HomeMy WebLinkAboutC16-206 Kate Verville LLCAGREEMENT FOR PROFESSIONAL SERVICES
BETWEEN EAGLE COUNTY. COLORADO
AND
VERVILLE AND ASSOCIATES, LLC
1. THls AGREEMENT ("'Agreement') is effective as of tt'," ,,..,'..{ aav ot,,, {vry€.,20l6 by and
between Verville and Associates, LLC a Florida limited tiuui$
"ompany lfGEffier ,'Consultant,, or
"Contractor") and Eagle Counfy, Colorado, a body corporate and politic (hereinafter o'County").
RECITALS
WHEREAS, the County, through its Department of Human Services (*HS") works to promote the health,
safety and welfare of County residents of all ages; and
WHEREAS, the County uses outside providers and professionals to enhance the ability of County ro
promote such health, safety and welfare; and
WHEREAS, County desires to hire the Consultant to perform the Services defined below in paragraph L;
and
WHEREAS, Consultant is authorized to do business in the State of Colorado and has the time, skill,
expertise, and experience necessary to provide the Services; and
WHEREAS, this Agreement shall govern the relationship between Consultant and County in connection
with the Services.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Consultant and
County agree as follows:
1. Services. Consultant agrees to diligently provide all services, labor, personnel and materials
necessary to perfbrm and complete the services described in Exhibit A ("Services") which is aftached
hereto and incorporated herein by reference. The Services shall be performed in accordance with the
provisions and conditions of this Agreement.
a. Consultant agrees to furnish the Services no later than December 3l"st, 2016 and in
accordance with the schedule established in Exhibit A. If no completion date is specified in Exhibit A,
then Consultant agrees to furnish the Services in a timely and expeditious manner consistent with the
applicable standard of care. By signing below Consultanr 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 tsrms and conclitions set forth in
this Agreement shall prevail.
C16-206
c. Consultant agrees that it will not enter into any consulting or other arrangements with
third parties that will conflict in any manner with the Services.
Z. CounEv's Represgntative. The Human Services Department's designee shall be Consultant's
c6ntact with respect to this Agreement and performance of the Services.
3. Terrn 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 31'''
day of December, 2016.
4" Extensipn 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 Consultant shall be the basis for additional compensation unless and until Consultant
has obtained written authorization and acknowledgement by County for such additional services in
accordance with County's intemal policies. Accordingly, no course of conduct or dealings bptween the
parties, nor verbal change orders, express or implied acceptance of alterations or additions ta the Services,
and no claim that County has been unjustly enriched by any additional servicesn whether or not there is in
fact any such unjust enrichment, shall be the basis ofany increase in the compensation payable hereunder.
ln the event rhat written authorization and acknowledgment by County for such additional services is not
timely executed and issued in strict accordance with this Agreement, Consultant'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 perfarmed.
5. Compensation. County shall compensate Consultant 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 $15,500,00. Contractor shall not be entitled to trill at overtime and/or double time rates
for work done outside of normal business hours unless specifically authorized in writing by County.
a. Invoices shall include a description of Services performed. If County is not satisfied with
the completeness of a submitted invoice, County may request Contractor to either revise the invoice or
provide additional information. Payment will be made for Services satisfactorily performed within thirty
(30) days of receipt of a proper and accurate invoice. All invoices shall include detail regarding the hours
spent, tasks perfarmed, who performed each task and such other detail as County may request.
All invoices must be rnailed or delivered in-person to the following address to ensure proper
payment. Invoices sent bv fax or e-mail will ngt be acceBted,
Eagle County Human Services
Business 0ffice
551 Broadway
Post Office Box 660
Eagle, C0 81631
b. Any out-of-pocket expenses to be incuned by Consultant and reimbursed by County shall
be identified on Exhiblt 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 Consultant.
Consultant shall not be reimbursed for expenses that are not set forth on Exhibit A unless specifically
approved in writing by County.
c. If, prior to payment of compensation or reimbursement for Services but after submission
to County of a request therefore by Contractor, County reasonably determines that payment as requestett
would be improper because the Services were not performed as prescribed by the provisions of this
Agreement, the County shall have no obligation to make such payment. tf, at any time after or during the
term or after termination or expiration of this Agreement, County reasonably determines that any payment
theretofore paid by County 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 County, Consultant shall forthwith return such payment(s) to County.
Upon termination or expiration of this Agreement, unexpended funds advanced by County, if any, shall
forthwith be returned to Countv.
d' All funds received by Contractor under this Agreement shall be or have been expended
solely for the purpose for which granted, and any funds not so expended, including funds lost or diverted
for other purposes, shall be returned to County. Contractor shall provide the County with progress reports
upon County's request; or Contractor shall furnish progress reports as more specifically set forth in the
attached Exhibit A.
e. County will not withhold any taxes from monies paid to the Consultant hereunder and
Consultant 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.
f. Notwithstanding anything to the contrary contained in this Agreement, County shall have
no obligations under this Agreement after, nor shall any payments be made to Consultant in respect of any
period after December 31'r ,?A16 of any year, without an appropriation therefor by County in accordance
wi(h a budget adopted by the Board of County Commissioners in compliance with Article 25, title 30 of
the Colorado Revised Statutes, the l"ocal Government Budget l,aw (C.R.S .29-1-I0L et. seq.) and the
TABOR Amendment (Colorado Constitution, Article X, Sec. 20).
6. Sub-consultants. Consultant acknowledges that County has entered into this Agreement in
reliance upon the particular reputation and expertise of Consultant. Consultant shall not enter into any
sub-consultant agreements for the performance of any of the Services or additional services without
County's prior written consent, which may be withheld in County's sole discretion- County shail 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 County has an objection, in its reasonable
discretion, shall be assigned to the project. Consultant shall require each sub-consultant, as approved by
County and to the extent of the Services to bs performed by the sub-consultant, to tre bound to Consultant
by the terms of this Agreement, and to assume toward Consultant all the obligations and responsibilities
which Consultant, by this Agreement, assumes toward County. County shall have the right (but not the
obligation) to enforce the provisions of this Agreement against any sub-consultant hired by Consultant
and Consultant shall cooperate in such process. The Contractor shall be responsible for the acts and
omissions of its agents, employees and sub-consultants or sub-contractors.
T. Insurance . Consultant agrees to provide and maintain at Consultant's sole cost and expense, the
following insurance coverage with lirnirs of liability not less than those stated below:
a. Types oflnsurance.
b.
"lntentionally Omitted"
ii. Auto coverage. The Services do not require the operation of a motor vehicle.
Notwithstanding the foregoing, should Contractor or any of its employees drive their personal
vehicles in connection with the performance of the Services under this Agreement, such
indiviclual shall maintain auto insurance as required by law and shall be solely responsible for any
injury or damage arising out of use and operation ofsuch personal vehicle.
iii. "lntentionallY Omitted"
iv" Professional liability insurance with prior acts cov€rage for all Services required
hereunder, in a form and with an insurer or insurers satisfactory to County, with limits of liability of not
less rhan $1,000,000 per claim and $2,000,000 in the agg egate. In the event the professional liability
insurance is on a claims-made basis, Consultant wanants 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.
v. "lntentionally Omitted "
h. Other Requirements.
i. The cornmercial general liability coverage and such other coverage as indicated
above shall be endorsed to include Eagle County, its associated or affiliated entities, its successors and
assigns, elected officials, employees, agents and volunteers as additional insureds.
ii. Consultant's certificates of insurance shallinclude sub-consultants as additional
insureds under its policies or Consultant shall furnish to County separate certificates and endorsemenls for
each sub-consultant. All coverage(s) for sub-consultants shall be subject to the same minimum
requirements identified above. Consultant and sub-consultants, 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
Consultant and its sub-consultants until the applicable statute of limitations for the Services has expired"
iii. Insurancc shall be placed with insursrs duly licensed or authorized to do blsiness
in the State of Colorado and with an "A.M. Best" rating of not less than A-VU.
iv. Consultant's insurance coverage shall be primary and non-contributory with
respect to all other available sources. Consultant's policy shall contain a waiver of subrogation against
Eagle County.
v. All policies must contain an endorsement affording an unqualified thirty (30)
days' notice of cancellation to County 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. Consultant's certificate of insurance evidencing required coverage(s) is attached
hereto as Exhibit B. Upon request, Consultant shall provide a copy of the actual insurance policy and/ar
required endorsements required under this Agreement within five (5) business days of a written request
from County, and hereby authorizes Consultant's broker, without further notice and authorization by
Consultant, to immediately cornply with any written request of County for a complete copy of the policy.
viii. Consultant shall advise County in the event the general aggregate or other
aggregate limits are reduced below the required per occurrence limit. Consultant, at its own expense, will
reinstate the aggregate limits to comply with the minimum limits and shall furnish County a new
certificate of insurance showing such coverage.
ix. lf Consultant fails to secure and maintain the insurance required by this
Agreement and provide satisfactory evidence thereof to County, County shall be entitled to immediately
terminate this Asreement.
x,
termination hereof.
The insurance provisions of this Agreement shall survive expiration or
xi. The parties hereto understand and agree that the County 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 County, its affiliated entities, successors or assigns, its elected
officials, employees, agents and volunteers.
xii. Consultant is not entitled to workers' compensation benefits except as
provided by the Consultant, nor to unemployment insurance benefits unless unemployment compensation
coverage is provided by Consultant or sorne other entity. The Consultant is obligated to pay all federal
and state income tax on any monsys paid pursuant to this Agreement.
8. IndemnificAlign. The Consultant shall indemnify and hold harmless County, and any of its
officers, agents and employees against any losses, claims, damages or liabilities for which County 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 Consultant or any
of its sub-consultants hereunder including claims for bodily injury or personal injury including death, or
loss or clamage to tangible or intangible property; and Consultant shall reimburse County for reasonable
attorney fees and costs, legal and other expenses incuned by County in connection with investigating or
defending any such loss, claim, damage,liability or action. This indemnification shall not apply to claims
by third parties against the County to the extent that County is liable to such third party for such claims
without regarcl to the involvement of the Consultant, This paragraph shall survive expiration or
termination hereof.
g. Ownership of Documents. All documents prepared by Consultant in connection with the Services
shall become property of County. Consultant shall execute written assignments to County of all rights
(including common taw, statutory, and other rights, including copyrights) to the same as County shall
from time to time request. For purposes of this paragraph, the term "documents" shall mean and include
all reparts, plans, studies, tape or other electronic recordings, drawings, sketches, estimates, data sheets,
maps and work sheets produced, or prepared by or for Consultant (including any employee ar
subcontractor in connection with the performance of the Services and additional services under this
Agreement).
10. Noriqe.. 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 lheir
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
rransmission, 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.
COUNTY:
Eagle County, Colorado
Attention: Rita Woods
551 Broadway
Post Office Box 660
Eagle, CO 8i531
Telephone: 970-328-88 17
Facsimi le: 970-328-8826
E-Mail : rita"woods@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
CONSULTANT:
Verville and Associates. LLC
Kate Verville
1715 Skimmer Court
Panama Ciry, FL 324L3
Telephone: 360-561-6905
11. Termination. County may terminate this Agreement, in whole or in part, at any time and for any
reason, with or without sause, and without penalty therefor with seven (7) calendar days' prior written
notice to the Consultant. Upon termination of this Agreement, Consultant shall immediately provide
County with all documents as defined in paragraph t hereof, in such format as County shall direct and
shall return all County owned materials and documents. County shall pay Consultant for Serviees
satisfaclorily perforrned to the date of termination.
17. 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. Execulion bl, Counterparts: Electronic.$ignatures. 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 docurnents 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-l0L to 12L.
14.Other Contract Reguirements.
a. In rendering the Services hereunder, Contractor shall comply with the highest standards
of customer service to the public" Contractor shall provide appropriate supervision of its employ€es to
ensure the maintenance of these high standards of c.ustomer service and professionalism are maintained.
The performance of such obligation shall be determined at the sole discretion of County. In the event
County finds these standards of customer sewice are not being met by Contractor, County may terminate
this Agreemenl, in whole or in part, upon seven (7) days' notice to Confractor.
b. Consultant 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 enors and omissions therein. The fact that the County
has accepted or approved the Services shall not relieve Consultant of any of its responsibilities.
Consultant shall perform the Services in a skillful, professional and competent manner and in accordance
with the standard of care, skill and diligence applicable to Consultants performing similar services. This
paragraph shall survive termination of this Agreement.
c. Consultant represents and wanants that it has the expertise and personnel necessary to
properly perform the Senrices and covenants that its professional personnel are duly licensed to perform
the Services within Colorado.
d. Consultant agrees to work in an expeditious manner, within the sound exercise of ils
judgment and professional standards, in the performance of this Agreement. Time is of the essence with
respect to this Agreement.
e. This Agreement constitutes an agreement for performance of the Services by Consultant
as an independent contractor and not as an employee of County. Nothing contained in this Agreement
shall be deemed to creale a relationship of employer-employee, master-servant, partnership, joint venture
or any other relationship between County and Consultant except that of independent contractor.
Consultanf shall have no authoritv to bind Countv.
f. Consultant represents and warrants that at all times in the performance of the Services,
Consultant shall comply with any and all applicable federal and state laws, codes, rules and regulations.
g. Contractor shall comply with the Civil Rights Act of 1964 and Section 504,
Rehabilitation Act of 1.973, concerning discrimination on the basis of race, color, sex, age, religion,
political beliefs, national origin or handicap.
h. 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.
i. Consultant shall not assign any portion of this Agreement without the prior written
consent of the County. Any attempt to assign this Agreement without such consent shall be void.
j. 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.
k. No tailure or delay by either party in the exercise ofany right hereunder shall constitute a
waiver thereof. No waiver of any breach shall be deemed a waiver of any preceding or succeeding
breach.
l. The invalidiiy, illegality qr unenforceability of any provision of this Agreement shall not
affect the validity or enfbrceability of any other provision hereof,
m. Consultant shall maintain for a minimum of three years, adequate linancial and other
records for reporting to County. Consultant shall be subject to financial audit by federal, stale or county
auditors or their designees. Consultant authorizes such audits and inspections of records during normal
business hours, upcn 48 hours' notice to Consultant. Consultant shall fully cooperate during such audit or
inspections.
n. The signatories to this Agreement aver to their knowledge, no employee of the County
has any personal cr beneficial interest whatsoever in the Services or Property described in this
Agreemenl. The Consultant has nc beneficial interest, direct or indirect, that would conflict in any manner
or degree with the performance of the Services and Consultant shall not employ any person having such
known interests.
o. The Consultant, if a natural person eighteen (18) years of age or older, hereby swears and
affirms under penalty of perjury rhat 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-rc3 prior to
the elfective date of this Agreement.
15. Prohibitions on Government Contracts.
As used in this Section 1.5, the term undocumented individual will refer to those individuals from foreign
countries not legally within the United States as set forth in C.R.S. 8-17.5-101, et. seq. If Consultant has
any employees or subcontractors, Consultant shall comply with C.R.S. 8-17.5-101, et. seq., and this
Agreement. By execution of this Agreement, Consultant certifies that it does not knowingly employ or
contract with an undocumented individual who will perform under this Agreement and that Consultant
will participate in the E-verify Program or other Department of Labor and Employment progmm
("Department Program") in order to confirm the eligibility of all employees who are newly hired for
employment to perform Services under this Agreement.
a. Consultant shall not:
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 Consultant that the subcontractor
shall not knowingly employ or contract with an undocumented individual to perform work under the
public contract for services.
b. Consultant has confirmed the employment eligibility of all employees who are newly
hired for employment to perform Services under this Agreement through participation in the E-Verify
Program or Department Program, as administered by the United States Department of Homeland
Security. Infbrmation on applying for the E-verify pro$am can be found at:
htin://rvww.dhs.gov/xprevprot/programs/gc-l I 8522 1678 150.shtm
c. Consultant shall not use either the E-verify program or other Department Program
procedures to undertake pre-employment screening of job applicants while the public conlract lbr services
is being performed.
d. If Consultant obtains actual knowledge that a subcontractor performing work under lhe
public contract for services knowingly employs or conracts with an undocurnented individual, Consultant
shall be required to:
i. Nstify the subcontractor and County within three (3) days that Consultant has
actual knowledge that the subcontractor is employing or contracting lvith an undocumented individual;
and
ii. Terrninate the subcontract with the subcontractor if within three days of receiving
the notice required purslant to subparagraph (i) of the paragraph (d) the subcontractor does not stop
employing or contracting with the undocumented individual; except that Consultant shall not terminate
the contract with the subcontractor if during such three (3) days the subconfactor provides information to
establish that the subcontractor has not knowingly employed or contracted with an undocumented
individual.
e. Consultant shall comply with any reasonable request by the Department of l-abor and
Employment made in the course of an investigation that the department is undertaking pursuant to its
authority established in C.R.S. 8-17.5-102(5).
f. If Consultant violates these prohibitions, County may terrninate the Agreement for breach
of contract. If the Agreement is so terminated specifically for breach of this provision of this Agreemenl,
Consultant shall be liable for actual and consequential damages to County as required by law.
g. County will notify the Colorado Secretary of State if Consultant violates this provision
of this Agteement and County terminates the Agreem€nt for such breach.
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EXHIBIT A
SCOPE OF SERVTCES, SCHEDULE, FEES
Descriplion of Services: Provider will conduct an ass€ssaent in the form of a business process review.
Provider will conduct interviews and focus groups wilh cunent Eagle County Department of Human
Services' Children, Family and Adult Services (CFAS) Staff and Pitkin ftunty staff performing similar
work under an existing inlergovernmental agreement, Provider will review documents, county and slate
policies, data systerns and work products of CFAS staff such as tape recordings of the Hstline Calls with
divisional CFAS and Strategic Planning & Partnerships (SP&P) staff to praduce a reporl with
recommendations. Provider will provide coaching to improve overall quality, particularly of the highcst
priority quality improvement needs identified. Contracting with Provider will support the overall strategic
plan of being a high performing organization as well as great place to live for all.
Rate Schrdule: $15.500"00I. $1,000.00 per day for 3 business days: May 10, 11, 12,2A16 for a total of 3,000.00
ll. $2,000.00 for research and documents/policies
lll. Travsl reimbursement will be compensated in addition to service rates.
IV. $150.00 an hour for assessment and recommendations regarding lhe following; CFAS Hctline
quality improvement options and related coaching of ECDHS staff, and Collaborative
Managernent Program (CMF) in order to ensure compliance and best practice. Up to 70 haurs for
a maximum of $10.500.00
Prov ide r Res ponsi ?ri I i ty
I. Pravide CFAS and Strategic Planning & Partnerships a report that enables imrnediale aad
longer-term quality improvements for how ECDHS takes the action steps necessary ta effectuate
new structure that brings together all case work functions, ensure a higher quality casework
continuum from intake to ongoing casework, and focused grant rnanagement for child/family-
facused prevention and prctection work.
Il. Provider will produce pre-onsite draft required documents regarding lhe Callabaralive
Managemenl Frogram, assure aligned to stats laws and pclicies, review it x'ith ECDHS
leadership, and staff as requested, and tacilitate the Eagle County lnteragency Oversight Group
at leff$1 one time.
III. Providcr will evaluate both the CFAS' Hotlinp Call receipt using a random sarnpli:rg of tape
reccrdings, as well as review RED Team process and provide ongoing coaching to in'rpr*ve
overall quality inrprcvement, pr*ducing a report far ECDHS leadership by June 30,:*l*. Ao 16.IV. Provider will negoliate, hased on ECDHS needs. RED Tearn and/or other coaching f*llcwing
reporl delivery and at the request of ECDHS leadership.
2.
3.
,aconif CERTIFICATE OF LIABILITY INSURANCE DATE (MI,I/DD/YYYY)
06t0712016
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 AFFOROED 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: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. lf SUBROGATION lS 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(sl.
PRODUCER
Hiscox Inc
520 Madison Avenue
32nd Floor
New York, NY 10022
NAME: __
111P""1 .",, taes)202-3007
-lm;,,
hiiHb"" contact@hiscox.com
tNsuRER(S) AFFOROTNG COVERAGE NAIC #
tNsuRER A, Hiscox Insurance Companv Inc 1 0200
INSURED
Verville & Associates, LLC
1715 Skimmer Ct
PANAMA CITY BEACH FL 32413
INSURER C :
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 REOUIREMENT, TERM OR CONDITION OF ANY CONTMCT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POTICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE IDDI
POLICY NUMBER
POLICY EFF POLICY EXP
rMil,DD/YYYYI LIMITS
COMMERCIAL GENERAL LIABILITY
ICLAIMS.I,,IADE I IOCCUR
EACH OCCURRENCE
UAMAUE IUKENITU
PRFMISFS /Fa ocdrrren.e)
MED EXP (Any one oerson)
PERSONAL & ADV INJURY q
l I'L AGGREGATE LIMIT APPLIES PER:fl ppn-Poltcvl lieb.-1 | lLoc
GENERALAGGREGATE $
PRODUCTS. COMP/OP AGG $
s
AU OMOBILE LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
SCHEDULED
AUTOS
NON.OWNED
AUTOS
COMBINED SINGLE LIMIT(Ea accident)$
BODILY INJURY (Per p€rson)$
BODILY INJURY (Per accident)C
--l
PROPERi Y DAMAGE
(Per accident)$
q
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-MADE
EACH OCCURRENCE
AGGREGATE $
n.o i I *rrr"r,."*
WORKERS COMPENSATION
ANDEMPLOYERS'LtABtLtTY Y/N
ANYPROPRIETOR/PARTNER/EXECUTIVE T--OFFICER/MEMBEREXCLUDED? I
(Mandatory in NH)
lf ves. describe under
naQaatDTtnNt dF noFoarr^lra h6r^u,
N/A
PER I I OTH.STATI ITF I FR
E.L. EACH ACCIDENT
E.L, DISEASE - EA EMPLOYEE
DISFASF . POI ICY I IMIT $
Professional Liability
N uDc-1 741 384-EO-16 04t28t2016 04t28t2017
Each Claim: $ 2,000,000
Aggregate: $ 2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORO 101, Addilional Remarks Schodule, may be attached ifmore space is required)
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Eagle Department of Human Services
550 Broadway PO BOX 680
Eagle, CO 8163'1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION OATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCOROANCE WITH THE POLICY PROVISIONS,
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