No preview available
HomeMy WebLinkAboutSOB17-003 Rich Hufnagel Painting Building LAGREEMENT FOR SERVICES BETWEEN SENIORS ON BROADWAY, LP AND RICH HUFNAGEL PAINTING THIS AGREEMENT ("Agreement") is effective as of 09/08/2017 by and between Rich Hufnagel Painting, a sole proprietorship (hereinafter "Contractor") and Seniors on Broadway, LP a Colorado limited partnership (hereinafter "SOB"). RECITALS WHEREAS, SOB desires to hire Contractor to paint the exterior of the East, West, and South sides of the Seniors on Broadway building L, as well as the Garage (the "Project"} located at 750 Broadway, Eagle, Colorado 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 SOB in connection with the Services. AGREEMENT NOW, THEREFORE, in consideration of the foregoing and the following promises Contractor and SOB 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 or work described in Exhibit A ("Services" or "Work") which is attached hereto and incorporated herein by reference. The Services shall be performed in accordance with the provisions and conditions of this Agreement. a. Contractor agrees to furnish the Services no later than September 30, 2017, and in accordance with the schedule established in Exhibit A If no completion date is specified in Exhibit A, then Contractor agrees to furnish the Services in a timely and expeditious manner consistent with the applicable standard of care. By signing below Contractor represents that it has the expertise and personnel necessary to properly and timely perform the Services. b. In the event of any conflict or inconsistency between the terms and conditions set forth in Exhibit A and the terms and conditions set forth in this Agreement, the terms and conditions set forth in this Agreement shall prevail. 2. SOB's Representative. The Housing Department's Maintenance Supervisor, William Wright, 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 1 1 hereof, shall continue in full force and effect through the 30"' day of September, 20t7. SOB17-003 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 SOB for such additional services in accordance with SOB'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 SOB 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 SOB 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. SOB shall compensate Contractor for the performance of the Services in a sum computed and payable as set forth in Exhibit A. The performance of the Services under this Agreement shall not exceed $5,800.00. 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 SOB. 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 SOB may request. b. If, at any time during the term or after termination or expiration of this Agreement, SOB reasonably determines that any payment made by SOB 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 SOB, Contractor shall forthwith return such payment(s) to SOB. Upon termination or expiration of this Agreement, unexpended funds advanced by SOB, if any, shall forthwith be returned to SOB. C. SOB 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. Contractor and any subcontractors hereby waive the right to lien the Property. Notwithstanding the foregoing, in the event of any lien, notice of intent to file a lien statement, lien statement, or claim be recorded or served in connection with the Services, Contractor shall immediately and at its own expense, record or file, a bond executed by a good and sufficient surety, and approved by SOB, in a sum equal to one hundred fifty (150°]x) percent of the amount of such lien, notice or claim, together with the claimant's cost of suit in the action if the claimant recovers therein. 6. Subcontractors. Contractor acknowledges that SOB 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 SOB's prior written consent, which may be withheld in SOB's sole discretion. SOB 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 SOB has an objection, in its reasonable discretion, shall be assigned to the Project. Contractor shall require each subcontractor, as approved by SOB 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 SOB. SOB shall have the right (but not the obligation) to enforce the provisions of this Agreement against any subcontractor hired by Contractor and Contractor shall 2 SNROB Gcneral Seryices Final 5/14 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 SOB, 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 SOB 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 SOB 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 SOB, its affiliated entities, successors or assigns, its elected officials, employees, agents and volunteers. 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 SOB, and any of its officers, agents and employees against any losses, claims, damages or liabilities for which SOB 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 SOB for reasonable attorney fees and costs, legal and other expenses incurred by SOB in connection with investigating or defending any such loss, claim, damage, liability or action. This indemnification shall not apply to 3 SNRO$ Gcneral Seryices Final 5114 claims by third parties against SOB to the extent that SOB 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 SOB and are to be delivered to SOB before final payment is shade 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. SOB: Attention: Jill Klosterman 500 Broadway Post Office Box 850 Eagle, CO 81631 Telephone: 970-328-8773 Facsimile: 970-328-8787 E-mail: jill.klosterman@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: Rich Hufnagel P.Q. Box 4199 Eagle, CO 81631 970-328-6872 11. Termination. SOB 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 SOB with all documents as defined in paragraph 9 hereof, in such formal as SOB shall direct and shall return all SOB owned materials and documents. SOB shall pay Contractor for Services satisfactorily performed to the date of termination. 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 4 SNROB Gcneral Services Final 5/14 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, CRS. 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, 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 SOB written notice of all conflicts, errors, or discrepancies. C. 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 SOB 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 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. g. This Agreement constitutes an agreement for performance of the Services by Contractor as an independent contractor and not as an employee of SOB. 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 SOB and Contractor except that of independent contractor. Contractor shall have no authority to bind SOB. 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. 5 SNROB Gcneral Seryices Final 5114 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 SOB. 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 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. 1. 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. M. The invalidity, illegality or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provision hereof. n. The signatories to this Agreement aver to their knowledge, no employee of SOB 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. 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 law, (ii) to the extent applicable shall comply with C.R.S. 24-76.5-103 prior to the effective date of this Agreement. P. Contractor warrants and guarantees to SOB that all Services will be performed in a good and workmanlike manner and in accordance with this Agreement. If, within one year from the date of final payment for the Services, or such longer period as may be prescribed by law, the Services are found to be defective or not in accordance with the terms of this warranty or Agreement, then upon written notice from SOB, Contractor shall promptly, without cost to SOB, and in accordance with SOB's written instructions repair or replace such defective Services. If Contractor does not promptly comply with the terms of such instructions, SOB may have the Services corrected, repaired or replaced and all direct and indirect costs incurred by SOB shall be paid by Contractor. 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.R.S. 5-17.5-101, et. seq. If Contractor has any employees or subcontractors, Contractor 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 Contractor that the subcontractor shall not knowingly employ or contract with an undocumented individual to perform work under the contract for services. b. If Contractor obtains actual knowledge that a subcontractor performing work under the contract for services knowingly employs or contracts with an undocumented individual, Contractor shall be required to: 6 SNROB Gcneral Seryices Final 5114 i. Notify the subcontractor and SOB within three (3) days that Contractor has actual knowledge that the subcontractor is employing or contracting with an undocumented individual; and ii. Terminate the subcontract with the subcontractor if within three (3) days of receiving the notice required pursuant to subparagraph (i) of the paragraph 14(b) the subcontractor does not stop employing or contracting with the undocumented individual; except that Contractor shall not terminate the contract with the subcontractor if during such three (3) days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an undocumented individual. C. If Contractor violates these prohibitions, SOB 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 SOB. d. SOB may notify the Colorado Secretary of State if Contractor violates this provision of this Agreement and SOB terminates the Agreement for such breach. [Rest of page intentionally left blank] 7 SNAOB Gcneral Seryices Final 5114 IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth above. Seniors on Broadway LP By Seniors on Broadway LLC, its general partner By Golden Eagle Elderly Housing Corporation, its sole member.s,o ,...m......m By: Jill Klosterman, Executive Director By: Print Namc: .-------- Rich Hufnagel Title: President 8 SNROB Gcneral Services Final 5/14 SCOPE OF SERVICES, SCHEDULE, FEES SNRO$ Gcneral Services Final 5I14 a-�-A, 4 9 C, ILr.-E f C-(-) -PROPOSAL Pik ,V"q[�j9 # of Proposal Submitted To: Job Name Job # Address Job Location Date Date of Plans F L Phone # Fax # Architect We hereby submit specifications and estimates for: 7—W ..�-d DES U 0-_-._W -�S T i�' We propose hereby to furnish material and labor — complete in accordance with the above specifications for the sum of: F-.. #..�i iU-T iv -i �7 �Il � �:C� � Dollars with payments to be made as follows: i Any alleration or deviation from above specifications Involving extra casts will be Respectfully executed only upon written order, and will become an extra charge over and submitted above the estimate. All agreements contingent upon stikes, accidents, or delays beyond our control. Note — this proposal may be withdrawn by us if n accepted within days. Acceptance of Proposal The above prices, specifcations and conditions are satisfactory and are Signature hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance EX-IIBIT B INSURANCE CERTIFICATE 10 SNROB Gcneral Seryices Final 5114 To: Page 2 of 3 2016-09-2917:20:38 (GMT) 18662471944 From: Patricia Hoot RICHHUF-01 PATTY '%h R' CERTIFICATE OF LIABILITY INSURANCE °A' CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDSQ BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, siz�lzm s 129/ 016 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 pol"(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this Certificate does not confer rights to the certifir ate holder in lieu of auch e ndorse m ent(a)_ PRODUCER NAc N'y AC3 Ratty Jackson-FloocilHood !ns Agency Hood Insurance Agency 850 Chambers Ave, Ste 5 PHONE_.. _ _..__._._. 2 T�_..._.,...._......_........_.... � : [97Oj 3064299 274 AEC. Nal: Eagle, GO 81$31 ADt73iE7S: hoodinsurance entu iink.net INSURER(a) AFFORDING COVERAGE NAIL A INSURER A:.S.ecUrity National Insurance CO 19879 $: ezF_ 7OWNTEi7............ 0912812017 R3SURED INSURER B Rich Hufnagel Painting INSURER pRER(ISES Eaeccturence IRSURER 13: S 5,00 PO Box 4199 Eagle, CO 81631 MED Exp (Ally one atmn) INSURER INSURER F COVERAGES CERTIFICATE NUMBER, or"AIneI IUI "Rr=v• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 12EEN ISSUED TO THE INSURED NAMED A6OVE 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 AFFORDSQ BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF f NSURANCR [HSP I VYVD POLICY NUMBER IMMOONYM:.. IMMMOrNmN LRAITIf X COMMERCNILi3ENERAL LEAIALITY EACH OCCURRENCE S 1,000,000 CLAIMiS-FdADE OCCUR JC NAI 1.7014400 ' 09126/2016 $: ezF_ 7OWNTEi7............ 0912812017 _..... - 5 1D0,o00 pRER(ISES Eaeccturence S 5,00 MED Exp (Ally one atmn) GEN"L AGGIR2GATE Lim. AF—F LIC3 Kr;- . ,�. ,r _. nti.vu AGC. � A7E ? nrlA {Irlri 7C € PRO - S POLICY j JECT LOC PRODUCTS -compIOPl1GG OTHER, I r fi .» .. aecldenF; ... ._.. _ 15 ANY AUTO VCD'LY INJURY (Per person) $ ALL OWNED SCHEDULED € ,... _...._..r._._ .... .... ......... AUTOS :AUTOS. BODILY INJURY (Per accident) S NONN:WNED.. HIRED AUTOS I AUTOS PRQPEt71()AWiAC+E ... ..... ...... ..... .... S t S UMBRELLA LIAR OCCUR s ! EACH =URRiNCE S EXCE88fJA8 CLAVAS-AMAOR AGGREGATE S DED RETENTION S S I r WORKERS COMPENSATION jjj AND EMPLOYERS' LIABILITY YEN { STATU.T _; ER E� ANY PROPRIETORIPAMERIE#ECUTIYE j} R L. EACH ACCIDENT Offs :ERiMEMBER EXULUDED•7 ❑ NIA , . - S (Mandatary In NN) E L DISEASE - EA EMPLOYE $ It yea. dwe;nbe undar 5 DESCRIPTION OF OPERATIONS below [ E L DS£A6E _ POLICY LIA11T I DESCRIPTION OF 0PERATIONS 1 LOCATIONS 1 VEHICLES IACORD Ift AddMorAl Rsnsxft Sehodula, may be attached If mors apace la rag3ii dl Seniors on Broadway LP 750 Broadway Eagle, CO 81631 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE G) 1988-2014 AGORD CORPORATION. All rights reserved. ACOR D 26 (2014101) The ACORI:D name and laga are registered marks of ACORD To: Page $ of 3 2016-09-29 97:20:38 (GMT) 18662471944 From: Pabicla Hoot .4C(DOREY 46� AGENCY CUSTOMER i[3: RICHHUF-01 LOC 9: _. ADDITIONAL REMARKS SCHEDULE PAT7Y Page 1 of Z AGENCY NAMED INSURED flood Insurance Agency Rich HuiriaggeI Painting PD Box 4189 Eagle, CO 81831 POLICY RUM13ER EE PAGE 1 Eagle CARRIER MAIC CODE EE PAGE 1 IME P 1 EFFECT1VEbATE: SEE RAG THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 36 FORM TITLE: certlflxate of Llablllty Insurance Additional Insured Seniors on Broadway, LP, Its associated afFllated entities, its successors and assigns, elected officials, employees, agents and volunteers are Additional Insureds under the commercial general liablilty. At. -Un .r 10-1 44VU01U 1] V 290B ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD State FarinO Providing Insurance and Fnancial Servicas 2700 South Sunland Drive Tamps AZ 852823387 StateFarm W Attached as requested are your replacement insurance identification cards. If the attached cards are not accepted by a law enforcement agency or your Department of Motor Vehicle office, please contact your agent to receive additional assistance. Thank you for choosing State Farm for your insurance needs. ------------------------------------------- IMPORTANT ......_._............................-------------------------........W.............W....................- IMPORTANT - IDENTIFICATION CARDS STATE FARIVI. StateFam COLORADO fate Fa= THIS CARD MUST BE KEPT IN THE INSURED MOTOFE & INSURANCE CARD I r a < VEHICLE FOR PRODUCTION UPON DEMAND. INSURED HU. FN ELL,ARICHARD A F4 UTL VOL POLICY NUMBER 636 01101-03-06H EFFECTIVE YR 2002 MAKE TOYOTA NOV 632016 TO IMAY 032417 MODEL TACOMA VIN STEWN72NXZM22705 AGENT COM[ERFORD INS AGENCY INC PHONE (970)928.4000 NAIC 25176 THE COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM LABILITY LIMITS PRESCRIBED BY LAW. A BODILY INJURYIPROPERTY DAMAGE LIABILITY C MEDICAL PAYMENTS D 100 DEDUCT COMPREHENSIVE G 500 DEDUCT COLLISION H, Iii IF YOU HAVE AN ACCIDENT -NOTIFY THE POLICE IMMEDIATELY 1. Get names, addrasaes, and phone numbers d perearm lmmtmd and witneesea. Alss t8ef driver rrcanse ru"gi's of persons Imetvad and 11canse plate rumherslstdsA of Va Ncita. 2, Dowtt adma rault or discuss the accident with aryiMs but State Farm os puree. 3. PromplfY nd: your int, lap on to etaiafarm.00nl6, or vW Slate Farm Pocket Agarrt� to faa t:wLrn, Fow Ernargerlay Roca! Service rap 1.877•S27S757. E9 WN6 POLFCY EXCLUSIOAIS CAF7J=1TlL V 'CHIS FT3i?W DOES NOT 617NSfTTLfMANY PART OF! YWlRFF18VR 110EPOLICY. How to Rsen* your *overage. See policy for full name and defnftlon A U"4 H FrrwWMRoadSerAce U IJk*wi M*IarVahide III C MedcelPaymerts L Ph0caL0ao1190 U1 Unkswed Maier Whirk PA D Cwnprege a RICarRemalwWTravel ExperrsesUNMInofNonmvmdCars DWG Comp, WahFA Glass S Daa1kOsna merrt and G Commian Loss of Sot KEEP A CARD IN YOUR CAR, THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TER.MINATFD. KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD. PLEASE KEEP ONE ID CARD FOR YOUR VEHIGLE. THE SECOND ID CARD MY BE SUBMITTED WIiH YOUR APPLICATION FOR AUTO REGISTRATION. A toil fne number Is available tow Fmergmngr Road Service and Is located on your insurance card. ------------------------------------------- IMPORTANT ^-----..,----------------------------- IMPORTANT - IDENTIFICATION CARDS STATE FA%M StafeFarm COLORADO StateFarw THIS CARE] MUST BE KEPT IN THE INSURED MOTOR INSURANCE CARD VEHICLE FOR PRODUCTION UPON DEMAND. � x 3RED HUFNAGE1., RICHARD A & i RITL. ELIZABETH A VOL. ICY NUMBER 636 0101•E0"GH EFFECTIVE 2002 MAKE TOYOTA NOV032016 TO MAY 032417 )EL TACOMA VIN 5TEWWNT2NX2Z122705 :NT COMERFORD INS AGENCY IMC INE (97OP28-4000 NAI. 25178 THE COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM UABILRY LIMITS PRESCRIBED BY LAW. A BODILY INJURYIPROPERTY DAMAGE LIABIIJI Y C MEDICAL PAYMENTS D 100 DEDUCT COMPREHENSIVE G 500 DEDUCT COLLISION H, R1 IF YOU HAVE AN ACCIDENT - NOTIFY THE POLICE WMAEDIATELY 1. Get trarnell, addrasaes, a W phone numbers of persons Imroived and Mrmasee. Afro get du'sarst &cense numbem of Persons jmrolvsd and loense Plate u>umbanllandes of vetdefas. 2. Dor14 ttdm3 ittult or dsotlsa the accedenl with anyone but &E Farm ot por". 3. Pramee t, lug qn atidsiatrrl.00 r1®, Farm Ageo�eis orYb fbca For Emergency. Road Service oW 1-677-627.57$7. f:7rRFNA E POL W EXCLURFONS CAFEF11i X THS FORM! Dog's NOT COH97TTU7E ANY PART DF Yaun FNsumAw PORFOY Haw to identify your coverage. See policy for til I name and defnMon A Whky H Erre Q0WV%%dSw*1y U Unkmirad mulorveNcfe 81 C Medco) Paymerds L Physical0 mage Ut tlnIrwed Motu Vehicle PD D Cunprahmleiue III Csr Bernal erid1ravei Bparnes UNOWse of Nonmed Cars DWG Conyt.VYah rug Glass S i)MN DLarm rmeva and G CA=n Loss of % t KEEP A CARD IN YOUR CAR. THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED. KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD. Pr FAST KFFP ONFIrl CARO FOA V61 IR VFHICI F. THF SFCONn In CARO MV AF.UIRMITTFO WITH VniIR APM lf'.ATION FAR Aima n rjnTRAT1nN