HomeMy WebLinkAboutC16-482 United Way of Eagle River Valley AGREEMENT FOR PROFESSIONAL SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
UNITED WAY OF EAGLE RIVER VALLEY, INC.
THIS AGREEMENT("Agree rnen C) is ef'f'ectiveas of'the 30th day of,_ Decemberand
2,016 by ,
between United Way of'Eagle River Valley, Inc. a Colorado nonprofit corporation, (hereinafter
"Consultant"or"Contractor") ,ind Eagle County, Color ado, body corporateand politic (hereinafter
"County").
RECITALS
WHEREAS, as part of,the Plan4l-lealth project, County desires to hire Consultant to lead the initiation of
a data centralization project (the "Project").
WHEREAS, the intent of,the Project is to gather Eagle County specific data from many organizations aild
enable them to he accessible from one central online location in order to enable easier access to data
iiie,isures ,imoiig,tieiicies-, ,incl
WHEREAS, Plan4Health is a project of"the Healthy Communities Coalition of"Eagle County, being
administeredand led by Eagle County Government, through Plan4Health grant funds intended to support
local coalitions and collaborations for policy, systems and environniental strategies to support healthy
living-, 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 yrs defined below in paragraph I hereof', and
WHEREAS, this Agreement shall govern the relationship between Consultant and County in connection
with the Services.
AGREEMENT
NOW,THEREFORE, in consideration of"the foregoingand the f'ollowing promises Consultant and
County agree as follows:
1. Services. Consultant agreel to diligently provide all services, labor,personnel and materials
necessary to perforin and complete the services described in Exhibit A ("Services") which is attached
hereto and incorporated herein by reference.The Services shall be perfortned in accordance with the
provisions and conditions of"this Agreement.
It.
I Consultant agrees to Nmish the Services no later than March 31, 201 7 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
C16-482
applicable staiidard of'care. By sigiiiiig below Comultwit represciits that it has the expertise wid
personnel necessary to properly wid timely perform the Services.
b. In the event of'aiiy conflict or inconsistency between the terms wid conditions set forth in.
Exhibit A wid the ternis wid conditions set forth in this Agreetueiit, the terms wid conditions set forth in.
this Agreetueiit shall prevail.
C. Consultant agrees that it will not enter into tmy consulting or other arraiigenleiits with
third parties that will coiif'lict in tray mamier with the Services.
2. Count 's Represeigative. The Public Health wid Environment Departmeiit's designee shall he
Consultant's contact with respect to this Agreemeiit acid perforinwice of"the Services.
3. Term of'the Agreemeiit. This Agreetueiit shall commeiice upon the date first writteii above, wid
subject to the provisions of"para graph 1.1 hereof', shall continue in f'ull force wid ef'('ect through the 31
day of"March, 2f017.
4. Exteiisioii or Modificatioii. This Agreetueiit may not be amended or suppletneiited, nor may aily
obligations hereunder he waived, except by agreeineiit signed by both parties. Noadditiomil services or
work perfortued by Coiisultaiit shall he the basis foradditiomil compensation unless acid until Comultailt
has obtained written authorization wid ackiiowledgetueiit by County for such additiomil services in.
accord,mce with Comity's iiitemal policies. Accordingly, no course of'coiiduct or dealings hetweeii the
parties, nor verbal chaiige orders,express or implied acceptaiice of'alterations or additions to the Services,
wid no claim that Comity has heeii unjustly enriched by tray additiomil services, whether or not there is in.
f',,Ict tray such uiijust emichineiit, shall the the basis of'tray increase iii the compeiisatioii payable hereunder.
In the event that wmitten authorization acid ackiiowledgineiit by County for such additiomil services is not
timely executed wid issued in strict accordmce with this Agreemeiit, Coiisultaiit's rights with respect to
such additiomil services shall he deemed waived wid such f,,Iilure shall result iii rich-payineiit for such
additiomil services or work perfortued.
5. Coneiisatioii. County shall compensate Coiisultaiit for the performaiice of'the Services iii a sum
computed wid payable as set forth in Exhibit A. The performaiice of"the Services wider this Agreemeiit
,shall not exceed $15,000. Coiisultaiit shall not he entitled to bill at overtime wid/or double bile rates for
work done outside of"normal busiiiess hours unless specifically authorized in writiiig by County.
I
It. Payineiit will be made for Services satisf,ctorily pert
orrued within thirty (30) days of'
I
receipt of'a proper land accurate invoice from Coiisultaiit. All invoices shall include detail regardiiig the
hours spent, tasks performed, who performed each task wid such other detail as Comity may request.
b. Any out-of'-pocket expenses to he incurred by Consultant wid reimbursed by County shall
be identified on Exhibit A. Out-of'-pocket expenses will Ilse reimbursed without tray additiomil mark-up
thereon aiid are included in the not to exceed contract amomit set forth above. Out-of'-pocket expenses
shall not include tray payment of salaries, boiiuses or other conipeiisatioii to personnel of'Consultant.
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Consultant shall not be reimbursed for expenses that are not set forth on Exhibit A unless specifically
approved in writing by County.
C. If" at my titne during the term or after termination or expiration cal"this Agreement,
County reasonably determines that my payment made by County to Consultant was in1proper because the
Services for which payinent was made were not perf'ortned as set forth in this Agreenlent, then upon
written notice of'such determination and request for reimbursement from County, Consultant shall
f'orthwith return such payment(s) to County. Upon termination or expiration of"this Agreenlent,
unexpended fundsadvanced by County, if"any, shall forthwith the returned to County.
d. County will not withhold my taxes from monies paid to the Consultant hereunder and
Consultant agrees to he solely responsible for the accurate reporting and payinent of'aily taxes related to
payments made pursuant to the tennis of"this Agreement.
e. Notwithstandinganything to the contrary contained in this Agreement, County shall have
no obligations under this Agreenient after, nor shall my payinents the made to Consultant in respect of'aily
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 Goverrinient Budget Law (C.R.S. 29-1401 et. seq.) and the
TABOR Aniendinent (Colorado Constitution,Article X, See. 2fi0).
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 he withheld in.County's sole discretion. County shall have
the right in its reasonable discretion to approve all personnel assigned to the subject Project during the
perf'on,nance of"this Agreement and no personnel to whom County has an objection, in its reasonable
discretion, shall he assigned to the Prospect. Consultant shall require each sub-consultant, as approved by
County and to the extent of'the Services to the perfortned by the sub-consultant, to the bound to Consultant
by the terms of'this Agreenient, and to assume toward Consultant all the obligations and responsibilities
which Consultant, by this Agreenient, assumes toward County. County shall have the right (but not the
obligation) to enforce the provisions of"this Agreement against my sub-consultant hired by Consultant
and Consultant shall cooperate in such process.The Consultant shall he responsible for the acts and
omissions of"its agents, employees and sub-consultants or sub-contractors.
7. Insurance. Consultant agrees to provide and maintain tit Consultant's sole cost and expense, the
f'ollowing insurance coverage with limits of"liability not less than those stated below:
It. Types of"Insurance.
i. Worker,,' Compensation insurance as required by law.
ii. Auto coverage. The Services do not require the operation of'.1 motor vehicle.
Notwithstanding the foregoing, should Consultant or tmy of"its employees drive their personal vehicles in.
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connection with the perfonnance of'the Services under this Agreenient, such individual shall maintain
auto insurance as required by law and shall be solely responsible forany injury or damage arising out of
use and operation of"such personal vehicle.
iii. lntentionally Ontittal.
iv. Professional liability insurance with prior acts coverage for all Services required
hereunder, in a Conn and with an insurer or insurers satisfactory to County, with limits of"liability of"not
less than $1,000,000 per claim and$1,000,000 in the aggregate. In the event the professional liability
insurance is on a claims-made basis, Consultant warrants that any retroactive date under the policy shall
precede the ef"f"ective date of"this Agreement. Continuous coverage will be maintained during any
applicable statute of"limitations for the Services and Project.
b. Other Requirements.
i. lntentionally Ontittal.
ii. Consultant's certificates of'insurance shall include sub-consultants as additional
insureds under its policies or Consultant shall furnish to County separate certificates and endorsements f'or
each sub-consultant. All coverage(s) for sub-consultants shall be subject to the same minimurn,
requirements identified above. Consultant and sub-consultants, if"any, shall maintain the foregoing
coverage in ef"f"ect until the Services are completed. In addition, all such policies shall he kept in force by
Consultant and its sub-consultants 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. 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 afTordingan unqualified thirty (30)
days' notice of'cancellation to County in the event of'cancellation of'coverage.
vi. All insurers must he licensed or approved to do business within the State of
Colorado and all policies must he written on a per occurrence basis unless otherwise provided herein.
vii. Consultant's certificate of'insurance evidencing all required coverage(s) is
attached hereto as Exhibit B. Upon request, Consultant 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 County, and hereby authorizes Consultant's broker, without further notice or
authorization by Consultant, to immediately comply with any written request of'County fora complete
copy of"the policy.
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Lagle County Prof Services Final M4
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 oaf"insurance showing such coverage.
ix. lf'Consultant f.ails to secure and maintain the insurance required by this
Agreenient and provide satisf,actory evidence thereof'to County, County shall the entitled to immediately
terininate this Agreement.
X. The insurance provisions of'this Agreenient shall survive expiration or
terinination hereof'.
xi. The parties hereto understand and agree that the County is relying oil, and does
not waive or intend to waive by tmy provision oaf"this Agreenient, 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, itsaH'iliated entities, successors or assigns, its elected
of'f'icials, employees, ageats and volunteers.
xii. Consultant is not entitled to workers' conipensation benefits except as
provided by the Consultant, nor to unemployinent insurance henefits unless unemployment con1pensation
coverage is provided by Consultant or sorne other entity. The Consultant is obligated to pay all federal
and state income tax on any moneys paid pursuant to this Agreement.
8. Indemnification.. The Consultant shall indemnify and hold harmless County, and any oaf"its
of'f'icers, agents and employees agaiest tray losses,claims, damages or liabilities for which County may
hecoine subject to insofar as any such losses,claims, damages or liabilitiesarise out cal",
directly or
indirectly, this Agreement, oar are based upon any perfonnance or nonperformance by Consultant oar any
oaf"its sub-consultants hereunder-, and Consultant 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 oraction. 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 oaf"the Consultant. This paragraph shall survive expiration or termination hereof'.
9'. 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 coniparable courier service, charges prepaid, to the parties at their
respective addresses listed below, or(iv) when sent via facsimile so loan as the sending party can provide
f',acsimile machine or other confirmation showing the date, titne and receiving facsimile number for the
transmission, or(v) when transmitted via e-mail with confirmation oaf"receipt. Either party may change its
address for purposes of'this paragraph by giving five (5) days prior written notice oaf"such change to the
other party.
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COUNTY:
Eagle County, Colorado
Attention: Katie Haas
500 Broadway
Post Of'f*ice Box 850
Eagle, CO 81631
Telephone: 970-328-8855
E-Mail:
With a copy to:
Eagle County Attorney
500 Broadway
Post Of'f*ice Box 850
Eagle, Co 81631
Telephone: 970-328-8685
Facsimile: 970-328-8699
E-Mail: atty@eaglecounty.us
CONSULTANT:
United Way of'Eagle River Valley, Inc.
PO Box 4153
Edwards, CO 81632
Telephone: 303-99a 4-2622
Email: executivedirector@uiiitedwtyeigle.org
1'f). Coordination. Consultantacknowledges that the development 'land processingof'the Services for
the Project may require close coordination between various consultants and contractors. Consultant shall
coordinate the Services required hereunder with the other consultants and contractors that are identif'ied
by County to Consultant from time to titne, and Consultant shall immediately notify such other
consultants or contractors, in writing, of'any changes or revisions to Consultant's work, product that might
af'f'ect the work, of"others providing services for the Project and concurrently provide County with a copy
of'such notification. Consultant shall not knowingly cause other consultants or contractors extra work
without obtaining prior written approval from County. If"such priorapproval is not obtained, Consultant
shall be subject to Levy offset for the costs of"such extra work.
IL Termination. County may terminate this Agreement, in whole or in part, at my titne and for any
reason, with or without cause, and without penalty therefor with seven (7) calendar days' prior written
notice to the Consultant. Upon terinination of"this Agreement, Consultant 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 Consultant for Services
satisf1actorily perf'ormed to the date of'termination.
12. Venue Jurisdiction an' 4 lictafrle Ltavv. Any and all claims, disputes or controversies related to
this Agreenient, or breach thereof', shall be litigated in the District Court for Eagle County, Color-ado,
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which shall he the sole and exclusive Comm for such litigation. This Agreenient shall be construed and
interpreted sender sand shall he governed by the laws of"the State of"Colorado.
13. Execution by Counterparts; Electronic Signatures. This Agreement may he executed in two or
more counterparts, each of"which shall he 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 ofelectronic signatures shall Ibe permitted to bind the parties to this
Agreenient: (i) Electronic or f,acsimile delivery ofa fully executed copy cal"the signature page-, (ii) the
image ofthe signature of an authorized signer inserted onto PDF format documents. All docunlents must
he 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.
It. Consultant shall be responsible for the completeness and accuracy of"the Services,
including all supporting data or other documents prepared or compiled in performance ofthe Services,
and shall correct, at its sole expense, all significant errors and omissions therein. The fcact that the County
has accepted or approved the Services shall not relieve Consultant of zany of"its responsibilities.
Consultant shall perform the Services in to skill Ful, professional and competent manner and in accordance
with the standard of care,, skill and diligence applicable to Consultants performing similar services.
Consultant represents and warrants that it has the expertise and personnel necessary to properly perforin
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. Consultant agrees to work in an expeditious manner, within the sound exercise of"its
judginent and professional standards, in the performance ofthis Agreement. Tinle is ofthe essence with
respect to this Agreement.
C. This Agreenient constitutes an agreement for performance ofthe Services by Consultant
as an independent contractor and not as an employee of County. Nothing contained in this Agreement
shall be deemed to create to relationship ofemployer-employee, master-servant,partnership,joint venture
or zany other relationship between County and Consultant except that of"independent contractor.
Consultant shall have no authority to bind County.
d. Consultant represents and warrants that at all tu"r"ves in the performance of"the Services,
Consultant shall comply with zany and all applicable laws, codes,rules and regulations.
e. This Agreement contains the entire agreenient between the parties with respect to the
subject matter hereof"sand supersedes all other agreements or understanding between the parties with
respect thereto.
f. Consultant shall not assign zany portion of"this Agreenient without the prior written
consent of"the County. Any attempt to assign this Agreement without such consent shall be void.
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9. This Agreenient shall be binding upon and shall inure to the 11 enefit 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 .1
waiver thereof'. No waiver cal"any breach shall he deemed a waiver cal"any preceding or succeeding
breach.
i. The invalidity, illegality or unenforceability of'any provision of'this Agreement shall not
af'f'ect the validity or en forceability of'any other provision hereof'.
j. Consultant shall maintain Cora minimum oaf'three years, adequate financial and other
records for reporting to County. Consultant shall he subject to financial audit by federal, state or county
auditors or their designees. Consultant authorizes such audits and inspections of'records during normal
business hours, upon 48 hours' notice to Consultant. Consultant shall Fully cooperate during such audit or
inspections.
k. The signatories to this Agreenient aver to their knowledge, no eniployee of'the County
has any personal or beneficial interest whatsoever in the Services or Property describ.ed in this
Agreenient.The Consultant has no 11 eneficial interest, direct or indirect, that would conf1ict in my manner
or degree with the performance of'the Servicesand Consultant shall not employ any person having such
known interests.
1. The Consultant, if'a natural person eighteen (1 8) years oaf'age or older,hereby swears and
aR"
, irms under penalty oaf'per jury that he or she (i) is a citizen or otherwise lawf'ully present in the United
States pursuant to federal law, (ii) to the extent applicable shall comply with C.R.S. 24-76.5403 prior to
the ef"f"ective date oaf"this Agreement.
15. Prohibitions on-Government Contracts.
As used in this Section 16, the terin undocumented individual will refer to those individuals from foreigil
countries not legally within the United States as set forth in C.R.S. 8-17.5-101,et. seq. If'Consultailt has
,my eniployees or subcontractors, Consultant shall coniply with C.R.S. 8-17.5-101,et. seq., and this
Agreenient. By execution of'this Agreement, Consultant certifies that it does not knowingly eniploy or
contract with an undocuniented individual who will perform under this Agreenient and that Consultant
will participate in the E-verify Program or other Departinent oaf'Laboar and Eniployinent program
("Department Program") in order to confirm the eligibility oaf"all employees who are newly hired for
employinent to perform Services under this Agreenient.
It. Consultant shall not:
i. Knowingly eniploy or contract with an undocumented individual to perf'61-1,11
Services under this Agreement-, or
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ii. Enter into a subcontract that f,ails to certify to Consultant that the subcontractor
shall not knowingly employ or contract with an undo cuniented individual to perforril work, under the
public contract for services.
b. Consultant has confirmed the employinent eligibility of"all employees who are newly
hired for eniployinent to perf'orm Services under this Agreenient through participation in the E-Verify
Program or Departinent Program, asadministered by the United States Department of'Honleland
Security. hifonnation on applying for the E-verify program can be f'ound at:
littp://www.dlis.�()v/xpi-e,vpl-()tlpl-() i-aiTis/,e 1185221678150.shtm
C. Consultant shall not use either the E-verify program or other Department Program
procedures to undertake pre-eniploy rnen t screening ofjob applicants while the public contract for services
is being perfortned.
d. If' Consultant obtains actual knowledge that a subcontractor perfonning work under the
public contract for services knowingly employs or contracts with an undocumented individual, Consultant
shall be required to:
i. Notify the subcontractor and County within three (3) days that Consultant 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 days of,receiving
the notice required pursuant to subparagraph (i) of the paragraph (d) the subcontractor does not stop
employing or contracting with the undo cuniented individual-, except that Consultant 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.
e. Consultant shall coniply with my reasonable request by the Department of Labor and
Eniployment made in the course of an investigation that the departinent is undertaking purl ant to its
authority established in C.R.S. 8-17.5-102(5).
f'. If'Consultant violates these prohibitions, County may terminate the Agreenient for breach
of,contract. Wthe Agreement is so terminated speeffically for breach of"this provision of"this Agreenlent,
Consultant shall be liable foractual and consequential damages to County as required by law.
9. County will notify the Colorado Secretary of State if' Consultant violates this provision
of,this Agreenient and County terminates the Agreenient for such breach.
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IN WITNESS WHEREOF, the parties have executed this Agreernent the day and year first set forth
above.
COUNTY OF EAGLE, STATE OF COLORADO, By
and Through Its COUNTY MANAGER
By: . .....................
Brent McFall, County Manager
CONSULTANT:
UNITED WAY OF EAGLE RIVER VALLEY, INC.
TZ9
..
........ ... .............. .- ...........
Print Name: Rebecca Kanaly
Title: Executive Director and
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EXHIBIT A
SCOPE OF SERVICES, SCHEDULE, FEES
Scope of Services
1. ldeiitify data sources (e.g. assessmeiits, surveys, etc.) missiiig from the existing data
ceiitralizatioii list that could lyre iiieluded iii this project.
2. Contact orgaiiizatioiis toaccess data acid/or to notify ofthe ceiitralizatioii project wid iiiteilt to
share data.
3. As iieeded/if'appropriate,establish MOUs or other agreemeiits with orgaiiizatioiis for data
sharhig.
4. Develop webpage to display the data,eiiabliiigaccess to it by the geiieral public aild other
orgaiiizatioiis. (NOTE— the data sets will riot lyre maiiipulated. Credit wid rights to the data sets
remaiii with the agency which is providiiig the data).
5. Coordiiiate with the hiteGreat Data"Team acid serve as the primary liaisoii betweeii the hiteGreat
Data Team wid Eagle Comity Public Health for the duration ofthis agreerneilt.
6. Provide admiiiistrative fuiids to hiteGreat for the iiivolvemeiit wid coiitributioii ofthe hiteGreat
Data Team for this project.
Schedule
The above scope of'services shall be completed by March 31, 2017.
Fees
Work for this project will lyre completed at a rate of'$113 per hour. Mileage iiieurred for travel related to
this project cirri lyre billed at $.56 per mile. Adraiiiistrative costs for hiteGreat Data Team will be provided
at a rate of'$600 per moiith for the duration of this project. The total project is not to exceed $15,000.
Lagle County Prof Services,final M4
EXHIBIT B
Insurance Certificate
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Lagle Couinty Prof Services final M4
��aT 41MIMIIDOIYYYYI
� CERTIFICATE OF LIABILITY INSURANCE
11/17/2016
THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONILYANICI CONIFERS NO(RIGHTS UPON THIS CIEIRTIIFICATIE HOLDER.THIS
CERTIFICATE IC DIES NOT AFFIRMATIVELY OR NIEGATIVIEILY ANIIENICd,IEXTIENICd 01R AILTIRIR THE COVIEIRAGIE AIFIFORICIIEID IBY THE POLICIES
BELOW. THIS CIEIRTIIFICATIE OF INSURANCE IC DIES NOT CONS TITUTIE A CONTRACT IBIETV+JEIEN THE ISSUING INSUIRIEIR(S),AUTHORIZED
REIPIRIESIENT TIME OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUIBROGATION 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
NAME: IBill Chappell
B&A(insurance Solutions PHOINn a Ext: 608-212-1100 4AJC,INas: 866-254-2164
MAIL
6000 American(Parkway ADDRESS: SS--CO@amffam,com
IIINSURERIS)AFFORDING COVERAGE Ili AJC#
(Madison VVI53783 INSURER A: USILII-United States(Liability insurance
INSURED INSURER B
United My of(Eagle(River Valley(Inc INSURER c
PQ(BOX 4158 INSURER D:
INSURER E:
Edwards CO 81682 INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THUS IIS TO CERTIFY THAT THII POLICIES OIF IINSUII2A,NCIE LISTED IBIEILOW HAVIE II3IFII=IV IISSUIEILb TO THIE IINSUIRIEID NAMIEIDAIBOVIE FOIRTHIE IPOILIICY IPIEIR1101L,
INIUICATIEID. NOTWITHSTANDIN G ANY REQUIREMENT,TERM OR CONIDITIION OF ANY CONTRACT OR OTHIBIR ICOCUMIBNT WITH IRIESIPIBCTTO WHIICH THUS
CERTIFICATE MAY IB II=ISSUED OR MAY IPIEIIRTAIIN,THIE IINSUIRANCIEAFFOIRIDIEID IBYTHIE POLICIES IDIESCII 111BIEID HIEIRIEIIN IIS SUIBJIECTTOAILILTHIETIEIRMS,
E'XCILUSIIONSANILb CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE IBIEIEN REDUCED IBY IPA IIIIJ CLAIMS.
IIN RPOLICY EFF POLICY EXP
LTR TYPEOFIIINSURANCE IIINSD VWO POUCYINUIPMBER 41MIMIIDDIYYYY. 411MIMIDDIYYYY LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCIURRENC E $
CLAIIIMIS-(MADE 7 OCCUR PREMISE Li R TED
F:p PREMISES Ea aeacaair'ir'eme' �
(MED EXP(Any orae(ersony $
PERSONAL&ADV INJURY $
�,EiN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY 7 RRC-JECT 7 LOC PRODUCTS-COIMPIOPAGG $
OTHER:
AUTOMOBILE LIIABILITY COMBINED SHINGLE LIIIMIT �
ANY AUTO BODIILYINJURY(Perlperson;y '$
ALLOWNEDSCHEDULED BODILY INJURY(Peraccadent;p $
AUTOS AUTOS
NON- ED PROPER PROPERTY DAMIAGE �
HIIREDAUTOS AUTOS PemacciidemtR.
UIPMBRELLA LIIAB OCCUR EA CH OCCiURRENC E $
EXCESS LIIAB CLAIIIMIS-(MADE AGGREGATE $
DED RETENT IION$ $
WORKERS COMPENSATION PER OTH-
ANO EMPLOYERS'LIABILITY YI IN STATUTE ER
ANY PROP RIIETORIPARTNERIEXECiUTIVEIN I A E.L.EACH ACCIIDENT $
OFFIICERIiMiEiM BER EXCLUDED?' N
4Mlan"oiry In NH) E.L.DIISEAS E-EA,EMP LOYE- $
Ilrt es,descirbe aaindem
D SCRIIPTIOIN OF OPERATIIOINSIYaelow E.L.DIISEAS E-POLICY LIMIT $
A
Professional liability Each claim $ 1,000,000
NIU01567891 10/12/2015 10/12/2018
Aggregate $ 1,000,000
DESC RII PTIPOIN O F O PE RATIOINS I LO CATIOINS I V EHII4C L ES JACO R D 101,Acta.Ylifi on aI Remarks Solhedie e,may lbe allw1 ed iirf irnore space Is required)
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SHOULIDANY OIFTHIEAISOVIE IDIESCIIRIISEID IPOILICIlES 1818 CANCIEILILEID ISIEIFORIE
THE EXPIRATION IDATIE THEREOF,NOTICE WILL(SIB IDEILIVIEIRIEID IN
Eagle County ACCORDANCE WITH THE IPOILICY PROVISIONS.
PQ(BOX 850 AUTHORIZED REPRESENTATIVE
500 IBToadway
Eagle CO 81631
)1986-2014 ACOIRICI CORPORATION. All rights reserved.
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