No preview available
HomeMy WebLinkAboutC18-337 Onsite Electronics Recycling dba I.T. RefreshAGREEMENT FOR SERVICES BETWEEN EAGLE COUNTY, COLORADO AND ONSITE ELECTRONICS RECYCLING, LLC d/b/a I.T. REFRESH THIS AGREEMENT (“Agreement”) is effective as of the __________________ by and between Onsite Electronics Recycling, LLC d/b/a I.T. Refresh a California Limited Liability Company (hereinafter “Contractor”) and Eagle County, Colorado, a body corporate and politic (hereinafter “County”). RECITALS WHEREAS, County desires to hire a vendor to collect, transport, and dispose of electronic waste from the Eagle County Household Hazardous Waste and Small Business Collection Facility (HHW/CESQG) located at the Eagle County Landfill at 815 Ute Creek Wolcott, Colorado (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 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 or work described in Exhibits A and B (“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 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 Exhibits A and B 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 Solid Waste and Recycling 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 31st day of December, 2019. 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 DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 11/15/2018 2 Eagle County Landfill General Services Final 5/14 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 in a sum computed and payable as set forth in Exhibit A. The performance of the Services under this Agreement shall not exceed $80,000.00. 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. Contractor will provide responsible recycling services to the County for $0.38 per pound for CRT devices, $0.25 per pound for miscellaneous electronics, and pay the County $0.10 per pound for CPUs and cellular phones (packaged separately). b. Contractor will provide scheduled and coordinated individual pick-ups for $300.00 for a 26’ box truck or $600.00 for a 53’ semi-trailer. c. Contractor will provide cubic yard containers, pallets and/or wire cages at no charge to the County. d. 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. e. In the event that the Parties agree to extend the contract in writing by amendment, the Contractor may increase its rates no more than 3% each year. f. 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 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. g. 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 h. 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.R.S. 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 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 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 DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 3 Eagle County Landfill General Services Final 5/14 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. i. 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. iv. Pollution Liability. If the scope of Services in this Agreement requires the acceptance, transport, storage or disposal of any hazardous materials or regulated substances the policy shall include coverage for on and off-site cleanup of known and unknown pre-existing conditions arising from the Contractor’s facility; on and off-site cleanup of new conditions arising from Contractor’s facility; third-party claims for on and off-site bodily injury and property damage; and claims resulting in bodily injury, property damage or clean-up costs associated with a pollution condition from transported cargo if the scope of Services in the Agreement requires the transportation of any hazardous materials. Contractor warrants that any retroactive date under the policy shall precede the effective date of this Agreement and that either continuous coverage will be maintained or an extended discovery period will be exercised for a period of two (2) years beginning at the time work under this Agreement is completed. Minimum coverage shall be $5,000,000 per loss and $5,000,000 products/completed operations aggregate. 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 DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 4 Eagle County Landfill General Services Final 5/14 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. 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 its employees, agents 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. Contractor shall further indemnify and hold harmless County and any of its officers, agents and employees (“Indemnitee”) against any losses, claims, damages or liabilities, costs or expenses including, without limitation, interest, penalties and reasonable attorney fees and reasonable expenses of investigation and remedial work (including investigations and remediation by engineers, environmental consultants and similar technical personnel) asserted against or imposed upon or incurred by Indemnitee arising in connection with, or resulting from, any environmental law, including but not limited to, any use, generation, storage, spill, release, discharge or disposal of any hazardous substance to the extent caused by Contractor or any of its employees, agents or subcontractors hereunder. 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 transmitted via e-mail with confirmation of receipt. Either party may change its address for purposes of this paragraph by giving five (5) days prior written notice of such change to the other party. COUNTY: Eagle County, Colorado Attention: Jesse Masten 815 Ute Creek Post Office Box 473 Wolcott, CO 81655 Telephone: 970-328-3472 Facsimile: 970-328-3466 E-Mail: jesse.masten@eaglecounty.us With a copy to: Eagle County Attorney DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 5 Eagle County Landfill General Services Final 5/14 500 Broadway Post Office Box 850 Eagle, Co 81631 Telephone: 970-328-8685 Facsimile: 970-328-8699 E-Mail: atty@eaglecounty.us CONTRACTOR: Onsite Electronics Recycling, LLC d/b/a I.T. Refresh Attn: Janice Oldemeyer 100 N. Link Lane, Unit 100 Fort Collins, CO 80524 Telephone: 970-797-2934 E-Mail: recycling@itrefresh.org 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 Applicable Law. Any and all claims, disputes or controversies related to this Agreement, or breach thereof, shall be litigated in the District Court for Eagle County, Colorado, which shall be the sole and exclusive forum for such litigation. This Agreement shall be construed and interpreted under and shall be governed by the laws of the State of Colorado. 13. 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, 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. DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 6 Eagle County Landfill General Services Final 5/14 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 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 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. 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. 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 County. 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. l. 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 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. 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. DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 7 Eagle County Landfill General Services Final 5/14 15. Prohibitions on Government Contracts. As used in this Section 15, the term undocumented individual will refer to those individuals from foreign countries not legally within the United States as set forth in C.R.S. 8-17.5-101, et. seq. If Contractor has any employees or subcontractors, Contractor shall comply with C.R.S. 8-17.5-101, et. seq., and this Agreement. By execution of this Agreement, Contractor certifies that it does not knowingly employ or contract with an undocumented individual who will perform under this Agreement and that Contractor 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. Contractor shall not: i. 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 public contract for services. b. Contractor 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. Contractor 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 Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an undocumented individual, Contractor shall be required to: i. Notify the subcontractor and County 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 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 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. e. Contractor 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 Contractor 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, Contractor shall be liable for actual and consequential damages to County as required by law. DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 8 Eagle County Landfill 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. DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 9 Eagle County Landfill General Services Final 5/14 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: ______________________________ Jeff Shroll, County Manager CONTRACTOR: By:________________________________ Print Name: _________________________ Title: ______________________________ DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 President Janice Oldemeyer 10 Eagle County Landfill General Services Final 5/14 EXHIBIT A SCOPE OF SERVICES, SCHEDULE, FEES 1. At a minimum the Contractor shall accept and collect from the Eagle County HHW/CESQG Facility all Electronic Waste including, but not limited to, central processing units (CPUs), computer monitors, computer peripherals, laptops, desktop computers, televisions, console TV’s, projector TV’s, flat screen TV’s, consumer electronics containing circuit boards, stereos, video cassette recorders, digital clocks, CD/DVD players, telephones, cell phones, printers, copiers, scanners, fax machines, pagers, pocket personal computers, personal digital assistants, MP3 players, other computer parts and accessories (keyboards, mouse cables), and small household appliances. 2. The Contractor will provide cubic yard containers, pallets and/or wire cages to the Eagle County HHW/CESQG Facility at the commencement of this Agreement and additional cubic yard containers, pallets, and/or wire cages when needed. The cubic yard containers, pallets, and/or wire cages must be suitable for storage and shipment of E-Waste and must meet Colorado and U.S. DOT regulations for transporting material or E-Waste, County agrees, that if and to the extent it has qualified staff available to assist with the loading of E-Waste for transport it will assist Contractor. Notwithstanding the foregoing, Contractor is solely responsible for loading, securing, and safely transporting each shipment of electronic waste. 3. The Contractor will work with the Eagle County Hazardous Waste Specialist to schedule collection of the electronic waste from the Eagle County Landfill on an as-needed basis. County will telephone or e-mail the Contractor when collection is needed and County acknowledges that Contract requires five (5) days advance notice to schedule collection of the electronic waste. Contractor shall be responsible for arranging for collection of electronic waste between 8:00AM to 3:00PM Monday- Friday. In any event, Contractor will provide transportation for materials within ten (10) days of notification from the Eagle County HHW Specialist of the need for shipment of materials. 4. Contractor will assume possession of the materials/hazardous waste the moment it leaves the Eagle County HHW Collection Facility. 5. Contractor shall be responsible for accurately preparing all paperwork required by the State of Colorado for the transportation and management of the electronic waste collected from the Eagle County HHW/CESQG Facility. The Contractor shall provide all shipping documents and labels for shipping and storage that are required by law. The Contractor shall provide a copy of the bill of lading within 30 days after shipment to the facility. Contractor will ensure that the transporter has all required permits and licenses in accordance with local, state, and federal regulations for the transportation of materials received from the Eagle County HHW Collection Facility. 6. The Contractor shall provide any documents that attest to the disassembling, recycling, disposal, conversion, and/or destruction of all electronic waste accepted and managed under this Agreement, to the Eagle County HHW/CESQG Facility within 60 days after collection. Contractor will return the original signed and dated manifest to the Eagle County HHW Collection Facility within thirty (30) days after delivery of materials to a disposal and/or recycling facility. Contractor will send a certificate of disposal/recycling to the Eagle County HHW Specialist within six (6) months after delivery of materials for treatment, recycling, landfilling or disposal. 7. The Contractor shall provide downstream chain of custody reports as applicable. The downstream report shall include both hazardous and non-hazardous components, including but not limited to, identity of vendor(s) who purchase final recovered materials and a description of final reuse or disposition by volume and composition for each material. 8. The Contractor shall comply with its policies and procedures to take adequate measures from the time the electronic waste is accepted until the time the components are reused, recycled, or disposed as waste, to ensure that no hazardous constituents are released, and will execute plans for recovery of releases should a release occur all without liability to County. DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 11 Eagle County Landfill General Services Final 5/14 9. Contractor represents and warrants that all electronic waste management, processing, and treatment will be handled in compliance with CDPHE regulations, Part 273 (amended as of 02/16/2010 and effective 03/30/2010) and as may be amended from time to time. The Contractor agrees to comply with federal, state, and/or local statutes and regulations, and international laws as and if applicable. 10. Contractor represents and warrants and shall be responsible during the term of this Agreement to ensure that all vehicles used by the Contractor to transport electronic waste shall be properly registered and have all necessary permits required by each state through which the vehicle must travel to reach the disposal facility. The Contractor shall also ensure that it and any of the transporter(s) are in compliance with the U.S. Department of Transportation Rules and Regulations regarding handling and transportation of hazardous materials at all times during the term of this Agreement. 11. Contractor herby represents and warrants that any electronic data maintained on any of the materials or items being collected will not be accessed or used by it and will be destroyed. DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 12 Eagle County Landfill General Services Final 5/14 EXHIBIT B SCOPE OF SERVICES, SCHEDULE, FEES DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 EXHIBIT BDocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 EXHIBIT BDocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 EXHIBIT BDocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 13 Eagle County Landfill General Services Final 5/14 EXHIBIT C INSURANCE CERTIFICATE DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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(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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD ONSIT-1 OP ID: CBM 11/02/2018 Richard Stockman DLS Insurance Services PO Box 505 Knightsen, CA 94548 Richard Stockman 925-513-9080 925-281-5742 rich@dlsins.com Security National Insurance Hartford Fire Insurance Co.Onsite Electronics Recycling DBA: IT Refresh 1281 E. Magnolia Unt D,Box 141 Fort Collins, CO 80524 Admiral Insurance Company C X 1,000,000 X Y FEI-EIL-21762-03 07/01/2018 07/01/2019 50,000 C X 07/01/2018 07/01/2019 5,000 1,000,000 2,000,000 X 2,000,000 1,000,000A X Y SPP 1336392-02 07/01/2018 07/01/2019 X X X 4,000,000 X C FEI-EXS-21763-03 07/01/2018 07/01/2019 4,000,000 XB 57WEAB3YTQ 04/01/2018 04/01/2019 1,000,000 1,000,000 1,000,000 C FEI-EIL-21762-03 07/01/2018 07/01/2019 Env Imp 1,000,000 C Pollution FEI-EIL-21762-03 07/01/2018 07/01/2019 Pollution 1,000,000 Eagle County, ECAT, ECHDA, its associated or affiliated entities, its successors and assigns, elected officials, employees, agents & volunteers are named Additional Insured with respect to the General Liability & Automobile Liability. EAGLEC2 Eagle County Solid Waste & Recycling P. O. Box 473 Wolcott, CO 81655-0473 925-513-9080 19879 002231 24856 FEI-EIL-21762-03Professional Env Impariment DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 NOTEPAD PAGE INSURED'S NAME Date 2 18-19 Environmental Impairment Liability Limit-SIR/Deductible $5,000 Per Claim $1,000,000 per Pollution Condition/$2,000,000 Aggregate Pollution Condition Limit Contractors Pollution Liability Limits-SIR/Deductible $5,000 Per Pollution Condition $1,000,000 each claim/$2,000,000 Aggregate Professional Liability Limits (E&O)-Deductible $5,000 per Wrongful Act $1,000,000 Damage Limit each Occurrence/$2,000,000 Aggregate Claims Made Retro Date 12-28-2004 GL Additional Insured Does not apply to Professional Liability form ECC-319-0712 GL Waiver of Subrogation Does not apply to Professional Liability form ECC-320-0712 GL Primary non contributory ECC-548-0317 All apply when required by written contract OP ID: CBM 18-19 term Cyber Liability-Philadelphia Insurance Company, Policy#PHSD1356706 Claims Made form Retroactive Date 7-20-2011 applies to: Network Security and Privacy Liability Coverage, Employeee Privacy Liability and Electronic Media Liability Coverage Coverage limits- Cyber Extortion Threat $1,000,000 Network Security and Privacy Lilability Coverage $1,000,000 Employee Privacy Liability Coverage $1,000,000 Electronic Media Liability Coverage $1,000,000 Cyber Terrorism Coverage $1,000,000 Deductibles $10,000 Each Loss Auto-CA990187 0715-Additional Insured, primary non Contributory wording and waiver of subrogation Auto physical damage is provided for lease, hire, rent or borrow ded $1000 When required by written conract ONSIT-1 11/02/2018 Onsite Electronics Recycling DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28 DocuSign Envelope ID: 99100D9B-7F1C-408E-96E8-5C4A4E894A28