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HomeMy WebLinkAboutGE15-001 Rich Hufnagel Painting • AGREEMENT FOR ON-CALL SERVICES BETWEEN GOLDEN EAGLE ELDERLY HOUSING CORPORATION AND RICH HUFNAGEL PAINTING THIS AGREEMENT("Agreement")is effective as of the(T O f day of OL .. /, 2015 by and between Rich Hufnagel Painting,a Colorado company(hereinafter"Contractor") ../Golden Ea_:e Elderly Housing Corporation,a Colorado non-profit corporation(hereinafter"Golden Eagle"). RECITALS WHEREAS,Golden Eagle desires to have vacated units.touched up and painted during the turnover process to ensure the highest quality rental for prospective residents(the"Project")at the Golden Eagle Senior Apartments, located at 700 Broadway Street,Eagle,CO,81631(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 on-call services or work at the rates set forth in Exhibit A and in accordance with a formal proposal for each on-call service to be provided by Contractor and approved by Golden Eagle in writing("Services"or"Work"). Exhibit A 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 each proposal approved by Golden Eagle in writing. If no completion date is specified,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,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 the 31st day of December, 2015. • C� ► rO61 • • 4. Extension or Modification. This Agreement may be extended for up to three additional one year terms upon w; tten agreement of the parties.Any amendments or modifications shall be in writing signed by both parties. No ad ''onal services or work performed.by Contractor shall be the basis for additional compensation unless and until Cotractor 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 Service$,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.Tn the evert 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 accordance with the fee schedule set forth in Exhibit A. Prior to commencement of Services at any Property or Properties,Contractor shall first provide Golden Eagle with a written estimate which shall include an estimate of the - labor,materials without any markup and any additional costs necessary to perform the Services at a particular Property or Properties. Each estimate must be approved by Golden Eagle's Representative prior to commencement of the Services by Contractor and all rates shall be in accordance with the fee schedule set forth in Exhibit A. Total compensation for all Services under this Agreement shall not exceed$5,500,with a max of$35.00 per hour and no ' markup on materials. 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 perfomied,.who performed each task and such other detail as Golden Eagle may request. b. It 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 Gold Eagle. Upon termination or expiration of this Agreement,unexpended funds advanced by Golden Eagle, if any,ahall 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. 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 conseilt,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 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 toward Golden Eagle.Golden Eagle shall have the right(but not the obligation)to enforce the provisions of this 2 Golden Eagle On Call Services Final 5/14 • • 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 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$1,000,000 aggregate limits. b. Other Requirements. i. The automobile and commercial general liability coverage All 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 oii directly or indirectly,this Agreement,or are based upon any performance or nonperformance by Contractor or any of its subcontractors 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 • 3 Golden Eagle On Call Services Final 5/14 • indemnification shall not apply to claims by third parties against the 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 hereo£ 9. a• •ershi• of II•currents. All documents(including electronic files)and materials obtained during, pur i. :. or prepared in the performance of the Services shall remain the property of Golden Eagle and are to be deliver 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 deliver-, or(ii)when mailed in the United States mail,first class postage prepaid,or(iii)when delivered by FedEx or other "parable 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 confirm#lion 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 Broedway • Post Office Box 850 Eagle,¢O 81631 Teleph e:970-328-8773 Facsini e:970-328-8787 E-mail:lll.klosterman @eaglecounty.us With a y to: Eagle ty Attorney 500 Br dway Post O ce Box 850 Eagle,Co 81631 Telephone:970-328-8685 Facsimile: 970-328-8699 E-mail)atty@eaglecounty.us CONTRACTOR Rich Hiifiiagel Painting Attn:Rich Hufnagel PO Bo*4199 Eagle,CO 81631 Telephone: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. 4 Golden Eagle On Call Services Final 5114 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 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. Fxecutiog 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. 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 or Properties,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 fact 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. £ Contractor agrees to work in an expeditious manner,within the sound exercise of its judgment and professional standards,in the performance of this Agreement. Tune 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. 5 Golden Eagle On Call Services Final 5/14 • 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. 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 respecti{re 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. 1. No failure or delay by either party in the exercise of any right hereunder shall constitute a waiver thereof I 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 lor 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 thisAgreement.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 taw,(ii)to the extent applicable shall comply with C.B.S.24-76.5-103 prior to the effective date of this Agreenient. 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.B.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 s 'ces 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 6 Golden Eagle On Call Services Final 5114 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. IN WITNESS WHEREOF,the parties have executed this Agreement the day and year first set forth above. GOLDEN EAGLE ELDERLY O USING CORPORATION By Jill KI rman,Executive Director • CO �"f R: By. ,I Print Name: L C4Ai2.� )1 ft A)/49e Tide: QLd)N i2- • Golden Eagle On Call Services Final 5/14 EXHIBIT A Fee Schedule 8 • Golden Eagle On Call Services Final 5/14 • PROPOSAL Page fk of Eta; • • GoLbi+v LAC1LE ELbGR L7 i4ot4tA1q Proposal Submitted To: Job Name Job It Address • Job Location Date I - 12.4 4 1 I Date of Plane Phone t I Fax t ` I Architect Wereby submit specifications and estimates for. IV'd MARK u2 oN E ,tALS • RICH HUFNAGEL PAINTING { OVER 30 YEARS EXPERIENCE INTERIOR AND EXTERIOR - !�! PO BOX 4199 ) EAGLE,CO 81631 j 970-328-6872 • • L • We propose hereby to furnish material and labor—complete In accordance with the above specifications for the sum a$ F612_ 14 O u t . . No pAikraCuP ArTER(41-5 Dollars with payments to be made as follows: my strerstion or deviation from above specifications involving extra coats will be Respectfully y V ` , executed only upon written order,and will become an extra charge over and submitted i‘sit'414 above the estimate.Al agreements contingent upon strikes.accidents,or delays beyopd our control. Note—this proposal may be withdrawn by us If not accepted within days. r 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 oulined above. • Date of Acceptance Signature • • FORtivl 3050 • EXIII_BIT B INSURANCE CERTIFICATES • h . 9 Golden Eagle On Call Services Final 5114 • 01-26-15;05:03PM;From: To:3288898 ;9703284956 # 2/ 3 Aa R°O VEHICLE OR EQUIPMENT CERTIFICATE OF INSURANCE OATS(IIMOOm") 01128/2015 THIS CERTIFICATE IS ISSUE 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 BEIVYEEN 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'sport liability coverage provided to multiple%A deles under a single policy.Use ACORD 25 for that purpose. • SlateFarm COMERFORD INSURANCE AGENCY INC _TALI„_ gy 328-oG rP p O BOX 4079 �� 970�� !D�Nei; CI1ARLOTTEOWILLCOMERFORDCOIN EAGLE,CO 81631 CUSTOMER ID* DRSURER(a)AFFORDING COVERAGE INC K INSURED INSURERA:Stale Farm MUIUSLAutomoblo Insurance Company 26178 HUFNAGEL.RICHARD A 8,ELIZABETH A umunota R P O BOX 4199 imams t EAGLE,CO 81831 INSURER D: • INSURER E;. DESCRIPTION OF VEHICLE OR EQUIPMENT YEAR MUM MANUFAElusuJt MODEL 1100V TM VENIC EIDENTMICATNINNOMOER 2002 TOYOTA TACOMA PICKUP _ 5TEWN72NX221222705 — DPSCRIP1IQII 86RIALNUMB R COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: This IS TO CERTIFY THAT THE POUCYpF.S)OF INSURANCE LISTED BELOW HASII AVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD(3)INDICATED,NOTWITHSTANDING ANY REOUIREm ENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTYNTH RESPECT TO WHICH TFIIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCEAFFORDED BYTHE POUCY(IES)DESCRIBED HEREIN ISARE SUBJECT 7O AU.THE T@RMS,EXCLUSIONS AND CONDFrIONS OF SUCH POLICY(IES).. INMR ACUL 'mum,mama POLICY NOIRAUION LTR ewe TYPEOFiresusINCR POLICYNUMIIER DATEpateu(YY'/YI GATN(MWDDIYYYY) - LIMITS J VIINICLEulBIuYY COMSRNED MN=LUrr $ _ A 6350101-E0306 1110312014 05/0312015 e0DpYIN]URY(PpPOloan) 5 100,000 isoolveLIURY(Nreassne S =gm I PROPERIYOAMAGE S 50,000 GENERAL UABRIIY EACH OCCURENCE $ OCCVRRENCELAG4REGAIE E CLAIMS MADE INSR LOSS POLICY EFFECTIVE EOM=NIPIRATION LIR FAUN TYPEOFINSURANCE POUCYNUMD®t DATE(MMIGOCYYTYJ DATEpol1DDYYYY) UMns/DEUUCIIBLE VWOOWSIONLoss I IACV O AGREED AMT $ WET ❑ 0 SrATEDA IT s Den VEH COMP Li MI OTC I7 ACV ❑AGREED AMT s LIMIT CI ❑STAIEDAMT $ Den PROPERTY El ACV ❑AGREEDAsir LIMIT IC Wn'BROAD 0 RC ❑STATED AMT s$ DIM SPECIAL ❑ • REMARKS(INCLUDING SPEC4AL commons/OTHEIRCOVERAGUID(ArchN ORDim,AimionalGooNONMININ O.RomegwwIPMIMI • ADDITIONAL INTEREST - CANCELLATION Select on.of thefOROWIIIIr SHOULD ANY OF THE ABOVE D55CRiBED POUCIS BE CANCELLED TEE*Maud Mama EUUbod basal=boas Waal bD»Pd l/rodntnlnby Imlay nmboKsl BEPORETHFEXPIRATIONDATETH OF.NOTICEVEU.BE A bee boon wbnIa,d M edO Go edmdpel YlmlMlGe�ad botow w ms poI list) DE.tVERBD IN ACCORDANCE WITH THE POLICY PROVisiDNS. bwotnbrptlky+�Nne�M. VEIIILS.a/EOWPL16rTINIf?Rer I I LEASED I I ANANCED • --DESCRIPTOR OF1READIETIONAL Wow sauserG ADORE=OF ADDnICNALINTEIEST X marramsumus o LOSSPAYES GOLDEN EAGLE ELDERLY HOUSING CORP LE/MRS LoSe PAYEE — 700 BROADWAY Lou/LEASE MUTER PO BOX 850 EAGLE CO 81631 Au .. , _ m 1997.2010 ACO , •17=4'• TION.AU Lights reserved. ACORD 23(2010105) The ACORD name and logo are registered marks of ACORD 10)4361 1429872 01-28-2013 ��.....41 RICHHUF-01 PATTY A O" CERTIFICATE OF LIABILITY INSURANCE DAB , " THIS CERTIFICA IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOS NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS RTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED _ REPRESENTATIV OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If a certificate holder Is an ADDITIONAL INSURED,the poicy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and coltditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder 1S lieu of such endorsement(s). PRODUCER Miff cT Patty Jackson.HoodlHood Ins A ency Hood Insurance Agericy ill 970 306.4303 FAX 850 Chambers Ave Ste 5 (AJC No.Fxt1:{ (AIC,No): Eagle,CO 81631 ADDRESS: INSURERS)AFFORDING COVERAGE NAIL# enema:Security National Insurance Co INSURED INSURER B Rich Hi naget Painting INSURER C: PO Box 199 INSURER°: Eagle, 081631 INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S TO CERTI THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NO STANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY E ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND NDITIONS OF SUCH POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL BURR POLICY EPP POLICY EXP LTR TYPED INSURANCE PIED MD POLICY NUMBER (MMIDDIYYYYI (MMIDDIYYYY) LIMITS A X COMMERCIAL ERALL(ABLLtr, EACH OCCURRENCE 5 1,000,000 CLAIM •MADE ©OCCUR NA108307400 05/21/2014 05/2112015 DAMAGE AaE8T $ 100,000 — MED EXP(Any ono person) $ 5,000 _ PERSONAL S ADV INJURY S Gem AGGREGATE IMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 X POLICY E 7 LOG PRODUCTS-COMP/OP AGO_$ OTHER: $ AUTOMOBILE LIABII*TY COMBINED SINGLE LIMIT $ _ lES g3deM1 _ ANY AUTO BODILY INJURY(Par person) S — ALL OWNED —SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS HIRED AUTOS AUTOS IPe_r dre DAMAGE GE S — s UMBRELLA LIAO _J OCCUR • EACH OCCURRENCE S — EXCESS UAB CLAIMS.MADE AGGREGATE S DED 1 IONS p�R o S WORKERS COUPE TION I STANrm I I FRT"- MID EMPLOYERS' BLITY Y I N ANY PROPRIETORIP NER CUTIVE O N!A EL EACH ACCIDENT S OFFICERIAEMBER UDED7 [Mandatory hi NH) E.L.DISEASE-EA EMPLOYEE S NLIes deoabe under DESCRIFTIONO�FOr)ERATIONSbolow E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERA 4ONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached If more spew Is rsqulrsd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Golden Fragle Elderly Housing Corp THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Golden en E agle ACCORDANCE WITH THE POLICY PROVISIONS. 700 PO Boa 850 Eagle,CO 81631 AUPHORRED REPRESENTATIVE • I 019882014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD I • • AGENCY CUSTOMER ID:RICHHUF-01 PATTY_ LOC 8: ACOREY ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY - NAMED INSURED Hood Insurance Agency Rich HDfnagel Painting POLICY NUMBER PO Box 4188 Eagle,PAGE 1 Eagle,CO 81631 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE 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 Elderly Housing Corp.Is listed as an addlitional insured as It applies to the General Liability • • • ACORD 101(2008101) 62008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD