HomeMy WebLinkAboutC14-364 Property Imaging, LLC AgreementAGREEMENT FOR ON-CALL SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
PROPERTY IMAGING, LLC
THIS AGREEMENT ("Agreement") is effective as of the o ? ° r , 2014 by and between
Property Imaging, LLC, a Colorado limited liability company (hereinafter `° .ontractor") and Eagle County,
Colorado, a body corporate and politic (hereinafter "County").
RECITALS
WHEREAS, County desires to crack seal, seal coat and restripe the Eagle County Maintenance Facility located at
3299 Cooley Mesa Road, Gypsum, Colorado (the "Maintenance Facility"), and to obtain the on-call services of a
contractor to crack seal, seal coat and restripe other parking areas located in Eagle County Colorado as needed (the
"Property" or "Properties"); 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 County in connection with the
Services.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Contractor and County agree as
follows:
1. Services or Work. Contractor agrees to diligently provide all services, labor, personnel and materials
necessary to perform and complete the services for the Maintenance Facility as set forth on Exhibit A. and to
complete the on-call services at the rates set forth in Exhibit B (collectively the "Services" or the "Work"). On-call
Services shall be completed in accordance with a formal proposal for each on-call service to be provided by
Contractor and approved by County in writing. The Services shall be performed in accordance with the provisions
and conditions of this Agreement.
a. Contractor agrees to furnish the Services for the Maintenance Facility as set forth in Exhibit A no
later than October 31, 2014. Contractor agrees to furnish the on-call Services in accordance with the schedule
established in each proposal approved by County. 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. County's Representative. The Engineering Department's designee 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 30`h day of September, 2015
4. Extension or Modification. This Agreement may be extended for up to three additional one year terms
upon written agreement of the parties. Any amendments or modifications shall be in writing signed by both parties.
No additional services or work performed by Contractor shall be the basis for additional compensation unless and
until Contractor has obtained written authorization and acknowledgement by County for such additional services in
accordance with County'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
County 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 County 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. County shall compensate Contractor for the performance of the Services for the
Maintenance Facility in accordance with the fee schedule set forth in Exhibit A and shall perform the on-call
Services in accordance with the fee schedule set forth in Exhibit B. Prior to commencement of any on-call Services
at any Property or Properties, Contractor shall first provide County with a written estimate which shall include an
estimate of the labor, materials without any mark up and any additional costs necessary to perform the Services at a
particular Property or Properties. Each estimate must be approved by County's Representative prior to
commencement of the on-call Services by Contractor and all rates shall be in accordance with the fee schedule set
forth in Exhibit B. Total compensation under this Agreement for the Services for the Maintenance Facility shall not
exceed $50,534.00. Total compensation under this Agreement for the on-call Services shall not exceed
$199,466.00, for a total not to exceed $250,000.00. 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 County.
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 County may request.
b. If, at any time during the tern or after termination or expiration of this Agreement, County
reasonably determines that any payment made 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, Contractor 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 County.
C. County will not withhold any taxes from monies paid to the Contractor hereunder and Contractor
agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made
pursuant to the terms of this Agreement.
d. 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 Contractor in respect of any period after
December 31 of any year, without an appropriation therefor by County in accordance with a budget adopted by the
Board of County Commissioners in compliance with Article 25, title 30 of the Colorado Revised Statutes, the Local
Government Budget Law (C.1LS. 29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X,
Sec. 20).
6. Subcontractors. Contractor acknowledges that County 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 County's prior written consent, which may be
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Eagle County On -Call General Services final 5/14
withheld in County's sole discretion. County shall have the right in its reasonable discretion to approve all
personnel assigned to perform the Services 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. Contractor shall require each
subcontractor, as approved by County 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 County. County shall have the right (but not
the obligation) to enforce the provisions of this Agreement against any subcontractor hired by Contractor and
Contractor shall cooperate in such process. The Contractor shall be responsible for the acts and omissions of its
agents, employees and subcontractors.
7. Insurance. Contractor agrees to provide and maintain at Contractor's sole cost and expense, the following
insurance coverage with limits of liability not less than those stated below:
a. Types of Insurance.
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 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. A certificate of insurance consistent with the foregoing requirements is attached
hereto as Exhibit C.
ii. Contractor's certificates of insurance shall include subcontractors, if any as additional
insureds under its policies or Contractor shall furnish to County 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 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.
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.
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Eagle County On -Call General Services final 5/14
8. Indemnification. The Contractor 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 Contractor or any of its subcontractors hereunder; and Contractor shall
reimburse County for reasonable attorney fees and costs, legal and other expenses incurred 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 regard to the involvement of the Contractor. This paragraph shall survive expiration or termination
hereof.
9. Ownership of Documents. All documents (including electronic files) and materials obtained during,
purchased or prepared in the performance of the Services shall remain the property of the County and are to be
delivered to County before final payment is made to Contractor or upon earlier termination of this Agreement.
10. Notice. Any notice required by this Agreement shall be deemed properly delivered when (i) personally
delivered, or (ii) when mailed in the United States mail, first class postage prepaid, or (iii) when delivered by FedEx
or other comparable courier service, charges prepaid, to the parties at their respective addresses listed below, or (iv)
when sent via facsimile so long as the sending party can provide facsimile machine or other confirmation showing
the date, time and receiving facsimile number for the transmission, or (v) when transmitted via e-mail with
confirmation of receipt. Either party may change its address for purposes of this paragraph by giving five (5) days
prior written notice of such change to the other party.
C041i1`Y 11'ii
Eagle County, Colorado
Attention: Eva Wilson, County Engineer
500 Broadway
Post Office Box 850
Eagle, CO 81631
Telephone: 970-328-3560
Facsimile: 970-328-8789
E -Mail: eva.wilson@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:
Property Imaging LLC
Attention: Chris Haymond
P.O. Box 1497
Gypsum CO 81637
Telephone: 970-390-4133
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Eagle County On -Call General Services final 5/14
Facsimile: 970-926-0911
E-mail: propertyimagingllc@gmail.com
11. Termination. County 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 County with all documents
as defined in paragraph 9 hereof, in such format as County shall direct and shall return all County owned materials
and documents. County shall pay Contractor for Services satisfactorily performed to the date of termination.
12. Venue, Jurisdiction and Aoalicable 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. 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.
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 County 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 the
County has accepted or approved the Services shall not relieve Contractor of any of its responsibilities. Contractor
shall perform the Services in a skillful, professional and competent manner and in accordance with the standard of
care, skill and diligence applicable to contractors performing similar services. Contractor represents and warrants
that it has the expertise and personnel necessary to properly perform the Services and shall comply with the highest
standards of customer service to the public. Contractor shall provide appropriate supervision to its employees to
ensure the Services are performed in accordance with this Agreement. This paragraph shall survive termination of
this Agreement.
f. Contractor guarantees all Services against defects in workmanship and materials for a period of
one (1) year from the date the Services are completed and accepted by the County, or such longer period as may be
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Eagle County On -Call General Services final 5/14
provided by law, and promise to repair or replace, at Contractor's sole cost and expense, as appropriate, any
workmanship or materials that are found to be defective. This paragraph shall survive termination of this
Agreement.
g. Contractor guarantees and warrants that all equipment or materials provided by it shall be new and
free from defects of any nature for a period of one (1) year from the date the equipment or materials are accepted by
the County. If any manufacturer or supplier of any equipment or materials furnishes a guarantee or warranty for a
period longer than one (1) year, the Contractor's guarantee shall extend for a like period as to such equipment and
materials. This paragraph shall survive termination of this Agreement.
h. 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.
i. This Agreement constitutes an agreement for performance of the Services by Contractor as an
independent contractor and not as an employee of County. 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 County and Contractor except that of independent contractor. Contractor shall have no authority to bind
County.
j 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.
k. 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.
1. Contractor 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.
M. 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.
,n. 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.
o. The invalidity, illegality or unenforceability of any provision of this Agreement shall not affect the
validity or enforceability of any other provision hereof.
p. The signatories to this Agreement aver to their knowledge no employee of the County 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.
q. 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. 2476.5-103 prior to the effective date of this
Agreement.
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Eagle County On -Call General Services final 5/14
g. County will notify the Colorado Secretary of State if Contractor violates this provision of this
Agreement and County terminates the Agreement for such breach.
IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth above.
COUNTY OF EAGLE, STATE OF COLORADO,
By and Through Its BOARD OF COUNTY—)
C� 2Ao H. Ryan,
0
Attest:
By:
Teak J. Simonton, Clerk to the Board 4
4cO�oRAO�
109
�.
Print Name -
a
8
Eagle County On -Call General Services final 5/14
Phone (970) 926- 0911 Property Imaging LLC P.O. Bax 1497 Gvvsum Co. 81637
Cell (970)390-4133 Fax (970) 926 — 0911
CRACK SEAL, SEAL COAT & RE STRIPE
THE EAGLE COUNTY MAINTENANCE FACILITY
PROPOSAL SUA=ED TO WORK TO BE PERFORMED BY
Eva Wilson, PE., CFM
Chris Haymong member
Ph: 328-3565
Property Imaging LLC,
Fx:328-8789
P.O. Box 1497
Eva. Wilsonna eaglecounty. us
Gypsum, Co. 81637
We propose to perform all labor necessary for the completion of
crack seal, seal coat and re striping of The Eagle County Maintenance Facility at 3299
Cooley Mesa Rd, Gypsum.
All work to be performed in accordance with the specifications submitted
for above work and completed in a workmanlike manner for the sum of $50534.00
Any alteration or deviation from the above specifications involving extra
costs will be executed upon request, and will become an extra charge over and above this
Respectfully submitted Chris Haymond date 8 September 2014
WORK TO BE PERFORMED
SEAL COAT (270000 sq ft)
4 ADDITIONAL DR UW RS 90 (at our costs)
CRACK SEAL (9463 i)
RE MARK
TOTAL
ACCEPTANCE OF PROPOSAL
$41850.00
$1400.00
$6151.00
$1133.00
$50,534.00
The above prices, specifications and conditions are satisfactory and are hereby accepted.
You are authorized to do the work as specified Payment will be made as outlined
above.
SIGNATURE DATE
:DEXHIBIT
Phone (970) 926-0911 Property Imaging LLC P.U. Boa• 1497 Gipsum, Co 81637
Cell (970) 390-4133 Properq•irnagingllc(agmail.cuIn Fav (970) 926-0911
Property Imaging LLC Pricing 2014-201 7for Eagle County
2014
RS 90 Seal Coat $0.15 V2 per square. foot
Crack Seal $0.65 per liner.foot
Re Striping $0.25
2015
RS 90 Seal Coat $0.16 y, per square foot
Crack Seal $0.70 per liner foot
Re Striping $0.30 per liner foot
2016
RS 90 Seal Coat $0.17 per square foot
Crack Seal $0.70 per liner, foot
Re Striping $0.30 per liner, foot
2017
RS 90 Seal Coat $0.18 per liner foot
Crack seal $0.75 per liner, fool
Re Striping $0.35 per liner foot
E
IBIT
n PROPE-3 OP ID: CK
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
DATE Tr(MMIDDIYYYY)
�, CERTIFICATE OF LIABILITY INSURA CE
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(les) 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
Arrow Insurance Mgt -Avon
70 Benchmark Rd #103
P.O. Box 918
Avon, CO 81620
Angie Kriedeman
NAME, Angie Kriedeman
PFI°tom 970-949-5110 A1C. No 970-949-6306
AIC No Ext
E-MAIL
ADDRESS-
INSURER(S) AFFORDING COVERAGE NAIC N
INSURER A : Acuity Insurance 14184
INSURED Property Imaging LLC
INSURER B: Pinnacol Assurance 41190
Tara & Chris
PO Box 1497
INSURER C
X
Gypsum, CO 81637
INSURER D:
04/21/2014
04/21/2015
INSURER E:
INSURERF;
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I
TR
TYPE OF INSURANCE
POLICY NUMBER
MMIDDIYYYY
POLICY EXP
MMIDDIYYYY
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
EACH OCCUPRENCE $ 1,000,00
CLAIMS-4AADE M OCCUR
X
X
L81836
04/21/2014
04/21/2015
MAGE TO RENTE
PREMISES(Ea occurrence) 4 100,00
MED EYP (Any ane person) f 5,00
PERSONAL Z ADV INJUPt $ 1,000,00
GEN'L .AGGREGATE LIMIT APPLIES PER
GENERAL A-,GPEGATE I 1 2,000,00
pnL rY M )ECT 7 LOC
PRODUCTS- COMP/0P AGG A 2,000,00
$
OTHER
AUTOMOBILE LIABILITY
(ONVIIJED 311J,LE LIMIT g 1,000,000
Ea a_C 2D
BODILY INJURe (Per person) $
A
ANY AUTI-"
L81836
04/21/2014
04/21/2015
X ALL OwrJED SCHEDULED
AUTOS AUTOS
tJi rtJ-0WIJEG
X HIRED AUTOS X AUTOS
EODILY INJURY (F'er aaidani) 1
PROPERTY DANIAC:E
Par accident)
ti
X
UMBRELLA LIAB
X
O _CLIP
EACH OCCURRENCE S 1,000,000
AGGREGATE 3 1,000,00
A
EXCESS LIAB
I CLAIMS -MADE
L81836
07/1112014
04/21/2015
GED I I RETENTI! SIJ
B
WORKERS COMPENSATIONJ
AND EMPLOYERS' LIABILITY
ANY PROPPIETOR/PARTNEFfE E 1 iTIVE YIN
OFFICERIMEMBEP EXCLUDE[:?
(Mandatory In NH)
N 1 A
X
4128192
12/01/2013
12/01/2014
H
STATUTE X EP
E L EACH ACCIDEIJT $ 1,000,00
1 000 00
E L DISEASE - EA EMFL7i EE 4 r
If yes describe under
DESCRIPTION OF OPERATIONS below
I
I
E L DISEASE - POLICY LIMIT 1 $ 1,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate Holder is added as an additional insured as respects the general
liability and a waiver of subrogation exists in favor of the certificate
older. **PLEASE SEE THE BOXES CHECKED ON THE CERTIFICATE**
EAGLEC1
Eagle County Government/
County Engineering
Eva Wilson
PO Box 850
Eagle. CO 81631
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
EXHIBIT
AUTHOR
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,RREPRESENTATIVE /�
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O 1988-2014 ACORD CORPORA
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD