Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutLC20-01 Eagle Valley SurveyingAGREEMENT FOR PROFESSIONAL SERVICES
BETWEEN LAKE CREEK VILLAGE LLC
AND
EAGLE VALLEY SURVEYING SERVICE, INC.
THIS AGREEMENT (“Agreement”) is effective as of ________________________, by and between
Eagle Valley Surveying, Inc., an incorporated Colorado surveying company (hereinafter “Consultant” or
“Contractor”) and Lake Creek Village LLC, a Colorado limited liability company (hereinafter “LCV”).
RECITALS
WHEREAS, LCV is in need of a partial topographic survey of 4 specific areas as defined by Exhibit B
(the “Project”) at the Lake Creek Village Apartments at 4923 Lake Creek Village Drive, Edwards, CO
81632 (the “Property”); and
WHEREAS, Consultant is authorized to do business in the State of Colorado and has the time, skill,
expertise, and experience necessary to provide the Services as defined below in paragraph 1 hereof; and
WHEREAS, this Agreement shall govern the relationship between Consultant and LCV in connection
with the services.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Consultant and LCV
agree as follows:
1.Services. Consultant agrees to diligently provide all services, labor, personnel and materials
necessary to perform and complete the services described in Exhibit A (“Services”) 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.Consultant agrees to furnish the Services no later than May 31, 2020, and in accordance
with the schedule established in Exhibit A. If no completion date is specified in Exhibit A, then
Consultant agrees to furnish the Services in a timely and expeditious manner consistent with the
applicable standard of care. By signing below Consultant 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.
c.Consultant agrees that it will not enter into any consulting or other arrangements with
third parties that will conflict in any manner with the Services.
DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037
4/21/2020
LC20-01
2
LCV Professional Services Final 5/14
2. LCV’s Representative. The Maintenance Supervisor, William Wright, the Housing Department’s
designee shall be Consultant’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 12 hereof, shall continue in full force and effect through the 31st of
May, 2020.
4. Extension or Modification. This Agreement may not be amended or supplemented, nor may any
obligations hereunder be waived, except by agreement signed by both parties. No additional services or
work performed by Consultant shall be the basis for additional compensation unless and until Consultant
has obtained written authorization and acknowledgement by LCV for such additional services in
accordance with LCV’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 LCV 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 LCV for such additional services is not
timely executed and issued in strict accordance with this Agreement, Consultant’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. LCV shall compensate Consultant 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 $4,800.00. Consultant 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 LCV.
a. Payment will be made for Services satisfactorily performed within thirty (30) days of
receipt of a proper and accurate invoice from Consultant. All invoices shall include detail regarding the
hours spent, tasks performed, who performed each task and such other detail as LCV may request.
b. Any out-of-pocket expenses to be incurred by Consultant and reimbursed by LCV shall
be identified on Exhibit A. Out-of-pocket expenses will be reimbursed without any additional mark-up
thereon and are included in the not to exceed contract amount set forth above. Out-of-pocket expenses
shall not include any payment of salaries, bonuses or other compensation to personnel of Consultant.
Consultant shall not be reimbursed for expenses that are not set forth on Exhibit A unless specifically
approved in writing by LCV.
c. If, at any time during the term or after termination or expiration of this Agreement, LCV
reasonably determines that any payment made by LCV to Consultant 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 LCV, Consultant shall forthwith return such
payment(s) to LCV. Upon termination or expiration of this Agreement, unexpended funds advanced by
LCV, if any, shall forthwith be returned to LCV.
DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037
3
LCV Professional Services Final 5/14
d. LCV will not withhold any taxes from monies paid to the Consultant hereunder and
Consultant 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.
6. Sub-consultants. Consultant acknowledges that LCV has entered into this Agreement in reliance
upon the particular reputation and expertise of Consultant. Consultant shall not enter into any sub-
consultant agreements for the performance of any of the Services or additional services without LCV’s
prior written consent, which may be withheld in LCV’s sole discretion. LCV 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 LCV has an objection, in its reasonable discretion, shall be
assigned to the Project. Consultant shall require each sub-consultant, as approved by LCV and to the
extent of the Services to be performed by the sub-consultant, to be bound to Consultant by the terms of
this Agreement, and to assume toward Consultant all the obligations and responsibilities which
Consultant, by this Agreement, assumes toward LCV. LCV shall have the right (but not the obligation) to
enforce the provisions of this Agreement against any sub-consultant hired by Consultant and Consultant
shall cooperate in such process. The Consultant shall be responsible for the acts and omissions of its
agents, employees and sub-consultants or sub-contractors.
7. Insurance. Consultant agrees to provide and maintain at Consultant’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 $2,000,000 aggregate limits.
iv. Professional liability insurance with prior acts coverage for all Services required
hereunder, in a form and with an insurer or insurers satisfactory to LCV, with limits of liability of not less
than $1,000,000 per claim and $2,000,000 in the aggregate. In the event the professional liability
insurance is on a claims-made basis, Consultant warrants that any retroactive date under the policy shall
precede the effective date of this Agreement. Continuous coverage will be maintained during any
applicable statute of limitations for the Services and Project.
b. Other Requirements.
DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037
4
LCV Professional Services Final 5/14
i. The automobile and commercial general liability coverage shall be endorsed to
include LCV, its associated or affiliated entities, its successors and assigns, elected officials, employees,
agents and volunteers as additional insureds.
ii. Consultant’s certificates of insurance shall include sub-consultants as additional
insureds under its policies or Consultant shall furnish to LCV separate certificates and endorsements for
each sub-consultant. All coverage(s) for sub-consultants shall be subject to the same minimum
requirements identified above. Consultant and sub-consultants, if any, shall maintain the foregoing
coverage in effect until the Services are completed. In addition, all such policies shall be kept in force by
Consultant and its sub-consultants until the applicable statute of limitations for the Project and the
Services has expired.
iii. Insurance shall be placed with insurers duly licensed or authorized to do business
in the State of Colorado and with an “A.M. Best” rating of not less than A-VII.
iv. Consultant’s insurance coverage shall be primary and non-contributory with
respect to all other available sources. Consultant’s policy shall contain a waiver of subrogation against
LCV.
v. All policies must contain an endorsement affording an unqualified thirty (30)
days notice of cancellation to LCV in the event of cancellation of coverage.
vi. All insurers must be licensed or approved to do business within the State of
Colorado and all policies must be written on a per occurrence basis unless otherwise provided herein.
vii. Consultant’s certificate of insurance evidencing all required coverage(s) is
attached hereto as Exhibit B. Upon request, Consultant shall provide a copy of the actual insurance
policy and/or required endorsements required under this Agreement within five (5) business days of a
written request from LCV, and hereby authorizes Consultant’s broker, without further notice or
authorization by Consultant, to immediately comply with any written request of LCV for a complete copy
of the policy.
viii. Consultant shall advise LCV in the event the general aggregate or other
aggregate limits are reduced below the required per occurrence limit. Consultant, at its own expense, will
reinstate the aggregate limits to comply with the minimum limits and shall furnish LCV a new certificate
of insurance showing such coverage.
ix. If Consultant fails to secure and maintain the insurance required by this
Agreement and provide satisfactory evidence thereof to LCV, LCV shall be entitled to immediately
terminate this Agreement.
x. The insurance provisions of this Agreement shall survive expiration or
termination hereof.
DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037
5
LCV Professional Services Final 5/14
xi. The parties hereto understand and agree that LCV 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 LCV, its affiliated entities, successors or assigns, its elected officials,
employees, agents and volunteers.
xii. Consultant is not entitled to workers’ compensation benefits except as
provided by the Consultant, nor to unemployment insurance benefits unless unemployment compensation
coverage is provided by Consultant or some other entity. The Consultant is obligated to pay all federal
and state income tax on any moneys paid pursuant to this Agreement.
8. Indemnification. The Consultant shall indemnify and hold harmless LCV, and any of its officers,
agents and employees against any losses, claims, damages or liabilities for which LCV 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 Consultant or any of its sub-
consultants hereunder; and Consultant shall reimburse LCV for reasonable attorney fees and costs, legal
and other expenses incurred by LCV 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 LCV to
the extent that LCV is liable to such third party for such claims without regard to the involvement of the
Consultant. This paragraph shall survive expiration or termination hereof.
9. Ownership of Documents. All documents prepared by Consultant in connection with the Services
shall become property of LCV. Consultant shall execute written assignments to LCV of all rights
(including common law, statutory, and other rights, including copyrights) to the same as LCV shall from
time to time request. For purposes of this paragraph, the term “documents” shall mean and include all
reports, plans, studies, tape or other electronic recordings, drawings, sketches, estimates, data sheets,
maps and work sheets produced, or prepared by or for Consultant (including any employee or
subcontractor in connection with the performance of the Services and additional services under 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.
LCV:
Attention: Kim Williams
500 Broadway
Post Office Box 850
Eagle, CO 81631
DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037
6
LCV Professional Services Final 5/14
Telephone: 970-328-8773
Facsimile: 970-328-8787
E-mail: kim.williams@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
CONSULTANT:
Eagle Valley Surveying, Inc.
Stan Hogfeldt
Office: 41199 Hwy 6 & 24
Eagle-Vail, CO 81620
Mailing: PO Box 1230
Edwards, CO 81632
Telephone: 970-949-1406
Facsimile: 970-845-9504
E-Mail: stanhogfeldt@evsurvey.com
11. Coordination. Consultant acknowledges that the development and processing of the Services for
the Project may require close coordination between various consultants and contractors. Consultant shall
coordinate the Services required hereunder with the other consultants and contractors that are identified
by LCV to Consultant from time to time, and Consultant shall immediately notify such other consultants
or contractors, in writing, of any changes or revisions to Consultant’s work product that might affect the
work of others providing services for the Project and concurrently provide LCV with a copy of such
notification. Consultant shall not knowingly cause other consultants or contractors extra work without
obtaining prior written approval from LCV. If such prior approval is not obtained, Consultant shall be
subject to any offset for the costs of such extra work.
12. Termination. LCV 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 Consultant. Upon termination of this Agreement, Consultant shall immediately provide
LCV with all documents as defined in paragraph 9 hereof, in such format as LCV shall direct and shall
return all LCV owned materials and documents. LCV shall pay Consultant for Services satisfactorily
performed to the date of termination.
13. 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,
DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037
7
LCV Professional Services Final 5/14
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.
14. 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.
15. Other Contract Requirements.
a. Consultant shall be responsible for the completeness and accuracy of the Services,
including all supporting data or other documents prepared or compiled in performance of the Services,
and shall correct, at its sole expense, all significant errors and omissions therein. The fact that LCV has
accepted or approved the Services shall not relieve Consultant of any of its responsibilities. Consultant
shall perform the Services in a skillful, professional and competent manner and in accordance with the
standard of care, skill and diligence applicable to Consultants performing similar services. Consultant
represents and warrants that it has the expertise and personnel necessary to properly perform the Services
and covenants that its professional personnel are duly licensed to perform the Services within Colorado.
This paragraph shall survive termination of this Agreement.
b. Consultant agrees to work in an expeditious manner, within the sound exercise of its
judgment and professional standards, in the performance of this Agreement. Time is of the essence with
respect to this Agreement.
c. This agreement constitutes an agreement for performance of the Services by Consultant
as an independent contractor and not as an employee of LCV. 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 LCV and Consultant except that of independent contractor. Consultant
shall have no authority to bind LCV.
d. Consultant represents and warrants that at all times in the performance of the Services,
Consultant shall comply with any and all applicable laws, codes, rules and regulations.
e. 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.
f. Consultant shall not assign any portion of this Agreement without the prior written
consent of LCV. Any attempt to assign this Agreement without such consent shall be void.
DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037
8
LCV Professional Services Final 5/14
g. 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.
h. 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.
i. The invalidity, illegality or unenforceability of any provision of this Agreement shall not
affect the validity or enforceability of any other provision hereof.
j. Consultant shall maintain for a minimum of three years, adequate financial and other
records for reporting to LCV. Consultant shall be subject to financial audit by federal, state or LCV
auditors or their designees. Consultant authorizes such audits and inspections of records during normal
business hours, upon 48 hours’ notice to Consultant. Consultant shall fully cooperate during such audit or
inspections.
k. The signatories to this Agreement aver to their knowledge, no employee of LCV has any
personal or beneficial interest whatsoever in the Services or Property described in this Agreement. The
Consultant has no beneficial interest, direct or indirect, that would conflict in any manner or degree with
the performance of the Services and Consultant shall not employ any person having such known interests.
l. The Consultant, 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.
16. Prohibitions on Contracts.
a. As used in this Section 16, 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. 8-17.5-101, et.
seq. If Consultant has any employees or subcontractors, Consultant 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 Consultant that the subcontractor
shall not knowingly employ or contract with an undocumented individual to perform work under the
contract for services.
b. If Consultant obtains actual knowledge that a subcontractor performing work under the
contract for services knowingly employs or contracts with an undocumented individual, Consultant shall
be required to:
DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037
9
LCV Professional Services Final 5/14
i. Notify the subcontractor and LCV within three (3) days that Consultant has
actual knowledge that the subcontractor is employing or contracting with an undocumented individual;
and
ii. Terminate the subcontract with the subcontractor if within three (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 Consultant shall not
terminate the contract with the subcontractor if during such three (3) days the subcontractor provides
information to establish that the subcontractor has not knowingly employed or contracted with an
undocumented individual.
c. If Consultant violates these prohibitions, LCV may terminate the Agreement for breach
of contract. If the Agreement is so terminated specifically for breach of this provision of this Agreement,
Consultant shall be liable for actual and consequential damages to LCV.
d. LCV may notify the Colorado Secretary of State if Consultant violates this provision of
this Agreement and LCV terminates the Agreement for such breach.
[Rest of page intentionally left blank]
DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037
10
LCV Professional Services Final 5/14
IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth
above.
Lake Creek Village LLC
By and through Eagle County Housing and
Development Authority, its sole member
By: _______________________
Kimberly Bell Williams, Executive Director
CONSULTANT:
By:________________________________
Print Name:__________________________
Title: ______________________________
DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037
President
Stan Hogfeldt
2020/3/26
Dan Murray
Eagle County Housing & Development Authority
(970) 328-8779
C/O Gary Brooks
Alpine Engineering, Inc.
PROPOSAL FOR SURVEYING SERVICE
RE: Lake Creek Village, Edwards, CO
In response to your request, following is a proposal for services as detailed below for the above
said property.
Partial Topographic surveys – 4 areas, as defined by Alpine Engineering.
For a fee not to exceed $ 4,800.
Please indicate your approval by signing and returning one copy of this letter below.
Sincerely,
Stan Hogfeldt, P.L.S.
Eagle Valley Surveying, Inc.
Payment due upon receipt of invoice. A service charge may be applied to all bills 30 days past
due, at 1.5% per month based upon an annual percentage rate of 18%.
APPROVED THIS ____________DAY OF ______________________, _________.
BY: _____________________________________
OFFICE: 41199 Hwy. 6 & 24
Eagle-Vail, CO. 81620
MAILING: P.O. Box 1230
Edwards, CO. 81632
PHONE: 970-949-1406 FAX: 970-845-9504
DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037
CPO Box 9195Avon, Colorado 81620970.376.6623lmayer@lksmdesign.comCOPYRIGHT 2016 LKSM Design, P.C.ISSUED:DATE:CONCEPT DESIGN3.6.20TRASH & RECYCLING COLLECTION PROJECT
LAKE CREEK VILLAGE, EDWARDS, CO
EAGLE COUNTY, CO 81620 L K S MD E S I G NPROJECT NO.:SCALE:TITLE:A1.0CONCEPTUAL SITE PLANA1.011" = 1000'-0"SITE PLANSURVEY FOR FUTURE COMPACTOR SITESURVEY FOR NEW COMPACTOR SITESURVEY FOR NEW LARGE TRASH AREADO YOU WANT THIS AREA SURVEYED ALSO, FOR FUTURE BUILDING ADDITION?DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED $PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
4/7/2020
TrueNorth Companies,L.C.
275 S Main Street Suite 100
Longmont CO 80501
RM Longmont
3037765122 303-776-5495
LongmontSM@truenorthcompanies.com
Westfield Insurance Company 24112
EAGLVAL-01 Continental Casualty Company 20443EagleValleyEngineeringandSurveying,Inc
P O Box 1230
Edwards CO 81632
Pinnacol Assurance 41190
96437448
A X 1,000,000
X 500,000
5,000
1,000,000
2,000,000
X
CWP8115162 11/28/2019 11/28/2020
2,000,000
A X X 1,000,000CWP811516211/28/2019 11/28/2020
1,000,000
X 0
C X
N
4168537 10/1/2019 10/1/2020
1,000,000
1,000,000
1,000,000
B Professional Liability LSH254071140 7/18/2019 7/18/2020 Each Claim/Aggregate 2,000,000
Excluded officers -Kim Hogfeldt,Stan Hogfeldt
Lake Creek Village,LLC and its associated or affiliated entities,its successors and assigns,elected officials,employees,agents and volunteers are Additional
Insureds under the commercial general liability and automobile liability policies of insurance.
Lake Creek Village,LLC
4923 Lake Creek Village Drive
Edwards CO 81632
DocuSign Envelope ID: E49D2FCF-39EF-499E-8822-745BE4764037