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HomeMy WebLinkAboutGE14-005 Mountain Top Ventures Agreement AGREEMENT FOR PROFESSIONAL SERVICES •
BETWEEN GOLDEN EAGLE ELDERLY HOUSING CORPORATION
AND
MOUNTAIN TOP VENTURES,INC.d/b/a SHC NURSERY AND LANDSCAPE COMPANY
THIS AGREEMENT("Agreement")is effective•as of the 2-1 day of 11/4)O / ,2014 4 by
and between Mountain Top Ventures,Inc.d/b/a SHC Nursery and Landscape Company,a Colorado
corporation(hereinafter"Contractor")and Golden Eagle Elderly Housing Corporation,a Colorado non-
profit corporation(hereinafter"Golden Eagle").
RECITALS
WHEREAS,Golden Eagle is in need of snow removal from the driveways,sidewalks,parking curb stops
and in between vehicles when snow levels accumulate over two(2)inches(the"Project")at the Golden
Eagle Apartments located at 700 Broadway,Eagle,CO 8163(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. Contractor agrees to diligently 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. Contractor agrees to furnish the Services 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.
c: Contractor 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. 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 12 hereof,shall continue in full force and effect through the 15th of
April,2015.
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 Contractor shall be the basis for additional compensation unless and until Contractor
has obtained written authorization and acknowledgement by Golden Eagle for such additional 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$7,857.00. 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 for Services satisfactorily performed within thirty(30)days of
receipt of a proper and accurate invoice from Contractor. All invoices shall include detail regarding the
hours spent,tasks performed,who performed each task and such other detail as Golden Eagle may
request.
b. Any out-of-pocket expenses to be incurred by Contractor and reimbursed by Golden
Eagle 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
Contractor. Contractor shall not be reimbursed for expenses that are not set forth on Exhibit unless
specifically approved in writing by Golden Eagle.
c. 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,
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Golden Eagle Pmfcasional Services Final 4/14
it
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.
d. 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.
•
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 be 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 sub-
Contractor,to be bound to Contractor by the terms of this Agreement,and to assume toward Contractor
all the obligations and responsibilities which Contractor,by this Agreement,assumes toward Golden
Eagle.Golden Eagle shall have the right(but not the obligation)to enforce the provisions of this
Agreement against any sub-Contractor 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 sub-
Contractors or sub-contractors,
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.
1. Workers'Compensation insurance as required by law.
ii. Auto coverage with limits of liability not less than$1,000,000 each accident
combined bodily injury and property damage liability insurance,including coverage for owned,hired,and
non-owned vehicles.
iii. Commercial General Liability coverage to include premises and operations,
personal/advertising injury,products/completed operations,broad form property damage with limits of
liability not less than$1,000,000 per occurrence and$2,000,000 aggregate limits.
iv. Professional liability insurance with prior acts coverage for all Services required
hereunder,in a form and with an insurer or insurers satisfactory to Golden Eagle,with limits of liability of
not less than$1,000,000 per claim and$2,000,000 in the aggregate. In the event the professional liability
insurance is on a claims-made basis,Contractor warrants that any retroactive date under the policy shall
precede the effective date of this Agreement. Continuous coverage will be maintained during any
applicable statute of limitations for the Services and Project.
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Golden Eagle Professional Services Final 5/14
•
b. Other Requirements.
i. The automobile and 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.
ii. Contractor's certificates of insurance shall include subcontractors as additional
insureds under its policies or Contractor shall furnish to Golden Eagle separate certificates and
endorsements for each sub-Contractor. All coverage(s)for sub-Contractors shall be subject to the same
minimum requirements identified above. Contractor and sub-Contractors,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 Contractor and its sub-Contractors until the applicable statute of limitations for the Project and
the Services has expired.
iii. Insurance shall be placed with 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.
iv. Contractor's insurance coverage shall be primary and non-contributory with
respect to all other available sources. Contractor's policy shall contain a waiver of subrogation against
Golden Eagle.
v. All policies must contain an endorsement affording an unqualified thirty(30)
days notice of cancellation to Golden Eagle 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 on a per occurrence basis unless otherwise provided herein.
vii. Contractor's certificates of insurance evidencing all required coverage(s)is
attached hereto as Exhibit B. Upon request,Contractor 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 Golden Eagle,and hereby authorizes Contractor's broker,without further notice or
authorization by Contractor,to immediately comply with any written request of Golden Eagle for a
complete copy of the policy.
viii. Contractor shall advise Golden Eagle in the event the general aggregate or other
aggregate limits are reduced below the required per occurrence limit. Contractor,at its own expense,will
reinstate the aggregate limits to comply with the minivnnm limits and shall furnish Golden Eagle a new
certificate of insurance showing such coverage.
ix. If Contractor fails to secure and maintain the insurance required by this
Agreement and provide satisfactory evidence thereof to Golden Eagle,Golden Eagle shall be entitled to
immediately terminate this Agreement.
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Golden Eagle Professional Services Final 5/14
x. The insurance provisions of this Agreement shall survive expiration or
termination hereof.
xi. 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.
xii. 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 o f; directly or
indirectly,this Agreement,or are based upon any performance or nonperformance by Contractor or any
of its sub-Contractors hereunder;and Contractor shall 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 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 prepared by Contractor in connection with the Services
shall become property of Golden Eagle. Contractor shall execute written assignments to Golden Eagle of
all rights(including common law,statutory,and other rights,including copyrights)to the same as Golden
Eagle shall from time to time request. For purposes of this paragraph,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 Contractor(including any employee or
subcontractor in connection with the performance of the Services and additional services under 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:
5
Golden Eagle Professional Services Final 5/14
Attention:Jill Klosterman
500 Broadway
Post Office Box 850
Eagle,CO 81631
Telephone:970-328-8773
Facsimile:970-328-8787
E-mail:jillidosterman@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:atty®eaglecounty.us
CONTRACTOR:
Mountain Top Ventures,Inc.d/b/a SHC Nursery and Landscape Company
Attn:Mike Stevens:President
916B Chambers Avenue
PO Box 2049
Eagle,CO 81631
Telephone: 970-328-5484,Ext.2
Facsimile:970-328-5485
Cellular:970-904-0198
E-mail:mike.stevens®shclandscape.com
11. Coordination. Contractor acknowledges that the development and processing of the Services for
the Project may require close coordination between various Contractors and contractors. Contractor shall
coordinate the Services required hereunder with the other Contractors and contractors that are identified
by Golden Eagle to Contractor from time to time,and Contractor shall immediately notify such other
Contractors or contractors,in writing,of any changes or revisions to Contractor's work product that might
affect the work of others providing services for the Project and concurrently provide Golden Eagle with a
copy of such notification. Contractor shall not knowingly cause other Contractors or contractors extra
work without obtaining prior written approval from Golden Eagle.If such prior approval is not obtained,
Contractor shalt be subject to any offset for the costs of such extra work.
12. 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
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Golden Eagle Professional Services Final 5/14
•
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.
13. 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.
14. Execution by Counterparts:Electronic Signatures. This Agreement may be executed in two or
more counterparts,each of which shall be deemed an original,but all of which shall constitute one and the
same instrument. The parties approve the use of electronic signatures for execution of this Agreement.
Only the following two forms of electronic signatures shall be permitted to bind the parties to this
Agreement: (i) Electronic or facsimile delivery of a fully executed copy of the signature page; (ii) the
image of the signature of an authorized signer inserted onto PDF format documents. All documents must
be properly notarized,if applicable. All use of electronic signatures shall be governed by the Uniform
Electronic Transactions Act,C.R.S.24-71.3-101 to 121.
15. Other Contract Requirements.
a. Contractor shall be responsible for the completeness and accuracy of the Services,
including all supporting data or other documents prepared or compiled in performance of the Services,
and shall correct,at its sole expense,all significant errors and omissions therein. The fact that the 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 covenants that its professional personnel are duly licensed to perform the Services within
Colorado. This paragraph shall survive termination of this Agreement.
b. 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.
c. 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.
d. Contractor represents and warrants that at all times in the performance of the Services,
Contractor small comply with any and all applicable laws,codes,rules and regulations.
7
Golden Eagle Professional Services Final 5/14
e. 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.
f. Contractor shall not assign any portion of this Agreement without the prior written
consent of Golden Eagle. Any attempt to assign this Agreement without such consent shall be void.
g. 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.
h. 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.
i. The invalidity,illegality or unenforceability of any provision of this Agreement shall not
affect the validity or enforceability of any other provision hereof.
j. Contractor shall maintain for a minimum of three(3)years,adequate financial and other
records for reporting to Golden Eagle. Contractor shall be subject to financial audit by federal,state or
Golden Eagle auditors or their designees. Contractor authorizes such audits and inspections of records
during normal business hours,upon 48 hours'notice to Contractor.Contractor shall fully cooperate
during such audit or inspections.
k. 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.
1. 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.
16. Prohibitions on Contracts.
a. As used in this Section 16,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
8
• Golden Eagle Professional Services Final 5/14
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:
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 ofpage intentionally left blank]
9
Golden Eagle Professional Services Final 5/14
IN WITNESS WHOP, the parties have executed this Agreement the day and yeast Bust sat forth
above
Oc IIEN EAGLE ELDERLY HOUSING
CORPORATION
BF L
ER Executive Director
COPECRitdMit
MOUNTAIN TOP VSNTZJRES,INC.d/b/a
SHC Y AND LANDSCAPE COMPANY
By:
Print Name: ( •V.cin b- %ievo.ns
Thies N QS-
to
Oaks Ink Pribolood Bette FIN1
EXHIBIT A
SCOPE OF SERVICES,SCHEDULE,EFTS
11
Golden Eagle Professional Services Final 5/14
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Office 1970)32B-Sd841r f x(47A}328.6485 pg,1
nursery 41S Landscape co.
Golden Eagle Senior Housing
Exhibit A--Scope of Work
1. Location(s)specified by Owner for snow clearance:
Address(es):700 Broadway,Eagle
(a) Check all that apply:
Snow Plow
Shovel
Other(describe)
(b) A shovel service shall begin with snow fall of 1"amounts on service
areas.
2. Any alteration or deviation from the specifications in this Scope of Work will be
executed only upon written authorization of the Owner or the Owner's authorized
agent and shall become an extra fee mutually agreed upon between Owner and
SHC in advance of such extra work.
3. When SHC is called to clear snow due to:
a. Drifting
b. County and/or town plows pushing snow into your service area
c. Any time other than a snow fall
The Owner will be charged a minimal extra charge to clear the service area.
Generally this will be on a time and material basis(please see rate sheet).
4. SHC can provide services for marking curbs,sidewalks,lawn,landscaping,
sprinkler and trees,shrubs and fences and any other owner designated items in
owner designated snow dump areas.
Initials of Owner
916B Chambers Ave OV PO Box 2049 Pr Eagle,CO 81631-2049
Office(970)328-5484 OW fax C970)328-5485 pg.5
EXHIBIT B
INSURANCE CERTIFICATE
•
,II
12
Golden Eagle Professional Services Final 5/14
DATE(MM/DD/VYYY)
.a►�oR CERTIFICATE OF LIABILITY INSURANCE 11/21/2014
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
Secure American Insurance PHONE 03-500-3386 FAX�
ma303-745-0544
PO Box 350999 ma-"
Westminster, CO 80035
AbDREssiwdunean@securearains.com
NBURONS)AFFORDING COVERAGE NM:*
INSURER A:Farmers Insurance Group
INSURED Mountain Top Ventures Inc. INSURER 8:
916 Chambers Ave #B INSURER C:
P 0 Box 2049 INSURER D:
Eagle, CO 81631 INSURER E:
(970)328-5484 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 PAD CLAIMS.
TYPE OF INSURANCE ADOL SUER P_QLi�Y F POLICY EXP UNITS
LTR
NSD WVD POLICY NUMBER (M (MAA/DD/YYYYI
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S
CLAIMS-MADE I 1 OCCUR PREMISES/Ea RENTED
occurrence) $
MED EXP(Any one person) S _
PERSONAL&ADVtYJURY S
—
GEN'L AGGREGATE UNIT APPUES PER: GENERAL AGGREGATE $
RPOLICY Q JECaT LOC PRODUCTS.COMP/OP AGG S _
OTHER: S
AUTOMOBILE LIABILITY COM�tl�D1SINGLE UNIT $ 1,000,000
ANYAUTO 04/16/2014 02/01/2015
A X AUTOS BODILYINJURY(Perper on) $ 1,000,000
—A ALLO C E U NED SLED 604731193 BODILY INJURY Pe,accidol) $ 1 000,000
X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $
AUTOS (Per accident) _
med pay s 5,000
UMBRELLA LIAB OCCUR EACH OCCURRENCE _ S —
EXCESS LIAB CLAIMS-MADE AGGREGATE S
—
DED I I RETENTION S S
WORKERS COMPENSATION I STATUTE I I ER
AND EMPLOYERS UABILRY V/N
ANY PROPRIETORIPARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT S
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory M NH) E.L.DISEASE-EA EMPLOYEES
II yes describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCY UMW $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED UNDER THE AUTOMOBILE
LIABILITY POLICY AS REQUIRED BY CONTRACT
CERTIFICATE HOLDER CANCELLATION
GOLDEN EAGLE ELDERLY HOUSING CORP SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE
ATTN• JILL KLOSTERMAN THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
• ACCORDANCE WITH THE POLICY PROVISIONS.
500 BROADWAY
PO BOX 850 AUTHORIZED REPRESENTATIVE �/
EAGLE CO 81631 7141111 .°8141--
01988-2014 ACORD CORPORATION.All rights reserved.
ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD
Ac�°R°® CERTIFICATE OF LIABILITY INSURANCE ?11A Y4
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H LDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY E POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), ,UTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certMcate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAN), subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confef rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT Edith DeMio
NAME:
Insurance Centers of America Inc PHOIE EEO: (719)528-5400 I wc.Not (71111525-156d
2055 Anglo Drive Suite 200 ADDREss.edith@ioainsuranoe.Goa
INSURER(S)AFFORDING COVERAGE _ NAIC*
Colorado Springs CO 80918 INFRA:Colorado Casualty Insurance Co 41785
INSURED INSURER B:
Mountain TO Ventures, Inc. , DBA: SHC Nursery INSURERC:
P.O. Box 2049 INSURERD: '
INSURER E:
Zagle CO 81631 INSURERF:
COVERAGES CERTIFICATE NUMBER:14-15 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. NOTWITHSTANDNG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI.THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE SR VNp POLICY NUMBER DAINDOIYYYYI P1MMfpDIW YY) UNITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 RTED
— DAMAGE X COMMERCIAL GENERAL.LABILITY PREMISES(Ea obi nce) $ 300,000
A I CLAIMS-MADE © OCCUR X BKS55954620 3/5/2014 3/5/2015 MED EXP(My one person) $ 15,000
PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
�
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AUG $ 2,000,000
X I POLICY n 7C9T 1LOC $ •
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
_ IEa acddertl $
ANY AUTO BODILY INJURY(Per person) $
—
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $AUTOS AUTOS NON-OWNED PROPERTY DAMAGE
_ HIRED AUTOS AUTOS (Peracadent) rS
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000
A - EXCESS LIAB CLAIMS-MADE AGGREGATE _1,000,000
DED I XI RETENTIONS 10,000 0S055954620 3/5/2014 3/5/2015 U $
WORKERS COMPENSATION I TORY STATU- I LOT-
AND EMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNERIE)LCUTIVE -i NfA EL EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LPAIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,AdditIonel Remarks Schedule,H more span is required)
Certificate holder is named as additional insured under the General Liability as required by contract
•
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W
Golden Eagle Elderly Housing Corp. ACCORDANCE WITH THE POLICY PROVISIONS
Attn: Jill Klosterman ■
500 Broadway AUTHORIZED REPRESENTATIVE
PO Box 850 _
Eagle, CO 81631 Edith DeMio/EDITH r , aer 420.44.5.4:
ACORD 25(2010105) 01988-2010 ACORD CORPORATION. MI tights reserved.
INS025(201005).01 The ACORD name and logo are registered marks of ACORD
STEVE-2 OP ID: DL
ACCPREY CERTIFICATE OF LIABILITY INSURANCE DATE(MMID0YYY1)
`./ 11!18!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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVEID, 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
Wall Street Insurance,Inc. NAME: Noel R.Harris
Box 20 PwCNNo.E:e:970 926-4900 Ulrc,No):970.926-4200
Edwards, CO 81632 ADDRESS:
Noel R.Harris
INSURER(S)AFFORDING COVERAGE NAIC
INSURER A:Pin naCOl Assurance
INSURED Mountaln Top Ventures,Inc dba INSURER B:
SHC Nursery&Landscape, INSURER C:
P.O.Box 2049
Eagle,CO 81631 INSURED:
INSURE E:
INSURE F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICES OF NSURANCE 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 PERTAN, 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.
TYPE ADEL SUBR POUCY EFF POLICY EXP
LTTR INSR WVD POLICY NUMBER (MMIDOIYYYY) (MMIDDIYYYYL LIMITS
GENERALLWBILITY EACH OCCURRENCE $
DAMAGE TO RENTED $
COMMERCIAL GENERAL LIABILITY PREMISES(Es occurrence)
CLAIMS-MADE OCCUR MED EXP(Any one person) $
PERSONAL 8 ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $
POLICY n TR& Fl LOC $
AUTOMOBILE LIABILITY (Ea accidentSINGLE LIMIT $
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS _ AUTOS
NON-OWNED PROPERTY DAMAGE
HIRED AUTOS _ AUTOS (PER ACCIDENT)
$
UMBRELLALIAB _ OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION WCSTATU- OTH-
AND EMPLOYERS'LIABILITY I TORY LIMITS ER
A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN NIA 4078264 03/01/2014 03/01/2015 E.L.EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under
- DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required)
CERTIFICATE HOLDER CANCELLATION
GOLDEAP
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Golden Eagle ACCORDANCE WITH THE POLICY PROVISIONS.
Elderly Housing Corporation
P.O Box 850 AUTHORZEOREPRESENTATIVE
Eagle,CO 81631kia.r."9""
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD