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HomeMy WebLinkAboutC17-421 National Car Charging LLCAGREEMENT FOR EQUIPMENT AND/OR MATERIALS BETWEEN EAGLE COUNTY, COLORADO AND NATIONAL CAR CHARGING LLC THIS AGREEMENT ("Agreement") is effective as of the ____1 2/18/2017 ___ by and between National Car Charging LLC a limited liability company (hereinafter "Vendor") and Eagle County, Colorado, a body corporate and politic (hereinafter "County"). 1:7*410F-11W WHEREAS, Eagle County will purchase two (2) electric vehicle charging stations and related products for use by county staff and general public, and WHEREAS, Vendor is authorized to do business in the State of Colorado and has the time, skill, expertise, and experience necessary to provide the equipment and/or materials as set forth below in paragraph 1 hereof; and WHEREAS, this Agreement shall govern the relationship between Vendor and County in connection with the procurement of equipment and/or materials. AGREEMENT NOW, THEREFORE, in consideration of the foregoing and the following promises Vendor and County agree as follows: 1. Equipment. Vendor agrees to procure the two electric vehicle charging stations and related products (collectively the "Equipment") described in Exhibit A which is attached hereto and incorporated herein by reference. The Equipment shall be provided in accordance with the provisions and conditions of this Agreement. a. Vendor agrees to furnish the Equipment no later than June 30, 2018 and in accordance with the schedule established in Exhibit A. If no date is specified in Exhibit A, then Vendor agrees to furnish the Equipment in a timely and expeditious manner. By signing below, Vendor represents that it has the expertise and personnel necessary to properly and timely provide the Equipment. 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. C. County shall have the right to inspect all Equipment. Inspection and acceptance shall not be unreasonably delayed or refused. In the event County does not accept the Equipment for any reason in its sole discretion, then Vendor shall upon County's request and at no charge to County: i. take the Equipment back; ii, exchange the Equipment; or iii, repair the Equipment. 2. County's Representative. The Sustainable Communities Department's designee shall be Vendor's contact with respect to this Agreement. C17-421 3. Term of the Agreement. This Agreement shall commence upon the date first written above, and subject to the provisions of paragraph t0 hereof, shall continue in full force and effect through the 30th day of June, 2018. 4. Extension or Modification. Any amendments or modifications shall be in writing signed by both parties. No additional Equipment shall be provided by Vendor unless and until Vendor has obtained written authorization and acknowledgement by County for such additional equipment 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 Equipment, and no claim that County has been unjustly enriched by any Equipment, 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 equipment is not timely executed and issued in strict accordance with this Agreement, Vendor's rights with respect to such additional equipment shall be deemed waived and such failure shall result in non-payment for such additional equipment. 5. Compensation. County shall compensate Vendor for the Equipment in a sum computed and payable as set forth in Exhibit A. The Equipment under this Agreement shall not exceed $12,827.00. a. Payment will be made for Equipment satisfactorily delivered and accepted by County within thirty (30) days of receipt of a proper and accurate invoice from Vendor. All invoices shall include detail regarding the Equipment and such other detail as County may request. b. If, at any time during the term or after termination or expiration of this Agreement, County reasonably determines that any payment made by County to Vendor was improper because the Equipment for which payment was made were not provided as set forth in this Agreement, then upon written notice of such determination and request for reimbursement from County, Vendor 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 Vendor hereunder and Vendor 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 Vendor in respect of any period after December 3 t 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.R.S. 29-1-tOt et. seq.) and the TABOR Amendment (Colorado Constitution, Article X, Sec. 20). b. Insurance. Vendor agrees to provide and maintain at Vendor'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. 2 Eagle County Materials and Equipment Agreement 5114 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 B. ii. The insurance provisions of this Agreement shall survive expiration or termination hereof. iii. 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. iv. Vendor is not entitled to workers' compensation benefits except as provided by the Vendor, nor to unemployment insurance benefits unless unemployment compensation coverage is provided by Vendor or some other entity. The Vendor is obligated to pay all federal and state income tax on any moneys paid pursuant to this Agreement. 7. Indemnification. The Vendor 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 Vendor or any of its subcontractors hereunder; and Vendor 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 Vendor. This paragraph shall survive expiration or termination hereof. 8. Documents. Vendor shall execute any bill of sale or other documents required by County to transfer title of the Equipment to County. Vendor shall provide copies of any instruction or operations manuals and shall further provide copies of any manufacturers warranties associated with the Equipment. 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 comparable courier service, charges prepaid, to the parties at their respective addresses listed below, or (iv) 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. 3 Eagle County Materials and Equipment Agreement 5114 COUNTY: Eagle County, Colorado Attention: John Gitchell 500 Broadway Post Office Box 850 Eagle, CO 81631 Telephone: 970-328-8766 E-mail: John.Citchell@eaglecounty.us With a copy to: Eagle County Attorney 500 Broadway Post Office Box 850 Eagle, Co 81631 Telephone: 970-38-8685 Facsimile: 970-328-8699 E -Mail: atty@eaglecounty.us VENDOR: National Car Charging LLC Attention: Jim Burness 209 Kalamath St., Suite 3 Denver, CO 80223 Telephone: (866) 996-6387 E -Mail: jburness@nationalcarcharging.com 10. 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 Vendor. Upon termination of this Agreement, Vendor shall immediately provide County with all documents as defined in paragraph 8 hereof, in such format as County shall direct and shall return all County owned materials and documents in the possession of Vendor, if any. County shall pay Vendor for Equipment satisfactorily inspected and accepted to the date of termination. It. 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. 12. 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. 13. Other Contract Requirements and Vendor Representations. 4 Eagle County Materials and Equipment Agreement 5114 a. Vendor has familiarized itself with the intended purpose and use of the Equipment to be provided hereunder, the intended use of such Equipment by County, and with all local conditions, federal, state and local laws, ordinances, rules and regulations that in any manner affect cost, progress, or Equipment. b. Vendor will make, or cause to be made, examinations, investigations, and tests as he deems necessary for the performance of this Agreement. C. The fact that the County has accepted or approved the Equipment shall not relieve Vendor of any of its responsibilities. Vendor represents and warrants that it has the expertise and personnel necessary to properly perform the terms of this Agreement. Vendor shall provide appropriate supervision to its employees to ensure the performance in accordance with this Agreement. Vendor will provide the Equipment in a skillful, professional and competent manner and in accordance with the standard of care applicable to vendors supplying similar equipment. d. Vendor warrants merchantability and fitness of the Equipment for its intended use and purpose. C. Vendor hereby represents and warrants that the Equipment will be new and guarantees all Equipment against defects for a period of one (1) year from the date the Equipment is accepted by County, or such longer period as may be provided by the law or as otherwise agreed to by the parties. f. All guarantees and warranties of Equipment furnished to Vendor by any manufacturer or supplier are for the benefit of County. If any manufacturer or supplier of any Equipment furnishes a guarantee or warrantee for a period longer than one (1) year, then Vendor's guarantee or warrantee shall extend for a like period as to such Equipment. g. Vendor warrants that title to all Equipment shall pass to County either by incorporation into the County facility or upon receipt by Vendor of payment from County (whichever occurs first) free and clear of all liens, claims, security interests or encumbrances. Vendor further warrants that Vendor (or any other person performing Work) purchased all Equipment free and clear of all liens, claims, security interests or encumbrances. Notwithstanding the foregoing, Vendor assumes all risk of loss with respect to the Equipment until County has inspected and approved the same. h. Within a reasonable time after receipt of written notice, Vendor shall correct at its own expense, without cost to County, and without interruption to County: i. Any defects in Equipment which existed prior to or during the period of any guarantee or warranty provided in this Agreement; and ii. Any damage to any property caused by such defects or the repairing of such defects. i. Guarantees and warranties shall not be construed to modify or limit any rights or actions County may otherwise have against Vendor in law or in equity. j. Vendor 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. k. This Agreement constitutes an agreement for performance by Contractor as an independent Contractor and not as an employee of County. Nothing contained in this Agreement shall be deemed to create a 5 Eagle County Materials and Equipment Agreement 5114 relationship of employer-employee, master -servant, partnership, ,joint venture or any other relationship between County and Vendor except that of independent Vendor. Vendor shall have no authority to bind County. 1. Vendor represents and warrants that at all times in the performance of the Agreement, Vendor shall comply with any and all applicable laws, codes, rules and regulations. in. 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. n. Vendor 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. o. 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. p. 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. q. The invalidity, illegality or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provision hereof. r. The signatories to this Agreement aver to their knowledge no employee of the County has any personal or beneficial interest whatsoever in the Equipment described in this Agreement. The Vendor has no beneficial interest, direct or indirect, that would conflict in any manner or degree with the performance of the Agreement and Vendor shall not employ any person having such known interests. S. The Vendor, 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. 24-76.5403 prior to the effective date of this Agreement. 14. Prohibitions on Government Contracts. As used in this Section 14, 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 Vendor has any employees or subcontractors, Vendor shall comply with C.R.S. 8-17.5-101, et. seq., and this Agreement. By execution of this Agreement, Vendor certifies that it does not knowingly employ or contract with an undocumented individual who will perform under this Agreement and that Vendor will participate in the E -verify Program or other Department of Labor and Employment program ("Department Program") in order to confirm the eligibility of all employees who are newly hired for employment to perform Services under this Agreement. a. Vendor 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 Vendor that the subcontractor shall not knowingly employ or contract with an undocumented individual to perform work under the public contract for services. 6 Eagle County Materials and Equipment Agreement 5114 b. Vendor 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. Information on applying for the E -verify program can be found at: https://www.uscis.gov/e-verify C. Vendor shall not use either the E -verify program or other Department Program procedures to undertake pre-employment screening of job applicants while the public contract for services is being performed. d. If Vendor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an undocumented individual, Vendor shall be required to: i. Notify the subcontractor and County within three (3) days that Vendor 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 undocumented individual; except that Vendor 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. Vendor shall comply with any reasonable request by the Department of Labor 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 Vendor violates these prohibitions, County may terminate the Agreement for breach of contract. If the Agreement is so terminated specifically for breach of this provision of this Agreement, Vendor shall be liable for actual and consequential damages to County as required by law. g. County will notify the Colorado Secretary of State if Vendor violates this provision of this Agreement and County terminates the Agreement for such breach. [REST OF PAGE INTENTIONALLY LEFT BLANK] 7 Eagle County Materials and Equipment Agreement 5114 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 COUNTY MANAGER By: Kelly Collier, Deputy County Manager �r�nrnrzu By: ---------- Print Name: Jim Burness C Title: EO/GM Eagle County Materials and Equipment Agreement 5/14 SCOPE OF SERVICES AND EQUIPMENT, SCHEDULE, FEES Eagle County Materials and Equipment Agreement 5114 National Car Charging LLC 209 Kalamath St., Suite 3 Denver, CO 80223 (866)996-6387 info@ national carch arg i ng. cam www.nationalcarcharging.com ADDRESS John Gitchell Eagle County Government John Gitchell Eagle County Government PO Box 179 500 Broadway Eagle, CO 81631 USA EXHIBIT A SHIP TO John Gitchell Eagle County Government John Gitchell Eagle County Government 500 Broadway PO Box 179 Eagle, CO 81 631-01 79 USA SHIP VIA P.D. NUMBER FedEx Ground Non/post-grant quote 6114►i CT4021-GW1 ChargePoint dual bollard gateway with cord management CTSW-SAS-COMM-3 upgrade Upgrade of COMM -1 tokens to COMM -3 Discount ChargePoint trade-in promotion (includes station, COMM -1, and Site Validation CT4021 ChargePoint dual bollard non -gateway with cord management CPCLD-COMMERCIAL-3 Plan includes Secure Network Connection, On-going Station Software updates, Station Inventory, 24x7 Driver Support, Host Support, Session Data and Analytics, Fleet Vehicle Management and Integration, Fleet Access Control, Valet Dashboard, Power Management (Circuit, Panel, Site Sharing), Scheduled Charging, Driver Access Control, Pricing and Automatic Funds Collection, Waitlist, Videos (on supported hardware). Price is per port. Activation Activation on the ChargePoint network CT4000-SITEVALI D New site validation by ChargePoint national installer (by service panel) CT4000-ASSURE2 CT4000 Series 2 -year Assure Plan (incl. parts and labor warranty, monitoring, etc.) NATIONAL CARCHARGING ESTIMATE # 1853 DATE 10/18/2017 SALES REP JDB {QTY RATE AMOUNT 1 7,210.00 7,210.QQT 2 425.00 850.00T 1 -4,635.00 -4,635.00T 1 5,356.00 5,356.00T 2 705.00 1,410.0aT 2 0.00 0.00 1 0.00 0.00 2 1,163.00 2,326.00 Installer MUST be ChargePoint certified ($19.95 at www.chargepointuniversity.com). Warranty is VOIDED If installer refuses to get certified. EXHIBIT A IILM QIY Sales Tax Sales Tax calculated by AvaTax on Fri 08 Dec 19:47:39 UTC 2017 1 j Anchor bolts not included SUBTOTAL 2) Quote assumes buyer is exempt from sales tax. TAX (09I6) 3) Shorter warranty and software terms available. SHIPPING 4) Installer/client responsible for ensuring adequate TOTAL cellular coverage at install site. Accepted By Accepted Date RAIL AMOUN f 12,517.00 0.00 310.00 $12,827.00 Installer MUST be ChargePoint certified ($19.95 at www.chargepointuniversity.com). Warranty is VOIDED If installer refuses to get certified. EX-IIBIT B INSURANCE CERTIFICATES 10 Eagle County Materials and Equipment Agreement 5114 AC"CWR ~ 1511 ts CERTIFICATE OF LIABILITY INSURANCE (MM:DoyyYy) rl CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 2:11:2017 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: ff the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Susan Skinner Arrowhead General Insurance Agency, Inc- PAHONE Ext , (866)631.6555 x4531 S 11,N1): (888)221.0051 ADDRESS: sskinner@arrowheadgrp.com 8000 E. Maplewood Ave INSURER(S)AFFOR DING COVERAGE NAIC R Suite 350 INSURERA: Phoenix Ins. Co. (The) 25623 Greenwood Village CO 80111 INSURED INSURER B : Hartford Aocident and Indemnity 22357 National Car Charging LLC INSURERC: Travelers Indemnity Co. (The) 25658 INSURER D: Markel Insurance Company 38970 209 Kalamath St INSURER E: Ste 3 INSURER F: Denver CO 80223 COVERAGES CERTIFICATE NUMBER: 17.18 Master AH 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION SAN1) CONDITIONS OF SUCH POLICIES. OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAI MS- INSR LTR TYPE OF INSURANCE ADULSUOR INSD WVD POLICY NUMBER POLICY EFF (MM+DDIYYYY) POLICY EXP (MWDDIYYYY) LIMITS Eagle CO 81631 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 CLAIMS -MADE � OCCUR PREM SES Ea occu RENTED DAMAGE TO nce $ 300'000 MED EXP (Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1'000'000 A Y Y 68086873437 64/08/2017 04/08/2018 GEN'L AGG REGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2'000'000 POLICY FIJE T F LDC PRODUCTS-COMPIOPAGG $ 2,000,000 Contractors Al Schedule $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accidern X BODILY INJURY (Per person) $ ANYAUTD B OWNED SCHEDULED AUTOSONLY AUTOS Y Y 34UECVT9521 04/15/2017 04/15/2018 BOD I LY I NJ U RY (Pe r accide nt) $ PROPERTY DAMAGE $ Peraccidern HIRED NON -OWNED AUTOSONLY AUTOSONLY Underinsured motorist $ 1,000,000 X UMBRELLA LIABOCCUR EACH OCCURRENCE $ 1'000'000 AGGREGATE $ 1'000'000 C EXCESS LIAB CLAIMS -MADE CUPOJ645474 04!0812017 04!0812018 DED I X1 RETENTION $ 51000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEFL'EXECUTIVE OFFICERIMEMBER EXCLUDED? Y (Mandatory In NH) N 1 A MWC004$517.05 04!17!2017 04/17/2018 /\ PER STATUTE OERH E. L. EACH ACCIDENT $ 1,000,000 E. L. DISEASE -EA EMPLOYEE $ 1'000'000 Ifyes. describe under DESCRIPTION0F0PERATION Sbelow E. L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION of OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached IF more space is required) Eagle County, its associated or affiliated entities, its sucessors and assigns, elected officials, employees, agents and volunteers are included as additional insured as respects to general liability where required by written contract. This form is subject to policy terms, conditions, and exclusions. CERTIFICATE HOLDER CANCELLATION 01988-2DIS ACORD CORPORATION. All rights reserved. ACORD 25 (2016.'03) The ACORD name and logo are registered marks of ACORD SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Eagle County, Colorado ACCORDANCE WITH THE POLICY PROVISIONS. 500 Broadway AUTHORIZED REPRESENTATIVE Post Office Box 850 Eagle CO 81631 [� 1 01988-2DIS ACORD CORPORATION. All rights reserved. ACORD 25 (2016.'03) The ACORD name and logo are registered marks of ACORD