrtRATiON LTR PAYEE ' TYPE OF INSURANCE POLICY NUMDER DATE(MMDDIYYYY) DATE RODAYYY) LW)TSI DEDUCTIBLE ..__.VEIl C01,LISION LOSS []ACV ❑AGREED AMY a LIMIT ❑ []STATED AMT I LIED VEFI COMP I I VER OTC []. ACID [I AGREED AMT $ LAM PRDPERTY �• ❑ ❑STATED AMT f DFD • ❑ACV ❑AGREEOANT BASIC -_BROAD $ LIMIT SPECIAL. ❑RC ❑STATED Ana — In DED — maws(ICLINDINO SPECIALCDNDITIDIB 1 OTHFA COVERAGES)(*sub ADDED tot,ASOMn.l Wart 1xa.d,d.,trDmr..P.c.I.PIRI Ited) ADDITIONAL_INTEREST CANCELLATION Soled one of ma following: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Trweaauomt Worm Demi bed billow huWra.de.dm Ina sokyp.3)kiss bomb bF Pats nAstn40) BEFORETHEEX PIRATIONDATETHFREOF,NOTICEWILCgi urinal,povn.uprn>tlsd to.dd rhe.aditoDsi lnieea.r arufDw baba to Yr porgPu) DELNERED IN•ACCORDANCE WIT}{THE POLICY PROVISIONS .Drr�.bid n.Awr(y, VEHICLE f Woman'Daunt 1 I tromp I I Ftwiceo DESCRIPTION OP THE ADOmONALBTEREBT NAME AND ADDRESS OFADOmONALWIELE61' ADDITIONAL INSURED LOS3 PAYEE • RICHARD HUFNAGEL LENDEA'e Loss PAYEE _^ PO BOX 4199 LOAN ILEASR NUMBER EAGLE CO 81631 �� • • I w�l :�-Y!r/ . c A•-1997-2010 .CORD C.PORATI• .Ail rights reson/ed. ACORD 23(201010$) The ACORD name and logo are registered marks of ACORD 1004361 142987.2 01-28.2013 AGENCY CUSTOMER ID:RICHH U F-01 PATTY LOC II: AR O` ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Hood Insurance Agency Rich Hufnegel Painting PO Box 4199 POLICY HUMBER - Eagle,CO 81631 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 ISEE P 1 EFfWWII DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS'FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE:Certificate of Liability Insurance Remarks: Additional insured Golden Eagle SenlorApartments is listed as an additional insured as it pertains to the General Liability • • • ACORD 101(2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • RICHHUF-01 PATTY A CERTIFICATE OF LIABILITY INSURANCE GATE(""'DOrYYrr) 8/13/2014 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(fes)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 Hood Insurance Agency • NAME: Patty Jackson-Hood/Hood Ins A enC 850 Chambers Ave Ste 5 PNONE 974 306.4303 FAX Eagle,CO 81631st hoodinsurance@centurylink.net INSURER(S)AFFORDING COVERAGE RMC N Daum(A:Security National Insurance Co INSURED . INSURERS: ' Rich Hufnagel Painting INSURER C: PO Box 4199 INSURER D: Eagle,CO 81631 INSURER E: INSURERF; 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 WAY 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. 'LIE i TYPE OP INSURANCE UN SD WVQ POL CY NUMBER IMMlp Yoram I(wiroDrrYYYt LIMITS --- A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS•MADE J OCCUR NA103307400 05/2112014 05121/2015 PREMSSS(EaEoocc,'rroncol $ 100,000 MEO EXP(My one person) S 5,000 _ PERSONAL 6 ADV INJURY S GEN•L AGGREGATE LIMITAPPUES PER GENERAL AGGREGATE $ 2,000,000 POLICY n J�EC7 Q 100 PRODUCTS-COMP/OP AGG $ O1-ER: _ S AUTOMOBILE LiABILItY COMBINED SINGLE LIMIT S (Ea auidm0 ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED _ AUTOS AUTOS BODILY INJURY(Poi ae klon0 5 _ HIRED AUTOS N AUTOS N.rNED PROPERTY DAMAGE (Per ecUdenl) ' S UMBRELLA MB OCCUR S EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGATE _ I$ OED I. RETENTION I WORKERS COMPENSATION I STATUTE �_0t I AND EMPLOYERS'LIABILITY ANY OFFICER/MEMBER EXCLUDED?ECUTNE Y�NIA EL.EACH ACCIDENT S (Mandatary In HN) If yes.desalbe under 5.1.DISEASE-EA EMPLOYEE S DESCRIPTION OF OPERATIONS below EL.DISEASE•POLICY LIMIT I S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD id,AddiUonat Remarks Schedule,may be Abetted If m.r spat.is required) • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • Eagle County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN PO Box 850 ACCORDANCE WITH THE POLICY PROVISIONS. Eagle,CO 81531 AUTHORIZED REPRESENTATIVE Q 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD