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HomeMy WebLinkAboutC21-258 CSC ServiceWorksDocuSign Envelope ID: 46D6FD6D-E629-4069-8D8B-E323D6786EA2
FIRST AMENDMENT TO LEASE AGREEMENT BETWEEN
LAKE CREEK VILLAGE LLC
AND
CSC SERVICE WORKS, INC.
THIS FIRST AMENDMENT ("First Amendment") is effective as of the 20th day of July, 2021
by and between CSC ServiceWorks, Inc., a Delaware Corporation (hereinafter "Lessee") and
Lake Creek Village LLC, a Colorado limited liability company (hereinafter "LCV").
RECITALS
WHEREAS, LCV and Lessee entered into an agreement dated the 20' day of July, 2016, for
certain Services (the "Original Agreement"); and
WHEREAS, the term of the Original Agreement expires on the 20th day of July, 2021 and the
parties desire to extend the term of the Original Agreement for an additional year on the same
terms and conditions as set forth in the Original Agreement.
FIRST AMENDMENT
NOW THEREFORE, in consideration of the foregoing and the mutual rights and obligations as
set forth below, the parties agree as follows:
The Original Agreement shall be amended to extend the term to the 20th day of July,
2022.
2. Capitalized terms in this First Amendment will have the same meaning as in the
Original Agreement. To the extent that the terms and provisions of the First
Amendment conflict with, modify or supplement portions of the Original Agreement,
the terms and provisions contained in this First Amendment shall govern and control
the rights and obligations of the parties.
3. Except as expressly altered, modified and changed in this First Amendment, all terms
and provisions of the Original Agreement shall remain in full force and effect and are
hereby ratified and confirmed in all respects as of the date hereof.
4. This First Amendment shall be binding on the parties hereto, their heirs, executors,
successors, and assigns.
[Rest of Page Intentionally Left Blank]
C21-258
DocuSign Envelope ID: 46D6FD6D-E629-4069-8D8B-E323D6786EA2
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the
Original Agreement the day and year first above written.
Lake Creek Village LLC
By and through Eagle County Housing and
Development Authority, its sole member
By: �DocuSigned by:
iw� 15'a W-WaXAS
Kimber y1 1TMT'Wtlliffins, Executive Director
LESSEE
F�G
ocuSigned by:
By: 61AAn&
9E228E5ABC66483...
Print Name: Kye Bunnell
Title: Director of Strategic Accounts
2
LCV Am Term Final 5/14
C21-258
DocuSign Envelope ID: 46D6FD6D-E629-4069-8D8B-E323D6786EA2
A� o CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
03/26/2021
I
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).
PRODUCER
Aon Risk Services south, Inc.
Charlotte NC Office
CONTACT
NAME.
(A/cC. No. Ext): (866) 283-7122 FAX No.): (800) 363-0105
E-MAIL
ADDRESS:
1111 Metropolitan Avenue, Suite 400
Charlotte INC 28204 USA
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: LM Insurance Corporation
33600
CSC ServiceWorks, Inc. and All
Subsidiaries
303 sunnyside Blvd, Suite 70
INSURER B: Liberty Insurance Corporation
42404
INSURER C: Liberty Mutual Fire Ins Co
23035
Plainview NY 11803-1597 USA
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570086570930 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. Limits shown are as requested
INSR
LTR
TYPE OF INSURANCE
ADD
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
C
X
COMMERCIAL GENERAL LIABILITY
EB 51 1
1 10313112022
EACH OCCURRENCE
$1,000,000
SIR applies per policy terns
& conditions
DAMAGE TO RENTED
$1,000,000
CLAIMS -MADE X❑ OCCUR
PREMISES Ea occurrence
MED EXP (Any one person)
Excluded
PERSONAL& ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMITAPPLIES PER:
GENERAL AGGREGATE
$2 , 000, 000
POLICY � PRO ❑ LOC
JECT
PRODUCTS - COMP/OP AGG
$2,000,000
OTHER:
SIR
$250,000
C
AUTOMOBILE LIABILITY
As2-651-292069-011
03/31/2021
03/31/2022
COMBINED SINGLE LIMIT
Ea accident
$2 , 000, 000
BODILY INJURY ( Per person)
X ANYAUTO
BODILY INJURY (Per accident)
OWNED SCHEDULED
AUTOS ONLY AUTOS
HI RED AUTOS NON -OWNED
PROPERTY DAMAGE
ONLY AUTOS ONLY
Per accident
B
X
UMBRELLA LIAB
OCCUR
TH7651292069051
03/31/2021
03/31/2022
EACH OCCURRENCE
$1,000,000
EXCESS LIAB
H
CLAIMS -MADE
AGGREGATE
$1,000,000
DED RETENTION
A
WORKERS COMPENSATION AND
WA565D292069121
03/31/2021
03/31/2022
X I PER STATUTE OTH-
ER
EMPLOYERS' LIABILITY Y/ N
AOS
E.L. EACH ACCIDENT
$1,000,000
A
ANY PROPRIETOR / PARTNER / EXECUTIVE
N
N/A
WC5651292069141
03/31/2021
03/31/2022
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
NII
E.L. DISEASE -EA EMPLOYEE
$1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Lake Creek village, LLC, its associated or affiliated entities, its successors and assigns, elected officials, employees,
agents and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability and
Automobile Liability policies.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
Lake Creek village, LLC
AUTHORIZED REPRESENTATIVE
4923 Lake Creek Village Drive
Edwards Co 81632 USA
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©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and to o are registered marks of ACORD
G21-258
DocuSign Envelope ID: 46D6FD6D-E629-4069-8D8B-E323D6786EA2
AGENCY CUSTOMER ID: 570000035812
LOC #:
A ADDITIONAL REMARKS SCHEDULE
AGENCY NAMED INSURED
Aon Risk Services South, Inc. CSC Serviceworks, Inc. and A11
POLICY NUMBER
see Certificate Number: 570086570930
CARRIER NAIC CODE
See Certificate Number: 570086570930 EFFECTIVE DATE:
DDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
INSURER(S) AFFORDING COVERAGE I NAIC #
INSURER
INSURER
INSURER
Page _ of
ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD
certificate form for policy limits.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY
EFFECTIVE
DATE
(MM/DD/YYYY)
POLICY
EXPIRATION
DATE
(MM/DD/YYYY)
LIMITS
WORKERS COMPENSATION
B
N/A
WA765D292069131
MA
03/31/2021
03/31/2022
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
C21-258
DocuSign Envelope ID: 46D6FD6D-E629-4069-8D8B-E323D6786EA2
AGENCY CUSTOMER ID: 570000035812
LOC #:
A ADDITIONAL REMARKS SCHEDULE Page _ of _
AGENCY
Aon Risk Services South,
Inc.
NAMED INSURED
CSC Serviceworks, Inc. and All
POLICY NUMBER
See Certificate Number:
570086570930
CARRIER
See Certificate Number:
570086570930
NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liabilitv Insurance
Named Insureds
CSC ServiceWorks, Inc.
CSC Serviceworks Holdings, Inc.
Spin Holdco, Inc.
Coinmach Corporation
Coinmach Service LLC
Coinmach Laundry LLC
Appliance warehouse of America
Super Laundry Equipment Corporation
Service Directions Inc.
Mac -Gray LLC
Mac -Gray Services LLC
CSC SW Holdco, Inc.
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registeQWii266 of ACORD