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HomeMy WebLinkAboutC21-031 L'Ancla AGREEMENT FOR SERVICES BETWEEN EAGLE COUNTY, COLORADO AND L’ANCLA, PLLC THIS AGREEMENT (“Agreement”) is effective as of the 1st day of January, 2021 by and between L’Ancla, PLLC a Limited Liability Company (hereinafter “Consultant” or “Contractor”) and Eagle County, Colorado, a body corporate and politic (hereinafter “County”). RECITALS WHEREAS, the County, through its Department of Public Health & Environment works to promote the health, safety and welfare of County residents of all ages; and WHEREAS, the County uses outside providers and professionals to enhance the ability of County to promote such health, safety and welfare; and WHEREAS, the Contractor shall provide community-participatory systems-level approach to health advocacy by supporting community voice and power-building efforts that provoke changes in systems and environments that influence health outcomes in underserved communities in Eagle County; 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 Exhibit A (“Services” or “Work”) which is attached hereto and incorporated herein by reference. The Services shall be performed in accordance with the provisions and conditions of this Agreement. a. Contractor agrees to furnish the Services no later than November 1st, 2021 and in accordance with the schedule established in Exhibit A. If no completion date is specified in Exhibit A, then Contractor agrees to furnish the Services in a timely and expeditious manner consistent with the DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F C21-031 applicable standard of care. By signing below Contractor represents that it has the expertise and personnel necessary to properly and timely perform the Services. b.In the event of any conflict or inconsistency between the terms and conditions set forth in Exhibit A and the terms and conditions set forth in this Agreement, the terms and conditions set forth in this Agreement shall prevail. 2.County’s Representative. The Eagle County Public Health and Environment 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 31th day of December, 2021. 4.Extension or Modification. This Agreement may be extended for up to two 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 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 $189,000 for the full term of the contract. 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 the County. a.For reimbursement Contractor must submit invoices quarterly. Invoices shall include a description of the Services performed. If County is not satisfied with the completeness of a submitted invoice, County may request the Contractor to either revise the invoice or provide additional information. 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 details regarding the hours spent, tasks performed, who performed each task and such other detail as the County may request. All invoices must be e-mailed to PHinvoices@eaglecounty.us to ensure proper payment. DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F 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 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. c. All funds received by Contractor under this Agreement shall be or have been expended solely for the purpose for which granted, and any funds not so expended, including funds lost or diverted for other purposes, shall be returned to County. Contractor shall provide the County with progress reports upon County’s request; or Contractor shall furnish progress reports as more specifically set forth in the attached Exhibit A. d. 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. e. 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 therefore 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 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. DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F 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. This policy shall be endorsed to include coverage for physical/sexual abuse and molestation. b. Other Requirements. i. The automobile and commercial general liability coverage and as set forth above 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. 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 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 or any of its subcontractors hereunder; including claims for bodily injury or personal injury including death or loss or damage to tangible or intangible property; 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. DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F 9. Ownership of Documents. All documents (including electronic files), online platforms and materials obtained during, purchased or prepared in the performance of the Services shall remain the property of Eagle County Public Health & Environment and are to be delivered to Eagle County Public Health & Environment 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 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. COUNTY: Eagle County, Colorado Attention: Faviola Alderete 500 Broadway Post Office Box 850 Eagle, CO 81631 Telephone: 970-328- Facsimile: 855-848-8829 E-Mail: faviola.alderete@eaglecounty.us With a copy to: Eagle County Attorney 500 Broadway Post Office Box 850 Eagle, Co 81631 Telephone: 970-328-8685 Facsimile: 970-328-8699 E-Mail: atty@eaglecounty.us CONTRACTOR: L’Ancla, PLLC Janina Fariñas| Founder & Chief Executive 2617 Treemont Drive Fort Collins, CO 80524 Phone: 970.556.9434 Janina@iamancla.com DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F 11. Termination. County may terminate this Agreement, in whole or in part, for any reason and by giving contractor 30-day notice of their decision. Cancellation within 30-days may be given, with or without cause, and without penalty therefore with seven (30) calendar days’ prior written notice to the Contractor. Upon termination of this Agreement, the 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 into 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, the 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, the Contractor has given County written notice of all conflicts, errors, or discrepancies. 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 DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F properly perform the Services and shall comply with the highest standards of customer service to the public. Contractor shall provide appropriate supervision to its personnel to ensure the Services are performed in accordance with this Agreement. In the event County finds these standards of customer service are not being met by Contractor, County may terminate this Agreement, in whole or in part, upon seven (7) days’ notice to Contractor. 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. DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F o. The Contractor, if a natural person eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that he or she (i) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (ii) to the extent applicable shall comply with C.R.S. 24-76.5-103 prior to the effective date of this Agreement. p. Contractor shall comply with the Civil Rights Act of 196 and Section 504, Rehabilitation Act of 1973, concerning discrimination on the basis of race, color, sex, age, religion, political beliefs, national origin or handicap. 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 DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F 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. 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. 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 BOARD OF COUNTY COMMISSIONERS By: ______________________________ Matt Scherr, Chair Attest: By: _________________________________ Regina O’Brien, Clerk to the Board CONTRACTOR: L’Ancla PLLC By:________________________________ Janina Fariñas, Founder & Chief Executive DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F EXHIBIT A SCOPE OF SERVICES, SCHEDULE, FEES Equity and inclusion work continue to be critical to creating a better Eagle County for all and expanding services to meet the needs of an increasingly culturally diverse population. CONTRACTOR SHALL COMPLY WITH THE FOLLOWING SCHEDULE OR MILESTONES IN PERFORMANCE OF THE SERVICES: Scope of Services: The Contractor will assist Eagle County Public Health & Environment to build a foundation for the Community Power Building work on the following areas: ● Systems work one-on-one coaching for Community Health Strategist and Health Policy Planner two times per month for a period of six months ● Continue one-on-one individual coaching for Community Health Strategist as needed until the end of this contract ● Copywriting and art design support for the Mi Salud, Mi Charco Facebook platform ● Work hand-in-hand with Community Health Strategist and the Campeones cohort(s) to set their agenda(s) for capacity building; e.g. processes for building agendas to be held monthly ● Organize Campeones capacity building trainings/intensives and process sessions ● Engage the Campeones in planning the first year-round of Charlas for community based- process work to support community power building work and efforts within community members, community organizations, and leadership stakeholders groups; set and execute four Charlas. Given the COVID-19 pandemic, Charlas will be organized observing all current CDC and Eagle County Department of Public Health recommendations. ● Support Latinx leaders outside of the Campeones cohort with one-on-one coaching and capacity building as needed. A maximum of 45 hours will be dedicated to this type of “external” leadership and capacity building coaching support. ● Begin systems level dialogues with self-identified local community organizers, including organizers of color and white organizers ● Provide a final report on using equitable evaluation(s) directly with community; use equity-based evaluations to fully inform year two directives ● Work on programmatic sustainability and funding efforts; grow funding for mini-grants programs among LatinX grassroots organizers. Schedule: The term of this Agreement shall commence January 1, 2021 and shall end on December 31, 2021. DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F Payment and Fee Schedule: County will compensate Contractor for the above-mentioned services as follows: 1. Contract deposit in the amount of $70,000 due by February 26, 2021 (invoice will be sent by January 29, 2020) 2. Payment in the amount of $12,224.25 (payment received and applied to contract total) 3. Payment in the amount of $8,452.20 (invoice sent) 4. Ten additional monthly payments in the amount of $9,832.36 due on the first day of each month starting on March 1, 2021. 5. The maximum amount of reimbursement under this agreement is $189,000 for the contract year January 1, 2021 to December 31, 2021. DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F EXHIBIT B INSURANCE CERTIFICATE DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F Certificate of Liability Insurance Date Issued: 09/01/2020 DISCLAIMER: This certificate is issued as a matter of information only and confers no rights upon the certificate holder. The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend, or alter the coverage afforded by the policies listed thereon. Covered Locations Professional Liability: Portable coverage, not location specific General Liability Insured Location(s): 2617 Treemont Drive, Fort Collins, CO 80524 Comments/Special Descriptions: Certificate Holder PROOF OF COVERAGE If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). Notice of Cancellation will only be provided to the first named insured in accordance with policy provisions, who shall act on behalf of all additional insureds with respect to giving notice of cancellation. Underwritten by: Philadelphia Indemnity Insurance Company · One Bala Plaza, Suite 100 · Bala Cynwyd, PA 19004 · NAIC #: 18058 Administered by: CPH & Associates · 711 S. Dearborn St. Ste 205 · Chicago, IL 60605 · P 800.875.1911 · F 312.987.0902 · info@cphins.com Insured: L'Ancla, PLLC Policy Number: AR34954 Janina Farinas Policy Term: 08/09/2020 to 08/09/2021 2716 Treemont Drive Fort Collins, CO 80524 Coverage Type (Occurrence Form) Per Incident (Per individual claim) Aggregate (Total amount per year) Professional Liability $ 1,000,000 $ 5,000,000 Supplemental Liability $ 1,000,000 $ 5,000,000 Licensing Board Defense $ 100,000 $ 100,000 Commercial General Liability ▫ Fire/Water Legal Liability $ 1,000,000 $ 250,000 $ 3,000,000 $ 250,000 Business Personal Property $ 15,000 $ 15,000 Authorized Representative C. Philip Hodson DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F Certificate of Liability Insurance Date Issued: 01/14/2021 DISCLAIMER: This certificate is issued as a matter of information only and confers no rights upon the certificate holder. The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend, or alter the coverage afforded by the policies listed thereon. Covered Locations Professional Liability: Portable coverage, not location specific General Liability Insured Location(s): 2617 Treemont Drive, Fort Collins, CO 80524 Comments/Special Descriptions: Certificate Holder If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). Notice of Cancellation will only be provided to the first named insured in accordance with policy provisions, who shall act on behalf of all additional insureds with respect to giving notice of cancellation. Underwritten by: Philadelphia Indemnity Insurance Company · One Bala Plaza, Suite 100 · Bala Cynwyd, PA 19004 · NAIC #: 18058 Administered by: CPH & Associates · 711 S. Dearborn St. Ste 205 · Chicago, IL 60605 · P 800.875.1911 · F 312.987.0902 · info@cphins.com Insured: L'Ancla, PLLC Policy Number: AR34954 Janina Farinas Policy Term: 08/09/2020 to 08/09/2021 2716 Treemont Drive Fort Collins, CO 80524 Coverage Type (Occurrence Form) Per Incident (Per individual claim) Aggregate (Total amount per year) Professional Liability $ 1,000,000 $ 5,000,000 Supplemental Liability $ 1,000,000 $ 5,000,000 Licensing Board Defense $ 100,000 $ 100,000 Commercial General Liability ▫ Fire/Water Legal Liability $ 1,000,000 $ 250,000 $ 3,000,000 $ 250,000 Business Personal Property $ 15,000 $ 15,000 Eagle County Government 551 Broadway Street Eagle, CO 81631 X Certificate Holder has been added as an additional insured Authorized Representative C. Philip Hodson DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F Certificate of Liability Insurance Date Issued: 01/11/2021 DISCLAIMER: This certificate is issued as a matter of information only and confers no rights upon the certificate holder. The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend, or alter the coverage afforded by the policies listed thereon. Covered Locations Professional Liability: Portable coverage, not location specific General Liability Insured Location(s): 2617 Treemont Drive, Fort Collins, CO 80524 Comments/Special Descriptions: Certificate Holder If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). Notice of Cancellation will only be provided to the first named insured in accordance with policy provisions, who shall act on behalf of all additional insureds with respect to giving notice of cancellation. Underwritten by: Philadelphia Indemnity Insurance Company · One Bala Plaza, Suite 100 · Bala Cynwyd, PA 19004 · NAIC #: 18058 Administered by: CPH & Associates · 711 S. Dearborn St. Ste 205 · Chicago, IL 60605 · P 800.875.1911 · F 312.987.0902 · info@cphins.com Insured: L'Ancla, PLLC Policy Number: AR34954 Janina Farinas Policy Term: 08/09/2020 to 08/09/2021 2716 Treemont Drive Fort Collins, CO 80524 Coverage Type (Occurrence Form) Per Incident (Per individual claim) Aggregate (Total amount per year) Professional Liability $ 1,000,000 $ 5,000,000 Supplemental Liability $ 1,000,000 $ 5,000,000 Licensing Board Defense $ 100,000 $ 100,000 Commercial General Liability ▫ Fire/Water Legal Liability $ 1,000,000 $ 250,000 $ 3,000,000 $ 250,000 Business Personal Property $ 15,000 $ 15,000 Eagle County Department of Public Health & Environment 551 Broadway Street Eagle, CO 81631 X Certificate Holder has been added as an additional insured Authorized Representative C. Philip Hodson DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F Certificate of Liability Insurance Date Issued: 01/14/2021 DISCLAIMER: This certificate is issued as a matter of information only and confers no rights upon the certificate holder. The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend, or alter the coverage afforded by the policies listed thereon. Covered Locations Professional Liability: Portable coverage, not location specific General Liability Insured Location(s): 2617 Treemont Drive, Fort Collins, CO 80524 Comments/Special Descriptions: Certificate Holder If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). Notice of Cancellation will only be provided to the first named insured in accordance with policy provisions, who shall act on behalf of all additional insureds with respect to giving notice of cancellation. Underwritten by: Philadelphia Indemnity Insurance Company · One Bala Plaza, Suite 100 · Bala Cynwyd, PA 19004 · NAIC #: 18058 Administered by: CPH & Associates · 711 S. Dearborn St. Ste 205 · Chicago, IL 60605 · P 800.875.1911 · F 312.987.0902 · info@cphins.com Insured: L'Ancla, PLLC Policy Number: AR34954 Janina Farinas Policy Term: 08/09/2020 to 08/09/2021 2716 Treemont Drive Fort Collins, CO 80524 Coverage Type (Occurrence Form) Per Incident (Per individual claim) Aggregate (Total amount per year) Professional Liability $ 1,000,000 $ 5,000,000 Supplemental Liability $ 1,000,000 $ 5,000,000 Licensing Board Defense $ 100,000 $ 100,000 Commercial General Liability ▫ Fire/Water Legal Liability $ 1,000,000 $ 250,000 $ 3,000,000 $ 250,000 Business Personal Property $ 15,000 $ 15,000 Eagle County Government 551 Broadway Street Eagle, CO 81631 X Certificate Holder has been added as an additional insured Authorized Representative C. Philip Hodson DocuSign Envelope ID: 8786887E-891E-4F72-BD6A-405082F77D9F